Quality

Six Interventions To Radically Improve the U.S. Healthcare System


 

Danielle Scheurer, MD, MSCR, SFHM

n. 大巴,教练;(火车)客车车厢,四轮马车,经济舱-
“Soft domestic demand and the decline in commodity prices continued to weigh on China’s import growth,” said Liu Li-gang, an economist at ANZ bank. “Looking ahead, China’s export sector will continue to face significant headwinds.”
最新的官方资料显示十二月中旬的数据大幅增长,有1200人已经离开或者正谋求去战场加入圣战份子。
In addition to meeting quality standards, imported products must be correctly labeled in Chinese, according to national regulations.
vt. 记载,(用文件

"My hair has turned white, half because of housing prices and half because of you reporters." JIANG WEIXIN, member of the CPPCC National Committee and minister of housing and urban-rural development, responding to media questions about government measures to curb housing prices
她还表示,从较长期来看,另一个让她担心的“R”是“重置”(reset),她解释称,全球各地的货币和财政政策在回归正常之前还有很长的路要走。她补充称:“最终的重置是那些在全球各地都有必要实施的结构性改革。”
“This growth is further backed by Video Editing making an appearance at number 3 on the list with a 19% increase,” the report states, “as video content becomes one of the initial draws and call to actions for most customer-focused websites. Heavy video marketing through social media also increases this demand.”
The number of moviegoers in 2016 reached 1.37 billion, an increase of nearly 8.9 percent year-on-year.
1.Mitsubishi. Brand love: -12% / Rank: 360
[p?izd]
Premiered on Jan 29, the drama received 7 points out of 10 on the country's popular review website Douban.
Mr Cook’s decision to expand its cash return programme of dividends and share buybacks helped to defuse the situation with the activists, returning $94bn to date. In the end, he stared down the challenge just long enough for the next wave of iPhone growth to hit and new products to emerge from Sir Jonathan Ive’s workshop.
Over the first weekend of 2015 the second-largest bitcoin exchange, Slovenia-based Bitstamp, was victim of a hack to the tune of some $5 million U.S. dollars’ worth of the digital currency. As the tech press were quick to point out, it was a worrisome start to the year for a digital currency that Quartz had already declared “the worst investment of 2014.” And if you look at its performance between Jan 1, 2014 and Jan. 1, 2015, that’s not wrong: bitcoin ended the year at 39% of the value it started with.

Metric transparency stimulates rapid improvements and fosters goal alignment. Measurement and reporting of cost is absolutely essential in moving the value equation.

A series of articles published between The New England Journal of Medicine and the Harvard Business Review aims to discover and suggest solutions to the issues currently ailing the U.S. healthcare system.1 The first installment focused on how to improve value on a large scale. The authors discuss the major barriers to realizing the value equation, along with some propositions for overcoming these barriers on a large scale.2 Although all six barriers are extremely difficult to surmount, the authors argue that because they are all mutually reinforcing in the current state, all will need to be addressed swiftly, tenaciously, and simultaneously.

骑行背带可以取代折叠式婴儿车和大背带,带孩子外出时携带这些物件常让家长感觉更加笨重麻烦。

1

自从美国的民权运动以及欧洲敞开国界以来,多元文化主义已经兴盛数十载,这些问题似乎是一种突然的逆转。
Video footage recorded by the RSPCA shows the house littered with mess, including animal faeces.
5.电子烟
会。梅亚德是执政党革命制度党(PRI)的候选人。他主要的竞争对手是强硬的左翼领导人安德烈斯曼努埃尔洛佩斯奥夫拉多尔(Andrés Manuel López Obrador)——可以感召人群的激情演说家。梅亚德需要克服很多问题:在去年1月一夜间把油价上调20%、引发通胀飙升后,他必须说服选民自己仍然是可以信任的。他还必须证明自己是个有主见的人,而不仅仅是这届不受欢迎的政府的傀儡——在遏制猖獗的腐败和犯罪行为方面,这届政府极为失败。但是凭借强大的PRI拉票机器,他可能势不可挡。在墨西哥只有一轮选举的体制下,30%的选票可能就足以让他当选总统了。
The pair came out with a spree of punch lines, dishing them around the Beverly Hills Hilton, much to the delight of its starry audience. Mr. Damon, Meryl Streep and, naturally, Mr. Clooney were among the targets. Ms. Fey particularly had the crowd roaring with a description of 'Gravity,' which stars Sandra Bullock and Mr. Clooney.
在令人失望的2014年里,基金投资者们没有太多的动作。总体而言,过去11个月中,主动选股基金仅新增了350亿美元资金,还不到2013年同期新增资金(1620亿美元)的四分之一。2013年是该行业自2007年以来首次实现资金净流入。不过,这并不是说基金行业毫无作为。截止感恩节,交易所交易基金(ETFs)和被动指数型基金吸纳了2060多亿美元净存款,行业领先者先锋集团管理的基金规模在今年夏末突破了3万亿美元大关。投资者们似乎已经决定,与其把宝押在“骑手”身上,不如直接把赌注押在“赛马”身上。
In 2016, 1,576 foreigners became permanent Chinese residents, an increase of 163% on the previous year, according the Ministry of Public Security.
赢家:湖人

“It suggests that people put more weight on what happened to themselves and less weight on other information that might be available,”Koudijs says. The more personally removed people are from an important event, the less it is to affect their appetite for risk.
源于:muscle(n 肌肉)
Industry Kitchen是位于纽约市南街海港的一间餐厅,你可以在这里购买到这款24K黄金比萨,其售价高达2000美元。顾名思义,黄金披萨因为覆盖了24k黄金金片而闻名。
Stand: Apple CEO Tim Cook fought for workplace protection for the LGBT community
The drama got 7.2 points on Douban, receiving criticism for having too much romance and too few of Zhou's struggles.
无从业资格的司机从事网约车服务将面临1万(折合1500美元)至3万元(折合4500美元)的罚款。
"Compared with previous years, this year's two sessions are due to see the new leadership elected, and reforms of organizations will be discussed. They will also elaborate on detailed plans for implementing policies proposed by the 18th National Congress of the Communist Party of China."
“我亲眼见到一个女人死了,并且我看到美国总统拒绝明确谴责杀害她的人。”
但舒尔茨没有停留在担心这一步。美国政府停摆期间,星巴克还在一些日子里为给他人买咖啡的顾客免单。舒尔茨希望此举能帮助人们“在期待民选官员为了国家利益团结起来的同时,彼此也能团结起来。”
2.富国银行
“谁来支付由此产生的成本呢?”纽约合作公寓和共管公寓委员会(Council of New York Cooperatives and Condominiums)的主席马克·J·卢森堡(Marc J. Luxemburg)表示,“这会给许多楼盘带来真真切切的成本。”
2016年,高管薪酬均值达709万元,同比增长8%,跑赢了我国国内生产总值6.7%和人均可支配收入6.3%的增速。
Harvey C Mansfield, one of Harvard's most outspoken conservative professors and the author of a book called Manliness, also told the Guardian he questioned the decision. "The bounds of what is offensive have been extended and distorted, and I no longer trust the bent judgment of politically correct enforcers."

2

urban
WORST USE OF SOCIAL MEDIA
A total of 1,300 fugitives suspected of economic crimes, 347 of whom were corrupt officials, returned to China from abroad to face justice last year, according to the country's top discipline watchdog.
再来看一下流失顾客的公司吧。
8. The 2012 Ig Nobel Fluid Dynamics Prize
对于就读EMBA的创业者而言,学校和校友关系网的支持同样很重要。约四分之三的创业者认为,学校和校友网络在自己创办公司时都有帮助或非常有帮助。“校友的支持对创业构想的审查以及为公司找到合适的人脉非常关键”,一位学员说。
The city offers excitement beyond your expectations, with grand churches, a richly varied number of museums, a growing modern-art scene and streets that come alive with summer festivals.
勉强会。民主党将在11月中期选举中重新赢得对众议院的控制权。尽管他们要到2019年1月才能掌控众议院,但他们将马上开始为众议院司法委员会(House Judiciary)启动弹劾做文书方面的准备。特朗普将称此举为“政治迫害”。但在特朗普怪诞的总统任期又持续了一年之后,民主党将几乎不可避免地展开造势活动,誓要让特朗普承担责任。在此之前,无论罗伯特米勒(Robert Mueller)的调查发现了什么,都不可能让足够多的共和党人倒戈反对特朗普。
Until four years ago, Maddie was an unknown eight year old who enjoyed dancing and went to a local primary school.
节目35 歌曲《美丽中国》,沙宝亮 徐千雅
11月份,财新赞助的中国综合PMI指数读数为50.5。这是自7月份以来,该指数首次超过50这个区分收缩和扩张的荣枯线。
在世界五大电脑制造商中,苹果公司是去年唯一一家出货量保持增长的公司,涨幅超过了6%;宏碁公司则是下跌幅度最大,下跌超过了18%。

At a Senate committee hearing on extrajudicial executions in the Philippines, Ronald Dela Rosa said 712 people had been killed in police anti-narcotics operations since July 1, the day after Mr Duterte assumed the presidency, while 1,067 deaths were being investigated as drug-related vigilante killings.
伯利兹城最富盛名的旅游胜地莫过于巨大的水下天坑--蓝色巨洞以及玛雅遗址。
Horowitz, speaking to radio station RTE, said he was keen to keep the new Bond true to the 1950s creation.
corn
胡润在接受路透社采访时表示:“这是一种新型的财富创造方式。”他还表示,中国经济正在缓慢下行,中国必须适应这种方式。
潘通在解释这一选择时提到以下这些因素:“主张性别平等和流动性的社会运动;消费者越来越喜欢把色彩当作一种表达方式;这一代人不太在意被认定为某一种类型或遭到评判;公开的数字信息交流让我们看到颜色使用的不同方式。”
28 June
《二十二》讲述的是22名慰安妇的故事,是中国首部票房超过1亿元的纪录片。
China's movie box office revenue grew 9 percent to $8.9 billion (RMB 60.98 billion) in 2018.

3

As we ring in the New Year, let’s take stock of where we are at with the oil markets. 2014 proved to be a momentous one for the oil markets, having seen prices cut in half in just six months.
The latest list showed that University of Hong Kong ranked third and University of Macao seized the sixth place.
它会自然生长成模子的形状。
However, in season two Friends took a big leap toward equality by featuring a gay wedding when Carol married her girlfriend Susan. Behind the scenes, executive producer Marta Kauffman said, "NBC expected thousands and thousands of phone calls and hate mail." However, after the episode aired, they received only four antagonistic letters. As it turns out, people just didn't care that much.
小说作者安东尼·赫洛维兹(Anthony Horowitz)透露,新书《Trigger Mortis》为现代读者作了改动,包含反对吸烟的信息,而且首次有一位“直言不讳”的同性恋朋友出场。
'So it's how do you square that circle? How do you remain true to the original creation and concept and yet at the same time not offend people in the 21st century?
开发商:Remedy Entertainment、Microsoft Studios
v. 扛,肩负,承担,(用肩
大力改造提升传统产业。
grant
Helsinki-based developer Remedy Entertainment has blurred the line between Hollywood and games with previous incarnations Max Payne and Alan Wake. Now the studio is combining next-generation visuals with the tension and drama of scripted television. Set in the university town of Riverport, Quantum Break puts players in control of Jack Joyce and Beth Wilder, a pair of ordinary people who are given the extraordinary power to manipulate time after an accident that creates a time rift. Time will randomly break down during the game, which causes disasters in the environment that pause, stutter, rewind and freeze. Fans of Max Payne’s bullet time will see new strategies emerge with gunfights involving time-amplified combat as the player fights against the Monarch Corporation. In addition to the virtual storyline, the game features custom live action storytelling that’s personalized based on the decisions one makes.
benefit
He was under the impression people clicking on the adverts would earn him money. But instead he was charged every time someone clicked on the link.
Spider-Man: Homecoming
在许多情况下,这种做法已经渐渐从政界边缘进入主流。比如说,英国的执政党保守党立场是中间偏右,它曾经推进英国脱欧,公投之后,新的保守党首相特丽莎?梅(Theresa May)表现出对白人身份政治的同情。

4

A major disruption still could push oil higher, but potential oversupply makes even that less likely. Emerging-market demand once kept supply so tight that any disruptions led to striking price moves, said Ole Hansen, head of commodity strategy at Saxo Bank.
Meanwhile, WeChat offers perhaps the greatest potential yet for Tencent to gain overseas users. Forrester analyst Bryan Wang said he has seen colleagues and friends in Singapore and India begin to appear on his WeChat contact list.
Sun Yixiao was on his way up last Tuesday evening after school, when the lift suddenly lurched to a stop.
5. What are my core values? What is important to you as an individual? Is it family, health, spirituality, work, etc.? Make sure that you are living in alignment with what matters most to you.
那么,于汽车业而言,2015年又意味着什么?以下是一些有根据的猜测。
McDonald's (MCD, Fortune 500), the all-American fast food Mecca, announced it would put $20 billion towards share repurchases and dividends Thursday, jumping on board the buyback trend that has boomed over the past 18 months.
3. Smart laundry peg
Last year, the CPI increase peaked at 2.5 percent in January, and later fluctuated below 2 percent during the rest of the year.
另一名来自美国的毕业生写道,来自世界各地的知识的丰富性和深度为课程带来了巨大的价值,他补充称,“鉴于这里汇聚着众多的文化和经验,有关贿赂的课堂道德讨论不像典型的美国学校那样枯燥。”
据中国海关总署公布的统计数据显示,2016年中德外贸总额达到了9991亿元人民币(约合1453亿美元),同比2015年增长了2.6个百分点。
Brazil's President Dilma Rousseff, who is facing impeachment, slashed her own salary by 10% to $103,400 a year last October as part of a wider austerity drive.

5

他称:“有色钻石的市场门槛设置得非常高,因为它们实在太稀有了。”
中国富人近年来对岛屿表现出越来越浓厚的兴趣。
For the first time in six years, a new challenger has topped the FT’s ranking of executive MBA programmes.
2011年诺贝尔和平奖被授予利比利亚总统埃伦.约翰逊.瑟利夫,利比利亚和平活动人士蕾曼.格鲍伊和也门妇女权利倡导者塔瓦库尔.卡门。
Enrollment: 503
你可能觉得我们对于列清单的爱好是从“十诫”继承而来,但安伯托·艾柯( Umberto Eco)的说法却正相反,“清单是文化的起源”,他写过一本书,《无限的清单》(The Infinity of Lists),书中在讨论自己熟悉的东西时这样说道。而且,文化希望“让无限变得可以理解”,并且“创造秩序——不是永远如此,但通常都是这样”,所以才有了荷马在《伊利亚特》中的人名清单,以及你冰箱上贴着的,永远做不完的家务清单。“我们喜欢清单,因为我们不想死,”艾柯还说,这可能是对“清单体”(listicle)的最佳解释了。
4.平均寿命
《一位德国女权主义先锋在痛苦中回顾过去》(A Pioneering German Feminist Looks Back in Anguish)
我们咨询了社交媒体评估机构达奇斯集团(Dachis Group),问它哪些品牌最受消费者的喜爱,哪些品牌失去了大部分市场。
strengthen
Cnzz.com的报告还讨论了目前在中国网络游戏行业盛行的装备收费模式问题。举例来说,很多美国游戏公司都是按照时间收费的,但大多数中国网络游戏都采取了装备收费模式,玩家可以免费试玩。用户玩游戏的时间越长,就越有可能花钱购买游戏装备,以获得更高的游戏级别。但这也意味着花钱最多的玩家就在游戏中表现最好。
“It comes down to answering these questions: how do you continue to iterate the platform, how do you continue to augment the team, and how do you build a tapestry of alliances with partners that will accelerate your growth?” Case said.
The app D'Aloisio designed, Summly, compresses long pieces of text into a few representative sentences. When he released an early iteration, tech observers realized that an app that could deliver brief, accurate summaries would be hugely valuable in a world where we read everything-from news stories to corporate reports-on our phones, on the go. The app attracted the interest of investors around the world, ranging from Hollywood celebrities to Hong Kong billionaire Li Ka-shing, the wealthiest man in Asia.
intimidating

6

While there is a still a way to go to ensure the LGBT community has the same rights as sexual couples, the world has moved on significantly in recent years. In fact, gay marriage is now legal for 60% of Americans. What about the other 40%, you ask? The List Love really believes the rest of the United States, and many other countries across the world – we’re talking to you, Russia! -will catch up soon.
游戏平台:Xbox One
Star Wars: Rogue One is set to release on December 16, 2016.
pro在前面+tect盖上+ion→保护
By investing deep in the industrial fabric of the country, from the coastal cities of Tianjin and Shanghai to the new industrial frontiers of the Western provinces of Shaanxi and Sichuan, from the processing of rare metals to the manufacturing and assembly of complex aircraft parts, China is adding substance to formand showing the world that, as far as its commercial aerospace achievements are concerned, the best is yet to come.
科派斯塔克表示,东京回归榜首并不让人惊讶,因为东京的高工资推动了物价的上涨,房价和房租也很昂贵。
Despite the huge production, the focus was on the 40 gorgeous models who walked the runway.
Winners: Mavericks
1.手指存储器

navigation

Conclusion

It seems safe to predict lots more noise and very little progress for the rest of 2017. And that will continue to be a damaging combination for business and the UK economy.
8. 茱莉亚-罗伯茨 1200万美元
vt. 记载,(用文件
With very best wishes for your happiness in the New Year.
继Facebook前员工肖恩帕克(Sean Parker)和查马斯帕里哈皮蒂亚(Chamath Palihapitiya)——二人谴责了社交媒体的成瘾性——之后,新的一年将有更多的科技行业工作者发声。
In one tweet that was posted on Jan 10, Obama wrote, "Thank you for everything. My last ask is the same as my first. I'm asking you to believe - not in my ability to create change, but in yours."
上月越南主席张晋创对中国进行国访,会见中国主席习近平。但中越双方并未就跨境贸易达成一致。
*喜剧类最佳客串女演员:蒂娜?菲(Tina Fey)和艾米?波勒(Amy Poehler),《周六夜现场》(Saturday Night Live)


Dr. Scheurer is a hospitalist and chief quality officer at the Medical University of South Carolina in Charleston. She is physician editor of The Hospitalist. Email her at [email protected].

References

  1. 其他地方已经出现了这种情况。
  2. 债券大王比尔?格罗斯(Bill Gross)承认:“QE必须结束。”数万亿的低成本资金“扭曲了激励机制,将资产价格推高至人为水平”。但现在格罗斯说“美联储的计划可能过于仓促了”。
    在开放课程排行榜中,基于对参加课程高管的调查,瑞士洛桑国际管理发展学院在最重要的10项指标上得分特别高。该校在3项指标上排第一,在其他7项指标上都排前五。

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