Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

TV soaps regularly top the TV ratings but the highest trending show of 2012 was the BBC kids' show 'Mike The Knight' that beat US terror drama 'Homeland' and 'Towie.'
8.保持微笑,处分是我支持的队伍丢掉了比赛。
How do you feel about workingwith Ei Aoki again in Aldnoah?
单词authorization 联想记忆:
“中国的处境真的很艰难,”彼得斯博士说。“在过去大概十年时间里,排放量增加如此之快,不管怎么看待中国,它的任务都很艰巨。”
Successful CEOs tend to follow a structured, daily schedule of rising early, exercising, having snacks on hand for fuel and socializing many evenings of the week.

3.9 全面加强政府自身建设
2013 Rank: 12
It took almost 45 years for this 13-hour shaggy-dog experiment to reach American screens, but the timing turned out to be perfect. Mr. Rivette’s mischievous ramble through Paris, French literature and a handful of perennial philosophical puzzles (What is the nature of reality? How do we know what we know? What is the relation of effect to cause?) is both a charming, newly rediscovered artifact of its hectic time and a bulletin from the cinematic future. Everything has already been done, and everything is still possible.
However, some lawmakers already are discussing a standoff again in late February over raising the federal borrowing limit. 'You can never count on policy makers to not shoot themselves in the foot,' Mr. Daco said.
只跟那些能凸显你聪明的人做朋友,哪怕他们觉得你坏坏哒。
和许多评论家一样,我一方面了解清单的便利,一方面也讨厌清单的专横。所以我永远不可能只列出十部――我怎么做得到呢,北美影院一年就要上映900多部影片呢――今年是2015年,所以我挑选了15部,为它们分门别类,计数时做了一点含糊,所以最后其实是20部。其中有两部片名的不代表并列,而是代表有两种特色,可以成对观看,二者的优点相映成趣。
The consequences are more parochial than those of Chinese data distortion. British law requires the ONS to produce the RPI and, given that it refuses to improve the measure, its fiddling affects hundreds of billions of pounds of contracts which continue to be linked to the RPI.
性感的小动作,比如摆弄头发、轻弹小指、摩擦双腿、踱步、摇晃、轻咬嘴唇。(好吧,上面很多其实都是在回答“如何变成康伯巴奇”。)
阿尔文?罗思和劳埃德?沙普利的工作鼓舞了“蓬勃发展的研究领域”,并帮助改善了许多市场上的表现,瑞典皇家科学院说。

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.

bent

1

从“高跟鞋门”到“金棕榈狗狗奖”(Palm Dog),再到迅速走红的“老爹身材(Dad bod)”,戛纳电影展的这12天,真是令人眼花缭乱。随着电影节进入尾声,英国广播公司回顾了本届戛纳影展上的九桩事。
“The US economy is likely to grow by 3 per cent plus this year as well as next year.
Michael Smurfit Graduate Business School at University College Dublin showed the best overall progress, moving up 21 places to 48. Guanghua School of Management at Peking University returns to the ranking at 38, after missing last year due to a low response rate from participants.
IMD and Iese Business Schools have tightened their grip on the top spots of the twin FT executive education rankings, monopolising first and second places for both open-enrolment and customised programmes.
卓越雇主排名:32
20. Best Advice for Movie Lovers In August, the scholar Wheeler Winston Dixon sounded an alarm: “If you go on Amazon and you see some great black-and-white film, and it’s going for $3, or any kind of foreign or obscure film, buy it, because it’s going out of print, and they’re not going to put them back into print.” Tens of thousands of films that were on VHS never made the jump to DVD or to Blu-ray, Mr. Dixon warns. And the brave new world of downloads (a.k.a. electronic sell-through) — well, tune in next year.
? Heavy snow has fallen in West Virginia, with up to 17 inches in Webster Springs. The National Weather Service has warned that more is on the way.
所估计的收入来自电影、电视、化妆品及其他公司代言。宝莱坞女星迪皮卡?帕度柯妮是唯一一位首次入围的女星。

国内生产总值达到74.4万亿元,增长6.7%;
The M3 tomb also "consists of a burialmound, ramp, sealed gate, tomb entrance, screen walls, passage, burial chamberand side chamber" the researchers wrote in a report published recently inthe journalChinese Cultural Relics.
金维刚表示:“2016年居民消费价格指数仅同比上涨2%,低于预期的预测指标。属于温和通胀范围,反映了物价水平得到有效控制并保持基本平稳。”
单词accomplished 联想记忆:
东京大学(全球排名22名)和京都大学(35名)仍然是亚洲最顶尖的两所高校。
GDP growth of around 6.5 percent, or higher if possible in practice.
自信和迷茫只有一线之隔,而现在的科比·布莱恩特正横跨在这两端。这是在周二与勇士的比赛中我们唯一可以得出的结论。这位湖人队的超级明星打出了自己职业生涯当中,单场至少五次投篮的比赛中最糟糕的一场。
It is the first time since 2001 that an athlete other than Mayweather Jnr or golfer Tiger Woods topped the earning league.
Given that every single Wall Street economist had called for higher rates at the start of this year and 67 of 67 economists surveyed by Bloomberg concurred, the rate-sensitive utilities industry would have been the last sector a rational person would want to overweight. Bets on the financial sector were slow to pay off while wagers on “cheap” energy stocks demolished portfolio performance in the third and fourth quarters, just as they had elevated it during the first and second.
《小镇疑云》,BBC America,3月4日播出。大卫·田纳特(David Tennant)携第二季归来,在这部引人共鸣的英国推理剧中继续饰演亚力克·哈迪(Alec Hardy)探员(去年他在美国翻拍版的《小镇疑云》[Gracepoint]中饰演埃米特·卡弗探员)。这部剧将于周一在英国首映,制作人们已经开始谈起第二季的秘密情节了,编剧克里斯·齐布纳尔(Chris Chibnall)在接受英国杂志采访时说的话可能会让剧迷不爱听,“第二季不是讲罪案的。”奥莉薇娅·科尔曼(Olivia Colman)继续饰演艾丽·米勒(Ellie Miller)探员,夏洛特·兰普林(Charlotte Rampling)和玛丽安娜·琼-巴普迪斯特(Marianne Jean-Baptiste)也加入了演员阵容。
China has become the country with the most film screens in the world.
Singer Susan Boyle came undone -- literally, when her trousers popped open at a soccer match as she waved a Celtic fan above her head in Scotland. The "Britain
全部或者大多数政府部门将会迁移,行政大楼计划将在2017年建成。

2

The other two manufacturers, OPPO and vivo, both achieved growth of over 100 percent, shipping 99.4 million and 77.3 million units respectively in 2016.
但是,当《老友记》第二季浓墨重彩地展现卡罗尔和苏珊的同性恋婚礼时,这个剧集就朝着人人平等的方向迈出了一大步。幕后,执行制片人玛塔·考夫曼说:"国家广播公司预计会接到成千上万的投诉电话和邮件"。然而在这部剧集上映之后,收到的恶意信件却是寥寥无几。原来,大家根本就不在乎。
accomplished
securities
在科技初创公司大会上(比如去年12月在赫尔辛基举办的Slush),各方都在讨论体验。未来一年可能会看到更广泛地采用虚拟实境(VR,让用户置身于数字化强化的环境中)和强化实境(AR,把数字信息叠加到现实世界中)来创建新的数字企业。
在纽约举办了多次其标志性的时装秀之后,内衣品牌维多利亚的秘密又来到伦敦、巴黎、戛纳和洛杉矶举办维密秀,而在2017年,该全球女士内衣行业巨头来到了上海。
作为历史上一种非常敏感的大宗商品,原油价格走势已连续三年保持波澜不惊,其背后的一大支持因素就是美国的页岩油。
同样令人震惊的是百日咳的发病率上升了59%,而百日咳是一种半个世纪前的综合免疫接种计划没能彻底消灭的疾病。
Whatever happened to ‘Never complain; never explain' – the unofficial motto of the House of Windsor?
社交中我经常压抑自己
According to a report by Beijing Statistics Bureau, retail sales of consumer goods in the Chinese capital surpassed 1 trillion yuan ($152 billion) in 2015, up 7.3 percent year on year.
In addition, the last quarter of 2016 marked the first time that Huawei achieved a double-digit global market share.

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。
But the 3D version of the mascot image failed to dodge bullets, as critical netizens sneered at this version: "Reminds me of green and red lights." "Lost all the flair of that ink painting" "What are those balls under its ears?" "It is so ugly that I just want to cry."
But Moonlight kept pace with it over the course of a marathon four-hour ceremony. Barry Jenkins and Tarell Alvin McCraney won best adapted screenplay, while Mahershala Ali won best supporting actor — the first Oscar for a Muslim American actor.
adj. 笨拙的,尴尬的,(设计)别扭的
I'm sure Dwight Howard's never used steroids, but it sure looks like he has. It looks like Howard doubled in size since leaving high school for the NBA.
5. Gross warns: 'Ponzi Scheme! Tipping Point! Credit Supernova!'
No matter whether you’re looking for big international events, delicious food, natural wonders or simply relaxation on a beach, these places should be on your checklist.
The most badass super-villains assigned to protecting people, that's Suicide Squad for you. A government agency called A.R.G.U.S recruits villains to perform dangerous tasks that in turn reduces their prison sentence. The task force includes Joker, Deadshot, Harley Quinn, Boomerang, Killer Croc and several other villains from the DC Comics universe.
There are 15 Chinese brands in the top 100, one more than last year and a sharp rise on a decade ago, when China Mobile was the only Chinese brand.

3

I formerly had an Android device (even though I have had a MacBook since 2009 – weird, I know). After switching this summer, I quickly realized the power of iPhone “Reminders.” Each time a reminder is due, your iPhone buzzes and displays a pop-up. You can snooze it or mark as completed. In addition, you can set up recurring reminders, which are perfect for remembering to mail estimated quarterly tax payments, renewing subscriptions, running payroll and other things you tend to forget.
傲人的财务业绩和令人炫目的新科技,或许已足以让这位钢铁般坚定的苹果首席执行官赢得英国《金融时报》2014年年度人物(Person of the Year)的称号。但库克阐述自己价值观的勇气,同样让他与众不同。
看看这些:
……被要求向面试官简单介绍自己,结果她没有什么可说的。
The recession may be over, but the job market recovery is lagging way behind. And experts say the situation may get worse before it gets better.
理查三世的遗骨将在当地教堂被正式重新埋葬。他一直被视为英国历史上最残酷的暴君之一,威廉-莎士比亚将其刻画为“驼背的暴君”。
Soon after he finished his duties, Sun heard loud voices coming from outside.
Until now, the appeal of Bigcommerce’s eponymous technology has been simplicity and its ability to scale along with merchants as they grow. “To some, this will mean the difference between success and failure,” said Steve Case, who as a board member advises Bigcommerce on U.S. entrepreneurial trends. “Even just five years ago, if you wanted to create a compelling offering, it could cost hundreds of thousands of dollars. Now, you can get up and running in hours for less than $100 per month.”
Will the S&P 500 finish the year above 2,650
● “特朗普为想要离开美国的公民提供非洲或墨西哥单程机票”
换句话说,我们看到的只是气候变化方面的虚假黎明。
6. 《火星救援》(The Martian)。在布满红色岩石的山坡与丘陵之间,雷利·斯科特(Ridley Scott)这部非常令人满意的太空西部片既源自一个历史悠久的类型,也源自他的殿堂级遗产。
谷歌2017全球搜索排名前十
布兰妮,你在《放荡女性》节目中吧唧着嘴嚼口香糖的样子快把我逼疯了,那样子就和你在1998年被审问时一个模样。
自2007年4月以来,全球最具价值品牌100强的品牌价值增长106%。同期标准普尔500指数(S&P 500)和MSCI明晟全球指数(MSCI world index)分别上涨61%和21%。

4

Comparatively, the increase rate is higher than income rise of urban residents for the same time period, which is 17.4%.
可以这样说美国银行首席执行官布莱恩?莫尼汉这个人:他很会说话。在给股东的信中,莫尼汉特地感谢美国纳税人,正是由于他们,美国银行才获得了450亿美元的不良资产援助资金。他还说自己如今正在金融改革方面同“政策领导人”紧密合作。不过他是否能做好,比如转变美国银行的境遇,就是另外一回事了。虽然美国银行的确在去年12月偿还了援助资金,但是它仍然有数十亿美元的高风险住房与商用房房贷,这也是为什么它要在年度报告中花8000字来讨论风险了。
circulate
这是英国影评人参与评选的娱乐性奖项,为在参展影片中表现最精彩的狗颁发纪念奖章。颁奖仪式于上周五(5月22日)在英国展馆举行。今年的金棕榈狗狗奖颁给了一只名叫幸运的狗,它是马耳他梗犬(Maltese terrier)与贵宾犬(Poodle)的混血品种。幸运出现在米古尔?戈麦斯(Miguel Gomes)时长6小时的巨作《一千零一夜》(Arabian Nights)中,在剧中叫做迪克西。幸运的奖品是一只玩具狗骨头,通过视频幸运发表了简短的获奖感言(汪)。但据法新社报道,在这大家其乐融融的时刻,一位法国记者认为在极具魅力的影展间隙举办这样的颁奖仪式真是“英国人愚蠢性格的无端干扰”。“在法国人看来,这有些奇怪,”他在报道中说。“英国人真是不可思议。”
championship
贴近大自然。在桌上摆放一盆植物是振奋自己的一个好办法。
New year’s events can be anticlimactic. Not so in China where stock markets began 2016 with enough excitement to make traders choke on their bubbles: Shanghai stocks dropped 7 per cent on Monday, Shenzhen more than 8 per cent. It could have been worse. A new mechanism that suspends trading after a drop of 7 per cent halted play early — in this instance, by an hour and a half.
Qube会提醒你注意垃圾回收,在垃圾最后被倒出来的时候进行监控,并告诉你更换空气清新剂。但这些人们通常可以通过嗅觉和其他感觉器官来判断。现在有一个300美元的“优雅”不锈钢,会不断用讨人厌的移动警报提醒你。
I used to go fishing in Vancouver with my dad until just a few years ago we found the fish full of cancers. And now we hear about animals and plants going extinct every day -- vanishing forever. 以前和我爸爸经常在vancouver钓鱼,但在近几年却发现鱼的身上到处是癌细胞。我们每天都会听说有的动物和植物绝种,那是永远消失的事情。
The Bloomberg soft commodities index has gained 21 per cent, compared with 24 per cent for industrial metals and 1.5 per cent for energy.
This year has been one of diverse and bold hair and makeup choices, from the frizzy, matted blue-tinted mane of the Witch in “Into the Woods” to the shimmering, expertly shaped pompadour of James Brown in “Get On Up.” In some cases, the absence of hair comes into play, like the bald, heavy-on-the-eyeliner look of Ramses in “Exodus: Gods and Kings.”

5

"Students are not suited for starting businesses on their own," said Zhang, adding that vocational students are more eager to start businesses than university undergraduates.
尽管从严格意义上来说,英国《金融时报》在线MBA排行榜和全日制MBA排行榜没有可比性,因为二者的评判标准略有不同,但我们饶有兴致地发现,IE商学院和华威商学院等6所院校都同时登上了两个排行榜。
据国际足联秘书长杰罗姆·瓦尔克说,贝老爷子的1950年版门票将在苏黎世的一家博物馆展出,展览定于2015年开放。他还说:“这版球票很稀有,我们希望博物馆能够珍藏。”
n. 游艇,快艇 vi. 驾快艇
7. Love is like two people holding two ends of a rubber band: it’s always the one who doesn’t let go who gets hurt more.
The report didn't comment on potential factors influencing the numbers, but many – including members of the opposing political party – are laying the blame squarely at the feet of government cost-cutting.
一个更大的侧影
单词slew 联想记忆:
需要德语技能的工作也在2016年的第三季度显著增长。那些想做德语翻译工作的人或许近来很幸运。
as朝向,soci(同伴,社会)-成为同伴-联合
I like a miniskirt and maxi-dress as much as the next woman; they are, generally, flattering and easy to wear. And there’s no question that seeing them on Megan and Company was a potent reminder.
衡量散货大宗商品贸易的波罗的海干散货运价指数(BDI)已经触及历史低位。2014年超过美国成为世界最大贸易国的中国本月报告,1月出口和进口都出现两位数下降。正在经历一个多世纪以来最严重衰退的巴西从中国的进口暴跌。
中国的旅游业官员正力图在2014年扭转入境游客减少的情况,专家认为,如果能对其过时的旅行团进行改进并降低票价,这一计划就有可能实现。
2021届哈佛待入学新生的脸书官方主页提醒学生,“如果新生在诚信、成熟度或道德品质方面存在问题,那么校方保留针对恶劣情况取消学生入学资格的权利。

6

单词infection 联想记忆:
The fall in profits in December highlights the challenges facing an industrial sector racked by overcapacity and falling prices, adding to pressure on authorities to loosen monetary policy and boost infrastructure spending to cushion the slowdown.
……太紧张,差点昏过去。
谎言7:没错,约翰昨晚是和我在一起。说谎原因:这就是朋友该做的事。等下我们两个还要通通气,以免穿帮。
新生们对此事各持己见,《哈佛深红报》报道了一些学生的观点。其中有两位新生称取消这些人的入学资格是正确的。一名学生表示,“我不知道他们对这些冒犯无礼的图片有什么可辩解的”。
The malaise was not confined to those picking individual stock winners. Through December 1, aggregate hedge fund returns trailed the market to the point of farce. According to data compiled by Bloomberg, hedge funds were up an average of 2% on the year, just barely offering the coupon rate of a risk-free 10-year Treasury note. Over 1,000 funds are on track to close down in 2014, the worst year for liquidations since 2009.
Successful CEOs tend to follow a structured, daily schedule of rising early, exercising, having snacks on hand for fuel and socializing many evenings of the week.
Graduates of Tsinghua University make more money, on average, than those from any other college in China, results of a recent survey showed.
有一颗大小与地球相近的行星围绕着距离太阳最近的恒星——半人马座比邻星运转。这颗行星的“一年”仅有11天。但因为比邻星是一颗红矮星,它比太阳暗100倍左右,因此行星位于宜居区。另一则热门消息称,40光年外的一颗相似恒星的宜居区可能存在三颗行星。

Yet there are similarities between the demagogic elements of the Brexit campaign and the rise of Mr Trump.

Conclusion

Master of None
你说的有道理。那我们就把国王队归到“有可能”的那一档里吧。同样我会把掘金队也归到这一档,鉴于他们球队战绩相近,且都或放走或签约了某些功能失调的球员。奇才队也会被我归到这一档,到目前为止我还是不看好他们。
However, strong progress across the main rankings does not automatically translate into European success. Sa Business School at the University of Oxford, for example, rose one place in the MBA ranking, five places in the ranking of open executive programmes and broke into the top 10 of the Executive MBA ranking for the first time by moving up 12 places, but its European ranking remains unchanged, at 10th.
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。
institute
He added that “almost every major Korean company, including Hyundai Motor and AmorePacific, relies heavily on Chinese sales”.
Others have come up with some, um, creative ways to say sayonara. When staffing firm OfficeTeam asked about 600 U.S. human resources managers to describe the weirdest ways they’ve seen or heard people resign lately, here’s what they said:
源于:Turkey土耳其,火鸡原产于土耳其地区。


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. 10. “移动珠宝”(Run the Jewels),《移动珠宝2》,Mass Appeal。说到迫切和讥讽,杀手麦克(Killer Mike)和EL-P都是地下说唱界不同圈子里的资深人士了,他们组成的“移动珠宝”在第二张专辑里找到了坚实的互相吸引。他们的说唱强大有力,关注点狂热喧闹,专辑抨击没有让任何人摆脱困境的权力结构。
  2. The emotions were far more visceral and less attractive.
    2018年,反对科技巨擘(Big Tech)的声音将扩散到科技行业雇员群体,很多人质疑他们所做的工作是否真的在拯救世界。

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