Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

“Why do we keep getting so many record-warm years?” Dr. Schmidt asked in an interview. “It’s because the planet is warming. The basic issue is the long-term trend, and it is not going away.”
库什纳回忆道,我当时被他深深折服了。他到新闻集团去见默多克时,我与他有了第一次接触,当时我被一同叫去提提意见。达洛伊西奥在会上描述了他想要实现的远景。他帮助默多克加深了对一些事物的见解。达洛伊西奥在台上的优异表现,加上背后李嘉诚的雄厚财力,为Summly招来了包括艾什顿?库奇(Ashton Kutcher)、小野洋子(Yoko Ono)、史蒂芬?弗莱(Stephen Fry)等许多人的捐赠。
The Shanghai Stock Exchange saw 26 IPOs, while its Shenzhen counterpart saw 15 IPOs of small-and-medium-sized enterprises and 20 start-up companies.
最佳迷你剧集/电影类编剧:D?V?蒂文森斯(D.V. DeVincentis),《美国罪案故事:公诉辛普森》,“玛西亚,玛西亚,玛西亚” (The People v. O. J. Simpson: American Crime Story, "Marcia, Marcia, Marcia")
上周,希拉里的竞选团队负责人约翰·波德斯塔表示,希拉里很可能会挑选一名女性作为她的副总统获选人。很快有人猜测,为了吸引女性选民,她的竞选伙伴很可能是马萨诸塞州参议员伊莉莎白·华伦。她是一名非常受女性欢迎的、激进的参选者。
At the same time, college graduates' interest in further education has also dwindled, leading to an increase in students wanting employment from 71.2 percent last year to 75.6 percent this year. Nearly 30 percent of those graduates accepted offers from the internet industry, which is among the highest paying.

response
[in'spekn]
勇士的横扫,实际上让那些试图挑战勇士的球队无力追赶勇士的脚步,致使联盟在季后赛收入上损失惨重。于是,总决赛便成了战胜勇士的最后的希望,也是最后的机会。总有些愚蠢的人通过不断告诉你不要低估了勒布朗·詹姆斯来让你重燃希望。我看了所有五场詹姆斯在的总决赛,我现在客观的告诉你:詹姆斯知道自己赢不了。“我能做什么?他们赢了73场比赛,我打败了他们,于是他们引进了凯文杜兰特。”在凯文杜兰特用自己的冷血投射杀死系列赛之前,骑士还设法在三场比赛中夺得了一场胜利。但最后,骑士队虽然避免了横扫的尴尬,但他们结束赛季的方式也只能用虎头蛇尾来形容。
Mr Mallaby accepted the award at a dinner in London on November 22, where the guest speaker was Dido Harding, chief executive of TalkTalk, the UK telecoms group.
该调查讨论了对未来的预测:"生活成本总是变化的,来年将发生的变化已经有了迹象。"
People have been predicting consolidation in this very fragmented sector for years and there have indeed been big mergers recently. But there is little doubt that price pressures on City law firms are intensifying.
除了这一综合排行榜,《美国新闻与世界报道》还提供了地区、国家、特定专业大学排行榜,方便大家进行更为细致的搜索。
我们再来看看名单里一些其他的亮点:
“邦德对待女人的态度是那种高高在上的、肉欲的,这完全符合007系列小说中邦德的形象。但我创作出十分强势的女人,与他难分伯仲地竞争,他的看法由此受到挑战。

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.

欧洲出现了债务危机。日本面临自然灾害。曾经是全球亮点的新兴市场也失去了光芒。近来意大利、埃及和泰国等国频现政治危机,这或许表明全球市场可能将出现新一轮动荡。

1

与比利时接壤的法国已经有大量志愿者出国加入伊斯兰国圣战组织,这个组织占领了伊拉克和叙利亚的大片区域。
STEP 1: GET THE LOOK
I have never ordered an ice bucket for my red wine. In fact, come to think of it, I have never ordered an ice bucket for white wine, Champagne or dessert wine.
[k?m'plein]
Hidrate Spark 2会通过移动App跟踪你的水摄入量和记录你一天喝了多少盎司的水,还可以根据在有盎司数标识的水瓶里灌了几次水来跟踪你的饮水量。
n. 营养
彭希哲解释称,中部和西部城市化的推进,也吸引了东部沿海城市向内陆地区的大量劳动力前往花销更低的内陆地区。
伦敦商学院在所有这5项排名上表现强劲。其所有课程都跻身欧洲前十,包括全日制MBA课程排名第二,合办EMBA(与美国哥伦比亚商学院(Columbia Business School)合办)和定制高管教育课程均排名第四。

联合国世界知识产权组织(WIPO)、英士国际商学院和美国康奈尔大学联合发布的年度报告显示,全球第二大经济体正在赶追创新领域那些传统的领先者。目前,第一集团主要是由瑞士、瑞典、英国和美国引领。
11. Arctic and Antarctic sea ice volumes both fall to an all-time low
祝你在新的一年里身体健康,多福多寿。
A private reading on China's manufacturing sector suggests the slowdown continued last month but that conditions had not worsened as much as in October. The Caixin-sponsored preliminary manufacturing PMI was 48.6 in November, versus expectations of 48.3. It had been 48.3 in October.
Actor in a Comedy Series: Jeffrey Tambor, “Transparent”
赢家:湖人
“Insead enormously boosted our intercultural experience,” said one alumni survey respondent from Switzerland. “It is a place to learn global culture better than anywhere else.”
Western whites have a place within their nations’ new, broader national identities. But unless they accept it, the crisis of whiteness seems likely to continue.
10. You've just been acting weird, OK?
n. 隧道,地道
其中,上海交易所IPO共计26宗,而深圳中小企业板IPO共计15宗,创业板IPO共计20宗。
理查德沃特斯(Richard Waters)
Here are some of the year's pinnacles and potholes:

2

《X战警:天启》据悉将于2016年5月27日上映。
Friends count too
《皮囊之下》就是如此的直观如此的自由不羁,抛开欢快,离奇的剧情和电影本身的情色——一切都处于黑暗中,摧毁性的性爱中。它是一种力量,在你的皮囊之下。
大病
28 September
201001/93691.shtml重点单词
一有机会就炫一下小卷毛。
And – oh, right – ethics. "You're not being fair to your employer if you're using the company's dime to get the heck out of there," Foss says。
和所有大学生一样,埃文o雷喜欢使用表情符号。但让他恼火的是,没有什么表情符号能够让他向圣母大学的同学表达自己对该校橄榄球队战斗的爱尔兰人的自豪感。于是,他和肖恩o欧布莱恩一起创办了一桩小生意,以弥补这一空白。这款名为TextPride的产品从体育和娱乐世界中获得图像授权,然后将其打包成贴纸出售。比如,在Kik这样的短信应用中,用户可以花1.99美元买一包迪斯尼电影《冰雪奇缘》的贴纸。
您只需轻轻一挥将它们放飞,泡沫气球就会自己飘向空中。
Video footage recorded by the RSPCA shows the house littered with mess, including animal faeces.
The American share in the total drugspending is about one third. IMS experts estimate that in 2014 it will rise11.7 percent. The UShas particularly high prices, according to the report, but drug makers defendthis by citing the soaring cost of new medicine development.

埃玛·莫拉诺(Emma Morano)
摆放一个小书架,用来放自己的杂志或报纸,这一方面有利于节省空间,另一方面可以让你能够很快找到自己想要的东西。
New Year should be a time of banked-up fines, the scent of flowers and wine, good talk, good memories and loyalties renewed. But if all else is lacking - love will do.
5. Constantly take action.
Best Luxury Brand: Porsche
最后,不管你是什么性格的人,积极生活,健康向上!
adj. 有毒的
5. The 2012 Ig Nobel Chemistry Prize
Like air, blue skies treat everyone equally.

3

The online notice about the retraction lists all 107 articles and 524 authors, nearly all of whom are clinical cancer specialists from China. The hospitals named are all top public institutions.
怎样拥有平坦小腹
[strein]
LONDON — In the 1970s, the British comedian Tommy Cooper used to tell a joke about asking an auction house to value a violin and a painting that he had discovered in an attic. The good news, he was told, is that they were made by Stradivarius and Rembrandt. The bad news was that the painting was by Stradivarius and the violin was by Rembrandt.
根据两位了解相关计划的人士的说法,中国政府正在禁止中国旅游团体赴韩国旅游,这是对韩国拟部署美制萨德(Thaad)反导系统的最新报复手段。
Awards: Despite early wins for VW’s Golf GTI, the Detroit-centric jurors of the North American Car and Truck award 2015 prizes to Ford’s Mustang as well as Ford’s F-150 pickup truck.
这里并不是要给特斯拉浇一瓢冷水。它已经证明自己具有生产一款复杂、先进且外观诱人的产品的能力。但无论是特斯拉自己的内部预测,还是投资人对其股票的追捧,都基于同样一个预期,那就是特斯拉未来依然会延续最近的大热势头。这是一种危险的假设,原因如下:
Hartz started Eventbrite, an online ticketing platform, with her now-husband Kevin in 2006. Since its founding, the company has raised $140 million from firms like Sequoia Capital and Tiger Global Management and reached $2 billion in gross ticket sales this September. Entrepreneurship forced Hartz to appreciate candid and collaborative conversations. "I had to learn how to ask for help," she says. "Everyone always thinks it's brave to go out alone, but I think it's even braver to put yourself out there in front of others, and to figure out how to work together."
badminton;basketball;fencing;Judo;Ping Pang;taekwondo;Tennis;weightlifting;Wrestling;Volleyball;Boxing;Hocky.
6.Belize
这两部纪录片都使用标准工具——资料影像、人物采访,悉心选择的音乐资料——在目前的紧张局势中书写历史。在“黑人的命也是命”(Black Lives Matter)的时代,关于黑豹党和爵士歌手兼行动分子妮娜·西蒙妮的影片确实意义重大。尼尔逊和贾巴斯精彩地讲述了他们的故事。
supervision
Buyers looking for new construction will have more options next year, as the number of new condos hitting the market in Manhattan, Brooklyn and Long Island City, Queens, is expected to more than double to 8,366 from 3,444 in 2014, according to data provided by Corcoran Sunshine Marketing Group.
每一次我们詹姆斯已经达到了顶点,詹姆斯就会拿出更好的表现超过那个顶点。他那无所不包的各项技巧,是詹姆斯辛苦训练的证明。你可以嘲笑他所提发布的所有Instagram录像,但这些都是他仍然能够做到这一点的真正原因;詹姆斯从来不轻视他的每一场比赛,一次都没有。结果便是晚上一次又一次无可比拟的表演。
仲量联行国际住宅物业服务公司副董事马克·艾略特在接受CNN采访时表示:“香港是一个有着700万人口的小岛。边界那边(中国大陆)有15亿人口想要在此投资。虽然政府正在腾出越来越多的土地,但是这并不管用。”

4

The Australian pop star Sia noticed Maddie on the programme and last year she tweeted her to ask if she would appear in one of her videos... the rest is history.
The top obsession of 2010 was the much-anticipated iPhone, followed by actress Lindsay Lohan, the iPad, and the television shows "Glee" and "Jersey Shore".
杨燕绥主任说道:“养老保险实际抚养比到了3:1的时候,养老保险的费率就不能低于17%,如果降到2:1,每个人就得承担25%,抚养比越低,个人承担就越来越重。两年内必须解决养老金制度的转型。”
据教育部表示,这些学生90%以上都就读于英语国家,例如美国、英国和澳大利亚等,70%的人至少是在攻读学士学位。
记者们注意,求职网站CareerCast.com传来了一个坏消息:你们的工作当选“2015年美国最差职业”。另两种传媒业工作也在这份榜单上高居前列,和一些重体力工作排在一起。
“These kinds of questions are really front and center, even though they’re not necessarily verbalized.”
In the original casting, Michael Keaton was set to play the character. However, ABC executives begged the writers and producers to keep Jack alive. They believed the character was too likeable to die off so quickly. The writers agreed. Michael Keaton was not interested in signing up for a long-running show. Instead, the role of Jack was given to Matthew Fox. The rest is TV history.
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。
谈到谷歌总部,人们总会提到那些闪光点——丰富的户外运动设施、免费食品,以及其它数不清的福利。不过,下面要说的是另一项好得有些变态的福利。如果谷歌美国的某位员工在就职期间不幸身故,不管他为谷歌工作了多长时间,在之后十年里,其配偶或“伴侣”每年都可以继续领取该员工薪水的50%。
帕拉莫尔《欢笑过后》
But a friend saw a TV report about it and contacted the sorting office. Mr Siddeeq, 74, says he is still eager to read it, despite now being divorced。

5

单词institute 联想记忆:
葡萄牙诺瓦商业与经济学院(Nova School of Business and Economics)巩固了去年的强劲表现,排名进一步攀升14个位置,排在了第17位。
不过,在财经领域,激烈竞争也是不可避免的。毕业生进入职场后应从基础工作开始,一步步提升综合能力,保持自身竞争力。
openness
该报告还指出,在这方面一马当先的是律师事务所,明年有30%的律所有望扩员。该行业最紧缺的是拥有4~6年工作经验的律师助理,此外,熟悉“诉讼、医疗保健、破产以及止赎等细分法律领域的律师也将炙手可热。”
The latest commerce ministry figures do not include real estate purchases by individuals, many of whom exploit loopholes in China's capital control regime to obtain foreign currency. But the foreign exchange regulator has recently moved to close such loopholes, notably by tightening control of forex purchases by individuals, who are allowed to exchange $50,000 worth of renminbi for foreign currency each year.
下面就是今年汽车业所经历的高峰和低谷:
The dip for the Caixin gauge, which concentrates on smaller and private manufacturers, stands in contrast to a pickup for China’s official manufacturing PMI, which focuses primarily on large, state-owned enterprises. The divergence may indicate that smaller outfits have been hit harder by pollution curbs and other regulatory tightening than their larger, state-run competitors, which also enjoy privileged access to state-run lenders.
Stop me if you've heard this one before: An untested social media company with no revenue gets a mind-blowing offer. Against all advice, the cocky, twentysomething CEO refuses to sell. Meanwhile, competitors come out of the woodwork with lawsuits claiming their ideas were ripped off.
追踪制造业、服务业和建筑业商务活动的官方指标显示,10月份这几个驱动中国经济的关键行业的增长有所放缓。
此外,该报告还指出,雨果博斯、雪佛兰和舒洁则跌出了该榜单。
In contrast to Hunter’s, her Piano co-star Anna Paquin’s Oscar seems to have no fixed abode, flitting between her sock drawer and on the floor next to her boots.
The other finalists, each of which will receive 10,000, were: Losing the Signal , by Jacque McNish and Sean Silcoff, who look at how BlackBerry went off course; Digital Gold , Nathaniel Popper’s examination of the rise of bitcoin, the virtual currency; How Music Got Free , Stephen Witt’s history of the way piracy and peer-to-peer sharing have disrupted the recorded music industry; Anne-Marie Slaughter’s new book Unfinished Business , about the challenge of achieving gender balance; and Misbehaving , in which Richard Thaler traces the development of behavioural economics.
然而,相关数据似乎表明,中国企业投资西方经济体的步伐可能在放缓。

6

莱斯特大学研究人员表示,这副骸骨的DNA同理查三世一名姐妹的后代吻合,而且骸骨的脊柱弯曲,有战争留下的创伤,这都与历史记载吻合。
“My manifesto with Summly was to get our technology into as many users’ hands as possible,” Mr D’Aloisio said, pointing to Yahoo’s hundreds of millions of users. “With Yahoo’s reputation as a content portal, we have an opportunity to fundamentally change the way content is consumed.”
它还体现在詹巴蒂斯塔·瓦利(Giambattista Valli)最近的秋冬时装秀上,那场时装秀中充满泡泡袖印花长款衬衫和配套裤子,以及低腰直筒女学生连衣裙;还体现在麦丝玛拉(MaxMara)向乔治·巴里斯(George Barris)1962年为玛丽莲·梦露(Marilyn Monroe)拍摄的照片致敬的系列。
The Caixin-sponsored series is based on a much smaller sample of private companies than the official PMI reading, which focuses on larger state enterprises, and tends to be more volatile.
['minits]
阿丽莎也微笑地说道:“无可挑剔,一直唱下去,男孩们!”
日前,一名14岁的中国少年,在一个晚上的时间内克服了人类史上的两大恐惧:被困电梯和完成家庭作业。而这多亏了他机智的性格。
But that may be overly pessimistic, says Mr Talbot. “Things in Asia do have a habit of moving faster than we think,” he says.
‘Our hope is that the Worst Passwords of the Year list will cause people to take steps to protect themselves online.’

Romney made last-minute visits to Ohio and Pennsylvania on Tuesday to try to drive up turnout in those states, while Vice President Joe Biden was dispatched to Ohio. Obama remained in his hometown of Chicago.

Conclusion

报告还写道“这一增长进一步依靠视频编辑技术,在第三季度显著增长了19%,因为视频内容已经成为了大多数顾客为中心的网站的首要的吸引和号召行为。通过社交媒体的大量的视频营销也助涨了这一需求。”
沃伦·巴菲特自2014年以来再次排名第二,净资产由去年的608亿美元增加到756亿美元。
Gideon Rachman
1.It wasn’t me! – Because some things just aren’t worth taking credit for。
鉴于之前许多邦女郎在007电影中如昙花般一现,随后便星途黯淡,玛尔洛和经纪人正努力确保她与众多一流演员合作,正如邦德电影是用来为她的国际演艺生涯铺路一样。
这支在11月有着过半胜率的不断进步的球队完全不是垫底球队,这是一支严格意义上的可能的季后赛球队,但是就像所有重建中的球队都会讨论的那样,是靠现有球员和上场时间来换取当下的胜利呢,还是更关注于可持续性的发展呢?
湖北第一次超过了河北,以3.2万亿的GDP总量排在第七位,增速为8.1%。
China has become the world's largest industrial robot market since 2013, and currently its domestic suppliers are moving up the supplier chain by offering more high-end products in recent years, added the report.


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. 时间:2010-01-26 编辑:vicki
  2. The top 10 Weibo celebrities now have a combined 40 million followers. One of the most famous online figures, Papi Jiang, already signed a contract for video ads worth a staggering 22 million.
    In interviews, everyone works well with others, and everyone learns quickly. Please tell me something else.

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