Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

该杂志称,他的净资产为35亿美元,与前一年相比缩水了10亿美元。
In Sex and the City, Miranda and Carrie frequent a place called Magnolia Bakery at 401 Bleeker Street. After the episodes aired, hordes of people had to investigate those cupcakes. Nothing can incur cupcake mania quite like Carrie Bradshaw can. Magnolia Bakery received a huge boost in sales and customers. In fact, they were so popular that they had to hire a "bouncer" of sorts. Not quite your typical club bouncer, this bouncer was friendly and very interested in the finer points of cupcakes.
尽管每轮市场反弹最终都呈V形,每次连续的涨势中,个股的参与越来越少。今年春夏两季的绝大部分时间里,时事分析评论员们都专注于赢家与输家、大盘股和小盘股之间的明显差异。欧洲的通缩担忧以及日本的技术性衰退,使得分析师们愈加困惑,尽管美国经济正在好转,美国国库券收益率和通胀指标却双双下行。
Best chances: It's always hard to bet against Streep getting a best actress nomination, and Hanks is overdue for an acting nomination after missing out in recent years.
iPhone X
过去三年,由于北京决定在官方总收入中增加新的服务费,有关中国票房增长的结论变得复杂起来。

单词available 联想记忆:
4. Slacking at school
And, at random, some other highlights from the list:
'Cutie and the Boxer' was hardly noticed by the movie-going public, but a list of fine films isn't a rundown of box-office triumphs. The reach of Zachary Heinzerling's debut feature-length documentary is equaled by its grasp. On the surface it's about nothing more-or less-than a troubled marriage that has somehow managed to last 40 years. Beneath the surface, then startlingly out in the open, is a history of rivalry (both husband and wife are artists), enmity, reluctant devotion and, most startling of all, enduring love.
It is the first time in five years that a single programme broke into the top five, so strong was the hold of the main five global EMBAs.
我冒死地想一想,湖人队在几周后会不会也加入这一阵列呢?照目前这情况,他们必须打出史诗级别烂地比赛才能留住他们的选秀权(给费城的前三保护签位),问题取决于他们是会围绕现有阵容继续缓慢地重建呢还是为了得到下一个巨星扔掉一两个年轻球员呢。
The story of the year will be the New York City trial of Khalid Sheik Mohammed.
反对派是合法的,可以自由表达观点而且权力受到限制。
Current edition of the World Cup is on pace to average more goals per game than any tournament since 1958.

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.

adj. 自发的,自然产生的

1

Others who made the top ten include Amazon's Jeff Bezos at fifth on the list, Mark Zuckerberg of Facebook at sixth, Oracle's Larry Ellison at seventh, Michael Bloomberg at eighth, and tied for ninth are David and Charles Koch.
How could we not include the ancient Chinese theory of interior aesthetics? Where your desk is situated is the most important aspect to freeing the energy in your space. Place your desk so that you face the door— the ultimate power position. Avoid placing your desk against a wall with your back facing the door, as it will interfere with the balance of your chi.
With 10 guesses, an attacker would have a 39% chance of guessing Korean-speaking users' answers to the question "What is your city of birth?"
Researchers at Google discovered that security questions as a standalone method for recovering access to accounts is not an efficient model.
北京大学和北京外国语大学的2017届毕业生平均月薪分别为9042元和9020元,位居第二、三位。
传统上,在教学和研究水平方面,中国大学在国际排名排行榜上的评价要比美国和欧洲的高校逊色一些。
不像那些狂热追星的小女孩,玛蒂认为她一直都能保持着冷静的头脑,即使在格莱美颁奖典礼这种场合。因为她将自己视为一个明星,所以她需要表现得体。
Tencent, with an estimated value of $44.7 billion, was crowned this year's Most Valuable Chinese brand on a list released by the Hurun Institute on Thursday, marking the second time in a row it came up on top.

要不是朝鲜再次进行核试验,朝鲜半岛眼下的大新闻可能就是特朗普选在这个节骨眼上宣布计划退出韩美贸易协定了。
Banking
Meanwhile, producer prices were deflating at a rate of -5.9 per cent, a six-year low, for a third straight month.
vt. 为 .
“环境越来越受到政策制定者的重视。”世界黄金协会市场情报部门负责人阿利斯泰尔?休伊特(Alistair Hewitt)说,“黄金开采受到更严格的监管。”
1. Newspaper reporter
学员平均年龄:36岁
Confidence and a good elevator speech can take any pitch to the next level. The first marketing any company experiences comes from its founder. Spend time learning how to share your vision without coming across as “salesy.” Don’t be afraid to ask for the sale, but remember: the client is always the focus.
[ik'si:d]
纽约前市长迈克尔·R·布隆伯格(Michael R. Bloomberg)正在为抗击气候变化花费自己私人财产的数千万美元,他在一份声明中说,“全球气温稳步上升、如今破纪录地上升的问题,不是一个未来的问题。这是一个迫在眉睫的明显危险,对经济、健康、环境和地缘政治有重大的危害。”
And the best gig for 2015? That would be an actuary, the people who specialize in financial risk.
Last but by no means least is our favourite fact that Norway once knighted a penguin. His name is Nils Olav, and he is a king penguin who now resides on Edinburgh Zoo, Scotland. He is the mascot and Colonel-in-Chief of the Norwegian Royal Guard. He was knighted on 15th August, 2008, which was approved by King Harald V, who stated during the ceremony that Nils was "in every way qualified to receive the honour and dignity of knighthood".
circulate圆,环+ion→发生,流通

2

小贝现身纽约时装周 为凯特选嫁衣?
《好时光》
Apple Inc. CEO Steve Jobs introduces the iPad 2 on stage during an Apple event in San Francisco, California in this March 2, 2011,
明星们的尴尬走光
US billionaires hold 540 spots on the list, more than any other country in the world. In second is China with 251 and German with 120.
经济学人智库全球生活成本指数发现,亚洲和澳大利亚共有11个城市跻身全球最贵20城市之列,其余有8个是欧洲城市,一个为南美城市。北美没有一个城市进入前20名。
“他不在情报系统监视范围内,”总理补充道。
斯坦福大学商学院校友的平均薪资最高,为19.5万美元,但总体而言,排在前15名之内的MBA课程在收入、职业发展和满意度方面都非常接近。除了一所学校外,这些商学院的校友平均薪资均超过15万美元,与就读MBA以前的收入相比,薪资上涨了大约100%。
伊丽莎白?泰勒和理查德?伯顿的爱情之
我们不希望通过贬值来增加出口,这不利于企业转型升级。
至于多元化,我乐观地认为,在某个时候,开明的年轻高管崛起将引发董事会突然转变态度。这种情况不会出现在2018年,尽管从科技到媒体行业的性骚扰丑闻所暴露的失衡和权力滥用问题,可能会加速这种变革。
在一些女学生通过提供裸照作为交换,在互联网借贷平台上获取高息贷款之后,近日又有大批裸照被泄露在了互联网上。

单词distract 联想记忆:
The World Health Organization this year declared H1N1 a global epidemic. Fortunately, it is much less threatening than people previously believed, and newly introduced vaccines seem to have quelled lingering fears.
谷歌的品牌价值现在超过了1090亿美元,比苹果公司要高大约20亿美元,这使其成为了全世界最赚钱的公司。
intended
Exports to the EU, Japan and Hong Kong — which serves as a transit point for exports to many other parts of the world — fell by 4.1 per cent, 9.5 per cent and 12.2 per cent respectively.
10月份中国非制造业商务活动指数(非制造业PMI)为54.3,低于9月份55.4的近期峰值。其中,服务业商务活动指数为53.5,比9月份的峰值回落0.9个百分点。就连建筑业的形势似乎也有所恶化,商务活动指数为58.5,较9月份回落2.6个百分点。
国家统计局日前在其网站发布了上述数据,称这是科技研发经费增速连续4年下滑后的首次回升。
Am I tempting fate by wondering if the Lakers end up in this conversation within a couple weeks? They'd have to go on a truly epic slide to be bad enough to keep their draft pick at this rate (top-three protected to Philly) but I think the question is whether they should continue to build slowly around this core or flip one or two of the young dudes for a star.
我预计真正的大戏将在2018年初展开。但这是唐纳德?特朗普的贸易世界。我们只有观看的份儿。

3

Trailing China in 2015 was the UK with $1.9 billion, Japan, $1.8 billion, India, $1.6 billion, and South Korea, $1.5 billion.
然后,新班子的第一个举动——用路易斯-威廉姆斯从火箭那里换来一个一轮签——是一个明确的信号,他们意识到必须不惜一切代价保证六月抽签时自己的选秀权能在前三。
《帕丁顿熊2》
You see all kinds of grisly, hairy characters on the Tube but few commuters would've expected to see a pack of pandas on the platform.
Effective email marketing involves more than occasionally blasting out a newsletter. To build an effective email marketing strategy, you need a tool packed with functionality. MailChimp seems to be the best system out there, offering elegant, intuitive newsletter templates, advanced list segmentation features and marketing automation capabilities.
A vibrant ETF market would depend on the evolution of fee-based distribution networks. Mark Talbot, managing director of Asia-Pacific at Fidelity International, says the distribution infrastructure is holding back retail demand.
But retail sales growth softened to 10 per cent in October, betraying economists’ expectations it would hold steady at 10.7 per cent growth from September.
In the annals of climatology, 2014 surpassed 2010 as the warmest year. The 10 warmest years have all occurred since 1997, a reflection of the relentless planetary warming that scientists say is a consequence of human activity and poses profound long-term risks to civilization and nature.
凯投宏观(Capital Economics)首席亚洲经济学家马克?威廉姆斯(Mark Williams)补充道:“我们预计,2017年新兴市场出口的表现将继续改善,出口值会同比温和增长。”
inspect(vt 检查;视察)根:spect看
这两笔交易中最大的风险在于伊巴卡和塔克这个夏天即将成为自由球员,但是失去一到两名球员的痛苦和早早的在五月就被淘汰出季后赛相比就不算什么了。
Temperatures in 2015 also shattered the previous record set in 2014 by 0.13C, according to Nasa.
该数据显示10月份下半月北京、天津、上海、深圳、厦门和郑州新建住宅价格出现了环比下滑。
vt. 谣传
Sport dominated the trending searches, with Euro 2012 and Olympic tickets showing the biggest rises in interest ahead of Houston and the Duchess of Cambridge.

4

电池电力可能最终被证明是一种过渡性技术。最近电池成本的降低速度已经放慢了,特斯拉曾经承诺要在2017年生产出价格在35,000美元左右的Model 3。要实现这个目标,特斯拉的电池成本需要下降30%。相比之下,丰田(Toyota)最近的举动非常出人意料。它与特斯拉签订的电池供应协议即将期满,但丰田并未续约,而是准备加倍投入研发氢燃料电池。燃料电池的成本下降速度要快于普通电池。而且燃料电池的拥趸们认为,车主肯定会更喜欢充电速度相对更快的燃料电池,而不是要为充电等上好几个小时。
我冒死地想一想,湖人队在几周后会不会也加入这一阵列呢?照目前这情况,他们必须打出史诗级别烂地比赛才能留住他们的选秀权(给费城的前三保护签位),问题取决于他们是会围绕现有阵容继续缓慢地重建呢还是为了得到下一个巨星扔掉一两个年轻球员呢。
If you’re looking for a free CRM system, Zoho is probably the one for you. Why? It comes down to the integration possibilities. For example, Zoho integrates with JotForm and Unbounce simply by adding your API key. This means that within seconds, web leads will automatically be sent to your CRM. Pretty powerful for being free.
The reason is twofold: For one, logistically, there are simply too many opportunities to get caught job searching. Résumé copies will be found. Computer servers will be checked. Co-workers will notice when you're clearly elsewhere, either literally for interviews or emotionally (more on that later)。
另一方面,为什么捷蓝航空公司的航班在假日期间晚点率最高(高达22%)?首先,这家航空公司的飞机往返美国最繁忙的几个机场,包括纽约肯尼迪机场、拉瓜迪亚机场和纽瓦克机场。捷蓝航空公司也遇到了夏威夷航空公司在太平洋空域上遇到的相同问题。
今年1月份CPI同比上涨1.8%,去年12月同比上涨为1.6%。不过该指数仍落后于北京方面“3%左右”的目标。
支持两国之间双向旅游的最新倡议包括以下几点:审查10年旅游签证;安排开放的航空市场服务以消除双方航空公司的所有容量限制;Qantas航空公司于1月推出北京到悉尼的新服务等。
雷军表示:“这是一个使我震惊的消息。作为一名围棋的忠实爱好者,我从来没有想到人工智能在当前阶段可以击败一个人类冠军,因为这是一项非常复杂的棋类运动。”
此外,广电总局还透露,虽然今年的票房增长受人民币贬值影响要稍低于35%,但是电影市场增长势头依旧强劲。
日历一页一页地翻到了12月,一些球队是时候考虑垫底的不可避免性了。那么,哪些球队应该开始着手垫底,哪些球队还需要观望,而哪些球队应该放弃这种打算呢。Flanns 和Zillz将会就这一问题展开讨论。
要不是朝鲜再次进行核试验,朝鲜半岛眼下的大新闻可能就是特朗普选在这个节骨眼上宣布计划退出韩美贸易协定了。

5

Such borrowing is predicated in part on the assumption that by decontextualizing a style you also strip it of any possible negative implications: military, dynastic, what have you. It becomes an aesthetic form that exists on its own terms, as opposed to one that symbolizes all sorts of complicated societal or political convulsions.
n. 火焰,热情
Throughout Downsizing, I kept asking myself what the point of all of this was, never engaged by its hodgepodge of themes. I wish the filmmakers had asked that question too.
007系列电影主题曲第十名:雪莉·巴赛--《永远的钻石》
Apple Inc.'s Chief Executive Officer Steve Jobs is shown in this combination photo of file photographs dating (top row L to R) July 2000, November 2003, September 2005, (bottom L to R) September 2006, January 2007 and September 2008. Jobs will take a medical leave of absence until the end of June because his health problems are "more complex" than he had thought, shocking investors and sending the company's shares down as much as 10 percent on January 14, 2009.
commercial
“我想,在21世纪,人们绝对会质疑这件事。”
May the bright and festive glow of New Year candle warm the days all the year through. Hoping you will have a wonderful time enjoying New Year that is happy in every way.愿明亮喜庆的新年烛光温暖一年中的每个日日夜夜,祝你欢欢喜喜度新年!
英国新人结婚模仿“怪物史瑞克”(图)
好市多首席执行官克雷格杰利内克
Entertainer of the year: Luke Bryan
'12 Years A Slave' is shattering and anguishing, a singular anomaly in an entertainment medium. More than that, Steve McQueen's hugely ambitious chronicle of slavery in America is revelatory, a work of art that has been embraced by mainstream audiences. That's a testimony to the power of art (as expressed in John Ridley's script and performances by Chiwetel Ejiofor, Lupita Nyong'o and Michael Fassbender, among others), and heartening evidence of moviegoers' hunger for substance and meaning in the films they choose to see.
Jiang Yiyi, deputy director of the Institute of International Tourism at the China Tourism Academy, attributed part of the dropoff in foreign tourists to the strengthening yuan.
The drama and the original game have a large fan base and enjoy great popularity in China, and even elsewhere in Asia.

6

最近的一个例子是:当格温o史蒂芬尼发布新专辑《 Spark the Fire》时,Swyft公司即时设计了一个免费贴纸包,在自己的几个短信应用中推出。它被下载了近一百万次,并在用户中传送了七百万次,最后在10天内被观看了4100万次。雷表示,对任何品牌来说,要在其他渠道达到这样的广告效果,需要花上5万到25万美元。
10.Fears of Another Tsunami
Total Program Cost: $118,000
这里有一些散步和骑行的小径可通往其他的湖滨社区以及市中心,骑车去市中心15分钟可达,开车10分钟。附近有步行者艺术中心(Walker Art Center)和几座博物馆。冬天湖上很多人玩冰球和滑冰运动;夏天则流行划独木舟、游泳和钓鱼。
《琅琊榜》
地球大气中的二氧化碳浓度超过了百万分之400个单位
节目30 相声,郭德纲 于谦
It's a bit of a lark organised by UK film critics – a gong for the top canine performance at the festival, handed out on the last Friday in the British pavilion. This year the Palm Dog went to Lucky, a Maltipoo – that's half Maltese terrier, half poodle – who plays Dixie in Miguel Gomes' six-hour epic, Arabian Nights. The prizewinner is presented with a toy bone and this year delivered a brief acceptance speech (“woof”) by video link. A jolly time was had by all but an unnamed French journalist felt that the award was “an unwanted intrusion of British silliness” in the glamorous proceedings, according to AFP. “From the French perspective, this is a bit bizarre,” he is reported to have said. “The British are weird.”
romantic

“Cooling measures [are] the most important issue affecting the [residential] property market in Hong Kong,” says Thomas Lam, head of valuation at Knight Frank. “That is why all the major institutional plans are looking at the office market in the past two or three years.”

Conclusion

Six regions recorded GDP growth less than 7 percent, with China's north-eastern rust belt Liaoning province at the bottom with negative growth.
这位腾讯公司员工说道:“我们希望她的妈妈能出面协助我们一起调查此事。如果用户确实13岁,未经允许花钱,那么我们可以协调退还。”
With an average monthly salary of 14,822 yuan five years after graduation, graduates from Tsinghua University topped the salary rankings. While graduates from 39 colleges made the 10,000-yuan list, 185 colleges saw their graduates average monthly salary top 8,000 yuan, while graduates from 789 colleges made more than 6,000 yuan a month on average.
[stres]
他表示:“消费者将需要更多时间回归,这就是为什么我们聚焦于一项我们知道会奏效的方案,专注于价格可承受能力和城市地区的高端(饮料)。”他补充称,他相信,该公司将继续在中国扩大市场份额,同时正为消费者支出再次提速做好准备。
去年,由于俄罗斯经济陷入衰退,总统普京的工资因此缩减10%,但在此之前,普京2014年4月薪资增长逾两倍,约970万卢布。
One difficulty in assessing the potential for ETFs in Asia, say experts at the largest asset management houses, is both the disproportionate size of the Japanese market within the region and the role played by the Bank of Japan, which distorts the market as it buys ¥6tn ($54bn) of ETFs a year.
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。


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. 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.
  2. 《极盗车神》特别有趣,虽然它未必会使你一直捧腹大笑,但全片都很欢乐。
    adj. 可用的,可得到的,有用的,有效的

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