Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

However the prolonged period of contraction fits with the overall pattern of the slowing Chinese economy.
Johan Pettersson被授予搞笑化学奖,以表彰其揭示了瑞典小城Andersl?v居民的头发会变绿的原因,因为这里的水中含铜量太大。
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.
Google has now said it won't make him pay the fee.
这是第二枚被拍卖的诺贝尔和平奖奖牌,得主是第一个获得该奖项的拉美人——1936年诺贝尔和平奖奖牌被授予当年的阿根廷外长卡洛斯·萨维德·拉莫斯。
谎言5:你穿这条裙子真好看。说谎原因:总比说真话被别人扇耳光要好吧。

媒体非常令人讨厌,我们知道这一点,殿下,但您(以及您所代表的王室)可以用更有尊严的方式来表达您的关切。
他说:“我认为在这个过程中让年轻人参与的最佳方式就是赢得比赛。”
施密特在接受采访时问道,“为什么我们接连看到如此多的创纪录温暖年度?这是因为地球正在变暖。根本的问题是,这是一种长期趋势,这种趋势不会消失。”
Christine Lagarde, managing director of the International Monetary Fund, said apart from the recovery she expected this year, she was concerned about two other “Rs”. The first was “risks” where she thought some old risks such as the need to finalise financial sector reforms were as important as risks over US tapering, and new concerns such as deflation in the eurozone.
怎么做煎饼?
Two colors! It may not sound revolutionary, but everything is relative. And know this: It’s not about indecision, but social progress. That’s Pantone’s position, anyway.
对罗西(Pete Rossi)来说,这一年里有多少周工作超过50小时用一只手就能数得过来。而余下时间里,美国国防部精算师这个工作让他能以极小的压力过着高品质的生活。
赖特是英国浪漫主义画派的鼻祖之一。这幅作品从1840年起一直由德比郡的一个家族私藏。考虑到目前的行情,它的最低估价仅为10万英镑,还有一个重要因素是它的拍卖款将用于救济叙利亚难民。结果,至少有三位竞拍人把价格推高至66.5万英镑(含佣金)。
在主张对华强硬的史蒂夫?班农(Steve Bannon)出局之后,人们就忍不住想要宣布特朗普政府的经济民族主义已死。但这忽视了唐纳德?特朗普(Donald Trump)是怎样一个人——他是一个本能的保护主义者。正如我们近来所了解到的,对于中国,他更想要的是“关税”而不是交易。他还认为打击中国是向其基础选民履行他的“美国优先”承诺的关键。

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.

The captain must steer the ship. If leadership doesn’t know where a project or company is headed, how can the company know? This isn’t just about steps or deliverables, either, but a clear vision of the department or company’s future that he or she can communicate to the employees。

1

指尖陀螺
这是传记类作品首次赢得该奖项,尽管格林斯潘的自传《动荡年代》(The Age of Turbulence)曾在2007年入围终选名单——一年之后爆发的金融危机,引发了对这位中央银行家遗产的强烈质疑。
China's booming cyberstar economy has gone through three stages -- the first based on text, then text and images, and now video thanks to the availability of broadband networks.
俄克拉荷马城的经理萨姆-普莱斯蒂并不是截止日交易的陌生人,他送走卡梅罗-佩恩,若弗雷-洛维尔涅和一个二轮签从芝加哥换来泰-吉布森和道格-麦克德莫特的交易大获成功。
When I find myself wanting to shout “No!” to an opportunity, that’s a sure sign to me that the answer should probably be “Yes.” So, I take a deep breath and analyze the situation as objectively as possible.
Obama defeated Romney in a series of key swing states despite a weak economic recovery and persistent high unemployment as U.S. voters decided between two starkly different visions for the country。
单词comfort 联想记忆:
立场:拒绝在感恩节开门营业

《海底总动员2》将于2016年6月17日上映。
中国(大陆及香港)在排行榜上新添了25个成员,增长数量超过其他任何国家,共计207家。三个国家今年首次在排行榜上亮相了:毛里求斯、斯洛伐克以及多哥。
adj. 被识别的;经鉴定的;被认同者 v. 鉴定(id
中国依然是美国政府债券的最大持有人,10月份中国也减持到1.25万亿美元。
这部亚当·桑德勒和德鲁·巴里摩尔主演的轻松浪漫喜剧,似乎最不能反映现实生活,但实际上它确实部分基于真实故事。桑德勒扮演的兽医爱上了巴里摩尔,而她的记忆每天都会重置。他了解到,车祸造成创伤性脑损伤后,她就一直在重播同一天。因为她一直生活在谎言中,桑德勒的角色很苦恼,并制作了一系列录像,解释她的车祸和生活,给她每天早上看。
因城施策去库存。
The remarks by Recep Tayyip Erdogan come less than 24 hours before Dutch voters go to the polls in a national election that has been coloured by a heated debate about the role of Islam in Dutch society, spurred by anti-Islam candidate Geert Wilders. Mr Wilders’ Freedom party (PVV) is polling second in the race.
“我……学会了与来自其他文化及社会的人们进行互动,”一位来自瑞典的毕业生说。
不过,五家总部驻北京的旅行社表示,他们仍在销售3月份的韩国游产品,而中国最大在线旅游公司携程(Ctrip)也做了同样表态。中国三大国有航空公司的代表向彭博(Bloomberg)表示,他们并未收到要求停止销售赴韩国机票的指示。
截至2016年底,中国仍有4300万农村地区的人口生活在贫困状态下。中国的目标是在2020年时帮助他们脱贫。
In 1995 Dutch troops serving as UN peacekeepers failed to prevent Bosnian Serb forces murdering 8,000 Muslim men and boys in the town of Srebrenica in eastern Bosnia.
每个伟大的侦探都需要专属于自己的经典故事。对于福尔摩斯而言,这个故事是《巴斯克维尔的猎犬》。对于阿加莎?克里斯蒂笔下龟毛的比利时侦探赫克尔?波洛而言,这个故事是《东方快车谋杀案》——故事讲述了一个嗜血的恶棍在驶向巴尔干半岛的列车上杀死了一个有钱的商人。真相果真是如此吗?西德尼?吕美特曾在1974年将该故事拍成了一部备受喜爱的电影,强大的演员阵容包括肖恩?康纳利、英格丽?褒曼和阿尔伯特?芬尼(饰演侦探波洛)。如今肯尼思?布拉纳自己戴上了侦探波洛的大胡子,披挂上阵,同时又担当幕后导演。这部新版电影的演员有约翰尼?德普、黛西?雷德利、米歇尔?菲佛、佩内洛佩?克鲁斯和朱迪?丹奇。这个故事还能挖掘出什么新内容呢?也许会有。不过,即使没有,阿婆的粉丝也肯定会去看。这部电影将于11月3日在英国上映,11月10日在美国、中国和土耳其上映,11月30日在中国香港和新加坡上映。(资料来源:二十世纪福克斯电影公司)
妮妮·切利(Neneh Cherry),《空白计划》(Blank Project), Smalltown Supersound

2

vt. 以匙舀起
China’s foreign exchange reserves posted their third-largest monthly decline on record last month, central bank data showed yesterday, renewing worries about capital outflows after reserves had appeared to stabilise.
['limitid]
According to China's business magazine New Fortune's 2018 Chinese wealthy list, the top 10 tycoons' total wealth reached 1.72 trillion yuan, accounting for 18% of the combined wealth of the list's total 500, and the top 10's personal wealth has surpassed 100 billion yuan for the first time.
n. 外表,外貌,出现,出场,露面
据防止虐待动物协会录制的视频显示,那间房间里满是垃圾杂物胡乱不堪,还有动物粪便。
A cemetery dating back roughly 1,700 yearshas been discovered along part of the Silk Road, a series of ancient trade routes that once connected China to the Roman Empire.
根据周一上海电视台的报道,2015年,上海市外来常住人口出现15年来的首次负增长。
Those quickly sold out, locking out the vast majority of fans in soccer-mad Brazil.
revis修正+ion→修正,校订本
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。
Anyone who doesn't feel they can tap into their inner-Picasso to create amazing drawings needn't worry. The study demonstrated that it wasn't the quality of the doodles and drawings that helped participants recall given words. Drawing a simple outline of a banana offered just as much benefit to the memory as a perfectly drawn piece of fruit. Additionally, the study found that participants only needed to spend a few seconds on their drawing to receive a significant boost to their ability to recall the word. The researchers plan to take their research a step further in the future by introducing more complex words and ideas and measuring the memory success of participants asked to recall those intricate thoughts.

But McGowan has slammed the movement as 'bull****' in today's Sunday Times Magazine, which comes the day after Judge Brett Kavanaugh was sworn in as a Supreme Court justice in the face of historic sexual assault allegations he denies.
就业是经济发展的基础,是财富增长的来源,也是居民收入的主渠道。
《极盗车神》日前入围了美国电影评议评选的十佳电影榜单,烂番茄评分93%,票房收入超过1亿美元。
眼见克莱斯勒的市场份额呈现死亡式螺旋下降,菲亚特会最终认识到这个不中用的公司还真就是不中用了。预计菲亚特会在8月前扬言彻底和克莱斯勒分道扬镳,除非全美汽车工人联合会(UAW)和美国纳税人作出更多让步。
皮卡大战:如果把得奖的问题抛在一边,福特的全铝皮卡生产起来很不容易,卖得也比较慢,这就为快速崛起的道奇公羊(Dodge Ram)1500提供了机会。同时,日产也试图忘掉该公司第一款全尺寸皮卡,也就是采用双拖斗造型的第二代Titan皮卡的失利。汽车业老将约翰o克拉福西克向《汽车新闻》透露了这个行业的最大秘密:在5万美元以上的市场区间,平价品牌的皮卡和SUV的销量要超过德系豪华品牌。
spread
尽管在奥巴马担任美国总统的过去的四年里,美国经济复苏缓慢、失业率居高不下,奥巴马在几个关键的摇摆州获得的选票还是高于罗姆尼。美国选民在两种风格明显迥异的国家发展愿景中做出了自己的决定。
Loyal employees of this auto services company are rewarded on their 10th anniversary -- and every five years after --with a weekend getaway at a resort in Boca Raton, Fla. (The company is headquartered just 15 minutes away.)
May the joy of New Year be with you throughout the year.愿新年的快乐一年四季常在。

3

新美国基金会(New America Foundation)高级研究员李?德鲁特曼(Lee Drutman)在一份给Vox的分析文章中指出,在阿肯色州、北卡罗莱纳州和田纳西州,移民人口是1990年的三倍以上。围绕这些变化产生的焦虑或许可以解释共和党为什么在这个阶段更关注限制移民问题,还有这些州的白人投票者们何以压倒性地支持特朗普。
The Asia-Pacific is the common home of all countries in the region. China does not want to see any party in the Asia-Pacific region feel compelled to choose sides under the influence of a Cold-War mentality.
It's impossible to list every woman who's ever existed, this list obviously be restricted to women who've achieved a fair level of celebrity. These are the hottest women celebrities of 2015.
狗狗雨伞正流行。可爱又有趣的,也非常实用。
If you happen to be shy, sitting in the front row can be very uncomfortable at first, but I promise you, it's one of the best ways to pay attention to everything being taught. You can hear better. You can see everything on the board without having to crane your neck around the head in front of you.
9.Bellarine Peninsula, Australia
日前,斯坦福大学商学院(Stanford Graduate School of Business)教授彼得o库迪斯基于这场荷兰危机共同撰写了一篇文章,围绕“个人经验(而非市场信息)决定乐观、悲观以及信贷的获得与否”这种不那么科学的方法给出了现代经验。
5. Emma Stone
Stallone's iconic underdog has spent decades inspiring athletes and nonathletes alike to fight for their goals. As a poor local boxer, Rocky gets his break when he enters a fight with World Heavyweight Champion Apollo Creed. Due to his rigorous training and Creed's relative apathy, Rocky becomes the first challenger to ever push Creed through all 15 rounds.
adj. 浪漫的
Russian President Vladimir Putin took a 10% pay cut last year, as his country sank into a deep recession. But that was after his salary more than doubled in April 2014, to roughly 9.7 million rubles.
当年秋天开学后,达洛伊西奥开始感觉到肩上背负起了来自投资方的巨大压力。他需要改善软件的运算法则,于是他找到了以色列一个从事自然语言处理的编程团队,并签订了合同。他还用谷歌(Google)搜索找到了一位居住在泰国、在该领域有过重要著作的退休教授。达洛伊西奥说,他成了我们的科研主管,他现在在雅虎的森尼维尔办公室工作。
Personal per capita disposable income increased by 6.3 percent in real terms.
伦敦商学院的学员品质优秀,这让该商学院尤其具有价值。一位2011届的MBA学员表示:“跻身于如此人才济济的学习环境让我坚信,我可以独立做成某些事情。”
The Thai capital has bounced to the top of an annual list of the world's most popular travel destinations after spending several years in the wilderness (of second place).

4

10月份,CPI环比下降了0.1%,9月份则环比上涨了0.7%。
“尽管我本质上是一名工程师和分析人员,但迄今为止我所做过的最重要的决定都与此无关,它们永远是基于直觉,”他去年在曾就读MBA的杜克大学(Duke University)对一名采访者表示。
中子星相撞
3. 经济已经在崩溃,2014年到2016年的GDP将会更加难看
Those in third-tier cities are under relatively low financial stress and human relations stress, and enjoy better social and natural environments, and infrastructure.
['serim?ni]
im不+mun=public公共的+ity→不公共→不和别人一样[得病]→免除;免疫
Bank of China posted earnings per share of Rmb0.56, down from Rmb0.61, and a pre-tax dividend per share of Rmb0.175, down from Rmb0.19 last year.
The jobs were ranked based on the following attributes, with much of the data coming from the Bureau of Labor Statistics: “income, outlook, environmental factors, stress and physical demands.”
体育在热门趋势搜索排行中占据了优势地位,对2012欧洲杯和奥运门票感兴趣的人最多,排名超过了休斯顿和凯特王妃。
n. 同伴,伙伴,合伙人

5

Brands with the most to make up for in 2015:Volkswagen, whose stale product line depressed sales by 11%, thereby delaying Ferdinand Piech’s plans for global supremacy, and Volvo, down 17%, which has yet to make any progress under its Chinese owner.
Also featured in the 2013 top 10 were Singapore, Zurich, Paris, the Venezuelan capital of Caracas and Geneva.
n. 所有权
这些人当中,有些人会借助另一些问题表达他们的忧虑:贸易、犯罪、毒品战争、边境控制、对伊斯兰恐怖主义的恐惧。诚然,这些问题都很重要,也为许多人带来了真切的恐惧,但是它们已经变成一种方式,公众借助这些问题来讨论社会变革对于占多数的白人群体的影响。
Folk Song “Horse-Head Fiddle On A Deck”(Wang Hongwei)
5.谷歌网站管理员工具
工业企业利润由上年下降2.3%转为增长8.5%;
史赛克公司(Stryker)的创始人就是“翻身床”的发明者,借助这个设备,卧床的病人无需挪动身体就能改变在病床上的位置。顺其自然地,这家医疗设备制造商也向自家员工及其家属出借医疗床,分毫不收。
The low reading was driven by a fall in the production component, whereas the forward-looking new orders component increased for a sixth straight month.
As well as diversity, Mr Cook has championed sustainability and supply-chain transparency, including a commitment to reducing Apple’s use of conflict minerals. While hyper-efficient under Mr Cook’s management before he became chief executive, Apple’s supply chain has not always been something to boast about, with recurring complaints about working conditions.
"There are close to 70 French citizens or residents in France who have died in Syria and Iraq in the ranks of the terrorists," he added.
adj. 投影的,投射 v. 投射(project的过去
这位名叫波比·博伊登的小选美冠军穿着一身黑色的连衣裤,带着鬈曲的假发,非常熟练的跳着扭臀舞,向观众们飞吻。
Recipient: Their Royal Highnesses The Duke and Duchess of Cambridge (joint winners)

6

Gideon Rachman
他回忆称:“我曾认为教书不是一个合适的职业选择。我的老师告诉我,如果我想当一名老师,就得有很强的忍耐力,不能轻易感到厌倦。”
单词campaign 联想记忆:
《灾难艺术家》一部分是关于好朋友的电影。一部分是娱乐业的新片,还有一部分是幕后的电影短片。
The aspiring actress is also hoping her online following will secure her an audition to appear on ABC show 'Once Upon A time' which is adding Elsa as a character next season.
而至于他自己的教育问题:他在考虑是留在英国,还是为了离硅谷更近而去读美国的大学。再或者,他也许会放弃学业,全然专注于他的事业。他说,我非常想再创办一家公司,连续创业家们都是对创新上瘾的人。我希望能保有热情。如果我不能尝试新的事物,我会感觉很糟。
The discovery has caused huge excitement among historians, as it provides firm evidence about a monarch whose life has been shrouded in controversy since his death at the Battle of Bosworth in 1485.
澳大利亚整体排名第八,这个位于南半球的国家,“生活质量”排名第四,“冒险指数”排名第九,教育排名第十。
迷你剧集/电影类最佳女演员:萨拉?保罗森(Sarah Paulson),《美国罪案故事:公诉辛普森》(The People v. O. J. Simpson: American Crime Story)

国内生产总值达到74.4万亿元,增长6.7%;

Conclusion

n. 人口 ,(全体)居民,人数
plat平坦+form形状→形状平的地方→平台,月台
em进入,brace胳膊-拥抱
LBS tops the ranking of the best 81 business schools in Europe based on the schools’ performance in four of the rankings published by the FT each year: MBA, executive MBA (EMBA), masters in management (MiM) and executive education. (Two schools tied for 80th position with identical scores.)
President Obama leads the pack. On top of the $400,000 a year, he gets a tax-free expense account worth $50,000. The salary was last raised by Congress in 2001.
con共同,duct引导-引导大家的行为举止
报告发现,艺术学、农学、工学专业的学生创业意愿最高,而历史学和理科专业的学生创业兴趣相对较低。
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.


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. 康涅狄格州斯托宁顿(STONINGTON, CONN.)
  2. Comic skit “I Want To Be In Spring Festival Gala” (Various artistes)
    现在iPhone又夺回声势,对Apple Watch的期待也在升温,库克似乎重新赢得了苹果员工的信任。分析师表示,这一点从他在今年产品发布会上的表现就可以看出来。

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