Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

capacity
devastating
Lenovo CEO Yang Yuanqing
● “奥巴马总统证实,如果特朗普当选他将拒绝离开白宫”
Of the 6,527 new rentals scheduled to hit the market in Brooklyn next year, 1,442 are in Bedford-Stuyvesant, Bushwick and Clinton Hill, all considered off the beaten path not that long ago, according to data provided by Citi Habitats.
全球缓慢的经济增长并不会很大程度的拖累美国。美国的出口额虽然可能持平甚至下降,但是这将会被由于油价下降的石油进口额抵消,所以贸易赤字并不会给美国经济造成更进一步的影响。

Talk show host and comedian Ellen DeGeneres will host the Oscars ceremony for a second time.
中国的电影产出量在全球市场上排行第三,有望到2016年年底突破700部。同期,出售给网络视频网站的电影版权达到了近40亿元人民币(5.6亿美元)。
We will work proactively to expand effective investment.
6.Jack Shephard Almost Died in the First Episode
不过,人们并没有对周二的峰会寄予过高期望,因为没有任何迹象表明,各国能在政治上实现突破,进而采取更有力的举措。科学家表示,要想如愿把全球变暖控制在各国五年前一致同意的上限,那么未来几年里,就必须扭转排放量上升的势头。现有的所有方案,与实现这一目标都相距甚远。
A Larger Profile
这里说的是2007年倒闭的那家巨型次贷公司吗?是2008年破产的雷曼兄弟(Lehman Brothers)吗?
中国机器人产业联盟理事长曲道奎称,尽管我国本国供应商在2016年将市场占有率扩至32.7%,去年这一趋势出现反转,其市场占有率降至26.8%。
哥伦布日在1971年成为美国假日。银行、州政府办公室、邮局和联邦机构都会放假。债券市场休市,但许多商家和股票交易所继续开放。

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.

According to the National Business Daily, the 16 listed banks plan to return 356.2 billion yuan to shareholders as cash dividends in 2015, a decrease of 8.3 billion yuan from the previous year.

1

税:每年大约41684美元(约26.7万元)
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。
哦,对了,我刚刚说了勒布朗·詹姆斯这个夏天其实是自由球员吗?
The awards, announced during a ceremony in Amsterdam on March 14, are based on millions of international passenger surveys.
单词vigilance 联想记忆:
7、Bad body language habits
On Nov. 24 and 25, Sotheby’s auctioned the collection of the fourth-generation Munich dealer Konrad Bernheimer, who owns the historic London gallery Colnaghi. Mr. Bernheimer, 65, has decided to scale down his operations. He is closing his Munich gallery, selling his grand Bavarian home, Marquartstein Castle, and is merging Colnaghi with a fellow London dealer, Coll & Cortes.
Consumer prices continued to rebound from an August dip, accelerating 0.2 percentage points to 2.1 per cent year on year, bang-on analysts’ median forecast.

是的,这经常发生。你可以在家里,图书馆,打印店等除了你现在工作的公司办公室的任何地方打印申请材料。
几周的流言结束后,菲尔-杰克逊依然没能成功交易走卡梅罗-安东尼和德里克-罗斯,虽然从球队长远的利益来看绝对得送走他俩。
在考辛斯被交易后,接近一半国王队名单上的球员都应被清洗,然而并没有。很好。带上Buddy Mania,球馆里还有很多空座位可以挑选。
1. Apple. Brand love: 57% / Rank: 32
Chinese manufacturers:Coming to the U.S.? Warren Buffett’s BYD says it is arriving in 2015 and Geely in 2016 but we’ve been hearing that someone was coming since at 2006. The refinement of Chinese cars is the issue. With more than 80 local automakers producing 524 different models in China, R&D money is spread too thinly to produce meaningful results.
"People can be unhappy for many reasons -- from poverty to unemployment to family breakdown to physical illness," the report said. "But in any particular society, chronic mental illness is a highly influential cause of misery. If we want a happier world, we need a completely new deal on mental health."
DNA from the bones matched that of descendants of the king's sister, while the skeleton had the twisted spine and battle injuries consistent with contemporary accounts, said researchers from the University of Leicester.
'We are quite confident that it should sell towards the high end of the estimate or above.'
It's the summer of 1983, and precocious 17-year-old Elio Perlman is spending the days with his family at their 17th-century villa in Lombardy, Italy. He soon meets Oliver, a handsome doctoral student who's working as an intern for Elio's father. Amid the sun-drenched splendor of their surroundings, Elio and Oliver discover the heady beauty of awakening desire over the course of a summer that will alter their lives forever.
The retail side, she says, “is nascent and a mixed bag”. All countries in the region have a lot of work to do, she says, adding the Australian example has proven that regulatory changes can make a significant difference to generating pockets of interest.
They must understand in their bones that it is illegitimate to make temporary power permanent by rigging elections, suppressing contrary opinions or harassing the opposition.
Disparity between the 34 cities surveyed was still greater, as the the average bonus of over Rmb15,800 in Beijing was more than triple the lowest-paying city of Shenyang, the provincial capital Liaoning located in China’s northeastern rust belt.
‘The Mindy Project’ It doesn’t matter that Mindy Kaling’s comedy on Fox is in its third season and still not a hit, because it keeps improving with age. It has grown from a one-comedian showcase into a very funny ensemble effort, thanks in part to the addition of Adam Pally in Season 2 and jokes about Ms. Kaling’s alma mater, Dartmouth.

2

Western states dominate the best states for projected job growth. Only two, Florida and Georgia, of the top 10 are located east of the Mississippi River. Rounding out the top five are Colorado (2.6% annual projected growth), North Dakota (2.5%) and Florida (2.5%).
一个解释是,在金融业高薪领域工作的男性比例远远超过女性比例。三分之一的男性在私募、风险资本、投资银行或者并购以及对冲基金领域工作,而女性只有19%。
Over 11 million new urban jobs, and a registered urban unemployment rate within 4.5 percent.
property
[.?:θ?rai'zein]
他表示:“这当然与中国近年来我们所看到的发展是分不开的,其中包括中国经济从‘中国制造’到‘中国创造’的转型当中,对创新的高度强调就是其中的重要内容。”
诺委会赞扬也门妇女权利倡导者塔瓦库尔?卡门在为也门的妇女权利以及民主与和平的努力过程中发挥了领导作用。
“中国银行业面临的逆风将延续很长时间,”他说。“除了盈利来源减少,它们还将不得不为坏账带来的亏损做好准备。”
……又唱又跳,希望能得到工作。
梅的政府提出了一条规则,以公开羞辱雇佣外国工人的雇主。她的第一次重要讲话中充满了对多元文化主义的尖锐讽刺,比如讽刺那些自称“世界公民”的人其实“哪儿的公民也不是”。
You're talking with him / her late on the phone. When he / she hung up the phone, you still miss him / her, even if the phone just hung up on 2 minutes
年龄:44岁

今年1月3日春节假期车票开售以来,约有2.8亿张火车票是在12306网站上售出的。
单词revision 联想记忆:
separate
在"踢脚舞"这集中,我们得以看到伊莱恩·薄伯那难以置信的滑稽舞步。简直难以想象没有她这么带感的放克舞蹈,《宋飞正传》会是什么样子。然而,令人震惊的是,那差点就成了现实。编剧之一斯派克·费雷斯滕知道,制作人拉里·戴维一定会反对这场舞戏,所以他只能等到戴维离开之后。当他的这场舞戏终于获得许可,却又遭到不少同事的强烈反对。
The thing about the Mavericks is that this is not at all how Dirk should go out. That team has been so solid his entire career. To have a busted season now is painful. Maybe he ought to have joined Kobe, KG, and Big Fundamental last summer.
单词yacht 联想记忆:
These larger screen sizes will put additional strain on iOS 7 and developers who will need to figure out how to adapt their apps to even more configurations. These additional formats will provide some exciting opportunities for applications as well, and we can anticipate that iOS 8 will contain many features designed to accommodate multi-screen design.
周边环境:斯托宁顿位于康涅狄格州东南部的小纳拉甘西特湾(Little Narragansett Bay),从哈特福特(Hartford)和罗德岛的普罗维登斯(Providence, R.I.)开车约1小时可达,从纽约市开车约3小时。这里曾是一个具有悠久历史的繁忙港口,至今仍然保留着一支商业捕鱼船队,有几个分布着殖民式和联邦式建筑的历史区,以及一个繁荣的航海社区。在该镇的一端有个小型的公共海滩,而在另一端罗德岛的沃奇·希尔(Watch Hill)则有个大得多的海滩,开车大约20分钟可到。这栋希腊复兴式房屋带有此类建筑必不可少的爱奥尼亚柱和山形墙上的扇骨半圆窗,房屋就坐落在市镇中心。
你要去里约看奥运会吗?你会在安卓或者iOS上装谷歌地图这个应用软件吗?我想你已经有了答案了。

3

Global movie earnings hit a record $38.3b in 2015, with China accounting for $6.8 billion, a nearly 50% increase over the previous year, according to data from the US National Association of Theatre Owners.
调查指出,关键的是,世界的不稳定性和冲突可能继续推动通货膨胀并影响某些城市的生活成本。
尽管有少数人坚持这种说法,但绝大多数研究气候的科学家表示,地球正在经历一个长期变暖的趋势,这种趋势给人类带来深刻的威胁,而且几乎完全是由人类活动造成的。
Wallace wrote the book after saying "yes" to everything for a year, a commitment which both advanced his career and landed him in a cult meeting. What the movie didn't show, however, is the sheer number of Internet scams Wallace signed up for. Apparently, saying "yes" all the time has its downfalls in real life.
To ease women's concerns following the implementation of the two-child policy, the country should put in place more explicit regulations banning discrimination against women. These could include requiring companies to have a certain percentage of female employees, as well as tax cuts or other preferential measures to encourage employers to effectively implement the extended maternity leave regulation for female workers.
At 36, women are about two years younger than men but senior positions are fairly well distributed between genders, with only slightly more women in relatively junior positions — 26 per cent of them are professionals compared with 24 per cent of men.
但他们事先计划投放100000反平壤宣传单。
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。
在北约1999年对南斯拉夫的空袭中,大西洋联盟对塞尔维亚和科索沃境内数以百计的目标进行了打击。绝大多数目标都没有争议:防空阵地、军队指挥部和其他军事目标。然而对一个特殊目标的摧毁却在世界另一端掀起了声势浩大的反西方特别是反美浪潮。那个目标就是驻贝尔格莱德的中国大使馆。
In the open ranking, IMD, in Lausanne, scores particularly highly in the top 10 criteria based on a survey of executives who attended programmes. It is ranked first in three criteria and in the top five for the remaining seven.
20多岁的故事
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。
'I was blown away by him,' Kushner recalls. 'The first time I interacted with him was at News Corp, when he was meeting with Murdoch, and I was looped in to provide perspective. Nick described the vision of what he was trying to accomplish. And he was providing insight to Rupert.' D'Aloisio's stage presence, coupled with the deep-pocketed credibility brought by Li, attracted a large group of benefactors to Summly, including Ashton Kutcher, Yoko Ono and Stephen Fry.
It's almost TOO good. Soulful and aching and grand, Adele's theme to Skyfall is stunningly performed, and gives the distinct impression that someone tried to make the ultimate James Bond theme and had the talent to back it up. History and sensuousness have elevated two songs higher than Adele's contribution, at least in our eyes, but not by much.
当2017年开始的时候,勇士阵容已经坚如磐石,整体阵容再度升级。上个赛季伊始,勇士队输给了很多西部的竞争对手,还在圣诞大战中输给了骑士队。也许,也只是也许,这支超级球队还是会输球,即便它看起来和2016年那支球队一样不可战胜。但实际上,简单来说答案就一个字,不。

4

[k?n'd?kt]
n. 外表,外貌,出现,出场,露面
Bigcommerce在年销售额100万到200万美元的小零售商中大受欢迎。如今年销售额2,000万到3,000万美元的零售商群体也在迅速加入Bigcommerce。它大约70%的现有客户同时拥有线下实体店。过去一年,Bigcommerce大力开发可同时应用于移动平台和桌面电脑的自适应店铺模板(Bigcommerce认为,设计是小型电子商户的头等考量),并积极拓展“相邻”云服务的合作伙伴关系,比如会计、支付、客户关系管理和薪酬管理领域。
Within days of becoming Prime Minister of Great Britain, Winston Churchill (Gary Oldman) must face one of his most turbulent and defining trials: exploring a negotiated peace treaty with Nazi Germany, or standing firm to fight for the ideals, liberty and freedom of a nation.
时间:2010-03-31 编辑:vicki
去年年末,世界卫生组织宣布,寨卡病毒不再是全球紧急公共卫生事件。然而,人们才刚刚开始认识到这种病毒对婴儿及其未来几十年生活的影响。在巴西东北部,人们首次发现了病毒与小头畸形等出生缺陷之间的联系,家庭竭力为患病婴儿提供最好的生活。研究人员希望通过研究在巴西出生的一对双胞胎,来寻找病毒对胎儿影响的线索。这对双胞胎中,一个有出生缺陷,另一个没有。
我们就是要打造开放的高地、投资的热土,和世界共享发展机遇。
['kriminl]
One suggested change: require rent-stabilized tenants to verify their income.
这种插秧机只需几分钟便能种植数排幼苗。可节省88%的种植时间。
《迈耶罗维茨的故事》由诺亚?鲍姆巴赫执导、网飞出品,影片不仅搞笑,而且是一部有潜力拿奖的作品。它让你在忍俊不禁的同时,会觉得这部电影真的太高明了。

5

从1970年到今天,世界各地的文盲减少了50%。
A panel of eight WardsAuto editors evaluated 44 engines among all vehicle types during October and November in the course of their daily commutes and weekend activities in and around the Detroit metro area. Engines were rated according to a wide range of characteristics including horsepower and torque, fuel economy, noise, vibration and harshness characteristics, technology and how they fared against competing powerplants.
有人将一杯滚烫的咖啡洒在了求职者身上。
底特律居民都不会忘记1999年的暴风雪,当时多架飞机在底特律大都会国际机场的停机坪上滞留了数小时。同样,全美航空公司(US Airways)在2004年至2005年也遭遇了假日事故,当时超过72,000件行李丢失或损坏。
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)。
定义自己
倒灌啤酒机是倒啤酒的一种革命性创新方式,节省时间,减少浪费,也令顾客啧啧称奇。
卓越雇主排名:7
她称自己在成为歌手前本来是想当演员的,不过她的音乐事业先获得了成功。她还说“我感觉自己就像电影《月色撩人》中的雪儿。这是我人生中最精彩的时刻之一。”
在其他小孩想方设法逃课、不做作业的时候,玛蒂却对学业热情饱满,因为她不想自己成为又一个“愚蠢的舞者”。
不过流行音乐更为广阔的世界也为我们带来了诸多乐趣,这些乐趣来自各个音乐领域的艺术家,例如像金发女郎乐队和托丽·阿莫斯这样的二十世纪的传奇人物,以及像杜阿·里帕和“Girl Ray”(女子射线)组合这样的新秀。
An EMBA also boosts corporate careers. “The skills I acquired were key to my promotion,” said one graduate. A fifth are now chief executives, managing directors or board members three years after graduation. Average salaries were up 52 per cent from $114,000 before the programme to $175,000 five years later.
第二晚(12月9日)的苏富比(Sotheby’s)拍卖会共拍得2260万英镑(含佣金),比佳士得前晚的表现要好得多,不过也只是略高于2180万英镑(不含佣金)的最低估价。44件拍品中有15件流拍,比例达34%。
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.

6

不过,最大城市的房价上涨已经放缓,比如北京录得的环比涨幅只有0.5%,大大低于9月份的4.9%。
007系列电影主题曲第九名:露露--《金枪人》
More than 430,000 students from 1,767 universities in 31 provinces, municipalities and autonomous regions across China were surveyed. Of the respondents, 89.2% had considered starting a business, with 18.2% reporting firm intentions to do so.
They may be in opposite corners of the globe, but Hong Kong, Sydney and Vancouver have one thing in common.
n. (准备好演出的)节目,保留剧目,(计算机的)指令表
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。
Derrick Rose
许多经济学家认为,欧洲央行(ECB)不会在2016年加大其1.46万亿欧元资产购买计划的规模,尽管该行行长马里奥德拉吉(Mario Draghi)保证额外的货币政策刺激仍是选项。
[k?m'pein]

格里芬高中时代的样子与现今相差无几,原因是他离开高中才四年。我们能想象得出,暴力美学的格里芬在NBA里再锻炼上一两年年,他会变得更“怪兽”。

Conclusion

人类活动造成的这些气体及其他气体的增加,导致地球温度与前工业化时代相比,上升了大约1.5华氏度(约合0.8摄氏度),造成全球陆冰融化。海平面上升的速度似乎正在加快,热浪和暴雨天气越来越多。
If the bounce is minimal and transitory it will be clear that the structural shift is under way. I hope the companies which are over invested in expensive projects and countries still overwhelmingly dependent on oil and gas revenues are ready.
大力推进社会体制改革。
立场:呼吁结束政府停摆局面
Mr Li said the economy’s strength came as a result of the government shunning strong stimulus policies and its push for supply-side reforms.
5. Fred Hersch Trio “Floating” (Palmetto) The articulate grace of Fred Hersch’s current piano trio, with the bassist John Hébert and the drummer Eric McPherson, finds potent expression on an album structured like a nightclub set, with a few retooled standards mixed in with sturdy, emotionally transparent original songs.
《秦时丽人明月心》
3. 《间谍之桥》(Bridge of Spies)。几年前,史蒂文·斯皮尔伯格(Steven Spielberg)进入了殿堂级导演的行列,从安德鲁·萨里斯(Andrew Sarris)所谓的“美国电影”中借鉴了最崇高的形式——这部影片中他仍然保持水准。


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. 比摆滥还要糟糕的是没有远见(vision)的摆滥,所幸约翰逊作为球员从来都不缺乏视野(vision),而他作为球队管理也有一个不错的开端。
  2. "Investing in innovation is critical to raising long-term economic growth," said WIPO Director General Francis Gurry. "In this current economic climate, uncovering new sources of growth and leveraging the opportunities raised by global innovation are priorities for all stakeholders."
    Men and women rated the strengths of their programme equally.

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