Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

为什么小皇帝詹姆斯不在双头肌和肩膀上再带那些奇怪的饰物,对此我很好奇。当然,我敢打赌他不会再带那些东西——因为它们没啥用处。
参与本次突袭犯罪活动的警察说,他们还发现了牛百叶、软骨和其它早已过期的动物器官,这些都是从邻国越南走私来的。警方共查处非法肉类20吨。
adj. 疲劳的
New Year comes but once a year. But when it comes it brings good cheer.新年一年只有一次,但每次来临都带来喜悦。
《老友记》中没有露骨的内容、不干净的台词或是黄段子,但它的幽默感却丝毫不减,为这个电视剧总喜欢裹挟着露骨内容的年代带来一阵清新之风。
万圣节距离现在没几天了。这意味着,如果你还没有挑选好你的万圣节服装或者装饰,那你应该立刻开始准备了。

Best Companies rank: 25
No, this doesn't mean you should abandon your LinkedIn profile for fear of a suspicious boss. But it does mean you should be more careful. For one, turn off your activity broadcasts so that every savvy move you make isn't announced to your entire network. Here's how: From the homepage, hover over your photo in the top right corner, and click on "Privacy & Settings." From this page, click "Turn on/off your activity broadcasts."
The United Kingdom ranks No. 3 overall. It ranks No. 4 in Power and No. 5 in Cultural Influence.
Yes. There are plenty of positives: earnings, economic growth, and US tax cuts. But they are already known. Stocks look ridiculously expensive by historical standards, but that tells us nothing about short-term moves. Ultimately, it comes down to liquidity, which has driven markets since they emerged from the crisis in 2009. If all goes according to plan, central banks will be decreasing their balance sheets, and removing liquidity, by the end of 2018. If they go through with this, the odds are that the S&P will stall. But even a tiny tremor could make the bankers blink. Expect the momentum to continue.
10月份的读数较9月份回落0.8个百分点,其中主要追踪大型国有企业的生产指数回落1.3个百分点,降至53.4。新订单指数回落1.9个百分点,降至52.9。
Two Chinese universities, University of Hong Kong and University of Macao, squeezed into the top 10 of the world's most international universities in 2016, according to a new list published by Times Higher Education on Thursday.
Yan Pu, head of portfolio review in Asia at Vanguard, suspects the Asian product mix may be holding things back. For example, Asian providers offer plenty of equity ETFs but very few fixed income products. In the US, she notes, fixed income ETFs are growing rapidly.
大众创业、万众创新广泛开展;
双语介绍《喜羊羊与灰太狼》

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 invulnerable singer broadened into a wider emotional palette – musical too, with guitars and brass lacing through synthetic beats and dub effects. It could recall art-rock godmother Kate Bush (see the single "Green Light").

1

Included will be messages about smoking causing cancer and women who give the charmer a run for his money as 'little twists' have been added to make the story suitable for the modern reader.
In the true-crime drama “Foxcatcher,” the actor Steve Carell, best known for comedy, loses himself behind a prosthetic facade in portraying the multimillionaire John E. du Pont. The standout in the makeup package is the beaklike nose he sports.
China’s investment in Europe and the US has reached record highs, despite the slowdown in the country’s domestic economy.
据斯派克回忆,一天,拍摄工作结束后,另一位编剧詹妮弗·克里滕登在走廊叫住他,问:"你一定要这样吗?你确定这样不会毁了朱莉娅的前程吗?"考虑到当年朱莉娅凭此剧获得艾美奖,我们不妨说这场舞戏其实让这位女演员在演艺事业上更进了一步。为了怀旧,您不妨抽空再去回顾一下伊莱恩和她著名的"伊莱恩舞步"。
The Raptors entered February as the team that most needed to make a move: their hot start was fading, their defense wasn't up to snuff for a contender, they had a massive hole at the four, and they felt added urgency to make the most of Kyle Lowry's prime in advance of his upcoming free agency.
5. Gross warns: 'Ponzi Scheme! Tipping Point! Credit Supernova!'
这些弊端是很现实的,但是也有很多方法来回避它们。比如说,你可以利用你的谋生工作向雇主展示你努力工作的诚意。并且你也可以在工作之余继续找其他的好工作。
Sohmers表示:“我曾经先后三次申请加入麻省理工学院研究室。我第一次申请的时候是14岁,那时我的父母并不太支持我。但是后来他们发现我在高中里学习并不快乐。于是他们开始慢慢理解了我的想法。现在他们对我的工作非常支持。”在加入麻省理工学院研究室之后,Sohmers终于找到了属于自己的天地。如今已经17岁的Sohmers表示,自己并不后悔放弃学业,进行创业。他表示:“即使我无法改变世界,也会收获一些其他的东西。人们在讨论上学和创业的时候,总是顾虑太多。但是企业是在研究者眼中,你的学历高低并不重要,重要的是你的能力。”

2. LinkedIn. Brand love: 47% / Rank: 309
公告宣称:"我们已经报警,并且收集了证据来维护公司的声誉。而那些泄露裸照的人将被按照法律惩处。"
4.British people may seem to apologise a lot, but it doesn't quite mean the same thing here. In the UK, "I'm sorry" actually means either a) I didn't hear you; b) I didn't understand you; or c) I both heard and understood you, and I think you're an idiot.
In this 1998 swashbuckler classic, Antonio Banderas plays the protege of a boring nobleman who moonlights as a masked outlaw, saving the Mexican commoners of California from corrupt leaders. While Zorro might sound like a regular old-timey superhero, the story upon which The Mask of Zorro is based pulls heavily from legends surrounding a real-life desperado named Joaquin Murietta.
5. Broadcaster
Best Companies rank: 68
3.Pay no attention to those bow-tied etiquette experts you sometimes see on CNN International, telling you how to behave while in Britain. These people are generally of dubious provenance, normally live in California and tend to peddle advice that is either irrelevant or out of date. For example, they will often say that Britons love queuing and are so fond of apologising that they will often say "sorry" even when something isn't their fault. In reality, Britons are just as likely to jump to the front of a queue and then punch the person behind them for coughing. It all depends on how muggy it is.
Apple CEO Tim Cook
After decades of promise, new gene therapies are starting to deliver real results. Like all new therapies, communicating accurately how and where it works will prove as challenging as the treatment itself.
n. 远景,看法,透视
10.专注工作,调节平衡
中国早已超越了俄罗斯成为紧随美国之后的世界第二大强国。
借助于Artnet等公布拍卖结果的数据库,如今购买艺术品的富豪非常清楚要想在早期绘画大师的作品上获利非常困难。

2

Although she has already reached astonishing levels of success for her age, Maddie only gives herself a nine out of ten in terms of her career achievements.
以下是2012年搞笑诺贝尔奖得奖名单,这些奖项被授予那些做出看起来愚蠢却又对世界有深度贡献的科学家、作家、和平缔造者们,或者用主办方《不可思议研究年报》的话来说就是奖励那些“乍看起来让人发笑,但是随后发人深省”的研究工作。我敢担保,这些发明绝对能使人们大笑!
Ultimately I expect these new leaders to start selecting from a broader pool of candidates and appoint direct reports from more varied backgrounds, defying those who use current imbalances to extrapolate gloomily that leadership parity between men and women is still decades off.
截止被救时,他在电梯内总共被困了5个小时。
今年,纽约市公寓的平均售价突破了100万美元(约合人民币623万元),这是一个影响深远的里程碑。随着城市人口的激增,错过了上一轮楼市繁荣期的社区,都见证了房价和楼盘数量的增长。
One of the two artefacts which has a metal ring attach to it was discovered in the Yizheng city in western Jiangsu.
去年电影市场的一个亮点是,共有七部高质量的国产影片在票房前10名的榜单中。其中就包括真人与动画结合的《捉妖记》、以及基于经典古代故事的3D动画电影《大圣归来》。
中国演员吴秀波于日前被指派担任2017中澳旅游年形象大使。
Leatrice Eiseman, the executive director of the Pantone Color Institute, said the joining of the two colors reflected “a soothing sense of order and peace” — presumably an attractive thing to incorporate into a product at a time of insecurity and global turbulence. It also implies that there is no line between “us” and “them.”
Swift has also been having quite the year, claiming the No. 2 spot with $80 million. More than a year after the launch of 1989—the top release of 2014 with over 3.6 million copies sold—her latest single, “Wildest Dreams,” has ascended to the top of the charts, boosted by a music video with Scott Eastwood. But it was the beginning of her epic 1989 World Tour that placed her so close to the top of this list.
一些科学家说,2014年成为创下气温纪录的一年,最值得注意的一点是该年度并没有发生强大的厄尔尼诺现象,一种由于太平洋将巨大的热量输送到大气层所造成的大尺度天气模式。
China produced an estimated 420.5 tonnes of gold last year, according to the World Gold Council. Over the same period, Chinese demand for gold rose by 4 per cent to 953.3 tonnes, it said.

Ah yes, the other reason Sacramento shouldn't tank: Philadelphia has the option to swap picks with them this year. It's actually impossible for the Kings to get the No. 1 pick because of that, and it hurts their chances at a top-three pick overall.
万圣节距离现在没几天了。这意味着,如果你还没有挑选好你的万圣节服装或者装饰,那你应该立刻开始准备了。
4. 《卡罗尔》(Carol)。这是托德·海因斯(Todd Haynes)第一次执导不由自己编剧的影片,编剧菲丽丝·奈吉(Phyllis Nagy)简化了派翠西亚·海史密斯(Patricia Highsmith)的小说原著,海因斯藉此再次证明,电影导演不必依靠拍自己亲自写的剧本才能成为伟大导演,这个真理却遭到许多雄心勃勃或功成名就的导演忽略。
For newcomers, these changes provide fresh housing options. But for residents, they can spell displacement. The same is true for shops such as De Robertis Pasticceria and Caffe in the East Village, which just closed after a 110-year run. And next year, the Union Square Cafe will likely conclude its 30 years in Union Square.
n. 信用,荣誉,贷款,学分,赞扬,赊欠,贷方
“四个全面”战略布局:全面建成小康社会是我们的战略目标,全面深化改革、全面依法治国、全面从严治党是三大战略举措
Staff numbers at insurance agencies also rose by 936,200 to a total of more than 5.6m people.
在综合榜单中,美国大学的数量最多,共有221所大学上榜。中国和日本分列第二、三名,上榜大学数量分别为136所和76所。
冲击奖项:很难相信斯特里普得不到最佳女主角提名,而汉克斯在销声匿迹几年后,早该获得一项表演类提名了。

3

“He’s had more of a sense of swagger and confidence” in recent months, says Jan Dawson of Jackdaw Research.
[ri'flekn]
国际消费类电子产品展
Zhang Jingxiu, executive director of Beijing-based employment consultancy Newjincin Research Institute, said he didn't monitor the significant decrease of students' willingness to start businesses, but he does admit the desire to found startups among students on campus is low.
10. 2012年搞笑诺贝尔奖之医学奖
The film screens in China reached 41,179 as of the end of 2016 with another 1,612 cinemas and 9,552 film screens built during the year, according to a report by People's Daily.
Some would argue that Carly Simon's theme to The Spy Who Loved Me is the best James Bond theme song ever. They may have a point, but maybe what's really going on is that this is just "the best song from a James Bond movie." It's a fun tune, catchy as hell, romantic and beautifully sung. But nothing about this seems to specifically evoke James Bond, his adventures, his history or even his films. "Nobody Does It Better" is still a winner by any estimation; there's just happens to be a reason why it didn't crack our top five.
n. 经营方法,行为态度
而在科隆游戏展上正式宣布的特色作品中,《寂静岭》(Silent Hills)的最新续集赫然在列。这是科乐美(Konami)最为畅销的恐怖题材游戏(还据此改编成了两部电影)。世界级游戏和电影专家,《合金装备5:幻痛》(Metal Gear Solid V: The Phantom Pain)的制作者小岛秀夫,以及《环太平洋》(Pacific Rim)的导演吉尔莫o德尔o托罗在这部游戏中强强联手。曾出演美剧《行尸走肉》(The Walking Dead)的影星诺曼o瑞杜斯将在游戏中担纲主角。
Many entrepreneurs already have a Gmail address, but not every ‘trep knows about the power of Google Docs. By utilizing Google Docs, you can instantly create shareable documents, spreadsheets and presentations that can be updated by any team member with an Internet connection. Take that “track changes”!
女士们、先生们,欢迎来到2016年没礼貌大奖颁奖典礼。
Theresa May is still facing resistance from within her own party. Vince Cable, the Liberal Democrats’ sage and leader, still thinks Brexit may not really happen.
5)我支持你:我们都犯过大错误。此时,不要回避,要对对方说一些肯定的话语:“我不是在说你不行。你会度过这个难关的。你不是一个人在战斗。我们将一起解决此事。一切都会没事的。”
CEO:作为汽车业新人,通用CEO玛丽o芭拉和福特CEO马克o菲尔兹开始密切观注菲亚特和克莱斯勒集团CEO的塞尔吉奥o马基奥尼的一举一动。虽然他的商业帝国横跨欧美两个大陆,但马基奥尼还是成功地把公司的美国市场份额提高了1.2个点,完全没有受到公司最弱的一条产品线以及八速变速箱问题的影响。
Mr Talbot notes that regulators in Japan are encouraging fee-based sales with a new fiduciary code and other measures that will play to the low-cost appeal of ETFs.

4

为了缓解人口过多的问题,科学家研究出一项技术,可以将人缩小到只有5英寸高(12.7cm)。保罗(马特?达蒙饰)和妻子奥德丽(克里斯汀?韦格饰)决定把紧巴巴的生活抛在身后,自愿缩身加入一个全新的迷你社区。这一决定使得这对夫妇的人生发生了翻天覆地的变化。
不清楚到底是荷兰哪一方贷款机构错了。有可能Seppenwolde的贷款机构忽略了更大范围内的金融状况,过于悲观。有可能另一方贷款机构在忽略东印度危机的冲击意义时过于随意。无论是哪一种情况,荷兰危机都说明,即使是成熟的投资者也会因为个人原因而变得乐观或悲观。
STONINGTON, CONN.
diligent
澳大利亚流行歌手希雅注意到了节目里的玛蒂,去年她在推特上联系玛蒂,邀请玛蒂参演她的MV。接下来的故事大家都知道了。
'The book is true to the character and keeps him as fans would want him, which is as the original hard-bitten guy,' he said.
在面试中,每个人都说自己又很强的团队合作能力,快速的学习能力。告诉我一些别的好嘛。
昨日,中国四大国有银行中的两家——中国工商银行(ICBC)和中国银行(BoC)——均报告称,2015年全年净利润增长低于2%。
美国的药品支出费用约占总量三分之一,据艾美仕研究所专家估计,2014年这个数值将上升11.7个百分点。据报道,美国的药品支出费用价格特别高,但制药商解释说这是由于研制新药的成本猛增。
In a close second was Changsha, capital of Hunan province, with growth of 4.5.
自从2013年以来,前世界第一的泰格·伍兹没有赢过一次锦标赛,由于处于背部手术康复期,他也错过了去年的大部分比赛。但是,单单是泰格·伍兹的名号就能够使他赚得盆满钵满了。通过为耐克和泰特利斯等品牌代言,泰格·伍兹去年赚了3100万英镑,位居榜单第12位。

5

大部分岛主为意在开发旅游业的企业,但也有私人岛主,他们买岛则是为了在岛上建私人会所招待朋友。
中国正考虑出售在政府补贴政策下累积的过剩储备。
I was asked by one CEO to hire the long-legged girl with the long dark hair even though she didn't have the right skills. Another time, I was instructed not to hire anyone with children because the company had too many people leaving for soccer games. That kind of thing happens all the time.
Two years ago, the AFI delayed voting on its year-end list to give critics a chance to see Star Wars: The Force Awakens, which it subsequently included on its list of the 10 best films of 2015. However, this year, the latest Star Wars film, The Last Jedi, which hits theaters on Dec. 15, was nowhere to be found on AFI's list.
该排行榜为有工作经验的高级管理人员评出全球最优秀的100个EMBA项目。
Average age: 36
Two-thirds of this year’s deals are trading above their issue price. On average, 2017’s class of US IPOs have risen in value by about double the S&P 500, at 20 per cent, according to Renaissance Capital, which runs IPO-focused exchange traded funds.
"这个家伙对当前情况作了利弊权衡:他有很大机会从故障电梯逃生,但是如果家庭作业没完成,他会很倒霉。"一名名为Zealshifang的用户调侃道。
科森重塑了卡瑞尔的鼻子,把它变成鹰钩鼻。他还把卡瑞尔的发际线往后刮了一点,留出更多额头。
We will use this painful adjustment on the part of government to ensure that things will be much more convenient and easier for our businesses to enhance their competiveness on the market.
在这场充满政治色彩的颁奖典礼——唐纳德?特朗普(Donald Trump)屡次成为主持人吉米?基梅尔(Jimmy Kimmel)打趣的对象——的末尾,沃伦?比蒂(Warren Beatty)和费?唐纳薇(Faye Dunaway)宣布《爱乐之城》赢得此奖项。然而,就在这部达米安?沙泽勒(Damien Chazelle)编导的现代音乐片的制作人员和演员登上舞台、激动地发表致谢演说时,他们却被告知《月光男孩》才是真正的获奖者。
Han emphasized that the risk of infection still remains because college students, who are sexually active, might have unprotected sex because they are susceptible to external influences.
专家警告说,在普通词汇中添加数字或符号根本没用。斯莱恩说:“黑客们都知道你的小伎俩,对容易破解的密码稍作调整不会更安全。”
[p?'tenl]

6

无论你相信与否,今年的搞笑文学奖被授予美国政府审计总署(GAO),以表彰他们发表的有关如何准备一份报告的报告的报告的报告……
issue
[.h?spi't?liti]
推进国际贸易和投资自由化便利化。
In June this year, a collaboration between universities and industry announced that it had discovered a huge reserve of helium gas in Tanzania, using a new exploration technique.
毫不奇怪,信贷具有“助周期性”。当资产价格一片繁荣时,乐观的贷款机构倾向于发放更多贷款,进而加剧市场的狂欢。当资产价格下跌时,贷款机构会控制风险,有时这种做法会加速下跌。
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。
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。
vt.

UK schools account for more than a third of all graduates from the top 50 pre-experience programmes and not only attracted nearly half of all female students but also almost half of all international students. Indeed, 94 per cent of students enrolled in a UK MiF pre-experience programme in 2014 were from overseas. About 85 per cent of these students were from outside the European Economic Area, including 55 per cent of the overall number from mainland China.

Conclusion

直播平台的观众可以给主播送需要花钱买的虚拟礼物。礼物的价格从0.1元到1000元不等。直播平台从中抽取一定比例的提成。
在大型科技公司内部,女性雇员将希望看到加薪和升职方面发生变化的迹象——但是,随着男性权利在硅谷某些角落开始酝酿反击,她们也会保持警惕。
现在达洛伊西奥还不负责管理他的收入。他坚称说,我太年轻了,还不懂如何发挥其价值。我没有房贷,我才17。对我来说100英镑就是个大数目了,这就是我对钱的大致概念。尽管他无法对Summly的售价置评,但当我逼问他未来打算如何支配的时候,他说他在考虑以后也许可以用所发之财来做一名天使投资人。在他身边,似乎没人觉得这份钱会毁掉他或者他会挥霍钱财浪费人生。戴安娜说,孩子很踏实,很有冲劲儿,他不会停止奋斗的。
STEP 5: GET RID of most of your friends
5. Google Webmaster Tools.
《蓝色茉莉》(Blue Jasmine):按年代顺序排列,本片属于导演伍迪?艾伦(Woody Allen)自我更新晚期的作品。不过,从艺术角度看,该片算得上是伍迪?艾伦作品中最优秀的喜剧之一。该片的卖点是凯特?布兰切特(Cate Blanchett)的出彩演绎,曾在《欲望号街车》中出演布兰奇?杜布瓦(Blanche DuBois)的凯特?布兰切特这一次出演女主角茉莉,离婚后精神状态有些癫狂。亚历克?鲍德温(Alec Baldwin)在剧中扮演茉莉的丈夫,是一个类似于马多夫(Bernie Madoff)的行骗者。其他人物方面,在经历了欺骗和失望后,莎莉?霍金斯(Sally Hawkins)、安德鲁?戴斯?克莱(Andrew Dice Clay)鲍比?坎纳瓦尔(Bobby Cannavale)以及路易?C.K(Louis C.K.)等人扮演的角色最终都找到了自己的方向。
在20世纪90年代,罗斯把它应用到如何把美国医学生分配到医院。他开发了一种新的算法被全国驻地医师匹配程序所采用,这有助于把驻院医师分配到合适的医院。
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。


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. 罗杰斯对于中间剧情的反转十分不满,因此在拍完前三季之后决定离开剧组。这样的违约行为使他面临数百万美元的诉讼。但讽刺的是,韦恩·罗杰斯从来没有正式和剧组签订过合同(他涉及道德条款方面的问题)。因此该诉讼请求被驳回。你可能会说在这次的事件中,罗杰斯是笑到最后的人,但自从他离开剧组,《风流医生俏护士》又播出了八季,而罗杰斯在他的演艺生涯中再也没有取得过这样的成就。所以说他是笑到最后的人,也许只是一个相对的说法。
  2. 英国《金融时报》EMBA项目排行榜在对商学院和2011年毕业生进行调查的基础上编制,可以让人们大致了解学员在读EMBA前后的变化。
    Now a white-haired grandfather, Belmonte has never regretted missing the 1950 match, particularly since his mother died just a few days later. "I decided not to go, and it was a good decision," he told the reporters.

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