Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

Americans: While you're here, why not pretend to be Canadian? Very few Britons can tell the difference, and it will allow you to rescue yourself from awkward conversations about the death penalty.
不过,接受调查的经济学家们预期2016年期间将出现略高的增长率和显著更高的通胀率。
由于欧元危机的影响,希腊,意大利,葡萄牙以及西班牙的排名大幅下滑。然而下滑幅度最大的是由于近期的政治危机影响的埃及,缅甸,和沙特阿拉伯。
pre前,de,cess走,or人:在前面走的人-前辈
人社部下属的社会保障研究所的所长金维刚称,鉴于居民消费价格指数低于预期、工资和GDP涨幅也有所放缓,所以今年上调5.5%这一数字是合理的。
延长的生育假如何落实往往由地方政府决定。国家层面应该颁布执行细则以及具备法律约束力的相关措施,以确保该政策的贯彻实施和合理执行,从而保证女性不因劳动成本最小化而受到雇主的歧视。

n. 诱惑,引诱
China's actual use of foreign capital during the 2010-2015 period is expected to reach 620 billion USdollars with the tertiary sector taking over 60 percent of total foreign capital. Outbound direct investment grew at 14.2 percent annually.
贝恩公司(Bain & Company)也正处于变革之中,去年11月该公司宣布曼尼马塞达(Manny Maceda)将于2018年3月成为其全球领导人,从鲍勃博切克(Bob Bechek)手中接管这家总部位于波士顿的咨询机构;马塞达将是该公司首位亚洲血统的掌门人。专家们表示,马塞达可能推动该公司开拓新的专长领域,并摆脱业务多而不精的名声。
This slide in the dollar value of exports has entirely been a price effect, driven by lower commodity prices. In volume terms, emerging market exports have continued to rise since 2014, even if volume growth in year-on-year terms has moderated to around 2 per cent, a fraction of the double-digit rates witnessed either side of the global financial crisis, as the second chart shows.
特斯拉表示,在该公司的展厅里,每平方英尺的面积带来的销售额是苹果公司(Apple)的两倍,而苹果目前被公认为是行业领军者。
It was apparent not just in obvious brand extensions, like Banana Republic’s “Mad Men” collection (designed in collaboration with the show’s costume supremo, Janie Bryant), but in more pervasive, unspoken ways: in silhouette and print; in hemline and seam. And in the clear belief, visible on catwalks everywhere, that the 1960s were the answer to every moment of pallid inspiration, or aesthetic doubt.
Among the top 50 IT tycoons, five were born in the 1980s, including 33-year-old Cheng Wei, chief executive officer of Didi Chuxing.
10、《星球大战:侠盗一号》
生于缅甸皇室的杨金秀于7月31日去世。她拒绝了与生俱来的权利,成了一个女扮男装的军阀和鸦片走私犯。

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.

骑行背带

1

该研究还表明,通过实习找工作或许有价值。接受录用通知的实习生的薪酬水平超过那些收到录用通知但拒绝的实习生。那些没有收到录用通知的实习生的薪酬水平更低。这些群体间的薪酬差距在毕业3年后扩大。
6.The Conjuring 2:The Enfield Poltergeist
他在最后一刻选择了教育慈善机构Teach First,后者如今已经成为英国招聘新毕业生最多的机构。雷文斯克罗夫特没有空降至需要重组的公司,而是开始在波尔主教学校(Cardinal Pole School)教授商业和经济学,该校主要招收伦敦东部哈克尼区(Hackney)11岁至19岁之间的青少年。
米其林(Michelin)、微软(Microsoft)、爱立信(Ericsson)等大企业的领导人已经把更多的决策权推向一线员工。随着这种方法的成功引起注意,其他企业将效仿。
“但我让他在碰巧看了一眼报纸时,看到上面一篇文章提醒他吸烟会致癌。
推进农业结构调整。
这间增加的厨房大约40英尺长(约12米),风格与原建筑保持一致,内有复杂的天花板木制结构和几处由世纪工作室(Century Studios)设计的彩色玻璃板,该工作室是明尼阿波利斯市的一家公司,其玻璃确保来自弗兰克·劳埃德·赖特(Frank Lloyd Wright)曾指定的那家芝加哥制造商。厨房里的不锈钢电器包括一台五英尺宽(约1.5米)的炉灶和一台Sub-zero的冰箱。餐厅区经由10英尺高(约3米)的玻璃门通往屋后的一处露台。
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。

但如果美国能够避开由华盛顿造成的这一危机,明年劳动者找工作的前景实际上还相当不错。首先,超级飓风“桑迪”(Sandy)造成的破坏将需要修复,这样就会带来建筑业和零售业的工作机会。与此同时,因为财政前景的不确定性而暂停投资和招聘和企业可能最终打开钱包。这也意味着会有新的就业机会出现。[qh]
The Nobel Prize in chemistry was awarded to a scientist who managed to build the world’s tiniest machines out of molecules.
此外,城镇人口也有所增加,现在已经占到总人口的55.88%,相比2010年普查时增加了6.2%。
喜剧类最佳男演员:杰佛里?塔博(Jeffrey Tambor),《透明家庭》(Transparent)
当我表示自己对一门很难的课程十分害怕时,我的指导老师问我:“那你还想不想接受教育呢?”
据《新京报》报道,今年我国高校毕业生达765万人,创历史新高。此外,中职毕业生达435万人,应届毕业生总人数达1200万。
完成所有的事,甚至更多
目前已经被泄露的照片多达10个G。据《北京日报》12月1日报道,著名在线P2P借贷平台"借贷宝"也和此次事件有关。
ScreamRide
Song “The Spring Blossom” (Na Ying)
Good luck, good health, hood cheer. I wish you a happy New Year.
18. 最有趣的道歉(并列)。11月18日,《好莱坞报道者》发表了一份1200多字的道歉,因为它的“奥斯卡女星圆桌会议”没有邀请非白人演员出席。很快,导演亚历克斯·普罗亚斯(Alex Proyas)和狮门公司就为新片《埃及众神战》(Gods of Egypt)中的演员缺乏多样性而道歉。
Tom Petty

2

identified
Swipe them free and they'll soar into the sky.
它基于针对各商学院及其2013年毕业的学员的调查。
《固定电话》
adj. 奢侈的,浪费的,过度的,大量的
The various mustaches were conceived by the designer Frances Hannon, who has built a number of facial hair styles for Bill Murray in Anderson films (“Rushmore,” “The Life Aquatic With Steve Zissou”). Here, she asked many of the actors to grow out their facial hair so she would have the option to cut it in any shape she wanted.
节目2 歌曲《中国味道》,凤凰传奇
5. Life is like a coffee table: it’s got tea sets and dinnerware all over it. (beiju, 杯具, is a homophone for tragedy, 悲剧, and dinnerware, canju, 餐具, a homophone for disaster, 惨剧).
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.
5. 地缘政治事件。不久之前,石油供应稍有差池,油价就会飙升。比如说2014年初,利比亚内乱造成该国石油出口中断,油价应声上涨。在伊拉克, 极端组织ISIS领了部分地区,石油供应中断的顾虑也造成油价急剧攀升。然而,自此之后,地缘政治事件对油价的影响大为减弱。2014年最后几周,利比亚再现战事。但市场仅在油价短暂上扬后便把这一问题抛诸脑后。不过,历史一再证明,地缘政治危机是对油价影响最大的短期因素之一。(财富中文网)
A network of walking and biking trails leads to other lakeside neighborhoods and to downtown, which is about 15 minutes by bicycle and 10 by car. The Walker Art Center and other museums are nearby. Hockey and skating are popular on the lakes in winter; canoeing, swimming and fishing in the summer.
与此同时,布拉德福德大学管理学院(Bradford University School of Management)和爱丁堡大学商学院(University of Edinburgh Business School)的排名均上升16位,分别排在第42名和第55名。剑桥大学(University of Cambridge)佳奇管理学院(Judge Business School)的排名上升15位,排在第14名。

大力改造提升传统产业。
Exports declined 6.9 per cent in October from a year earlier, deteriorating from the 3.7 per cent fall the previous month as weak global demand and higher Chinese costs led to slumping shipments of the cheap Chinese goods that have flowed to the world in the last decade.
店长马克·斯特罗恩说,开发这种设备旨在帮助那些忘记自己锁屏密码的iPhone用户进入被锁在手机上的照片或通讯录。斯特罗恩在香港第一次看到这台设备,他表示,在最一开始大家都对其能否起作用持怀疑态度。但随着时间的推移,这台设备一次又一次的证明了自己。
自2008年北京奥运会后,北京入境游客数量持续增加。然而2012年这一数字下降了3.8%,并在去年进一步下滑。
"Well, I believe I am a feminist because I believe that women deserve the same rights as men in every aspect of our economy and our society, here at home and around the world," Clinton said to applause. "You know, I've devoted a lot of my public life to advocating for women's rights being human rights, and making the case that we have to do everything we can, through laws, regulations, culture, to change the still-existing stereotypes that hold women back."
201212/212620.shtmlChina won the Robot World Cup Soccer 2013 against the Netherlands in a thrilling match that resulted in a 2-3 win for China.The Robot World Cup Soccer was held in Eindhoven, the Netherlands, which defended its Robot World Cup title of last year.
节目35 歌曲《美丽中国》,沙宝亮 徐千雅
CONTACT: Kathy Michalove, Seaboard Properties, (860) 535-8364; seaboardpropertiesre.com
你经常烦躁吗?

3

The Irish. They sing, dance, drink and sing some more. The lads were singing lullabies to a little baby in Bordeaux to try and get it to go to sleep.
[ri'li:s]
据上周一发布的全球创新指数显示,中国成为首个跻身世界最具创新力经济体25强的中等收入国家。
以下国家在“2017年最佳国家“整体排名中相当亮眼 。这份排名意在衡量全球最大经济体。
Among the 18 sectors categorized by the China Securities Regulatory Commission, financial executives ranked the highest with annual pay of 27.36 million yuan, followed by real estate executives at 11.18 million yuan.
EMBAGlobal is the only programme in the top 10 that saw a slight drop in the average salary of its alumni compared with last year (the other nine recorded strong increases).
China's consumer price inflation decelerated to just 1.3 per cent year-on-year last month, the slowest rate since May. On a month-to-month basis inflation fell by 0.3 per cent, the first negative reading since May.
萨姆·史密斯是一个风格多变的男人,他可以在奥蒂斯·雷丁、艾瑞莎·弗兰克林和雷·查尔斯以及像艾米·怀恩豪斯和阿黛尔这样的现代偶像的风格中随意转换。
唉。
The people we look for usually do not run countries, or headline blockbuster movies, or write best sellers. We leave those to the appropriate sections of the newspaper. Our subjects are more likely to have just emerged from prison, or written their 1,547th novel.
我们要让权力不能任性,就得把那些不应该有的权力砍掉,有些涉及到部门利益,要压缩寻租的空间。这不是一个简单的过程,从中央政府一直到地方、到基层,要打通“最后一公里”。
Less than an hour ago the official manufacturing PMI for November came in at 49.6, the fourth consecutive month of contraction and below the 49.8 reading economists were looking for. Analysts at ANZ said, in relation to that PMI series:“With soft growth momentum and deflation pressures creeping up, we expect the authorities to further ease monetary policy and continue to implement an expansionary fiscal policy in order to prevent further slowdown of the economy in 2016.”
[iks'tend]
8.《生活大爆炸》白板上的公式都是真的
Kate Winslet is another Brit who’s opted for the loo for her best actress Academy Award, which she was awarded for her complex role as a concentration camp guard in the 2008 adaptation of Bernhard Schlink’s novel, The Reader.

4

If you plan to visit Brazil for the Olympic games, and to focus on sport and having fun, Google has you covered. In anticipation of the 2016 Rio Olympics, the search giant is bringing the 'Explore' feature to Brazil Maps.
问:你今年夏天去了美国,感觉怎样?
我在世界最知名的公司之一找到了一份工作,对此学校的关系网络起到了重要的作用,鹿特丹管理学院(Rotterdam School of Management)一名毕业生表示,这家公司是学校的一个公司合作伙伴,因此我基本上是在我的邮箱收到工作申请书的。
[nju:'trin]
"史上最短的明星婚姻"大盘点
吉尔伯特表示,对可穿戴设备的不断试验十分重要,但是现在短期内,人们还需要探讨一下:“技术的演进以及企业的研发力量共同推动了现有可穿戴产品的发展,但它们是否真的能够满足用户的需求;各公司又是否需要探索不同的合作模式,让可穿戴设备不仅限于早期使用者的圈子,而是被主流人群所接受”。
New residential property prices in China grew faster in October despite a slew of restrictions on purchases,
美国总统唐纳德特朗普(Donald Trump)的零和博弈、“交易艺术”谈判方式,将给那些守旧的现任领导人带来安慰。我希望2018年将提供机会,让正气的、解决问题的新领导人涌现出来。但如果企业领导人因为政治领导层没水平而灰心,变得因循守旧,那么变革可能陷入停滞。
许多分析师或许会对有关他们低估美联储的说法感到愕然。如今人们在谈论新兴市场资产时,最常提到的两个相关因素就是美联储和中国,以及它们将来造成负面冲击的风险。
新年英文祝福语大全
国家卫生健康委员会补充称,其中81.8%的新病例是同性恋行为造成的,这是由于学生“尽管对疾病有很高的认识,但对保护的意识不强”。

5

我们要咬定青山不放松,持之以恒为群众办实事、解难事,促进社会公平正义,把发展硬道理更多体现在增进人民福祉上。
二、2017年工作总体部署
冲击奖项:自从在特莱瑞德电影节首映以来,奥德曼一直就是最佳男主角奖项的宠儿。
5.匈牙利德布勒森
The Belt and Road Initiative: The Silk Road Economic Belt and the 21st-Century Maritime Silk Road
发行于2013年的《炫富帮》是一部语带讽刺的犯罪剧情片,记录了一帮好莱坞山高中生的冒险,他们偷到了当地名人的家里。少年们进入梅根·福克斯和帕丽斯·希尔顿这样的偶像家,偷走现金、衣服、手袋和珠宝,用来模仿杂志上让他们羡慕的奢华生活。在朋友圈炫耀战利品的照片后,他们终于被抓进了监狱。
“气候变化也许是我们这代人的重大挑战,”美国国家航空航天局(NASA)地球科学部主任迈克尔·H·弗莱利赫(Michael H. Freilich)说,他的部门是跟踪全球气温的机构之一。
美国公司高管的薪酬不断上升,收入差距越拉越大。在这种情况下,看到一位不光关心自身收入的CEO不禁让人眼前一亮。9月份,联想首席执行官杨元庆宣布,他将连续第二年和大约1万名联想员工分享他的奖金,数额至少为300万美元。他做出这个慷慨决定的原因是这家个人电脑制造商的年度销售额创下了历史新高。据彭博新闻(Bloomberg News)报道,参与“分成”的联想员工获得的奖金大约相当于中国普通城镇就业者一个月的收入。
在NBA,很少人能防得住罗斯。那么,你可以想象,在罗斯的高中年代,有着和现在一样的NBA身板,要防住他更是天方夜谭。
不像这篇文章中其他的人造物品,人工胰腺并不处于前期研究阶段,这个装置确实存在,而且在今年9月份得到了FDA的销售许可
May the joy and happiness around you today and always.
American brands such as Chipotle, Texas Instruments and General Dynamics are on the list for the first time.
breakthrough
The highest average monthly salary for 2016 graduates is 5693 Yuan in IT/Internet/telecommunications/electronics industries; second is financial industry and culture/sports/entertainment/media industries with average salaries level of 4685 Yuan and 4552 Yuan respectively; monthly salaries in agricultural/forest/grassland farming/fishing, and services/ educational sports/industrial arts are relatively low among signed graduates, respectively are 3500 Yuan, 3873 Yuan and 3900 Yuan.

6

D型人格的人通常自尊心不足,害怕被反对。这也是他们不想向其他人敞开心扉的主要原因。
I’m not saying you should blindly accept everything that’s offered to you, it’s okay to take time when considering the pros and cons of an opportunity. But, when you find yourself leaning toward “No,” you owe it to yourself to be sure that you’re turning down the opportunity for a valid reason, not just out of fear.
Key projected targets for development this year:
Astronomers confirmed a key part of Einstein’s general theory of relativity in 2016 when they announced that the LIGO array had detected gravitational waves released by the collision of two black holes. The researchers won a Nobel Prize for the discovery. But they’re not done: In October, scientists announced the finding of two dead stars colliding — not only hearing the ripples in space-time they made, but confirming the event visually with powerful telescopes. Collisions of neutron stars are believed to be the source of all heavy metals in the universe, including gold and silver, and the detection by LIGO helps verify accepted explanations of how the chemistry of the universe formed.
Song “Wind Blowing In The Wheat Field” (Li Jian and Sun Li)
国考报名将于本月24日截止,而考试将于11月27日在中国各大城市举行。
豆瓣网友“Jiuyuehuashang”称:“剧中,爱情就是女主唯一的追求。她生命的意义似乎就是找一个真命天子谈情说爱。不对,不是一个,是三四个。”
The ground-breaking discoveries in physics, have ignited a firestorm of research, and it’s only a matter of time before their research leads to advances as unimaginable to us now as lasers and computer chips were a hundred years ago, Laura H. Greene, president-elect of the American Physical Society told The New York Times.
17 November

avoid

Conclusion

Detectives have laid charges, but said they will not release the details of the offenses until Friday when both the 18-year-old and the youth are expected to appear in court.
In 2016, fear and anger became dominant political emotions in the UK and the US — two of the most important, stable and enduring democracies.
The 8 per cent year-on-year drop in profits last month compares with 4.2 per cent in November and is the biggest since the current data series began in late 2011, figures released on Tuesday showed.
“BlackBerry has not engaged in discussions with Samsung with respect to any possible offer to purchase BlackBerry,” the company said in a statement issued Wednesday afternoon. “BlackBerry’s policy is not to comment on rumors or speculation, and accordingly it does not intend to comment further.”
税:每年大约41684美元(约26.7万元)
达洛伊西奥解释道,自然语言处理有统计学和语义学两种方法,语义学系统试图解析文章的真实含义并对其进行简洁的译介。而统计学系统──设计Summly所采用的方法──无需这一过程;该系统保留词汇和句子的完整性,并通过运算从全文挑选出最具概括力的内容。它将每个句子或词汇进行分类、排序,以便挑出编入摘要的内容。这一过程极依赖数学计算,考量的是频率和分布,而非词语的含义。
“在三个月里,我在我的三个女儿身上总共花费了5000英镑。有一件裙子花了我两百美元,她只穿过两次,就长高了、不合身了。——不过我不打算节制开支。”
CELEBRITY couple Ronald Cheng and Charlene Choi, who announced their separation earlier, are actually getting a divorce。  明星情侣郑中基和蔡卓妍,早先宣布二


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. 刘易斯说道:“人们不能像这样,抛弃他们的宠物。每个人都有悉心照料自己宠物的法律义务。”
  2. May the New Year be a time of laughter and real enjoyment for you. Best wishes.
    5. Confirmation of the discovery of a nearby habitable planet

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