Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

人力资源机构罗伯特?哈夫国际公司(Robert Half International)最近针对4,000名企业高管进行了一项调研。其中有88%的人预计,未来一年,公司的业务将有所好转。这不失为最鼓舞人心的消息了。
“Airbnb is here to stay,” Mr. Gottsegen said. “Instead of fighting it, we should wrap our arms around it and make it better.”
什么?他的公司利用贝南克印刷的低息钞票还没赚够?于是他将“增长速度降低”归咎于“财政紧缩”?就在贝南克错以为国会失灵、他才是美国的救星,所以继续以数万亿的规模吹胀美联储资产负债表泡沫的时候?
*Reality Host: RuPaul Charles, “RuPaul’s Drag Race” (Logo)
On Monday the research team said the skeleton confirmed that the monarch had severe scoliosis, or twisting of the spine. It may have been painful and caused his right shoulder to appear higher than his left, but there was no evidence of the withered arm depicted in Shakespeare's "Richard III".
从10年和20年的时间跨度来看,地域和资产类别的多元化已经证明对投资回报和风险管理有益。不幸的是,在12个月内,不一定能看到此种战略的好处。在如今这个140字微博消息和2分钟短视频盛行的时代,投资者不能以长期的表现来判断其投资组合的成败,又有何奇怪?

昨日发布的央行数据显示,中国外汇储备上月出现有记录以来第三大单月降幅。这重燃了人们对于中国遭遇资本外流的担忧,此前中国外汇储备似乎企稳。
这名法国女星将会和瑞恩·高斯林、迈克尔·法斯宾德、娜塔丽·波特曼共同出演新电影。
受到好的affect影响就充满爱affection,受到不好的影响affect就学会假装affected
Neighborhoods
If you are spending time looking for other jobs while you are on the clock, it's obvious you want to leave your job. So keep looking for new jobs and as soon as you find a good one, take it and run.
['staili?]
巴蒂表示,中国的大学现如今已经花费百万元巨资聘请国际知名学者,同时还配备了各项最先进的设备。
According to the institution, only women with a net worth exceeding 8 billion yuan are eligible to be selected as one of the top 50 richest women in China.
distract

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 Global Obesity Epidemic

1

第10、11题,选0得4分,选1得3分,选2得2分,选3得1分,选4得0分。
Among French schools, Toulouse Business School made the best progress, up 14 places, after featuring in the Executive MBA ranking for the first time.
One of Iese’s strengths is its academic rigour. The Barcelona school performs consistently highly across all aspects of customised programmes. It is ranked in the top five in 11 criteria out of 15. Iese is top for its international clients and the diversity of its faculty.
以我所有的爱心与真诚祝你及全家圣诞快乐。
“一带一路”战略:“丝绸之路经济带”和“21世纪海上丝绸之路”
在小说中,格洛搬来与邦德在伦敦同居,并在争吵中一起度过早晨时光。
2. 《头脑特工队》,导演:彼得·道格特(Pete Docter)。
“With the vast number of cutting-edge, eco-friendly faux furs available on the market today, I'm sure you'll agree that there's no longer any excuse for killing animals for their fur.”

供给侧结构性改革初见成效;
The Nobel Prize in physiology or medicine was awarded to a cellular-level experiment.
Social media finds you as you browse
10. Am I worrying about the future? Worrying about something that hasn’t even happened yet causes stress and anxiety. Focus on the moment in front of you and realize that it is all that exists.
“What Happened, Miss Simone?” (Liz Garbus)
'Increased production in the U.S. meant that spot prices weren't reacting quite as much as in previous geopolitical incidents,' Mr. Hansen said. There is so much supply that threats to it have less impact than previously, and 2014 will be 'the first year in a while when supply growth is going to outpace demand growth,' Mr. Hansen said.
爆发冲突的潜在可能性,将迫使中国和美国在不断变幻的环境中重新定义各自的角色,双方都对这种环境感到不安。美国大选期间的反华情绪将使紧张气氛加剧。亚洲国家将勾勒出这两个大国的影响力范围,但考虑到各国的利益各有不同,取决于各自的具体关切,联盟的构成也将变化。
《为奴十二年》导演史蒂夫?麦奎因(Steve McQueen)在登台领奖时说:我有点吓到了。然后他微微耸肩,引用片中福音歌曲的歌词,说了句“翻涌吧,约旦河,翻涌吧”("Roll, Jordan, roll")。
这是一次及时的预警。他写道,自己的研究结果“表明,随着美联储继续实施利率正常化,未来几年新兴市场爆发危机的风险将加剧。”
同时,美国Rapper歌手Eminem被证明是“复出王”,摘得最佳Hip Hop歌手奖。”The Lose Yourself ”的创作者与Hip Hop的新面孔相互竞争,包括Drake, Future, Kendrick Lamar and Post Malone。
Yes, 2014 is an absolute total disaster just waiting to ignite. In 'Doomsday poll: 87% risk of stock crash by year-end' we analyzed 10 major crash warnings since early this year. Since then, more incoming bogies raced across our radar screen. Ticking time bombs from Congress, the Supreme Court, sex, carbon emissions, Big Oil, NSA, IRS, Tea Party austerity. Relentless. Mind-numbing.
提问
One of the best James Bond theme songs wasn't actually played over the opening credits, so we're giving it our first honorable mention. This enormously romantic song from On Her Majesty's Secret Service is one of the few James Bond themes that helps tell the story of the film, in which our hero finally meets the love of his life. (Alas, it was short-lived.) Satchmo warbles his trademark warble, our hearts melt, and a classic is born.

2

像中国人口这么多的国家,关于寂寞的病毒式模仿会这么流行实在是件很讽刺的事情。这句看上去很无厘头的话被用在了所有可能搭配的排列中,用在了所有场合,比如,“哥看的不是书,是寂寞。”
On 2 March, the North's state-run website Uriminzokkiri warned that Pyongyang would respond to any balloon launches with "not just a few shots of gunfire but cannons or missiles".
安德鲁希尔(Andrew Hill)是管理主编
31岁的罗西每天的工作就是计算五角大楼在养老、医疗和教育福利方面未来的成本。但他说,这份工作不仅仅是鼓捣电子表格数据。他还要与其它政府部门进行沟通,并就金融模型与同事举行头脑风暴会议。
“Tangerine” (Sean Baker)
CareerCast.com是Adicio Inc.旗下的求职网站。该网站基于体能要求、工作环境、收入、工作压力和职业前景这五项因素,对200种职业进行了先后排名。在确定排名次序时,网站采用的是美国劳工统计局(Bureau of Labor Statistics)等政府部门的数据。与前些年一样,之所以选择这200个职业,是因为考虑到它们在当前劳动力市场的需求程度以及是否能获得相关可靠数据。
Haub School of Business at Saint Joseph’s University in Pennsylvania is the only school ranked for the first time, in 98th place.
那么,于汽车业而言,2015年又意味着什么?以下是一些有根据的猜测。
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.
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。
Against: Although it picked up a best editing prize from the LA Film Critics Association, it was ignored by their New York counterparts. Could its momentum be waning
[grɑ:nt]

“The Man Who Knew is an impressive work of scholarship,” Lionel Barber, editor of the FT and chair of the book award judges, said. “It’s a masterpiece of political economy and, above all, it’s a great and enjoyable read.”
The rise of ephemeral social networks
"I'm not really worried about it, honestly," Bryant said. "My shooting will be better."
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。
美国则在2016年下降为德国的第三大贸易伙伴。
Similar trends have been seen at other Cup matches, though no polls were carried out previously.
13) I am often down in the dumps 0 1 2 3 4
温莎王朝的非官方座右铭“永不抱怨,永不解释”到底可信不可信?
Auto sales: Car sales reach 17 million but manufacturers scramble to adjust capacity as trucks and SUVs soar in popularity. Pressure to hold down corporate fuel averages drives margins on small cars far below break-even.

3

中国最高质量监督部门日前表示,去年通过网购平台出口到中国的消费品,超过40%是不合格的。
This has given “edtech” start-ups, such as Silicon Valley-based Coursera and London-based FutureLearn, a foothold in the market. Expect them to continue this year, perhaps with a merger with a bricks-and-mortar higher education establishment.
Blake Griffin
公司:垃圾处理公司Nation Waste
在美国股市整体被“踩下刹车”的情况下,特斯拉的股价还在一路狂飙。自今年年初至今,其股价已经上涨了80%,目前每股约262美元,接近该公司有史以来的最高值,市值达到320亿美元。
《老友记》里几乎都是白人演员,所以它在当时并不是一部以兼容并包著称的电视剧。剧中的主要角色没有一个是"非主流"。甚至乔伊还经常拿罗斯的第一个老婆是同性恋这事开玩笑,而且经常能在台词中看到性别歧视的只言片语。
5.Debrecen, Hungary
The report also found traffic congestion in first-tier cities such as Beijing, Shenzhen, Guangzhou and Shanghai have stopped getting worse with local government efforts.
The special tokens of appreciation will take place alongside more traditional and somber observances, including the laying of a wreath by President Barack Obama at the Tomb of the Unknown Soldier at Arlington National Cemetery, just across the Potomac River from the nation's capital.
Guangzhou, Shenzhen, Hangzhou, Wuhan and Nanjing have been ranked as the top five cities for opportunity in China, according to a report jointly launched by PricewaterhouseCoopers and the China Development Research Foundation.
Cheryl Boone Isaacs, Academy President
2017年,人们指责大型科技公司太过强大、利用自身的规模主宰市场,而且不够关注他们所创造的工具如何被用来做恶。
The block chain has such rich potential that there is an initiative underway to create additional “side chains,” though there is controversy around that idea. “We don’t really want to mess with the main block chain right now,” says Adam Ludwin, CEO of Chain, a block chain API that makes it easier to create bitcoin applications. “It works, we don’t want to break it.”
宝能的“突袭”遭到了万科创始人王石的强烈抵制,后者寻找“白衣骑士”出手相助,迄今为止成功地保住了对这家由管理层主导的企业的控制权。这场收购大战既推动万科在深圳股市的股价大涨,又大幅推升了姚振华的已知财富。
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.

4

Late last year, the World Health Organization declared that Zika virus was no longer a global emergency. But the disease’s effects on babies who may live for decades are only beginning to be understood. In northeastern Brazil, where links between the virus and birth defects like microcephaly were first detected, families struggle to give the best lives possible to stricken babies. Researchers hope to find clues about the virus’s effects on the fetus by studying pairs of twins in Brazil in which one was born with birth defects and the other was not.
The fall in profits in December highlights the challenges facing an industrial sector racked by overcapacity and falling prices, adding to pressure on authorities to loosen monetary policy and boost infrastructure spending to cushion the slowdown.
位居榜单第三的是史蒂夫·卡瑞尔(Steve Carell)。《卑鄙的我2》(Despicable Me 2)在今年大获成功,斩获票房9.19亿美元。该电影系列累计已取得14亿美元的全球票房,该系列第三部《小黄人》(Minions)也即将上映。卡瑞尔今年还出演了小制作独立影片《迷途知返》(The Way Way Back)和《超级魔术师》(The Incredible Burt Wonderstone)。后一部影片的票房虽未能赚回制作成本,但是我们这里只关注票房收入——该部影片为卡瑞尔2013年的电影票房收入又添2,250万美元。
在谷歌和苹果之后的品牌包括亚马逊以及微软公司等。
的确,价格不是一切。但即使是看空者也同意:一切都有价格。
单词immunity 联想记忆:
['treidmɑ:k]
There is "credible evidence" Justin Bieber fathered a child after a backstage encounter with an older female fan, her lawyers have claimed. 一名女性的律师声称
5.重播和比赛精彩集锦同主要现场比赛一样精彩,所以我也会看。
指数:93.6
The ranking includes schools from 26 countries, including 35 in the US, 10in the UK and nine in China. Renmin University of China School of Business in Beijing rose furthest, climbing 18 places to 43rd. Four schools made it into the ranking for the first time. These are led by Cambridge Judge Business School at 36th. France’s Grenoble Business School is ranked 70th, Turkey’s Sabanci University School of Management is at99th, and Brazil’s Coppead is at 100th.

5

As we began 2017, the Warriors were in a rocky point with their upgraded super-team. They'd lost to most of the other premier Western Conference teams, and just lost to the Cavaliers on Christmas. Maybe, just maybe, this super-team was mortal just like the 2016 team that looked invincible was. As it turns out, in a word, nope.
The reason for its high valuation is based on the fact that it was the first time China Post released stamps featuring the Chinese Zodiac since the establishment of the People's Republic of China in 1949.
内森是少数几位在夜间拍卖会上积极出价的交易商之一。他在佳士得的拍卖会上代表一位客户以50.65万英镑拍下了查尔斯-安东尼·夸佩尔(Charles-Antoine Coypel)1737年的画作《阿米达宫的毁灭》(The Destruction of the Palace of Armida),售价是预估价的两倍。
n. 校订,修正,修订本,复习
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.
This 1977 file photo shows Apple co-founder Steve Jobs as he introduces the new Apple II in Cupertino, Calif.
[aut'st?ndi?]
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.
中国的全国居民消费价格指数(CPI)和工业生产者出厂价格指数(PPI)仍很温和或处于收缩区间,但上月都出现了些许回升迹象。
The contiguous United States set a temperature record in 2012, a year of scorching heat waves and drought. But, mostly because of the unusual chill in the East, 2014 was only the 34th warmest year on record for the lower 48 states.
The contiguous United States set a temperature record in 2012, a year of scorching heat waves and drought. But, mostly because of the unusual chill in the East, 2014 was only the 34th warmest year on record for the lower 48 states.
According to the announcement, the new administrative center in Tongzhou will put infrastructure upgrades and ecological improvement on top of the agenda. The municipal government hopes to improve public services in education, healthcare, cultural events and industries in the district.
na;F(|GWK@bR)
王春法说,在出版前应加强审查和评估。

6

If you want a refrigerator with a screen, might as well just stick an iPad on it. Samsung unveiled a smart refrigerator this summer that connects to wi-fi to help manage groceries and leave notes behind for family members.
['t?ksik]
The only things in the way are his staff, Republicans in Congress and the limits of his power. And those are important. Campaign promises of 45 per cent tariffs on Chinese goods have turned into investigations into Beijing’s intellectual property regime.
3. Your boss received your résumé from a contact of a contact。
Female founders in Silicon Valley will raise more money next year, as sexual harassment scandals have forced investors to rethink their habit of backing ventures founded by mainly young, white men. Some start-ups founded by men pursued by rumours of unsavoury pasts will not get funding, even if they are a good investment proposition.
这些模子能让普通水果长出有趣的形状。
5. bedazzled / a . 眼花缭乱的。
CANCER: THE EMPEROR OF ALL MALADIES (PBS, March 30) Barak Goodman (“Scottsboro: An American Tragedy,” “My Lai”) is the director and Ken Burns is an executive producer of this six-hour series based on the Pulitzer Prize-winning book “The Emperor of All Maladies: A Biography of Cancer” by Dr. Siddhartha Mukherjee.
n. 流通,循环,发行量,消息传播

荷兰合作银行表示,预计大豆价格将保持强劲,目前在1蒲式耳10美元上方,同时由于需求稳定上升,预计奶制品价格明年也将上涨。

Conclusion

Information technology was the third largest sector with 18 brands shortlisted. The total value of listed IT brands accounted for 22.5 percent of the list. Average value increased 10 percent. Beijing is the preferred headquarters location for the IT sector, and 12 listed IT brands set their headquarters there.
它是一种受谅解和制度制约的权力争斗。
adj. 易坏的,脆弱的,浅薄的 n. 复写纸,薄纸副本
……声称自己之所以迟到是因为迷路了,但我们的接待员却说她刚刚看到这位求职者在咖啡店里玩。
James Bond Themes Honorable Mention: "Surrender" by K.D. Lang
Developer activity is also at a fever pitch. According to the contributor graph at GitHub, the total number of contributions to bitcoin’s master code in November was the highest it had been since spring 2012. Bitcoin is also the 31st “most forked repository” on GitHub—”forks” are basically proposed or in-progress alterations to core code—out of more than 900,000. In other words, for developers, bitcoin is trending. The number of open jobs currently posted at bitcoin companies also underscores developer interest: it’s at 105, which is close to the all-time high in September of 137, according to Bitcoin Pulse, which monitors such trends.
在交易截止日到来前,看清楚他们会往哪个方向走这件事将会十分有趣。他们有很多靠得住的球员团结在布鲁克-洛佩兹身边。
9) Well Done: It’s a cliché, no doubt. Sometimes, it isn’t enough just to say thanks. People want to know what they did was great and why. They pour so much sweat and soul into their projects.They need to know their work was special and had meaning to someone.


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. 报告显示,去年国内手机总出货量为5.6亿部,同比增长8%。
  2. 11月,财新-Markit制造业采购经理人指数(PMI)从10月的51%降至50.8%,接近区分扩张和收缩的50%大关。此前,路透社(Reuters)对经济学家进行调查得出的预测中值曾预计,制造业PMI将降至50.9%。
    “One guy hired a marching band to accompany his announcement.”

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