Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

9、邦德经历风险无数却总能死里逃生。当然,人物本身是虚构的。有意思的是,研究证明,肌肉男更皮实。实际上,肌肉不发达对男性来说,可能很要命。(可能就是发达的肌肉让他得以活命的吧,我怀疑他会死于心脏病或前列腺癌)。
德肖维茨称,这个说法太模糊了,学校没有提出任何具体的要求。“当学校严肃处理学生时,却不说明他们的判断标准,我认为这是有问题的。”
Am I tempting fate by wondering if the Lakers end up in this conversation within a couple weeks? They'd have to go on a truly epic slide to be bad enough to keep their draft pick at this rate (top-three protected to Philly) but I think the question is whether they should continue to build slowly around this core or flip one or two of the young dudes for a star.
男女学员对所攻读项目的优势评价一样。
n. 冰箱
By investing deep in the industrial fabric of the country, from the coastal cities of Tianjin and Shanghai to the new industrial frontiers of the Western provinces of Shaanxi and Sichuan, from the processing of rare metals to the manufacturing and assembly of complex aircraft parts, China is adding substance to formand showing the world that, as far as its commercial aerospace achievements are concerned, the best is yet to come.

1.Provide strong leadership and a clear vision
BEST THROWING TOYS OUT OF PRAM
The students were very experienced, commented one graduate. Networking and interaction among everyone involved were key aspects of this programme.
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
好在谷歌公司已于日前表示,他们不会让哈维尔支付这笔费用。
《危险!》(Jeopardy!):这个游戏节目今年已播出50年(1964年3月30日首播),它证明自己不仅能难住观众,而且能令他们感到意外。不仅是因为主持人亚历克斯·特里贝克(Alex Trebek)留起了胡子(之前13年他都是把胡子剃得干干净净),而且是因为仍有些选手表明自己能刺激观众。今年刺激观众的是亚瑟·朱(Arthur Chu),他采用闪电战式的答题方式,在网上引起一片哗然。他的策略令人兴奋,当然也很奏效:他在锦标赛中夺得第二名(友善的本·因格拉姆[Ben Ingram]最后得了第一)。
郑中基和蔡卓妍:手原来是离婚
经过救援人员一夜的船体扶正工作,5日7时30分,在长江倾覆的"东方之星"船体已侧翻过来,露出水面的船体写着"东方之星"四个汉字。
Salary three years after graduation and salary increase are the main criteria, each accounting for 20 per cent of the ranking’s weight. Most schools in the top 25 score well on at least one of these criteria. The top 10 schools would mostly also rank in the first 10 if salaries and their increases were excluded. The only exceptions are Nanyang Business School and China Europe International Business School, both underperforming in the doctoral and research ranks.

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.

If managers suspect you're looking elsewhere, your LinkedIn profile is often the first place they'll snoop, says Jenny Foss, founder of the career blog JobJenny.com and author of "Ridiculously Awesome Job Search Kit." "It's where a lot of people tend to get busted," she adds。

1

2010财年,这家超级零售商可抱怨的地方不多。利润增加,而且由于销售额增长,该公司再次攀升至《财富》500强的冠军。今年沃尔玛的单店销售额和去年几乎持平,但同塔吉特百货销售额下降2.5%相比,持平已算不错。最值得注意的是沃尔玛重塑形象。前任首席执行官李?斯科特扩大了对员工医疗保险的覆盖,更关注环境,经常在公共场合露面,这些都起到了积极作用。当然,总会有人批评,而且沃尔玛第一季度的表现也不是最好的。但无可否认,斯科特给新任首席执行官麦克?杜克留下的是一个斗志昂扬的公司。
arrogant
皮耶里在大型消费类产品公司工作过多年,如Stride Rite和科迪斯(Keds)等。所以,这种夫妻店在推出新产品时所遇到的困难令皮耶里感到失望。她解释道:“越创新的产品,因为与主流和‘已知’相悖,因而越难销售。”因此,她在五年前成立了The Grommet,这个信息分享平台会将消费者与发明者的故事和产品联系起来。皮耶里的公司帮助发布的产品包括自制碳酸饮料机Sodastream和智能腕带Fitbit。她一直把惠普公司(HP)CEO梅格惠特曼作为自己的导师,并在哈佛商学院(Harvard Business School)担任入驻企业家。
中国政府确定的消费者物价通胀目标为3.5%,但增长日益疲弱将令物价指数变得温和。
It was all work, work, work for the BBC Culture team and parties, alas, were few and far between. But the rest of Cannes was painting the town red. In 2013 we tried to calculate the amount of champagne consumed at the festival by contacting Piper Heidsieck, “the official drink” of the festival, but they declined to comment – though judging by the merry faces and staggering gaits of some on the Croisette, it's safe to assume a colossal quantity. At the party for Matteo Garrone's Tale of Tales on the first weekend, the champers flowed freely and the revellers stayed on until the early hours. When the BBC's Rebecca Laurence spoke to one of its stars the following morning and asked how many hours sleep he'd had before their interview, he simply narrowed his bleary eyes and held up two fingers.
? Ten of a reported 33 fatalities occured in New York City, and that number was expected to rise, according to Mayor Michael Bloomberg. Deaths in New York were attributed to falling trees, electrocution and drowning.
But perhaps we are finally there. Perhaps the curtain had to fall on the show before it could fall on that part of the ready-to-wear shows. Perhaps the history hamster wheel that we seem to be on — which has seen us cycle through the 1970s as well as some of the big hair and bigger shoulder pads of the 1980s (yes, we are there again) — will finally stop turning.
5. 格罗斯警告:“庞氏骗局!临界点!信贷超新星!”

The show is iconic among those who grew up in the 1990s because it explores core themes like friendship, struggling to survive in a big city, and finding independence and identity, all of which are still relevant to young audiences today.
单词embrace 联想记忆:
However it's framed, 2018 was a strong year for many of China's biggest domestic film studios though.
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。
汉娜库赫勒(Hannah Kuchler)是驻旧金山记者
cheerfulness
她说:“所有监管机构都在考虑这么做,提高透明度始终是可喜的。但能否做到则是另一回事。监管机构谈论提高透明度并降低费用,但在立法方面没什么进展。”
高通(Qualcomm)总部所在地的农民们肯定像它的雇员一样超爱这家无线电公司。每周,高通会在其总部圣地亚哥择址两处举办农夫市集。出售的商品从传统农产品到果酱、果冻无所不包。凡是订购了“社区支持农业”素食礼盒的高通雇员,在总部的一家咖啡馆即可轻松收货。
n. 雨燕,线轴
9. Occupational therapist
很多明星获得的小金人都被放在了父母身边,安吉丽娜·朱莉(Angeline Jolie)已故的母亲多年来一直保存着女儿因影片《女生向前走》(Girl)获得的最佳女配角奖杯。妮可·基德曼(Nicole Kidman)因影片《时时刻刻》(《The Hours》)获得了最佳女主角奖,奖杯就放在她父母家中的壁炉台上,来串门的邻居都可以看到。詹妮弗·劳伦斯(Jennifer Lawrence)于2013年凭借《乌云背后的幸福线》(Silver Linings Playbook)获得第85届奥斯卡最佳女主角,奖杯放在她父母家中的钢琴上。
卢彦说,通州和其他地区也会建设高规格的医院供市中心地区居民看病,该举措可以缓解交通压力和城市拥堵。
It was also the "most liked" tweet of the year, with 4.59 million likes.

2

Equally, a three-week interning stint at PwC in the school summer holidays gave her the chance to sample life in a professional services firm. “I didn’t think I would get a place on [PwC’s programme] as I had no business experience,” she says.
9. Am I spending too much? Overspending can lead to stress, clutter, and financial complications. It can also turn into a nasty habit over time. Saving money is an excellent practice and you will more than likely be glad you did in case of an emergency.
8.Your Boss Sucks
1983年的夏天,早熟的17岁少年埃利奥与家人一同在意大利北部伦巴第的17世纪乡间别墅度假。他邂逅了英俊的博士生奥利弗,后者是埃利奥父亲的实习生。那个夏天,一切都沉醉在灿烂阳光中,埃利奥和奥利弗彼此探索着欲望觉醒带来的令人晕眩的美。这个夏天将改变他们的一生。
Three stricts and three honests: Be strict in morals, power and disciplining oneself; be honest in decisions, business and behavior
如果你在寻找一个免费的客户关系管理系统,Zoho或许正适合你。为什么呢?因为它提供了集成的可能性。比如只需添加你的API密钥,就可以轻松与JotForm和Unbounce集成。这意味着只需要几秒钟的时间,销售线索就可以自动发送到你的CRM系统。对于一款免费软件来说,这已经非常强大了。
需要快速发送大到2GB的大型文件?不妨试试WeTransfer.com。你甚至不需要建立账户,我几乎每天都用它传文件。
《一个开车从来不回头看的沙特女子》(A Saudi Woman Who Got Behind the Wheel and Never Looked Back)
北方高等商学院毕业生的平均薪酬水平为10.5万美元,排名第11位,而斯隆毕业生为14.36万美元。他们的薪资增幅为79%,排名第七。
据牛津经济研究院(Oxford Economics)估算,若剔除价格影响,中国10月进口量同比降幅为2.6%。
Premiered in August, the 48-episode TV series is a fictional story, with a plot centering on struggles and romance during the Qin Dynasty (221-206 BC).
Chen Lihua, 75, founder of Fu Wah International Group, a company engaged in real estate development, has become China's richest woman with a net worth totaling 50.5 billion yuan, according to the report Richest Women in China 2016 released by Hurun Research Institution.

每到仲夏时节,这家企业数据存储公司就会通过举办“狗狗节”来提升士气。员工此时可带着自己的宠物上班,欣赏宠物商品展销会,当地的宠物美容师、宠物商店老板以及驯兽师都会参展,还可以观赏狗狗才艺表演。在“狗狗节”前一周会有一场彩票抽奖活动,全部收入都将捐献给当地的动物慈善机构。
chann管道+el表名词,“人或物”→航道
Big-spending US firms are forcing their UK counterparts to increase salaries right the way from newly qualifieds to the top rainmakers — though that did not stop David Higgins, private equity star at Freshfields, from decamping to Kirkland & Ellis just before Christmas. Boutique specialists are luring clients away by offering faster, more focused services.
They expect the heat to get much worse over coming decades, but already it is killing forests around the world, driving plants and animals to extinction, melting land ice and causing the seas to rise at an accelerating pace.
这部电影是完全的、纯粹的流行天堂,其中不乏独创性和黑色幽默。动作编排恰到好处。某些画面,观影者忍不住想冲出电影院叫来朋友观看。但你并不敢离开位置,你怕错过这绝妙的片段。
When the cup is lifted and removed from the dispenser, the magnet seals the bottom and the drink is ready to be enjoyed.
要让消费者有更多选择,从中受惠,更重要的是让我们的企业下决心,通过发扬工匠精神,使自己的产品赢得消费者的信赖。
The 1.48 million people who qualified to take the exam marked an increase of 90,000 over last year, while the number of positions offered - 27,000 - remained almost the same.
Nigel Farage, former leader of the UK Independence party, has not advanced so far because it has proved harder to capture the UK’s party-based institutions than it is the US presidency.

3

A candidate's age is no gauge of their effectiveness, Sonneborn tells PEOPLE, saying that despite Donald Trump being the oldest person elected to the U.S. Presidency, “He tweets like a kindergartener.”
China hopes that the Asia-Pacific region will be one that enjoys order and stability, a region that is able to work out issues through consensus-building consultation, properly manage differences through dialogue and has the wisdom to resolve differences.
['deziɡ,neitid]
"The autonomous region has invested 4 billion yuan (around 600 million US dollars) to promote industries with local features in poor areas, and relocated 77,000 poor people last year," said Lu Huadong, deputy director with the office.
6. Now, like an addict who can't stop, Gross writes in his Tipping Point blog that QE will run to 2015. Earlier it seemed like the Bubble With No Name Yet should be renamed the Bernanke Bubble. But now, with Gross and Pimco's $2 trillion at stake here, maybe we should call it The Gross Bubble.
The report also found that the top cities in intellectual capital and innovation and technological readiness also achieved high scores in the overall ranking, a clear indication that technologically advanced cities were more likely to earn the title of "cities of opportunity".
我们要通过“互联网+政务服务”,让群众少跑腿、少烦心、多顺心。
这位曾演唱过《Royals》(《皇室贵族》)的少年天才在20岁的时候就在联合制作人杰克·安东诺夫的帮助下更上一层楼,把对电子音乐的无限展望与人类的尺度结合在一起,亲手打造了自己的第二张专辑。
The Big Bang Theory is not short on geniuses. Not only is the show about highly intelligent scientists, but cast member Mayim Bialik has a Ph.D. in Neuroscience. So it should come as no surprise that the cast would want to show off their intelligence and attention to detail. In Sheldon and Leonard's apartment, there's a large white board. The two roommates use the board frequently for everything from actual work that Leonard or Sheldon has brought home, or to decide whether to eat before or after the new Spider-Man movie.
I wonder if the Pelicans are in that position, too. It looks like their highest Brow-era pick will be Buddy Hield. That's not optimal.
他参照美国脱口秀节目主持人的话说:“我一直想和Jay Leno见面,”说这话之前他自己就笑了起来。达拉斯买家俱乐部明星Jared不以为然回应道:“对不起,你又叫什么名字?但观众们似乎意识到了两人之间尴尬的气氛,一位观众开玩笑说:“认为Jared Leto妄想Grinder看着他。”
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.”
Sinta Nuriyah
近几十年来,很少有年份像2014年那样一开始就充满那么多的悲观情绪。对2014年的预测贯穿了一个主题,即这一年看起来与1914年相似得让人害怕。大多数学者的预测都是悲观和令人沮丧的,尤其是对于东亚。然而,虽然发生了许多可怕的事件——从马航MH17航班在乌克兰坠落,到尼日利亚数百女学生被绑架,以及“伊拉克和黎凡特伊斯兰国”(Isis)的崛起——但我们避免了全面的世界大战。现在,2014年已结束,没有重现1914年的悲剧。探究为什么这些学者预测错了(特别是他们认为亚洲存在冲突可能性的想法)或许是明智的。
Meanwhile, in recent months mainland investors have been rapidly owning equity trading accounts and putting money into the stock market. The Shanghai Composite has become the region's best performing index, rising nearly 45 per cent year to date.

4

Jumping all in is rarely ever successful. There are success stories about people who invested everything once and came out winners after six months or a couple years, but those are rare. Risk management is an essential factor in any startup, and balance is vital. You can absorb losses more easily if you take smaller risks in the beginning. Those will provide essential and productive lessons.
So, what does that mean for oil prices in 2015? It is anybody’s guess, but here are the top five variables that will determine the trajectory of oil prices over the next 12 months, in no particular order.
但1998年的记录现已被每四、五年一次的新记录多次打破,而2014年的记录是在没有显著厄尔尼诺现象发生的年度创下的。加文·A·施密特(Gavin A. Schmidt)是位于曼哈顿的美国宇航局戈达德太空研究所的所长,他说,下一次的强厄尔尼诺现象可能会打破所有的温度记录。
Below are a number of statements that people often use to describe themselves.
输家:尼克斯
adj. 毁灭性的,令人震惊的,强有力的
Leading the pack of the best airlines for holiday travel is Hawaiian Airlines, followed by another Pacific Coast-focused carrier, Alaska Airlines. Conversely, the worst airline for holiday travel is New York-based JetBlue Airways, with ExpressJet, a regional carrier, coming in next to last, according to the FlightAware data.
We should stipulate at this point that neither of us have any idea how good this draft is going to be because the college season is barely underway. It sure looks nice, what with all those freshmen stacked up together in the lottery.
revis修正+ion→修正,校订本
When Tom Ravenscroft left Oxford university with a degree in econ-om-ics and management in 2007, he wanted to be a management consultant. He even had a job offer from Oliver Wyman, following an internship. “I had no career vision beyond going into business. It was a very hazy concept,” he says.
如果将其切成八片,每片的价值就是250美元,相当于每一口大约值50美元。

5

来自40个国家和地区的2500名“选手”参加了本届机器人世界杯15个项目的比赛,它们种类繁多,有电脑控制的足球机器人,医疗组机器人,救援组机器人和会跳舞的机器人。
足球赛艇皮划艇帆船
Comparatively, the increase rate is higher than income rise of urban residents for the same time period, which is 17.4%.
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。
Even though we are apart, you are in my heart this season.千山万水,隔不断我在佳节对你的思念。
高盛将大派红包,饱受各方抨击一个月,然后静悄悄地干回自己的老本行--挣钱。
Take the intriguing reintroduction of “unfeigned regards” — last big in the 18th century and now found on emails from Indian help centres. But the winning sign-off, at the bottom of a message sent one Friday, was: “weekend well”. I nearly awarded it second prize for the best noun pretending to be a verb, though at the last minute this award was snatched by a consultant overheard saying: “Can we cold towel that?”
单词triangle 联想记忆:
Goldie Blox:
Nine out of the top 10 have all worked with Victoria's Secret in some capacity, with curve model Ashley being the only exception.
巴西对智利比赛的正式票价范围在200美元到25美元之间。最便宜的门票大约占5%的销售额。这些门票只为学生、老年人和政府福利计划的穷人提供。
5. Lacking confidence in your career intuition
Recipient: His Royal Highness Prince Harry
Rossi, 31, spends his days calculating the future costs of the Pentagon's pension, health and education benefits, but says his job involves more than just crunching numbers for spreadsheets. He communicates with other government agencies and brainstorms with colleagues about financial models.

6

[i'li:g?l]
Men and women rated the strengths of their programme equally.
amphibious
1. Peaceful Era
就算利润率更低(比如40%),并且替代率为1/3(即全价iPhone的客户流失三分之一),低价iPhone也能提高苹果的营收和毛利润(见上表)。
Faster growth should also dispel worries about another Fed bogeyman: deflation, or falling prices. "It's impossible to have deflation in an economy growing 3%-plus and adding the most jobs since the 1990s," Baumohl said.
The Disaster Artist is part buddy movie, part show-business fable, and part behind-the-scenes DVD featurette.
Airbnb Showdown
最糟糕地利用社交媒体奖

单词triangle 联想记忆:

Conclusion

Paddington 2
慈善组织DoSomething.org本周发布了最慈善明星前20的名单,这位23岁的乡村歌手因给美国国家名人堂博物馆捐款400万美元被授予此称号。
Over the past three years, drawing conclusions about China's box office growth has been complicated by Beijing's decision to include new service fees in official revenue totals.
3. Jeonju, South Korea-Hundreds of traditional Korean houses remain in central Jeonju's Hanok village.
200911/88512.shtmlDuring NATO’s 1999 air war over Yugoslavia the Atlantic alliance struck hundreds of targets over Serbia and Kosovo. Most were uncontroversial: air-defense sites army headquarters and other military targets. The destruction of one target in particular however set off a wave of anti-Western—and anti-American in particular—protests half a world away. That target was the Chinese embassy in Belgrade.
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。
We think of the passage of NBA time in seasons, for obvious reasons. There's connection, a continuum. It's how we remember things that happen, in the course of a season of play. But there's some benefit to looking back at a calendar year, January 1 to December 31, and what we've learned in that process. After all, many say the "unofficial start" to the NBA season is Christmas, with the new year starting soon after. So here are the lessons we learned about the NBA in the year 2017.
To Japanese creators Kazutaka Kurihara and Koji Tsukada for developing the SpeechJammer, a device that uses delayed auditory feedback to shut up participants in a discussion. This kind of system has been used in speech therapy to reduce stuttering among those with that particular speech disturbance.


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. The fall in demand for industrial bulk commodities was particularly pronounced. Huge oversupply in China’s real estate and manufacturing sectors has damped investment in new capacity in recent months, denting demand for all kinds of raw materials.
  2. During the summers, Good Humor ice cream trucks visit the company's campuses every other Friday during lunchtime. In the fall, cider and doughnuts are served twice a month, mid-morning.
    德国总体排名第四。"公民权益”排名第十。“创业精神”排名第一,“教育最佳国家”排名第三。

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