Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

有些腐烂的鸡爪竟然出产于1967年,在腥臭扑鼻的处理场里,这些鸡爪经过漂白剂和其它化学物质“清洁”、涨泡、漂白流程之后,便可重新上市出售。
马来西亚怡保——怡保位于吉隆坡北部约200公里处,从前是英国的殖民地,如今却是美食家的天堂,那里既有当地路边小吃,也有精致的咖啡馆。
Dershowitz said this guidance was too vague to provide students with any real understanding of the school's expectations. "When you punish a student seriously without articulating standards, I think it raises questions," he said.
黑人小伙克里斯和白人女孩露丝交往到了见家长的一步。露丝邀请男友去北部父母家共度周末。女友的父母对自己甚是热情,起初,克里斯把这种过度热情解读为父母试图面对女儿跨种族爱情的紧张反应,但随后,一连串蛛丝马迹令人越来越不安,克里斯渐渐察觉,背后的真相远非自己所能想象的。
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").
One of the more notorious incidents was when Zhu Ling, a student at the prestigious Tsinghua University, was paralyzed when her roommate allegedly poisoned her with thallium in 1994.

考察指标包括“智力资本和创新”、“技术成熟度”、“区域重要城市”、“健康、安全与治安”、“交通和城市规划”、“可持续发展与自然环境”、“文化与居民生活”、“经济影响力”、“成本”和“宜商环境”。
McGowan was born into the polygamous Children of God Cult and ran away from home in her teens.
Zhou Qunfei from Lens Technology, the major touchscreen maker, ranks third on the list with a net worth of 45 billion yuan.
It also has a lot of inexpensive museums, cheap vintage trams and beautiful pebbly beaches. Day trips to vineyards are easy to arrange.
2005年初,斯通和其联合创始人爱丽莎卡玛赫特和朱瑞德斯贾丁斯发现,使用博客的女性规模庞大,但主流媒体却很少会引用她们的文章。于是,三人决定召开一次草根会议,并吸引了谷歌和雅虎(Yahoo)等赞助商。门票很快销售一空,不久,她们便成立了BlogHer.com。这个博客发布平台把撰写博客变成了许多女性可以用来赚钱的一项业务——2009年至2012年期间,这家公司向5,000名博主支付了超过2,500万美元。目前,这个平台的用户已经超过9,200万人。
在英国,从2004年到2014年,非本土出生的人口增长了66%。最近的全民公投中,投票选择“离开”的人大都说移民问题是自己最大的顾虑。
Staff numbers at insurance agencies also rose by 936,200 to a total of more than 5.6m people.
Total Program Cost: $176,600
学习管理和领导力技巧只是EMBA的一方面。一位毕业生表示:“它实际上让我成了一名创业家。”自四、五年前读EMBA以来,近三分之一(31%)的学员创办了自己的公司,或者打算创办公司。英国《金融时报》的数据显示,这些企业中91%如今仍在运营。

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.

防止虐待动物协会南澳首席检查员安德里亚·刘易斯表示,对工作人员来说这是一件“令人心碎”的事。

1

Morgan Stanley CEO James Gorman will do an about-face on the bank's 'lower risk' corporate strategy.
There’s nothing worse than a boss who says one thing and does another, and nothing better than one who keeps his word. Just as managers must trust their team, employees must trust their boss to have their best interests at heart。
Summly和雅虎拒绝对交易的条款置评。
根据欧洲央行的最新预测,迄今难以实现像美国或英国那样强劲增长的欧元区,2016年将增长1.7%。今年欧元区将实现1.5%的增长,得益于量化宽松支持经济。
挖掘者认为这个墓地可追溯到1700年前,在当时的中国,库车在控制西部前线(西域)上扮演着关键的角色。由于丝绸之路的路线有经过西域,所以控制这个关键的区域对中国统治者来说是非常重要的。
国考分为笔试和面试两部分。笔试成绩将于1月发布,面试预计在2月或3月举行。
Statistics showed that Tibet had around 590,000 rural poor by the end of 2015.
Total net profit for China’s commercial banks grew by 2.4 per cent last year, according to data from China’s bank regulator. Smaller banks saw increases in profit growth, while bigger banks slowed down.

butterfly
这位无懈可击的歌手用吉他和铜管乐器合成的节拍和强节奏的音乐效果展现了更为广阔的情感和音乐世界。它会使你回想起艺术摇滚乐教母凯特·布什(你可以去听一下《Green Light》(《绿灯》)这首歌)。
By the end of 2015, Shanghai's population of migrant residents had decreased to 9.8 million, comprising 40.6 percent of the city's roughly 24 million permanent residents, according to statistics released by the Shanghai Municipal Statistics Bureau on Monday.
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".
Do you tend to hide your feelings from others?
['staili?]
最后,今年只有两所学校首次登上开放课程排行榜。上海交通大学安泰经济与管理学院(Antai College of Economics and Management)直接排到第32名,而亚利桑那大学(University of Arizona)艾勒管理学院(Eller College of Management)在75所院校中排名第68位。
['serim?ni]
7.Do not ask a policeman the best way to get to the West End or how to use an Oyster card. He wants to help, but he's from the West Midlands.
In the episode "The Little Kicks," we get to see Elaine's fabulously hilarious dance moves. It's almost impossible to imagine a version of Seinfeld in which Elaine doesn't dance in such a funky way. And yet shockingly, this was almost the case. Writer Spike Fereston knew that series creator Larry David was against the dance, and he was only able to get it approved after David left. He was able to get the dance approve, but still received a lot of push back from the other writers.
Wearing a black leotard and curled hairpiece, beauty queen Bobbi Boyden shakes her hips and blows kisses to the audience as part of her routine.
报告指出,中国网游开发商自今年年初以来一直在考虑按照时间收费。在排名前十的网络游戏中,时间收费型网游占据了4个席位,其中两款是今年才开始商业化运营的新游戏,包括盛大互动娱乐有限公司(Shanda Interactive Entertainment)的主要新游戏《永恒之塔》(AION)。Cnzz.com说,转向时间收费模式更有可能给游戏带来公平和公正感,因为玩的最好的玩家将是那些花时间最多的人,而不是那些花钱最多的用户。
傲人的财务业绩和令人炫目的新科技,或许已足以让这位钢铁般坚定的苹果首席执行官赢得英国《金融时报》2014年年度人物(Person of the Year)的称号。但库克阐述自己价值观的勇气,同样让他与众不同。

2

社交网络公司Facebook 、电子商务巨头亚马逊和玩具公司乐高则是品牌价值增幅最大的企业。
“An employee baked a cake with her resignation letter written on top.”
本次国考招录共有120多个中央机关及其直属机构参加,计划招录2.7万余人,与上一年度规模基本持平。
新年的祝福,平日的希冀,愿你心境祥和、充满爱意,愿你的世界全是美满,
《量子破碎》
东京大学(全球排名22名)和京都大学(35名)仍然是亚洲最顶尖的两所高校。
很多人会这么想:“只要我努力工作,我总会被人注意到的。” 但是这通常不对。如果你想升职,那么当一些责任分到你头上,让你大施拳脚,你一定要让你的上级,你上级的上级知道你到底为公司贡献了什么。
2. Mobile overtakes the web.
尽管詹姆斯和费德勒在工资和薪水上要少一些(相比于C罗和梅西),但是这两人去年的代言费是最高的,其中17次大满贯得主费德勒去年代言收入达到了4100万英镑。
This was the biggest monthly drop in imports since last September and also means shipments have contracted year-on-year for the past 15 months straight.
BrandZ表示,这些品牌靠近国内市场,这帮助它们从全球品牌手中夺取市场份额,它们还在新地区赢得市场份额。
Platforms will be created for crowd innovation, crowd support, crowdsourcing, and crowdfunding

《少女日记》,导演玛丽尔·海勒。
This will bring in some money and help you make connections, Frederickson says. It can also help you polish skills that you can lose while out of work: "being fast, multitasking, answering questions quickly and succinctly."
n. 比赛,竞争,竞赛
"At a time when the world seems defined by division, storytellers bring us together as one," AFI president and CEO Bob Gazzale said Thursday in a statement. "AFI Awards is honored to celebrate this community of artists who challenge and inspire us, entertain and enlighten us - ultimately reminding us of our common heartbeat."
这个习惯会严重影响你的工作。如果你认为在最后时刻可以发挥最好,不断地推迟任务直至最后一天(一个小时),你可能没有认识到你的这种习惯给同事们带来的影响。如果最后一刻再来赶工,要求别人迅速完成任务,很可能会惹恼你的同事,在任务失败或者未按时完成时候,你就是第一个被责备的人。
Yunge from the Desert is based on an online novel with the same title by Tong Hua. It is about love triangle of a girl named Yunge, a nobleman, and the emperor in the Han (206BC-220AD). Nearly premiering in the same month as Nirvana in Fire, Yunge was much outflanked by the latter. It was criticized for its poor knowledge of history. To some audiences, charming Angela Baby herself became the only appeal of the adaptation.
We have confidence that we will continue to open this country at a higher level, and maintain this country as a popular destination for investment. We welcome other partners to work with us to share in the development opportunities of China.
你是不是觉得你游刃有余,悄悄找工作的能力简直就是职场届的詹姆斯邦德。只需利用手腕上的内置摄像头戒指便可造出一份伪造的牙医预约,并摆好电脑屏幕偷偷修改你的简历。当你沾沾自喜喝着搅匀的马蒂,或是冰咖啡时,候殊不知你的遮羞布已经被掀掉啦。你的老板当然得找你“喝茶”。
推进国际贸易和投资自由化便利化。

3

PPI已连续下降44个月,反映出建房材料和原料的供应过剩,以及重工业的产能过剩。
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。
36岁的阿德里亚娜·利马排在第四位,其收入为1050万美元,初为人母的罗西·亨廷顿-怀特利(950万美元)与25岁的卡莉·克劳斯(900万美元)分别位列榜单的第六位和第七位。
这种迹象各个公司是不同的。你一定要记住,如果公司的业绩在下降,销售额在减少,但还没到危险的地步,这种信号可能不适用与你。然而,如果你的公司看起来就要破产啦,那么请赶快开始找一份新工作吧。
Having earned a living for the last four years while her contemporaries go to school every day, she has been forced to mature quickly.
"Quality supervision authorities at all levels must intensify quality supervision and keep cracking down on law violations to improve the quality of products and protect consumers' rights," said Mei Kebao, deputy head of the administration.
但是,这些进展也指向美国和欧盟在利用此类案件上的巨大差异,欧盟目前正在讨论是否要赋予中国世界贸易组织(WTO)框架下的“市场经济”地位——这一让步会使对中国提起反倾销案变难。
The pipelines were building in spite of poor performance for this year’s high-profile deal from Snap, the owner of Snapchat, in the US and investor concerns that a strengthening euro may curtail the earnings recovery in Europe.
Another exceptional new field is that of nanotechnology.
该报道表示:“乐天将伤害中国人民,后果可能是严重的。”该报道发表之后,中国政府对乐天在中国的商业集团开展了多起调查。
5. Caterpillar
3.在戛纳,他们说英语
“The individual sent an email blast to the entire staff.”
The lyrics are stupid, but who cares? Tom Jones sings like nobody's business, and pounds the theme to Thunderball out with a silky energy. It's powerful but alluring. This is the sort of song you imagine Bond would play on a jukebox when he's about to seduce you. There are better James Bond theme songs, but none from a male singer. Tom Jones and James Bond probably go out for dry martinis together all the time. They're the perfect pair.
If nothing else, it's clear that when it comes to the summer, the NBA season doesn't really ever stop. It just switches gears.

4

At the last minute he opted instead for Teach First, the educational charity that has become the UK’s biggest recruiter of new graduates. Rather than parachuting into companies that needed restructuring, Mr Ravenscroft started teaching business and economics at Cardinal Pole School, which serves 11-19 year old boys and girls in Hackney, east London.
5.Britons love bleak humour: that's why all the hire bikes are branded with the name of a bank currently being investigated for fixing interest rates. It's supposed to be funny.
Today, the Financial Times reveals the fake gross domestic product data routinely released from many northern Chinese regions. There, solid alternative evidence suggests the authorities have “smoothed” the economic growth figures. They artificially boosted growth figures between 2012 and 2016, masking a real downturn, and last year covered up a genuine recovery.
Chen Yu, vice-president of the China Association for Employment Promotion, said a startup may be meaningful, but one should not expect too much from it.
这个触动人心的成长故事完美捕捉了一个人从青少年初长为成年人的甜蜜又苦涩的阶段。
adj. 谦虚的,适度的,端庄的
All-cash buyers. Skittish lenders. Skyrocketing prices. Anemic listings. These realities haunt buyers, turning the house hunt into a demoralizing slog. Unfortunately, buyers will probably have to soldier through another year of a market that favors sellers.
《风流医生俏护士》首播时,鹰眼和诱捕者这两个角色原本同等重要,也正是在这样的条件下,韦恩·罗杰斯才同意扮演诱捕者约翰。然而,当艾伦·艾尔达开始对这个角色进行改动并对整个剧情走向产生更大影响时,鹰眼使诱捕者这一角色黯然失色。
I wish you a happy New Year. All affection and best wish
"This year promises to bring Australia and China closer and provide more opportunities for further engagement, be it in tourism and travel or more broadly in trade, sport and culture or social and academic exchanges," says Ciobo.
分析师和评论员们对石油市场的解读着重于供应端,以及沙特或其他地方的产量和出口量。供给很重要,但成本更重要。

5

Taylor Swift “Blank Space” (Big Machine)
Latest ECB projections predict the eurozone, which has struggled to grow as strongly as the US or UK, will grow 1.7 per cent in 2016 after hitting 1.5 per cent growth this year as QE bolsters the economy.
Mr Cook must balance that with the secrecy that surrounds its product development. Already, there are whispers on Apple’s campus about another secret project, on the scale of the iPhone or Watch, which is pulling in talent from across Cupertino.
2=neutral
不过幸好y一位Siddeeq先生的朋友看到了电视新闻于是联系了他。Siddeeq先生表示他依然非常希望看到这封信,虽然他和写信的未婚妻已经离婚了。
根据一项针对技术发展的国家规划,到2020年时,研发经费的目标是要达到GDP的2.5%。
黑莓在周三下午的一份声明中表示:“黑莓尚未与三星进行过任何潜在的收购谈判。黑莓的方针是不对谣言和揣测加以评论,因此我们也不会对此做出进一步说明。”
bend的过去式和过去分词 adj. 下定决心的,弯曲的
More than 90 per cent of alumni from the most recent graduating classes accepted a job offer within three months of completing their programme.
本周二,高等教育研究机构Quacquarelli Symonds(QS)公布的最新《QS世界大学学科排名》显示,中国约有88所大学的学科进入全球400强。
Puerto Ricans have been hit with dozens of new taxes in the past four years and increases in utility bills as former Gov. Alejandro Garcia Padilla aimed to generate more revenue for a government he said was running out of money. Despite those and other measures, the island’s government has defaulted on millions of dollars’ worth of bond payments and declared a state of emergency at several agencies.
在新浪微博(类似Twitter的一个中国社交平台)的一个投票中, 58.5%的网友“喜欢”水墨画猴子形象,14.4%的人喜欢3D版的正面图,而12.5%的人想“为其换装”,这意味着他们并不喜欢这个颜色。
Beck “Say Goodbye” (Capitol)
Will China’s reported gross domestic product growth surpass 6.5 per cent

6

"这是波多黎各的历史时刻",50岁的何塞·达维拉,他从力挺罗塞略的政党上挥舞大旗一边说着。"总督是我们岛上的希望,也是受苦的人民的希望"。
澳大利亚整体排名第八,这个位于南半球的国家,“生活质量”排名第四,“冒险指数”排名第九,教育排名第十。
“The key thing about Friends is that it’s about people working out how they are going to live their lives — what kind of relationships are they going to have, what kind of job, and the difficulties of settling down,” says Mills to the Daily Mail. “You’re engaged in all those questions about escaping from your family, becoming an adult and working out what you want to be.”And that’s one of the key issues in the youth culture of the 1990s.
In the 2013 survey, Tokyo reclaimed the title as the world's most expensive city. Currency swings pushed Zurich into the No.1 position last year but government exchange rate controls have driven the Swiss city back to No.7 in the list. Osaka in Japan was ranked the second most expensive.
It is the eighth straight year that the metropolis has led Chinese cities in terms of consumer spending.
作为宝莱坞片酬最高的女演员之一,迪皮卡·帕度柯妮是2015全球十大美女榜的季军。在印度,她是性感女神、时尚偶像。帕度柯妮在印度各类魅力女性榜上的排名都很靠前。完美的身材、深邃的眼神和迷人的微笑使她脱颖而出。她是许多品牌的代言人,包括天梭、索尼数码相机、雀巢咖啡、沃格眼镜、美宝莲和百事可乐等等。
8. 不论何时开始都不算晚。
四线及以下城市居民在收入、教育、医疗、养老方面的经济压力与国家平均水平相近,而家庭和人际关系方面的压力比二三线城市大。
6. "How I Met Your Mother" (3.0 million)

3. Smart laundry peg

Conclusion

I am here to speak on behalf of the starving children around the world whose cries go unheard. 我演讲是为了世界所有忍受饥饿的儿童,而他们的哭泣却无人听见。
Happy new year, my best friend.祝我的挚友新年快乐。
鲜菜价格同比上涨13%,助推食品价格同比上涨3.7%,涨幅比上月扩大0.5个百分点。
infinite
['elig?nt]
祝你享尽新年佳节的快乐和新年的礼品。
社交网络公司Facebook 、电子商务巨头亚马逊和玩具公司乐高则是品牌价值增幅最大的企业。
6. You don’t just pass in front of the TV if i’m watching football, you better crawl on the floor.


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. 单词prosperity 联想记忆:
  2. 普京在国际记者年度新闻发布会上表示,他准备和任何一位当选的美国总统合作。
    低效的邮件沟通包括很多内容,从不及时回复邮件,到表达不清等问题都包括其中。如果你没有及时回复邮件的好习惯,你可能会错过重要的会议或者是截止日期,造成推迟以及迷惑,被认为是不专业的。

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