Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

小编碎碎念:华裔球员林书豪的一夜爆红,让因病缺阵的尼克斯当家球星小甜瓜安东尼颇有几分“躺着也中枪”的无辜感。
该报告调研了156个国家,结果显示,丹麦、挪威、瑞士、荷兰和瑞典是幸福指数最高的前5个国家。而撒哈拉以南非洲的大部分国家——卢旺达,布隆迪,中非共和国,贝宁和多哥等则被该报告评为幸福指数最低的几个国家。中国列第93位。
1. glitterati / n . 知名人 士,国际上层社会人士。
The programme focuses on the early careers of the children that are enrolled in the Abby Lee Dance Company in Pittsburgh, Pennsylvania.
超过35万的欧洲玩家(还有一些北美和亚洲玩家)带着朝圣般的心情,赶赴人口刚过100万的德国科隆市,参加一年一度的游戏盛会。美国动视(Activision)在展览中首次公布了Sledgehammer Games工作室的多人游戏《使命召唤:高级战争》(Call of Duty: Advanced Warfare),现场玩家亲身体验了这款将于11月3日正式发布的游戏。
institute

Manufacturing has held up better, with profits growing 6.5 per cent, while profits from utilities such as electricity, heat and water grew 17 per cent, boosted by lower energy prices.
For generations, working-class whites were doubly blessed: they enjoyed privileged status based on race, as well as the fruits of broad economic growth.
据国家新闻出版广电总局介绍,中国的电影票房收益在2017年上涨了13.45%,达559亿元(86亿美元),国产影片为该市场做了53.84%的贡献。
9.《老友记》中卡罗尔和苏珊的婚礼
Summly的一个早期版本──Trimit,于2011年7月出现在了苹果app store“新品推荐”栏目中。正是在这里,它被极具影响力的硅谷《科技博客》(TechCrunch)所关注,并迅速引起了李嘉诚的投资集团的注意。当达洛伊西奥收到李嘉诚的维港投资(Horizons Ventures)发来的电子邮件时,他只有15岁,并且基本没让什么人知道他所做的事情。在那之前,他从未与科技领域内的任何人物见过面,而他在Trimit的登记信息中也只是粗略形容自己是“伦敦的一家科技公司”。仅靠这一信息,谁也不会想到这家公司的管理和技术团队──事实上,它的全部职员──竟然是住在郊区卧室里的一个连车都不能开的小孩。
Temperatures in 2015 also shattered the previous record set in 2014 by 0.13C, according to Nasa.
“A worker sent a text to a colleague saying he was quitting and asked her to forward it to management.”
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。
一些银行仍然给予股东高额回报。中国招商银行十分“大方”,其分红占净利润的30.16%。

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.

6. 米兰达·兰伯特(Miranda Lambert),《白金》(Platinum),RCA Nashville。兰伯特很快从坚强的新贵蜕变为光芒四射的乡村乐贵族,这张《白金》是她最好的专辑,她带着轻松的权威之感逾越了界限。专辑中伤感与世俗的情绪交替出现,修饰和粗粝的比例恰到好处,这张专辑让人们明白她有着强大的力量,向任何低估她实力的人发出挑战。

1

In this post, we’ll take a look at 16 software applications that I use almost every day — and discuss why you should too.
"Wholesale food prices suggest that pork, vegetable and fruit price inflation all eased last month," said Capital Economics before the figures came out. "
单词pressure 联想记忆:
Batman vs Superman: Dawn of Justice is scheduled to hit theatres on March 23, 2016.
富达国际(Fidelity International)旗下全球地产基金的投资组合经理德克?菲利帕(Dirk Philippa)也削减了在香港的投资,把配置比重从两年前相对基准超配6%至8%调整至超配1%。
?The Aston Martin doesn't hurt. Not at all. Neither does dropping tons of cash at exotic casinos -- throwing money around makes men more attractive to women who are interested in flings. And, like Bond, men who gamble with women around are better at it.
Yes. Mrs May lost most of her authority with the bungled snap election. But the past few months have been kinder. Sealing a Brexit divorce deal has ensured short-term job security. So until Brexit is formally complete in 2019, or an appealing alternative emerges, the Conservative party will keep her where she is. Remainers and Leavers alike wish to avoid a civil war that would be sparked by moving against her. What was thought to be an unsustainable position is proving surprisingly sustainable.
加强现代农业建设。

The drama and the original game have a large fan base and enjoy great popularity in China, and even elsewhere in Asia.
Best Companies rank: 11
这篇文章发表后,美国参议院很快投票通过了《反就业歧视法》(Employment Non-Discrimination Act)。这样,在工作中歧视LGBT群体也有可能成为违法行为。这项法案即将提交众议院审议。
他不像多数脱离男子组合单飞的歌手那样,听上去从来都不会像是迫切地想要得到重视。他从未丢掉最初为单向乐队带去的那种热情洋溢和神气十足,所以试着去习惯他,你会从他那里听到更多动听的歌曲。
智能水瓶
I give all my love to you this New year.值此佳节,献上我对你所有的爱。
首次发现直接由禽类传染人类的流感病毒,此病毒的传染与接触家禽市场有关。香港有六人死亡。这种病毒之所以不同,是因为它并没有通过传染猪,使猪成为中间宿主,而是直接由鸡传染给人类。另外,年轻人中感染最严重的病症有些与1918年“西班牙流感”病毒相似。
Taobao, subsidiary of Alibaba, came in second place, with a brand value of $42.9 billion, overtaking China Mobile, Baidu and ICBC.
ridiculous
The slower acceleration also tracks with trends in real estate investment, which felt a (slight) bite from property purchasing curbs in top-tier cities last month as nation-wide sales also decelerated in both volume and value terms.
v. 抢劫,掠夺
大力推进社会体制改革。
QuikTrip

2

Lawrence, 26, took the top spot largely through a slice of the profits from the final movie in the Hunger Games franchise, as well as a big upfront fee for her forthcoming space adventure movie Passengers, Forbes said.
中央纪委国际合作局局长腊翊凡表示:“在中共中央的领导下,我们将扩大与有关国家的司法合作,使腐败的外逃人员不存在“避罪天堂”。
波尔图基本与波特酒同义,并同样具有悠久的历史。该城市的历史城区和葡萄酒产区上杜罗已被联合国教科文组织列入世界遗产名录。
另一方面,2月PPI同比下降4.9%,低于1月5.3%的同比降幅。2月PPI降幅为8个月以来最低降幅。
“不能再采取某些国家先行动,其他国家随后行动的策略,因为时间不多了,”奥斯陆国际气候与环境研究中心(Center for International Climate and Environmental Research)的科学家格伦·P·彼得斯(Glen P. Peters)说。他也参与了这些新数据的编制。“现在需要大家齐心协力。”
A master class in old-school, super-linear action filmmaking, full of nasty, punk-rock, dystopian Australian humor. Also the best recent eco-feminist-socialist allegory that isn’t a novel by Margaret Atwood. (Read the review)
Inarritu said: "I forgot to thank all the native Americans who made this film possible. I cannot say how surprised I am and how proud I am to have survived this film with all these fellows."
9月12日,苹果将在位于库比蒂诺(Cupertino)的新总部举行产品发布会,届时备受期待的10周年纪念版iPhone预计将会亮相,这款智能手机的显示屏、摄像头和总体设计都会有重大升级。
The pace of innovation has been rapid. Fitbit has released five or six distinct models since the company launched in 2008, and Samsung released three or four variants of the Galaxy Gear in a nine-month period. Sony SNE 0.77% , Pebble, Google, and Facebook’s FB 0.25% Oculus Rift are positioned to follow.
“温总理的讲话重点提到了经济和社会发展。中国政府为实现建设繁荣社会这一目标付出了巨大的努力。”Irene Giner-Reichl, Austrian ambassador
美国演员、作家、时装设计师、舞蹈演员、制片人、歌手——拥有这么多头衔的珍妮弗·洛佩兹是2015年全球十大美女的亚军。作为一个结过三次婚的女星,洛佩兹的感情问题一直都是世界各国媒体关注的焦点。除涉足娱乐圈外,她还在商业领域颇有建树,其中包括经营服装、配饰、香水等。此外,她拥有一家制片公司,主持电视节目,还成立了一家慈善机构。
v. 使防备,支撑,拉紧,使绷紧

The proposed amendment, which is expected to come into force on Jan 1, contains a clause stipulating extended maternity leave and other welfare for couples having children. These are expected to boost the willingness of some couples to have a second child. Many couples have expressed reluctance to have a second child because of the high costs of bringing-up two children and the prejudice they anticipate from employers.
“失业”是金融类最热门的搜索项,其次是“华尔街公司”和“产品召回”。
We will perform with a strong work ethic, sense of responsibility, and enterprising spirit.
Her piece, titled “Back to Mother Nature," depicts an elaborate water-cleaning machine. Zhang worked with a team of artists at Google to animate her drawing.
律师本质上是谨慎的,但他们中的大多数人已经认识到,技术是处理他们需要梳理的大量信息的关键。没有技术,披露和合规等一些需要处理很多文件的工作几乎不可能完成。
The number of people living in poverty in rural areas was reduced by 12.4 million.
曲道奎表示:“随着机器人正逐渐扩至几乎所有领域,我国机器人制造商应当了解自身和外资品牌间的差距,利用中国机器人的蓬勃发展并学习国外经验,以帮助我国由世界最大的机器人市场成长为机器人制造强国。”
"There are always jobs," Challenger says. "Companies are always hiring. But the competition is much tougher."
discourse

3

Tumor Biology, a journal published by Springer Nature, announced last week that it had retracted the papers after an investigation showed the peer review process had been compromised.
英国整体排名第三。“强国”排名第四,“文化影响力”排名第五。
人社部发言人李忠表示,2016年第一季度。我国的就业形势总体保持稳定。不过他补充说道,经济下滑和结构改革,使就业更困难。
达奇斯说:2012年菲亚特销售不旺。销售疲软体现在社交活动低迷,网络上大都是负面的讨论。
Henda Ayari created a storm when she denounced radical Islam. Now, inspired by the #MeToo campaign, she has accused an Oxford professor of rape.
2. Do I have too much clutter? Drowning ourselves in too many material possessions can ultimately lead to stress. Get clear on what you absolutely need and what you can get rid of.
从周日起,各地的观众都在叹息该剧剧终,至少从Twitter名人的帖子来看是这样的。
位于武汉的这些楼房有12层楼高,这些建筑(被夷平是)为一个新的商业区让路,这个商业区包括一栋高707米的摩天大楼。
7、Bad body language habits
7.M·A·S·H Star Never Signed his Contract
苹果推出了新一代iMac 电脑,1998年5月6日,旧金山
与官方PMI指数相比,财新赞助的系列调查的样本是数目少得多的民营企业,其结果的波动性往往更大。而官方PMI指数则主要关注规模更大的国有企业。
After Google and Apple, are Amazon and Microsoft.
报告还发现,在当地政府的努力下,北京、深圳、广州、上海等一线城市的交通拥堵状况没有恶化。
Feud: Bette and Joan

4

电子商务巨头亚马逊首次进入汤森路透2015年全球创新百强名单,而世界上最大科技服务公司IBM却未能上榜。
The standout is "Him," a tear-jerker about queer love and cultural intolerance that, in its understated way, is an LGBTQ civil rights anthem.
雷军表示:“这是一个使我震惊的消息。作为一名围棋的忠实爱好者,我从来没有想到人工智能在当前阶段可以击败一个人类冠军,因为这是一项非常复杂的棋类运动。”
Some 88 Chinese universities are included in the Global 400 subjects in the latest QS World University Rankings by Subject, which was released Tuesday by QS Quacquarelli Symonds, a higher education research firm.
会。美国政府在垂直合并案上已有数十年没赢过。据美国司法部(Department of Justice)自己的审查指导原则,像时代华纳这样的内容所有者与AT&T这样的分销商之间的“垂直合并”,远不如水平合并那么令人担忧。与此同时,Facebook、亚马逊(Amazon)、Netflix和谷歌(Google)这四巨头(合称FANG,取每家名称首字母)如今主宰了数字娱乐版图,这使得政府的如下论点更难以站住脚:两家传统媒体公司的合并,会从根本上改变竞争态势。
mort=death死+ality性质→死亡(率)
Sun said he tried to pry open the elevator door, but dismissed the idea and instead leaned against the wall concerned there could be a malfunction that would send the elevator in a free fall.
《逃出绝命镇》
Here are some of the year's pinnacles and potholes:
Don't Make Yourself Too Comfortable
v. 施压

5

一个更大的侧影
中国领导人会刺激国有经济。资助更多的扩张性增长项目,比如用以支持城镇化发展的基础建设的投资,包括大量的房屋、学校、公路等方面的建设。
其他数个政党的支持率只是略低于上述两党,包括持中间立场的自由派政党民主66 (D66)、基督教民主联盟(Christian Democratic Appeal)和左翼的绿色左翼党(GreenLeft)。
2. 宾夕法尼亚大学沃顿商学院
1.水上类比赛项目
6. "How I Met Your Mother" (3.0 million)
[?m'fibi?s]
报告指出,他们的家庭平均每月大约会收到200美元,这占到了他们家庭收入的60%。使用这笔稳定的汇款,他们的家人可以解决吃饭、住房、上学、医疗问题,改善卫生条件,进行一些投资,或者有一定的存款。
? Dozens were killed, hundreds of miles of coastline were flooded and New York City's infrastructure was dealt a massive blow as the super-storm Sandy moved through the mid-Atlantic states on Monday night and into Tuesday. Millions of people were left without power.
The most popular variation of this line is “Don’t fantasize about big sister: I am only legend.”
More than 40 percent of consumer goods exported to China last year through e-commerce platforms fell short of standards, China's top quality watchdog said.
“欧洲工商管理学院极大地充实了我们的跨文化体验,”一位来自瑞士的校友在接受调查时表示,“在这里学习全球文化好于其他任何地方。”
5.Emma Watson
追踪制造业、服务业和建筑业商务活动的官方指标显示,10月份这几个驱动中国经济的关键行业的增长有所放缓。

6

n. 基金;资金,现金(fund的复数) v. 提供资金
去年世锦赛打破男子1500米自由泳世界纪录,孙杨就被认为是中国男子游泳在伦敦实现历史性突破的希望所在。即将开始的伦敦奥运会,孙杨将参加200米、400米和1500米自由泳三项.去年世锦赛孙杨在400米自由泳中不敌朴泰桓屈居亚军,因此他发誓要在伦敦复仇。相比而言,孙杨在1500米的夺金把握更大...
1.戛纳也有软肋
自从1995年游戏第一次面世以来,续集和新版本在之后也接踵而来。但是,对于许多仙剑迷来说,《仙剑1》激动人心又充满悲伤的故事情节是其他任何版本也代替不了的。
虽然与其他四部电视剧相比,《大唐荣耀》的评分并不算低,但是仍然有许多观众给出了差评。
"She gave her surname as Han when registering, which is also different from the name Su in media reports," the employee said.
The committee *bestowed the award upon Yoshinori Ohsumi of the Tokyo Institute of Technology, for his research on *autophagy, which is a self-eating process seen in cells.
As the new iPhone continues to smash its own launch records, Mr Cook has unveiled products such as Apple Watch and Apple Pay that take the iPhone maker into the realms of fashion and finance, recapturing a spirit of innovation that many feared had died with Jobs. In the process, Apple’s valuation this year has grown by almost as much as Google’s entire market capitalisation.
movement

avoid

Conclusion

他们开始对无保障合同、不稳定的工作时间安排、微薄的工资以及依托优步(Uber)等在线零工经济平台的新形态工作感到忧心忡忡。总部位于巴黎的有影响力的富国俱乐部——经济合作与发展组织(OECD)将于2018年发布《就业战略》,其中可能会更加强调工作的质量和包容性。
楼下还有一间八边形的小房间,内有筒形穹顶天花板,几面玻璃墙和一条嵌壁式长凳座椅。这个房间配备了环绕立体声。三间卧室都在楼上,全都带有湖景。
这个排行榜是不断变化的全球商业环境的年度快照。美国仍然是拥有最多数量的全球2000强公司的国家:总共564家。尽管今年日本失去的成员最多(26家),仍然尾随美国,总计拥有225家公司。
有A型人格特征的人往往是高成就的“工作狂”。他们用最后期限激励自己,讨厌延迟和矛盾心理。A型人格的人工作压力更大,工作满意度更低。
佳士得拍卖行声称日内瓦拍卖会有7次珠宝拍卖创下了记录,包括历史成交价格最高的黄色钻石—— 100.09克拉的格拉夫鲜彩黄钻戒指,拍卖价高达1630万美元。
urb城市+an表名词和形容词,“…地方.…人参考:suburb郊区,aub+urb→城市的
As China gains ground, its best frenemy – the United States – account for the other half of the top 10 spots. Berkshire Hathaway and Wells Fargo WFC -both move up four spots to No.5 and No. 9, respectively.
The UK and France are the two powerhouses of business education in Europe. Nearly half of the schools listed are from either the UK (20) or France (19). French MiMs outperform UK programmes in terms of ranking, salary ($55,000 versus $49,000) and student numbers (9,000 versus 1,200). However, UK MBAs outdo French programmes in terms of numbers (18 schools in this ranking versus five) and student numbers (1,900 versus 1,300) though not in terms of salary ($115,000 versus $137,000).


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. 英国商学院在2015年英国《金融时报》欧洲商学院排行榜上大放异彩。不仅伦敦商学院(LBS)再次摘得欧洲最佳商学院的桂冠,还有其他3所英国商学院的排名取得了自去年以来的最大幅度上升。
  2. “My manifesto with Summly was to get our technology into as many users’ hands as possible,” Mr D’Aloisio said, pointing to Yahoo’s hundreds of millions of users. “With Yahoo’s reputation as a content portal, we have an opportunity to fundamentally change the way content is consumed.”
    这封情书是寄给一个叫做Clark C Moore,但是现在已经改名为Muhammad Siddeeq先生的,由于这次改名,让这封信找到真正的收件人变得尤为困难。

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