Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

[ri'sp?ns]
虽然唐尼主演的几部电影将在明年上映,但规模成本要比他的超级英雄电影小得多。直到2015年《复仇者联盟:奥创纪元》(Avengers: Age of Ultron)上映,他才能迎来下一个丰收季。
D'ALOISIO HAS BEEN quoted opining that 'time is the new currency.' It's the driving notion behind Summly. It's also a strangely wise observation from a 17-year-old. At that age, many of us had more time on our hands than we knew how to fill without plummeting into severe boredom. It's easy to forget-conversing over lunch in a London caf钼 or strolling through the Tate Modern-that D'Aloisio was born in 1995 and has not yet graduated from high school. Or that he still lives in his childhood bedroom, in a cozy upper-middle-class home. As I chat with his parents, he excuses himself to work on his computer. Slouching down the hall in his stocking feet, hems of his skinny jeans brushing the hallway carpet, it is the most kidlike you will ever see him.
祝贺佳节。
James Bond Themes 3. "Skyfall" by Adele
Despite the surge of private wealth in China, the country’s billionaires have not yet cracked the top ranks of global rich lists. Hurun estimates that Mr Wang, China’s richest man and head of the Wanda group, ranks 26th globally.

200912/93010.shtml
“当我刚开始创业的时候,布鲁克林还是个替代选项;而现在,它已经成为一个优选地段了,”霍尔斯特德房地产公司(Halstead Property)的首席执行官黛安娜·M·拉米雷斯(Diane M. Ramirez)说,“我看到皇后区(Queens)正在朝这个方向发展,布朗克斯(Bronx)也不远了。”
节目30 相声,郭德纲 于谦
7. Flying Lotus “You’re Dead” (Warp) The new fusion makes no apologies for the old fusion, just a series of upgrades. As a producer, Flying Lotus values continuity as much as disruption, hazy beauty as well as jump-cut clamor. His suitelike reflection on death leaves room for irreverent wit — and, on “Never Catch Me,” one of the year’s best verses by Kendrick Lamar.
hub
无论是左翼还是右翼,他们都标榜自己是反精英的大众代表和不合适的局外人,并作为魅力领导人与追随者密切联系,他们往往通过弥天大谎来操纵这种联系,用以谋求自己的进步;他们威胁既有的行为准则和约束性制度,把这些准则和制度描述为他们所代表的民意的敌人。
200911/90348.shtml
1.手指存储器
《初来乍到》(Fresh off the Boat),ABC,2月4日播出。这部喜剧是根据大厨与美食、旅游真人秀主持人黄颐铭的回忆录改编的,讲述20世纪90年代中期的佛罗里达,一个华裔美国家庭克服文化冲突,努力适应美国生活的故事。哈德逊·杨(Hudson Yang)饰演迷恋嘻哈乐的11岁男孩艾迪,在《采访》(The Interview)中饰演金正恩的兰道尔·朴(Randall Park)饰演他的父亲,一位郊区牛排餐厅骄傲的店主。

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.

今年,全球2000强企业来自62个国家,比起2003的首届排行榜的46个国家数量上升了。这些企业总共创造了38万亿美元的营收及3万亿美元的利润,总资产达161万亿美元,总市值则达到44万亿美元。

1

愿你度过最美好的新年!
“有个人给同事发了条短信说自己辞职了,并请她把这条短信转发给高管。”
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.
只有科比在32岁的时候参加了更多的比赛,而且他的场均出场时间还少了几分钟,而且这还仅包括常规赛。
5.品牌推广:增长了16.4%
《一名拍摄黑手党的西西里摄影师和她的“鲜血档案”》(A Sicilian Photographer of the Mafia and Her ‘Archive of Blood’)
“我只是想保持专业的一面。我不想让别人认为我是脑残粉。我是表演嘉宾之一,不仅仅是伴舞者,我是一名舞者演员。”
A lot of the best James Bond theme songs sound like they belong in a lounge act. That's not a complaint, just an observation. For whatever reason, the English new wave act Duran Duran was given free reign to provide A View to a Kill with a new and exciting sound all its own. "A View to a Kill" was a hit song, and it probably would have been a success even without the James Bond connection. It's entertaining and cool and energetic, and it promises one hell of a good time. (Whether or not the movie actually lives up to that promise is a matter of some debate.)

Nepal remains a fabulous choice for budget-conscious travelers, whether it's the country's world-famous trekking routes or the wildlife in the southern region. Travel costs per day are as low as $50 on average.
The system for ensuring responsibility is taken for poverty elimination will be effectively enforced, the strictest possible evaluations and assessments of poverty alleviation will be carried out, and stern measures will be taken to address deception, falsification, and the manipulation of numbers in poverty elimination work. We must see that the results of our poverty elimination earn the approval of our people and stand the test of time.
vt. 为 .
Best chances: It's always hard to bet against Streep getting a best actress nomination, and Hanks is overdue for an acting nomination after missing out in recent years.
《在巴基斯坦的争斗中,玛丽亚姆·谢里夫正处在权力的边缘,也或许是监狱》(In Pakistani Fray, Maryam Sharif Is on the Edge of Power, or Prison)
除了印度,其他金砖国家——巴西,俄罗斯,中国和南非——也削减了对美国政府债券的持有。
胡润估计,中国内地目前有594位身家十亿美元以上的富豪,在香港、台湾和澳门还有94位,而美国仅有535位。
As a result, his position on the Forbes' ranking dropped 220 spots, leaving him tied with 19 others as the 544th richest person in the world.
For the dynasties that flourished in China around 1,700 years ago "the conquest and effective governance of Kucha would enable them to control all the oasis city-states in the Western Frontiers," the researchers said.
“One person said he was going to the men’s room and didn’t return.”
今年中央各部门及下属部门的招考岗位达到27,817个,创下历史新高。
Obama watched the returns on television at his Chicago home. Senior campaign strategist David Axelrod said via email that he was feeling "great."
在大型科技公司内部,女性雇员将希望看到加薪和升职方面发生变化的迹象——但是,随着男性权利在硅谷某些角落开始酝酿反击,她们也会保持警惕。

2

Technically it is a project of the 10-member Association of Southeast Asian Nations to bring all of its trade deals in the region under one umbrella. It also lacks the ambition on many fronts of the TPP.
addition
n. 飞行员,领航员,引航员
According to Putin's most recent income declaration, he earned roughly 8.9 million rubles ($137,000) in 2015.
差不多人人都知道谷歌的分析工具Google Analytics,但是你是否用过谷歌的网站管理员工具(Google Webmaster Tools)?作为一名营销人员,我认为谷歌的网站管理工具是我用过的最重要的免费工具之一。你肯定想让自己公司的名字出现在谷歌搜索结果之中,对吧?那么为什么不听听谷歌网站管理员工具教给你的诀窍呢?
There are 27 companies that are dropped from the list this year, including AT&T, IBM, Siemens and Xerox.
2011年,在《老友记》最后一季播出7年之后,美国卫星电视频道Comedy Central再次播放该剧,观看人数超过了3600万,而观众的年龄主要分布在16岁至34岁之间。假期时,看剧人数更是由于播放集数增加而飙升。
You'd probably never think that a belt could be integrated with artificial intelligence, yet Belty managed to do it and make it seem stylish. The Beltyautomatically makes you think, "why do I need this?" Then your second thought will probably be, "what if it's hacked and they make it so tight I can't breathe?" The first question is rational; the second one is far-fetched — but if it makes you think twice about buying this product, that's not a bad thing.
愿快乐幸福永伴你左右。
“一个员工离开时留了张便利贴,上面写着他走人了。”
[l?un]
单词administration 联想记忆:

About 980 million yuan of illicit assets were recovered, according to the Communist Party of China Central Commission for Discipline Inspection.
“我首要的使命、首要的责任是忠实于这本书的原始感觉,忠实于伊恩·弗莱明:他的作品、他的世界和他的构想。
不过流行音乐更为广阔的世界也为我们带来了诸多乐趣,这些乐趣来自各个音乐领域的艺术家,例如像金发女郎乐队和托丽·阿莫斯这样的二十世纪的传奇人物,以及像杜阿·里帕和“Girl Ray”(女子射线)组合这样的新秀。
为实现2020年医疗保健制度覆盖全民的目标,中国将改革药品市场,这将使其成为仅次于美国的第二大药品支出市场。未来5年内,预计中国人均药品支出将增长70%。
2018年底石油价格会超过每桶70美元吗?
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。
I expect more companies to develop leaders who know how to manage networks — not just the traditional internal network of employees, but more loosely connected webs of suppliers and contractors, managed remotely via the internet and social media.
Andrew Bargery, campus and schools engagement leader at PwC, says Teach First graduates stand out: “They have already worked in a professional envir-onment and have professional maturity and are good at building relationships.”
6. 米兰达?可儿

3

To Rouslan Krechetnikov and Hans Mayer for studying the dynamics of liquid-sloshing, to learn what happens when a person walks while carrying a cup of coffee. I'll give you a hint: it happens between step 7 and 10.
"There's a new type of wealth creation coming out," he told Reuters, adding China was having to adapt as the wider economy was "very materially slowing down".
v. 撤退,向后倾
Star risers
pr(iHbd+xg|gPd&q+&+Y
10.Selfie Sticks
加强产权保护制度建设。
时间:2009-10-29 编辑:vicki
3. 丹·韦斯(Dan Weiss),《14》,Pi Recordings。《14》的内容如此丰富,整张专辑的作曲由鼓手丹·韦斯一手包办:细节丰富的室内乐,前卫的啸叫,新音乐无词人声与北印度音乐。相比这个宏大的音乐参照系,更令人印象深刻的是,韦斯集结了12名同行乐手,把所有音乐元素融汇为流畅的整体。
知名安全机构SplashData近日发布2017年最糟糕密码榜单,统计于今年遭泄露的超过500万个密码。“123456”和“password”(密码)再度居首。
今年,该学校首次跻身前20强。
[stres]
Extreme heat blanketed Alaska and much of the western United States last year. Records were set across large areas of every inhabited continent. And the ocean surface was unusually warm virtually everywhere except near Antarctica, the scientists said, providing the energy that fueled damaging Pacific storms.
Huawei, the Chinese technology group, has taken market share from both Apple and Samsung, according to BrandZ.
It was in Giambattista Valli’s most recent autumn-winter show, full of puffed-sleeve printed tunics over matching trousers and drop-waisted schoolgirls shifts, and in MaxMara’s ode to Marilyn Monroe’s 1962 photo shoot with George Barris.

4

v. 调查,检查,测量,勘定,纵览,环视
与比利时接壤的法国已经有大量志愿者出国加入伊斯兰国圣战组织,这个组织占领了伊拉克和叙利亚的大片区域。
另外上榜的有Pink,勒布朗詹姆斯,赛琳娜戈麦斯,伊恩萨默海尔德,Jay-Z和碧昂丝夫妇,本阿弗莱克等明星。
汤姆·佩蒂
线索可能隐藏在价格之中:H股很便宜。H股指数市盈率为7倍,低于西班牙(该国失业率达到22%)、巴西(该国依赖大宗商品,因而也依赖中国)以及受中东乱局影响的土耳其和埃及。
亲爱的朋友,你们即将毕业,呈现在你面前的世界拥有美好的前景和潜力;这个世界并不仅仅以办公室走廊或华尔街的形式出现,而是令人激动不已的真实世界,充满许多未解之谜,以及让人陶醉的体验。我们当中许多人都忽略了这个简单的真理。
China's Internet industry is often derided as a realm for knockoffs, especially of companies banned in China. Chinese search giant Baidu Inc. has a website that looks like Google Inc's. Tencent's flagship product, instant messaging service QQ, was launched in 1999 as OICQ and had similar functions to then-popular instant messaging service ICQ. Sina Corp.'s Weibo, a popular microblogging service, is invariably described as 'Twitter-like' in the Western media.
Many believe the population is no longer a major threat to China's resources and environment. Instead, China's population challenges have shifted to low birth rates, an aging society and a widening gender imbalance. China has already experienced a shortage of skilled workers in places like the Pearl River Delta, so it might not be long before we see major reforms.
戴假牙的角色
Grains have fallen about 3 per cent.
根据报告显示,2016年第三季度增长的工作人员需求还包括拥有品牌推广技能的人,很可能要感谢“小型企业”需要为他们的公司在线网站创造一种有凝聚力的一致性的策略。

5

Rk&*IPgK1cOe4+
"There are 1,400 individuals who are involved in the departures for jihad,for terrorism, in Syria and in Iraq," Valls told BFMTV.
The three-day China Development Forum 2016 kicked off in Beijing.
The other two manufacturers, OPPO and vivo, both achieved growth of over 100 percent, shipping 99.4 million and 77.3 million units respectively in 2016.
5. Hong Kong, China-A junk boat set against the famous skyline might be the iconic shot of Hong Kong, but Lonely Planet picked the territory for its natural heritage miles away from Victoria Harbor.
时间:2011-11-04 编辑:Lily
exposed
n. 初次登场,首次露面 v. 初次登场
她说,零售业务“起步不久,好坏参半”。她表示,亚太所有国家都有大量工作要做,并补充称,澳大利亚的事例证明,就吸引散户兴趣而言,监管改变可以带来显著不同。
几名爱尔兰球迷停下来帮一对法国老夫妇换轮胎。
周边环境:这栋房屋坐落在摩德纳岛(Modena Island),距萨凡纳市中心大约20英里(约32公里)。据该房源的代理人说,该社区设有门禁,在栎树丛与咸水湿地之间坐落着大约20栋房屋。摩德纳岛是斯基达韦岛(Skidaway Island)的一部分,岛上有一座由佐治亚大学的海洋学研究所和一座大型州立公园。
'It's going to get volatile to the upside,' he said.
智能手机和电脑代表了20世纪科技发展的驱动力,任何人只要看到它们,就会打消对上述这句话的疑虑。
约40%的创业者的大部分收入都来自自己的公司,平均薪资约为19.4万美元,而非创业者的平均薪酬为17.1万美元。亚洲和大洋洲的创业者看起来是最成功的。他们中近一半人(48%)的大部分收入都来自自己的公司,而且薪资最高(平均为25.1万美元),稍高于中东的创业者(24.4万美元)。

6

Marlohe will shoot the Malick film concurrently with the ongoing press tour for Skyfall.
哈佛大学位居榜首,紧随其后的是麻省理工学院和斯坦福大学。
China’s outbound non-financial investment fell 40.9 per cent during the ten months through October, according to official figures, reflecting the enduring impact of strict capital controls.
"I'm not really worried about it, honestly," Bryant said. "My shooting will be better."
Call Me By Your Name
但是,贝克?麦坚时律所并购业务主席迈克尔?德佛朗哥(Michael DeFranco)对中国企业在发达经济体投资表示赞赏。
D'Aloisio himself strives to maintain a bubble of normalcy. He dates the same girl he did before the whirlwind hit. And though he's stopped attending school-he's too busy to sit in class while overseeing Summly's development-he still gets his work from his teachers and meets with them regularly. He cherishes the fact that his circle of friends knows little of his life as a budding industrialist. When I met him, he was about to head to Greece for a weeklong vacation with a pack of high school pals.
中国银行公报告,每股盈利为0.56元人民币,低于上一年的0.61元人民币,税前每股分红为0.175元人民币,低于上一年的0.19元人民币。
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。

在政府鼓励扩大对消费者和小企业融资的背景下,中国网上银行及P2P贷款行业迅速发展。目前中国P2P贷款领域有超过2000家公司。

Conclusion

I was asked by one CEO to hire the long-legged girl with the long dark hair even though she didn't have the right skills. Another time, I was instructed not to hire anyone with children because the company had too many people leaving for soccer games. That kind of thing happens all the time.
Traditionalists include George Clooney, whose awards – best picture for Argo and best supporting Actor for Syriana – are in his library at home, and Dustin Hoffman, whose two best actor awards – the first for Kramer vs. Kramer in 1980 and the second for Rain Man nine years later, are kept in his study.
消费者的感觉变好。由于就业市场、楼市和股市状况的改善,消费者信心达到四年来的最高水平。美国陷入衰退后,美国人缩减债务,避免借钱并推迟购买。这意味着消费者需求增强的条件可能已经具备,进而可能促使停止招聘的企业开始扩员。信安环球投资有限公司的鲍尔说,企业可能尽可能地提高生产力增长,他表示雇主将需要增员来满足更强劲的需求。qh]
vt. 插于,刺入,竖起<
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%。
相比之下,二线城市通报拥堵状况加剧,其平均拥堵涨幅达3.7%,其中重庆、长春、嘉兴、沈阳的拥堵涨幅最高,超过7%。
n. 剥夺,免职,匮乏,丧失,夺去
这一问题也打击了中国在WTO框架内获得市场经济地位的努力。中国声称,在其加入WTO满15周年的今年12月,应当自动获得市场经济地位。如果中国获得了该地位,那么这可能影响美国等国对中国发起反倾销案的能力,因为这将使他们不能用替代国的价格进行比价。


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. Paris is the only Eurozone country in the top 10, and sees a drop of three places, which the report says may be due to falling confidence in the euro.
  2. 日本央行会收紧货币政策吗?
    高位且不断上升的美国利率可能很快成为新兴市场危机的驱动因素:此类条件可能导致新兴市场借贷成本升高,还有资本外流以及金融部门冒险意愿下降。

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