Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

modest
希拉里的回应则迎来了掌声:"我认为我是个女权主义者,因为我相信在我们经济和社会的方方面面,女性都应该获得跟男性同样的权利,不管是在我们国内,还是在整个世界上。你们知道,我在公共生活中将大量精力投入到了为女性倡权上,通过法律、规定、文化等途径做一切力所能及的事情,改变依旧存在的、让女性退缩的那些成见。"
Thus it's rather a shock when you first encounter Nick D'Aloisio striding into London's Bar Boulud restaurant, firmly shaking hands and proceeding to outline his entrepreneurial vision. To imagine him in person, picture a Silicon Valley CEO blessed with an easy manner and 97th percentile media skills. Picture a guy who can confidently expound (while maintaining steady eye contact) on topics ranging from Noam Chomsky's theories to the science of neural networks to the immigrant mind-set to the Buddhist concept of jnana. And now picture this fellow trapped inside the gangly body of a British teen who might easily be mistaken for a member of the pop boy band One Direction-clad in a hipster T-shirt beneath a fitted blazer, hair swooping over his forehead, taking bites of a cheeseburger between bold pronouncements.
比利时和乌拉圭这两个袖珍之国因为包容性最大限度地增强了自己的实力,巴西、阿根廷、西班牙和德国这四个本届杯赛的夺冠大热门肯定会对他们特别小心。他们将会是有力的提醒,告诉世界小国家通常也能一击致命,就像巴西本土的小动物蚊子和蝎子一样。
1 February
The jobs were ranked based on the following attributes, with much of the data coming from the Bureau of Labor Statistics: “income, outlook, environmental factors, stress and physical demands.”

ultimate
两岸是骨肉同胞,血浓于水,不管岛内形势如何变化,都割断不了两岸的亲情,也改变不了我们维护两岸关系和平发展的决心和诚意。
re回+spond承诺→承诺回去;respond的名词→回答;答应
The Norwegian Nobel Committee made the announcement Friday in Oslo, saying the three women will split the coveted award for "their nonviolent struggle for the safety of women and for women's rights."
?奥巴马总统在纽约和新泽西宣布一场“大灾难”。洪水摧毁了海岸和超过230万人失去了电。在新泽西国家警卫队从洪水中救出数百人。州长克里斯?克里斯蒂,共和党人,说这次损失是“无法想象的”。他赞扬了从奥巴马那收到的“突出”配合。
201011/117323.shtmlThe French actress will star alongside Ryan Gosling, Michael Fassbender and Natalie Portman.
上海社会科学院的专家周海旺告诉环球时报:“上海自2014以来就采取了一系列强硬措施,包括改造城中村和规范群租来控制人口增长。”
清华大学位列第45名,是亚洲排名第三的高校。北京大学位居第57位。浙江大学排名第67位,本次是该校首次跻身该榜单100强。
这与上月制造业采购经理人指数(PMI)的表现相一致,PMI显示制造业活动有所扩张。

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.

通用汽车公司(General Motors)帮助改善了大峡谷州的就业前景。今年3月,这家汽车制造商宣布,计划在凤凰城郊区钱德勒建设该公司的第四座信息技术创新中心。通用汽车预计将雇佣1,000名员工,主要包括为这座新中心效力的软件开发人员、数据库管理员和系统分析师。通用汽车公司首席信息官兰迪?莫特(Randy Mott)在新闻稿中宣布了这个举措,他表示,“大凤凰城地区是出色的枢纽,吸引了新兴技术人才——从大学毕业生到职场专业人士。”

1

1."The Little Kicks" in Seinfeld Almost Didn't Happen
《请以你的名字呼唤我》
Not a lot of Bond villains get their own theme song, but Christopher Lee's assassin from The Man with the Golden Gun gets a flashy, catchy, groovy tune that makes him seem cool as hell. (And of course, he is.) Lulu completely sells the awesomeness of the villain Scaramanga, and although the song may seem almost ridiculously upbeat today, it only adds to the charm.
Researchers at Google discovered that security questions as a standalone method for recovering access to accounts is not an efficient model.
How the longer maternity leave policy is implemented is up to local governments to decide. Specific and legally-binding measures should be worked out at the national level to ensure the policy is carried out and properly enforced to ensure that women are not discriminated against by employers obsessed with minimizing their labor costs.
Traders heading for the exits: 'Unsustainable trends can survive much longer than most people anticipate, but they do end when their 'time is up, at the culmination of their time cycles.' They analyzed more than 20 cycles: 'Nearly unanimously point to tectonic shifts in the months and years ahead.'
This umbrella protects your dogs from the sun and rain.
Paul was a pretty undersized guard back in high school, which is probably why he's developed such a "me against the world" mentality. CP3 is one of the grittiest and toughest players in the NBA, and he has to be because he sure isn't one of the biggest.

……叫错面试官的名字。
罗杰斯对于中间剧情的反转十分不满,因此在拍完前三季之后决定离开剧组。这样的违约行为使他面临数百万美元的诉讼。但讽刺的是,韦恩·罗杰斯从来没有正式和剧组签订过合同(他涉及道德条款方面的问题)。因此该诉讼请求被驳回。你可能会说在这次的事件中,罗杰斯是笑到最后的人,但自从他离开剧组,《风流医生俏护士》又播出了八季,而罗杰斯在他的演艺生涯中再也没有取得过这样的成就。所以说他是笑到最后的人,也许只是一个相对的说法。
James Kynge
Adriana Lima sizzled in red, while Alessandra Ambrosio looked amazing just months after giving birth.
A major disruption still could push oil higher, but potential oversupply makes even that less likely. Emerging-market demand once kept supply so tight that any disruptions led to striking price moves, said Ole Hansen, head of commodity strategy at Saxo Bank.
唐纳德特朗普(Donald Trump)会遭遇弹劾程序吗?
受到密切关注的财新(Caixin)采购经理人指数(PMI)系列调查显示,该指数在四个月来首次显示扩张趋势。这一结果表明,上个月中国经济活动出现了增长。
Companies are always looking to save money, and outsourcing some roles to freelancers can help. Virtual assistants can perform many of the duties of full-time staffers, but with less commitment. These workers could help expand a business, or just encourage things to run more smoothly.
She is now so successful that her mother has hired a security team who monitor the star 24/7.
There are no right or wrong answers, just be honest with yourself.
The annual national civil service exam kicked off last Sunday, and some recent hot topics - such as college graduates starting their own businesses and the Yutu (Jade Rabbit) lunar rover - appeared in the exam questions.
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.
Call Me By Your Name

2

They were discovered in the modern-day Jiangsu Province near Shanghai inside the ancient tombs belonging to the rich and powerful.
swimming;Synchronised swimming;diving;canoeing;Whitewater slalom;Still Water;Rowing;Sailing;Water Ball
Once you grow your hair slightly longish, be sure to play with it at every opportunity.
201001/94005.shtml【英文原文】
To SKN Company in Russia for exploding old Russian ammunition and creating diamonds. Now that`s recycling!
Cnzz.com的报告说,目前中国3.38亿网民中有将近三分之二都是网络游戏玩家。报告说,中国网络游戏行业目前占据了互联网经济总规模的半数以上,在未来还将以每年20%的速度增长。
英国的一个收集全球气温纪录的科学小组也将在未来几周内提交报告。
愿新年带给你和你所爱的人许多美好的事物和无尽的祝福!
但他们事先计划投放100000反平壤宣传单。
潘通色彩研究所(Pantone Color Institute)的执行总监莱亚特丽斯·艾斯曼(Leatrice Eiseman)说:把这两种颜色组合起来反应出“一种令人慰籍的秩序感与和平感”,在这个全球动荡和缺乏安全感的时代,把这种感觉融入产品应该具有吸引力。它也暗示着,“我们”和“他们”之间没有界线。
Under these conditions, he argues, the Fed cannot only trigger crises itself; it can also increase the vulnerability of EMs to crises provoked by other factors.
con全部+tin拿住+uous→连续不断的

For the fifth year in a row the city-state's Changi Airport has been named "world's best airport" at the annual Skytrax World Airport Awards.
Since its launch in 2010, the 12306 ticketing system has been upgraded many times to fix bugs and provide better service during the Spring Festival travel rush, or Chunyun.
Ever since the 1994 World Cup, the average scoring has been on a steady downward slope. In 2010 it bottomed out at 2.27, the second lowest average in World Cup history (1990 averaged just 2.20).
赖床有了新理由
“我还给了他一个直言不讳的同性恋朋友,他会责备邦德,说:‘拜托,邦德,你是生活在20世纪,不是中世纪。’”
spontaneous
According to Putin's most recent income declaration, he earned roughly 8.9 million rubles ($137,000) in 2015.
《国土安全》(Homeland):第三季末布洛迪(Brody,戴米恩·路易斯[Damian Lewis]饰)最终被杀后,映时频道(Showtime)的这部间谍惊悚剧似乎走到了尽头。目前看来,第四季没了他却变得充满活力,令人喜爱。卡莉(Carrie,克莱尔·丹尼斯[Claire Danes]饰)这次的对手是美貌、狡猾的巴基斯坦情报官塔斯尼姆(Tasneem,尼姆拉特·考尔[Nimrat Kaur]饰)。
The Kings also still owe a future first (unprotected in 2019 at worst) to Philly for the honor of being able to sign Rajon Rondo, Kosta Koufos, and Marco Belinelli. Talk about a team with no damn plan.

3

There are no right or wrong answers, just be honest with yourself.
vt. 编预算,为 ... 做预算
If it isn't appropriate to interrupt, make a quick note of your question so you don't forget, and ask later.
1. "Game of Thrones" (5.9 million)
adj. 特指的;指定的
简言之,2014年种种相反的趋势无法描述和解释。我也不信,多年之后,人们凭借后见之明,能将今年发生的种种事情看得更清楚。
纸筒插秧机可以让一名使用者在几分钟内在85英尺(约合26米)长的一块田地里种植264棵幼苗。这在以前通常耗时数小时,如今只需几分钟。使用者在种植农作物上花费的时间更少,可以节省出更多的时间做其他的事,比如农田改进、市场销售、或者干脆休息休息。
adj. 易坏的,脆弱的,浅薄的 n. 复写纸,薄纸副本
201103/129769.shtmlEveryone tells a white lie on occasion, it’s just a question of why. Some white lies save relationships, some ease a hectic situation, and others buy us time. We all do it, so there is no reason to deny it. As long as we aren’t hurting others or breaking the law, these innocent lies can make life more pleasant. Most of these white lies only stretch aninterpretation of what the truth actually is anyways. Here’s a list of the 10most common white lies and why we tell them.
Inside larger technology companies, female employees will be hoping for signs of change in pay and promotions — but will also be on guard, as a men’s rights backlash brews in some corners of Silicon Valley.
"I am a doctor and I prefer to speak frankly. A person's health is related first to eating, drinking and air. Any kind of development will be nothing if the quality of food, water and air is not good." ZHONG NANSHAN, NPC deputy and academic with the Chinese Academy of Engineering
You'd love to know the balance of forces that shape and move your ponytail, right? That's why Joseph Keller, Raymond Goldstein, Patrick Warren and Robin Ball received this igNOMINIOUS prize!
morality
但是,那些宣称不大可能会消失。阿拉巴马州大学亨茨维尔校区的大气科学家约翰·R·克里斯蒂(John R. Christy)以怀疑全球变暖的严重性而知名,他在一次采访中指出,2014年的记录只比以前年度的创纪录温度高出百分之几度,完全是在全球温度测量值的误差范围之内。克里斯蒂说,“自20世纪末,气温并没有太多变化,一直处于较暖的稳定水平。”
罗宾哈丁(Robin Harding)

4

The worst of 2015
时间:2009-10-21 编辑:sunny
Yet when October was taken as a whole, only Shenzhen showed a real month-on-month price fall.
史赛克:免费医疗床
户外空间:从这座露台往下走几步就是一座带有草坪和喷泉、围着围墙的花园。这处房产面积0.10英亩(约405平方米)。
If it isn't appropriate to interrupt, make a quick note of your question so you don't forget, and ask later.
日前,斯坦福大学商学院(Stanford Graduate School of Business)教授彼得o库迪斯基于这场荷兰危机共同撰写了一篇文章,围绕“个人经验(而非市场信息)决定乐观、悲观以及信贷的获得与否”这种不那么科学的方法给出了现代经验。
第一种是把亚洲视作一个被证明为排斥快速发展的市场,在起飞之前需要重大结构和监管改变。第二种是看到突然出现上行惊喜的可能性。
Screengrab taken on January 11, 2015 from a video released on Islamist social networks shows a man claiming to be Amedy Coulibaly, who killed four hostages after seizing a Kosher supermarket in Parison January 9, 2015 (AFP Photo/)
中国工商银行表示,在截至2015年12月31日的一年里,其净利润增长了0.5%,为上市以来的最小增幅。平均总资产回报率下降0.1个百分点,至1.3%。
而在一年前,台湾的反华人士就选择了向日葵作为他们反华事业的标志。

5

The general weakness in the renminbi, which fell 1.3 per cent in January and had weakened by 2.2 per cent in the final quarter of 2015, is likely playing a part, by making overseas goods more expensive. However, exports have yet to receive a boost from the currency’s depreciation.
3. Flying Horse
停盘可能对深证综指起到了良好的作用,跌幅达8.22%的深证综指面临自2007年2月27日以来最大单日跌幅。此外根据FastFT的计算,自1996年12月16日中国股市实施10%的每日交易限制以来,今天这个缩短的交易日将列入深证综指第九大单日最大跌幅。
喜剧类最佳男配角:路易?安德森(Louie Anderson),《小丑梦摇篮》(Baskets)
《嘻哈帝国》(Empire),Fox,周三播出。这部最新的嘻哈乐肥皂剧的导演是电影人李·丹尼尔斯(Lee Daniels),他曾执导《珍爱》(Precious)和《白宫管家》(Lee Daniels’ The Butler))。片中泰伦斯·霍华德(Terrence Howard)饰演一个身患致命疾病的说唱乐大明星。
男女学员对所攻读项目的优势评价一样。
如果观众还不知道这部影片是以20世纪80年代初为背景,那看一眼安娜的直刘海就知道了。她留着齐肩长发,刘海以外的部分在脸庞四周形成微微弯曲的弧度。这个造型很简单,但对这个女人来说显得很有力量,她丈夫艾贝尔(奥斯卡·伊萨克[Oscar Isaac]饰)经营取暖油生意,不过她的过去更为复杂。
摩根士丹利首席执行长戈尔曼(James Gorman)将给该行所谓“降低风险”的策略来个大掉头。
中国国家旅游局周五发出通知,确认了最近几个月中国游客因所持旅游文件不完整而被拒进入韩国济州岛的报道。该机构提醒中国公民“慎重选择旅游目的地”。
根据胡润研究院日前发布的《2016中国女富豪榜》,现年75岁的房地产开发企业富华国际集团创始人陈丽华凭借总共505亿元的资本净值成为中国女首富。
Pay is an issue, he says (the median salary for reporters in 2010 was $36, 000); he's not sure he can raise a family and send kids to college on a reporter's salary. And yes, the stress and the hours can be taxing. But he says, 'I'm not sure I'd be happy in another setting. I can't think of any job that would be as exciting or as fulfilling as this.'
腾讯控股有限公司公关部的一名员工、一款直播应用的负责人日前声称,一名男子通过在这个直播平台唱歌接受了一个13岁女孩25万多元(3.64万美元)的打赏,而该女孩在注册时可能隐瞒了年龄。
popul人民+ar…的→流行的
有些人会充分运用科技的力量:

6

另一种看法是,油价在过去三年中的变动,是长期结构性变化的开始,预示着下一个50年里,能源价格按实际值计算将显著低于上一个50年。简单地说,持这种看法的人认为,供给的增长潜力超过需求增长。
9. Build your “A team”.
“十二五”期间,中国累计实际使用外资预计达到6200亿美元,第三产业实际利用外资占比提高到60%以上。同期中国对外直接投资年均增长14.2%。
The government also needs to adopt the Internet Plus governance to ensure that government services will be more easily accessible for our people.
英国的一个收集全球气温纪录的科学小组也将在未来几周内提交报告。
He also has serious thrill issues dude.
他表示那个时候的人有另外一种浪漫,人们没有电脑,所以交流都是通过信件,这样其实更浪漫。
Were you late to work yesterday because you couldn't remember where you put your car keys? Did you completely forget about a coffee date last week with a friend and only remember when you got a text asking, "where are you?" Can you no longer remember the name of your favorite elementary school teacher? Memory problems impact just about everyone to a certain degree, but science suggests you might be able to improve your memory, as well as reduce the likelihood of Alzheimer's and dementia, by engaging in certain activities, eating specific foods, and using certain mnemonic devices.
The Shape of Water

Wheel skates look somewhat like regular inline skates, except that the wheels are much larger, up to the size of bicycle tires. They are seen as a cross between an inline skate, a ski, and a bike. Recently, a company called Chariot Skates said they had come up with something unique—the Chariot wheel skates. According to the company, wheel skates are "revolutionary new skating products." Revolutionary? They do at least revolve. New? No. The first wheel skate was made more than 142 years ago.

Conclusion

5.你午饭谈了四个小时那么久或者有太多的牙医预约。
The indicators included intellectual capital and innovation, technology readiness, important regional cities, healthcare, safety and security, transportation and urban planning. Others were sustainability and the natural environment, culture and lifestyle, economic clout, cost and ease of doing business.
n. 鼓励
Analysts survey by Bloomberg expected a rise to 1.9 per cent in January.
Always wanted to be an author but not sure where to start? Have you considered self-publishing? Thanks to Amazon, you can. Kindle Direct Publishing allows you to get the word out via e-books, CreateSpacehelps you develop a print edition and ACX is the audio publishing division. I’ve used all three to develop my book.
[m?uld]
源于:relax(v 放松;休息)
James Bond is one of the few constants that movie lovers have in this crazy world of ours. We seem to know that, no matter what, a new Bond movie is always on the way.


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. 新年是这样美好的时光:炉火熊熊,花儿芬芳,醇酒飘香,殷殷祝福,美好回忆,
  2. 2. Shanghai, China-The enormous metropolis of Shanghai—China's most populous city—has an historic urban core which sits alongside its status as a contemporary, global financial hub.
    It is revealed that Hadid's visa application was turned down after she offended many by squinting her eyes in an attempt to impersonate the Buddha in February.

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