Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

“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。”
Rio - home to the 2016 Olympics and a host city for the 2014 football World Cup - beat Greece as the most searched-for destination.
最差运动员精神奖
New York's inactivity begs two questions. Does Jackson have the energy needed to undo the damage he's created during his tenure?
她还指出,其他国家在其货币贬值的同时呈现出旅客数量的大幅增加。
allure

你不停的想他/她,以至于你都没有发现这里没有第十二条
科技厌恶症。
The American Film Institute has picked its 10 best movies and TV shows of the year. The titles, presented in alphabetical order, are works AFI's juries have determined advance the art of the moving image, enhance the cultural heritage of America's art form, inspire audiences and artists and make a mark on American society.
Which showed month-on-month prices had fallen – albeit marginally – in Beijing, Tianjin, Shanghai, Shenzhen, Xiamen and Zhengzhou during the second half of the month.
因为吉吉·哈迪德和凯蒂·派瑞等多位模特和表演者在申请签证时遇到了一系列问题,维密秀的主办方正试图使一切回到正轨,如今主办方又表示,中国政府还拦截了他们的邮件。
But back to TextPride. Wray and O’Brien saw the way users eagerly engaged with their branded emojis, and believed advertisers appreciated the convenience of using one vendor to get many different messaging apps. But they realized that that was only half of the business. For certain established brands like sports teams, people will pay for stickers. But other, unknown brands would pay just to be included.
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.
20多岁的故事
A combination of tax increases and spending cuts in 2013 shaved about 1.5 percentage points off annual economic growth, according to the Congressional Budget Office. Many forecasters expect the fiscal drag in 2014 to be one-third that amount, or less. 'You'll have more political certainty this year,' said Gregory Daco, a U.S. economist at Oxford Economics.

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.

Sebastian Payne

1

1.《宋飞正传》"踢脚舞"一集差点流产
v. 引诱,吸引
报告结果基于今年8月、9月针对全国15870位民众开展的调查。
从eBay的Magento电子商务系统、IBM和NetSuite等知名企业到规模较小的Shopify和Volusion等,很多科技公司都希望从中分一杯羹。但相对冷门的Bigcommerce正在悄悄引发关注并窃取市场份额。它吸引了超过7,500万美元的风投资本,其中4,000万美元来自企业家史蒂夫o凯斯的Revolution Growth公司。
在电视剧《欲望都市》里,米兰达和嘉莉常去布里克街401号的木兰烘焙坊。剧集播出以后,成群结队的人前去对那些纸杯蛋糕一探究竟。没有谁能像凯莉·布拉德肖那样带来一股纸杯蛋糕热。木兰烘焙坊也因此销量大增,顾客盈门。事实上,他们因为大受欢迎而不得不聘请了一位类似"保安"的工作人员。不同于一般的俱乐部保安,这位保安非常友好,并且相当注重蛋糕的细节。
据中央电视台报道,她的妈妈在1月30日才发现了此事。
Ann Hand
而在科隆游戏展上正式宣布的特色作品中,《寂静岭》(Silent Hills)的最新续集赫然在列。这是科乐美(Konami)最为畅销的恐怖题材游戏(还据此改编成了两部电影)。世界级游戏和电影专家,《合金装备5:幻痛》(Metal Gear Solid V: The Phantom Pain)的制作者小岛秀夫,以及《环太平洋》(Pacific Rim)的导演吉尔莫o德尔o托罗在这部游戏中强强联手。曾出演美剧《行尸走肉》(The Walking Dead)的影星诺曼o瑞杜斯将在游戏中担纲主角。

5.3-D 打印耳朵
1 February
Overall, St Gallen’s alumni report a 95 per cent satisfaction level, 2 percentage points more than the alumni from London Business School and WHU Beisheim.
3) Tell Me More: “I’m all ears.” It’s the ultimate conversation starter! When you signal that you’re open and intrigued, the other party will respond in kind. And who can resist flattery? If your interest is genuine, you may just fuel a productive exchange.
discourse
Judge for yourself.
5、邦德具备美女约会种种要求。乐衷于性的女人更喜欢“坏男人”-邦德属于此类。讲究的女人喜欢阳刚男人,寻求一夜情的女人喜欢外型帅气、主动进攻的男人-非邦德莫属。
[sju:'pri:m]
The programme entered the ranking in second place in 2006 and was ranked top in 2008.
"There are 1,400 individuals who are involved in the departures for jihad,for terrorism, in Syria and in Iraq," Valls told BFMTV.
Back in the movie wasteland of last January, no one could have guessed what a bounty of good films the year would bring. Not just good films, but several that measure up to our idealized notions of what the medium once was. Two candidates for the top of the heap pretty much chose themselves. For sheer entertainment, the clear call is 'American Hustle,' David O. Russell's joyous celebration of 1970s-era con artists and their intricate cons. For innovation-a new theatrical experience born of new technology-'Gravity' whirls in its own orbit. With the understanding that there's nothing to be said against 'American Hustle,' and everything to recommend this screwball comedy for the ages, I think 'Gravity' is the best movie of the year.
It remains the world's largest country and the largest oil producer. It retains its permanent seat on the UN Security Council. Its nuclear arsenal (in Cold War times one of five countries, but now one of nine) has been progressively modernised. Sustained increases in defence spending have brought it close to its goal of escalation dominance in local and regional war.
With the majority of professional advisors (myself included) preaching the benefits of global diversification to their clients, 2014 looks more like a draw than an outright victory in the harsh light of December’s low winter sun. Consider the fact that, through last week, the MSCI World Index gained just 2% on the year, with nearly 5% drops for both the MSCI Emerging Markets index and the EAFE index of developed markets outside of the United States. Ironically, the single best-performing foreign market in the world, the Shanghai Composite of mainland Chinese equities (up 45%) is the only one that U.S. investors could not actually put their money into.

2

会。梅亚德是执政党革命制度党(PRI)的候选人。他主要的竞争对手是强硬的左翼领导人安德烈斯曼努埃尔洛佩斯奥夫拉多尔(Andrés Manuel López Obrador)——可以感召人群的激情演说家。梅亚德需要克服很多问题:在去年1月一夜间把油价上调20%、引发通胀飙升后,他必须说服选民自己仍然是可以信任的。他还必须证明自己是个有主见的人,而不仅仅是这届不受欢迎的政府的傀儡——在遏制猖獗的腐败和犯罪行为方面,这届政府极为失败。但是凭借强大的PRI拉票机器,他可能势不可挡。在墨西哥只有一轮选举的体制下,30%的选票可能就足以让他当选总统了。
万事达公司表示,其数据反映出世界主要大城市的互联性,并追踪了商务和休闲飞机乘客的消费方式。
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").
Wal-Mart U.S. president and CEO Bill Simon
去年他在一次采访中表示,“除了其他人”,他还会把他的财产赠予邱佩特。
评审委员会(就我一人)花了几周的时间来决定王室、政界以及明星当中谁应该获得一枚令人难堪的奖章,以表彰他们过去一年严重违反礼仪或行为失态的表现。
Accounting and consultancy
民主党能在中期选举中重新夺回美国众议院多数党地位吗?
n. 果心,核心,要点
岁数最小的富豪是来自挪威的企业继承人亚历山大·安德森,她今年只有19岁。亚历山大20岁的姐姐是岁数第二小的上榜富豪。
Ellen Johnson Sirleaf, 72, became Africa's first democratically elected female president in 2005. The Nobel Committee praised the Liberian leader for her efforts to secure peace, promote economic and social development and strengthen the position of women.
The first is the establishment of the Aero Engine Corp. of China (AECC) last year, which consolidates Chinese aero-engine know-how and capabilities, indicating that the indigenous development of aircraft engines is now a strategic priority for China. This focus is even more striking when one realizes that China now has access to rhenium, a rare metal that helps create strong superalloys necessary for the manufacture of high-pressure jet engine turbine blades. Since the 2010 discovery in the Shaanxi province of reserves, which account for 7% of the world’s total, considerable effort has been made to exploit and process this metal. Moreover, a major technological milestone was recently achieved that opens the door for mass production of single-crystal turbine blades, a key component of modern jet engines. It is thus no surprise that one of the cornerstones of the newly established joint Sino-Russian widebody aircraft program is the development of a dedicated, state-of-the-art engine.

I am here to speak for the countless animals dying across this planet because they have nowhere left to go. We cannot afford to be not heard. 我为这个行星上无数正在垂死的动物而演讲,因为它们几乎已经无处容身了。
The U.S. Congress and the media will go berserk when Goldman announces the size of its 2009 bonus pool. But the outrage will be brief and of little lasting consequence. The 'hate Goldman Sachs' story has been running just too long.
The improvements in education levels mirrored the development of China's education system. Independent research into China's education situation showed that overall education development was better than the world average last year, Yuan Guiren, minister of education, said in March.
Bringing harmony to Apple’s internal fiefdoms has not been easy. There is still “huge tension” inside Apple, according to one person who has worked with the company for many years. “That tension is something he uses to run the company but it can be dangerous.”
6.当我看球赛时,禁止从电视前面经过,你最好是从地板上爬过去以免影响我看球。
n. 火焰,热情
Goldie Blox:
这一周发生的事情对国王来讲是火车事故:毫无说服力的否认,考辛斯在全明星周日交易的时刻,可怜的交易回报价值,
正当整个时尚界都在为拉格菲尔德哀悼,而除了他的众多继承人,他的爱猫邱佩特可能也会继承他的1.5亿英镑财产的一部份。

3

One key thing the best bosses seem to have in common is that they are all consummate problem solvers. They can not only spot them, but brainstorm successful and innovative ways to fix them。
吉尔伯特表示,对可穿戴设备的不断试验十分重要,但是现在短期内,人们还需要探讨一下:“技术的演进以及企业的研发力量共同推动了现有可穿戴产品的发展,但它们是否真的能够满足用户的需求;各公司又是否需要探索不同的合作模式,让可穿戴设备不仅限于早期使用者的圈子,而是被主流人群所接受”。
Pushing ahead with the five priority tasks through reform
密码管理应用设计商Splashdata发布了一份“25个最常见密码” 榜单。
4.不推崇微化管理
temporary
absolutely
While the WeChat use of the "post-90s" generation has slightly decreased, from 94.1 percent to 86.6 percent.
Sarah Collins
The implosion of a giant subprime mortgage lender in 2007?The collapse of Lehman Brothers in 2008?
8、邦德并不是个喜剧演员 但他懂得合适的时候来点小幽默。女性很容易被有趣的男人吸引,因为幽默标志着智慧。可以这么讲,一个人多有趣,可以来推断他与多少女人风流过。
你经常烦躁吗?
There were also shows that didn’t live up to early expectations but still had traction, most notably “The Affair,” on Showtime, which began as a Hamptons film noir and instead turned into a French art film. The crime may not be commensurate with the series’s punishingly slow pace and “Rashomon"-like storytelling, but the series picked up momentum — and suspense — in the final episodes.
我曾被一位CEO要求雇用一位有着乌黑长发的长腿美眉,虽然她的能力不强。还有一次,我被要求不要雇用有小孩的应聘者,因为公司已经雇用了太多为了看足球赛请假的员工。这种事经常发生。
6. Data scientist

4

Wang Rongzhen在采访中表示,“我们就是要卖车,如果厂家不提供车型,我们就卖不下去了,也只能退网。”他估计经销商每年亏损300-1000万元。目前,现代汽车在中国有近40家进口经销商,其中30家经销商要求退网赔偿。
London Business School is top of the 2014 FT ranking of European business schools, regaining the position it last held in 2005. LBS pushed the 2013 joint winners HEC Paris and Spain’s IE Business School into second and third places respectively.
Video of the year: "Tornado," Little Big Town
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。
德马库斯-考辛斯、塞尔吉-伊巴卡和路易斯-威廉姆斯的交易早在截止时间——美国东部时间周四下午3点之前就已经完成了,在余下完成压哨交易的角色球员里,只有像泰-吉布森和PJ-塔克算是相对大牌的球员了。
值得庆幸的是,这些户籍规定正在发生改变。12月初,在中国中央经济工作会议上,与会代表建议给予农村居民城市户口,这也强有力地证明了户籍制度正在变化。温家宝总理于12月底呼吁,应加快户籍制度改革的进程。
Yes, even if real GDP growth does not. Speculation over the true GDP growth rate in China, as opposed to the official one, has spawned a cottage industry of specialist economists. The official figures are deceptively stable and serene thanks to suspected “smoothing” by the Chinese authorities, as they bend the figures to fit growth targets. So even if growth does stumble in 2018, the official growth rate is almost certain to come in above the preordained 6.5 per cent.
单词population 联想记忆:
只要看到球馆没有别的赞助商的大名——除了Smoothie King,一家当地的饮品店——就知道鹈鹕面临着什么样的严重问题(相比之下,圣徒队的主场就是他们隔壁的梅赛德斯-奔驰超圆屋顶体育场)。
Until a couple of games ago, Stephen Curry really hadn't thought much about making more NBA history.
今年三分之二新上市股票目前的交易价格高于发行价。据旗下管理着专注于IPO的交易所交易基金(ETF)的Renaissance Capital介绍,平均而言,2017年美国新上市股票的股价涨幅大约是标准普尔500指数(S&P 500)的两倍,达到20%。

5

If you haven’t heard about this, you probably haven’t been on the Chinese Internet in the last year. This simple line was left on a World of Warcraft BBS, and somehow — some are claiming it was an online agency stunt and was helped along — managed to attract over 7.1 million views and 300,000 comments in just the first 24 hours.
6. 米兰达?可儿
它有力地提醒我们,性革命、女性进入职场、消费主义的盛行以及太空时代都有阴暗的一面,有些人在其中受到了伤害。这是该剧具有强大影响力的一个原因。
Baby Driver is so much fun, although it's not necessarily non-stop LOLs, it's definitely non-stop lowercase lols.
For the full year, profits rose 3.3 per cent, the slowest growth since at least 2008, when Chinese manufacturers were slammed by the global financial crisis.
格里芬高中时代的样子与现今相差无几,原因是他离开高中才四年。我们能想象得出,暴力美学的格里芬在NBA里再锻炼上一两年年,他会变得更“怪兽”。
在这部1998年的古装剑侠动作电影中,安东尼奥·班德拉斯扮演了一个无聊的贵族,他有时会扮成蒙面歹徒,从腐败领导人手中拯救加州的墨西哥平民。虽然佐罗听起来可能像个普通的老派超级英雄,但是《佐罗的面具》依据的故事大部分来源于现实世界中,一个叫乔伊·穆里埃塔的亡命之徒。
11月初,中国政府要求一些通过离岸实体操作的境外收购需得到监管部门批准,进一步收紧了对境外投资的管控。
Allow me to congratulate you on the arrival of the New Year and to extend to you all my best wishes for your perfect health and lasting prosperity.
胰腺产生胰岛素,如果你的胰腺没有这样做,你需要人工注射胰岛素。因此,糖尿病患者必须进行的日常事例是检查他们的血糖,并且在必要时注射胰岛素。
Folk Song “Horse-Head Fiddle On A Deck”(Wang Hongwei)
7.爱情就像两个人拉橡皮筋,受伤的总是不愿意放手的那一个。
A Sicilian Photographer of the Mafia and Her ‘Archive of Blood’
We first see the hair of Anna Morales (Jessica Chastain) during the opening credits of “A Most Violent Year.” She’s at her makeup mirror.

6

《Chandelier》的视频点击量已突破7.12亿,是YouTube点击量最高的MV排行榜上的第17名。
节目20 小品《今天的幸福2》,沈腾 马丽 杜晓宇 王琦
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.
The remains of the monarch -- depicted by William Shakespeare as a monstrous hunchback and often viewed as one of English history's greatest villains -- will now be solemnly reburied in the local cathedral.
[?'fekn]
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?”
最佳女歌手:米兰达·兰伯特
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。
艾伦·狄珍妮丝

strain

Conclusion

adj. 国内的,家庭的,驯养的
adj. 傲慢的,自大的
[is't?bli?t]
The host list of 2014 Spring Festival Gala, including Zhu Jun, Dong Qing, Bi Fujian, Li Sisi and Zhang Guoli, are released on Wednesday. Chinese film actor and director Zhang Guoli will host the annual gala of China Central Television (CCTV) for the first time.
国会将批准追加数十亿美元的刺激资金,但不会冠以“刺激”之名,也不会真正创造什么就业机会。国会将联合两党成立一个削减赤字的委员会,但同样发挥不了什么作用。既然美国国债还有投资者买,国会为什么要改弦更张?
reservation
Immigrant populations in Arkansas, North Carolina and Tennessee have more than tripled since 1990, noted Lee Drutman, a senior fellow at the New America Foundation, in an analysis for Vox. Anxiety over those changes may explain why the Republican Party became so much more focused on limiting immigration over that period — and why white voters in those states overwhelmingly support Mr. Trump.
For the students interested in comparing school options around the world, US News released the fourth edition of its annual Best Global Universities rankings.


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. 以我所有的爱心与真诚祝你及全家圣诞快乐。
  2. 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”。
    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。

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