Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

n. 图形,数字,形状; 人物,外形,体型
2. Mobile overtakes the web.
This year the list features nine heads of state who run nations with a combined GDP of $11.8 trillion — including the No. 1 Power Woman, German Chancellor Angela Merkel. The 24 corporate CEOs control $893 billion in annual revenues, and 16 of the women here founded their own companies, including two of the three new billionaires to the list, Tory Burch and Spanx’s Sara Blakely. Speaking of, this year’s class has 14 billionaires valued in excess of $82 billion.
不是因为我乐意看到一部精彩的电视剧剧终——如今已被公认为电视剧的黄金时代,而它正是这个时代的先驱。
China's Internet celebrities are estimated to create a whopping 58 billion yuan ($8.7 billion) market in 2016, far surpassing the 44 billion yuan in box office sales generated last year, according to an industry report.
butterfly

在4月24日当天,周某带着农药来到重庆荣昌益民技工学校,并把毒药藏在了桌子下面。
昨日发布的新数据是对2015年全球贸易图景的第一张快照。但在这些数据发布之际,有越来越多的人担心2016年对全球经济而言将比此前预期的更为危机四伏。
Maddie is so well recognised these days that a trip to Topshop results in her being mobbed by screaming tween fans who all want a selfie with their idol - something that has been tough to adjust to.
制造业也救不了经济。
championship
她的母亲,32岁的史蒂芬妮·博伊登称,波比非常有主角意识,听到别人叫她上台就会兴奋的跑过去,让她下台的时候就会愤怒的尖叫。
The EU is making clear it wants to use the void in US leadership on trade to nail down new trade agreements. The negotiations with the Mercosur trade bloc in Latin America have been going on in fits and starts for more than a decade. But the EU and key Mercosur members like Argentina are now pushing to conclude a deal by the end of this year. That would be a big statement planted right in the US’s backyard.
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.
还记得《类人猿行动》吗.这是一部被众人忽略的2016年早些时候的电影,由杰米.多南和斯里安.墨菲担任主演,讲述了对希特勒身边的三把手、党卫队将军莱因哈德.海德里希进行的一次失败暗杀。《行动代号:猿人》也尝试讲述这一故事,杰克.莱诺和奥康奈尔将在片中饰演密谋的士兵,而罗莎曼德.派克和米娅.华希科沃斯卡是他们片中的感情对象,杰森.克拉科则饰演他们的刺杀目标。

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.

加剧人们焦虑的是,新兴市场的企业债务近年不断积累,从2008年至2014年增加了一倍,近年一直是全球债券市场增长最快的领域之一。

1

As the unstoppable Nazi forces roll across Western Europe and the threat of invasion is imminent, and with an unprepared public, a skeptical King, and his own party plotting against him, Churchill must withstand his darkest hour, rally a nation, and attempt to change the course of world history.
Ranking third on our Top-Grossing list is Steve Carell. Despicable Me 2 was a huge hit this year, bringing in $919 million at the box office. Overall, the franchise has earned $1.4 billion at the box office worldwide and a third movie, Minions, is on the way. Carell also appeared this year in the small indie The Way Way Back and The Incredible Burt Wonderstone. The latter failed to earn back its production budget at the box office but we’re only looking at ticket sales here — the film put another $22.5 million in Carell’s column for 2013.
在数十项小型、以科技为核心的收购中,对Beats Electronics的30亿美元收购成为苹果迄今最大的一笔收购。Beats Electronics是一家有著名音乐人背景的耳机制造商和音乐流媒体服务商。这笔收购仍然让许多苹果分析师感到困惑,但与Beats创始人吉米?艾欧文(Jimmy Iovine)和安德烈?罗米尔?扬(Dr. Dre)合作,让苹果忽略iTunes下载商店数年后,迅速在音乐界重建信誉。如果说库克对错过类似Spotify的音乐订阅服务的快速增长感到愧疚,那么他已迅速弥补了这一点——尽管付出了很高代价。
是的,当你到处面试的时候,去MIA没有借口借口很牵强的时候十分明显。可以在私人时间比如午饭时间电话面试。也可以利用节假日或者带薪假期进行长时间的现场面试,这样面试的时候你不会因为要赶回来上班感到紧张压迫。同时也可以帮助你面试进行的顺利,而且你也没占用工作的时间,Kay说。
Developer: Supermassive Games, Sony Computer Entertainment
A report from the ministry showed that employers recruited 5.2 million workers through public employment service agencies in the first quarter, dropping 229,000, or 4.5 percent, from the previous year.
英国《金融时报》根据此前的官方数据计算得出,这意味着10月中国对外投资额为83亿美元,同比下滑26.5%。
200912/93010.shtml

Christine Lagarde, managing director of the International Monetary Fund, said apart from the recovery she expected this year, she was concerned about two other “Rs”. The first was “risks” where she thought some old risks such as the need to finalise financial sector reforms were as important as risks over US tapering, and new concerns such as deflation in the eurozone.
n. 谷物,小麦,玉米
Led by Letv, Anbang and Eastmoney, 26 newcomers are on the list; 70 percent are privately held. Mi was the fastest riser, with its value shooting up fivefold year-on-year, to come in at $7.3 billion, followed by TCL and Huawei.
全球缓慢的经济增长并不会很大程度的拖累美国。美国的出口额虽然可能持平甚至下降,但是这将会被由于油价下降的石油进口额抵消,所以贸易赤字并不会给美国经济造成更进一步的影响。
6. You don’t just pass in front of the TV if i’m watching football, you better crawl on the floor.
5. The top 300bureaucrats will rally behind Xi’s reforms and these bold new programs, backingthe central government while bringing these ambitions to their provincialgovernments and setting parallel growth goals at home. Detailed plans forreform and accelerated growth will be set, and then promptly executed, ingeographies across China. We expect the tier three and four markets torally again this year, growing faster than tier one and two cities.
For: A huge box office hit that could benefit from a slowly-changing Oscar voting demographic.
我们希望看到的亚太地区是一个稳定、有秩序的地区,是一个可以协商一致、达成原则的地区,是一个有能力管控分歧的地区,也是一个有智慧解决争端的地区。
参与沙特反腐行动的一名官员称,达成金额据信超过10亿美元的和解协议后,在该国反腐风暴中被捕的地位最高的沙特王室成员之一、米特卜·本·阿卜杜拉王子已获释。
graceful
While Switzerland’s University of St Gallen retains the top spot, French and British business schools, with 24 and 18 programmes respectively, are the backbone of the 2017 FT ranking of 95 programmes around the world. More than half of UK schools move up the ranking, compared with one in France. A third of British schools rise five places, in contrast to the two-thirds of French schools that drop five or more places.
Imports grew 6.7 per cent year-on-year to $152.2bn after falling 1.4 per cent the previous month, according to China’s General Administration of Customs, defying a median forecast predicting contraction would worsen to 1.9 per cent.
Russian and English fans may have dominated headlines during this month's Euro 2016 football championships for their boorish, thuggish behavior.

2

4.《欲望都市》掀起纸杯蛋糕热
Unlike most boy-band dudes going solo, he never sounds like he's sweating to get taken seriously – he never loses touch with the exuberance and swagger he brought to One Direction in the first place. So get used to this man – you'll be hearing a lot more from him.
尽管销量大幅增长让人欢欣雀跃,但它并不是汽车业今年最重大的新闻。底特律先是因为通用汽车公司(General Motors)提拔玛丽?芭拉出任汽车业首位女性首席执行官而欢欣鼓舞;紧接着,福特汽车(Ford)首席执行官艾伦?穆拉利在重回波音公司还是加入微软公司(Microsoft)两者间犹豫不决之际,它又紧张得大气都不敢喘。传统的三巨头抱怨现有产能已挖掘到极限,开始制订扩张和聘用新人的计划。特斯拉公司(Tesla)让电动汽车的销量火了一把,而且不肯按行规出牌;而同时谷歌公司(Google)则在自动汽车研制上一马当先。
8.Wheel Skates
6. The 2012 Ig Nobel Prize for Literature
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)。
Stripping out price, volumes of Chinese imports in October fell a more modest 2.6 per cent from a year earlier, according to estimates from Oxford Economics.
Nova School of Business and Economics consolidated last year’s strong performance by climbing a further 14 places to 17.
1.You Aren't Learning Anything New
韩语用户设置的"你的出生地"猜10次就能成功破译的概率是39%。
There is a natural human tendency to idealize and whitewash days of yore, to cast them in the rosy glow of the mind’s eye.
[ik'si:d]

Yao has been at the center of a hostile takeover battle for China's largest real estate developer China Vanke Co Ltd (000002.SZ).
飓风厄玛
Jack Ma, founder and executive chairman of e-commerce giant Alibaba Group topped the ranking of China's richest IT people for the third consecutive year.
ESCP Europe and MIT Sloan School of Management in the US also performed well. Both schools climbed five places into third and fifth place respectively.
我只是忍不住希望,随着《广告狂人》的终结,一个时尚阶段也能终结,在这个阶段,设计师们被困于过去的时代,几乎窒息——至少是困在20世纪60年代(不要忘了,60年代初与50年代末非常相似)至70年代初。
n. 路费,食物
In the book, Galore moves in with Bond in London and together they spend their mornings squabbling.
When I find myself wanting to shout “No!” to an opportunity, that’s a sure sign to me that the answer should probably be “Yes.” So, I take a deep breath and analyze the situation as objectively as possible.
其他在定制课程排名中表现突出的学校包括哈佛商学院(Harvard Business School),该院取得了今年最大幅度的排名攀升,上升9位至第5名。两年前,这所位于马萨诸塞州的学院还排在第18位。

3

城镇新增就业1100万人以上,城镇登记失业率4.5%以内;
准时完成你的工作。即使还有额外的任务,也要如此。
['k?mb?t]
谁被埋葬在这里?
a朝向,void空-空城计-避开
Strong in many categories, but without quite managing to be a front runner in any. Perhaps Timothee Chalamet's performance is its best chance of awards success.
He and his girlfriend wrote to each other when he was studying science, he said.They did eventually marry and have four children.
上周一晚间,在MSNBC的一档节目中,主持人雷切尔·玛多询问前国务卿希拉里,她是否会做出和加拿大新总理贾斯汀·特鲁多今年早些时候类似的承诺?
除了编程和写作业,达洛伊西奥开始抽时间来阅读自然语言处理(natural language processing)方面的文章。他还学习了拉丁文和中文,并且对语言学理念产生了浓厚的兴趣,例如语法框架、语素解析,以及上世纪60年代语言学家理查德?蒙塔古(Richard Montague) 的理论。达洛伊西奥热情地说道,他是我最喜欢的语言学家,根据他的理论,自然语言可以被视作遵照一定句法写出的编程语言。
New investment in Europe was up 28 per cent on the $18bn registered in 2014, a smaller increase than 2014’s doubling of the 2013 figure. Investment in the US was up 17 per cent compared on 2014’s level of $12.8bn.
I wonder if the Pelicans are in that position, too. It looks like their highest Brow-era pick will be Buddy Hield. That's not optimal.
这个变化很大一部分原因是因为去年十月软件巨头Adobe公司发生了重大安全漏洞,致使数百万用户遭受影响。
《乐高蝙蝠侠大电影》
这个家庭中心内部有三个摄像头,它能够连接到你的手机,你可以通过手机看冰箱里有什么。所以它基本上是一个6000美元替代用纸笔完成购物清单的替代品。
艾玛 沃特森

4

Benchmark oil prices dropped below $40 a barrel last week, the lowest level in six years, darkening investor sentiment towards commodity-linked companies and exporting countries including Brazil, Russia and South Africa.
Major pharmaceutical companies, working with the American Cancer Society, will steeply discount cancer drugs for patients in African countries. Cancer kills 450,000 people across the continent each year, but many types here are among the most treatable: breast, cervical and prostate tumors.
赢家:雷霆
Princess Agents
While you're studying, pay attention to the material you know will be on a test and write a quick practice question. Start a new document on your laptop and add questions as you think of them.
The Pelicans have struggle to attract and keep free agents, they must retain Jrue Holiday this summer, Cousins is from nearby Alabama and enjoys a close friendship with Anthony Davis, and years of disappointing and injury-plagued seasons put the franchise in a position where it seemed to be teetering on perennial also-ran status.
其实,中国经济增速放缓至8%左右,对中国乃至世界都是一件好事。更具环境可持续性、更加公平的局面,将缓解社会忧虑,而更高的消费将缓解全球贸易紧张。
单词continuous 联想记忆:
与此同时,大学毕业生选择继续深造的意向也降低了,这让今年选择就业的人数比例达到了75.6%,而去年这一数据为71.2%。
无论黑莓和三星联姻这种事是否发生,时代的发展已经凸显了移动技术下一波创新(和诉讼)浪潮的所在:在日益移动化的世界中掌握权限控制方法,阻止企业遭到黑客袭击。(财富中文网)
The programme has enabled me to take a quantum leap in my career and prepared me to take on a strategic C-level [chief-level] role right after graduation, said another alumnus.

5

"Migration should be an option, a choice. But for 200 million people, it's a necessity," he told the Thomson Reuters Foundation in a phone interview.
James Bond Themes 5. "Live and Let Die" by Paul McCartney and Wings
飓风厄玛
在定制课程排行榜上,排在第二名瑞士洛桑国际管理发展学院之后的是杜克企业教育学院(Duke Corporate Education)。这是这所美国学校连续第3年位列第三。该校在2014年连续第12年占据定制课程排行榜榜首位置,创下纪录。
While not a low rating when compared to the other four dramas, it was still criticized by many audience members.
1.Asana
Only 6.92 percent of Hawaiian’s flights arrived late during the past three years, almost twice as good as the runner up, Alaska Air — 11.27 percent of its flights arrived late.
The diplomatic row began when Ankara’s foreign minister was denied entry to the Netherlands on Saturday for a campaign rally in favour of Mr Erdogan’s constitutional reforms. Armed Dutch police also intercepted another Turkish minister, Fatma Betul Sayan Kaya, on her way to the rally in Rotterdam and escorted her back to the German border.
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.
The hunt for his body began in earnest in 2012 when archaeologists working on historical accounts and geographical clues started to dig beneath the municipal carpark on the spot where Greyfriars was, and found the skeleton.
今年由美国电影学会的电影评审总监是Tom Pollock,担任电视剧评审总监的是Richard Frank。评审团的其他成员还包括Judd Apatow, Halle Berry, Jamie Lee Curtis, Leonard Maltin,来自知名大学的著作家,学者,公认的电影艺术家,还有像媒体NPR,Rolling Stone, TV Guide, 华盛顿邮报对于电视电影的评论家们。
这份榜单的四所英国大学分别是剑桥大学、牛津大学和伦敦大学和帝国理工学院。东京大学也位列前20名。
莱昂斯做出斯文顿的口腔模型,依照它来设计假牙,把假牙安在斯文顿的真牙上。他为梅森部长设计了一个古怪的造型,但并不想让它太滑稽。不过,他还有兴趣加上一点闪亮的东西。“左边有一点金子,”他说,“我们用真金做某个牙的填料。这样做是为了让这个人物更有个性。”
['traigl]

6

The gold market may be obsessed about the dollar and prospect of a rise in US interest rates. But there’s another factor looming on the horizon: a fall in gold mine supply.
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。
“有个人给老板发了个短信,说他要离职了。”
8.Please aid the Olympic authorities and organisers by demonstrating at all times that you are not a terrorist. Do not perspire, take off your shoes, smile in a weird way while texting someone, or point and shout: "Hey! Look at all those missiles on that roof over there!" In fact, if you're not using your hands for anything, it's probably best if you keep them in the air where everybody can see them.
10.I thought I already sent that email out. I’m sure I did. – Because telling you that it was a low priority and I forgot would probably hurt our relationship。
Big Little Lies
Ariel Foxman In Style
周二在西弗吉尼亚州的贝灵顿一个人在雪地里行走。星期二飓风桑迪使得西弗吉尼亚州的部分地区被超过一英尺的雪所覆盖。
This year's lift was slower than the 6.5% rise in 2016, which is attributed to moderating economic growth and a rapidly aging society.

苹果公司创始人史蒂夫乔布斯在旧金山的库比蒂诺(苹果电脑的全球总公司所在地)介绍新研发的苹果II 型机,1977,旧金山

Conclusion

1 October
4. 詹妮弗-安妮斯顿 2100万美元
virus
Sweden’s foreign minister, Margot Wallstrom, a proponent of a “feminist foreign policy,” opened up to Ellen Barry about her abuse at the hands of an old boyfriend when she was a young woman, something she had never said publicly before.
该世界大学学术排名主要考核六个客观指标,包括校友和员工赢得诺贝尔奖的数量和奖牌、高度援引研究人员的数量、发表在《自然》和《科学》期刊上的文章数量、科学引文索引收录的文章数量以及师均学术表现。
It was the lesson of the UK general election and it's the big 'takeaway' from Cannes too: prediction is a mug's game. All week the chatter was that Todd Haynes' lesbian love story Carol was set to collect the Palme d'Or – or that Holocaust drama Son of Saul from first-time director László Nemes would triumph. In the last few days a consensus began to form around The Assassin from Taiwanese director Hou Hsiao-Hsien; according to British bookmakers, The Lobster was the one to beat. But when Jacques Audiard's Dheepan was announced as the winner, the response was a collective “really?” For all the pundits, critics' panels, insider gossip, statistics and God knows what else, few had picked it. Oh well: c'est la vie.
5. “Carol” (Todd Haynes)
该部门期望今年消费增长仍然能够强有力地带动经济增长。


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. A few years back, a flying bicycle called the "Paravelo" was invented. And it isn't called a flying bicycle for fun. It is a bicycle (with a large parachute on top) that actually flies. It travels around 25 kilometers per hour (15 mph) on land and 40 kilometers per hour (25 mph) in the air. It can also fly up to a height of 1,200 meters (4,000 ft). The best part? You don't need a pilot's license. The Paravelo has been called the world's first flying bicycle, a title we must point out it does not really own.
  2. n. 克制,控制,管制,操作装置
    4.意大利威尼斯

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