Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

如果你有什么问题,就到我的办公室里来讨论,别把我堵在厕所里。
Six regions recorded GDP growth less than 7 percent, with China's north-eastern rust belt Liaoning province at the bottom with negative growth.
The auction house says seven records in all were set at the Geneva auction including the highest amount ever paid for a yellow diamond - $16.3 million for the 100.09-carat Graff Vivid Yellow diamond ring.
克普克表示,就1994-95年墨西哥汇率危机而言,三个因素都起了作用,当时美联储开始以25、50甚至75个基点(1994年11月)的加息幅度进入紧缩周期。
在经历了性骚扰丑闻频频曝光(从硅谷开始,蔓延至几乎所有行业)的一年后,女性将试图利用这一势头来推动永久性变革。鉴于科技行业的黑人和拉丁裔雇员少之又少,人们将关注被边缘化的少数族裔的困境。
"It sounds like Harvard is intruding too deeply into the private lives of students," said Dershowitz, who has represented a series of high-profile clients, including OJ Simpson.

单词document 联想记忆:
John Stevenage, chief executive of British Mensa, said he was delighted for Nishi. He said: 'I hope she will make full use of her membership to meet new, like-minded people and challenge herself. Joining Mensa opens the door to an international network of more than 100,000 people and many members make friends for life.
'I look a lot like her, we're really like an old couple.'
2012中国创新人物奖中国互联网行业常常被描述成冒牌王国,尤其是对在中国被禁的那些公司的仿冒。中国搜索巨头百度(Baidu Inc.)的网站外观很像谷歌。腾讯的旗舰产品、即时信息服务QQ于1999年以OICQ的名字发布,与当时流行的即时信息服务ICQ功能相似。新浪(Sina Corp.)广受欢迎的微博总是被西方媒体说成“与推特(Twitter)类似”。
But John Davies, head of institutional investment in the Hong Kong team at CBRE, the property services business, says that lower prices should make the market more reliable. “The market is showing characteristics of a mature market, which institutional investors understand better,” he says.
In January, Wal-Mart (WMT, Fortune 500) U.S. president And CEO Bill Simon pledged that the world's largest retailer would hire 100,000 veterans over the next five years. In addition, the biggest private employer in the U.S. said it would offer employment to any honorably discharged veteran within his or her first 12 months off active duty.
14. 《与外婆同行》(Grandma),导演:保罗·韦兹(Paul Weitz)。
中国外汇储备在今年前11个月中的9个月下降,目前约为3.43万亿美元。投资者抛售人民币资产以保护自己免受贬值影响,而央行出售外汇储备中的美元以遏止人民币弱势。中国利率不断下降,而美联储(Federal Reserve)预计很快将开始加息,也助燃了资本外流。中国外汇储备曾在10月轻微反弹,似乎表明外流已趋于停止。
不过,人们并没有对周二的峰会寄予过高期望,因为没有任何迹象表明,各国能在政治上实现突破,进而采取更有力的举措。科学家表示,要想如愿把全球变暖控制在各国五年前一致同意的上限,那么未来几年里,就必须扭转排放量上升的势头。现有的所有方案,与实现这一目标都相距甚远。

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.

把产品的一端贴合身体部位弯曲,或者绕在座椅靠背上,另一端弯曲成能保护头部安全的造型。旅客还可以用旅行枕的手状设计放置电子设备看电影。

1

Ladies and gentlemen, may I welcome you to the Bad Manners Awards 2016?
动词limit的过
愿新春美景与欢乐常伴随你!
Unless Charles Oakley successfully sues owner James Dolan, the highlight of the Knicks' 2016–17 season will be Kristaps Porzingis winning the Skills Challenge at All-Star Weekend.
China’s handling of its state reserves of raw materials such as cotton and sugar will be a key factor shaping the direction of agricultural commodities in 2017, according to a major lender to agribusinesses.
The low reading was driven by a fall in the production component, whereas the forward-looking new orders component increased for a sixth straight month.
在苹果公司外面,摆着一台显示乔布斯照片的iPhone ,用以寄托对这位苹果创始人和前CEO的哀思。2011年10月6日,旧金山,苹果总部
In the MBA ranking, LBS, Insead and Spain’s IE Business School are bunched together with only a few dollars between them. Insead has the top salary at $155,015.

其次,尽管人们还守着老的观念,现实却已经发生了变化:供应链管理——也就是确保货物以尽可能低的价格和尽可能高的效率到达目的地——已经成为一项高科技、高风险的行业了。它要求从业者“硬件能力”和“软件能力”缺一不可,而能达到这种要求的人才实在很少。
坚持一个中国的政策,这是中美关系的政治基础,不是风云变幻能够动摇的,也动摇不得。有了这样一个政治基础,中美合作的前景是广阔的。
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。
n. 游艇,快艇 vi. 驾快艇
An investigation is continuing into how La La Land was wrongly named Best Picture rather than the triumphant Moonlight.
克里斯汀“伯德小姐”是一名高中生,她“家里贫困拮据”,但却向往冒险成熟的生活,憧憬机遇的来临。但在她所就读的萨克拉门托天主教学院她却什么也寻求不到。影片讲述了主角高三一年的经历,包括她第一次恋爱,她在学校参加舞台表演,以及最重要的,她申请大学的故事。
否则,就应该交易考辛斯还有在过去的两个赛季里签下的其他的老将了。
He added that “almost every major Korean company, including Hyundai Motor and AmorePacific, relies heavily on Chinese sales”.
Lawrence Yun, the trade group's chief economist, expects the average 30-year fixed-rate mortgage to hit 5.5% at year-end, up from 4.5% late last year and 3.5% in the first half of 2013. That's a sharp runup in a short period of time, one that could harm affordability and spook even more buyers.
15. 有趣的巧合。环球影业是题材最具多样性的制片公司之一,它发行了《生活残骸》,也发行了《冲出康普顿》,还有《泰迪熊2》(Ted 2)。环球影业的女导演也是最多的,12月初,它占据了今年24%的市场份额。
帕拉莫尔《欢笑过后》
总部位于纽约的世界品牌实验室编纂并于上周一发布了《2016世界品牌500强》榜单,苹果公司夺得了第一名的宝座。
Payne, a former lottery pick, missed time with a foot injury and hasn't shown any major progress as a shooter or a defender in year two.

2

['spekju.l?tiv]
unstable
vi. 打结
[st?k]
No one in Detroit has forgotten the snowstorm of 1999, when airplanes were mired for hours on the tarmac at Detroit Metropolitan International Airport. Likewise, US Airways encountered its own holiday mishap in 2004-05, when more than 72, 000 bags were lost or damaged.
笑并且像美洲狮一样咆哮
其中,在
5.布莱恩·克兰斯顿曾是杀人嫌疑犯
5. It's a dog's life for the British
Annual shipments by Chinese smartphone manufacturers Huawei, OPPO and vivo rocketed all three companies into the world's top 5 smartphone manufacturers last year, according to the latest data released by third-party market intelligence firm IDC.
[k?n'sist?ntli]
南韩的活动分子在星期二发誓,要在月底通过宣传气球跨越边境向北韩偷运荷里活讽刺片"刺杀金正恩",以作为对北韩不断威胁的反抗。

8.出租车司机
消费支出的上涨反过来促使了更多的租赁和投资以跟上上涨的销量。使美国经济自2005年来经济增长率首次达到3%以上。
‘The Americans’ Set in the Reagan era, this FX series is nearly as deceptive as KGB agents posing as suburban American couple: In its second season, “The Americans” proved to be a drama about love, family, friendship and mistrust disguised as a Cold War thriller.
Make sure you've got a good plan for seeing that your children are cared for when you're scheduled to be in class, and when you need to study. It really is possible to raise children while you're going to school. People do it every day.
E-cigarettes first started becoming popular in 2012. They work by heating a nicotine fluid to mimic a real cigarette. Their invention is usually credited to Chinese pharmacist Hon Lik, who reportedly created it after he dreamed that he was drowning in a cloud of vapor. His father had died of lung cancer caused by cigarettes. He himself was an unrepentant smoker who had unsuccessfully tried quitting by using a nicotine patch.
Successful entrepreneurs often worked for others in their field of choice before striking out on their own. Spending a few years in the industry under an excellent mentor will provide a good launching pad. Learn from your predecessors’ mistakes and brainstorm about how to improve upon their model. Find someone willing to teach, and think about starting your business elsewhere when you leave.
让自己坐的舒适。在弄了这么多之后,最重要的一点是要让自己感觉到很舒适。
A few people took advantage of technology:
smiles and puma snarls

3

In addition, the last quarter of 2016 marked the first time that Huawei achieved a double-digit global market share.
What deserves to be mentioned the most is, Uber and Tesla Motors Inc did not make it to the list. "Both Uber and Tesla do innovate, but not at a sufficient level to feature in the Top 100 list of innovative organizations around the globe as measured by patent metrics of volume, success, globalization and impact. They neither have sufficiently large portfolios to qualify for inclusion with less than 100 granted inventions during 2010-2014," Stembridge said.
但是,这一情况在两年前发生了变化,清华大学首次跻身前20名,2016年排名第18位。去年,北京大学也跻身前20名。
我祖母最喜欢的一首诗是威廉o埃内斯特o亨利的《不可征服》(Invictus)。我父亲把这首诗挂在厨房墙壁上,所以在成长过程中,我每天都会读到它:“我,是我命运的主宰。我,是我灵魂的统帅。”我能为每个人,特别是初入职场者提供的最好建议,就是欣然接受你作为命运主宰的角色。当机会出现时,抓住机会并敢于说“Yes!”
With both the S&P 500 and Nasdaq returning over 14% while the Dow and MidCap 400 each kicking in close to 10%, you would assume that passive investors would have an awful lot to celebrate this year. And indeed, they would have, if it weren’t for those pesky overseas stocks that did nothing but drag on the performance of any diversified portfolio.
几名爱尔兰球迷停下来帮一对法国老夫妇换轮胎。
The fear was over downward mobility and cultural changes; the anger was against immigrants and indifferent elites.
泰勒斯威夫特被评为2012年最慈善明星。
Until now Thor has been the neglected child of the Marvel Cinematic Universe. Though some liked Kenneth Branagh’s first film featuring the god of thunder, Chris Hemsworth was arguably overshadowed by Tom Hiddleston’s preening popinjay of a villain, Loki. And the second film, the humourless Thor: The Dark World, is widely regarded as the worst film released by Marvel Studios to date. So to inject new life into this sagging franchise, Marvel brought in New Zealand comedy auteur Taiki Waititi to add some Kiwi quirk. This time Thor faces down the goddess of death, played by Cate Blanchett. Thor may have the hammer, but she has the attitude. Released November 1 in Serbia and Hungary, November 2 in Cambodia and Israel and November 3 in India and Canada. (Credit: Marvel Studios)
A number of nude photographs have been leaked online after several female students offered the photos in exchange for high-interest loans via an online lending platform.
请接受我节日的祝贺。
But in year-on-year terms Xiamen prices grew at the second-fastest rate of 43.9 per cent, outdone only by Hefei, capital of Anhui province, which grew 47.6 per cent. Annualised prices once again rose in 65 cities and fell in five, suggesting that while the cost of housing may not be escalating as quickly as before, it remains widespread and relatively resilient.
Belize's proximity to Mexico and the Caribbean ensures the street-food scene, providing an abundance of budget meal options.
'You can't put a price on the look on her face when she's on stage in her costumes.'
After 'Gravity' and 'American Hustle,' my picks are in alphabetical order:

4

10. 2012年搞笑诺贝尔奖之医学奖
But the change in Wall Street’s — and Silicon Valley’s — appreciation of Mr Cook is down to more than just the 70m iPhones Apple is expected to sell this quarter or the $42bn in sales generated in the previous.
会。供应中断和地缘政治风险因素很可能会持续出现,同时伴随着全球生产商限产。但价格能否保持在70美元或以上水平取决于:在美国页岩油供应不断增长的情况下,俄罗斯是否愿意继续支持沙特阿拉伯牵头的限产努力。参与限产的其他国家也需要继续坚定地遵守协议——随着各国政府受益于油价上涨,继续遵守协议的动力将越来越小。
全部或者大多数政府部门将会迁移,行政大楼计划将在2017年建成。
它会自然生长成模子的形状。
Dawn Hudson, Academy CEO:
历史会这样回首2012年:这一年,中国“第五代”领导层亮相,同时中国经济转向较低速增长的轨道。这种转变发生的背景,将是一系列令人畏惧的国内挑战——不断增加的社会不安定,不断扩大的收入差距,以及生态和人为的灾难——加上不断升级的外部紧张,这源于美国重新转向亚洲,同时亚太邻国对中国的经济崛起越来越感到忧虑。
A cheery New Year hold lots of happiness for you!
At the last minute he opted instead for Teach First, the educational charity that has become the UK’s biggest recruiter of new graduates. Rather than parachuting into companies that needed restructuring, Mr Ravenscroft started teaching business and economics at Cardinal Pole School, which serves 11-19 year old boys and girls in Hackney, east London.
Glazer surely took something, again, from Kubrick, especially in the scene in which his alien is born in some dimensionless otherworld. He took something from Nic Roeg and The Man Who Fell to Earth and a little, perhaps, from David Lynch – of which, more in a moment. But alongside the sci-fi exoticism he brought the grit and sinew of contemporary realism, calling to mind the work of film-makers like Ken Loach, or even Abbas Kiarostami and the opening of his The Taste of Cherry, in which a desperately unhappy man drives around the itinerant labour markets of Teheran looking for someone to help him. These fantastic alien forms are scuffed with ordinariness and even bathos. The scene in which the alien uncomprehendingly watches Tommy Cooper on television is a masterpiece of tonal suspense.
Since then, Teach First has put 5,000 graduates into schools, working with more than 1m pupils in low-income areas, helping to raise standards in classrooms, particularly London.

5

这两部极具娱乐性,追求整体效果,建立在事实基础上的程序剧(procedural)都是关于惊人的犯罪与腐败滋生的大型机构的故事——一个是关于罗马天主教会,一个是关于华尔街银行。除了激发起正直的愤怒,麦卡锡与麦凯以不同的方式,把悬疑、情感和道德的分量融入到接电话、敲键盘、读报表等现代日常工作中去。
谷歌2017搜索排名靠前的包括马特·劳尔和飓风厄玛。搜索巨头公布了它今年的年度搜索结果榜单,内容主要是在全球各类行业中谷歌搜索排名靠前的几位。
France continues to hold the position as Germany's second largest trading partner in 2016, according to data from DIHK.
从碧昂丝和珍妮弗·洛佩兹的红毯着装来看,“短”是这次娱乐盛典的主题。这两位女歌手都选择及大腿的裙子来露出她们的美腿,策略性地减去领口,并注重肩膀的细节设计,但碧昂丝选择穿消防车红色从中脱颖而出,而珍妮弗·洛佩兹选择了柔和的有缎子般光泽的褐土色。
We will maintain ethical conduct and moral integrity at all times.
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)
在纽约,任何人不得将多户建筑中的一套没有租户的公寓单间以短于30天的租期出租,这是非法的。然而,几乎每周都有人写信给“房地产答疑”专栏,咨询如何绕开这些规定。如果我交换公寓呢?如果没有书面形式的约定呢?
Obama watched the returns on television at his Chicago home. Senior campaign strategist David Axelrod said via email that he was feeling "great."
赢家:猛龙
“Yao represents the new wave of wealth creation by financial investments in China,” said Rupert Hoogewerf, who compiles the annual list.
manifesto
15. An Amazing Coincidence One of the studios with the most on-screen diversity — it released “Trainwreck” and “Straight Outta Compton” (if also “Ted 2”) — and with the most female directors is Universal, which, as of early December, had gobbled up almost 24 percent of the year’s market share.
Best wishes for the holidays and happiness throughout the New Year.
But this has begun to feel less like a relevant statement about what women want now and more like a retreat; an assumption, which I would characterize as false, that the past is a safe place to dress.

6

We will deepen rural reform.
准备接收附近酒吧发布的微博广告吧
It's important to remember that even when the overall number of jobs goes down, some companies are still adding workers -- it's just that others are cutting even more.
Vawter 使用仿生腿在芝加哥一栋高楼里向上爬了103个阶梯,但是仿生腿的设计者们仍然在尝试提高它的性能。为了使它能适用于日常生活,设计者们必须让它更轻更薄。它的衍生品(充气仿生腿)可以满足陆军对于仿生腿的阶段性目标——行走一万步不用充电。
热门的新兴市场基准债券和股票的价格已经下降,同时根据代表全球大型金融公司的组织——国际金融研究所(Institute for International Finance)的数据,来自海外投资者的净流入已经从2014年的2850亿美元降至今年的660亿美元。
时间:2009-07-16 编辑:vicki
Jose's mother Inma Quesada told the El Pais daily that her son "wanted to buy instruments" for his band Los Salerosos (loosely translated as "The Salties"), in which he plays the trumpet.
尽管这些物质都十分微小,但相关科研成果的意义却是巨大的。
Hitachi Data Systems

苹果(Apple)正面临着市值跳水的窘境,苹果股价从去年9月至今已下跌了35%。众多卖方分析师纷纷献计献策,现在甚至有人建议苹果推出廉价iPhone。摩根士丹利(Morgan Stanley)公司的凯蒂?休伯蒂对中国这一全球最大的智能手机市场进行了分析,并给大家算了一笔账。

Conclusion

2016年即将上映的电影都是鸿篇巨制,众多佳片能让你一饱眼福。这些影片包括:《蝙蝠侠大战超人:正义黎明》、《美国船长3:内战》、《神奇动物在哪里》、《海底总动员2》、《星球大战:侠盗一号》、《X战警:天启》、《独立日2:复活》、《魔兽世界》以及《自杀小队》等。
伯利兹城靠近墨西哥和加勒比海,各处都是露天的街头小吃摊,为游客们提供了很多较实惠的用餐选择。
Everyone was hugely cheered that global greenhouse gas emissions were flat between 2014 and 2016, even though recorded global growth was OK. The trouble is that this wasn’t the improvement in global economic efficiency everyone celebrated, but just a slowdown in northern China. As this part of the world recovered its economic mojo in 2017, carbon dioxide levels began to rise again.
这是继2016年我国首次同步调整企业和机关事业单位退休人员的基本养老金水平后,我国再次做出同步调整。
社交中我经常压抑自己
当大脑没有得到充分休眠时,它确实就开始自噬了。在我们睡觉的时候,“清除”程序通常就会启动,但长期缺乏睡眠会使该程序处于高速运转状态,促使大脑清除大量神经元连接和突触连接。
6. 《出租车》(Taxi),导演贾法·帕纳西(Jafar Panahi)。
Everyone on Wall Street, Main Street and Washington keeps forgetting the fundamentals of market cycles. Please remember: Investors Business Daily's Bill O'Neill, author of 'How to Make Money in Stocks, ' says market cycles average 3.75 years up, nine months down.


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. n. 轨道(track的复数);磁道;轮胎
  2. 考虑到达拉斯多年来一直拒绝摆滥,当德克-诺维茨基的职业生涯进入倒计时阶段,他们并没有囤积足够多的潜力新秀,这时换来22岁的诺埃尔而且没有对常规轮换造成大的损伤是个相当高明的举动。
    我经常和陌生人说话

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