Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

“很显然,单独一个年度,即使是创记录的年度,不可能告诉我们很多关于气候变化趋势的东西,”德国波茨坦气候影响研究所地球系统分析部门主管斯德范·拉姆斯朵夫(Stefan Rahmstorf)说。“然而,有记录以来的最热年度是2014年、2010年和2005年的这个事实清楚地表明,全球变暖并没有‘在1998年停止’,像一些人喜欢错误地宣称那样。”
赖床有了新理由
请接受我诚挚的新年祝福,顺祝身体健康。
Europe is finally recovering. Japan is also making significant progress. And emerging economies like India, China as well as Indonesia and others, their economic growth rates is likely to be maintained at high levels or likely to accelerate,” he said.
2. 达美乐(Dachis) 品牌喜爱度:-11%/排名:62
《风流医生俏护士》首播时,鹰眼和诱捕者这两个角色原本同等重要,也正是在这样的条件下,韦恩·罗杰斯才同意扮演诱捕者约翰。然而,当艾伦·艾尔达开始对这个角色进行改动并对整个剧情走向产生更大影响时,鹰眼使诱捕者这一角色黯然失色。

“很显然,单独一个年度,即使是创记录的年度,不可能告诉我们很多关于气候变化趋势的东西,”德国波茨坦气候影响研究所地球系统分析部门主管斯德范·拉姆斯朵夫(Stefan Rahmstorf)说。“然而,有记录以来的最热年度是2014年、2010年和2005年的这个事实清楚地表明,全球变暖并没有‘在1998年停止’,像一些人喜欢错误地宣称那样。”
The top 10 Weibo celebrities now have a combined 40 million followers. One of the most famous online figures, Papi Jiang, already signed a contract for video ads worth a staggering 22 million.
源于:virtues(n 美德天使:九级天使中的第五级)
过去一年中,亚利桑那州最大的赢家是建筑和休闲/酒店行业,这两个行业共增加了超过1万个就业机会。其他快速增长的行业包括商业服务、金融活动、教育和医疗服务。
Zhaopin.com received 93,420 effective samples for the survey, which covered new grads completing higher vocational, undergraduate, master's or doctoral programs.
Song “Super Shero”(S.H.E.)
圣保罗报的民意调查是基于在贝洛奥里藏特(Belo Horizonte)的米内朗球场( Mineirao)对693名球迷进行的采访,统计误差为4%左右。
科学家上周五发表报告显示,去年是自1880年记录开始以来,地球上最热的一年,对温室气体排放失控的危险发出了更强的警告,削弱了反对气候变化者认为的全球变暖已经停止的观点。
据外媒体育网站sbnation.com报道,德国战车在刚刚结束的比赛中以四粒进球完胜葡萄牙。比赛结果令人震惊,多数观察员原本希望葡萄牙的攻势能更猛烈些。但这是否是本届世界杯又一场比分悬殊的比赛?的确不足为奇。

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.

graceful

1

['steitm?nt]
The clothespin dates back to the 1800s, but in 2016 it became "smart." Meet Peggy, the laundry peg that's supposed to "help you lighten the load" by telling you when the washer cycle is over and if the weather is nice enough to hang your clothes outside. The device connects to your phones and sends you alerts when the weather changes or when you need to remove your clothes.
The appointment of Inga Beale to run Lloyds of London and of Mary Barra to run General Motors marked an encouraging end to 2013. Progress for women in the coming year will continue to be too little and too slow, but you should expect to see women in positions of power and influence everywhere. Even Japan is starting to try to get women into work.
3 . 《歌剧魅影》( T h e Phantom of the Opera )是 由安德鲁·韦伯(Andrew Webber)作曲的著名音乐剧,剧中的男主人公“魅影”(Phantom)的右脸上戴着一副面具。
8. Across the world,China will continue to flex its might with acquisitions and transactions. Theone million Chinese in Africa will continue their efforts to lock up naturalresources.
米特卜王子被捕不到一个月即获释,这显示出沙特想要迅速结束这场腐败调查,阿尔瓦利德·本·塔拉尔王子等多名王室成员和亿万富翁在调查中突然被捕。
我对事物持悲观态度
Will the BoJ tighten monetary policy

One of the main strengths of the LBS programmes is the wide range of students from different countries. More than 90 per cent in its 2015 MBA cohort were from overseas, coming from about 60 different countries.
《敦刻尔克》
6.微型人脑
In some ways, Life Is Strange couldn’t be more different than Dontnod Entertainment’s sci-fi action game Remember Me, but in other ways, the episodic adventure game is similar. Both games use Unreal Engine 3 technology to create beautiful worlds to explore. And both titles also feature a strong female protagonist. Set in Arcadia Bay, Oregon, players take control of teenager Max Caulfield and embark on an adventure that will span five interactive episodes.
“Who’s going to pay for that?” said Marc J. Luxemburg, the president of the Council of New York Cooperatives and Condominiums. “This has a real-world cost for many buildings.”
The below are 5 companies that stand out from the rest and are startups to watch in 2014.
● “佛罗里达一男子在毒品实验室放屁引发火灾,后死于爆炸”
6.数据科学家
1.It wasn’t me! – Because some things just aren’t worth taking credit for。
他告诉记者说:“我认为,韩国对于美的定义很苛刻狭隘,因为我们是一个种族单一的国家,每个人看上去都差不多。整容也和自卑情绪有关。”
McDonough School of Business at Georgetown University in Washington DC returns to the custom ranking in 15th place after dropping out last year because of a low survey response rate from clients. Only three schools enter the custom ranking for the first time, including London’s Cass Business School in 60th place.
The Raptors entered February as the team that most needed to make a move: their hot start was fading, their defense wasn't up to snuff for a contender, they had a massive hole at the four, and they felt added urgency to make the most of Kyle Lowry's prime in advance of his upcoming free agency.
adj. 粗糙的,粗略的,粗暴的,艰难的,讨厌的,不适的

2

待售房产:一栋带有四间卧室与四间半浴室的希腊复兴式房屋
Ujiri's well-timed and thoughtful moves should help reverse the Raptors' backsliding.
Justin Bieber's split from Selena Gomez was the most enquired-about relationship bust-up while Victoria Pendleton beat Georgia Salpa as the most searched-for participant in a reality television show.
劳伦斯2016年的收入比2015年(5200万美元)减少了11.5%。本周四福布斯杂志还将发布2016年收入最高的男星排行榜。去年荣膺榜首的是小罗伯特-唐尼,收入约为8000万美元。
2017年排行榜的前几名几乎清一色都是法国商学院。校区位于里尔和尼斯的北方高等商学院(Edhec Business School)首次登上该榜单榜首。自2011年该榜单编制以来一直排名第一的巴黎高等商学院(HEC Paris)如今降至第二名。
在过去的12个月里,这位22岁的T台女王兼真人秀明星赚得2200万美元,首次登顶福布斯模特收入榜。
蕾哈娜在榜单上排名第二,获得亚军,《男人装》表示:在这12个月以来,她真是无处不在,但是我们依然没有对她审美疲劳。
Martial art “China Youth”(Zhao Wenzhuo and friends)
9.亲爱的贵客们,我们希望英国能为你们贡献一个美好的夏天,这个夏天包括了顶尖的国际赛事、先进的设施、有趣的娱乐、以及汇集了几个世纪的艺术建筑精华的文化遗产。如果你最终只收获了四张卓著国际中心的摔跤比赛门票,好吧,祝你下次好运。
随着威斯布鲁克成为一个事事亲为和高使用率的角色,奥拉迪波固定成为一个昂贵的补充品,佩恩需要证明他无球时的威胁力、或是能成为带动第二阵容的后卫,
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.
So too would be concluding the EU’s own (re)negotiation of its existing trade agreement with Mexico. And there is a good chance Brussels could beat Donald Trump to the finish line on a deal with Mexico.

1=不全是
别人可能会告诉你“在面试中展示真正的自我。” 但是,真的别随便展示。这是最烂的一条建议。我们不需要一些神经古怪的人,我们关心的只有你的的技术和经验。
Will emerging market GDP growth pass 5 per cent
中国政府鼓励向中小规模的借款人放贷,其中很多贷款者没有信用纪录。分析师预计,在金融上表现活跃但没有信贷渠道的中国消费者有5亿之多。
n. 元素,成分,组成部分,(复数)恶劣天气
达奇斯说:年底iphone5和迷你ipad的发布,消除了海内外制造业和乔布斯死后遗留影响的争议,这使得苹果成为年度最大的赢家。
在推特今年转推量最高的10大推文榜中,有3条美国前总统贝拉克·奥巴马的推文,而该国现任总统唐纳德·特朗普的推文却无一上榜。
core
designated

3

vt. 建议,推荐,劝告
米特卜王子被捕不到一个月即获释,这显示出沙特想要迅速结束这场腐败调查,阿尔瓦利德·本·塔拉尔王子等多名王室成员和亿万富翁在调查中突然被捕。
Lian Ping, chief economist with the Bank of Communications, said rising producer prices may push up consumer prices in the longer term.
巴西对智利比赛的正式票价范围在200美元到25美元之间。最便宜的门票大约占5%的销售额。这些门票只为学生、老年人和政府福利计划的穷人提供。
['b?t?flai]
Chinese mainland is home to two of the top three universities in Asia, according to research published last Thursday by the Times Higher Education (THE).
美国时间上周日,乡村音乐界的大牌们齐聚拉斯维加斯,出席2013年乡村音乐学院奖颁奖典礼。
Vocal event of the year: "The Only Way I Know," Eric Church, Luke Bryan and Jason Aldean
Meditate any time, but 15 minutes before you study, 15 minutes before class, 15 minutes before a test, and you'll be amazed at how well you can perform as a student.
8.《生活大爆炸》白板上的公式都是真的
In the book, Galore moves in with Bond in London and together they spend their mornings squabbling.
怎么做煎饼?
When he wasn't programming or doing schoolwork, D'Aloisio began to fill his spare time reading about natural language processing. He'd studied languages as diverse as Latin and Mandarin, and became fascinated by concepts like grammatical frameworks, morpheme parsing and the 1960s work of the linguist Richard Montague. 'He's my favorite,' D'Aloisio enthuses. 'He theorized that natural language could be described like a syntactical programming language.'
近日,新一期福布斯世界富豪排行榜揭晓,比尔·盖茨在近22年内第17次问鼎榜首。
Erle Spratt, who manages M&G’s Asia property fund, an open-ended investment vehicle, says it is risky to invest directly because assets are not easy to find and price. “It is a very difficult market to buy assets in for investors like us, because developers have very substantial holdings and they tend not to sell,” he says.

4

尽管这些大脑没有进入任何人的身体,但是他们给科学院研究脑科疾病提供了原材料。
从几乎所有单项指标看,巴黎高等商学院都没有排在首位,但它整体表现强劲。该学院学生毕业3年后的年薪为9.3万美元,位居第五;性价比以及毕业生国际流动性位居第三。该学院还在目标实现率方面并列第一(93%)。
一部富有感染力的、描写一名年轻黑人男同性恋成长故事的影片《月光男孩》(Moonlight),获得2017年奥斯卡(Oscar)最佳影片奖。不过,该片险些与此奖项擦肩而过,原因是在混乱的颁奖现场,此奖项曾被误颁给了《爱乐之城》(La La Land)。
“这可是短期内的大幅跃升:当我还是内政部长时仅有30个案例,今天则是1400。”
余秀华
[ri'tri:t]
Law
What dangers does the Fed present to EMs today? One of the biggest risks, says Mr Koepke, is that it might “get behind the curve” and delay raising rates for too long. This would result not only in a surprisingly big hike when it came, but also a higher terminal interest rate than would otherwise be the case.
单词debut 联想记忆:
Emma Thompson, a two-time winner for Howards End and Sense and Sensibility, famously keeps hers in the loo: “They look far too outré anywhere else. They’re great big, gold, shiny things.” She’s not alone – Susan Sarandon, Lionel Richie and Sean Connery all claim to keep their golden fellas alongside their bidets and baths.
对于联合国已经通过的相关决议,中国一直是态度鲜明,而且是全面严格执行。中国始终是核不扩散体系的坚定维护者。

5

There are a wide range of low-cost flights to Russia and transportation in the country is also easy with the Trans-Siberian Railway.
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。
Much of the decline in Chinese imports stems from lower commodity prices, which in turn are a result of falling overall demand from China, long the world’s biggest consumer of materials such as iron ore, coal and copper.
5.Emma Watson
鉴于标普500和纳斯达克指数都回升了14%以上,道琼斯和标普400中型股指数也都回升了近10%,你可能会认为今年被动投资者应该收获颇丰。确实,要不是那些恼人的海外股业绩不佳,大拖多元化投资组合的后腿,被动投资者原本应该值得庆祝。
美联储退出购债计划的道路是否会经历坎坷?
单词appearance 联想记忆:
China had a full-year GDP target of “around 6.5 per cent” for 2017.
“这可是短期内的大幅跃升:当我还是内政部长时仅有30个案例,今天则是1400。”
Li Yi, a Shanghai-based independent IT expert, told the Global Times the surge in the number of smartphones was the primary reason for the growth in Net users.
周二,萨尔州成为德国第一个禁止外国政客拉票的地区。德国数个地方议会基于消防安全等技术原因,取消了土耳其部长们原计划的拉票集会。
当晚的最大赢家可能还要属主持人蒂娜?费和埃米?珀勒,这是两人第二次搭档主持金球奖颁奖典礼,且她们今年表现丝毫不逊去年,创下了1,970万观众的六年来最高收视率。金球奖颁奖典礼由好莱坞外国记者协会(Hollywood Foreign Press Association)举办,举办地点位于加利福尼亚州贝弗利山庄的贝弗利山希尔顿酒店(Beverly Hills Hilton)。
报告还指出,其中2.01亿(27%)网民来自农村地区,城市和农村地区互联网普及率差距为45.2%。
我们曾经都经历过:老板们和经理们让我们的生活越来越糟糕,不能管理好一堆文件,不理整个团队的员工。我之前写过一篇文章“不明智老板的特点”,在那篇文章里,一位考虑周到的评论者列出了他对如何做一个明智的老板的一些点评。

6

And this year, the Nobel Prize has defied the convention of celebrating big by presenting the biggest prizes to discoveries on the smallest scales.
单词galaxy 联想记忆:
《经济学人》的数据显示,在2010年,亚洲的整形手术总量超过了580万例,而在美国这个数字仅为450万多一点。
The parallels between Snapchat, the upstart "sexting" service, and social media behemoth Facebook (FB) in its early days are uncanny. We all know how well Zuckerberg's long bet paid off (not to mention how thoroughly he vanquished those dastardly Winklevoss twins). Could Snapchat's future be just as bright?
“加之相比创业,高校更注重培养学生的创新意识。这也是大学生创业意向如此低的另一个原因。”
Dachis says: 2011 saw a huge bounce for Dominos in brand enthusiasm from their brand relaunch which 2012 just couldn’t match. It’s a shame they can’t redesign their recipes every year.
n. 运动,活动,战役,竞选运动
根据路透社(Reuters)基于中国国家统计局(National Bureau of Statistics)计算得到的加权平均值,10月份中国新建住宅平均价格同比上涨12.3%,
Enrollment: 424

比蒂在后台说:“这真是我遇到的最离奇的一糟事。感谢上帝!幸好是我们两个人在那里!”

Conclusion

Dachis says: Strong financial performance combined with a slew of new features made LinkedIn a magnet for positivity in 2012. Positivity like this could help the company move from stern business network to lively communications platform in 2013.
美国就业市场笼罩着重重阴云──特别是遭遇增税、减支双重打击的可能性,即“财政悬崖”。[qh]
[m?'r?liti]
德肖维茨称,这个说法太模糊了,学校没有提出任何具体的要求。“当学校严肃处理学生时,却不说明他们的判断标准,我认为这是有问题的。”
推动社会治理创新。
成功的创业者需要付出努力和毅力,因为非常不幸的是,世上并没有创业小精灵,能够神奇般地将成功赐予小公司和他们的老板。
不会。当然,这种情况可能发生,但是只要运气不是太差,梅眼下至少可以确保英国经济不会在2019年因掉落“无协议”悬崖而急剧下滑。2017年12月,“共识预测”(Consensus Forecasts)预测2018年英国将增长1.5%。该机构对日本和意大利的预测值更低,为1.3%。因此英国明年成为G7中经济增长最慢国家的几率应该在四分之一左右。
时间:2010-03-22 编辑:vicki


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. No matter whether you’re looking for big international events, delicious food, natural wonders or simply relaxation on a beach, these places should be on your checklist.
  2. One of the highest-paid Bollywood actresses, Deepika Padukone hold the third position in the list of 10 most beautiful women of 2015. She is considered a sex symbol and style icon in India. Padukone ranks high on various listings of the most attractive Indian women. She is cited by her figure, height, smile, and eyes as her distinctive physical features. She is an active celebrity endorser for several brands and products, including Tissot, Sony Cyber-shot, Nescafe, Vogue eyewear, Maybelline and Pepsi, among others.
    Meanwhile the services PMI reading for the month was 51.2. It had been 52 in October. The manufacturing PMI, reported earlier this week, came in at 48.6 in November, versus expectations of 48.3. It had been 48.3 in October

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