Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

Gunmen kidnapped 18 Turkish workers Wednesday in Iraq's capital.
More advanced components are in short supply, however, which could leave many customers waiting long after September to get hold of the new iPhone. That presents an opportunity for rivals such as Samsung’s new Note 8 or Essential, the smartphone maker led by Android co-founder Andy Rubin, which is targeting premium customers such as Apple’s with its slick $699 device. Google is also said to be preparing a new version of its Pixel smartphone, which has proved popular with early adopters.
The Canadian city of Vancouver remains the most expensive location in North America, ranked 21st in the index.
remembrance
Yes, you want to know how to do most of your job. But there are also things you want to be learning; otherwise you are not growing professionally. If you have stopped learning at work, it's time to find a job where you will learn new skills and grow professionally.
The report didn't comment on potential factors influencing the numbers, but many – including members of the opposing political party – are laying the blame squarely at the feet of government cost-cutting.

除了这些理论之外,还有传统经济学家用来误导美国的坏的统计数据:最恶劣的是GDP,它在衡量美国长期增长的时候是一个狭窄的、误导人的指标。其次,我们对短期数据(每日收盘情况、季度业绩、年度回报等)的执迷正在阻碍美国的长远增长。
虽然引起了一定混乱,但维密秀的执行制作人艾德·拉泽克称赞中国合作方是“令人愉快又热情的东道主”。
新兴市场吸收的外国投资已降至金融危机以来最低水平,投资者准备迎接美国近10年来首次加息的冲击波。
Consider this: Will the experience enhance your knowledge and play to your strengths? Will it introduce you to new concepts and new people? (All great reasons to say yes!) Will it require you to develop new techniques for managing your team or working with more experienced people? Embrace this challenge and get out of your comfort zone.
The report by iResearch Consulting Group and Sina Weibo, China's most popular microblogging platform, was released at a forum in Shanghai, co-organized by Weibo and telecom giant Huawei .
Financial success and dazzling new technology alone might have been enough to earn Apple’s steely chief executive the FT’s vote as the 2014 Person of the Year, but Mr Cook’s brave exposition of his values also sets him apart.
On January the U.S. government levied a $70 million fine on Honda for failing to disclose, as required, more than 1,700 deaths and injuries in its vehicles to the National Highway Traffic Administration (NHTSA).
[sin'si?li]
根据周一发布的年度调查报告,如今实现澳大利亚梦的成本急剧上升,悉尼和墨尔本超过大多数欧美城市,跻身世界最贵城市前五名。

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.

“Insead enormously boosted our intercultural experience,” said one alumni survey respondent from Switzerland. “It is a place to learn global culture better than anywhere else.”

1

今年,标普500指数的总回报率为14%,比该指数25年期平均年化收益率高出40%。过去12个月,华尔街的首席战略师们一直在上调其目标值。标普500指数出现了50多次创纪录的收盘,几乎所有专业投资管理人士都卯足了劲,至少要跑平该指数。但有些因素让美股投资者要获得高于基准股指的收益,在今年尤为困难。
Nevertheless, as New Yorkers grow accustomed to a sharing economy, buildings might ultimately have to embrace it.
Splashdata's list shows that many people use easily guessable passwords. Some other passwords in the Top Ten include "qwerty," "abc123," "111111," and "iloveyou."
n. 飞行,航班
We will make our skies blue again.
There are 15 Chinese brands in the top 100, one more than last year and a sharp rise on a decade ago, when China Mobile was the only Chinese brand.
我们认为中国2014年的经济成长会高速增加,增速会超过2013。而在美国的“中国问题专家”们,在面对中国稳定的超过7%的年增长率铁据之后,还会坚持唱衰中国的经济。
好在谷歌公司已于日前表示,他们不会让哈维尔支付这笔费用。

也许你在地铁上上见过各种着装怪异迥异的角色出现,可应该没人在月台上见过大熊猫成群结队吧。
But the statistics bureau attributed the overall rise in CPI chiefly to a base effect resulting from low prices a year prior.
vt. (烹饪时把鱼
On January the U.S. government levied a $70 million fine on Honda for failing to disclose, as required, more than 1,700 deaths and injuries in its vehicles to the National Highway Traffic Administration (NHTSA).
adj. 特指的;指定的
然后,新班子的第一个举动——用路易斯-威廉姆斯从火箭那里换来一个一轮签——是一个明确的信号,他们意识到必须不惜一切代价保证六月抽签时自己的选秀权能在前三。
Take multiple measures to cut costs.
6.杰克·谢帕德差点在第一集中死去
6.杰克·谢帕德差点在第一集中死去
本届电影节最大新闻与电影无关,而是关于鞋子。据《银幕日报》报道,上周二(5月19日),数名女性在去参加托德?海因斯(Todd Haynes)执导的《卡罗尔》(Carol)首映红毯时,因穿着装饰有莱茵石的平底鞋,而被工作人员以不符合规定为由拒之门外。报道一出,社交媒体上义愤填膺。戛纳新闻办公室仓促应对,称该报道断章取义:“这么多年来,电影节的规则都没有变过(参加电影节放映会,男士着无尾半正式晚礼服,女士穿正式礼服。)而对女性高跟鞋的跟高没有特定的要求,同样对男性的亦无特殊要求。”因此,为了确保遵守规则,男女主持会被提醒记住这些规则。好了,这下清楚了,媒体放映场没有任何着装要求:着装邋遢的记者们可穿着人字拖与运动鞋随意踏上皇宫广场(Palais)的阶梯。
让温馨的祝愿、幸福的思念和友好的祝福,在新年来到你身边,伴你左右。
由于最新一部007系列小说给詹姆斯·邦德(James Bond)进行了政治正确的大改造,能言善道、烟不离口、大男子主义的邦德形象可能将成为过去式。
埃马纽埃尔马克龙(Emmanuel Macron)会得到德国总理安格拉默克尔(Angela Merkel)对欧元区预算的承诺吗?

2

吊床架组装方便,可以架在桨板、橡皮船和皮筏上。
This can involve everything from not responding to e-mails to not being aware of how you come across in an e-mail. If you have a bad habit of taking too long to check or respond to e-mails, you could miss important meetings or deadlines, cause delays or confusion, or come off as unprofessional.
[r?f]
以下是五个脱颖而出的、值得在2014年加以关注的初创企业。
随着中国实力的抬升,其最好的友敌美国占了前10名的另一半。第5名和第9名分别是伯克希尔哈撒韦保险公司以及富国银行,这两家公司相较去年的排名均上升4位。
全国31个省(区、市)1767所高校43万多名学生接受了调查。89.2%的受访者曾考虑过创业,18.2%的受访者称有强烈的创业意向。
According to Oliver Cooke, a financial-services recruiter at Selby Jennings in New York, banks have been stressing what they call “internal mobility”, or redeploying staff from one department to another. If a bank facing sluggish conditions in debt trading, for example, can convert a trader to a risk analyst or a compliance officer, it can keep people interested — and it can save a bundle on severance.
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.
The youngest on the list is 19-year-old Norwegain heiress Alexandra Andresen, who holds a 42 per cent stake in her family's business. Her 20-year-old sister is the second youngest on the list.
D'Aloisio's parents came to England from Australia. His father, Lou, has worked in commodities for BP and Morgan Stanley, while his mother, Diana, is a corporate lawyer who also serves as her son's contractual representative. They always knew D'Aloisio was an extremely inquisitive child. 'But he was our first, so we didn't think it was anything out of the ordinary,' says Diana. (D'Aloisio's brother, Matthew, is 14.) They stress that despite his impressive accomplishments, he remains a normal kid. Or at least as normal as a kid can be when he's making offhand references to Markov models and stochastic processes. 'He still goes out on weekends, still goes to parties,' says Diana. 'He's got a girlfriend. All the things you do at 17.'
Burgeoning crude supply is liable to drive prices lower in 2014 after a run of years when emerging markets supported demand, as shifting dynamics continue to change the oil landscape.
But we are going to get a taste of the new world order when the WTO’s members gather for its biennial ministerial in Buenos Aires in December. It’s unclear, as always, if the WTO will be able to deliver anything of substance. But the real test lies in not having the US leading the way in discussions for the first time in the WTO’s life. Will China step in? The EU? And will India be as minded to block any deal as it has been in the past?

['pr?ut?k?l]
'Nebraska' gets to the heart of Bruce Dern's prickly old geezer, Woody Grant, by way of a road trip across Montana and Nebraska, shot in radiant black-and-white. (Here again one of the movie's stars is its cinematographer, Phedon Papamichael.) Alexander Payne directed, flawlessly, from Bob Nelson's stellar script, which is all about thwarted love, and reconciliation, between Woody and his son Will; he's played with painfully quiet eloquence by Will Forte. Here's the American heartland as it's seldom portrayed on screen, with humor and almost palpable fondness.
“但书中又总是有人质疑他、说服他、跟他说‘慢着’。”
土耳其副总理库尔图尔姆斯说,土耳其当局与伊拉克方面保持着接触。
devastating
Henda Ayari
Justin Bieber剃发募捐 集得4万美金
选择出国继续学习的学生比例也出现小幅下降,由去年的4.8%下降至3.4%。
The app D'Aloisio designed, Summly, compresses long pieces of text into a few representative sentences. When he released an early iteration, tech observers realized that an app that could deliver brief, accurate summaries would be hugely valuable in a world where we read everything-from news stories to corporate reports-on our phones, on the go. The app attracted the interest of investors around the world, ranging from Hollywood celebrities to Hong Kong billionaire Li Ka-shing, the wealthiest man in Asia.

3

伯利兹城最富盛名的旅游胜地莫过于巨大的水下天坑--蓝色巨洞以及玛雅遗址。
If successful, Hurun estimates that Mr Wang’s net worth could soar past $50bn, making him one of the world’s 10 richest men.
We believe our initiative of mass entrepreneurship and innovation is a response to the call of our time, the government self-targeted reform of streamlining administration and delegating power is also to boost this public enthusiasm for business start-ups and making innovations.
智联招聘最近的一份调查报告显示,在参与调查的2016届应届毕业生中,毕业后选择创业的比例为仅仅只有3.1%,而2015年的比例是6.3%。
于上周二发布的《2016胡润IT富豪榜》显示,排在前50名的中国IT富豪的平均财富同比上涨13%,至创纪录的269亿元。
The latest survey also showed the country had a narrower gap between genders in 2015. As to the structure of genders, the male-to-female ratio last year was 105.02, lower than the 2010 ratio of 105.2.
陶博宏表示,这可能过于悲观了。他说:“亚洲的情况往往比我们想象的更快变化。”
n. 繁荣,兴旺
10月,政府宣布准备终结数十年之久的“独生子女政策”。此项政策限制了已婚夫妇的孩子人数。新规定要到明年才会生效。
日本北海道——尽管北海道最初因作为滑雪胜地而闻名于世,那里的雪花洁白而细腻;但也许很快它的全年美景就会更为外国游客所熟知,而新修建的自东京驶来的高速列车应该会起很大作用。
The incomes of graduates from universities listed in China's 211, or 985 key university national projects are far ahead of those from ordinary universities, the survey found.
No one since Michael Haneke has enjoyed cinematically dissecting social conventions as much as Greek film-maker Yorgos Lanthimos. His The Lobster took Cannes by storm two years ago with its scathing look at a society that turns adults into animals if they cannot find a romantic partner within 45 days – it was our world but pushed toward the outermost limits of groupthink and conformity. Now he’s back with The Killing of a Sacred Deer, a domestic thriller about a surgeon (Colin Farrell) and his wife (Nicole Kidman), also a doctor, who befriends a fatherless teen named Martin. The boy seems determined to expose the family’s secrets and unmask a terrible trauma from their past. Is this film about how domestic (and perhaps societal) tranquility sometimes depends on shared, agreed-upon lies? Either way, prepare to be unnerved. Released November 9 in Denmark, November 16 in Russia and November 30 in China's Hong Kong. (Credit: A24)
2月CPI同比上涨2.3%,高于预期的1.8%,为2014年7月以来最大涨幅。1月CPI同比上涨1.8%。
flimsy
Nirvana in Fire unexpectedly achieved a tremendous success, rising like a star among the TV dramas in the fall of 2015. Also adapted from an online novel of the same name written by Hai Yan, the adaptation for the first time found its way on the screen in September 2015. Staring Hu Ge and Liu Tao, the series shows a talented military strategist endeavoring to clear his name through continuous fights. The fictional characters and dynasty let the adaptation smartly avoid being criticized for not sticking to historical accuracy. And the drama`s delicate internal settings and impeccable storyline were highly praised by the audiences.

4

西尔万·埃索(Sylvan Esso),《咖啡》(Coffee), Partisan
因此,他在福布斯的该榜单上排名下滑了220位,与其他19名富豪并列第544位。
爱德华卢斯(Edward Luce)
According to government sources, property sales in Hong Kong fell almost 40 per cent in the first half of the year compared with the same period in 2015 — both in terms of price and volume. An index from the Rating and Valuation Department released this month showed the commercial sector was a particular casualty, with prices falling 5.7 per cent in May compared with the same month last year.
威尼斯位于意大利东北部,约建成于公元5世纪,由118个小岛组成,凭借其迷人的水上景观、多样的建筑风格和琳琅满目的艺术品而闻名于世。
The Veterans Day holiday, which pays tribute to all men and women who have served in the U.S. military, dates back to 1919, when President Woodrow Wilson proclaimed November 11 as Armistice Day to celebrate the end of fighting exactly one year earlier in World War One - "the war to end all wars" - between Germany and the allied nations of Britain, France and the United States. The armistice famously went into effect at "the eleventh hour of the eleventh day of the eleventh month."
单词ridiculous 联想记忆:
欧盟正明确表现出,它希望利用美国在贸易上领导力的空缺来敲定新的贸易协议。欧盟在拉丁美洲与南方共同市场(Mercosur)的谈判时断时续,已经进行了10多年。但欧盟和阿根廷等南方共同市场的关键成员国正推动在今年年底前达成一项协议。这将成为一项重要声明,正好杵在美国的后院内。
这是007系列电影最佳主题曲之一,但实际上并没有在片头演奏,所以我们把它放在荣誉推荐的第一位。这首浪漫的曲子呼应了电影情节的发展,最终詹姆斯·邦德遇到了真爱。(可惜他们的恋情维持不久便结束了。)路易斯·阿姆斯特朗运用了他标志性的颤音,听者心弦颤动,一个经典诞生了。
5. Gay Marriage
该制品有一个扁平基座,于2009年发掘自江苏西部盱眙县古墓,一直保存在江苏省省会的南京博物馆。

5

Comic skit “Big City Small Life”(Wang Ning, Chang Yuan and Ailun)
普华永道中国内地及香港市场负责人林怡仲表示,市场的波动导致了新股审批的节奏的加紧,从而维持资本市场的稳定。
HOW MUCH: $1,975,000
想知道2013年的最差工作是哪些吗?报社记者以其令人尴尬的特质,取代伐木工人成为今年的最差工作。
While the FT online and full-time MBAs are not strictly comparable because the criteria used to judge them are slightly different, it is interesting to note that IE and Warwick Business School are among six schools to feature in both rankings.
富达国际(Fidelity International)旗下全球地产基金的投资组合经理德克?菲利帕(Dirk Philippa)也削减了在香港的投资,把配置比重从两年前相对基准超配6%至8%调整至超配1%。
国家卫生健康委员会补充称,其中81.8%的新病例是同性恋行为造成的,这是由于学生“尽管对疾病有很高的认识,但对保护的意识不强”。
As a national exam with more than 1 million test takers every year, the National Postgraduates Entrance Examination is very important for students' academic life, and cheating incidents have been exposed from time to time.
该报道称,并没有老师和学生喝了有毒的水。
10月中国出口同比下降6.9%,较上月3.7%的降幅有所恶化。疲弱的全球需求和中国成本上涨导致过去10年期间从中国大量流向世界的廉价商品减少。
单词mortality 联想记忆:
The rest of the top 10 2016 highest-paid actresses are:
Asia and Australia account for 11 of the world's top 20 most expensive cities, with eight from Europe and one from South America, the Economist Intelligence Unit's (EIU) worldwide cost of living index found. No North American cities featured in the top 20.
这种增长为中国电影业未来的发展奠定了坚实的基础。

6

获奖者:侯任总统唐纳德?特朗普和希拉里·克林顿(共同获奖)
这是自从2001年来第一次由一名既不是小梅瑟威、也不是泰格·伍兹的运动员,荣登收入榜第一名。
John Williams's classic score still raises goosebumps over 40 years after this summer blockbuster hit theaters. Jaws preys on our primal fear of the unknown in deep waters, showing a small beach town ravaged by a series of attacks from a single killer shark. In recent years, environmentalists have stressed the generally nonthreatening nature of sharks, which kill an average of just eight swimmers each year.
根据报道,当地法院鉴于周某的年龄及其坦白承认自己的罪行,最终给予了周某一个宽大的判决。
We had everything before us, we had nothing before us…
美国太空探索技术公司取得了一项令人难以置信的成就。“猎鹰9号”发射器的一级火箭在成功将货物运送到国际空间站后,能够自主转向,释放了主发动机燃烧提供的巨大动能,飞回地球并垂直降落在漂浮在大西洋上的一艘相当小的自动驳船上,极其精准。
6.Gal Gadot
在北约1999年对南斯拉夫的空袭中,大西洋联盟对塞尔维亚和科索沃境内数以百计的目标进行了打击。绝大多数目标都没有争议:防空阵地、军队指挥部和其他军事目标。然而对一个特殊目标的摧毁却在世界另一端掀起了声势浩大的反西方特别是反美浪潮。那个目标就是驻贝尔格莱德的中国大使馆。
6. 《出租车》(Taxi),导演贾法·帕纳西(Jafar Panahi)。

[.?:θ?rai'zein]

Conclusion

The fastest growing start-ups tend to be global in their outlook. The immigration restrictions already imposed by President Trump in the US and those under consideration as part of the UK’s separation from the EU are likely to be a hindrance in the coming year for hiring.
9. Mila Kunis - $11 million
The highest scoring tournament: 1994 in theUnited Stateswhen 24 teams averaged 2.97 over 52 matches.
The Magic are the single-most mystifying team in this entire exercise. They make little sense on paper or on the court.
该网站声称,“越喝,你(和酒瓶)就越聪明,但实际上你喝得越多,你就越醉,脑海中保留的信息也更少。
Wonder Woman
几家大型对冲基金的资产规模,占据了该行业的大半江山。各家的回报率相差巨大。每个像威廉o阿克曼旗下潘兴广场那样的大赢家,都对应着一个像约翰o保尔森旗下优势基金那样的大输家。投资者选择对冲基金,是冲着其“非相关收益”,意即与大盘走向背道而行的趋势。今年,他们绝对是获得了“逆市”的收益,可惜是在大盘表现出色的情况下“逆市”。
The proposed amendment, which is expected to come into force on Jan 1, contains a clause stipulating extended maternity leave and other welfare for couples having children. These are expected to boost the willingness of some couples to have a second child. Many couples have expressed reluctance to have a second child because of the high costs of bringing-up two children and the prejudice they anticipate from employers.


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. 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。
  2. Based on a new estimate provided by the government of Dubai, its visitor spending of $31.3 billion this year far exceeds London's estimated $19.8 billion, which comes second.
    全球肥胖率上升的前因后果。

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