Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

单词circulation 联想记忆:
骑行背带可以取代折叠式婴儿车和大背带,带孩子外出时携带这些物件常让家长感觉更加笨重麻烦。
n. 罪犯
他补充称,在美国,在ETF兴起之际,市场上有很多注册投资顾问,他们有动力为客户选用成本较低的产品。
“It’s fundamentally about ‘who are we?’” said Eric Kaufmann, a professor of politics at Birkbeck College, University of London. “What does it mean to be part of this nation? Is it not ‘our’ nation anymore, ‘our’ meaning the ethnic majority?
克普克警告,这一势头很容易被美联储扰乱。

在大选结果公布后,罗姆尼竞选阵营暂时没有发表言论。
塞巴斯蒂安佩恩(Sebastian Payne)
在开放课程排行榜中,基于对参加课程高管的调查,瑞士洛桑国际管理发展学院在最重要的10项指标上得分特别高。该校在3项指标上排第一,在其他7项指标上都排前五。
A partnership with IBM to sell iPads and iPhones to big corporate customers is just one example of how Apple is looking beyond its own walls more under Mr Cook, something Jobs had resisted.
syndrome
国际机器人联合会主席Junji Tsuda在他的《全球工业机器人市场》报告中指出,在2017年,全球约有38.7万台工业机器人售出,同比增长31%,创造了500亿美元的收入,而中国则是这一强劲增长背后的关键驱动因素之一。
门票很快销售一空,只是大多却不是落到铁杆球迷的手中。
Social media finds you as you browse
创业者都是行动者和颠覆者。他们不能去分析每一个细节,否则他们将寸步难行。初创公司没有拖延的资本。创业是一个全天候、无休假的职业,创业者必须具备持久不变的前进动力。迈出每一步的时候进行简单的评估,然后继续前进。相信自己的直觉。

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.

designated

1

3、美酒佳人。 邦德走到哪里喝到哪里,美酒的确能帮他俘获佳人。喜欢喝一杯的人最容易在第一次约会时就抱得美人归。
2012年中国网游市场将占全球半壁江山
美国各地许多餐馆和商店星期三向美国退伍军人提供免费服务或优惠,以纪念一年一度的退伍军人节。
Bernard Baumohl, chief global economist of the Economic Outlook Group, said he is even more optimistic. "The next two years could be the best two we have seen in at least a decade," he said. "There is clearly a lot of evidence the economy is gaining a lot of momentum."
Rounding out the top three is Fleetwood Mac at $59.5 million. Though the band contains three men, it also boasts two high-profile ladies—Stevie Nicks and the recently-returned Christine McVie—rendering the group eligible for this list. Its On With The Show tour included 86 concerts during our scoring period, grossing well over $1 million per city.
Now a white-haired grandfather, Belmonte has never regretted missing the 1950 match, particularly since his mother died just a few days later. "I decided not to go, and it was a good decision," he told the reporters.
2. Audiologist
勉强会。民主党将在11月中期选举中重新赢得对众议院的控制权。尽管他们要到2019年1月才能掌控众议院,但他们将马上开始为众议院司法委员会(House Judiciary)启动弹劾做文书方面的准备。特朗普将称此举为“政治迫害”。但在特朗普怪诞的总统任期又持续了一年之后,民主党将几乎不可避免地展开造势活动,誓要让特朗普承担责任。在此之前,无论罗伯特米勒(Robert Mueller)的调查发现了什么,都不可能让足够多的共和党人倒戈反对特朗普。

伦敦——自2002年开设以来,“周六人物”(Saturday Profile)便旨在向《纽约时报》的读者介绍世界各地的人。读者可能从来没有听说过这些人,但他们过着有趣的生活,做过不同寻常的事情,或者刚刚有了一段非凡的经历。
SIZE: 6,364 square feet
The economy has registered a slower but stable performance with good momentum for growth.
Domestic action movie "Wolf Warrior II" was top on the list and became the country's highest-grossing film ever, raking in 5.68 billion yuan in ticket sales.
这名女演员在法国尼斯和土耳其遭到袭击后,在Instagram上发表了一封貌似诚挚的信,但为了显示魅力,配图却是一张自己身穿性感内衣的照片。
"The rate of college students who have had sexual experiences using condoms is less than 40 percent," said Han Mengjie, director of Chinese Center for Disease Control and Prevention.
3. You support the teams that I support.
Plante Moran
2005年初,斯通和其联合创始人爱丽莎卡玛赫特和朱瑞德斯贾丁斯发现,使用博客的女性规模庞大,但主流媒体却很少会引用她们的文章。于是,三人决定召开一次草根会议,并吸引了谷歌和雅虎(Yahoo)等赞助商。门票很快销售一空,不久,她们便成立了BlogHer.com。这个博客发布平台把撰写博客变成了许多女性可以用来赚钱的一项业务——2009年至2012年期间,这家公司向5,000名博主支付了超过2,500万美元。目前,这个平台的用户已经超过9,200万人。
“Selling out!” “Pandering to the Americans!” The cries went up immediately when the official selection was announced. The list of directors crossing over to make films in English was a long one including the Italians Matteo Garrone and Paolo Sorrentino, Yorgos Lanthimos of Greece, Norway's Joachim Trier and even Guillaume Nicloux of France, a country whose cultural establishment is highly sensitive to the creeping Anglophone menace. The argument goes that Cannes is supposed to be a haven for world cinema; for English, there is Hollywood. But does it really matter? Films at Cannes in languages other than French or English play with subtitles in both languages – and that's a lot of text to deal with.
Fuel for this latest burst of Tesla mania came from none other than Chairman and CEO Elon Musk in comments he made during an analyst call on July 31. The big news wasn’t that Tesla reported higher production for the second quarter and beat earnings estimates again.
“我们一直用很高的标准要求自己”,库里赛后表示。“我们在第三节没有给他们防守端施加压力,草率地结束了我们的进攻并且给了他们机会。有很多需要我们继续提高的地方,当然,每个人都愿意在赢球的同时接受教训。”
愿新春美景与欢乐常伴随你!

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10. The difference between a lie and a promise is that the believer of a lie is the listener and the believer of a promise is the speaker.
科技
10. 把单词画出来!
超级大坏蛋们将受命保护人类——这就是《自杀小队》的主旨。 一个名叫“A.R.G.U.S”的政府机构招募了一些罪犯帮它执行危险任务,罪犯们将得到的报酬是减刑。这支特遣小队的成员有小丑、死亡射手、哈利·奎恩、回旋镖队长、杀人鳄以及DC漫画宇宙里的其他坏家伙。
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。
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.
9. “The Big Short” Adam McKay plays it for comedy, but as he carpet-bombs the screen with laughs, he makes it clear that his take on the 2008 economic meltdown is a staggering American tragedy.
But I don't think you can say that to us anymore. Are we even on your list of priorities? My father always says "You are what you do, not what you say." 但我不能再相信这样的话了,孩子们还是你们的优选名单吗?我爸爸总是说:“听其言,观其行,是认识一个人最好的方法”。
债券大王比尔?格罗斯(Bill Gross)承认:“QE必须结束。”数万亿的低成本资金“扭曲了激励机制,将资产价格推高至人为水平”。但现在格罗斯说“美联储的计划可能过于仓促了”。
5.匈牙利德布勒森
未来数年时间内,截止2018年,支出将上升至1.3万亿美元。而1000亿美元的丙型肝炎药物支出及同等的癌症治疗费用,还有780亿美元的糖尿病治疗费用都将是构成支出上升的因素。
《财富》美国500强公司美国电话电报公司(AT&T))也于3月份批准了回购至多3亿股股票的计划,价值约105亿美元。这项回购计划是它过去三年中宣布的第四项回购计划。这家公司自从2012年开始股票回购至今,总计已经回购了7.75亿股的股票。

节目29 创意乐舞《指尖与足尖》,郎朗 侯宏澜
6. Bubloon
它基于针对各商学院及其2013年毕业的学员的调查。
Margot Wallstrom
2016年,我们看到很多新设备加入互联网(不幸的是,我们也看到他们被黑客打倒了大片)。从家用电器到服装,公司很想出售一些能使你的生活“智能化”的产品,但有时反而会适得其反。让我们来回顾在过去的一年里出现的一些最荒谬和最无用的互联网连接设备。
[.?ndi'nai?bl]
支持:奥德曼塑造的战时领袖丘吉尔收获一致好评,而这对他似乎是手到擒来的。
The Warriors are one of the best teams in NBA history, and you can put their championship run up against any team in NBA history for the best playoff performance ever. But there's also a legitimate question of what this means for the sport. If the best or second-best player of all time stands no chance against this team, what does it mean for the sport's competitiveness? It hasn't been a problem so far, thanks to an extremely wild offseason, but the question remains: what happens to a competitive sports league when it's not truly competitive at the highest level?
"The rate of college students who have had sexual experiences using condoms is less than 40 percent," said Han Mengjie, director of Chinese Center for Disease Control and Prevention.

3

2. Audiologist
In Canada, we live the privileged life, with plenty of food, water and shelter—we have watches, bicycles, computers and television sets. 在加拿大,他们过着特权般的生活,他们有很多食物、房子和水。他们拥有很多手表,汽车,各种电器和奢侈品。
下面是我对2010年美国经济以及市场前景最乐观也是最终的猜测。
就这一点而言,他预计美国投资会回升,“因为投资一直太弱——除非在经济衰退期,我们通常不会看到投资增长低于消费增长”。
但是美国加州公务员退休基金(Calpers)的高级投资组合经理兼全球治理主管安妮?辛普森(Anne Simpson)却相信,库克的道德立场不仅仅是种姿态。她说:“他对作秀技巧的漠视自有其魅力。蒂姆?库克将苹果这种优雅和卓越的理念应用到这些新的领域。”加州公务员退休基金是苹果的重要股东。
"The online Internet anti-corruption bid mostly relies on text, photos and videos and it is easy to be superficial if corrupt officials are only exposed this way."
当你在工作的时候,你的效率应该是很高的。不然的话,那就是在浪费你自己的时间和公司的财富。如果你很厌倦,一天当中大多数时间是在浏览网页,你可能是想要寻找其他的能够激励你的工作机会了。
scary puppy like head tilts and glares
你是个大忙人,经常会觉得事情多得忙不过来。而Asana是一款基于云计算的项目管理软件,它能够帮你把各项工作统筹起来。(相信我,我试用过所有类似软件。)灵活性是Asana软件架构的一大特点,每个“任务”或“子任务”都可以与一个更大的“项目”和“部门”联系起来。另外,你还可以为自己或你的团队设置周期性任务,从而使你的工作生活更加轻松。因为你不必再去记住所有要做的事,大可放心让Asana安排你的生活。
For those outside the scientific community, the response to the retraction has been mixed.
本次伦敦奥运会,中国队派出了焦刘洋和刘子歌的双保险参加女子200米蝶泳比赛。刘子歌是北京奥运会该项目冠军,并且保持着世界纪录的头衔,焦刘洋则是北京奥运会亚军,去年上海世锦赛冠军。从报名成绩来看,焦刘洋和刘子歌排名也都靠前,女子200米蝶泳将是中国泳军在伦敦奥运最有把握夺金的项目之一...
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.
交通银行首席经济学家连平表示,不断上涨的生产者物价可能会在较长的时间内推高消费价格。
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。
The surviving cat, since named Trooper, has recovered and found a new home.

4

恩爱日新。即便没有一切,只要有爱便足矣。
2015年,欧盟仅提起了12起反倾销案,较前一年减少了2起。
X
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。
Law firms will lead the pack, with 30% expecting to add staff. Paralegals with four to six years' experience are in particular demand, as are attorneys who specialize in "lucrative areas like litigation, health care, bankruptcy, and foreclosure law," the report says.
Everything is coming up roses for Tesla . The electric car company is enjoying an almost-unimaginable run of good fortune and is still being hotly pursued by investors.
上周五,中国汽车制造协会宣布,1月份的乘用车销量达到220万台,比去年同期增长了9.3%,同时,新能源汽车的产量则激增了144%。
37| “Anomalisa” (Charlie Kaufman/Duke Johnson)|
人们大多认为,中国的智能手机只会越来越便宜。与此相反,她援引一些研究结果,表明去年中国智能手机的平均售价趋于稳定。同时随着中国用户开始购买品质更好的智能手机,售价实际上已开始走高。
《盗墓笔记》
按照我们过去三年的观察,感恩节旅游季期间的航班晚点率实际上有所下降——据美国交通运输部的数据显示,去年感恩节航班的晚点率仅为12%,低于2010年的19%。

5

9.Be Honest
8.《生活大爆炸》白板上的公式都是真的
And England ? Well, maybe the best thing to say is that this time, for once, no-one is really expecting anything, and just even getting out of the group is going to be a bonus.
Striking a balance may take a while, but working toward this list as a goal for starting your company will make the difference. How an owner feels about progress and how quickly a business can be up and running — and feeding that bottom line — will swiftly feel the impact.
Song of the year: "Over you," Miranda Lambert and Blake Shelton
巴尼汤普森(Barney Thompson)是法律记者
Sounds like Taylor Swift—but, in fact, it’s her frequent competitor, Katy Perry. Largely because of her Prismatic World Tour, which is now winding down, Perry pulled in $135 million this year. She grossed more than $2 million per city over the course of 126 shows in our scoring period, and added to her total through deals with Coty, Claire’s and Covergirl.
Those concerns are casting a heavy shadow over a two-day meeting of G20 central bank governors and finance ministers due to start tomorrow. The International Monetary Fund this week already warned that it was poised to downgrade its forecast for global growth this year, saying the leading economies needed to do more to boost growth.
['rep?twɑ:]
The fact is that I really don't careabout the popularity and also really focus on my work. Every time I alwaysfocus on how best to proceed with the next scene. My focus is on the action andstory, never the popularity.
The U.S. $10 bill will feature the portrait of a notable U.S. woman by 2020.
别了,唐(Don)和他完美的西服;别了,佩姬(Peggy)和她的格子裙;别了,琼(Joan)和她的珠光宝气以及紧身连衣裙。
pandemic
Rocco LaDuca, covers crime and courts at the Observer-Dispatch in Utica, New York. He says he became a reporter in part because of fond memories of reading newspapers with his grandmother.

6

Most observers would think the single-aisle Comac C919’s first flight last May (pictured) is illustrative of this, but while it is a key milestone, it does not represent the whole story about what is happening in the industry. Two other events are much more telling.
Coca-Cola (KO, Fortune 500) Chief Executive Muhtar Kent thinks as both a first-generation American as well as a business leader that immigration reform is good for business. Kent outlined in a February USA Today op-ed how "lucky" he felt to be able to make his life in the U.S. and his belief that foreign entrepreneurs should have the same opportunity. The CEO wrote that he supports immigration reform because immigration is "an essential part of the growth calculus for this great country."
这些新数据是由一个叫做全球碳计划(Global Carbon Project)的追踪项目提交的,发表在了期刊《自然·地球科学》(Nature Geoscience)上。数据公布之际,正是联合国(United Nations)一次峰会召开前夕。此次峰会意在激发新的政治愿望来解决气候变化问题。科学家说,这些数据表明,如果要把长期的全球变暖问题控制在可以承受的范围内,还需要做出极大的努力。
Farewell to Don and his perfect suits, to Peggy and her plaids, to Joan and her jewel tones and sheaths.
健全激励机制和容错纠错机制,给干事者鼓劲,为担当者撑腰。广大干部要主动作为、动真碰硬,与人民群众同心协力,以实干推动发展,以实干赢得未来。
这两个人站在后台两端,熟记奖项得主名字,以省去写下名单的麻烦。从以往看,他们都做了细致的检查,以确保准确地填装了信封。据信,按要求,瑞兹和卡利南要随着颁奖典礼的进行毁掉两张相同的卡片。所以,到颁最佳影片奖时,应该只剩下两只最佳影片奖信封。
['gri:nhaus]
今年时装周预计在今年9月14日至18日举行,在此之前,由歌手帕洛玛费斯撰写并由善待动物组织出版的公开信中呼吁伦敦时装周和英国时装协会禁止动物皮草的使用。
This marks the first time that Google has topped the list since 2011.

骑行背带可以取代折叠式婴儿车和大背带,带孩子外出时携带这些物件常让家长感觉更加笨重麻烦。

Conclusion

adj. 无限的,无穷的
朱克斯提醒,我们目前正处于第四次超级大泡沫之中,它是美联储在保守经济学兴起以来的30年时间里吹起来的。他将这个泡沫称为“暂时没有名字的泡沫”(Bubble With No Name Yet)。好,大家来给这个新泡沫命名吧。但不管你叫它什么,都要快点起名,因为它马上就要爆了,就像过去30年相继破灭的亚洲泡沫、互联网泡沫和信贷泡沫一样。
2.The Tianjin Explosions
It is interpreted that in general, college education facilitates a long-term income advantage.
But Mr Stevenson said “this might reflect that the US is being bolder than the EU in protecting domestic steel producers”.
Chen Yu, vice-president of the China Association for Employment Promotion, said a startup may be meaningful, but one should not expect too much from it.
中国正在清除自由市场上的障碍,促进国际参与,并增强了对发展中城市基础建设,改善社会条件并壮大中产阶层,展现信心和国力。基于此,我们认为中国作为世界第二大经济体在2014年之后还会继续高速发展
这个发型与米歇尔·法伊弗(Michelle Pfeiffer)的造型有点相似,但查斯坦让它更具锋芒。凯·乔治乌(Kay Georgiou)负责这个造型。她经常为马特·达蒙(Matt Damon)和格温妮丝·帕特洛(Gwyneth Paltrow)在电影中设计发型。


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. Ms Merkel may accept a small eurozone investment fund, but it will fall short of the French president’s ambitions. Mr Macron wants a “road map” to a budget equivalent to several percentage points of eurozone output, supervised by a finance minister, all to absorb economic shocks. Ms Merkel is inclined to acquiesce, but she has emerged politically weakened from federal elections and will be unable to impose such a decision on her largely sceptical public.
  2. PwC has counted votes and provides winner envelopes for the Oscars and has done so for more than 80 years. This is the first time in Oscar history that the wrong envelope had been opened while an award was being announced.
    And while there is still a long way to go before airplanes designed and made in China compete on the world stage with the likes of the Boeing 737 or Airbus A320, the momentum is there, and the country’s aerospace industry is entering a new phase of development and maturity.

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