Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

Soyabeans which are trading above $10 a bushel are expected to remain strong, while dairy prices are also expected to rise during 2017 as demand steadily increases, said the bank.
基准原油价格上周跌破每桶40美元大关,至六年最低位,导致投资者对大宗商品相关企业和出口国家(包括巴西、俄罗斯和南非)情绪更加黯淡。
此外,规模以上工业增加值的同比增长,是在同期出口下滑7.3%的背景下取得的。
The M3 tomb also "consists of a burialmound, ramp, sealed gate, tomb entrance, screen walls, passage, burial chamberand side chamber" the researchers wrote in a report published recently inthe journalChinese Cultural Relics.
After being named Esquire's "Sexiest Women Alive" in October and Details' "Most F*ckable Celebrity" last month, the gorgeous 29-year-old has now snagged another honor: FHM's "Sexiest Woman In The World 2013," beating 99 other ladies and countless more who didn't even make the list.
n. 范围,行列,射程,山脉,一系列

China has 731 million Internet users as of December 2016, roughly the size of Europe's population, according to a report released by the China Internet Network Information Center (CNNIC).
中国最高纪律监管机构日前表示,去年共有1300名涉嫌经济犯罪的外逃人员回国接受审判,其中腐败官员347人。
“有个女员工打包好自己的东西就一言不发地走了。”
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。
它轻便易折叠,适合携带出行。
Rk&*IPgK1cOe4+
ScreamRide
单词calendar 联想记忆:
一个由BuzzFeed News(译者注:类似今日头条的新闻搜集网站)所做的分析揭示了本年度Facebook上流传最广的50条假新闻。他们加起来大约有2150万次的点赞、评论及分享。在这些新闻里,23条和美国政治相关,2条关于女人用她们的阴道作为谋杀用的凶器,还有1条关于一个小丑娃娃其实一直都是个真人。

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.

朱迪·福斯特(Jodie Foster)过去也将洗手间作为最佳选择 –“它们和水龙头看起来交相辉映”–但她已经为因影片《沉默的羔羊》(The Accused and Silence of the Lambs)获得的两尊小金人找到了一个更好的归属:奖杯盒。

1

celebrity
中国品牌上榜主要是挤掉了欧洲企业,这表明,经济实力正向东方转移。只有一家印度品牌登上百强榜:HDFC Bank。过去几年,俄罗斯、墨西哥和巴西品牌纷纷落榜,这残酷反映出这些新兴市场的命运正发生变化。
Losing my future is not like losing an election or a few points on the stock market. I am here to speak for all generations to come. 失去未来不像落选选举或者股市浮动那么简单,我来到这里是为了将来所有的世代而演讲。
We also do not want any trade war with others and we have stuck to reform of the yuan's exchange rate formation mechanism to keep it basically stable at reasonable and equilibrium levels.
Whether Russia, one of 15 successor states to the USSR, which broke up in 1991, is still a genuine world power in 2015 is open to question.
The letter mysteriously arrived at the California University of Pennsylvania, in the north-eastern state of Pennsylvania, 10 days ago. Written to Mr Moore, the two-page letter was postmarked 20 February 1958 and signed "love forever Vonnie".
TOP SONGS
《胡润百富榜》追踪逾2000名净财富在3亿美元或以上的民营企业家,今年的榜单新增了179位富豪。

Stanford’s alumni have the highest salary on average at $195,000 but overall the top 15 MBA programmes are closely matched in terms of income, career progress and satisfaction. All but one have average alumni salaries greater than $150,000, with a pay increase of about 100 per cent compared with their pre-MBA income.
剧情类最佳剧集:《权力的游戏》(Game of Thrones, HBO)
This journey into the mind and feelings of an 11-year-old-girl may be Pixar’s wildest adventure yet. It’s a very funny workplace sitcom (with exuberant, touching performances from Amy Poehler, Phyllis Smith, Mindy Kaling and others), an ingenious allegory of psychological development, and an almost unbearably moving and honest defense of the role of sadness in our lives. (Read the review.)
China’s outbound non-financial investment fell 40.9 per cent during the ten months through October, according to official figures, reflecting the enduring impact of strict capital controls.
●"Obama Signs Executive Order Banning The Pledge Of Allegiance In Schools Nationwide"
Other European cities have seen increases in costs, pushing them up the rankings. London rose five points, bringing it into the top 10.
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.
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.
《经济学人智库》发布了2016年世界生活成本报告,根据各种产品和服务的成本对各国进行了排名。
成千上万在外求学的人或者在外工作的人都会在春节临近时回家团圆。这个传统是造成春运压力的主要原因。另外一个原因就是春节正好是中国两大黄金周之一,是许多人旅游的好时机。春运一般从节前15天开始到节后25天结束。
将这些类似的信号通过编程的方式写入造假肢,会给截肢者带来和以前研发出来的产品完全不同的假肢。
[k?:n]
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.

2

Jon Copestake, editor of the EIU Worldwide Cost of Living Index, said one of the most notable changes was the rising costs in Australia, with Sydney third in the list and Melbourne fifth. Sandwiched between them was Oslo in Norway.
As a result, in the first 10 months of 2016, the year-on-year decline in EM exports in dollar terms was just 6.6 per cent, according to calculations by Capital Economics, a marked improvement on the 11.6 per cent contraction seen in 2015, as the third chart illustrates.
char茶,ity状态-请喝茶的状态-施舍-仁慈
1月份中国居民消费价格指数(CPI)出现上涨,在本月金融市场动荡为主的背景下,该消息对于这个世界第二大经济体来说是个令人鼓舞的迹象。
The theories, yes, and also the bad statistics traditional economists use to mislead America: The worst offender, GDP is a narrow, misleading measure of America's long-term growth. And second, our obsessive focus on short-term numbers, daily stock closings, quarterly earnings, annual returns, is stunting America's long-term growth.
在奥巴马位于芝加哥的竞选总部,随着各州总统投票结果的出炉,工作人员们爆发出热烈的欢呼,互相之间击掌庆贺。
国家统计局日前在其官网上声称,2017年,衡量通胀的主要指标全国居民消费价格指数(CPI)上涨1.6%,低于3%的全年控制目标。
尽管有少数人坚持这种说法,但绝大多数研究气候的科学家表示,地球正在经历一个长期变暖的趋势,这种趋势给人类带来深刻的威胁,而且几乎完全是由人类活动造成的。
elegant
reservation
In 2010, the Martin Aircraft Company introduced a jetpack it called "the world's first piratical jetpack." The jetpack even won a spot in Time's Top 50 Inventions of 2010. While its development has been on since 1981, the world's first jetpack is known to have flown in 1958. It was designed by Wendell Moore, a researcher at Bells Aerosystems. Early prototypes of Wendell's jetpack could reach a height of 5 meters (16 ft) and remain airborne for three minutes. This attracted the attention of the US Army, which funded the project with $150,000. Several test flights were later done for the US Army and even for JFK himself. The army later stopped paying for more research into the project because the flight time and distance were not convincing enough. NASA also wanted to use the jetpack for their Apollo 11 mission to serve as backups in case their lunar module malfunctioned. They later changed their minds, going for the lunar rover instead. After this setback, Bell discontinued further research on the jetpack.
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.

Even though we are apart, you are in my heart this season.千山万水,隔不断我在佳节对你的思念。
尽管英国商学院的排名平均上升了两位,但法国商学院的排名平均下降了一位——法国是商学院数量最多的欧洲国家。里昂商学院(EMLyon Business School)由于跌出MBA榜单之外,整体排名下降了15位,同时北方高等商学院(Edhec Business School)由于未能进入EMBA榜单,整体排名下降了8位。
After a run with One Direction, Harry Styles could have gone anywhere he wanted.
“We know the Netherlands and the Dutch from the Srebrenica massacre,” Mr Erdogan said, invoking the most shameful episode in modern Dutch history. “We know how rotten their character is from their massacre of 8,000 Bosnians there.”
Here are the 10 bogies, drones targeting markets, stocks, bonds and the, global economy:
['?r?g?nt]
China's consumer price index (CPI), a main gauge of inflation, rose by 1.6% in 2017, lower than the yearly control target of 3%, the National Bureau of Statistics (NBS) said on its website.
201011/117323.shtmlThe French actress will star alongside Ryan Gosling, Michael Fassbender and Natalie Portman.
在9月初发布的另一份报告中,世界气象组织(World Meteorological Organization)称,2013年大气中的二氧化碳水平,比工业革命之前的普遍水平高出42%。其他重要的温室气体含量也有所增加,与前工业化时代水平相比,甲烷增加了153%,一氧化二氮增加了21%。

3

中国上海——上海这座大都市是中国人口最多的城市,在那里,有着深厚历史底蕴的城市核心区与当代全球金融枢纽融为一体。
Committee Chairman Thorbjoern Jagland praised the work of the three recipients, saying that "we cannot achieve lasting peace in the world unless women obtain the same opportunities as men."
凯文·杜兰特
‘Veep’ “House of Cards,” the Netflix phenomenon, showed its weaknesses this year, but HBO’s “Veep,” the other most cynical show about Washington, got stronger in its third season. The scene in a restroom in which Selina (Julia Louis-Dreyfus) and her assistant, Gary (Tony Hale) discover that she is going to become president and dissolve into uncontrollable laughter was one of the great comic moments of 2014.
对中国来讲,不发展是最大的风险。我们保持中高速的稳定增长,本身就是在为世界稳定做贡献。
单词outrage 联想记忆:
《泰晤士高等教育》专刊的编辑菲尔·巴蒂说道:“中国采取了强有力的政策,且背后又有雄厚的资金支持,才能打造这些世界一流的大学。2015年,中国就宣布将实施‘卓越计划',计划在2020年之前打造六所可以跻身世界一流行列的高校。”
支出提升三成是由更专业的创新药品,更多患者支付得起药品以及放宽专利期限这些因素驱动的。
We first see the hair of Anna Morales (Jessica Chastain) during the opening credits of “A Most Violent Year.” She’s at her makeup mirror.
谎言6:我29岁。说谎原因:29岁听起来比30岁要年轻多了。
n. 比赛,竞争,竞赛
单词beneficial 联想记忆:
association
这部由塞巴斯蒂安.马拉比(Sebastian Mallaby)所著的《知者:格林斯潘传》(The Man Who Knew),是这项奖金额为3万英镑的奖项的第12位获奖者。该奖项奖励的是年度“最令人瞩目和愉悦的”图书。
在原油市场连续数年获得新兴市场需求的支撑之后,快速增加的原油供应很可能会在2014年拉低油价,油市形势将继续随着这种供需动态变化而发生改变。

4

要向依法依规的市场主体发出“前行、前行、再前行”的信号;向依靠劳动创业创新者亮起“可以、可以、再可以”的绿灯;对那些违法违规不良行为,就要及时亮出黄牌,甚至出红牌罚他下场。
2.别迷恋哥,哥只是个传说。
"Investing in innovation is critical to raising long-term economic growth," said WIPO Director General Francis Gurry. "In this current economic climate, uncovering new sources of growth and leveraging the opportunities raised by global innovation are priorities for all stakeholders."
This is BBC Sherlock, so your Watson isn’t stupid. He's rather smart in his own way and insecure about his sexuality (probably straight).
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。
1.中国经济。中国是世界上第二大石油消费国,并且已经在2013年底超过美国,成为全球最大液体燃料进口国。对于油价来说,更重要的一点取决于中国石油消费量在今后几年的增长态势。美国能源情报署预计,2020年中国的日均原油消费量将比2012年高出300万桶,约占这段时间内全球新增需求的四分之一。尽管还存在很多不确定因素,但中国经济刚刚送走了令人失望的第四季度。最终,中国2014年全年经济增长率跌至逾25年来的最低点。中国经济能否停止减速,这一点我们难以得知,但它的走势将对2015年的油价产生巨大影响。
内森说:“如今,你必须根据行情购买。不过,如果你很大胆,不跟随潮流,那么你也有很多机会。”
201512/415505.shtmlBritish business schools shine in the 2015 Financial Times ranking of European institutions. Not only has London Business School (LBS) kept its crown as the best business school in Europe but three other schools in Britain have achieved the biggest rises since last year.
'东方之星'船体完全扶正
New Year’s greetings and best wishes!致新年贺忱与最美好的祝福!
Attractions: Paradise within reach.

5

添加一些个性元素。把自己家人的照片或东西放在桌子上可以提醒你为什么你要努力工作。
19. Going, Going, Almost Gone Quentin Tarantino shot his latest, “The Hateful Eight,” in 70 millimeter, and the film is slated to play in almost 100 theaters that, like most of rooms across the country, now usually use digital projection. Whatever you think of Mr. Tarantino, try to catch “The Hateful Eight” on film so you can see for yourself how the industry-enforced switch to digital has radically changed movies.
Among the major U.S. airlines, US Airways had the best holiday on-time performance, coming in fifth with 15.57 percent of its flights arriving late during Thanksgiving and Christmas. Meanwhile, American Airlines, with which US Airways plans to merge, was the fourth worst, with 19.7 percent of flights arriving late, according to FlightAware.
"How to tie a tie" was the No. 1 question in 2010, followed by "how to lose weight", "how to kiss" and "how to write a resume."
专注于新兴市场的基金集团经历了难熬的一年,安本(Aberdeen)和安石(Ashmore)的资产管理规模都严重缩水。新兴市场交易所交易基金(ETF)也遭遇大规模赎回,ETF.com数据显示,投资者从贝莱德(BlackRock)旗下基金iShares MSCI Emerging Markets以及先锋(Vanguard)富时新兴市场(FTSE Emerging Markets)撤出95亿美元。
艾伦非常有才,主持也自然,她知道如何调动世界范围内的观众的心绪。她是奥斯卡的铁杆粉丝,而我们也是她的庞大粉丝团。真是完美的契合。
4、《美国队长3:内战》
WHAT: A riverfront contemporary with three bedrooms and three and a half bathrooms
Of course, Christian Bale won't be playing Batman, instead, a rather chubby Ben Affleck will save Gotham from the Superman.
Ma Nan补充报道
As it happened, the lenders to Seppenwolde never lost a guilder. Within weeks, they had liquidated all the East India shares and had recovered the money they had loaned.
万事达公司表示,其数据反映出世界主要大城市的互联性,并追踪了商务和休闲飞机乘客的消费方式。
上榜的商学院包括来自26个国家的商学院,其中美国有35家,英国有10家,中国有9家。中国人民大学商学院(Renmin University of China School of Business)的排名上升最快,从第43名升至第18名。法国的格勒诺布尔商学院(Grenoble Business School)排名第70名,土耳其的萨班哲大学管理商学院(Sabanci University School of Management)排名第99名,巴西的Coppead排名第100名。
butterfly

6

教育部之后表示,他们不会容忍这种欺骗行为,并已经要求公安部门进入进行调查。
To Anita Eerland and Rolf Zwaan [THE NETHERLANDS] and Tulio Guadalupe [PERU, RUSSIA, and THE NETHERLANDS] for their study “Leaning to the Left Makes the Eiffel Tower Seem Smaller."
For parents, it is always a struggle to carry their children all day long, especially when they’re getting bigger and heavier.
Look up "side-splitting humor" in the dictionary and you should probably come across the trailer for Girls Trip, which is the funniest movie of 2017, no contest.
Quite a few students were disillusioned by UK visa regulations. “A lot of people saw the programme as a gateway to employment in Europe,” says one. “If this was the objective, then a lot of them would have gone away unfulfilled.”
赫洛维兹对爱尔兰广播公司RTE表示,他的新邦德形象强烈忠于50年代的邦德。
We will explore new forms of social governance.
《在生前留下的物品中回忆世界上最长寿的人》(Remembering the World’s Oldest Person, in the Objects She Left Behind)
Welcome, and before we begin – please accept our apologies. Your four-hour nightmare wait at passport control should not be taken as a symptom of Britain's contempt for foreigners. It is merely a symptom of a woeful lack of spending on a key aspect of travel infrastructure in the run-up to a hugely important event. In other words, it's the government that hates you. Don't worry, they hate us too.

如果你的确需要招募很多自由职业者来为你打短工,那么你或许考虑过,干脆把服务外包流程也外包出去。市面上有好几家不错的公司从事这样的服务,每家都有不同的业务模式。比如,Bolton Remote公司能为你组织起一支经过审查的离岸承包商队伍。另一家提供商Hubstaff会评估你的项目,然后为你匹配合适的项目专家。使用就业外包服务可以节省你的时间,从而让你不必自己从事招募这一套流程。这些公司一般提供免费的招聘和就业外包服务,但是会从计时工资中抽取一定提成。

Conclusion

1.You Aren't Learning Anything New
5) I’ve Got Your Back: We’ve all made big mistakes. In those times, step in with a reassurance: “I’m not judging you. You’re going to get through this. You’re not alone. We’ll figure this out together. It’s going to be OK.”
200911/88511.shtml
25 July
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%。
和过去几年相比,2013年信心受到动摇的时候少了,但市场依然很容易受到影响。OppenheimerFunds的首席经济学家韦布曼(Jerry Webman)表示,虽然2013年的信心要强于以往,但全球各地也不都是这样。
上周,卢彦被任命为北京市推进京津冀协同发展领导小组办公室主任,该举措是为了加速京津冀一体化的协调工作。
infection


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. Illuminati是什么?
  2. 在过去三年失业率已从8.6%降至5.8%,但是包括美联储,几乎没有人认为劳动力市场现在是真的健康。
    vt. 转移,分心

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