Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

adj. 代理的,副的
《使女的故事》
将第10题到14题的分数相加,计算自己在“社交抑制”维度的得分。
As for his own education: He's weighing whether to enroll in university in England or maybe the U.S. to be closer to Silicon Valley. Or perhaps he'll skip college entirely and just focus on his work. 'I absolutely want to start another company,' he says. 'Serial entrepreneurs get addicted to creation. I want to be passionate. I feel really bad when I'm not doing something new.'
“还有人在视频会议上宣布辞职。”
Overall, live and recorded content achieved equal scores overall of 8.8 out of 10, while online interaction and team-work were rated marginally lower.

如果Lloyd Grossman有机会进入奥斯卡得主们的家中,他将会在很多不同的地方看到他们各自的小金人,从高级房产的壁炉台到积尘良久的壁橱深处,都可能看到它的身影。
The Cnzz.com report states that almost two-thirds of China's 338 million Web users are now online game players. The online game industry, which currently accounts for more than half of the total Internet economy, will see strong annual growth at a rate of 20% in future years, the report says.
['s?m?ri]
伊朗持不同政见电影人扮演一个几乎不合格的德黑兰出租车司机,带来一部狡猾的伪纪录片,深入探讨电影的悖论,以及专制统治下日常生活中的矛盾。
The awards returned Ms. Lawrence, a winner last year for Russell's 'Silver Linings Playbook,' to the stage for an acceptance speech-something she said was no easier a year later.
Tencent has been helped by agreements to pre-install software with Chinese handset makers who sold increasing numbers of handsets abroad in recent years, particularly in emerging markets, according to Mr. Wang.
n. 光泽,上光剂,优雅,精良
5. Hong Kong, China-A junk boat set against the famous skyline might be the iconic shot of Hong Kong, but Lonely Planet picked the territory for its natural heritage miles away from Victoria Harbor.
I formerly had an Android device (even though I have had a MacBook since 2009 – weird, I know). After switching this summer, I quickly realized the power of iPhone “Reminders.” Each time a reminder is due, your iPhone buzzes and displays a pop-up. You can snooze it or mark as completed. In addition, you can set up recurring reminders, which are perfect for remembering to mail estimated quarterly tax payments, renewing subscriptions, running payroll and other things you tend to forget.

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.

李说,记者职业排名靠后已经有一段时间了(去年在200个职业中排名第196位)。他说,这次被挤到最后一位很可能是因为有些情况更糟了,如职业前景变差、平均薪资继续下滑、工作时间持续增加等,而且这些因素也让记者的压力更大。

1

criminal
At the center of the speculation is BlackBerry’s healthy intellectual property portfolio, 44,000 patents and still growing. Last October, for example, the company won at least 27 new ones—covering everything from conference-calling interfaces to touch screens to security features for wearable technologies such as smart watches, eyeglasses and fitness bands. Security continues to be BlackBerry’s biggest selling point with businesses. Just ask the Sony movie studio division, which “resorted” to outdated BlackBerrys to restart communications after its security breach last Thanksgiving.
然而,这可能被欧洲和中国的投资下滑抵消,如果中国打算在一定程度上由投资于资源耗费高的建设项目,转向投资于水净化等对大宗商品依赖不强的基础设施项目,那么中国投资对全球贸易的影响将会加大。
2.富国银行
HOW MUCH: $2,050,000
8Australia
I wonder why LeBron James doesn't wear those weird things on his biceps and shoulder anymore. Well, actually I bet he doesn't wear them because they're useless.
7. Political wars guarantee intense volatility through 2014-2016 elections

拉斯维加斯枪击案
《自己土地上的陌生人: 美国右翼的愤怒与哀悼》(Strangers in Their Own Land: Anger and Mourning on the American Right)一书的作者阿莉?罗素?霍克希尔德(Arlie Russell Hochschild)对路易斯安那州的农村社区进行了四年的研究,她认为那里“深藏着”一种失去机会的感觉。
《美国谍梦》(The Americans):FX频道的这部电视剧以里根时代为背景,它和剧中两位伪装成美国郊区夫妻的克格勃间谍一样具有欺骗性:第二季表面上看是冷战惊悚剧,实际上是关于爱情、家庭、友谊和猜忌的情节剧。
加拿大学校继续失利。今年的上榜学校只有3所,而去年为5所,而且这3所学校的排名都下降了6个位次左右。多伦多大学(University of Toronto)罗特曼商学院(Rotman School of Management)排名最高,为第65位,而加拿大女王大学(Queen’s University)史密斯商学院(Smith School of Business)在今年的榜单中垫底,排名第100。
6. Bubloon
The 54-episode series The Journey of Flower was one of the hottest topics on social media. The TV drama became a hit in the summer of 2015. The movie starring Huo Jianhua and Zhao Liying is based on a novel of the same title written by Fresh Guoguo. The aesthetical adaptation has picturesque outdoor scene in a Chinese ink painting style and charming male and female lead roles, attracting 800,000 followers on the drama`s official Weibo. The drama premiered in June of 2015. It tells a story from a female perspective of an orphan`s growth and romance on her way to becoming a goddess.
11月份以美元计算的中国出口和进口额都增加了,此前它们经历了两个月的收缩,而且这一增长是在上月美国总统选举后美元升值背景下实现的。
The world is casting its eye on Brazil for hosting two of the most coveted sporting events — the 2014 FIFA World Cup and the Summer Olympics two years after. Except for watching exciting games and cheering for your favorite team and players, you can also take a trip to “the lungs of the earth”, the Amazon forest, to escape the crowds and embrace nature. Either way, Brazil is sure to leave you with an unforgettable memory.
2016年观影人数达到13.7亿人次,同比增长近8.9%。
以美元计算的话,这一跌幅就更加明显了,上个月出口同比下滑11.2%至1774.8亿美元。这一跌幅不仅超过了去年12月1.4%的跌幅,也超过了下滑1.8%的预期。这是自去年3月下滑15%以来的最大跌幅。
adj. 优雅的
Taylor Swift, 'Reputation'
《银河护卫队》之所以能成为一部大获成功的超级英雄系列电影,原因之一就是它的幽默感。这部影片充满了自嘲和讽刺。观看这部影片的时候,你不会一直笑个不停,但至少会有一些瞬间让你哈哈大笑,比如树人和克里斯?帕特出场的时候。

2

In Pakistani Fray, Maryam Sharif Is on the Edge of Power, or Prison
Against: Although it picked up a best editing prize from the LA Film Critics Association, it was ignored by their New York counterparts. Could its momentum be waning
From maintenance to flip taxes, condo and co-op owners often complain of boards bleeding them dry. Unfortunately, the cost of running a building will not get any cheaper anytime soon.
A total of 1,300 fugitives suspected of economic crimes, 347 of whom were corrupt officials, returned to China from abroad to face justice last year, according to the country's top discipline watchdog.
This slide in the dollar value of exports has entirely been a price effect, driven by lower commodity prices. In volume terms, emerging market exports have continued to rise since 2014, even if volume growth in year-on-year terms has moderated to around 2 per cent, a fraction of the double-digit rates witnessed either side of the global financial crisis, as the second chart shows.
布朗克斯大广场区或皇后区埃尔姆赫斯特(Elmhurst)的业主们,即将迎来急于寻找下一个未开发市场的买家们的新关注。“你什么时候听到别人谈论过布朗克斯的金斯布里奇(Kingsbridge)?”霍尔斯特德房地产公司的拉米雷斯问,“聪明人正在涌向那里,以实惠的价格买下房子。”
最新的官方资料显示十二月中旬的数据大幅增长,有1200人已经离开或者正谋求去战场加入圣战份子。
Barack Obama went on the offensive over foreign policy in the third and final presidential debate, repeatedly accusing Mitt Romney of flip-flopping on major international issues but failing to deliver a killer blow to his opponent's resurgent campaign.
自从2008年智能手机应用商店开始运营以来,达洛伊西奥就着手设计iPhone手机应用软件。那时12岁的他住在伦敦的温布尔顿,用卧室里的Mac电脑来工作。因为年纪太小,他在填写苹果(Apple)开发执照申请时用的都是他爸爸的名字。这之前他没在学校受过正式的电脑培训,他的父母(一个是律师,一个是商界管理人士)也都不从事技术行业工作。他几乎是完全靠刷网页、看教程来自学编程的。
4. Fruit Mold
n. 按揭,抵押贷款
A schoolgirl aged 11 has been honoured as "America's top young scientist" for inventing a quick, low-cost test to detect lead-contaminated water.

中国为世界人口最大国,总体排名为二十,被视为第三大强国,“创业最佳国”里排名第二。
The alternative analysis is that the shift we have seen over the past three years is the beginning of a long-term structural shift which will see energy prices materially lower in real terms in the next half century than in the last. Those who take this view believe, to put it very simply, that the likely growth in supply is stronger than the growth in demand.
n. 改进,改善
Lecent Ross枪击案已逮捕两人
《灾难艺术家》一部分是关于好朋友的电影。一部分是娱乐业的新片,还有一部分是幕后的电影短片。
2015年3月,前任首相卡梅伦在CNNMoney的收入排行中以14万2500英镑(在当时约合21.48万美元)的年收入位列第五,而梅今年只排到第七。
然而,英国退欧运动和特朗普崛起中的煽动因素存在相似之处。
In this ranking of 90 European business schools, Insead in France leads the field for full-time and EMBA programmes, while the University of St Gallen in Switzerland is top for MiM. Iese of Spain and IMD of Switzerland were ranked number one for customised and open-enrolment executive education programmes respectively.
It replaces strollers and big backpack carriers that might even make it heavier or cumbersome for you to take your children out.

3

梅瑟威对战麦克格雷戈的战斗
在那之前,她曾出演过大受欢迎的情景剧,并且也因饰演的角色而小有名气。
“Right now the fitness tracker isn’t on that list,” he says, “but the next generation of wearables has the potential to pass that critical milestone.”
Beijing is pushing hard to conclude the Regional Comprehensive Economic Partnership by the end of the year. The deal has long been called China’s answer to the Trans-Pacific Partnership and its bid for regional trade hegemony.
‘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.
Simply bend one end of the product around yourself or the back of your seat and bend the other end into a secure position for your head. You can even use the hand to hold your device for movie time.
Jennifer Lawrence also took home the gong for best actress in a movie for her role in the critical darling Joy.
“中国银行业面临的逆风将延续很长时间,”他说。“除了盈利来源减少,它们还将不得不为坏账带来的亏损做好准备。”
The gorgeous Birman cat has more than 128,000 Instagram followers. And it has been the inspiration for many of Lagerfeld's designs.
But that idea did not bring Brexit to the UK or Mr Trump to Washington.
源于:strike(v 打击;军事进攻;铸造;敲钟;罢工)
3.9 全面加强政府自身建设
3=somewhat true
中国的商业银行是金融体系的控制中心,为实体经济提供的融资占总量的近70%。
埃尔·南德斯

4

The other issue with tanking is Philly, Phoenix, and Brooklyn are all bad teams. It's going to be hard to outflank those outfits.
But the UK courts may land a heavy blow on ride-hailing app Uber. In 2017, the California-based company failed to persuade an appeal judge that two of its London drivers are independent contractors. In 2018, the test case will go to the Court of Appeal and possibly to the Supreme Court. If Uber loses the case and is told to assume the responsibilities of an employer, the implications will ripple far and wide.
其他评论家,如荷兰金融集团荷兰国际集团(ING)国际贸易分析主管拉乌尔?里尔宁(Raoul Leering)担心,即使从短期来看,前景也很暗淡。
In contrast to last year when the vast majority of economists expected the ECB to launch full-scale quantitative easing, just under half of the 33 respondents thought the ECB would do nothing this year. The rest said the ECB would expand QE or cut interest rates, although some of those who expected more easing stressed that the central bank was unlikely to radically reshape its existing policy response.
单词accurate 联想记忆:
该学校在这个指标上位列全球第三,排在位于艾哈迈德巴德和班加罗尔的两所印度管理学院之后,这两所学校校友的平均薪资分别为10.9万美元和10.6万美元。
Third, McDermott provides some protection against the possibility of Andre Roberson departing as a free agent in the summer.
A heartfelt coming-of-age story that perfectly captures the bittersweet transition from adolescence to dawning adulthood...
The cities of Hefei and Xiamen once again led the pack with growth of 48.6 per cent and 45.9 per cent, respectively.
GM Masai Ujiri struck twice to position Toronto for a second trip to the East finals, nabbing Ibaka from the Magic and Tucker from the Suns.
Best Companies rank: 61

5

The most staggering scene is, of course, that in which the alien picks up a young man with the facial condition neurofibromatosis, played by Adam Pearson. Glazer brings to this scene an utter fearlessness and unsentimentality, perhaps a variation on a theme from David Lynch’s The Elephant Man. The alien does not essentially distinguish between his looks and those of her other victims, but her encounter with him – an encounter of two aliens? – triggers a crisis in which she becomes the prey rather than the hunter.
你的老板很差
But a friend saw a TV report about it and contacted the sorting office. Mr Siddeeq, 74, says he is still eager to read it, despite now being divorced。
adj. 有才能的,有天赋的
赢家:雷霆
Sales of previously owned homes have slipped every month since July, according to the National Association of Realtors. That coincides with the surge in borrowing costs across the economy as a result of the Fed's signals about its bond-buying program.
谢琳 伍德蕾
galaxy
But top managers at companies in the fields of scientific research and technology services saw their pay decrease by 4.2%.
尽管曾在8月份做出让人民币贬值的不了了之的尝试(此举震撼了全球市场,很快就被北京方面放弃),但9月份中国的贸易加权汇率同比上升8.5%,这意味着中国出口产品的竞争力有所减弱。
The EMBA ranking rates the best 100 programmes worldwide for working senior executives. The ranking is based on a survey of business schools as well as their students who graduated in 2012. The data measure how successful alumni have been in their career in terms of salary, seniority and achievements since graduating.
Last year, the CPI increase peaked at 2.5 percent in January, and later fluctuated below 2 percent during the rest of the year.
Tony Moloney, head of education and skills at National Grid, says the UK utility’s involvement is part of its broader strategy to encourage school students to study Stem subjects — science, technology, engineering and mathematics — and learn more about jobs in his sector.
而最终取得压倒性胜利的是福特公司(Ford)的CEO马克?菲尔茨(Mark Fields),去年年初他曾令人沮丧地宣布他的公司正“从一家汽车公司向一家汽车公司兼出行公司转型”。他紧接着声称:“遗产是蕴藏着前景的历史。”他超爱这句话,说了不止一次。这句话被他翻来覆去地说,让我觉得它不像格言反倒更像废话。因此本年度新晋“首席蒙人冠军”(Chief Obfuscation Champion)非菲尔茨先生莫属。

6

While many young children try and avoid school work at all costs, the star professes to be a keen student because she wants to avoid the trap of becoming 'a stupid dancer.'
The Wonder of Whiskers
3. Jia Junpeng, your mom wants you to go home for dinner.”
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。
Total migrant worker earnings are estimated to be $3 trillion annually, of which approximately 85 percent remains in the host countries. The money migrants send home averages less than one percent of their host country's gross domestic product, IFAD said.
据雅虎的统计,新闻取代了名人成为2010年的最热门搜索项,搜索量最大的两个新闻热点是英国石油公司的墨西哥湾漏油事件和南非世界杯足球赛。
TAXES: Approximately $16,866 in 2014
Torn Ballet Shoes, and a Life Upended
Meanwhile, the University of Bradford School of Management and the University of Edinburgh Business School each climb 16 places, to 42nd and 55th, respectively. Judge Business School at the University of Cambridge rises 15 places to 14th.

badminton;basketball;fencing;Judo;Ping Pang;taekwondo;Tennis;weightlifting;Wrestling;Volleyball;Boxing;Hocky.

Conclusion

slew
北京大学和北京外国语大学的2017届毕业生平均月薪分别为9042元和9020元,位居第二、三位。
《副总统》(Veep):Netflix公司的热门剧《纸牌屋》(House of Cards)今年露出疲态,但另一部讽刺华盛顿的HBO电视剧《副总统》却在第三季中更上一层楼。塞琳娜(朱莉娅·路易斯-德莱弗斯[Julia Louis-Dreyfus]饰)和助手加里(Gary,托尼·黑尔[Tony Hale]饰)在洗手间里发现自己即将成为总统后,激动得失声大笑,成为2014年喜剧片中最滑稽的一幕。
In the past five years, China's exports of goods grew at an annual average of 6.5 percent, with its share in the global market rising form 10.4 percent in 2010 to about 13.2 percent in 2015, faring much better than major global economies. Service trade grew over 13.6 percent each year, marking the world's second largest service trader.
高部长称,目前全国商品交易市场已经超过8万家,社会消费品零售总额在年底预计达到30万亿元,而消费对GDP的贡献接近60%。
adj. 在 ... 之前,先,前,以前的
After weeks of nail-biting auditions and five days of tense semi-finals, Britain’s Got Talent picked one of the 11 acts to be the 2014 champion.
当2017年开始的时候,勇士阵容已经坚如磐石,整体阵容再度升级。上个赛季伊始,勇士队输给了很多西部的竞争对手,还在圣诞大战中输给了骑士队。也许,也只是也许,这支超级球队还是会输球,即便它看起来和2016年那支球队一样不可战胜。但实际上,简单来说答案就一个字,不。


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. 相比之下,十年前名列榜单前20的城市中有6个亚洲城市、10个欧洲城市和4个美国城市。这项调查计算了93个国家的131个城市的生活成本,研究结果用于企业计算转移员工的成本。
  2. 李克强表示,中国经济之所以能有这样良好的表现,关键就在于坚持不搞“大水漫灌”式强刺激,着力推进供给侧结构性改革。
    单词commission 联想记忆:

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