Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

《为奴十二载》(12 Years A Slave):这是一部奇特的文娱片,令人震动、悲伤。本片导演史蒂夫?麦昆(Steve McQueen)大胆拍摄了一个关于美国奴隶制时代的故事,发人深省,是一部迎合主流观众口味的佳作。这部影片证明了艺术的力量,同时说明影迷们在他们选择观看的电影中渴求影片的本质和意义,这一点也令人振奋。该片编剧为约翰?里德利(John Ridley),主演包括切瓦特?埃加福特(Chiwetel Ejiofor)、露皮塔?尼永奥(Lupita Nyong'o)、迈克尔?法斯宾德(Michael Fassbender)等人。
"She gave her surname as Han when registering, which is also different from the name Su in media reports," the employee said.
报告还写道“这一增长进一步依靠视频编辑技术,在第三季度显著增长了19%,因为视频内容已经成为了大多数顾客为中心的网站的首要的吸引和号召行为。通过社交媒体的大量的视频营销也助涨了这一需求。”
这些专家都不是轻量级的。杰出的历史学家玛格丽特?麦克米伦(Margaret MacMillan)在2013年12月的一篇为布鲁金斯学会(Brookings)撰写的文章中说:“像1914年的世界一样,我们正在经历国际权力结构的转换,新兴大国正在挑战老牌大国。”她补充说,“如今,同样的一幕正发生在美国与中国,以及中国与日本之间”,同时她还表示,“中国与它另外两个邻国——越南和马来西亚——也有爆发冲突的可能性。”
He and his girlfriend wrote to each other when he was studying science, he said.They did eventually marry and have four children.
But nearly two-thirds (65 percent) of white evangelical Protestants say they think the storms are evidence of the "end times" as predicted by the Bible.

“The consumer will take a little more time to come back which is why we’re focusing on a game plan we know that works, focusing on affordability and premium [drinks] in metro areas,” he said, adding that he is confident that the company can continue to gain share in the country and is set up for when consumer spending picks up again.
Both the film and the television series are adapted from the Taiwan action role-playing game of the same name which was developed by Softstar Entertainment. The game is considered by many as simply one of the best Chinese RPG's ever created.
2016年全球创新指数排名靠前的经济体中,日本、美国、英国、德国在创新质量方面表现突出。
Verification and evaluation should be enhanced before publication, Wang said.
Few of the Fed's forecasts have proceeded according to plan over the course of the sharp economic downturn and choppy recovery, a fact that Fed officials now openly acknowledge. 'We have been disappointed in the pace of growth, and we don't fully understand why,' Fed Chairman Ben Bernanke said at his final news conference last month.
动词limit的过
‘Episodes’ This comedy on Showtime, too often overlooked, follows the bewilderment of two British TV writers stuck in Hollywood creating a series for Matt LeBlanc, who plays a diva version of himself very convincingly. Not many shows set in the entertainment industry can sustain the conceit, but this is one that got even better in its third year.
人的身体是十分脆弱的,有些娇弱的器官一旦破坏就永远难以复原。幸运的是,世界各地的研究人员都在研究能替代我们身体部位的生化机械器官。
At least 10 students lost their chance to attend Harvard College after posting "obscene memes" to a private Facebook chat, the main Harvard student newspaper reported.

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.

大部分岛主为意在开发旅游业的企业,但也有私人岛主,他们买岛则是为了在岛上建私人会所招待朋友。

1

Official data indicates a total of 81 feature length films, including 47 Chinese titles, surpassed the 100 million yuan box office threshold.
4=true
Theresa May is still facing resistance from within her own party. Vince Cable, the Liberal Democrats’ sage and leader, still thinks Brexit may not really happen.
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。
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。
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。
The finest romance and the most acute anti-romance of the year, from some of the most rigorous intellects in American movies. The relationship between them is perhaps best summed up in this poem by William Blake, called “The Clod and the Pebble”:
The banks' ability to return money to shareholders have declined. The slowing earning growth, high nonperforming loans and required deposits on the reserve have placed pressure on the banks in regards to capital supplement, said Guo Tianyong, director of the China Banking Research Center at the Central University of Finance and Economics.

当你需要帮助时,你应该联系你的人脉资源——这正是他们存在的原因。无论你需要他人为你打气,还是想要寻求积累技术经验的建议,你的导师、同事和经理都能为你提供帮助。今天,你可能不知道如何开展某项工作,但你或许足够聪明,能够找到能帮你掌握这种技能的人。一旦你做到这一点,千万不要放松,因为前方总会有其他挑战在等待着你。
涨幅放慢也与房地产投资变化趋势吻合。上月,一二线城市的限购措施对房地产投资造成了(些许)冲击,全国范围内的房产成交量和成交金额的增速也有所减缓。
社交网络平台,包括微博和手机应用微信,被证明是网红扩大交流的最好工具,使其可以创造出一种囊括广告、电子商务和粉丝的行业。
美国人星期一庆祝哥伦布日。每年十月第二个星期一是纪念哥伦布到达美洲的哥伦布日,属于联邦假日。意大利探险家哥伦布受命西班牙国王,四次率领船队探索新世界,但从来没有完成他最初的目标,也就是找到一条向西通往亚洲的海上航线。哥伦布为探险者开辟了美洲大陆,使世界历史进入一个新时代。
['kɑ:sl]
Yes. Supply outages and geopolitical risk factors will probably persist, alongside output curbs by global producers. But whether prices can maintain levels at $70 or above is dependent on the willingness of Russia to keep backing a Saudi Arabia-led effort to cut production in the face of growing US shale supply. Other participants in the co-ordinated effort also need to sustain strong compliance with the deal, the incentive of which declines as governments reap the rewards of higher prices.
Wish all the best wishes for you.献上最美好的祝愿。
《星球大战:侠盗一号》预计2016年12月16日上映。
根据周一上海电视台的报道,2015年,上海市外来常住人口出现15年来的首次负增长。
用这个背带背孩子更加方便舒适。
许多人和伙伴一起学习效果会更好。如果你也是这样的话,可以在班上组建一个学习小组,或者加入一个已有的小组。
A New York City restaurant is taking a stab at creating the most decadent pizza on the market with a pie topped in gold flakes, foie gras and even truffles.
Alumni from the Swiss school also have the third-highest salary, at $114,449, adjusted for purchasing power parity, behind those from the Indian Institute of Management at Ahmedabad, on $116,476, and IIM Bangalore, on $116,094. St Gallen is also top for the quality of its careers service.

2

Be passionate about learning.
Turkey's Deputy Prime Minister Numan Kurtulmus said Turkish authorities were in contact with those in Iraq.
你是否经常闷闷不乐、心情不好?
Exports fell 6.6 per cent year-on-year in January to Rmb1.14tn, following a 2.3 per cent gain in December. Economists expected a gain of 3.6 per cent. It was the biggest fall in exports since an 8.9 per cent drop in July last year.
该片是《X战警:未来昔日》的续集,也是《X战警》系列电影的最新力作。我们将在片中看到“X战警”大战恶棍“天启”(Apocalypse)。很多昔日的面孔将回归,当然也会有不少新角色出现。 关于电影,我们知道的也仅此而已了,但可以保证的是,这绝对是一部超赞的电影。
The PR industry excelled itself with increasingly fancy descriptions for the basic activities of emailing, talking and meeting. Entrants included: “I want to jump on your radar” (a bad idea, as if you jump on radars they break) and “let’s find a time to connect to mutually update”. My favourite came from a PR man named Michael who wrote: “I hope you don’t mind the outreach.” Alas, I do mind. To reach out has always been hateful, but making it a noun, and reversing the word order, does not help. Michael, you’ve won the Communications cup.
Bernard Baumohl 作为Economic Outlook Group的首席经济学家,表示他甚至更乐观的认为接下来的两年将会成为至少近十年以来形势最好的两年,他还称“有很多证据充分的表明了经济正在恢复的势头”。
我们就是要打造开放的高地、投资的热土,和世界共享发展机遇。
The study was based on 3,095 questionnaires from 2016 graduates and 1,661 questionnaires from employers across the country.
fig做,制作+ure →做出的状态→形象,人物
源于:metal(n 金属),因为奖牌是金属做的
n. 喜剧,滑稽,幽默事件

不过巴蒂表示,中国大学排名的稳定并不值得担忧。他说:“数十年的持续投资建设以及中国高等教育国际化程度的提高,无疑将使得中国的大学变得越来越好。”
[in'spekn]
Historians now hope to dispel some of the myths about Richard, publicising evidence to refute claims that he killed the two young princes and focusing on what he achieved in his brief two-year reign, including the establishment of a system of bail and legal aid.
Jia Yongsheng general director of the demolition company told China's state TV channel CCTV: 'For this kind of large-scale blasting demolition conducted in the downtown area we not only need to guarantee the demolition result but also strictly control the adverse effects of blasting.'
“纽约人正逐渐意识到,这一漫长的繁荣期已对我们眼中的经典纽约市容造成了破坏,”历史街区保护委员会(Historic Districts Council)的执行董事西蒙·班考夫(Simon Bankoff)说,他同时指出,2015年将是纽约市通过《地标建筑保护法》的50周年。“环顾左右,那些总被我们认为是一成不变的东西,却都在纷纷关门闭户。”
You can read the full list of stories, but here are the top five:
人不得不告慰自己,原来如此。
每个企业家平均会使用十几个云软件和应用。Zapier可以把你的网络生活联系起来,帮助你构建新的功能。Zapier最好的一点就是,你甚至不需要懂API就可以使用它。
shoulder

3

The sketch of a monkey in an ink painting was made by Chinese contemporary artist Han Meilin, who also designed the "Fuwa" mascots for the 2008 Beijing Olympic Games. The ink painting was deemed "cute" by most web users, and represents a traditional art style. The program producer named the monkey "Kang Kang", which means "healthy" in Chinese.
stable
在第七十届戛纳电影节的第一天,像艾米莉·拉塔基科斯基、阿德里亚娜·利马、莉莉·唐纳森以及皮德拉·尼姆科娃这样的人最终称霸红毯一点也不奇怪。
她说:“人们不只是搜索有关球员和球队的信息,而是将其作为一次文化学习体验。这是首届在非洲举行的世界杯,人们想了解一下后种族隔离时代的南非。人们还想了解世界杯的声音制造者——呜呜祖拉。”
全国具有大学教育程度的人口达17093万人,每10万人中受过高等教育的人口已由2010年的8930人上升至2015年的12445人。此外,我国上过高中的人数也有所增长,而只完成低水平教育的人数则有所下降。
Explaining how he adjusted the novel, he said: 'I think the answer is that in the book I remain true to every one of Bond's things.
It is the first time in five years that a single programme broke into the top five, so strong was the hold of the main five global EMBAs.
不要马上接受一个工作录用。你需要好好考虑一下。你要是一签文件了,就没有商量的余地了。
1. 新闻记者
Ahead of the release, economists at ANZ said they expected inflation to pick up in January owing to rising food prices, and the low commodity prices would weigh on the CPI.
例如,佳士得给威尼斯艺术家弗朗西斯科·丰泰巴索(Francesco Fontebasso)在18世纪中叶创作的油画《井边的丽贝卡和埃利泽》(Rebecca and Eliezer at the Well)的最低估价为12万英镑。根据Artnet的数据,在1990年的拍卖会上,这幅令人愉快的洛可可装饰风格的油画是以28.6万英镑购得的。在12月8日的拍卖会上,它仅得到一个电话出价——11.5万英镑(不含佣金),约合17万美元。而投资者们可不认为在购买沃霍尔(Warhol)或巴斯奎特(Basquiat)的作品25年之后会损失约40%。如果一幅早期绘画大师的作品被搁置在交易商的画廊里,想转卖它就更加困难。
原指拍film用的film(n 胶卷)-轻而薄且不牢固的
着装失误是另外一个话题。有些倒霉的面试者“穿着运动裤来面试”,有一个人“穿的鞋子不是一双”,还有一个人“不知道自己拉链开了。”
在1月10日发表的一条推文中,奥巴马写道:“感谢你们为我做的一切。我最后一个请求和第一个一样。我请求你们不要相信我的而要相信你们自己的创造改变的能力。”
8.Please aid the Olympic authorities and organisers by demonstrating at all times that you are not a terrorist. Do not perspire, take off your shoes, smile in a weird way while texting someone, or point and shout: "Hey! Look at all those missiles on that roof over there!" In fact, if you're not using your hands for anything, it's probably best if you keep them in the air where everybody can see them.

4

据该报告显示,苹果的品牌价值同比去年增长了5%,至1780亿美元,而谷歌的品牌价值同比增长了11%,至1330亿美元。
数据显示,在欧洲外的最受游客欢迎20大目的地中,游客的消费主要用于购物,而非就餐。尽管其中很多是世界著名的美食之都。
华盛顿暂时的“停战”能否持续?
沃伦·巴菲特自2014年以来再次排名第二,净资产由去年的608亿美元增加到756亿美元。
希萨柯既是一位不可或缺的政治导演,也是当代电影中的伟大诗人之一。他为北部马里圣战者管辖之下的生活所绘的图像既残酷又惊人,但也温柔、慷慨儿惊人的有趣。希萨柯并没有把暴力极端分子人性化,而是展示出,他们已经成了这种人,也反映出我们身上普遍的、悲剧的天性。但他的影片还坚持认为,反对狂热主义,唯一有效而且道德的方式就是人道主义。他以反讽而正直的方式言说了这一观点,或许最重要的是,以艺术的方式言说了这一观点。
Warm greetings and best wishes for the New Year!致以热烈的祝贺和良好的祝福,新年快乐。
re回+spond承诺→承诺回去;respond的名词→回答;答应
That's a fraction of their earning power -- Hillary and Bill Clinton banked $10.6 million mostly from speaking fees and royalties in 2015, while Trump said he made almost $560 million.
“双随机、一公开”监管:随机抽取检查对象,随机选派执法检查人员,及时公布查处结果
“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.”
去年我国内地人口总数达13.7亿,与2010年进行人口普查时相比,人口数量增加了3377万,这意味着人口年增长率为0.5%。

5

伦敦商学院今年在英国《金融时报》每年发布的4项排名中的表现,令其在欧洲最优秀的81所商学院中拔得头筹,这4项排名是:MBA、高管MBA(EMBA)、管理硕士(MiM)以及高管教育。(有两所商学院因得分相同并列第80位。)
There's a difference, though, in a team like Miami that's playing its young guys and trying to build a core while taking on losses, and, say, the Magic, who are trying to jump-start a stalled process.
Pork and vegetable prices both dropped by more than 8 percent year-on-year.
One of the two artefacts which has a metal ring attach to it was discovered in the Yizheng city in western Jiangsu.
制造业PMI降至5个月以来的最低水平,是由于受访企业表示,更严格的环保政策限制了业务扩张。这些政策旨在遏制每年冬天笼罩中国大部分地区的有毒烟雾。
4. Stop eating, gotta get those cheekbone sharp enough to cut butter.
据另一家市场研究公司Counterpoint的统计数据显示,中国去年智能手机总出货量达到了4.65亿台,占据全球总量的近三分之一。
In 2005, Davidson found herself constantly picking up sippy cups her one-year-old son Jake would toss to the ground. She went to Target, bought a sewing machine, and created the SippiGrip, a leash-like contraption for a sippy cup. Her entrepreneurial dreams were slowed, however -- she was recruited by Microsoft to join the HR team working with its X-Box Group. But in 2007, she launched the SippiGrip at a national trade show. Fortuitously, Target approached her to join its 2008 Parent Invented Products Program and today, Davidson's BooginHead line is sold by retailers like Walmart, Babies "R" Us, and Amazon.com.
37岁的总督瑞奇·罗塞略在午夜宣誓后提出了几项用于缓解短期危机的措施。其中包括一项公投的提案将询问投票公民是否同意建州或独立。许多人认为,波多黎各的政治地位产生了长达十年的危机,近年来已促使超过20万波多黎各人逃往美国大陆。
The second half of this year should see a similar number of IPOs, making a total of about 120 cases in 2016 with about 60 billion to 80 billion yuan in financing volume, Lyn predicted.
Stand: Starbucks CEO Howard Schultz urged the end of government shutdown
8.软件工程师
Nothing else matters, not even basic astronomy.
“One person quit on Facebook.”

6

It’s not clear which group of Dutch lenders was wrong. It’s possible that the Seppenwolde lenders ignored the evidence about broader financial conditions and were too pessimistic. It’s also possible that the other lenders were too casual in brushing off the implications of the East India mess. Either way, the Dutch episode suggests that even sophisticated investors become optimistic or pessimistic for myopic reasons.
福特汽车
Some 150,000 rural residents in southwest China's Tibet Autonomous Region escaped poverty last year, according to the Tibet Poverty Alleviation Office.
失业率的大幅下降的实际效果将会有所体现
['k?mb?t]
NASA和另一个保持长期气温记录的美国机构、国家海洋和大气管理局在上周五发布了各自的数据汇编,证实了2014年是创纪录的一年。一家日本机构曾在一月初发布初步信息显示,2014年是最热的一年。
v. 擦亮,磨
由普华永道与中国发展研究基金会联合发布的报告称,广州、深圳、杭州、武汉、南京是我国五大“机遇之城”。
n. 模子,模型,类型,模式,雏型,真菌,软土

指数:100.0

Conclusion

约40%的创业者的大部分收入都来自自己的公司,平均薪资约为19.4万美元,而非创业者的平均薪酬为17.1万美元。亚洲和大洋洲的创业者看起来是最成功的。他们中近一半人(48%)的大部分收入都来自自己的公司,而且薪资最高(平均为25.1万美元),稍高于中东的创业者(24.4万美元)。
Some 150,000 rural residents in southwest China's Tibet Autonomous Region escaped poverty last year, according to the Tibet Poverty Alleviation Office.
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.
2.伐木工
'She does wear wigs and crowns and fancy dresses but I don't give her spray tans or cake her in makeup - I'll wait until she's about five for that.'
Lei Jun, founder and chairman of Chinese smartphone giant Xiaomi Corp, agreed, describing the win as a breakthrough in artificial intelligence.
[str?uk]
这位无懈可击的歌手用吉他和铜管乐器合成的节拍和强节奏的音乐效果展现了更为广阔的情感和音乐世界。它会使你回想起艺术摇滚乐教母凯特·布什(你可以去听一下《Green Light》(《绿灯》)这首歌)。


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. 联系方式:Staci Donegan and Peter Westley, Celia Dunn Sotheby’s International Realty, (912) 247-2052 / (912) 660-5169; celiadunnsir.com
  2. 在这场充满政治色彩的颁奖典礼——唐纳德?特朗普(Donald Trump)屡次成为主持人吉米?基梅尔(Jimmy Kimmel)打趣的对象——的末尾,沃伦?比蒂(Warren Beatty)和费?唐纳薇(Faye Dunaway)宣布《爱乐之城》赢得此奖项。然而,就在这部达米安?沙泽勒(Damien Chazelle)编导的现代音乐片的制作人员和演员登上舞台、激动地发表致谢演说时,他们却被告知《月光男孩》才是真正的获奖者。
    据中国互联网络信息中心发布的一份报告显示,截止2016年12月,中国网民数量已经达到了7.31亿人,这一数字差不多相当于整个欧洲的全部人口。

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