Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

单词distract 联想记忆:
居民消费价格指数(CPI)继续从8月份的低点反弹,10月份,CPI同比上涨2.1%,涨幅比上月扩大0.2个百分点,并与分析师的预期中值相符。
西蒙接受本刊采访时说:“聘用老兵是我们做出的最好的决定之一。我们在阵亡将士纪念日推出了‘欢迎回家’计划,至今我们已经聘用了超过2.6万名老兵,让我们倍感骄傲。老兵在面对压力时表现一贯优秀,而且有服务热情,这些因素让我们很容易兑现聘用老兵、学习老兵和支持老兵的承诺。”
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”。
vt. 插于,刺入,竖起<
他说,他和他的女朋友经常通过书信往来,当时他还在上学。他们最后确实结婚了,而且有了4个孩子。

只要看到球馆没有别的赞助商的大名——除了Smoothie King,一家当地的饮品店——就知道鹈鹕面临着什么样的严重问题(相比之下,圣徒队的主场就是他们隔壁的梅赛德斯-奔驰超圆屋顶体育场)。
adj. 乐观的,乐观主义的
P2P lending has grown quickly in the past two years, with loans outstanding reaching Rmb209bn by the end of June, according to E-Lending House.
Dua Lipa, 'Dua Lipa'
芝加哥大学的一个研究小组制造了一种能够向大脑传递信号的假手来解决这个问题。他们以猴子为测试对象,研究动物大脑对触摸信号的反应。当装备了可以刺激大脑的假手后,那些猴子的反应就好像他们身体接触到了物体一样。
Spotify, the music streaming service, plans to list existing private shares directly on the New York Stock Exchange as soon as the fourth quarter rather than doing a formal IPO, while other large, well-known tech companies for now were seen as more likely prospects for 2018, bankers said.
去年2月份中国国家旅游局启用一个名为“美丽中国”的标志,意在向海外宣传推广其旅游形象,然而有人讽刺“美丽中国”这一名称与中国城市在严重污染之下那一张张“不太美丽”的照片相比反差太大。希望专家们今后能设计出一个好一点的方案来。
It's been confirmed that Hu Ge who took the leading role of "Li Xiaoyao" will join the cast of the film, while the name of female lead has not yet been revealed.
乔斯·威登在度假的时候萌发了创作《萤火虫》的设想。他当时正在读一本叫做《天使杀手》的书,这本书讲述了一名葛底斯堡战役中的士兵的故事。威登深深地被这个士兵日复一日的艰辛生活所吸引。这本书的作者描写了大量日常生活中的繁琐细节,以及人们如何在缺乏现代科技和商业之便的情况下艰难度日。而威登对这种描写方式推崇备至。

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.

这些人当中,有些人会借助另一些问题表达他们的忧虑:贸易、犯罪、毒品战争、边境控制、对伊斯兰恐怖主义的恐惧。诚然,这些问题都很重要,也为许多人带来了真切的恐惧,但是它们已经变成一种方式,公众借助这些问题来讨论社会变革对于占多数的白人群体的影响。

1

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。
Shortly after Cook's op-ed, the Senate voted to approve the Employment Non-Discrimination Act, which would make it illegal to discriminate against LGBT employees in the workplace. The legislation will now be sent to the House for consideration.
干得漂亮!在不到20个词的一句话里,eBay集前五届冠军之长,做到了啥也没说。怀着沉重的心情,我将2016年度金废话奖总冠军授予eBay。
D'ALOISIO BEGAN designing iPhone apps nearly the moment the app store opened in 2008. He was 12 years old, working on a Mac in his bedroom in the London district of Wimbledon. Because he was too young, he signed up for the Apple developer's license using his father's name. He'd taken no formal computer science classes at school, and neither of his parents (Diana and Lou, a lawyer and a business executive, respectively) knew much about tech. Instead, he learned how to program almost entirely by himself, scouring websites and watching instructional videos.
“十二五”期间,中国货物出口年均增长6.5%,占全球的份额从2010年的10.4%提升到2015年的13.2%,速度明显快于全球其他主要经济体。而服务贸易年均增长超过13.6%,位居世界第二。
一座陵墓般的濒危物种仓库。
They also arrived 40 minutes late for the official welcome and were running late to an event in Vancouver, too.
中国旅游研究院的蒋依依建议,中国政府应实行一项长期的国家计划,以提升国家形象并投资于入境旅游以吸引更多游客前来。

最佳迷你剧集/电影类编剧:D?V?蒂文森斯(D.V. DeVincentis),《美国罪案故事:公诉辛普森》,“玛西亚,玛西亚,玛西亚” (The People v. O. J. Simpson: American Crime Story, "Marcia, Marcia, Marcia")
James Bond Themes 9. "The Man with the Golden Gun" by Lulu
不会。傻子才会去预测足球比赛的结果。最好是作事后诸葛亮。目前已经举办过20届世界杯。其中,巴西(5次捧杯)和德国(4次捧杯)是决赛常客。主场优势有所帮助,东道国赢得了6次奖杯。但是明年的世界杯将在俄罗斯举行,而这位东道主在参赛队伍中排名垫底。
密码管理应用设计商Splashdata发布了一份“25个最常见密码” 榜单。
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。
我的核心价值观是什么?作为一个人,对你来说什么是重要的?家庭、健康、信仰、工作还是其他?确保在你的生活中,你追寻了自己最在乎的东西。
它会自然生长成模子的形状。
adj. 版权的
Now, Curry and the Golden State Warriors are right road of adding another accomplishment.
艾丽斯·斯瓦策尔(Alice Schwarzer)
They're developing a core and sorting through roles. Because they're the Lakers, there remains the possibility that a solid free agent or two will look their way.
俄罗斯为世界上第十大经济体,除了天然气(碳氢化合物),经济贡献甚微。腐败和寻租行为使经济蒙受巨大损失。它依然沿用着苏联时代的基础设施,并且满足国民教育、医疗需求的能力正急速下滑。
Global gold production rose to 3,268.7 tonnes in 2017 from 3,263 tonnes a year earlier, according to the WGC. That was the smallest increase since 2008, when gold mined fell more than 2 per cent during the financial crisis.

2

由美国演员Jared Leto领衔的“火星三十秒”拿到了最佳另类音乐奖,同时还有Lana Del Rey,Lorde,The XX和Imanine Dragons等人提名。
但尽管安全研究人员不断发出警告,很多人仍在给个人设备设置安全等级弱、容易被破解的密码。
该机构在2014年的一项调查显示,在完成两年教学的受访者当中,86%表示他们通过自己的工作为改变教育不平等采取了行动,65%表示在工作以外采取了行动。
“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.
['steibl]
SAN JUAN, Puerto Rico (AP) — Puerto Rico’s new governor was sworn in Monday as the U.S. territory prepares for what many believe will be new austerity measures and a renewed push for statehood to haul the island out of a deep economic crisis.
A reckoning could come next year as the state and city attempt a crackdown on renegade hoteliers while the online company Airbnb lobbies for a change to the law. “You are going to see an increased push to regulate this,” said Samuel J. Himmelstein, a lawyer who represents tenants.
某种程度上,这种借鉴是基于这样的假设:把一种时装风格从它自身的环境中剥离出来,就能同时去除它所有潜在的负面寓意:譬如战争和王朝。它会变成一种独立存在的审美形式,不再象征任何复杂的社会和政治动荡。
Chen Lihua, 75, founder of Fu Wah International Group, a company engaged in real estate development, has become China's richest woman with a net worth totaling 50.5 billion yuan, according to the report Richest Women in China 2016 released by Hurun Research Institution.
Gary Oldman on blistering form as Winston Churchill.
据中国海关总署公布的统计数据显示,2016年中德外贸总额达到了9991亿元人民币(约合1453亿美元),同比2015年增长了2.6个百分点。
vt. 包含,容纳,克制,抑制

“What happens if one of these Airbnb guests starts a fire?” asked Phyllis H. Weisberg, chairwoman of the Cooperative and Condominium Law Committee at the New York City Bar Association. “Who’s paying for that?”
榜单前十位还包括:第五名的亚马逊总裁杰夫·贝佐斯,第六名的Facebook的马克·扎克伯格,位居第七的甲骨文公司老板拉里·埃里森,第八名的迈克尔·彭博及并列第九的科赫兄弟(大卫·科赫和迈克尔·科赫)。
随着美国电子商务交易接近零售总额的10%,越来越多的商家开始寻找既好用又能帮他们快速卖出商品的电商平台。
这栋房屋坐落在街道上的一处小山丘上。房屋的入口处是一个大玻璃门廊,有砖砌的地面和对着湖的玻璃窗墙。翻修工程保留了花格镶板的天花板和原建筑部分大量运用的木材。其布局规划是开敞式设计,几乎每个房间都可以从观景窗看见湖景。
n. 疏忽,忽视
英国《泰晤士高等教育》专刊于上周四公布的一项调查显示,中国内地两所高校入选亚洲大学前三名。
1.无论在什么情况下都不要问出租车司机,对于今年夏天伦敦的奥运会有多么激动。不是说他会勉强或尴尬地发表个人意见,而是你根本就不该问这个问题。
除了P2P贷款领域发展迅速以外,今年还涌现出一些网络银行和贷款机构——比如腾讯(Tencent)的微众银行(WeBank)、阿里巴巴(Alibaba)的网商银行(Mybank),以及蚂蚁金融(Ant Financial)的芝麻贷(Sesame Credit)。
[?'p?uzd]

3

8. Software engineer
'Her,' which was written and directed by Spike Jonze, takes romance into the virtual realm, and its hero on a gently crazed journey of genuine passion. Joaquin Phoenix is the poignantly lonely guy who falls in love with his smartphone's new operating system. The basic conceit is a fragile one, but it's beautifully and bravely developed, as well as elegantly photographed by Hoyte Van Hoytema, with perfectly calibrated performances by Mr. Phoenix, Amy Adams and Scarlett Johansson, who is that system's voice and soul.
社交网络公司Facebook 、电子商务巨头亚马逊和玩具公司乐高则是品牌价值增幅最大的企业。
BEIJING: A group of Hyundai Motor Co dealers in China is seeking 800 million-900 million yuan ($120 million-135 million) in compensation from the South Korean automaker, saying Hyundai has cut the flow of models it exports to them, resulting in dealership losses and closures.
Blige will perform "Mighty River" from "Mudbound," the Oscar-nominated song she co-wrote with Raphael Saadiq and Taura Stinson. Blige is also nominated for best supporting actress for her role in "Mudbound." She is the first person to be nominated for both a performance and an original song in the same year.
One more scientific group, in Britain, that curates the world’s temperature record is scheduled to report in the coming weeks.
这颗梨形蓝钻被命名为“蓝色”,重13.22克拉,拍前估价为2100万至2500万美元。
2018年特里萨梅(Theresa May)会继续担任英国首相吗
今年1月3日春节假期车票开售以来,约有2.8亿张火车票是在12306网站上售出的。
You turn back the passage and want to find the Page 12, and then you smile.
我判断摆烂不是看言论而是看球队动作的。所以,即使球队说他们没有摆烂,但是签了一大批落选的自由球员,同时报告明星球员伤病缠身,这时候你就知道,他们是在摆烂了。
Actress in a Mini-Series or Movie: Sarah Paulson, “The People v. O. J. Simpson: American Crime Story”
这种增长为中国电影业未来的发展奠定了坚实的基础。
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.
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

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贾斯汀·比伯成全美音乐奖最大赢家
不过另一个因素也影响着最新一集《007》的计划,主演“詹姆斯-邦德”丹尼尔-克雷格全心投入于演出《千禧年三部曲》,而其中的《龙文身的女孩》正在紧张拍摄中。而目前电影公司也没有遴选新一任007的打算,若果丹尼尔三度出演这一角色,电影至少得等到2014年才能上映。
Three Billboards Outside Ebbing, Missouri
库克公开性取向的举动,提供了一个罕有的机会,让人们得以一窥他保护严密的个人生活,但同时也让苹果品牌在一些不太宽容的地方面临风险。库克在阿拉巴马州长大的经历促使他作出此举,他曾说在阿拉巴马州看到的一些歧视现象“简直让我感到恶心”。
1961年11月9日,扬妮克?里德在南安普顿大学上空骑着一辆形状非常像飞机的自行车——世界上第一辆会飞的自行车诞生了。这辆自行车被称为南安普顿大学的人力飞机(塞桑普顿大学号)。为使自行车飞离地面,德里克刚开始猛烈地踩脚踏板,然后自行车在离地面1.8米(6英尺)的高处飞行,最终飞行了64米(210英尺)。即使飞行速度很缓慢,飞行距离也很短,但这仍是第一辆会飞的自行车,同时,也是第一辆"人力飞车"。
3.葡萄牙波尔图
Of the other teams, Germany have a fantastic team, with some great options all over the pitch. The Italians can never be discounted at tournaments, whilst Portugal, with Ronaldo in the team will be dangerous, and Belgium, with such an array of talent will be amongst everyone's list of dark horses.
优秀的老板知道公司或客户需求和他/她的员工需求之间一定存有一个平衡度。优秀的老板都喜欢倾听员工的心声和同他们交流可能存在的一些问题,因为他们知道员工快乐工作效率才会更高。
叙利亚五年内战使国家分裂,造成20多万人死亡,数百万人流离失所。叙利亚难民就占了报告清点人数的一半,接下来难民人数最多的是同样为战争所困扰的国家阿富汗和伊拉克。
谎言1:不是我!说谎原因:有些事情不值得我们去邀功。
根据研究者提供的数据,如果用户设置了真实答案,美国用户设置的"你最喜欢的食物"只需1次尝试就能成功破译的概率是19.7%;

5

据行业估计,到2020年,我国年度票房有望达到1000亿元人民币。
Bubloons are a hybrid between bubbles and balloons.
When Dickens wrote about the French Revolution in A Tale of Two Cities, he did it with nearly a century of hindsight. Here, at the end of December, I don’t enjoy that luxury. As such, some of the trends I’ve written here are likely to remain in force for the foreseeable future, while others may have already begun to fade. As one of this period’s “noisiest authorities,” I insist only on your receiving this review with just one caveat in mind: Past performance does not guarantee future results.
不管使用什么样的固有动力方式,所有这些引擎都利用最新的发动机技术,从而使性能和燃料经济最大化,其范围包括从福特嘉年华(Fiesta)的小型、高效1.0升涡轮增压三缸发动机到雪佛兰科尔维特Stingray已经被证明无可替代的巨大6.2升V8引擎。我们在本文的幻灯片里列出了《沃兹汽车》十大最佳引擎。
Some industries will likely pick up faster than others. Industries such as construction and manufacturing will probably begin to hire sooner. Retail, tourism, and hospitality, which depend entirely on consumer spending, will probably be among the last to recover.
?随着飓风桑迪在周一晚上到周二转移到大西洋中部各州,数十人死亡、数百英里的海岸线被淹没以及纽约市的基础设施遭受了巨大打击。数以百万计的人被置于停电的境况下。
至于维护全球贸易的自由化,这需要世界各国共同努力,因为天下是天下人的天下。
全球性肥胖
感情破裂搜索排行居首的是贾斯汀?比伯和赛琳娜?戈麦斯分手的消息,此外维多利亚?彭德尔顿打败了乔治亚?索帕,成为搜索次数最多的真人秀选手。
['t?:ki]
中国疾病预防控制中心主任韩孟杰表示:“有过性经历的大学生安全套的使用率还不到40%。”
当然我们不可能列举出所有女性,这个榜单的评选范围仅限于那些名气较大的女星。下面就让我们来见识一下这些热辣美女吧。
这封情书是寄给一个叫做Clark C Moore,但是现在已经改名为Muhammad Siddeeq先生的,由于这次改名,让这封信找到真正的收件人变得尤为困难。
2014年,尽管汽车销量自2007年以来首次超过1600万辆,但占据媒体头条的还是各类召回事故。在召回舞台上最活跃的是通用汽车公司,由于不断曝出点火开关故障,通用今年已经召回了几百万辆汽车。这家汽车制造商选择勇敢曝光自己的失误,并公开发布了一份自查报告。而日本气囊生产商高田公司却对“气囊门”三缄其口,转而把补救措施留给其深陷困境的客户本田和丰田来实施。有问题的气囊爆炸后,会向驾驶室弹出致命碎片。

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6.杰克·谢帕德差点在第一集中死去
It's a travel pillow that bends to support your head in any position.
Islands in China come with many restrictions on their use and just 50 years of ownership.
“我们非常确信成交价会达到预测的最高价。”
“我们为最佳影片奖颁奖通告期间出现的失误,向《月光男孩》、《爱乐之城》、沃伦?比蒂、费?唐纳薇、以及奥斯卡奖观众表示诚挚地道歉。颁奖嘉宾收到的是错误奖项的信封,这个失误一经发现立刻得到了纠正。”
French authorities said in December that they have dismantled about a dozen networks that were sending people to fight in Iraq and Syria.
People have been predicting consolidation in this very fragmented sector for years and there have indeed been big mergers recently. But there is little doubt that price pressures on City law firms are intensifying.
这篇文章指出,食用有益于心脏的食物是防止痴呆、保护记忆力的关键。一些心脏病的并发症和阿尔茨海默症以及痴呆症的并发症十分相似,因此研究阿尔茨海默症和痴呆症的教授们认为,有益于心脏的食物大概也有益于大脑和记忆。水果、蔬菜、全麦面包、豆子、坚果和橄榄油都有对心脏有益。如果这10个方法你不能都采用的话,一个健康的饮食至少能让你不要丢失记性。
据牛津经济研究院(Oxford Economics)估算,若剔除价格影响,中国10月进口量同比降幅为2.6%。

adj. 具有双重性的,[生物]两栖的

Conclusion

'With women, he has this sort of patronising carnal attitude with them which is absolutely accurate to the Bond of the books. But then by creating very strong women he is given quite a run for his money and his attitudes are challenged.
The price of U.S. benchmark West Texas Intermediate crude, which is traded on the New York Mercantile Exchange, has been kept lower by problems transporting the oil to markets. Those troubles have eased recently, but Sabine Schels, head of fundamental commodity research at Bank of America Merrill Lynch, doubts the problems will disappear.
This summer, Noel will enter restricted free agency expecting to be compensated handsomely given his demonstrated defensive impact, untapped potential and lottery pick pedigree, even though he's logged fewer than 5,000 minutes during his career.
克普克表示,就1994-95年墨西哥汇率危机而言,三个因素都起了作用,当时美联储开始以25、50甚至75个基点(1994年11月)的加息幅度进入紧缩周期。
But the economic picture has brightened considerably in Arizona, as the housing market stabilized and unemployment hit a post-recession low of 7.8% in May. As part of Forbes’ annual Best States for Business, we look at 35 factors to determine the best and worst states, including projected employment. Arizona is expected to have the fastest job growth at 3% annually over the next five years, according to Moody’s Analytics. The job gains are projected to boost household incomes 3.6% annually through 2017, which ranks second best in the U.S. after Illinois. The added jobs also go hand-in-hand with the state’s economic growth, which Moody’s forecasts to expand at a U.S.-best 4.6% annually.
Wang Jie, the general manager of a Beijing-based investment company, said the higher pay for executives in the financial and real estate industries shows the imbalance of development in China.
petroleum
其中一项被提议的改变是:要求租金管制型房屋的租户提供收入证明。


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. In other words, investors are paying far more for Tesla’s future promises than today’s performance by other luxury car manufacturers. Daimler, the manufacturer of Mercedes-Benz, sold more than 2.5 million vehicles last year and has a market cap of about $85 billion. So, although it sells 70 times more vehicles than Tesla, its market cap is less than three times greater.
  2. 经理们在公司会管理等级制度上低于他们的人,但是优秀的经理也有方法管理他们的上级和代表团队的同事。很多时候这意味着有效的交流,管理期望和及时寻求帮助。
    v. 操作,运转,经营,动手术

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