Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

汉森表示,美国原油增产意味着现货油价对地缘政治事件的反应不如以往那样大了。他说,目前的原油供应足够多,油价受威胁的程度不如以往,2014年将是首个出现一段时间原油供应增量超过需求增量的年头。
China’s retail sales softened as industrial production and investment held more or less steady in spite of a weaker showing from exports last month.
Super Bowl
n. 校订,修正,修订本,复习
因此,根据凯投宏观的计算,在2016年头10个月,新兴市场出口额(以美元计算)的同比降幅仅为6.6%,较2015年11.6%的降幅有了明显改善,如第三张图表所示。
至少希拉里今年赢得了点什么。我相信她会非常兴奋。

Wang studied computer programming while growing up in China. After college, she hoped to move to the U.S. to start her career. The next year, the Chinese Students Protection Act was passed and Wang got her master's in computer science at University of Houston. She worked at several Silicon Valley startups (and launched her own, iBizWomen.com) until September 11, 2001. The attack inspired her to create Binary Group, a technology consulting company that works with the Federal Government. Over the past 16 years, Binary has helped its clients save piles of money -- like the Army 20th Support Command, which cut $60 million over five years for its satellite communication bandwidth requirements.
审校:赵倩 来源:前十网
2.《洛奇》
As the title suggests, the show also features the mothers of the pupils and the way that they often pit their children against each other.
政府将于本周五发布新的就业市场报告,此次的报告将因飓风“桑迪”而出现失真。10月下旬的飓风给东北地区造成严重破坏,使很多人失业。经济学家说,“桑迪”有可能导致11月官方就业岗位总数暂时减少10万到15万个,这样一来,就业增量就不足10万,甚至还要低很多。[qh]
In my country, we make so much waste, we buy and throw away, buy and throw away, and yet northern countries will not share with the needy. Even when we have more than enough, we are afraid to lose some of our wealth, afraid to share. 在我的祖国,我们制造了如此之多的垃圾,我们购买商品,我们随之丢弃,买来,再丢弃。然而有些国家,有些人,却不会分享给那些真正需要的人们,甚至他们拥有的远远超过自身需要的时候。他们害怕分享,害怕失去自己的财富。
Speculative trading of agricultural commodities has been a feature of the markets’ volatility in 2016, and Rabobank expects the trend to continue.
Probably the most awaited movie of all time and a big one for all Batman and Superman fans. We know that Batman is going to defeat Superman, but we don't know how he's going to do so in Dawn of Justice.
More than 110 new and returning series made the shortlist for this roundup before being whittled down to the 20 that appear here. (And that’s without the HBO shows “True Detective,” which is being moved to later in the year, and “Game of Thrones,” “Veep” and “Silicon Valley,” whose April premiere dates haven’t been announced.) From a “Breaking Bad” spinoff, to the return of “Broadchurch,” to the final season of “Justified,” the winter is high season for the serious TV watcher.

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.

May happiness follow you wherever you go!愿您幸福快乐,直到永远永远。

1

The group’s leader, Wang Rongzhen, told Reuters on Wednesday that the automaker has scaled back the range of models it supplies to dealers in Hyundai imports in China, only consistently supplying one model, while steadily increasing car manufacturing in China.
尽管法国和西班牙的商学院在“无工作经验要求”项目排行榜上位居前列,但英国商学院才是该榜单的真正“大户”,50所上榜商学院中有17所是英国的,领先于美国(8所)和法国(6所)。两所英国商学院——伦敦商学院和剑桥大学(University of Cambridge)贾奇商学院(Judge Business School)——在“有工作经验要求”项目排行榜上领跑。
Over 90 percent of them attended schools in English-speaking countries, such as the US, the UK and Australia, and over 70 percent pursue at least a bachelor's degree, according to the MOE.
“然而,考虑到政策紧缩的延迟影响,以及房地产市场降温将在未来数个季度压制中国对大宗商品的需求,我们怀疑出口的增长势头是否还能维持下去。”
Few years in recent decades dawned with as much of a sense of pessimism as 2014. One consistent theme in the predictions for the year was that 2014 looked eerily similar to 1914. Most pundits predicted doom and gloom, especially in east Asia. Yet, while there were many horrific events — from thedowning of flight MH17 over Ukraine, to the abduction of hundreds of schoolgirls in Nigeria and the rise of the Islamic State of Iraq and the Levant — we have avoided outright world war. Now that the year is closed, with no repetition of 1914, it may be wise to investigate why the pundits were wrong, particularly on their ideas around the potential for conflict in Asia.
但并非所有记者──比如笔者本人──都认同这个最终评估结果。
The US box office, which includes totals from Canada, hit $11.1 billion, an 8 percent increase year-over-year, and was credited to several smash hits, including Jurassic World ($652 million domestically), Avengers: Age of Ultron ($459 million) and Inside Out ($356 million).
ScreamRide

已经60岁的微软老大净资产达到750亿美元,尽管比起2015年缩水了42亿美元,却仍足以傲视群雄。自2014年超越墨西哥首富卡洛斯·斯利姆·埃卢以来,盖茨实现了福布斯富豪榜榜首三连庄。
塞巴斯蒂安佩恩(Sebastian Payne)
*喜剧类最佳客串男演员:彼得?斯科拉里(Peter Scolari),《都市女孩》(Girls)
5. 持续行动
"电梯外面很多人,有我的老师,别的家长们,他们看起来都非常焦急,"孙轶潇在获救后表示。
200910/87441.shtml
大众创业,万众创新
但是人造胰腺能够自动释放胰岛素到你的身体里。这个装置看起来像一个规律的胰岛素泵,它可以穿透皮肤连续地释放胰岛素进入身体。而且它一直监视血液里的血糖含量,并根据血糖含量调整胰岛素释放量。所以,即使携带该设备的人睡着了,也不会有血糖降至很低而晕倒的危险。
随着威斯布鲁克成为一个事事亲为和高使用率的角色,奥拉迪波固定成为一个昂贵的补充品,佩恩需要证明他无球时的威胁力、或是能成为带动第二阵容的后卫,
你咋不上天呢?
The soaring prices of 2008, when oil reached more than $140 a barrel, will repeat, though not likely in 2014, Mr. Hummel said. The price 'is going to go higher.'
Rose McGowan accused producer Harvey Weinstein of rape this time last year, sparking an avalanche of allegations in the entertainment industry and beyond.
People in fourth-tier and smaller cities have economic pressures close to the national average level in terms of income, education, medical services and elderly care, while family and human relationship stress are higher than second- and third-tier cities.

2

Song “Embrace Happiness”(Kelly Chen)
vt. 转移,分心
THE SLAP (NBC, Feb. 12) Jon Robin Baitz and Lisa Cholodenko are producers of this adaptation of an Australian mini-series about the fallout from a momentary loss of control at a backyard birthday party. The impressive cast includes Peter Sarsgaard, Uma Thurman, Thandie Newton, Brian Cox and Melissa George (who also appeared in the original).
走上一段旋转楼梯就是几间卧室。中间有一处阁楼式的书房俯瞰着中庭。主卧套间和配套的浴室内有几面玻璃墙可以观赏数英亩湿地的景色。这个套间通往该房屋临水一侧的一个阳光平台。另外两间卧室也带有配套的浴室。底层已全部装修,用作健身房,并带有一间无洗浴功能的卫生间和一间可停放几辆车的车库。
在该论坛上,科技创业者们也分享了他们对虚拟现实的看法。他们纷纷表示,在未来5至10年,虚拟现实将是最重要的计算平台。
Song of the year: "Over you," Miranda Lambert and Blake Shelton
This post is in partnership with Entrepreneur. The article below was originally published atEntrepreneur.com.
THE NIGHTLY SHOW WITH LARRY WILMORE (Comedy Central, Jan. 19) Mr. Wilmore’s topical comedy show replaces “The Colbert Report” at 11:30 p.m. and represents the latest opportunity to introduce some diversity to late-night programming. No pressure there!
每个伟大的侦探都需要专属于自己的经典故事。对于福尔摩斯而言,这个故事是《巴斯克维尔的猎犬》。对于阿加莎?克里斯蒂笔下龟毛的比利时侦探赫克尔?波洛而言,这个故事是《东方快车谋杀案》——故事讲述了一个嗜血的恶棍在驶向巴尔干半岛的列车上杀死了一个有钱的商人。真相果真是如此吗?西德尼?吕美特曾在1974年将该故事拍成了一部备受喜爱的电影,强大的演员阵容包括肖恩?康纳利、英格丽?褒曼和阿尔伯特?芬尼(饰演侦探波洛)。如今肯尼思?布拉纳自己戴上了侦探波洛的大胡子,披挂上阵,同时又担当幕后导演。这部新版电影的演员有约翰尼?德普、黛西?雷德利、米歇尔?菲佛、佩内洛佩?克鲁斯和朱迪?丹奇。这个故事还能挖掘出什么新内容呢?也许会有。不过,即使没有,阿婆的粉丝也肯定会去看。这部电影将于11月3日在英国上映,11月10日在美国、中国和土耳其上映,11月30日在中国香港和新加坡上映。(资料来源:二十世纪福克斯电影公司)
“…fell asleep.”
The media mogul is accused of blacklisting the actress after the meeting as well as deploying former Mossad agents to follow her and steal her memoir's manuscript.
There exists no such thing as the people; this is an imaginary entity.

As he scanned the Internet for knowledge, D'Aloisio decided that what he really needed was a better way to determine, at a glance, what was worth reading. He envisioned a summarization tool that used language theory to give a meaningful synopsis in fewer than 400 characters.
8. Flats are allowed on the red carpet – or are they?
Torn Ballet Shoes, and a Life Upended
唐纳德·特朗普总统是美国第一位亿万富豪总统,不过,根据上周一公布的《福布斯2017全球富豪榜》,他已经不像过去那么富有了。
The amulet has been dated to 3,200 years ago and bears the name of Pharaoh Thutmose III, a prominent figure from the Eighteenth Dynasty who reigned from 1479 BCE to 1425 BCE.
Jiang Yiyi at the China Tourism Academy suggests China adopt a long-term national plan to improve the country's image and investment in inbound tourism to attract more visitors.
201001/94005.shtml
The import side of the equation fared worse in both renminbi- and dollar-terms.
The Caixin-Markit manufacturing purchasing managers’ index dipped to 50.8 in November, down from 51 in October and coming closer to the 50-point threshold that delineates expansion from contraction. A median forecast from economists polled by Reuters had predicted a fall to 50.9.

3

《Look What You Made Me Do》(《看看你们都让我做了什么》)这首单曲可以载入史册了,流行音乐学者们可能会世世代代地讨论它是否是一次绝妙的公关行动。
18 November
Management consultancies pride themselves on being expert advisers on “change” — from helping clients integrate after mergers, to keeping them at the cutting edge of new technology. Several of the world’s largest consultancies will have to make use of their own advice in 2018 as they prepare for leadership changes — the first in years — that will have significant ramifications for their workforce.
2013年到中国旅游的外国游客还是选择避开了北京。
A master class in old-school, super-linear action filmmaking, full of nasty, punk-rock, dystopian Australian humor. Also the best recent eco-feminist-socialist allegory that isn’t a novel by Margaret Atwood. (Read the review)
导演贝尼特·米勒(Bennett Miller)认为卡瑞尔是饰演杜邦的合适人选,但不想让观众一眼就认出他来。他要求造型师比尔·科森(Bill Corso)改变卡瑞尔的外貌。
That was true, too, of “Mad Men” on AMC. which in its seventh season has all but exhausted its characters and its 1960s setting, but is still keeping viewers guessing about the end, which won’t air until next year. “The Sopranos” ended ambiguously. “Breaking Bad,” put an end to Walter White. Now, the next television mystery looming ahead centers on Don Draper’s last moments, dead or alive.
全球缓慢的经济增长并不会很大程度的拖累美国。美国的出口额虽然可能持平甚至下降,但是这将会被由于油价下降的石油进口额抵消,所以贸易赤字并不会给美国经济造成更进一步的影响。
法国兴业银行(Societe Generale)国际策略师基特?朱克斯(Kit Juckes)说,过去30年破灭的三个世界级金融大泡沫背后,都是“美联储(Fed)太久时间将政策利率维持在名义经济增长率之下”。
"I am a doctor and I prefer to speak frankly. A person's health is related first to eating, drinking and air. Any kind of development will be nothing if the quality of food, water and air is not good." ZHONG NANSHAN, NPC deputy and academic with the Chinese Academy of Engineering
赫梅尔还指出,2008年油价飙升的局面(当时油价升破每桶140美元)将重现,但不太可能发生在2014年。他说,“油价将会上涨。”
Its brand value has increased by 22 per cent to $19bn and it has climbed 20 places up the ranking to number 50.
This groundbreaking fight is loosely based on a bout between Chuck Wepner and Muhammad Ali, in which the "everyman" Wepner managed to become one of the four men to knock Ali down in his career. Just like in the film, Wepner pushed Ali through 15 rounds despite looking (and feeling) like he'd been hit by a truck. While both he and Rocky ended up losing their fights on a technicality, Wepner wins in our book for inspiring such an awesome character.
WORST HABIT
埃米?珀勒(Amy Poehler)狂吻博诺(Bono),蒂娜?费(Tina Fey)吐槽乔治?克鲁尼(George Clooney)只爱年轻女人,而诡异的是马特?戴蒙(Matt Damon)当晚数次“中枪”。

4

揭露好莱坞流氓的女星发起了MeToo行动,意在揭露高层性侵女性事件,表示性侵者都是“失败者”。
“We need to do what the mayor wants everybody to do, and that is build more housing,” said Steven Spinola, the president of the Real Estate Board of New York. However, “if the numbers don’t work, if the rent that is coming in is less than the cost of maintaining the building, then you are not going to do it.”
世界知识产权组织总干事弗朗西斯.高锐在记者会上表示“中国的表现必须予以强调,他们的排名排到了第25位,与那些多年来一直位居全球创新指数前列的高收入国家比肩而立。”
“如果30年前的改革是解决意识形态问题,现在则要解决利益问题。改革是调整既得利益,等于拿刀割自己的肉,很痛苦,需要下定决心、坚定信心。”
国务院总理李克强在上周五由人力资源和社会保障部组织的一次会议上表示,要优先促进就业。
popul人民+ation→人口
3. Flying Horse
Murietta belonged to a gang known as the Five Joaquins, who were notorious bandits during the height of the California Gold Rush. While Murietta's criminal activity likely did not have any political undertones, he nonetheless became a symbol of Mexican resistance as American settlers ventured to California. Unfortunately for him, this pushed the government to put a bounty on his head, leading to his murder and beheading. Luckily, Banderas's character didn't fall to the same fate.
TV soaps regularly top the TV ratings but the highest trending show of 2012 was the BBC kids' show 'Mike The Knight' that beat US terror drama 'Homeland' and 'Towie.'
5.X-Men: Apocalypse
中国的电影产出量在全球市场上排行第三,有望到2016年年底突破700部。同期,出售给网络视频网站的电影版权达到了近40亿元人民币(5.6亿美元)。

5

单词surrogate 联想记忆:
The year’s most compelling makeup and hair designs have been almost characters themselves (and are certainly more dynamic than some of those who appear on-screen). But while physical features are obvious right away, they can also give shape and nuance to the performances of those who assume them. Sometimes, a big nose creates a window of understanding.
We will ensure workplace safety and people's lives.
懂得处人准没错
他说,杂志和作者在这起最近发生的丑闻中都有不可推卸的责任,声明中还说,《肿瘤生物学》在2015年就已经因同行评议过程存在类似问题而撤销一些论文。
简而言之,C型人格的人是完美主义者, 始终如一,永远不会违反规则。 与A型人格的人不同的是,C型人会花时间处理细节,经常反复检查工作是否准确。他们往往是深思熟虑的人,喜欢了解自己工作和生活的每一个细节。
“Our goal is to produce as many units as we can and, at the same time, make sure that we do it in a way that maintains and enhances the health of neighborhoods,” said Carl Weisbrod, the director of the Department of City Planning.
protocol
In global health, 2016 will be remembered as the year a little known virus made a major impact. It felt strangely familiar, but this time it wasn't Ebola making headlines around the world, it was Zika - a mosquito-borne virus being linked to a huge spike in the number of babies in Brazil born with brain defects.
陈宇说:“一些互联网行业的天才创造了很多奇迹,但这并不代表一切。每个行业都有各自的规则。在你在这一行业开始之前,你必须要知道如何生产产品,如何销售,如何经营一家公司。我们不能期待一个刚刚毕业的大学生一开始就知道这些经验。”
11月,中国的出口总值增速是预期的2倍多,这增加了中国的贸易顺差。
4.闻疾病的鼻子
The Good Place
The programme entered the ranking in second place in 2006 and was ranked top in 2008.

6

颁奖典礼一开始,两位主持人妙语连珠,引来场下观众阵阵喝彩。马特?戴蒙、梅丽尔?斯特里普(Meryl Streep)和乔治克?鲁尼都自然而然地成为了调侃的对象。蒂娜?费对桑德拉?布洛克(Sandra Bullock)和克鲁尼参演《地心引力》的点评引发场下一阵爆笑。
In a statement given to the website Kotaku, Epic Games said the lawsuit was a result of Mr Rogers "filing a DMCA counterclaim to a takedown notice on a YouTube video that exposed and promoted Fortnite Battle Royale cheats and exploits."
这张专辑等于是一次直截了当的暗示,提醒着我们,不论什么时候,只要霉女王想要,她就能拿回自己在流行音乐界的领先地位。
《哈利·波特》粉们,福利来啦!该片是《哈利·波特》前传,讲述了纽特·斯卡曼德在老纽约的冒险经历。该片根据《哈利·波特》中霍格沃兹学院的同名教科书改编而成。
To wish you joy at this holy season. Wishing every happiness will always be with you.
5. Gay Marriage
Chris Paul
他告诉《中国日报》:“中国医生每天要看多少病人?可能超过50个。我们怎么可能有时间和精力做研究或发论文呢?”
乔布斯在苹果博览会上展示iPod mini ,2004年1月6日,旧金山

Perhaps in response, at the start of 2017, China's media regulator quietly began including service fees charged by online ticketing companies when reporting box-office figures.

Conclusion

中子星相撞
一个解释是,在金融业高薪领域工作的男性比例远远超过女性比例。三分之一的男性在私募、风险资本、投资银行或者并购以及对冲基金领域工作,而女性只有19%。
007系列电影主题曲第十名:雪莉·巴赛--《永远的钻石》
pne以前+vi路[引申为走]+ous→以前走过的→以前的
n. 宪章,特许,(船、机、车等的)租赁
社交名媛卡戴珊8月份参加凯莉·詹娜的19岁生日聚会时,笨手笨脚从跑车出来的方式让她不小心走光太多了。
Please accept our wishes for you and yours for a happy New Year.
鉴于FIFA世界杯将于2018年在俄罗斯举办,届时的旅游成本会大大提高,所以选择在2017年去可谓是明智之举。


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. 你的消费者信任你吗?他们知道你都拿他们的个人信息干嘛去了吗?你这么做他们高兴吗?这不仅仅是美国国家安全局、微软和谷歌的问题。谷歌眼镜也不会是唯一一个引发争论的产品。如果你和你的顾客之间有足够的信任,这会降低你做生意的成本;反之,那些不重视与合伙人、供应商和消费者建立信任关系的企业则会为之所累。
  2. 威廉姆斯的中长期观点可能比巴韦贾更为悲观。他认为,全球出口增速在25至30年的时间里远高于全球GDP增速,意味着“全球化快速发展已经结束”。换句话说,目前的贸易增长放缓是结构性的,而不是周期性的。
    Consider this: Will the experience enhance your knowledge and play to your strengths? Will it introduce you to new concepts and new people? (All great reasons to say yes!) Will it require you to develop new techniques for managing your team or working with more experienced people? Embrace this challenge and get out of your comfort zone.

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