Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

[di'pɑ:t]
一家国际医学杂志撤销了107篇中国学术论文,由此引发了人们对中国学术诚信的关注。被撤稿的作者多数是临床医生。
不会。华尔街策略师预测美国政府的10年期借贷成本将在未来一年攀升至3%以上,这话就像尴尬的办公室聚会一样是圣诞节那段时间的固定节目。鉴于美联储退出量化宽松和美国减税,今年的预测看起来更有可能实现。然而,压低通胀和长期债券收益率的长期重大因素依然存在,并且仍然被低估。2018年美联储将至少加息三次,但10年期收益率不会突破3%。
江苏、山东、浙江、河南和四川的经济总量排名紧随其后,名次与2015年相同。
The ECB ended the year with a vote on December 3 to cut its deposit rate to minus 0.3 per cent and an expansion in asset purchases that leaves its quantitative easing programme at 1.46tn. The move came days before the US Federal Reserve increased interest rates for the first time since 2006, underlining the sharply divergent policies being pursued on either side of the Atlantic.
一些银行仍然给予股东高额回报。中国招商银行十分“大方”,其分红占净利润的30.16%。

More recently, however, General Motors made a self-driving car in 1958 that adjusted its steering wheel based on the alternating currents given off by a wire placed inside the road. While the vehicle did actually drive itself, it does not qualify as the first autonomous vehicle because it depended on wires placed inside the ground. The world's first autonomous vehicle was made by S. Tsugawa and several of his colleagues at Japan's Tsukuba Mechanical Engineering Laboratory. However, German engineer Ernst Dickinson is regarded as the pioneer of the autonomous car. In 1987, he developed the VaMoRs which was capable of traveling more than 90 kilometers per hour (55 mph) for about 20 kilometers (12 mi). Seven years later, he made the VaMP, which could recognize road signs, know its own position in a lane, detect other vehicles, and even decide when to change lanes. And a year after that, he and his team made another autonomous vehicle which traveled from Germany to Denmark. The vehicle had a maximum speed of 180 kilometers per hour (111 mph) and was controlled by a human for about 5 percent of the journey.
9.The Discovery of a New Planet
In the best possible way.
As foreign minister, Margot Wallstrom, who broke free from a violent relationship in her 20s, is challenging assumptions in a traditionally male sphere.
考克斯说:“没人真正知道末日是什么样子的,上帝又会如何让末日降临。”
pandemic
故事发生在《海底总动员》第一部结束的一年后,多莉展开了一场全新的海底冒险:寻找自己的父母。在这部史诗巨制中,多莉沿加利福尼亚海岸的冒险之旅,得到了尼莫和马林的鼎力相助。 故事中也将迎来一批全新的角色。
《纸牌屋》(House of Cards),Netflix,2月27日播出。Netflix的政治大戏,第三季有13集。除凯文·斯派西(Kevin Spacey)与罗宾·怀特(Robin Wright)外,曾出演《忧愁河上桥》(Treme)的基姆·迪金斯(Kim Dickens)亦加盟该剧,“Pussy Riot”的两位成员亦有客座出演。
Johan Pettersson被授予搞笑化学奖,以表彰其揭示了瑞典小城Andersl?v居民的头发会变绿的原因,因为这里的水中含铜量太大。

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.

许多管理者提到了一些极其失礼的情况。求职者:

1

Trailing behind "Game of Thrones" on the most downloaded list are "Breaking Bad" and "The Walking Dead." Here is the list of 2013's most-downloaded TV shows (single episode) according to data collected by TorrentFreak and BitTorrent trackers:
中国演员吴秀波于日前被指派担任2017中澳旅游年形象大使。
现在,我们来说说2010年。
从2004年起,过去120年里的现代或当代艺术家们创作的10件作品在拍卖会上共卖出1亿多美元。而更早期绘画大师的作品价格则是稳中有跌。最近几周,这一趋势非常明显,伦敦的拍卖公司努力为自己的最新一批18世纪前绘画大师作品寻找买家。与近些年的情况一样,其中几乎没有名作。
Through an ETF buying programme that has been criticised by some as the “de facto nationalisation” of the Japanese stock market, the central bank indirectly holds a 10 per cent stake in some 22 large Japanese companies and about 3 per cent of the whole Japanese stock market.
近几年,得益于世界日新月异,就像保护异性夫妻一样, LGBT群体(女同性恋、男同性恋、双性恋、跨性别人士)也会得到同样的权利保障。事实上,如今60%的美国人承认同性婚姻的合法性,如果你问那剩余的40%呢?我们可以告诉你美国的其他地方以及世界的其他地方,例如俄罗斯,很快都会赶上脚步。
Despite China's rise, an "innovation divide" persists between developed and developing countries amid increasing awareness among policymakers that fostering innovation is crucial to a vibrant, competitive economy.
他原以为只要有人点击这个广告,就会给他捐献一点钱。但是实际上,每当有人点击这个链接的时候,他都需要付费。

This compared to a decade ago when there were six Asian cities, 10 European cities and four US cities in the top 20 of the list that calculates living costs in 131 cities in 93 countries and is used by companies for costings when relocating staff.
在选择毕业后的职业道路的时候,雷文斯克罗夫特青睐Teach First的原因是,它兼具两个世界的好处。他能够快速当上教师,领取薪水,接受私人部门高管的指导,并与企业接触;相应地,他将承诺任教两年,完成教师资格培训认证。
最佳迷你剧/电影:《美国罪案故事:公诉辛普森》(“The People v. O. J. Simpson: American Crime Story”, FX)
Management and leadership skills are just one aspect of EMBAs. “It actually made an entrepreneur of me,” says one graduate. Nearly a third (31 per cent)of graduates have set up their own company, or are about to, since enrolling on their EMBA four or five years ago. FT data show that 91 per cent of the businesses are operating today.
Remedy: While the idea of being your own boss is an attractive one, not everyone is cut out to be an entrepreneur. Being responsible for your own success, creating a legacy for your family and improving the lives of clients and customers certainly sounds romantic, but what about the long hours, the lack of leisure time, the risk of financial failure, the fact that you’re the boss, entry-level employee, marketer, accountant and janitor all rolled into one? If you value job stability, prefer a singular focus over multi-tasking, aren’t particularly comfortable with risk and can’t imagine yourself hustling for new business on a daily basis, the entrepreneurial lifestyle isn’t for you.
但是,这些进展也指向美国和欧盟在利用此类案件上的巨大差异,欧盟目前正在讨论是否要赋予中国世界贸易组织(WTO)框架下的“市场经济”地位——这一让步会使对中国提起反倾销案变难。
One of the men even swoops in to give the girl a quick kiss on the cheek. He turns around in mock-embarrassment and gives his friend a hug, while the young woman speaks to her friend in French.
The China-US relationship is crucial not just to the two countries themselves, but also to regional and global peace, security, and stability. Hence we must work together to continuously take it forward.
7.你要保证你不会问一些愚蠢的问题,例如:这场赛是切尔西队对英格兰队吗?
另外上榜的有Pink,勒布朗詹姆斯,赛琳娜戈麦斯,伊恩萨默海尔德,Jay-Z和碧昂丝夫妇,本阿弗莱克等明星。
研究显示,通过短信获取重置码、备选邮箱来恢复登陆的有效性分别为81%、75%。
Payne, a former lottery pick, missed time with a foot injury and hasn't shown any major progress as a shooter or a defender in year two.
菲律宾警察总长表示,新总统罗德里戈?杜特尔特(Rodrigo Duterte)上台后,不断升级的禁毒战争已造成近1800人死亡。

2

007系列电影主题曲第九名:露露--《金枪人》
'Short Term 12' is one of those small indie features that stays with you in a big way. It's only 96 minutes long, a modest production set in a foster-care facility for troubled teens. Yet Destin Cretton's direction and Brie Larson's performance elevate the film to, well, one of the year's very best. Ms. Larson is almost a sure thing for not getting an Oscar-this year's competition is unusually fierce-but do catch up with her portrayal of Grace, a 20-something supervisor who is far from untroubled in her own life.
Trium在三个指标上名列第一:攻读课程前学员的工作经历、实现的目标,以及国际课程经历。该课程学员在毕业3年后的平均薪资排名第二(30.7003万美元),仅次于Kellogg/HKUST联合推出的课程。
未来数年时间内,截止2018年,支出将上升至1.3万亿美元。而1000亿美元的丙型肝炎药物支出及同等的癌症治疗费用,还有780亿美元的糖尿病治疗费用都将是构成支出上升的因素。
China has been making progress in terms of prevention and control of AIDS, said Wang Bin, an NHC official in charge of disease prevention, during the press conference.
挪威两度拒绝成为欧盟成员国,整体排名为地第十。“公民权益”排名第一,“最透明”国度排名第二。
optimistic
n. 好客,殷勤,酒店管理
事实上,学术研究表明,同时期的另一种经济与社会转型令许多人更加彻底地用“白”来作为自己的支柱——尽管“白”这个字眼本身已经不常用了。
5. Gross warns: 'Ponzi Scheme! Tipping Point! Credit Supernova!'
[spred]
5. Starbucks. Brand love: 26% / Social Business Index Rank: 26

n. 商业广告
adj. 忙碌的,使用中的,订婚了的
Although foreign trade accounts for a greater share of the economy than ever, the United States is still more insulated than virtually every major competitor in Europe and Asia. Such everyday purchases as haircuts, dry cleaning, financial advice and eating out are virtually immune from foreign competition.
n. 冠军,优胜者,拥护者,勇士
James Bond Themes Honorable Mention: "We Have All The Time in the World" by Louis Armstrong
如果你想要一个有屏幕的冰箱,不妨把iPad粘在冰箱上。三星在今夏发布了可以连接Wi-Fi的智能冰箱,来帮助管理杂货和给家庭成员留言。
The 8 per cent year-on-year drop in profits last month compares with 4.2 per cent in November and is the biggest since the current data series began in late 2011, figures released on Tuesday showed.
One tomb, dubbed "M3," contained carvings of several mythicalcreatures, including four that represent different seasons and parts of the heavens: the White Tiger of the West, the Vermilion Bird of the South, the Black Turtle of the North and the Azure Dragon of the East.
South Korean activists vowed Tuesday to sneak copies of Hollywood satire "The Interview" across the border by propaganda balloon later this month, in defiance of North Korea's repeated threats.

3

"We'll start with a broad list and then begin to narrow it," Podesta told the Boston Globe. "But there is no question that there will be women on that list."
"Migration should be an option, a choice. But for 200 million people, it's a necessity," he told the Thomson Reuters Foundation in a phone interview.
element
“同为南方的儿子和疯狂的体育迷,我向你脱帽致敬,”前美国总统比尔?克林顿(Bill Clinton)发了一条推特(tweet)回应库克的文章。
两周后,伯恩海默等几十位著名的早期绘画大师作品交易商出席伦敦的夜间拍卖会。过去,他们通常会在这些拍卖会上购买一些作品,以备在第二年3月的荷兰马斯特里赫特欧洲美术博览会(Maastricht European Fine Art Fair)上展示。但是由于卖家们鼓励苏富比和佳士得报出更高的估价来争夺自己的拍品,所以拍卖行只针对少数富豪进行宣传,现场竞价十分冷清。
如果法国总统奥朗德在2012年上任后没有主动减薪30%,他的排名还能更靠前。
association
3.现役军人
自从2013年以来,前世界第一的泰格·伍兹没有赢过一次锦标赛,由于处于背部手术康复期,他也错过了去年的大部分比赛。但是,单单是泰格·伍兹的名号就能够使他赚得盆满钵满了。通过为耐克和泰特利斯等品牌代言,泰格·伍兹去年赚了3100万英镑,位居榜单第12位。
这表明,一般而言,大学教育从长期看来收益良多。
7.爱情就像两个人拉橡皮筋,受伤的总是不愿意放手的那一个。
通过药物注射传播艾滋病病毒的情况已得到有效控制。2017年,经注射吸毒感染者的人数相比2012年下降44.5%。
These concerns are real, but there are ways around them. For example, you can use your survival job to show employers that you're willing to work hard. And you can continue your job search after work.
When the federal government shuttered in October, Starbucks (SBUX, Fortune 500)CEO Howard Schultz refused to sit on the sidelines while businesses everywhere suffered. Instead, Schultz wrote a petition calling on his peers to rally together and put pressure on Congress to come to an agreement.
Consider:

4

Agents and investment institutions are now flooding the sector, causing additional changes to content and platforms in the world's second-largest economy, the report said. A number of Internet gurus, including Lei Jun, investor and founder of tech firm Xiaomi, Zhou Hongyi, CEO of Qihoo 360 Technology, and China's richest man Wang Jianlin have all directly supported live video-streaming websites, a strong indication of the growing interest from capital investment.
The former Miss Israel, Gal Gadot spot 6th in the list of 10 most beautiful women of 2015. She is the leading fashion model for the clothing company Castro. Gadot is known for her role as Gisele Yashar in The Fast and the Furious film series.
1月份,中国的进口同比减少了14.4%,降至7375亿元人民币。大于去年12月4%的降幅,也和上升1.8%的预期不符。
If successful, the funding would underline the rapid growth of the sector this year. In April, Lufax raised $500m at a $10bn valuation.
据第三方市场情报公司IDC日前公布的数据显示,去年中国智能手机制造商华为、OPPO以及vivo的年出货量大增,使得三家企业都成为了世界前5大智能手机制造商。
Jordan、harley、robert、matthew、daniel、andrew、andrea、joshua等人名都出现在榜单上,football(足球)和lakers(湖人队)也上榜。
[?uv?'r?:l]
HOW MUCH: $2,050,000
He had been stranded for five hours by the time help arrived.
a不+dama征服+ant→不可征服的→坚定的,坚固的
ex出,tend伸-伸出-延长;扩大

5

西门子(Siemens)去年破纪录了,通过将医疗部更名为Healthineers一举斩获两项大奖。该公司不仅因为将两个单词生拼硬造出另一个无比蹩脚的新词从而荣获“马丁?卢克斯奖”(Martin Lukes prize),同时还凭借现场视频中一位倾情演唱的CEO和身着氨纶紧身衣卖力献舞的员工们,摘得史上最尴尬企业歌曲的金牌。
法律
那么,于汽车业而言,2015年又意味着什么?以下是一些有根据的猜测。
纽约的无所作为带来两个问题:杰克逊有足够的能量消除他在任时给球队带来的伤害吗?
Coke's Kent is not the only chief executive who spoke out in 2013 about the merits of immigration reform for big business.
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.
这个变化很大一部分原因是因为去年十月软件巨头Adobe公司发生了重大安全漏洞,致使数百万用户遭受影响。
Call Me By Your Name
“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.
9. Investors brains are so distracted, in denial, they won't get out in time.
The report provided in-depth observations on 28 Chinese business and administrative capitals - excluding Beijing and Shanghai - using several indicators.
愿新年不仅是你欢笑的时刻,更是你欣喜的日子。祝福你。
Song “Embrace Happiness”(Kelly Chen)
Variety Talk Series: “Last Week Tonight With John Oliver” (HBO)

6

4.《欲望都市》掀起纸杯蛋糕热
贾斯汀比伯名列第五,因他为慈善组织Pencils of Promise和Believe Charity Drive做的贡献。
More than 40 percent of consumer goods exported to China last year through e-commerce platforms fell short of standards, China's top quality watchdog said.
Set between the events of Star Wars Episode III and IV, Rogue One will most likely be about bounty hunters who set out to steal the Death Star plans. We're not exactly sure of the plot.
Her mother Stephanie Boyden, 32, says Bobbi is a 'diva' who runs to the stage when her name is called - and screams when she has to leave.
A 19-year-old girl, referred to as Guo Lingling (this may be a pseudonym), was allegedly struck and kicked repeatedly by her so-called instructors after failing to ask permission to go to the bathroom. An autopsy report showed she died from skull injuries and brain damage.
根据你希望推广的品牌文化,寻找能够为其提供支持的技能和态度,可以促进公司的创新,增强公司的信誉。从外部寻找帮手,帮助你的团队进步。 这将开启一个免费的营销连锁反应,为你树立自信并增加收入。
课程安排:每隔一个周末在芝加哥上课,共计大约18门课程,包括4门选修课。学员在芝加哥住校学习3周,在香港和伦敦分别学习1周。
2. LinkedIn. Brand love: 47% / Rank: 309

中共中央纪律检查委员会的数据显示,各级纪委还将加强了对党员干部和国家工作人员的管理,去年,新增外逃人员数量由2014年的101人降至仅4人。

Conclusion

The Bloomberg soft commodities index has gained 21 per cent, compared with 24 per cent for industrial metals and 1.5 per cent for energy.
It is the eighth straight year that the metropolis has led Chinese cities in terms of consumer spending.
L2研究总监科林o吉尔伯特表示,这一系列合作标志着创新的摇篮与时尚的发源地终于开始牵手。吉尔伯特说,要解决可穿戴领域的难题,缺少的不仅仅是设计这一种要素,但设计确实是这个领域期待的元素。这份报告的调查显示,超过一半的受访者希望拥有看上去更像珠宝的可穿戴设备,62%的受访者更喜欢腕戴式设备。
这两部极具娱乐性,追求整体效果,建立在事实基础上的程序剧(procedural)都是关于惊人的犯罪与腐败滋生的大型机构的故事——一个是关于罗马天主教会,一个是关于华尔街银行。除了激发起正直的愤怒,麦卡锡与麦凯以不同的方式,把悬疑、情感和道德的分量融入到接电话、敲键盘、读报表等现代日常工作中去。
Tech giant Tencent's founder Pony Ma topped the list, with a fortune of 279 billion yuan, followed by Alibaba's Jack Ma, and Evergrande Group's Xu Jiayin, with their personal worth reaching 260 billion yuan, and 229 billion yuan, respectively.
[p?'lu:n]
People are still looking at old masters for pleasure, if not as lucrative investments. Sotheby’s said 6,000 people visited its Dec. 5 to 9 viewing, compared with the 6,400 who saw its Impressionist and contemporary sales in June. At the lower end of the price scale, many historic paintings do find a market — Christie’s and Sotheby’s day sales of old master paintings on Dec. 9 and 10 had solid-enough selling rates of 67 and 65 percent apiece.
单词encourage 联想记忆:


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. 10.I thought I already sent that email out. I’m sure I did. – Because telling you that it was a low priority and I forgot would probably hurt our relationship。
  2. 所有外出务工人员的年收入据估计达到了3万亿美元,然而大约有85%仍留在雇主国,他们汇款回家的钱,平均不到雇主国GDP的百分之一。
    China's online game revenue in 2008 was CNY20.8 billion, accounting for about 27% global share, ahead of South Korea at 21% and slightly behind the U.S. at 29%, according to an earlier report by Shanghai-based market research firm iResearch. The firm also predicted that China is likely to surpass the U.S. to become the world's largest by the end of 2009.

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