Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

“与前些年相比,今年两会适逢领导人换届,还将讨论机构改革。会上还将讨论贯彻执行十八大政策的详细规划。”Lee Kyu-hyung, Republic of Korea ambassador
In 2018, more business leaders will channel a potent combination of digitalisation, generational change and growing diversity, to streamline their hierarchies, distribute responsibility, and transform their organisations.
Sure, Chris Paul is a bit bigger and stronger now, but he still looks almost identical to the way he did in high school. He even had his trademark mustache back in high school.
It has been speculated by varying sources that with MGM back up and running, Sony Entertainment, the company that distributed the last two 007 adventures Casino Royale and Quantum of Solace, will announce their take over of the franchise. Deadline, on the other hand, tend to believe that James Bond 23 may go to Paramount, as they have a very close relationship with Spyglass and are currently working with them to produce Star Trek 2.
报告称,迪拜排名第四,预计接待游客1527万人,“突飞猛进,成为全球旅游消费最高的城市”。
This is a thorny issue that’s unique to messaging apps. We expect ads to live alongside content we consume. We don’t expect them to crop up in our one-on-one communications. “The last thing you want in a personal conversation is a banner ad or pop-up that interrupts that,” Wray says. “It might work with more impersonal networks, but specifically within messaging, people hate traditional ads.”

Anxiety about addiction to screen time gave rise to a dubious new line of businesses: boot camps, often run by ex-military personnel, promising to help wayward youth kick the habit. But investigative reports p ublished in recent days by Beijing News and the Mirror reveal abusive conditions, leading to the death of at least one student, at the Zhengzhou Boqiang New Idea Life Training School, which billed itself a s an Internet-addiction recovery camp in eastern Henan province.
今年第一个月,不论以人民币还是以美元计,中国出口和进口都出现了大于预期的跌幅。
Most technology developers are seeing app use grow and web use decline. That means companies have to have strong, fast, meaningful mobile platforms and those that don't lose customers.
The same seven schools continue to dominate the top half of the ranking. AGSM at UNSW Business School of Australia entered the ranking for the first time in eighth position.
在此背景下,白不仅仅是指肤色。你可以将其定义为“人种-民族多数”的成员,但这样有点拗口。它的真正含义是不会被定义为“他者”的特权。
[ai'dentik?l]
我们发展出人工记录声音的技术已经有几十年了,但是人工植入器官在耳朵这一领域没有任何改变。你可能认为生长在头两边的肉块极易替换,因为它们只是皮和软骨,而不是复杂的器官。事实上,科学家在制作假耳上并没有做得非常出色。传统的替代耳朵看起来或感觉起来都像塑料玩具。
指数: 97.8
还记得《类人猿行动》吗.这是一部被众人忽略的2016年早些时候的电影,由杰米.多南和斯里安.墨菲担任主演,讲述了对希特勒身边的三把手、党卫队将军莱因哈德.海德里希进行的一次失败暗杀。《行动代号:猿人》也尝试讲述这一故事,杰克.莱诺和奥康奈尔将在片中饰演密谋的士兵,而罗莎曼德.派克和米娅.华希科沃斯卡是他们片中的感情对象,杰森.克拉科则饰演他们的刺杀目标。

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.

年龄:46岁

1

据悉,这个女孩来自上海,在两个月间每天都通过她妈妈的手机和银行卡,给这名男子网上支付1900元到9500元不等。
The registered urban unemployment rate stood at 4.02 percent at year-end 2016, the lowest level in years.
许多老板都会对自己的员工负责,但是优秀的老板也会对他们自己的行为负责。这意味着他们同样会遵守为员工们设置的指导原则,并为团队的成功和失败负责任。
[.beni'fil]
联想记忆
Curry scored 27 points and the defending champions moved within one victory of matching the best start in NBA history, holding off the Chicago Bulls 106-94 on Friday night to improve to 14-0.
今年第一个月,不论以人民币还是以美元计,中国出口和进口都出现了大于预期的跌幅。
In 2015, the number of migrant residents living in Shanghai dropped for the first time in the past 15 years, Shanghai Television reported Monday.

Over the three-year period we examined, late arrivals actually declined during the Thanksgiving travel season — just 12 percent of Thanksgiving flights were delayed last year, compared with 19 percent in 2010. according to the Transportation Department.
China's economic performance in the past few years should suffice to put predictions of a hard landing to a full stop. China's economy will continue to enjoy medium-high growth and be upgraded to higher levels
尽管看起来有着大量的目标核对工作,但在5月7日,中国驻贝尔格莱德的大使馆却被从美国空军B-2幽灵轰炸机上发射的五枚卫星制导联合直接攻击弹药击中。三名中国记者——新华社记者邵云环,光明日报记者许杏虎和他的妻子朱颖在袭击中身亡。另外20名中国公民受伤5人伤势严重。
port部分+ion→一部分→部分,一般
但他们事先计划投放100000反平壤宣传单。
With Capital Economics estimating that global economic growth will edge up to 2.8 per cent this year, from 2.5 per cent in 2016, “the exports of the emerging world’s net commodity exporters should rise by about 20 per cent year-on-year in dollar terms,” he argues.
主机运营商HostGator.com公司的布兰迪o班奈特认为,在一家可靠的网站上坚持写博客,或者做一名志愿者,贡献出你的时间和技能。不要去告诉别人你是谁,而应该通过实际行动去展示你自己,这样做可以积累专业知识以及个人信誉。
奥巴马在俄亥俄州、威斯康星州、爱荷华州、宾夕法尼亚州和新罕布什尔州都以微弱的优势超过了罗姆尼,而在这些地方罗姆尼都曾经前往发表过演讲。根据网络数据,唯一被罗姆尼的风采征服的摇摆州是北卡罗来纳州。
China's movie box office revenue grew 9 percent to $8.9 billion (RMB 60.98 billion) in 2018.
['tmpi?n?ip]
Writing for a Comedy Series: Aziz Ansari and Alan Yang, “Master of None” (“Parents”)
France, along with Belgium, has seen the largest numbers of volunteers leaving to join the Islamic State jihadist group, which has seized large parts of Syriaand Iraq.
格温妮丝·帕特罗(Gwyneth Paltrow)曾出演《莎翁情史》(Shakespeare in Love)获最佳女主角奖,并成为好莱坞明星。为了避免在发表获奖感言时出现混乱,她却把小金人藏了起来,因为“这东西吓坏我了”。

2

[di'sin]
China has overtaken the United States to become Germany's top trading market in 2016 for the first time, according to data collected by the Association of German Chambers of Commerce and Industry (DIHK).
The 2014 ranking of 100 programmes for working senior executives is headed by Trium, runby HEC Paris, the London School of Economics and Stern School of Business at New York University. The top five places continue to be dominated by intercontinental EMBAs.
The top 20 comprises 13 US universities, four British and three others.
adj. 终极的,根本
这支队伍需要更多的天赋,他们需要大修。对魔术而言,最能吸引天赋到来的方式一直以来都是选秀。
As a result, in the first 10 months of 2016, the year-on-year decline in EM exports in dollar terms was just 6.6 per cent, according to calculations by Capital Economics, a marked improvement on the 11.6 per cent contraction seen in 2015, as the third chart illustrates.
美因何而存在?为了回答这个问题,鸟类学家理查德?O?普鲁姆正试图令达尔文的一种观点重新流行:同一个物种中,动物对其同类的吸引力,不仅仅与健康和良好的基因有关。动物,尤其是普鲁姆博士所研究的鸟类,会做出主观的决定。他希望进化生物学家不要再“为欲望辩解”了。
译文属可可英语原创,未经允许,不得转载。
Consumer prices rose 2.3 per cent year-on-year, more than expectations of 1.8 per cent. That is the biggest rise since July 2014. They had risen 1.8 per cent in January.
单词slew 联想记忆:
Global warming and a powerful El weather event combined to make 2015 the planet’s hottest year since modern records began in the 1800s, according to scientists, who warned this year could be even warmer.

肠道细菌正以我们想像不到的方式干扰着我们。新的研究指出,像帕金森综合症等神经退行性疾病实际上可能始于肠道,而不是大脑。越来越多的证据显示,慢性疲劳综合征可能要归咎于人体内的微生物群系。随着肠道细菌显示出控制食欲以及改变大脑结构的迹象,而且有引起大脑损伤而导致中风的表现,我们的这个小过客(肠道细菌)有着不容忽视的力量。
Most people’s impression of Sweden is that it’s cold, gloomy and beautiful. But that’s not the whole story. As the largest Scandinavian country with a small population, it’s a paradise for people who hate crowds and love their peace and quiet. It’s the perfect setting in which to enjoy the country’s local delicacies, such as fresh seafood, berries, and regional cheeses.
北京市旅游发展委员会指出,污染问题是中国在吸引外国游客入境旅游的过程中面临的又一障碍。
追踪制造业、服务业和建筑业商务活动的官方指标显示,10月份这几个驱动中国经济的关键行业的增长有所放缓。
Good health, good luck and much happiness throughout the year.
London Business School has topped the European table for the third year running — but continental rivals lead the European schools in the individual rankings used to compile it.
Market watchers were forced to digest the reality of negative 2.9% GDP for the first quarter of the year. All of a sudden, everyone’s forecasts seemed too rosy—or at least too smooth—compared to the lumpy reality. This led to a raft of second-guessing on the timing of the Fed’s eventual exit from its bond-buying stimulus program. We went from confidence to WTF? in a space of a few weeks, with all the asset class rotations and market corrections that come along with a fresh bout of uncertainty.
其实,中国经济增速放缓至8%左右,对中国乃至世界都是一件好事。更具环境可持续性、更加公平的局面,将缓解社会忧虑,而更高的消费将缓解全球贸易紧张。
其他人将想方设法利用技术来帮助人们减少上网时间。谷歌(Google)前雇员特里斯坦哈里斯(Tristan Harris)发起的“时光莫虚度”(Time Well Spent)运动正在吸引人气,该运动鼓励设计者理解他们所控制的微妙的心理力量,以解决其所称的“数字注意力危机”。据Recode报道,曾经在Pinterest和Facebook工作的蒂姆肯德尔(Tim Kendall),计划成立一家专注于对抗设备上瘾的初创公司。

3

PC demand has been hit by competition from smartphones and tablets, along with longer lifecycles for PCs. Shipments fell in all regions around the world and have declined for five quarters in a row, according to IDC's figures.
据中国在线招聘服务平台智联招聘发布的一项调查显示,2017年应届大学毕业生平均签约月薪为4014元(582美元),签约在一线城市的应届毕业生约占三成。
韩国全州——在全州的韩屋村,仍保留着几百座传统的韩式房屋。
4. OPEC’s Next Move.OPEC deserves a lot of credit (or blame) for the remarkable downturn in oil prices last year.While many pundits have declared OPEC irrelevant after their decision to leave output unchanged, the mere fact that oil prices crashed after the cartel’s November meeting demonstrates just how influential they are over price swings. For now OPEC – or, more accurately, Saudi Arabia – has stood firm in its insistence not to cut production quotas. Whether that remains true through 2015 is up in the air.
Typically, he writes, analysts “see the root cause of emerging markets’ susceptibility to crises in weak institutions that make countries vulnerable to economic and financial instability.”
上周四公布的一项数据显示,两所中国顶尖大学跻身今年《泰晤士报高等教育专刊世界大学声誉排行榜》的前20名。
Denmark, for instance, is 88 percent white Danish today — hardly a majority in jeopardy. But a generation ago, in 1980, it was 97 percent white. The anti-immigrant Danish People’s Party is now the second-largest party in the Danish Parliament. In Germany, where the foreign-born population shot up by approximately 75 percent between 2011 and 2015, the anti-immigrant, populist Alternative for Germany party is now drawing record support.
n. 精美的东西
或许纯粹是巧合,但Magento首位产品经理蒂姆o舒尔茨也刚刚加入Bigcommerce,出任产品管理高级副总裁。舒尔茨近年来担任谷歌Shopping Express、Wallet等服务的战略合伙和商业发展高管,未来将专注于Bigcommerce的一站式体验,将电子商务和实体零售更好地结合起来。“消费者想要无缝化体验,”他说。
Bella is the youngest model on the list, having just turned 21 last month.
Such highlighted talents also include cult director David Lynch of the United States and the versatile Taiwan filmmaker Sylvia Chang, whose representative works are on the recommended lineup.
尽管中国排名上升,随着决策者越来越意识到加强创新是一个经济体充满活力、竞争力的关键,发达国家与发展中国家在创新方面仍存在差距。
1.无叶风扇
自此之后,中国每年都会发布以12生肖属相为主题的农历新年纪念邮票。
Month-on-month producer prices rose 0.7 per cent, up from 0.5 per cent in September.

4

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。
“The headwinds that Chinese banks face will last for a long time,” he said. “In addition to lower sources for profit, they will also have to prepare themselves for losses on bad loans.”
There are legitimate reasons to doubt that Nerlens Noel can blossom into a dependable starting center, including his injury history, off-court red flags, and extremely limited offensive game.
And, this year, Star Wars found its way onto the list as well, with ‘starwars’ claiming the 16th spot.
单词arrogant 联想记忆:
She said: 'Bobbi's like a little Beyonce, a little madam really.'
Yang Yansui, director of the School of Public Policy And Management at Tsinghua University, said the four-trillion-pension balance was mostly in personal accounts, while the pay-as-you-go pension system was greatly challenged by dependency ratio.
公司的运营情况不好。
Apple Chief Executive Officer Steve Jobs holds the new " iPad" during the launch of Apple's new tablet computing device in San Francisco, California, in this January 27, 2010
['di:li?]
Most female participants were between 19 and 23.

5

Any 'jobs recovery is years away in most cities, ' says USA Today. And in reviewing famed analyst Meredith Whitney's new book, 'The Fate of States, ' she warns that 'excessive pensions crowd out both liberal goals such as education spending and tax cuts that conservatives want.'
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。
I'm only a child yet I know if all the money spent on war was spent on ending poverty and finding environmental answers, what a wonderful place this earth would be! 我只是一个小孩,然而我知道,要是把花在战争上的钱,用在找寻环境问题答案上来,或用在结束贫穷并找到解决的方案上来,这个星球将是个多么美好的地方啊!
还有几种汽车品牌名称也跻身榜单前50,包括ferrari(法拉利)和mercedes(梅赛德斯)等等。
The lending conditions were not limited to nude pictures. Also leaked were a number of screenshots of supposed dialogues between the borrowers and lenders, with one lender demanding that the female students deliver a video of herself masturbating.
n. 史诗,叙事诗 adj. 史诗的,叙事诗的,宏大的,
Wang, the chairman of Dalian Wanda Group, took the top spot with a personal fortune of $32.1 billion, the report said, despite Ma seeing his wealth surge 41 percent from 2015.
11. 《黑豹党:革命先锋》(The Black Panthers: Vanguard of the Revolution),导演:斯坦利?尼尔森(Stanley Nelson)。
[pr?s'periti]
体操、蹦床、竞技体操、艺术体操、
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.
妮妮·切利(Neneh Cherry),《空白计划》(Blank Project), Smalltown Supersound
不过,时间不等人,特朗普总统也正通过威胁退出谈判而极力增添一些戏剧性的紧张感。
加强产权保护制度建设。

6

I know this takes time, but it'll ensure you really know your stuff. And that's why you're going to school. Right?
当城市规划部门明年初(2015年——译注)提出初步的建议方案时,布鲁克林的东纽约(East New York)地区将被列为试点。随后,重新区划进程就将在该处全市最穷社区之一内展开。而紧随其后的,将是针对皇后区的西法拉盛(Flushing)的提案。
In eighth place with $6.5 million, Chinese model Liu Wen, 29, is the only Asian model on the list, reflecting the lack of diversity that continues to plague runways.
The appointment was announced by Steven Ciobo, the Australian minister for trade, tourism and investment, on Feb 21. The Chairman of the China National Tourism Administration, Li Jinzao, was present.
除了众多受过教育的劳动力可供选择,企业也被亚利桑那州的亲商监管环境所吸引,在莫卡特斯中心(Mercatus Center)发布的美国50个州商业自由度排行榜上,亚利桑那州排名第13位。这项研究援引亚利桑那州的劳动权利法、责任法和土地征用权改革作为有利条件。
例如比利时,它的人口不到小组赛对手俄罗斯的1/10,但被认为是一个巨大的威胁。而乌拉圭尽管人口还不到400万——仅仅是大圣保罗人口的1/6——却是巴西在通往决赛之路上最不想碰到的球队之一。为何如此呢?
Best wishes for the holidays and happiness throughout the New Year.
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.
本周二,高等教育研究机构Quacquarelli Symonds(QS)公布的最新《QS世界大学学科排名》显示,中国约有88所大学的学科进入全球400强。

不是每个乐队都能在四十年的职业生涯中始终给人以清新的感觉,然而并非每个乐队都是金发女郎。

Conclusion

8月首播的《秦时丽人明月心》全剧共48集,围绕着秦朝(公元前221-206年)时的争斗和爱情故事展开,剧情均为虚构。
China's rich seek own islands
Social networking platforms, including Weibo and mobile app WeChat, proved to be the best tools for cyberstars to magnify the power of communication, making it possible to create an industry that combines advertisements, e-commerce and fans.
福布斯表示,如果不扣除管理费和税费,在2015年6月1日到2016年6月1日期间,全球收入最高的10位女星共入账2.05亿美元。
The report said there were now 594 dollar billionaires in China, putting China ahead of the United States' 535. However, none of China's super-rich make it into the global top 20.
4. 这事儿不能说太细。
欧盟完成与墨西哥现有贸易协议的(重新)谈判也是如此。在与墨西哥签订协议上,布鲁塞尔很可能比特朗普先冲过终点线。
我是说,让一个9号秀同伊巴卡和杰夫格林这样带队真的没问题吗?可能吧。只是从之前糟糕的表现上来看……


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. con全部,tain拿-全部拿住-包含
  2. 和你共事的多数同事你都不喜欢
    自从6年前开始编制该榜单以来,女性学员比例稳定增长,最新一届中占42%。与管理学硕士课程中女性学员48%的比例相比,这有些低,但它高于MBA课程中35%的比例。

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