Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

This is not to take anything away from Tesla, which has demonstrated that it can create and manufacture a complex and sophisticated product with demonstrated customer appeal. But its own internal forecasts, as well as the swelling of its share price, are based on the expectation that the future will unspool in an orderly fashion identical to the recent past. That’s a dangerous assumption to make – for several reasons:
7.戛纳的“女性之年”并走运
Mr Ford, founder of a Silicon Valley software development company, suggests “a fundamental restructuring of our economic rules” may be needed to mitigate the impact of the advance of robotics and automation. He proposes a guaranteed minimum basic income — or “citizen’s dividend” — as one radical remedy.
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。
[dr?ft]
但他们事先计划投放100000反平壤宣传单。

抓好金融体制改革。
葡萄牙完全使用可再生能源供电四天
*Reality Host: RuPaul Charles, “RuPaul’s Drag Race” (Logo)
Thank you to Aicha Nezzar for sharing this gem on the Facebook Group- Global English Forum.
championship
这造成了一种有待填补的身份认同真空。
People on both sides of the Taiwan Strait are brothers and sisters, and no matter how the situation on the island evolves, the mainland is determined to maintain Cross-Strait stability.
As foreign minister, Margot Wallstrom, who broke free from a violent relationship in her 20s, is challenging assumptions in a traditionally male sphere.
As you graduate, my friends, remember what lies ahead of you is a world overflowing with beauty and potential; not just in the form of office corridors or Wall Street but a real, throbbing world, full of many mysteries and heady experiences. A number of us miss this simple truth.

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.

[?d.mini'strein]

1

core
在10月份的第三场总统大选辩论中,两位总统候选人没教养地拒绝与对方握手问好或道别。
The Democratic party's would-be challenger, Republican frontrunner Donald Trump, responded on Fox News, accusing Clinton of pandering to female voters.
Traders heading for the exits: 'Unsustainable trends can survive much longer than most people anticipate, but they do end when their 'time is up, at the culmination of their time cycles.' They analyzed more than 20 cycles: 'Nearly unanimously point to tectonic shifts in the months and years ahead.'
在综合榜单中,美国大学的数量最多,共有221所大学上榜。中国和日本分列第二、三名,上榜大学数量分别为136所和76所。
最终,民主政体或者民主共和国为不同观点乃至不同文化的人们提供了较为和谐地比邻而居的方式。
这是中国首次占据榜单前三甲以及在前10强中占了5名。中国工商银行连续两年占据第1名的宝座,中国建设银行次之,而且中国农业银行向上移动了5名成为第3名。这三大银行与排在第9名的中国银行一起跻身前10强,中国银行是“四大国有银行”中的另一个成员。
居民社区

Wuxi, in coastal Jiangsu province, retained the top spot for a second month with growth of 4.9 per cent,
赛瑞戴维森
“人们已习惯于这样的套路:美联储称要进行紧缩,结果当市场波动或其他风险浮出水面时,政策制定者便收回紧缩言论,呈现出‘如有疑问,按兵不动’的规律,”克普克说。
学校获得的好处似乎显而易见:它们有了优秀的毕业生任教,否则这些学生将会直接进入咨询行业。
WORST USE OF SOCIAL MEDIA
credit
但是这位少年依然没有放弃,他还留了最后一手。
吉祥猴的水墨设计草图由中国当代艺术家、北京奥运会吉祥物“福娃”的创作者之一韩美林设计的。这幅中国传统水墨画的设计被网友认为“萌萌哒”,代表了中国传统艺术风格。节目制作人将吉祥猴命名为“康康”,在中国表健康之意。
在小说中,格洛搬来与邦德在伦敦同居,并在争吵中一起度过早晨时光。
After decades of promise, new gene therapies are starting to deliver real results. Like all new therapies, communicating accurately how and where it works will prove as challenging as the treatment itself.
Yes. There are plenty of positives: earnings, economic growth, and US tax cuts. But they are already known. Stocks look ridiculously expensive by historical standards, but that tells us nothing about short-term moves. Ultimately, it comes down to liquidity, which has driven markets since they emerged from the crisis in 2009. If all goes according to plan, central banks will be decreasing their balance sheets, and removing liquidity, by the end of 2018. If they go through with this, the odds are that the S&P will stall. But even a tiny tremor could make the bankers blink. Expect the momentum to continue.
在面试期间看手机,嚼口香糖。
In response, Mr Wilders labelled Mr Rutte a liar, citing the prime minister’s broken pledge not to support a bailout of Greece during the 2012 election.

2

家用电器行业的平均价值上升了74%,是10大行业里上升幅度最大的。电子商务和零售业位居其后,价值上涨了69%。医疗卫生保健行业上升32%。金融服务行业上升了18%,酒类行业上升了17%。房地产增长了15%,饮食行业上升了11%。
INDOORS: The two-story stucco contemporary was built in 2005. The interior is an airy open space; white walls contrast with red tile floors. Walls of sliding glass doors face live oaks and marshland on the Wilmington River.
虽然她五个月之前才刚学会走路,但是这个被人们称作“宝贝碧昂斯”的小宝宝已经开始在各种盛会的舞台上展露风采了。
现在达洛伊西奥还不负责管理他的收入。他坚称说,我太年轻了,还不懂如何发挥其价值。我没有房贷,我才17。对我来说100英镑就是个大数目了,这就是我对钱的大致概念。尽管他无法对Summly的售价置评,但当我逼问他未来打算如何支配的时候,他说他在考虑以后也许可以用所发之财来做一名天使投资人。在他身边,似乎没人觉得这份钱会毁掉他或者他会挥霍钱财浪费人生。戴安娜说,孩子很踏实,很有冲劲儿,他不会停止奋斗的。
In terms of salary three years after graduation, Germany leads the way for masters in management programmes, with three schools in the top four. Graduates of WHU Beisheim have the distinction of earning the highest salary, at $98,123 on average.
Folk Song “Horse-Head Fiddle On A Deck”(Wang Hongwei)
French authorities said in December that they have dismantled about a dozen networks that were sending people to fight in Iraq and Syria.
11月22日,马拉比在伦敦的一场晚宴上领取了该奖。英国电信集团TalkTalk行政总裁迪多.哈丁(Dido Harding)应邀在晚宴上发表了演讲。
节目30 相声,郭德纲 于谦
我们只把精力在应该关注的地方
6. Our last universal common ancestor gets a makeover
This founding father argued that the college would both guard against the desire in foreign powers to gain an improper ascendant in our councils and ensure the office of President will never fall to the lot of any man who is not in an eminent degree endowed with the requisite qualifications.

这枚奖牌拍出的高价远远超过了该拍卖行预计的成交金额——5万美元到10万美元。此前,仅有1903年诺贝尔和平奖奖牌在1985年被拍卖,拍得将近1.7万美元。
Robin Harding
Most observers would think the single-aisle Comac C919’s first flight last May (pictured) is illustrative of this, but while it is a key milestone, it does not represent the whole story about what is happening in the industry. Two other events are much more telling.
很多宏伟壮观的博物馆坐落在布鲁日、安特卫普和布鲁塞尔等风景如画的城市中。艺术爱好者可尽情徜徉在中世纪时期的大量艺术瑰宝中。同时,你也不要错过造访宁静小镇、参观哥特式建筑的机会。比利时拥有世界上最好的啤酒、巧克力以及薯条,因此,在那里人人都是美食家。随着第一次世界大战爆发100周年纪念日的临近,未来几年,比利时将成为更多游客的首选。
Actively expanding China's opening up to the world
当然,劳动力市场的复苏一直是渐进的,并可能保持这种状况。就业增长速度就需要在目前基础上大大提高,才能让失业率真正大为改观。失业率虽然低于三年前的10%,现在仍然高达7.9%。[qh]
许多管理者提到了一些极其失礼的情况。求职者:
重点单词
用户说,语音信息的传输速度很快,可以在微信平台上对话。但和微软(Microsoft Corp.)的Skype等免费语音应用不同的是,在微信上还可以另选时间回复别人发来的语音信息。北京微信用户Robin Wang说,我可以决定什么时候回复,以及回不回复。

3

conduct
'Blue Jasmine' belongs, chronologically, to Woody Allen's late period of self-renewal. Artistically, however, it's a comfortable fit with some of the brightest comedies-the brightest/bleakest/wriest comedies-he's ever done. The centerpiece is Cate Blanchett's astonishing performance as Blanche duBois re-imagined to be the half-mad ex-wife of Alec Baldwin's crypto-Bernie Madoff. Not all that far from the center, Sally Hawkins, Andrew Dice Clay, Bobby Cannavale and Louis C.K., among others, maneuver their way through mine fields of deceit and disappointment.
So I don't know what will happen in 2014--and neither does anyone else. What I imagine, though, looks like this:
Singapore tops the list as the most expensive city for the third time in a row, but in a year when costs around the world have been highly volatile.
*最佳真人秀主持:鲁保罗?查尔斯(RuPaul Charles),《鲁保罗变装皇后秀》(RuPaul’s Drag Race, Logo)
What dangers does the Fed present to EMs today? One of the biggest risks, says Mr Koepke, is that it might “get behind the curve” and delay raising rates for too long. This would result not only in a surprisingly big hike when it came, but also a higher terminal interest rate than would otherwise be the case.
Chinese exports rose at more than twice the rate expected in November, boosting the country’s trade surplus.
For: Since it premiered at the Venice Film Festival, it's being wowing audiences.
3.3M公司
Russia's economy is the 10th largest in the world, producing little of value beyond hydrocarbons. Corruption and rent-seeking extract an enormous economic toll. It remains burdened with Soviet era infrastructure, and its ability to meet the educational and medical needs of its population is rapidly declining.
Company: BlogHer
This is the 16th edition of the FT global executive MBA ranking.
据英国《卫报》报道,在去年的伦敦时装周期间,有250名反皮草抗议者,2月份的玛丽卡特兰佐秀场也受到了抗议者激烈的抵制。
Google's brand is now worth more than 109 billion U.S. dollars, around 2 billion dollars more than Apple, making it the most lucrative in the world.
While Jaws's story is extremely unrealistic, it was based on a real series of deaths attributed to a single shark in 1916. In what has been dubbed the "most unique set of shark attacks that ever have occurred," the Jersey Shore saw four people die from shark bites over the course of two weeks. The offending shark was reportedly caught with body parts still in its digestive tract, although leading scientists still aren't sure what drove it to attack so many people.

4

单词continuous 联想记忆:
税:每年大约18036美元(约合人民币11.5万元)。
36岁的阿德里亚娜·利马排在第四位,其收入为1050万美元,初为人母的罗西·亨廷顿-怀特利(950万美元)与25岁的卡莉·克劳斯(900万美元)分别位列榜单的第六位和第七位。
游戏平台:Xbox One、Xbox 360、PS4、PS3 、PC
mort=death死+gage抵押品→抵押品不能动,像死一样→抵押(品)
5. Life is like a coffee table: it’s got tea sets and dinnerware all over it. (beiju, 杯具, is a homophone for tragedy, 悲剧, and dinnerware, canju, 餐具, a homophone for disaster, 惨剧).
trade贸易,mark记号:商标
单词charming 联想记忆:
Aoki-san is a pleasure to work withon storyboard. With Aoki-san on the team it feels like a sure thing. The visionof these animations will be perfect.
这项发明是伟大的,但也是愚蠢的。”这个开瓶器号称是“世界上第一个智能开瓶器”,但它不是突破性的。这个开瓶器能在你开酒瓶的时候通过短信发消息通知你的好友,这很疯狂,对吗?
Swiss school IMD comes top in the ranking of open-enrolment courses, available to all working managers, and jumps two places to second for customised programmes, which are tailor-made for corporate customers. Iese of Spain holds on to the top spot in the custom ranking and remains second in the open ranking.

5

和普通女人一样,我也喜欢超短裙和超长裙——它们通常讨人喜欢,易于穿着。毫无疑问,这些裙子穿在梅根(Megan)和她的朋友们身上更是有力地提醒了我们。
创业者都是行动者和颠覆者。他们不能去分析每一个细节,否则他们将寸步难行。初创公司没有拖延的资本。创业是一个全天候、无休假的职业,创业者必须具备持久不变的前进动力。迈出每一步的时候进行简单的评估,然后继续前进。相信自己的直觉。
This 1977 file photo shows Apple co-founder Steve Jobs as he introduces the new Apple II in Cupertino, Calif.
这句简练、言之有物、几乎可称之为妙语的话提醒我们,即便接下来的奖项都相当雷人,还是有人能够做到直白的。
中国保险企业2016年上半年利润出现大幅下滑。
一份调查报告称,2014届中国大学毕业生的就业满意度为61%。
会。目前有很多利好因素:利润、经济增长和美国减税。但这些都是已知因素。按照历史标准看,眼下股价高得离谱,但这对短期走势毫无参考价值。最终还是要看流动性,自从股市在2009年从危机中走出来以后,流动性始终驱动着股市上涨。如果一切按计划进行,到2018年底,各国央行会在缩表和撤除流动性。如果各央行果真这样做,标普500指数很可能会牛气不再。但只要稍有风吹草动,央行官员们就会迟疑。这股牛气应该会继续。
英国和法国成为欧洲商学院教育的两大来源。在上榜商学院中,近一半要么来自英国(20所),要么来自法国(19所)。从排名、毕业生薪资(法国为5.5万美元,英国为4.9万美元)以及学生数量(法国为9000人,英国为1200人)看,法国在管理硕士课程方面强于英国。然而,从MBA商学院数量(英国上榜商学院为18所,法国为5所)和学生数量(英国为1900人,法国为1300人)来看,英国商学院MBA课程强于法国,尽管在毕业生薪资方面,英国MBA课程(11.5万美元)不敌法国(13.7万美元)。
巴西对智利比赛的正式票价范围在200美元到25美元之间。最便宜的门票大约占5%的销售额。这些门票只为学生、老年人和政府福利计划的穷人提供。
英国剑桥大学(University of Cambridge)佳奇商学院(Judge Business School)的排名上升5个位次,至第5位。这不仅是该学院首次跻身前5名,而且还是伦敦商学院在这个榜单上首次失去英国最佳商学院这个头衔。
北京一家旅行社向英国《金融时报》展示了一份疑似由中国国家旅游局发出的书面指示。该文件要求旅行社取消预订在3月15日之后成行的组团游,并表示不遵守该指示的企业会被罚款或吊销执照。中国国家旅游局未能马上置评此事。
Cnzz.com的报告说,目前中国3.38亿网民中有将近三分之二都是网络游戏玩家。报告说,中国网络游戏行业目前占据了互联网经济总规模的半数以上,在未来还将以每年20%的速度增长。
2. Google Docs
Online peer-to-peer lending platforms have expanded rapidly in China, along with fraud cases.

6

节目14 歌曲《报喜》,陈慧琳
对于在泥潭里挣扎的球队,有一样建队过程中关键的东西一直诱惑着他们,那就是建队计划。
这种迅速放缓的势头如果延续下去,可能会阻碍更广泛的增长。观察人士认为,制造业企业活动的持续扩张源于国内需求的增长。
这个系列的特制镜框和太阳墨镜以“DVF|为谷歌眼镜设计”为标签,价格高达1,600美元以上。迄今为止,谷歌已经和雷朋(Ray-Ban)眼镜的生产商陆逊梯卡(Luxottica)以及其他几家提供时尚眼镜的公司如普拉达(Prada)等展开过合作。它还招募了曾在艺术网站Art.com担任首席市场官的时尚总监艾维o罗斯来领导谷歌眼镜团队。
注册营养师艾利克斯?图鲁夫称:“糖屑中含有糖分,而金片与此不同,它不含碳水化合物、脂肪或蛋白质,所以不能提供热量,没有味道,主要用于装饰。”
WOLF HALL (PBS, April 5) In the season’s most promising piece of casting, Damian Lewis (“Homeland”) will play Henry VIII and the two-time Tony Award winner Mark Rylance will play Thomas Cromwell in this “Masterpiece” adaptation of the popular Hilary Mantel historical novels.
因为这里说的是BBC的夏洛克,所以你的华生不是真傻,只是用自己的方式展现智慧。他还有点不确定自己的性向(万一是直的呢)。
但英国法庭可能会沉重打击优步叫车应用。2017年,总部位于加州的该公司未能让上诉法官相信,其两名伦敦司机是独立的合同工。2018年,这个判例案件将会打到上诉法院,而且还可能打到最高法院。如果优步败诉,被要求承担起雇主的责任,那将会产生深远的影响。
单词neglect 联想记忆:

单词syndrome 联想记忆:

Conclusion

Promote all-round economic, political, cultural, social, and ecological progress
Make sure you've got a good plan for seeing that your children are cared for when you're scheduled to be in class, and when you need to study. It really is possible to raise children while you're going to school. People do it every day.
Industry Kitchen是位于纽约市南街海港的一间餐厅,你可以在这里购买到这款24K黄金比萨,其售价高达2000美元。顾名思义,黄金披萨因为覆盖了24k黄金金片而闻名。
Autonomous cars: Researchers are working on devices that will automatically park your car in a parking lot without you being in, or near, the car. It will also slip a note under the wipers of the car next to it with your phone number and insurance carrier in case of any scratches.
Rounding out our top five is Sandra Bullock, one of only two women on our list (the other is Jennifer Lawrence in 10th place). Bullock had two big hits this year in two very different genres: Gravity was a tense thriller that will likely earn her another Oscar nomination, while The Heat was a cop comedy that kicked butt at the box office, bringing in $230 million globally.
Russian President Vladimir Putin says he wants to develop better ties with the United States no matter who wins next year's U.S. presidential election.
单词circulation 联想记忆:
在2014年开始的这轮放缓之前,中国的雇主对于奖金没有这么吝啬。奖金的数额会大大高于一个月的薪水,让回家度假的员工能拥有足以为长辈和其他家庭成员购买礼物(或存为积蓄)的现金。


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. 李说,记者职业排名靠后已经有一段时间了(去年在200个职业中排名第196位)。他说,这次被挤到最后一位很可能是因为有些情况更糟了,如职业前景变差、平均薪资继续下滑、工作时间持续增加等,而且这些因素也让记者的压力更大。
  2. 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.
    Rouslan Krechetnikov和Hans Mayer对液体的溅出现象进行了研究。他们考察的课题是:人们在端着咖啡杯走动时咖啡的溅出情况,给你个提示吧,在你走到第七步至第十步之间,咖啡最容易溅出。

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