Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

国会将批准追加数十亿美元的刺激资金,但不会冠以“刺激”之名,也不会真正创造什么就业机会。国会将联合两党成立一个削减赤字的委员会,但同样发挥不了什么作用。既然美国国债还有投资者买,国会为什么要改弦更张?
This year's lift was slower than the 6.5% rise in 2016, which is attributed to moderating economic growth and a rapidly aging society.
After exhausting all his options, the practical kid decided to tend to his academic responsibilities, not knowing how long it would take before someone finds him.
While Kobe's grown into his 6'6'' frame nicely, he was still a pretty decent-sized guy back in high school. Just imagine how hard trying to stop a 17-year-old Kobe Bryant was back in 1996. I'm sure it was nearly impossible.
为提高中国足球在国际赛场上的竞争力,中国政府日前公布了最新的足球发展计划,将在2017年开设20000所足球专业学校,用于训练年轻球员、培养人才。
"绝望主妇"伊娃与老公的性感广告宣传照

In July, a video of a couple having sex in the fitting room of a Uniqlo clothing store in Beijing took the Internet in China by storm. Some commenters speculated that it was a publicity stunt by the retailer, which denied the claim. Several people were detained on suspicion of uploading and distributing the video.
10. Copyscape
Usain Bolt was the most searched-for non-UK Olympian.
有理由怀疑纳伦斯-诺埃尔是否能成长为可靠的先发中锋,这些理由包括他的伤病史、场外红灯行为和非常有限的进攻手段。
"I want to tell you what happened I opened the envelope and it said Emma Stone, La La Land and that is why I took such a long look at Faye and at you. I wasn't trying to be funny. This is Moonlight for best picture," Beatty told the shocked crowd as he explained the blunder.
The central government is aware of the danger of a property bubble that can inflate the national economy or even burst, derailing the ongoing economic recovery. Several policy measures have been announced to cool the red-hot real estate market. Well, how much trust do you place in government policies to control housing prices in 2010?
明年就是这只会说话的萌熊诞生60周年了。为了纪念帕丁顿熊诞生60周年,曾执导2014年口碑和票房都大获成功的电影《帕丁顿熊》的保罗?金回归续集担任导演。在当前这个连儿童娱乐节目都充斥着黑暗和暴力的时代,我们比以往任何时候都需要这种安静地讲述英国普通人生活的片子。这部新电影的情节?事实上,没有太多情节:根据上部电影的结尾,帕丁顿熊现在和温莎花园的布朗一家舒适地生活在一起。他想从一个当地的书商那里给他的姨妈买一本立体书,但发现自己还差几英镑,于是他就穿上了自己的长筒雨靴和粗呢连帽外套,并找到了几份兼职工作——结果却发现这本书在书店被偷了!神秘的破案之旅(其实也没那么严重)就此开始。你在电影中还可以看到关于“橘子酱控”帕丁顿熊的更多笑话。该片将于11月10日在英国上映,11月23日在德国上映,11月30日在柬埔寨和马来西亚上映。(资料来源:欧映嘉纳)
The application window will close on Saturday, and successful candidates must pass the 2016 national civil service exam, which starts on Nov 29, before they're granted a job interview in March.
摆放一个小书架,用来放自己的杂志或报纸,这一方面有利于节省空间,另一方面可以让你能够很快找到自己想要的东西。

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.

10月份的PPI环比上涨了0.7%,高于9月份0.5%的环比涨幅。

1

Exports shrank 6.1 per cent year on year in dollar terms to $209.42bn in December, according to figures from the General Administration of Customs. That fall was 2.1 percentage points more severe than a median of economist estimates and worse than a revised drop of 1.6 per cent (previously 0.1 per cent growth) in November.
Welcome as they were, surging sales weren't the biggest news of the year. Detroit celebrated when General Motors (GM, Fortune 500) made Mary Barra the auto industry's first female CEO, then held its breath while Ford (F, Fortune 500) CEO Alan Mulally dithered over a move to Seattle and Microsoft. The old Big Three, complaining about straining available production capacity, made plans to expand and hire. Tesla(TSLA) fired up electric car sales and refused to play by industry's rules, while Google(GOOG, Fortune 500) pioneered a car that drives itself.
她解释说:“这一事件牵涉了许多方面,例如环境、能源、工作场所灾难和大国政府职能。它成为了人们焦虑情绪聚集的一个焦点。”
单词flimsy 联想记忆:
另一条推文发表于美国总统就职日,奥巴马称:“能够为你们服务是我毕生的荣幸,你们使我成为了更好的领袖和更好的人。”
"This year is a key period for Tibet's war against poverty. We will continue mapping out policies and plans in accordance with varying situations and causes of poverty and increasing funds," said Lu.
He slipped a note through the door with the message "People stuck inside, please ask the property management for help," and hoped someone would pick it up and act on it.
5. Sunset

With Chrysler's market share in a death spiral, Fiat will finally grasp that this dud is exactly that - a dud. By autumn, Fiat will threaten to walk away from Chrysler unless the UAW and U.S. taxpayer offer up even more concessions.
STEP 5: GET RID of most of your friends
以人民币计算,12月份出口环比成功增长0.6%,超过了收缩0.1%的预期,不过仍大大低于11月份5.9%的增幅。以人民币计的进口增长10.8%,是预期4.8%的增幅的两倍以上,不过仍比上个月低2.2个百分点。
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.
1.Nepal
单词neglect 联想记忆:
“Welcome to Me” (Shira Piven)
According to the institution, only women with a net worth exceeding 8 billion yuan are eligible to be selected as one of the top 50 richest women in China.
樟宜机场的三座航站楼配有两个24小时电影院免费放映最近上映的大片,一个露天游泳池和一个蝴蝶花园。
中国工业和信息化部副部长毛伟明在一次新闻发布会上说:“在我国经济发展进入新常态的形势下,工业面临着下行压力加大、结构不尽合理、创新能力较弱。”
Wishing you all the blessings of a beautiful season.愿你拥有美丽的新年所有的祝福。
Of the large land areas where many people live, only the eastern portion of the United States recorded below-average temperatures in 2014, in sharp contrast to the unusual heat in the West. Some experts think the weather pattern that produced those American extremes is an indirect consequence of the release of greenhouse gases, though that is not proven.
这表明,一般而言,大学教育从长期看来收益良多。

2

您只需把杯子放到啤酒机上,杯底磁铁就会自动抬高,让啤酒流进杯子里。
But a quick look at the changing skyline betrays a frustrating reality: Those shiny new towers have failed to deliver the type of housing most New Yorkers can afford. “There is a disconnect between what we’re building and what we need to build,” said Jonathan J. Miller, the president of the appraisal firm Miller Samuel. “2015 is going to be more of that.”
One more scientific group, in Britain, that curates the world’s temperature record is scheduled to report in the coming weeks.
9. 《大空头》(The Big Short)。亚当·麦凯(Adam McKay)把影片处理为喜剧,但在他以笑声轰炸屏幕的同时,也表明他对这场2008年经济崩溃的呈现是一场让人心碎的美国悲剧。
优秀的老板们懂得授权的艺术。我的一位评论家说要沿着线走“他们已经从目前的工作里面抽身”,意味着他们不干涉每一天和每一分的工作流程和程序。本质上,学着去授权给员工去代替微化管理是对员工的一种信任。
It remains the world's largest country and the largest oil producer. It retains its permanent seat on the UN Security Council. Its nuclear arsenal (in Cold War times one of five countries, but now one of nine) has been progressively modernised. Sustained increases in defence spending have brought it close to its goal of escalation dominance in local and regional war.
Sarah O’Connor is employment correspondent
年度最佳艺人:卢克·布莱恩
尽管这些物质都十分微小,但相关科研成果的意义却是巨大的。
一、2016年工作回顾
早先一个由活动分子和美国人权基金在一月份投放100000份电影的计划被推迟到了上个月的新年后。
We learned about the power of human ingenuity in our solar system’s deep reaches.

香港没有这样的熔断机制,由中国内地企业股票组成的H股指数(香港恒生中国企业指数(HSCEI))周一下跌不到4%,成交量也只是寻常。人们原本可能以为会更加惨烈。中国内地的散户投资者既可进入内地股市,也可进入香港股市——通过沪港通(Stock Connect)和一个有漏洞的体系——而且,如果你无法卖出你想卖的,你就卖你能卖的。一直最不看好中国经济的H股境外投资者也可能被认为是卖方。然而,尽管沪市周二开盘进一步下跌3%(之后出现反弹),香港的H股却依然保持坚挺。
7.管理多向性
Another positive of the scheme is that it encourages professional flexibility, preparing the young for the career zigging and zagging that might be necessary in the modern world of work.
"It may affect them for life," Dershowitz said.
1.手指存储器
['s?ul]
店长马克·斯特罗恩说,开发这种设备旨在帮助那些忘记自己锁屏密码的iPhone用户进入被锁在手机上的照片或通讯录。斯特罗恩在香港第一次看到这台设备,他表示,在最一开始大家都对其能否起作用持怀疑态度。但随着时间的推移,这台设备一次又一次的证明了自己。
The album is a refreshingly fun pop gem that traverses New Wave, electro-disco and dance-pop.
201401/272266.shtml重点单词

3

女学员开始攻读EMBA课程的年龄(36岁)较男性年轻两岁左右,但高级职位上的男女比例基本平衡,担任较初级职位的女性略多一些——26%的女学员担任专业职位,男学员的这一比例为24%。
[d?ɑ:]
英国的一个收集全球气温纪录的科学小组也将在未来几周内提交报告。
这是007系列电影最佳主题曲之一,但实际上并没有在片头演奏,所以我们把它放在荣誉推荐的第一位。这首浪漫的曲子呼应了电影情节的发展,最终詹姆斯·邦德遇到了真爱。(可惜他们的恋情维持不久便结束了。)路易斯·阿姆斯特朗运用了他标志性的颤音,听者心弦颤动,一个经典诞生了。
与此同时,法国拉罗谢尔高等商学院(La Rochelle Business School)的排名却下滑12个位置,排在第60位,去年该学校是排名上升最快的学校之一。
We will strengthen our capability for making technological innovations.
Illuminati是什么?
Admittedly, choosing the most clichéd gender colors can seem a bit simplistic, but Pantone has a broad constituency to manage; this is not about the cutting edge, but the big middle.
作为过去二十五年来的常胜将军、福特的F系列皮卡一直成功地抵挡住了雪佛兰重新设计的西尔维拉多(Silverado)的挑战,盘踞着美国最畅销皮卡的宝座。而全是日本品牌角逐的最畅销汽车决赛,丰田(Toyota)凯美瑞(Camry)再次成功击败本田(Honda)雅阁(Accord),摘得冠军头衔。
2. 宾夕法尼亚大学沃顿商学院
此外,他们在毕业后改行的可能性更小。只有30%改行,而全日制MBA学员却有近三分之二改行。
Brands with the most to make up for in 2015:Volkswagen, whose stale product line depressed sales by 11%, thereby delaying Ferdinand Piech’s plans for global supremacy, and Volvo, down 17%, which has yet to make any progress under its Chinese owner.
男女学员的薪资差距已扩大到17%,女性平均薪资为17万美元,男性则达到近20万美元。
Employees of state-owned firms also expressed more satisfaction with their bonuses than those at private companies – and little wonder, as the average payout at the former was Rmb17,318, or about Rmb6,000 more than what their private-sector counterparts could expect.
《何以笙箫默》

4

排放量去年的增幅比过去十年中2.5%的平均增长率略低,而且排放量增幅之所以下降,很大程度上是由中国经济增长放缓所引起的。中国是世界上最大的温室气体排放国。可能还需要再花一到两年时间,才能弄清楚中国排放量的增长究竟有没有放缓,还是最近数年那种极高的增速仍会持续。
超级大碗
The other two tweets from Obama that made the list were posted when he was leaving the office.
Similarly, Katy Perry was initially granted a visa to perform at the show in Shanghai but Chinese officials soon changed their mind. This, it has been claimed, is because the singer carried a Taiwanese flag and wore a dress covered in sunflowers during a 2015 concert in Taiwan.
3.葡萄牙波尔图
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.”
200910/87441.shtml
It even featured in the March 19, 1870, issue of Scientific American magazine. Made by Thomas Luders from Olney, Illinois, and called a "pedespeed," the wheels then were much smaller, measuring around 36 centimeters (15 in) in diameter. Luders also said the skates could be used by anybody, irrespective of their physique. He himself was a large, heavy man, and he claimed he could use them for two straight hours without getting tired. Another version of wheel skates, appearing in 1923, had its tires on the inside of the foot rather than outside. (Other than the size of the wheels, the main improvement made by Chariot Skates is the small tire at the back of the bigger tire for increased stability.)
1. Love what you do.
据《泰晤士报》高等教育星期四公布的最新排名,中国的两所大学--香港大学和澳门大学,跻身2016全球大学国际化水平前十名。
一个问题接着一个问题,从伊朗制裁到从阿富汗撤军,他的位置和政府态度之间的差别不大,但罗姆尼坚持他将更有效地加强美国的力量。

5

由于欧元危机的影响,希腊,意大利,葡萄牙以及西班牙的排名大幅下滑。然而下滑幅度最大的是由于近期的政治危机影响的埃及,缅甸,和沙特阿拉伯。
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.
然而,克普克认为,美国利率在引发新兴市场危机方面的作用未被充分认识。他提供的证据表明,如果以下三种情况同时出现的话——处于美联储紧缩周期,联邦基金利率高于自然利率(导致实际产出趋近潜在产出的利率),以及美联储将比先前预期更快收紧政策的信号让市场参与者感到惊讶——新兴市场爆发危机的几率会大大增加。
Additional reporting by Tom Hancock in Shanghai
[m?uld]
2017年,全球黄金的产量从上一年的3263吨上升至3268.7吨。这是自2008年以来的最小涨幅。2008年金融危机期间,黄金开采量下降了逾2%。
Explaining how he adjusted the novel, he said: 'I think the answer is that in the book I remain true to every one of Bond's things.
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
During Monday night’s debate Mr Rutte reiterated that he would not form a coalition government with Mr Wilders’ party, even ruling out forming a government that relied on support from the anti-immigration party. “I’m not going to work with such a party again,” said Mr Rutte, whose first minority government was propped up by PVV after the 2010 elections.
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.
但煽动家利用此类抱怨的做法威胁到了民主。
[iks'pi?ri?nst]
The world’s 100 biggest brands still command a significant premium over others and that value increased by 3 per cent to $3.4tn this year, according to the latest BrandZ rankings compiled by Millward Brown, the research agency.
今年2月的时候,玛蒂与希雅和克里斯汀?韦格(Kristen Wiig)一起担任2015格莱美音乐颁奖典礼(Grammy Awards)的表演嘉宾。当时金?卡戴珊(Kim Kardashian)和坎耶?韦斯特(Kanye West)坐在前排观看了这个表演。

6

1. Wal-Mart Stores
直到最近,Weill Cornell Medical College的科学家们至少在老鼠和猴子身上实现了这一点。这种人造视网膜,它的芯片可以将画面转换为电子信号,而它的微型投影机可以将电子信号转化为投影光线。
n. 释放,让渡,发行
Beijing has responded with increasing rancour against Seoul’s decision to deploy Thaad, the Terminal High Altitude Area Defence platform. While South Korea insists the system is for defending itself against North Korean missiles, China fears the technology will allow an ally of the US to spy on its military developments.
在去年的调查中,绝大多数经济学家预期欧洲央行将发起全面量化宽松政策,而今年33个受访者中有几乎快一半的人认为欧洲央行将按兵不动。其他人表示,欧洲央行将扩大量化宽松或下调利率,尽管在那些预期会有更多宽松措施的人中,一部分人强调这家央行不太可能从根本上重塑其现有的政策回应。
prosperity
associate
威廉凯特夫妇多次让加拿大人等候多时,例如,抵达加拿大时,两人花了20分钟时间才从飞机上下来接受加方欢迎团队的问候。
sen年老+ior表形容词,“较…的”→年长的

adj. 仁慈的,(为)慈善事业的,宽恕的

Conclusion

单词refrigerator 联想记忆:
英国独立党(UKIP)前领袖杰尔.法拉奇(Nigel Farage)略逊一畴,就是因为事实证明攻破英国基于党派的制度比美国总统选举更难。
n. 初次登场,首次露面 v. 初次登场
vigor(n 精力;活力)
7. 阿里尔·福克斯曼《型时代》
《三生三世十里桃花》
3. Feng Shui
summ总,加+ary→内容总和→摘要;大纲


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. 胡须的神奇之处
  2. "It's a goal that's right here and now and it's something that we want to experience," Curry said. "It'd be a huge accomplishment because doing something that hasn't been done in the history of the league is special. You never know if this opportunity will come back again. There are so many variables that go into winning this many in a row, especially the start of the season."
    It's hard to imagine LOST without Jack Shephard as the group leader. Where would the show have been without him? Had the show's writers gotten their way, we would have learned the answer to that question. When the show was pitched to ABC, Jack Shephard's character was supposed to be killed after the pilot episode, and Kate was supposed to take on more of a leadership role in the series.

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