Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

他说,到1997-98年亚洲金融危机爆发时,美联储的回应已变得更加迅速,它退出了紧缩周期,担心东南亚的动荡会影响美国经济。
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。”
Pork prices, which are heavily weighted in the food-focused basket of goods used to calculate consumer inflation, rose 4.8 per cent.
生于缅甸皇室的杨金秀于7月31日去世。她拒绝了与生俱来的权利,成了一个女扮男装的军阀和鸦片走私犯。
n. [宗
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.

在香港最繁忙地带之一湾仔(Wan Chai)的中心,坐落着一幢30多层的写字楼。今年早些时候,这幢大楼的易手使其成为世界最贵楼市香港的第二贵地产项目。
“The US economy is likely to grow by 3 per cent plus this year as well as next year.
Richard Waters
电影主人公名叫韦德·威尔逊,由瑞安·雷诺兹扮演。威尔逊是一个拥有超强自我修复能力的雇佣兵,擅黑色幽默。他一直在寻找那个将他投入凶残实验、几乎毁了他一生的人。《死侍》由漫威公司出品, 塑造了一个超常规的反英雄人物。
“I thought it would be impossible to replace Steve, and to some extent that’s true,” says Professor Michael Cusumano of MIT’s Sloan School of Management. “But internally the spirit is still alive and the company is organising around a less confrontational culture. We have to give Tim credit for that.”
●"Woman arrested for defecating on boss’ desk after winning the lottery"
英国《泰晤士高等教育》专刊于上周四公布的一项调查显示,中国内地两所高校入选亚洲大学前三名。
lure=bait诱饵-引诱(lure读:6饵,用6个诱饵引诱)
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.

●Van Full Of Illegals Shows Up To Vote Clinton At SIX Polling Places, Still Think Voter Fraud Is A Myth?

1

4. "The Big Bang Theory" (3.4 million)
adj. 犯罪的,刑事的,违法的
“…started swearing during the interview.”
《神奇动物在哪里》将于2016年11月18日在全球上映。
无从业资格的司机从事网约车服务将面临1万(折合1500美元)至3万元(折合4500美元)的罚款。
"We will set the exact date and location for our operation in consideration of weather conditions, but it will not be publicised," said Park Sang-Hak, a former defector who has led a series of balloon launches
“This is a historic moment for Puerto Rico,” said 50-year-old Jose Davila as he waved a large flag from Rossello’s pro-statehood party. “He’s the hope of our island, he’s the hope for statehood, he’s the hope for a people that have suffered.”
n. 飞机,水平

strain
3.9 全面加强政府自身建设
Although the original book got 7.9 out of 10 on Douban, the TV version only got 5 for its poor adaptation.
Companies are always looking to save money, and outsourcing some roles to freelancers can help. Virtual assistants can perform many of the duties of full-time staffers, but with less commitment. These workers could help expand a business, or just encourage things to run more smoothly.
Cross talk “Wishes From All Over China” (A group of performers)
自2007年4月以来,全球最具价值品牌100强的品牌价值增长106%。同期标准普尔500指数(S&P 500)和MSCI明晟全球指数(MSCI world index)分别上涨61%和21%。
这位工作人员说道:“她注册时说自己姓韩,也不是像媒体上报道的姓苏。”
只有科比在32岁的时候参加了更多的比赛,而且他的场均出场时间还少了几分钟,而且这还仅包括常规赛。
Rocco LaDuca, covers crime and courts at the Observer-Dispatch in Utica, New York. He says he became a reporter in part because of fond memories of reading newspapers with his grandmother.
人类想知道“这是为什么?”
Whatever happened to ‘Never complain; never explain' – the unofficial motto of the House of Windsor?
“A worker sent a text to a colleague saying he was quitting and asked her to forward it to management.”
卡戴珊,这就是女子精修学校入门级的简单礼仪:并拢双膝和脚踝,然后侧身就可以了。

2

今年初,执政的共产党设定了今年贸易增长6%的目标,但2015年头十个月的贸易总额同比下降逾8%。
瑞茜·威瑟斯彭(Reese Witherspoon)刚出道时大胆尝试不同戏路的演出,据报道,她曾努力将因影片《一往直前》(Walk the Line)获得的最佳女主角的奖杯制成门环或项链。但这两种方案都没能得以实现,现在,小金人就站在她的客厅里。
In this Jan. 15, 2008, file photo, Apple CEO Steve Jobs holds up the new MacBook Air after giving the keynote address at the Apple MacWorld Conference in San Francisco
而在科隆游戏展上正式宣布的特色作品中,《寂静岭》(Silent Hills)的最新续集赫然在列。这是科乐美(Konami)最为畅销的恐怖题材游戏(还据此改编成了两部电影)。世界级游戏和电影专家,《合金装备5:幻痛》(Metal Gear Solid V: The Phantom Pain)的制作者小岛秀夫,以及《环太平洋》(Pacific Rim)的导演吉尔莫o德尔o托罗在这部游戏中强强联手。曾出演美剧《行尸走肉》(The Walking Dead)的影星诺曼o瑞杜斯将在游戏中担纲主角。
《一名拍摄黑手党的西西里摄影师和她的“鲜血档案”》(A Sicilian Photographer of the Mafia and Her ‘Archive of Blood’)
Lawrence Yun, the trade group's chief economist, expects the average 30-year fixed-rate mortgage to hit 5.5% at year-end, up from 4.5% late last year and 3.5% in the first half of 2013. That's a sharp runup in a short period of time, one that could harm affordability and spook even more buyers.
The hunt for his body began in earnest in 2012 when archaeologists working on historical accounts and geographical clues started to dig beneath the municipal carpark on the spot where Greyfriars was, and found the skeleton.
我经常和陌生人说话
TWO Americans were awarded the Nobel economics prize yesterday for studies on the matchmaking taking place when doctors are coupled up with hospitals, students with schools and human organs with transplant recipients.
每平方英尺单价:395美元(每平方米约合人民币2.7万元)
Rolling ahead with a team that's .500 through November isn't at all tanking — this is seriously a potential playoff team — but it's the same type of conversation the rebuilding squads are having. Leverage assets and playing time to win more now, or stay focused on sustainability?
It’s sometimes one of the scariest words in the English language, but it’s a word you should be prepared to say when opportunities arise in your career: Yes.

China is preparing to sign more bilateral or multilateral agreements with other countries, and will enhance information exchanges and joint investigation especially with Western countries such as the US, Canada and Australia on some major or individual cases, according to the CCDI.
The Warriors and Timberwolves will arrive in Shenzhen on Oct 5 and will play at the Shenzhen Universiade Center.
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。
Winners: Raptors
鉴于标普500和纳斯达克指数都回升了14%以上,道琼斯和标普400中型股指数也都回升了近10%,你可能会认为今年被动投资者应该收获颇丰。确实,要不是那些恼人的海外股业绩不佳,大拖多元化投资组合的后腿,被动投资者原本应该值得庆祝。
该研究的公布正值美国政界反中国言论日益增加之际,此外,今年夏天3起针对从中国进口的钢铁产品的政治敏感反倾销案件即将作出裁决,可能导致美方对中国企业施加高达500%的惩罚性关税。
SIZE: 6,364 square feet
有些人则特地请人代劳:
v. 形成(颗粒状),

3

associate
祝节日幸福如意。
10. Are YOU Re-Energized?
Despite the solid expansion, the yearly rate weakened to -1.4 per cent last month, from a -0.8 per cent pace in September. Economists expected production to have declined 0.9 per cent over the 12 months to October.
Bubloons are a hybrid between bubbles and balloons.
graceful
For newcomers, these changes provide fresh housing options. But for residents, they can spell displacement. The same is true for shops such as De Robertis Pasticceria and Caffe in the East Village, which just closed after a 110-year run. And next year, the Union Square Cafe will likely conclude its 30 years in Union Square.
近日,英国《金融时报》披露了中国北方很多地区例行公布的关于国内生产总值(GDP)的虚假数据。在那些地区,可靠的替代证据表明,地方政府“抹平”了经济增长数字。他们人为地推高了2012年至2016年期间的增长数字,掩盖了真实的低迷期,去年又掩盖了真正的复苏。
The prize sold for far more than the gallery's estimate of $50,000 to $100,000. The only other Nobel Peace Prize known to have sold at auction was a 1903 medal that brought nearly $17,000 in 1985.
魔术队倒是可上可下,并且他们现在正在走下坡路。现在,阿龙-戈登和尼古拉-武切维奇被从板凳席上拉了出来并且马里奥-海佐尼亚被雪藏了。
Two days ago here in Brazil, we were shocked when we spent some time with some children living on the streets. And this is what one child told us: "I wish I was rich and if I were, I would give all the street children food, clothes, medicine, shelter and love and affection." 在巴西,我被2天前见到的情景震惊了,那时我和当地的小孩在玩耍,其中一个小孩说:“我希望我能富裕起来,然后我会给这个街道所有的小孩饭吃,给他们衣服穿,医疗,住房和爱”。
'The market for colored diamonds is really, really high, because they are so rare,' he said.
这些正在修建一座足球场的工人在巴格达东北部什叶派穆斯林聚居的哈比比亚城区被绑架。
You are supposed to enjoy life, not be stressed out all the time. If you spend most of your days stressed about everything that going on at work, you are not at the right job.
Her predecessor David Cameron placed fifth in CNNMoney's previous ranking in March 2015 with his salary of £142,500, then worth $214,800. May is only seventh.

4

The three bubbles: The Asian Bubble in the early '90s, Dot-com Bubble of the late '90s and what Juckes calls the Great Big Credit Bubble that triggered the 2008 Wall Street meltdown.
我们完全有能力扩大就业,不会也不允许出现大规模群体性失业。
It was addressed to Clark C Moore, who has since changed his name to Muhammad Siddeeq, making it hard to trace him.
Children show “Paper-cutting Flowers” (China Southern Dance School under the China Dancers Association)
The fall in profits in December highlights the challenges facing an industrial sector racked by overcapacity and falling prices, adding to pressure on authorities to loosen monetary policy and boost infrastructure spending to cushion the slowdown.
The U.S. is set to add nearly 3 million jobs in 2014 — the biggest increase since 1999. The burst in job creation, expected to continue in 2015, is sure to fuel consumer spending. So, too, will a plunge in gasoline prices that's given households extra cash to spare on other goods and services. See: Americans saved $14 billion as gasoline prices declined in 2014.
3.卡夫品牌喜爱度:-10%/排名:11
国家统计局日前在其网站发布了上述数据,称这是科技研发经费增速连续4年下滑后的首次回升。
For many Western whites, opportunities for achieved identity — the top of the hill — seem unattainable. So their ascribed identity — their whiteness — feels more important than ever.
Meanwhile, figures such as Wang Jianlin, China’s richest man, have raised concerns about Chinese state-owned enterprises’ investments in Europe, arguing that they lack international management standards.
Mr. Murray came to her with a full beard, so she was able to shape it into the thick, bushy mustache pictured here. “Bill has never worn that look before,” Ms. Hannon said, “so it was lovely to get something new.”

5

尽管增势坚挺,上个月年增长率还是从9月份的下跌0.8%,滑落至下跌1.4%。经济学家原本预计,在截至10月份的12个月里,日本工业产出下滑幅度为0.9%。
Bernard Baumohl 作为Economic Outlook Group的首席经济学家,表示他甚至更乐观的认为接下来的两年将会成为至少近十年以来形势最好的两年,他还称“有很多证据充分的表明了经济正在恢复的势头”。
vt.
中国机器人产业联盟理事长曲道奎称,尽管我国本国供应商在2016年将市场占有率扩至32.7%,去年这一趋势出现反转,其市场占有率降至26.8%。
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.'
我们的前路应有尽有,我们的前路一无所有……
将第1题到第9题的分数相加,计算自己在“消极情感”维度的得分。
黄金市场可能会对美元以及美国加息的前景着迷。但还有一个因素正在逼近:金矿供应下降。
If he wins the primary, he would face off against first-term Republican Gov. Phil Scott, 59.
Consoles: PlayStation 4
新兴市场吸收的外国投资已降至金融危机以来最低水平,投资者准备迎接美国近10年来首次加息的冲击波。
Yet, the disparity in haircuts lasted for almost two years. In fact, the pessimism and risk-aversion of the Seppenwolde lenders reduced the overall availability of leverage in Amsterdam.
今年的排行榜包括90个管理学硕士项目,创历来最高纪录,多于2015年的80个。
他告诉记者说:“我认为,韩国对于美的定义很苛刻狭隘,因为我们是一个种族单一的国家,每个人看上去都差不多。整容也和自卑情绪有关。”

6

31岁的扎克伯格去年的表现力压群豪,个人资产上涨了112亿美元,从去年的第十六位跃升至今年的第六位。这是他和杰夫·贝佐斯首次进入福布斯年度排名榜单前十位。
世界知识产权组织总干事弗朗西斯·居里表示:“投资创新是提高长期经济增长的关键。在当前的经济形势下,发现新的增长来源并利用全球创新所带来的机会是所有利益相关者的优先事项。”
在导演阿方索?卡隆(Alfonso Cuaron)和同事们(其中包括知名电影摄影师艾曼努尔?卢贝兹基(Emmanuel Lubezki)、制片设计师安迪?尼克尔森(Andy Nicholson)和编剧霍纳斯?卡隆(Jonas Cuaron))的共同努力下,《地心引力》丰富了电影的拍摄手法。《美国电影摄影师》(American Cinematographer)杂志上个月的封面故事刊载了关于《地心引力》制作过程的文章,对电影技术感兴趣的读者可以一探究竟。读者们可以在网上阅读该杂志。不过任何看过《地心引力》的观众都已经领会到了该片的情感内涵,这部电影把观众们带进入了一个寂静危险的外太空和一个深度愉悦的内心世界。
Until now, testing reliably for lead was expensive and meant sending away samples for analysis.
中国12月生产者价格指数(PPI)同比下滑3.3%,为自2009年9月以来最大降幅。矿业价格下跌13.2%,原材料价格下跌6.4%。
这是继2016年我国首次同步调整企业和机关事业单位退休人员的基本养老金水平后,我国再次做出同步调整。
这项测试的答案没有对错,只要对自己诚实即可。
There are, of course, complicated contours to 2016’s unusual politics. In Britain, immigrants from South Asia voted heavily to leave the European Union, citing hopes that curtailing European migration might open space for more people from Asia. In the United States, frustration with and alienation from status quo politics have helped drive Mr. Trump’s rise.
The Chinese-made 3D fantasy/adventure film "Monster Hunt" broke a string of box-office records on its release in the country in July 2015, becoming the highest grossing film of the year in the Chinese mainland.

The questions New Yorkers ask the column are dictated not only by their individual circumstances but also by the larger issues of the day, like rising housing costs, gentrification and shoddy construction. In the end, 2014 was a year of things going up — home prices, rents and, above all, buildings, with 16,700 units approved for construction through October, according to the Real Estate Board of New York.

Conclusion

将第1题到第9题的分数相加,计算自己在“消极情感”维度的得分。
单词haven 联想记忆:
['k?mb?t]
n. 感动(激动,愤怒或震动), 搅拌,骚乱
吉尔伯特说:“我们很容易看到,在当下的市场中,领头羊们都处在相当脆弱危险的地位。看看他们在每款新设备上做出创新的速度,我们可以很明显地发现这一点。”
其中,人们对越野车的热情不减,大约售出了78.49万台,同比飙涨了60.5%,成为车市的贡献最大者。此外,1月份还售出了26.14万台多用途车辆,比去年同期增长15.9%。
The advantages for schools seem clear: they enjoy the benefits of bright graduates who would otherwise have gone straight into consulting.
Look no further than the title sponsor on their building—Smoothie King, a regional drink shop—to realize that the Pelicans have a serious relevancy problem. (By contrast, the NFL's Saints play in the Mercedes-Benz Superdome next door.)


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. Stock pickers encountered difficulty this year in part because of concentration at the top of the market. Just five stocks—Apple, Berkshire Hathaway, Johnson & Johnson, Microsoft, and Intel— accounted for 20% of the market’s gains. If you weren’t at least equally weighted toward them, you had virtually no shot at making up for missing their enormous, index-driving gains. A majority of the market’s stocks did not perform nearly as well. According to the Leuthold Group, only 30% of S&P 1500 stocks posted gains exceeding the index itself. You’d have to go back to 1999 to see anything like this.
  2. Here's a list of the top 10 most anticipated movies in 2016 that we believe will become box office hits and would be worth watching more than once.
    4. AT&T

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