Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

以美元计算的话,这一跌幅就更加明显了,上个月出口同比下滑11.2%至1774.8亿美元。这一跌幅不仅超过了去年12月1.4%的跌幅,也超过了下滑1.8%的预期。这是自去年3月下滑15%以来的最大跌幅。
11月,由财新网(Caixin)赞助的中国制造业采购经理人指数(PMI)初值为48.6,高于预期的48.3。而10月份该读数则为48.3。读数显示上个月中国制造业活动在继续放缓,不过情况没有10月份那么糟糕。
n. 决定,决策
根据世界黄金协会(World Gold Council)的数据,自2008年以来全球黄金供应每年都增长,这一增长在去年陷入停滞。作为世界最大的黄金生产国,去年中国的黄金供应创纪录地下降9%,这是自1980年来中国的黄金产出第二次下降。
She said she wanted to be an actress before becoming a singer, but explained that "music worked out first" before adding: "I feel like Cher in the film Moonstruck. It's like one of the great moments of my life."
9.Touchscreens

单词credit 联想记忆:
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。
A Saudi Woman Who Got Behind the Wheel and Never Looked Back
日前,一名14岁的中国少年,在一个晚上的时间内克服了人类史上的两大恐惧:被困电梯和完成家庭作业。而这多亏了他机智的性格。
"Shanghai has taken a series of tough measures to curb population growth since 2014, including renovating urban villages and regulating group renting," Zhou Haiwang, an expert with the Shanghai Academy of Social Sciences, told the Global Times.
adj. 非常坚硬的,强硬的,固执的 n. 坚硬无比之物
我预计真正的大戏将在2018年初展开。但这是唐纳德?特朗普的贸易世界。我们只有观看的份儿。
n. 无限
4. Mark Turner Quartet “Lathe of Heaven” (ECM) On his first proper album as a leader in 13 years, the tenor saxophonist Mark Turner favors slithery interplay with the trumpeter Avishai Cohen, and finds new purpose in post-bop protocols. There’s dry intrigue in his compositions, and supple exactitude in his rhythm team: Joe Martin on bass, Marcus Gilmore on drums.

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.

[in'k?rid?m?nt]

1

That possibility was backed up by a list of top-tier cities the statistics bureau began tracking recently
The EMBA ranking rates the best 100 programmes worldwide for working senior executives. The ranking is based on a survey of business schools as well as their students who graduated in 2012. The data measure how successful alumni have been in their career in terms of salary, seniority and achievements since graduating.
The Suicide Squad is scheduled for an August 5th 2016 release.
"We hope the mother will come to us and verify the facts. If it's true that the user is a 13-year-old who spent the money without consent, we can negotiate a refund," the Tencent employee said.
Rose Wang
The highest newly ranked school is Université Paris-Dauphine at 57.
But her success doesn't come cheap and her mother has already spent £5,000 on elaborate dresses and entry fees.
“如果30年前的改革是解决意识形态问题,现在则要解决利益问题。改革是调整既得利益,等于拿刀割自己的肉,很痛苦,需要下定决心、坚定信心。”

Game of Thrones
米其林(Michelin)、微软(Microsoft)、爱立信(Ericsson)等大企业的领导人已经把更多的决策权推向一线员工。随着这种方法的成功引起注意,其他企业将效仿。
The GM turnaround will drag on. Forget a 2010 IPO.
Country's biggest stars gathered in Las Vegas on Sunday for the 2013 Academy of Country Music Awards.
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。
平均月薪最高的为IT/互联网/通讯/电子行业,应届生平均薪资水平为5693元;其次是金融行业和文化/体育/娱乐/传媒,平均薪资水平分别为4685元和4552元;农/林/牧/渔/其他、服务业和文教体育/工艺美术是应届生签约行业中薪资水平较低的行业,月薪分别为3500元、3873元和3900元。
"They see some pretty awful things," she told the BBC. "But this is something that will stay with them for a long time."
首尔坚称这些活动分子有派发单张的民主权利,但要求他们不要过度激怒北韩。
3.Flying Bicycles
Frankly, this sort of behaviour means you are very much still a girl and definitely not yet a woman.
Though the Dutch financial markets then had none of today’s technology, they employed many of the same practices that traders use today. Investors bought securities, sometimes borrowing money with loans secured by the shares they were buying. In today's language, they bought shares on margin. Lenders protected themselves by demanding a “haircut” – collateral in cash or securities that exceeded the loan amount by a specified percentage. If the value of the securities dropped below that specified percentage, the lender would demand that the investor put up additional money to stay in line with the haircut. If the investor couldn’t come up with the added margin, the lender was entitled to liquidate the securities and recoup the loan amount.
汇丰发布的正式PMI指数从10月份的50.4降至11月份的50.0,这是6个月内的最低读数。
Helsinki-based developer Remedy Entertainment has blurred the line between Hollywood and games with previous incarnations Max Payne and Alan Wake. Now the studio is combining next-generation visuals with the tension and drama of scripted television. Set in the university town of Riverport, Quantum Break puts players in control of Jack Joyce and Beth Wilder, a pair of ordinary people who are given the extraordinary power to manipulate time after an accident that creates a time rift. Time will randomly break down during the game, which causes disasters in the environment that pause, stutter, rewind and freeze. Fans of Max Payne’s bullet time will see new strategies emerge with gunfights involving time-amplified combat as the player fights against the Monarch Corporation. In addition to the virtual storyline, the game features custom live action storytelling that’s personalized based on the decisions one makes.

2

我知道,这是需要时间的,但是这会使你更加了解自己所做的事。这也会是你到学校学习的原因,对吧?
10.Meditate
煽动家越是热情洋溢和野心勃勃,民主体制就越有可能沦为专制统治。
如何找到IP地址
从2015年至2016年,美国ETF市场增长20%,而亚洲市场仅扩大10%。分析师们表示,从两个角度可以看出亚洲ETF市场的规模不及美国和欧洲:后者的市场规模是亚洲的两倍,ETF管理的资产规模为7160亿美元。
The demagogue’s campaign leads naturally to despotism — the tyranny of the majority that is a mask on the tyranny of one.
普惠金融和绿色金融
The pear-shaped diamond named The Blue is 13.22 carats is estimated to be worth between $21-$25 million.
Tony Moloney, head of education and skills at National Grid, says the UK utility’s involvement is part of its broader strategy to encourage school students to study Stem subjects — science, technology, engineering and mathematics — and learn more about jobs in his sector.
Age: 50
“如果贷款机构在市场繁荣时过于乐观,而在市场下行时过于悲观,这或许是当局设定保守的资本金要求的一个最好理由,”他说。“加大折幅可能会抑制最初的涨幅,但当市场转向,它们也能抑制随后的跌幅。”
埃伦?约翰逊?瑟利夫2005年成为非洲第一位民主选举产生的女总统。挪威诺贝尔和平奖委员会赞扬她打破种族和宗教界限,帮助结束了利比利亚的内战。

201401/271211.shtmlThe worst password of 2013 is '123456' according to new research.
下面是我对2010年美国经济以及市场前景最乐观也是最终的猜测。
教育部在一场新闻发布会上表示,全球大多数的留学生都是来自中国。
4. Rihanna
昨日,中国四大国有银行中的两家——中国工商银行(ICBC)和中国银行(BoC)——均报告称,2015年全年净利润增长低于2%。
'If global demand picks up in the developed world, and you combine that with the growth in the emerging economies, I think the market is going to get tight,' he said, which means those mighty peaks could return to the oil-price graph.
~z+_86mGYj-!oA@9!E!0.wYCqmDvF4
adj. 投影的,投射 v. 投射(project的过去
工业企业利润由上年下降2.3%转为增长8.5%;

3

这一2018年的大学综合排行榜包含了74个国家和地区的1250所大学,为有史以来数量最多的一次。去年的排行榜中只包含了65个国家的1000所大学。
吉尔伯特说:“那些以单打独斗闻名的品牌都开始与意想不到的伙伴合作。如果仔细研究苹果的投资,你会发现这个特殊队伍的成员名单,看起来就像是世界上能想象到的各行各业中最优秀的人才的名人录。”
《深红报》称,此次被取消入学资格的学生所在的私人脸书群组名为“哈佛饥渴猥琐资产阶级少年”。
碧昂斯与妮琪·米娜(Nicki Minaj),《完美》(Flawless, Remix),Parkwood/Columbia
Scientists get couples into the lab and looking at their stress levels while they have “difficult” conversations, finding that couples that deal with stress with positive emotions like laughter become less stressed, and tend to stay together for longer.
如果你没听过这句话,你去年绝对没上过中文网。这句简单的话是留在魔兽BBS上的,不知道什么原因——有说法是有网络公司是幕后推手——这句话吸引了710万人点击,在发布后24小时内产生了30万条评论。
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。
在出售给Facebook前,WhatsApp一直特别反对植入广告。该公司首席执行官让o库姆在自己桌上一直贴着联合创始人布莱恩o阿克顿留下的一张便条,随时提醒自己牢记公司的核心价值观:“不要广告!不要游戏!不要宣传噱头!”这样一来,短信应用只好想出别的创意。比如Tango就在用户的短信“收件箱”里插入广告。中国互联网巨头腾讯公司旗下的短信应用——微信,则通过游戏、贴纸(类似于表情符号)和移动购物等方式谋取赚钱之道。Kik则提供一种被一些人称为“聊天广告”的功能,用户通过它能和幽默网站Funny or Die及电影信息网站Moviefone这类品牌运营的聊天程序进行交谈。
库克已在先前以白人男性为主的苹果管理团队里增加了三位女性,还改变了苹果的董事会章程,承诺任命董事时会从少数群体中挑选候选对象。
2013年最常用密码:
200911/90348.shtml
n. 复合体
With the right tools in place, you’ll find yourself more productive and efficient.
17. 最复杂的障碍。根据Box Office Mojo网站统计,截止到12月7日,今年发行的20部票房最高的影片中,有7部是由女性主导的。与之形成对照的是,20部由女性为主导的影片中,有五部在全球票房领先,而海外票房占据了电影业收入的70%。这看上去可能很糟,但是比近年的数据要好一点。
The number of people holding degrees from colleges or universities reached 170.93m, which means there were 12,445 people with an advanced education per 100,000 people in 2015, up from 8,930 in 2010. The number of people who had attended a senior high school also increased, and the number who had only completed lower-level education fell.

4

在实验中,参与者们被要求回忆一些他们在实验开始的时候看到的图片,其中,一半参与者在回忆之前进行了举重训练,另一半参与者没有进行这样的高强度活动。他们发现,参与了举重训练的人在记忆能力上有所提高。这项研究实现了运动研究上的独辟蹊径,其他研究的研究对象多是对有氧运动本身,研究时间跨度长达数,但是这项研究的研究对象却是人类记忆,在研究时也仅仅是要求参与者们花一点时间举重而已。研究人员证明了其实提升记忆力并不需要数个小时的锻炼。下次再有谁让你去举重或者去健身馆锻炼的话,你大概会想感谢他一番的吧?
Dachis: JetBlue started the year with some tough moments (a pilot’s panic attack gave them a rough start), but customer satisfaction and excellent social service during the busy holiday travel season carried the brand to success in 2012.
19. Going, Going, Almost Gone Quentin Tarantino shot his latest, “The Hateful Eight,” in 70 millimeter, and the film is slated to play in almost 100 theaters that, like most of rooms across the country, now usually use digital projection. Whatever you think of Mr. Tarantino, try to catch “The Hateful Eight” on film so you can see for yourself how the industry-enforced switch to digital has radically changed movies.
但行业观察人士说,这样的观点忽略了一个中国在创新方面与西方竞争对手直接对峙的领域:让中国版本更具互动性、使用起来也更有趣的那些额外功能。
This movie tells the story of Wade Wilson, played by Ryan Reynolds, who is a mercenary with accelerated healing powers and a dark sense of humour. He's now on the lookout for the man who almost destroyed his life by subjecting him to rogue experiments. Deadpool belongs to the Marvel Universe and is their most unconventional anti-hero.
The Swiss school came top of the list of 90 best masters programmes worldwide in 2016, winning its sixth consecutive crown.
几年前,有人发明了一辆会飞的自行车,叫做"Paravelo"。称一辆自行车会飞,并不是开玩笑,而是这辆自行车真的会飞(车头有一个巨大的降落伞)。它在陆地和空中的时速分别为25千米(15英里)和40千米(25英里),可飞至1200米(4000英尺)高空。最棒的地方是什么呢?那就是你不需要有飞行驾照。Paravelo号称世界上第一辆会飞的自行车,但我们必须指出它并不是第一辆会飞的自行车。
你如何知道你需要喝水了?这有一系列的诱因:嘴唇发干、头晕、头痛、尿量低和口渴。然而,这种智能瓶能在你的身体意识到缺水前就提醒你。
英国剑桥大学Judge商学院(Judge Business School)排名上升速度最快,今年上升19位,名列第29位,这得益于其在高管MBA排名中的出色表现(该学院今年首次参与此项排名)。华威商学院(Warwick Business School)重返榜单前20名(位列第19),该校去年未参加管理硕士排名。
Winners: Mavericks
modest

5

哦,对了,我刚刚说了勒布朗·詹姆斯这个夏天其实是自由球员吗?
Losing my future is not like losing an election or a few points on the stock market. I am here to speak for all generations to come. 失去未来不像落选选举或者股市浮动那么简单,我来到这里是为了将来所有的世代而演讲。
Here are our top picks for games that debuted at Gamescom 2014.
Zhu Yongxin, a member of the CPPCC National Committee, full-time vice-chairman of the Central Committee of the China Association for Promoting Democracy and vice-president of the Chinese Society of Education, talking about an NPC deputy representing 670,000 electorates.
5.谷歌网站管理员工具
此外,由于该机构的一些业务涉及为政府提供教育方面的建议,此类员工的专长是很宝贵的。
在全球最具价值品牌百强榜上,有15个中国品牌上榜,比去年多一个,较10年前大有增加,当时中国移动(China Mobile)是唯一上榜的中国品牌。
第五步 帅到没朋友
the Dutch lender that is a leading financier to farmers and agribusinesses around the world.
Local farmers must love this wireless company as much as its employees do. Once a week, San Diego-based Qualcomm hosts a farmers market at two of its locations. Items sold range from traditional produce to jams and jellies. Employees with CSA veggie box subscriptions can pick up their produce packages at one of the HQ's cafés.
[.?pti'mistik]
1. Apple
中国正考虑出售在政府补贴政策下累积的过剩储备。
Since 2005, the business book of the year award has gone to the book that provides “the most compelling and enjoyable insight into modern business issues”. The 2014 winner was Capital in the Twenty-First Century by Thomas Piketty.

6

6.Head-Mounted Computer Displays
adj. 肌肉的,肌肉发达的
5. Mother Nature
星期三,2014年春晚主持名单公布,包括了朱军、董卿、毕福剑、李思思和张国立。作为电影演员和导演的张国立会首次主持央视每年举办的春晚。
v. 构成,把 ...
从“高跟鞋门”到“金棕榈狗狗奖”(Palm Dog),再到迅速走红的“老爹身材(Dad bod)”,戛纳电影展的这12天,真是令人眼花缭乱。随着电影节进入尾声,英国广播公司回顾了本届戛纳影展上的九桩事。
他通过电梯门递出一张纸条,上面写着"有人被困在电梯内,请叫物业来帮忙。"寄希望于有人可以捡到并来救他。
5.布莱恩·克兰斯顿曾是杀人嫌疑犯
However, strong progress across the main rankings does not automatically translate into European success. Sa Business School at the University of Oxford, for example, rose one place in the MBA ranking, five places in the ranking of open executive programmes and broke into the top 10 of the Executive MBA ranking for the first time by moving up 12 places, but its European ranking remains unchanged, at 10th.

说到底,我预期这些新的领导人将开始从更广泛的候选人中选拔人员,并把不同背景的人任命为自己的直接下属,从而驳斥那些根据当前的失衡来外推还需数十年才能实现领导层男女平衡的悲观者。

Conclusion

退出单向乐队之后,哈里·斯泰尔斯可以去自己想去的任何地方。
The Shape of Water
The EU is making clear it wants to use the void in US leadership on trade to nail down new trade agreements. The negotiations with the Mercosur trade bloc in Latin America have been going on in fits and starts for more than a decade. But the EU and key Mercosur members like Argentina are now pushing to conclude a deal by the end of this year. That would be a big statement planted right in the US’s backyard.
昨日发布的央行数据显示,中国外汇储备上月出现有记录以来第三大单月降幅。这重燃了人们对于中国遭遇资本外流的担忧,此前中国外汇储备似乎企稳。
这也是短信应用独有的棘手问题。在消费内容时,我们希望广告乖乖待在一边。没人想在聊天时突然有条广告蹦出来。雷表示:“人们在聊天时最不想看到的就是打断对话的广告条或弹出式广告。可能这在非个人的网络上还管用,但在短信中,人们最恼火的就是看到传统广告。”
The aspiring actress is also hoping her online following will secure her an audition to appear on ABC show 'Once Upon A time' which is adding Elsa as a character next season.
许多管理者提到了一些极其失礼的情况。求职者:
I expect the real drama to come early in 2018. But this is Donald Trump’s trade world. We just live in it.


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. 2. Luminous Intimacy: The Cinema of Nathaniel Dorsky and Jerome Hiler All praise and many deep-felt thanks to the New York Film Festival for programming this sublime dual retrospective.
  2. GM is addicted to hefty sales incentives to move the cars and new CEO Ed Whitacre knows it. In 2010, he will slash incentives and end up abandoning GM's 20% U.S. market share target to find profitability. The search will prove elusive.
    虽然香港、悉尼和温哥华地处全球的不同角落,但是它们有着同一个特征。

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