Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

“We need to do what the mayor wants everybody to do, and that is build more housing,” said Steven Spinola, the president of the Real Estate Board of New York. However, “if the numbers don’t work, if the rent that is coming in is less than the cost of maintaining the building, then you are not going to do it.”
['p?pjul?]
TV soaps regularly top the TV ratings but the highest trending show of 2012 was the BBC kids' show 'Mike The Knight' that beat US terror drama 'Homeland' and 'Towie.'
埃米?珀勒(Amy Poehler)狂吻博诺(Bono),蒂娜?费(Tina Fey)吐槽乔治?克鲁尼(George Clooney)只爱年轻女人,而诡异的是马特?戴蒙(Matt Damon)当晚数次“中枪”。
因城施策去库存。
With very best wishes for your happiness in the New Year.

星巴克的品牌价值增长49%,排名第21位,该公司已从咖啡馆发展到人们可以逗留一整天的地方,它现在供应早餐、午餐和晚餐,一些地方还供应酒水。
反对派是合法的,可以自由表达观点而且权力受到限制。
China's 2016 office box sales are expected to exceed the 2015 total of 44 billion yuan (6.8 billion U.S. dollars), the country's film watchdog said.
Single record of the year: "Over You," Miranda Lambert
马拉比这部长达800页的作品今年10月由布鲁姆斯伯里出版社(Bloomsbury)和企鹅出版社(Penguin Press)出版。英国《金融时报》的一篇书评称赞该书“非比寻常”。该书是在同终选名单中的另外五部作品展开激烈竞争后脱颖而出的。另五部作品尝试解决的是世界上一些重要的经济与管理难题——从美国的生产率缺口,到持续存在的性别失衡。
同时,根据这一最新调查显示,2015年我国男女比例的差距也有所缩小。从性别构成看,男女人口性别比例已由2010年的105.2降至去年的105.02。
“我还给了他一个直言不讳的同性恋朋友,他会责备邦德,说:‘拜托,邦德,你是生活在20世纪,不是中世纪。’”
arrogant
中国约占世界黄金产量的15%,这个比例高于沙特占石油市场的比例。但自2016年以来,中国当局收紧了对黄金开采的审查,导致中国的小型金矿纷纷关闭。

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.

adj. 古怪的,反常的,不同圆心的

1

n. 大赦,特赦
Belgium and Uruguay are two diminutive countries that have maximized their advantages through inclusiveness, and of which Brazil, Argentina, Spain and Germany -- the quartet of forerunners for this year's title -- will rightly be wary. They, in the manner of Brazil's indigenous mosquitos and scorpions, are a useful reminder that small can often be deadly.
in无,fin范围-无范围的-无限的
Manohla Dargis
英国脱欧带来的贸易不确定性
受此影响,对设备等关键领域的商业投资一直处在美国复苏历史中的低点。若就业市场缓慢改善,且家庭财富增长,则可能引发消费支出增加的良性循环,增强商业信心并增加投资。但若情况并非如此,那么今年将再度令人失望。
事实是,韩力不是第一个发明电子烟的人。早在1963年,赫尔伯特·吉尔伯特就制造出了世界上第一个可以用来吸入香烟味儿空气的装置。他最初的发明装置,不用燃烧,也不含尼古丁。他后来设计出了一个用电池去加热的模型,他也用了不同味道的水去制造蒸气。他把他的电子烟模型展示给不同的化工、制药以及烟草公司,但是他们都没有理会他的模型。
adj. 连续的,继续的,连绵不断的

《一位德国女权主义先锋在痛苦中回顾过去》(A Pioneering German Feminist Looks Back in Anguish)
n. 传染,影响,传染病
operate
The below are 5 companies that stand out from the rest and are startups to watch in 2014.
Whatever one's view, two further points for and against Russia's global standing are undeniable:
25 July
国内航空统计公司飞常准发布的最新报告显示,我国主要机场的准点率仍然远未让人满意。
A total of 1,300 fugitives suspected of economic crimes, 347 of whom were corrupt officials, returned to China from abroad to face justice last year, according to the country's top discipline watchdog.
移动端取代网页端。
4. 詹妮弗-安妮斯顿 2100万美元
源于:commend(v 称赞;推荐)
Angola, Zimbabwe and Albania experienced the largest increases across all the countries surveyed. "On a regional basis, by far the largest gains in life evaluations in terms of the prevalence and size of the increases have been in Latin America and the Caribbean, and in Sub-Saharan Africa", the report said. Reduced levels of corruption also contributed to the rise.
如果你处于失业状态:

2

adj. 一致的,始终如一的
从化石燃料转向可再生能源,无疑是我们这个时代最重要的工程挑战和科学挑战。
The 2013 World Happiness Report comes on the back of a growing global movement calling for governments and policy makers to reduce their emphasis on achieving economic growth and focus on policies that can improve people's overall well-being.
夏洛特·艾玛·艾奇逊《1号天使》
[m?'r?liti]
The Peoria, Ill.-based maker of heavy equipment authorized $10 billion in stock repurchases in January and expected to buy back $1.7 billion of its shares in the first quarter this year to complete its previous $7.5 billion repurchase initiative. The ongoing buybacks are "a result of our record cash flow," said CEO Doug Oberhelman.
国际机器人联合会主席Junji Tsuda在他的《全球工业机器人市场》报告中指出,在2017年,全球约有38.7万台工业机器人售出,同比增长31%,创造了500亿美元的收入,而中国则是这一强劲增长背后的关键驱动因素之一。
但经济学家总体上预计,一旦飓风造成的失真消失,前段时间的趋势就有望恢复并延续。接受《华尔街日报》最新月度调查的45位经济学家预计,到明年6月,失业率将降至7.8%,2013年年底将降至7.5%。部分经济学家说,就业增长可能会摆脱现在的缓慢速度而加快。信安环球投资有限公司(Principal Global Investors)经济学家鲍尔(Bob Baur)说,我觉得到时候企业将必须招人。[qh]
根据全球最大航运公司马士基航运公司(Maersk Line)的数据,从汽车到集装箱运输的纺织品,1月中国对巴西出口同比下降60%,而通过集装箱进入拉美最大经济体的总进口量减半。
电影迷们很快就能在北京国际电影节上庆祝一场视觉盛宴了,该电影节上还将放映近500部高质量电影。
布莱恩·肯德罗拉是纽约Stack's Bowers Galleries 拍卖行的行长,他透露这次拍卖吸引了来自6个国家的6名竞拍者。在星期四举行的拍卖会上,中标者是一名匿名的亚洲收藏家。
Ellen DeGeneres:

Further, 32 out of the 50 new selected female billionaires started their businesses from scratch.
根据近日发布的《第13次国际年度住房负担能力调查:2017》显示,这三座城市高居世界最不可购性房屋市场的前三甲。
New Year’s greetings and best wishes!致新年贺忱与最美好的祝福!
Plante Moran
27个省级地区的GDP增速超过全国6.7%的GDP增速,其中,仅重庆、贵州、西藏三地实现两位数增长。
Given that Dallas resisted tanking for years as Dirk Nowitzki's career has wound down and therefore has a fairly limited collection of young talent, adding the 22-year-old Noel without doing any major damage to its rotation counts as a smart play.
Banking
“纽约人正逐渐意识到,这一漫长的繁荣期已对我们眼中的经典纽约市容造成了破坏,”历史街区保护委员会(Historic Districts Council)的执行董事西蒙·班考夫(Simon Bankoff)说,他同时指出,2015年将是纽约市通过《地标建筑保护法》的50周年。“环顾左右,那些总被我们认为是一成不变的东西,却都在纷纷关门闭户。”
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。

3

凸起那部分有个“涡卷饰品”——(古埃及碑上)在王和神的名字周围的椭圆形装饰。考古学家在上面发现有眼镜蛇一只眼的符号。
The standout is "Him," a tear-jerker about queer love and cultural intolerance that, in its understated way, is an LGBTQ civil rights anthem.
Gunal Youssouf, 23, is a Teach Firster who has joined the UK arm of PwC’s management consultancy graduate scheme. She says the two-year program-me gave her a chance to taste teaching without the cost of studying for a traditional qualification.
据此网站统计,排名第二的慈善明星是前迪斯尼明星后转型歌手的麦莉塞勒斯。准爸爸查宁塔图姆名列第三。
交通运输部新闻发言人徐成光通报称,未发现更多生命迹象,搜寻到生还者的希望"非常渺茫"。
Although the banks' dividend to shareholders is shrinking, it still accounted for half of the combined dividends of all public companies in China. The banks' earnings also made up 52% of the total profits reported by listed companies last year.
When he wasn't programming or doing schoolwork, D'Aloisio began to fill his spare time reading about natural language processing. He'd studied languages as diverse as Latin and Mandarin, and became fascinated by concepts like grammatical frameworks, morpheme parsing and the 1960s work of the linguist Richard Montague. 'He's my favorite,' D'Aloisio enthuses. 'He theorized that natural language could be described like a syntactical programming language.'
据新华社今年二月报道,互联网借贷公司"易租宝"之前通过一个巨大的庞氏骗局,从大约90万投资人那里骗取了超过500亿人民币的资金。
会。在2018年美联储可能多次加息的情况下,新兴市场中的交易可能会波动起伏。有时可能感觉有点像2013年“削减恐慌”(taper tantrum)重演。然而,平均GDP增速将升至5%,高于去年4.7%的预测值。这主要是因为近来处境艰难的俄罗斯和巴西境况将好转。
The federal control board has requested a revised fiscal plan that has to be approved by end of January, saying that the one Garcia submitted last year was in part unrealistic and relied too heavily on federal funds. Garcia had refused to submit a revised plan to include austerity measures. Rossello has said he would request an extension of that deadline as well as an extension of a moratorium that expires in February and currently protects Puerto Rico from lawsuits filed by angered creditors.
This includes ‘qwerty,’ in fourth place, ‘admin,’ in 11th, and ‘login’, in 14th.
17. Most Complex Hurdle As of Dec. 7, seven out of 20 domestic top-grossing movies released this year had female-driven stories, according to the website Box Office Mojo. By contrast, five out of 20 female-driven stories topped the international market, which accounts for some 70 percent of the industry’s revenue. This may look bad, but the numbers appear marginally better than they have in recent years.
The U.S. Congress and the media will go berserk when Goldman announces the size of its 2009 bonus pool. But the outrage will be brief and of little lasting consequence. The 'hate Goldman Sachs' story has been running just too long.
“The First Amendment’s Free Speech protections apply only to violations by public entities, and since Harvard is a private university the First Amendment does not apply,” she said.
Participants in the study were between the ages of 18 and 44 and were asked to run twice – with and without shoes. After completing their quick runs, researchers found that the heart rate and overall run speed of each participant had no effect on memory, but the presence of shoes or bare feet did. The researchers have hypothesized that the need to engage the mind while running barefoot to avoid pebbles or other impediments could have a positive impact on a person's ability to remember things. If you're an adventurous person, you might try taking a barefoot jog around the block before your next test or before you need to remember something important.

4

在这月初这封信上写着的地址是宾夕法尼亚大学的某个邮箱。
"Perhaps it is no big deal whether or not you are in the group discussion, but if you were absent, 670,000 people would be absent, if you were silent, 670,000 people would be silent."
这台叫做IP-BOX的设备可以破解运行iOS 7或者更老版本的iPhone,通常它需要6秒到17小时来破解iPhone的四位锁屏密码。英国《每日邮报》购买了这台设备,并在6小时内破解了苹果iPhone 5c的锁屏密码。该密码破解设备运行在iOS 9系统上的版本将会在本月晚些时候出现。
愿女儿的新年祝福带给你快乐。
mortgage
Passion, perseverance and a positive attitude tend to set successful entrepreneurs apart. Cultivating these attributes requires an innate skill set and some tips to get started.
Torn Ballet Shoes, and a Life Upended
节目5 创意器乐演奏《琴筝和鸣》雅尼(美国)、常静等
随着我国对稳定经济的新驱动力的投资增加,2016年我国的科技研究与试验发展经费达1.57万亿元,增长10.6%,是2014年以来最快的年增速。
《剧集人生》(Episodes):映时频道的这部喜剧经常被忽视,它讲述的是两位被困在好莱坞的英国电视编剧在为马特·勒布朗(Matt LeBlanc)创作电视剧时遇到的困惑。勒布朗在剧中饰演他自己,演得很精彩。以娱乐业为背景的电视剧很少能保持最初的巧妙构思,但这部剧的第三季比前两季还要精彩。
Harvard Business School, London Business School (LBS) and MIT Sloan School of Management, three of the MBA ranking’s longstanding heavyweights, all lost ground to their competitors. Harvard drops two places to fourth, the first time in nine years that the Boston school has been outside the top three. London Business School falls three places to sixth, its lowest position in 14 years. MIT Sloan School of Management falls to 13th place, the first time in 10 years that it has been outside the top 10.

5

Airbnb Showdown
中国约占世界黄金产量的15%,这个比例高于沙特占石油市场的比例。但自2016年以来,中国当局收紧了对黄金开采的审查,导致中国的小型金矿纷纷关闭。
芝加哥大学的一个研究小组制造了一种能够向大脑传递信号的假手来解决这个问题。他们以猴子为测试对象,研究动物大脑对触摸信号的反应。当装备了可以刺激大脑的假手后,那些猴子的反应就好像他们身体接触到了物体一样。
初创公司
华尔街、大街上和华盛顿的每一个人都在不断地忘记市场周期的基本原理。请记住:《笑傲股市》(How to Make Money in Stocks)作者、《投资者商务日报》(Investors Business Daily)的比尔?奥尼尔(Bill O'Neill)说,市场的上行周期平均为3.75年,下行周期平均为九个月。
5) I take a gloomy view of things 0 1 2 3 4
'I was blown away by him,' Kushner recalls. 'The first time I interacted with him was at News Corp, when he was meeting with Murdoch, and I was looped in to provide perspective. Nick described the vision of what he was trying to accomplish. And he was providing insight to Rupert.' D'Aloisio's stage presence, coupled with the deep-pocketed credibility brought by Li, attracted a large group of benefactors to Summly, including Ashton Kutcher, Yoko Ono and Stephen Fry.
BATTLE CREEK (CBS, March 1) What a difference a hit makes. Vince Gilligan wrote a pilot script for this frenemy-cop show more than a decade ago, before he was Vince Gilligan, creator of “Breaking Bad” (and “Better Call Saul”). Now it’s being made into a series with a 13-episode guarantee from CBS. Dean Winters (“Law & Order: SVU,” “30 Rock”) plays a local detective and Josh Duhamel (“Las Vegas”) a slick F.B.I. agent who work together, uneasily, in the Cereal City of Battle Creek, Mich.
对于就读EMBA的创业者而言,学校和校友关系网的支持同样很重要。约四分之三的创业者认为,学校和校友网络在自己创办公司时都有帮助或非常有帮助。“校友的支持对创业构想的审查以及为公司找到合适的人脉非常关键”,一位学员说。
In comparison, second-tier cities reported worsening congestion, an increase of 3.7% on average, with Chongqing, Changchun, Jiaxing and Shenyang leading the rate of growth at over 7%.
不会。随着美联储收紧货币政策并扩大美国与日本的利率差,2018年日本央行的日子会更不好过。但是日本央行行长黑田东彦(Haruhiko Kuroda)已决心只会因一件事而上调利率,那就是通胀。如果通胀开始加速,日本央行可能会让收益率曲线略微上扬,但到2018年年底时日本实际利率不会高于年初时的水平。
维尔德斯在周一晚上的电视辩论中呼吁荷兰将土耳其大使驱逐出境。
这种插秧机只需几分钟便能种植数排幼苗。可节省88%的种植时间。
Brands vs the market

6

Leaders of large companies such as Michelin, Microsoft, Ericsson and others are already pushing more decision-making power out to their front-line workers. Others will follow as the success of this approach catches on.
但是他们摆烂的原因还是各不相同的。比如热火队,他们试图通过输球来锻炼队中的年轻人并且确立一个核心;比如魔术队,他们试图摆脱停滞不前的过程。
“但书中又总是有人质疑他、说服他、跟他说‘慢着’。”
adj. 优雅的
从周日起,各地的观众都在叹息该剧剧终,至少从Twitter名人的帖子来看是这样的。
'Short Term 12' is one of those small indie features that stays with you in a big way. It's only 96 minutes long, a modest production set in a foster-care facility for troubled teens. Yet Destin Cretton's direction and Brie Larson's performance elevate the film to, well, one of the year's very best. Ms. Larson is almost a sure thing for not getting an Oscar-this year's competition is unusually fierce-but do catch up with her portrayal of Grace, a 20-something supervisor who is far from untroubled in her own life.
4. We can’t go into detail on this matter.
他会在自己的独唱专辑中尝试什么样的歌曲呢:《Sweet Creature》(《可爱的人儿》)和《Ever Since New York》(《自从来到纽约》)是温馨的原声抒情歌曲;而在《Kiwi》(《奇异果》)这首歌中,他大声地炫耀着自己的欢乐;《Two Ghosts》(《两只幽灵》)则是一首为分手而惋惜的歌曲。
或许是作为回应,在2017年初,中国媒体监管机构在报道票房数据时悄然开始计入在线票务公司收取的服务费。

“她自己也很喜欢。我们不会强迫她做任何她不想做的事情。”

Conclusion

In this Jan. 7, 1997, file photo, Steve Jobs, chief executive of Pixar, speaks at the MacWorld trade show in San Francisco.
'I just want to stay professional. I don't want them to think I'm a fangirl. I'm one of the performers and I'm not just a background dancer, I'm the dancer.'
The helium pushes the foam upwards through a stencil.
n. 基础,根据,建立
10. 米歇尔?詹尼克(澳大利亚跨栏运动员)
3、消极
Joakim Noah, meanwhile, proved to be so untradeable that he couldn't even generate a rumor.
法律


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. 或许这种做法不会在竞争激烈的华尔街推广。有人可能会认为,长时间的休假相当于承认他们的工作可有可无,即使没有他们,同事们也可以生存,或许更能发挥才华。
  2. 2=中立
    富达国际(Fidelity International)旗下全球地产基金的投资组合经理德克?菲利帕(Dirk Philippa)也削减了在香港的投资,把配置比重从两年前相对基准超配6%至8%调整至超配1%。

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