Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

营造80年代的感觉
Among the 18 sectors categorized by the China Securities Regulatory Commission, financial executives ranked the highest with annual pay of 27.36 million yuan, followed by real estate executives at 11.18 million yuan.
“也许,小组会多你一个少你一个问题不大,但是,你的不称职就意味着67万人的缺席,你的失语就意味着67万人沉默。”
"Demolitions are now becoming increasingly terrible. I am willing to ask a question very seriously as a CPPCC National Committee member: Can we not pay so much attention to GDP? Can we choose to slow down the speed of economic development?" CUI YONGYUAN, member of the CPPCC National Committee and TV host
You might think Hawaiian has it relatively easy, since its flights rarely have to contend with the kind of challenging weather conditions found on the mainland. Hawaiian perennially rates high in on-time performance rankings, topping the most recent DOT list i n September. It recently announced it will branch well beyond its island home with non-stop service to Beijing.
上海金融学院的研究人员郭峰引用了周二华尔街见闻上的信息并表示,这也是自1978年中国改革开放以来,上海第一次见证了常住人口的减少 。

此外,这也是北京大学连续第二年在亚洲大学排行榜上排名第二位。
德文·韦德
ac+com全部+pli满,填满+ish→全部弄满→成就+ed→有成就的,有造诣的
WHAT: A riverfront contemporary with three bedrooms and three and a half bathrooms
Employers have stepped up their hiring recently, adding 171,000 jobs in October and an average of 157,000 a month so far this year. That's a better pace than last year and the strongest job growth since 2006, Labor Department data show.[qh]
“The headwinds that Chinese banks face will last for a long time,” he said. “In addition to lower sources for profit, they will also have to prepare themselves for losses on bad loans.”
iPhone X
7. 2012年搞笑诺贝尔奖之物理学奖
从物业费到倒卖税,共管公寓和合作公寓的业主经常抱怨,管委会要将他们榨干了。不幸的是,运营建筑的成本在短时期内不会下降分毫。

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.

n. 身份,一致,特征

1

Following the devaluation in mid-August, the renminbi rallied in September and October. Devaluation resumed in November, however, and the renminbi closed at its weakest level in three months at 6.4082 to the dollar yesterday. “Since October many countries around China have experienced some capital outflow, and China has had its share,” said Xie Yaxuan, an economist at China Merchants Securities in Shenzhen. “The strengthening dollar is bound to cause some repositioning into dollar assets.”
农业原材料,特别是所谓的软性大宗商品,例如糖、咖啡和棉花,今年的表现在最佳之列。
办公室总有一两个让人让大多数人都无法容忍的人,但是如果你不喜欢大多数的同事,那么你的工作就会变得不愉快因为你不得不整天和他们在一起工作。如果你再也不能容忍他们,试试找一个你能够和里面的职员和平相处的公司了。
['autreid?]
20多岁的故事
A retrospective section will include movies produced by the Shanghai studio Wenhua, a company founded in 1946 that ushered a new era of Chinese art-house films, Zhang said, giving viewers "a glimpse of Chinese cinematic culture and history".
祝大家2015年好运。(财富中文网)
巴黎法新社-1400法国人已经加入圣战组织或者打算这么做,总理ManuelValls周一说。

8. “The Diary of a Teenage Girl” In her terrific feature debut, Marielle Heller traces the artistic and sexual awakening of a 15-year-old (a sensational Bel Powley) whose desires leads to adulthood.
这个12岁的女孩已经成为了在Instagram拥有300万粉丝的超级巨星,她和流行歌手希雅(Sia)合作的MV在YouTube上点击量超过10亿。
我们坐在这里指点江山,告诉那些球队“你们没指望了,赶紧输球摆烂吧!”这是很容易的,但是我们并不是那些在为球队门票和广告殚精竭虑的家伙们。
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。
[is't?bli?t]
中国力争达成自己的亚太区协议
去年,酷热天气覆盖了阿拉斯加州和大部分美国西部地区。地面温度在所有有人居住的大陆上都创下了记录。科学家说,海洋表面在除南极洲附近海域以外的几乎所有水域中都异常温暖,为造成巨大破坏的太平洋风暴提供了能量。
China in 2012: fixated on stability as the pressures mount without and within.
[k?:n]
Supporting Actress in a Comedy: Kate McKinnon, “Saturday Night Live”
大学的工作人员表示这封信已经伴随学校的意见T恤一起送往Siddeeq先生了。
威尔·史密斯早年成名,那是上世纪80年代末90年代初,他做嘻哈组合"DJ爵士杰夫&活力王子"的后期成员时。然而,虽然他赚得盆满钵盈,却不善于管理金钱。这真是个老掉牙的故事。名望、金钱扑面而来;却没有远见,空有一堆玩物,最终导致超支。对财产的监管意识与责任感的缺失,让他从富有的顶峰一下跌到破产的边缘。没落之后,他欠政府的退缴税一直没能偿还。
除此之外,它的设计者是92岁的黄永玉大师,一位著名的画家,使它成为了极具收藏价值的物品。

2

抵达太阳系深处的人类智慧。
在2013年的这次调查中,东京重新获得“全球最贵城市”的头衔。瑞士苏黎士由于汇率波动在去年名列榜首,但今年由于政府采取了控制汇率措施,在榜单上下滑至第七。日本大阪成为全球第二贵的城市。
The raised decoration shows a cartouche — an oval frame around Egyptian hieroglyphics indicating a royal name. Above the frame archaeologists could make out the symbol of an eye and that of a cobra.
小说作者安东尼·赫洛维兹(Anthony Horowitz)透露,新书《Trigger Mortis》为现代读者作了改动,包含反对吸烟的信息,而且首次有一位“直言不讳”的同性恋朋友出场。
"Hiring a veteran can be one of the best decisions any of us can make, and Wal-Mart is proud that we have hired more than 26,000 since we announced our Welcome Home Commitment on Memorial Day," Simon told Fortune. "Veterans have a strong record of performance under pressure and passion for service, which makes our pledge to hire, learn from, and support them easy."
7. Viceroy's House
Anyone can have a bad day at the office, but this disappointing performance at Christie’s followed an old masters sale in July that took in 19 million against a low estimate of 31.5 million.
The EU’s Americas gambits
这位曾演唱过《Royals》(《皇室贵族》)的少年天才在20岁的时候就在联合制作人杰克·安东诺夫的帮助下更上一层楼,把对电子音乐的无限展望与人类的尺度结合在一起,亲手打造了自己的第二张专辑。
Among the 18 sectors categorized by the China Securities Regulatory Commission, financial executives ranked the highest with annual pay of 27.36 million yuan, followed by real estate executives at 11.18 million yuan.
6. 制定计划。
以下是人们经常用来描述自己的一些句子。

Best chances: A best film nomination looks certain. Darkest Hour's Gary Oldman is the favorite for best actor, but if anyone can beat him it's probably Chalamet.
去年一系列洪灾袭击了世界各国,英国也包括在内。去年12月英国经历了1910年开始记录以来雨水最多的月份。
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.
华特迪士尼公司(Walt Disney)首席执行官、自2011年起成为苹果董事会成员的鲍勃?伊格尔(Bob Iger)说:“人们说他外表冷淡,但他是个非常有激情的男人,而且勇于站出来捍卫自己的信仰。无论对个人生活还是对苹果,他都是如此。”
难怪现代和当代艺术品拍卖市场的主要玩家佳士得拍卖行把自己的早期绘画大师作品重新宣传为“古典艺术品”。它将于明年4月(原先的计划是明年1月)在洛克菲勒中心(Rockefeller Center)举办早期绘画大师作品及其他历史作品拍卖会,其中包括20世纪作品专题拍卖会。周五(12月18日),佳士得称,它的“古典艺术品”拍卖计划将于明年7月在伦敦公布。
The GM turnaround will drag on. Forget a 2010 IPO.
muscular
Portugal's achievement gives governments and energy companies a tangible example of how it can and does work, and why they should be investing in solar, wind, wave and other renewable technologies now.
crime罪行+al表名词,“人,物,状态”→犯罪分子

3

I did not create the characters inAldnoah. I made the mainframe of the story until the preliminary version. Butin fact Inaho's character is different than what I wrote. I don't really have aconnection with this character, so this is an exception.
It’s wall-to-wall pure pop heaven, crackling with originality and dark humor, teeming with action sequences so perfectly timed and executed you almost want to run out of the theater on the spot so you can call a friend and rave about it — but you wouldn’t dare leave your seat because you wouldn’t want to miss a frame of this brilliant, pulse-quickening gem.
When faced with competition, they may focus less on winning or losing than their Type A counterparts, and more on enjoying the game regardless of winning or losing.
经济衰退可能已有所好转,但是距离就业市场的复苏还有很长一段路要走。并且专家也声称情况在好转之前可能先会恶化。
The 2017 rankings feature the top 60 pre-experience courses for students with little or no background in the industry and the top six post-experience programmes for professionals already working in the sector. Only a handful of schools offer post-experience courses.
Add your scores for questions one to nine to see how you score on the Negative Affectivity scale
4.You Don't Like Most of Your Coworkers
最后,今年只有两所学校首次登上开放课程排行榜。上海交通大学安泰经济与管理学院(Antai College of Economics and Management)直接排到第32名,而亚利桑那大学(University of Arizona)艾勒管理学院(Eller College of Management)在75所院校中排名第68位。
《琅琊榜》的意外爆红让这部戏成为2015年秋季档电视剧中的翘楚。同样改编自网络小说(海晏著)的《琅琊榜》2015年9月首播。该剧由胡歌、刘涛等人主演,讲诉了才冠绝伦的谋士梅长苏为昭雪多年冤案进行的一系列斗争。虚构的人物和朝代让改编剧集巧妙地躲过了历史准确性上的责难。它精美的场景布置和无懈可击的故事情节受到了广大观众的一致好评。
● “奥巴马签署行政令禁止学校读效忠宣言”
['kriminl]
斯威夫特今年也收获颇丰,以8千万位居第二。在1989(2014年排名第一的专辑,卖出超过3.6百万份)的发行超过一年后,通过斯科特.伊斯特伍德拍摄的MV,她的最新单曲“最疯狂的梦”一跃成为排行榜第一位。但这只是起始,她的史诗1989世界巡回演唱会最终使她极近收入最高女星榜首。
然而,3月份以17美元的发行价上市的Snap,在最初上涨后下跌至约15美元,打击了市场对于所谓“十角兽”企业(通过私人筹资达到100亿美元或更高估值的公司)会有更多IPO活动的预期。
在上榜的90所欧洲商学院中,法国的欧洲工商管理学院(Insead)在全日制MBA课程和EMBA课程方面居首,瑞士圣加伦大学(St Gallen)的管理硕士课程排名第一。西班牙Iese商学院(Iese Business School)和瑞士洛桑国际管理发展学院(IMD)分别在定制和开放注册高管教育课程上夺魁。
9. Ambrose Akinmusire “the imagined savior is far easier to paint” (Blue Note) The trumpeter Ambrose Akinmusire imbued his second Blue Note album with the searching, genre-fluid sound of today, enlisting singer-singers and a string quartet. His social commentary feels even more urgent and stinging now than it did when the album was released.

4

Qatar University claimed the most international institution, marking the first time a Middle Eastern university has topped the list.
A New York City restaurant is taking a stab at creating the most decadent pizza on the market with a pie topped in gold flakes, foie gras and even truffles.
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.
特朗普会发动美中贸易战吗?
与比利时接壤的法国已经有大量志愿者出国加入伊斯兰国圣战组织,这个组织占领了伊拉克和叙利亚的大片区域。
Other European cities have seen increases in costs, pushing them up the rankings. London rose five points, bringing it into the top 10.
赖特是英国浪漫主义画派的鼻祖之一。这幅作品从1840年起一直由德比郡的一个家族私藏。考虑到目前的行情,它的最低估价仅为10万英镑,还有一个重要因素是它的拍卖款将用于救济叙利亚难民。结果,至少有三位竞拍人把价格推高至66.5万英镑(含佣金)。
Here are the top 5 share repurchases authorized so far this year, according to data collected by Birinyi.
他在最后一刻选择了教育慈善机构Teach First,后者如今已经成为英国招聘新毕业生最多的机构。雷文斯克罗夫特没有空降至需要重组的公司,而是开始在波尔主教学校(Cardinal Pole School)教授商业和经济学,该校主要招收伦敦东部哈克尼区(Hackney)11岁至19岁之间的青少年。
8. A lovely flower doesn’t belong to the one who appreciates it, but to the dunghill it grows on. (“To stick a lovely flower in the dunghill” is a popular Chinese saying, normally used to describe the common social phenomenon of a pretty girl marrying an ugly but rich guy).
David said: ‘It was wonderful, you couldn’t fault it. It was perfection.’

5

Such borrowing is predicated in part on the assumption that by decontextualizing a style you also strip it of any possible negative implications: military, dynastic, what have you. It becomes an aesthetic form that exists on its own terms, as opposed to one that symbolizes all sorts of complicated societal or political convulsions.
Stephen Curry scored 37 points to lead the defending NBA champions to their 12th straight win to open the season, a hard-fought 115-110 victory over the Toronto Raptors on Tuesday night.
From maintenance to flip taxes, condo and co-op owners often complain of boards bleeding them dry. Unfortunately, the cost of running a building will not get any cheaper anytime soon.
地区
达奇斯说:星佳在2012年努力保持势头并进行多元化经营。关于公司的品牌讨论明显减少,产品停产的负面消息不断增长,这使得这家游戏公司在2013年有很多工作要做。
因为中国严格的政策,该内衣品牌的几位最有名的模特无法出席今年最重要的活动,上周吉吉·哈迪德就在推特上表示她不会出席此次维密秀。
“有个员工在公司网站上发帖称自己辞职了。”
Switzerland debuts as the No. 1 Best Country in 2017. The country, well-known for its history of neutrality, ranks No. 3 in Open for Business and No. 3 in Citizenship.
The US remains home to the biggest brands and the value of its top 10 increased by 10 per cent to $1.3tn in 2016. The top 10 UK brands, headed by Vodafone, lost 8 per cent of their value. Those in continental Europe — led by Germany’s SAP software group — rose 5 per cent. Finally, the $360bn value of Asia’s top 10 brands, headed by Tencent, China Mobile and Alibaba, was only 10 per cent lower than the value of the top 10 in continental Europe and the UK combined.
好在谷歌公司已于日前表示,他们不会让哈维尔支付这笔费用。
chann管道+el表名词,“人或物”→航道
This year, the average sales price for an apartment in New York City topped $1 million, a milestone with far-reaching implications. As the city’s population soars, prices and buildings are rising in neighborhoods that missed the last housing boom.
保险代理人员也增加了93.62万人,总人数逾560万人。
14. Google Calendar

6

[.reidi'ein]
Also downstairs, there’s an octagonal den with a barrel-vaulted ceiling, walls of glass and a built-in bench seat. The room is wired for surround sound. The three bedrooms are upstairs; all have lake views.
Frances McDormand giving an outstanding central performance as a grieving mother in this darkly comic story.
根据公安部的声明,自2015年9月以来,我国在放宽外国人居留、入境政策方面取得了巨大进步,帮助吸引了更多海外人才、促进了国际交流和经济发展。
时隔多年,贝尔蒙特如今已是一位白发苍苍的老人。没能现场观看1950年世界杯的决赛,他从不感到后悔。那次决赛过后没几天,他的母亲就去世了。“我当时决定放弃观看比赛的机会,事实证明这样做是正确的。”他对记者说。
silicon
For: Well-received by both audiences and critics, it tells a crucial slice of history.
adj. 荒谬的,可笑的
里奥斯工作非常努力。她很小的时候就从萨尔瓦多来到了美国。以优异成绩从高中毕业后,她一边养家,一边读完大学。成立Nation Waste Inc.公司的时候,她并没有感到害怕。22岁的时候,里奥斯刚刚从休斯敦大学(the University of Houston)毕业几个月就贷款购买了两辆卡车,毅然投身由男性主导的垃圾处理行业。目前,这家位于休斯敦的公司有24名全职员工。里奥斯说:“回头看看过去的经历,总是让我感到吃惊。我很小的时候就跟着父母来到美国,现在我正在实现我的美国梦。”

The pipelines were building in spite of poor performance for this year’s high-profile deal from Snap, the owner of Snapchat, in the US and investor concerns that a strengthening euro may curtail the earnings recovery in Europe.

Conclusion

n. 蝴蝶,蝶状物,蝶泳
中国和越南的关系因中国南海领土问题而变得日益紧张。两国媒体都对这一事件进行了报道,指责各自政府将非法食品投放本国市场。
adj. 非常坚硬的,强硬的,固执的 n. 坚硬无比之物
departure
7. Your company's human resources staff saw your résumé on a job board。
n. 银河,一群显赫之人
14. “Grandma” (Paul Weitz)
而至于他自己的教育问题:他在考虑是留在英国,还是为了离硅谷更近而去读美国的大学。再或者,他也许会放弃学业,全然专注于他的事业。他说,我非常想再创办一家公司,连续创业家们都是对创新上瘾的人。我希望能保有热情。如果我不能尝试新的事物,我会感觉很糟。


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. 每平方英尺单价:310美元(每平方米约合人民币2.1万元)
  2. 项目总成本:17.66万美元
    中国富豪王健林旗下拥有AMC Theaters等产业,在今年的榜单上进入了前20位。

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