Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

威廉姆斯指出,据凯投宏观估计,全球经济增长率将从2016年的2.5%上升至今年的2.8%,“新兴世界的大宗商品净出口国的出口额(以美元计算)同比增长应会达到20%左右。”
更强的是设计公司Ideo的全球董事总经理伊恩?罗伯茨(Iain Roberts),他问了一个我一点都不感兴趣的问题:“怎样激发人们去洞察潜在机动性或多模式需求?”
[ri'frid.reit?]
Notably, the domain name for the top fake news story of the year is “abcnews.com.co.” In a November interview with The Verge, Professor Nicole A. Cooke of the University of Illinois’ School of Information Sciences cited the slight modification of familiar domains as a particularly dangerous and common tactic for fake news sites. They make the source look reputable at first glance. The man who operates abcnews.com.co told The Washington Post that he believes his websites were a key factor in the election of Donald Trump.
高通(Qualcomm)总部所在地的农民们肯定像它的雇员一样超爱这家无线电公司。每周,高通会在其总部圣地亚哥择址两处举办农夫市集。出售的商品从传统农产品到果酱、果冻无所不包。凡是订购了“社区支持农业”素食礼盒的高通雇员,在总部的一家咖啡馆即可轻松收货。
n. 保守派(党),

But the UK courts may land a heavy blow on ride-hailing app Uber. In 2017, the California-based company failed to persuade an appeal judge that two of its London drivers are independent contractors. In 2018, the test case will go to the Court of Appeal and possibly to the Supreme Court. If Uber loses the case and is told to assume the responsibilities of an employer, the implications will ripple far and wide.
在美国监管机构担心交易所交易基金(ETF)市场增速可能太快的同时,他们在亚洲的同行以及资产管理公司和分销商却忙着考虑还有什么办法可以提高投资者的兴趣。
My grandmother’s favorite poem was Invictus by William Ernest Henley. My father hung a copy of it on our kitchen wall, so I grew up reading it every day: “I am the master of my fate; I am the captain of my soul.” I think the best advice I can give anyone – especially someone just starting out in business – is to embrace your role as master of your own fate. Recognize opportunities when they arise and get comfortable saying “Yes.”
The soaring prices of 2008, when oil reached more than $140 a barrel, will repeat, though not likely in 2014, Mr. Hummel said. The price 'is going to go higher.'
《暮光之城》众星前照令人大跌眼镜
知名安全机构SplashData近日发布2017年最糟糕密码榜单,统计于今年遭泄露的超过500万个密码。“123456”和“password”(密码)再度居首。
对于购房者,也不都是坏消息:房价明年(2015年——译注)仍将上涨,但步伐可能会从飙涨趋于平缓。“房价不会一味地陡然上涨,”柯克兰集团(Corcoran)的首席执行官帕梅拉·利伯曼(Pamela Liebman)说,“买家都有点疲劳了。”
这场比赛的糟糕表现是本赛季截止现在科比打的最差的一场,但是坦白来说,这与之前的比赛并没有太大差别。在他的第二十个NBA赛季,37岁的科比的发挥已经和他的年龄相符了。
['greisf?l]

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.

此类洞见尤其引起诉讼出资人的兴趣,后者支持原告以换取一定比例的损害赔偿金,并在出钱之前试图评估纠纷的可能结局。但是这种技术可能要到2019年乃至更遥远的未来才能突破。

1

However, five Beijing-based travel agents said they were still selling South Korea tours for March, as was China’s largest online travel company Ctrip. Representatives at the top three state-owned airline carriers in China told Bloomberg they had not received instructions to halt ticket sales to the country.
后来,通用汽车在1958年设计出一款无人驾驶汽车,其原理是:由线圈感知道路中所嵌入电线的交流电信号,并相应地调整方向盘。然而汽车确实能自主驾驶,但并不能称为第一辆全自动驾驶汽车,因为它必须依赖嵌在地面的电线。在日本的筑波机械工程实验室,津川和他的几个同事发明了世界上第一辆自动驾驶汽车。然而,德国工程师恩斯特·迪克斯被称为无人驾驶汽车的先驱。1987年,他发明的"极速",时速超过90千米(56英里/小时),行驶了大约20千米(12分钟)。7年后,他发明的VaMP,不但可以识别道路标记,而且能定位自己在车道内的位置,还能勘测其他车辆,甚至能判断何时该变道。一年后,他和他的团队发明的自动驾驶汽车,从德国行驶到丹麦,最高时速为180千米(111英里/小时)。整段旅程中,仅有5%左右的路程是人为驾驶。
3.1 用改革的办法深入推进“三去一降一补”。
Add your scores for 10 to 14 to find out how you score on the Social Inhibition scale.
我是说,让一个9号秀同伊巴卡和杰夫格林这样带队真的没问题吗?可能吧。只是从之前糟糕的表现上来看……
Solar Eclipse
n. 结,节
“An interviewer walked inta closet instead of the meeting room.”

全球重量级的央行家和政府官员周六表示,对一些新兴经济体脆弱性的担忧以及近期金融市场的剧烈波动,应该不会挫伤人们对今年全球经济形势的“谨慎乐观”态度。
Anton, who works in the military, said: 'I thought the Beyonce routine was inappropriate when Steph first told me about it, but when I saw her on the stage doing it, it worked out quite well and everyone enjoyed it.'
According to exam questions and some test-takers' feedback posted online after the exam, the difficulty of the questions was moderate and hot political and social issues, such as the Long March rockets, China's foreign affairs, the Yutu lunar rover and entrepreneurial efforts by college students, were mentioned.
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.
8. Smile every time EXCEPT when my team is losing.
The Mensa Supervised IQ Test can only be taken by children aged over ten-and-a-half and consists of two separate industry-standard assessments. One measures mainly verbal reasoning skills and the other, which includes diagrams and images, assesses visual and spatial logic. And Nishi, from Audenshaw in Tameside, scored the highest possible mark of 162 in the first test – known as the Cattell III B score. She scored 142 in the second element, the Culture Fare Scale, with the results putting her in the top one per cent of the nation in terms of IQ. Anyone scoring a percentile of two in any Mensa test is admitted to the society.
5.Celebrity Mocks Mao
尽管该片被洛杉矶影评人协会评为最佳剪辑奖,但却没有受到纽约影评人的重视。它的势头会逐渐减弱吗?
中共中央纪律检查委员会称,约9.8亿元非法资产获追回。
走上一段旋转楼梯就是几间卧室。中间有一处阁楼式的书房俯瞰着中庭。主卧套间和配套的浴室内有几面玻璃墙可以观赏数英亩湿地的景色。这个套间通往该房屋临水一侧的一个阳光平台。另外两间卧室也带有配套的浴室。底层已全部装修,用作健身房,并带有一间无洗浴功能的卫生间和一间可停放几辆车的车库。
一场破坏力巨大的金融危机令企业主和高管们在增加雇员和投资新设备上尤为谨慎。一些人士还担忧来自华盛顿或海外的风险。其他人士则预计消费者将维持缓慢但稳定的支出速度,这使企业没有太多动力来动用现金储备。
n. 锦标赛,冠军,拥护
"Forty percent of Donald Trump's fortune is tied up in Trump Tower and eight buildings within one mile of it," according to the magazine. "What happens in that micromarket does more to affect the net worth of Donald Trump than anything else in the world. Lately, the neighborhood has been struggling (relatively speaking)."

2

斯坦福大学的Zhenan Baohas 研发出了一种具备超弹性、超耐性和超敏感的材料,能够作为未来发展人工皮肤的基础。以前,人们也研究过生化皮肤,但是Baohas的材料比以前研发出来的更具敏感性。它带有有机转换物质和一层弹性材料,保证它在不被破坏情况下的延展性。另外,这种材料带有一系列的太阳能电池元件,可以自动充电。
Blige will perform "Mighty River" from "Mudbound," the Oscar-nominated song she co-wrote with Raphael Saadiq and Taura Stinson. Blige is also nominated for best supporting actress for her role in "Mudbound." She is the first person to be nominated for both a performance and an original song in the same year.
So many are tuning out. Denial. Truth is, bubbles are everywhere. Ready to blow. The evidence is accelerating, with only one obvious conclusion: Max 98% risk at a flashpoint. This 2014 crash is virtually guaranteed. There's but a narrow 2% chance of dodging this bullet.
3. Kate Upton
报告还指出,其中2.01亿(27%)网民来自农村地区,城市和农村地区互联网普及率差距为45.2%。
9. "Vikings" (2.3 million)
In addition, the last quarter of 2016 marked the first time that Huawei achieved a double-digit global market share.
The enterprise storage company boosts company morale by hosting a mid-summer "Dog Day". Employees bring their pets to work and enjoy a vendor fair (local groomers, store owners, and trainers are often present), as well as a doggie talent show. A raffle runs the week leading up to the event, and all proceeds are donated to a local animal charity.
planet
提到MeToo行动,麦高恩说:“他们都是混蛋,不是冠军,一群失败者,我不喜欢他们。”
In news that should come as little surprise to global air travelers, Singapore's done it again.
Winners: Raptors

埃德加?赖特的《极盗车神》是本年度、十年内、甚至是本世纪最激动人心的飞车电影了。
A colourful and exhaustive biography of Alan Greenspan, the former chairman of the US Federal Reserve, is this year’s Financial Times and McKinsey Business Book of the Year.
TAXES: Approximately $41,684 a year
Baoneng is believed to have borrowed heavily to fund its share purchases in Vanke and is now the developer’s largest single shareholder with a 25 per cent stake.
Chen Yu, vice-president of the China Association for Employment Promotion, said a startup may be meaningful, but one should not expect too much from it.
金发女郎乐队《花粉传播者》
The pace of Japanese production rose at a brisk clip during the month of October, giving policymakers hope - if not more mixed messages - about the strength of the Japanese economy.
Sectors: what’s in
This is the moment hundreds of lovestruck Irish football fans gathered around a blonde French girl and serenaded her - and one admirer even stole a kiss from the woman at the end.

3

纳米比亚的货币几年来一直对许多其他货币贬值,为其他国家的旅客前来旅游提供了便利条件。最便宜的航班一般会避开南非和欧洲学校的放假时间,尤其是十二月末和一月份。
8.身着平底鞋禁止入场,是吗?
10月份的PPI环比上涨了0.7%,高于9月份0.5%的环比涨幅。
全球很多国家的消费者都倾向于购买国产货,这帮助推升了本土品牌的品牌价值。
单词toxic 联想记忆:
For: Strong reviews, and praise for the performances - particularly from the children at the centre of the story, and Willem Dafoe, who plays the manager of the motel where they live.
Hanging on the coat tails of Ronaldo and Messi are NBA star LeBron James (pound 53 million) and tennis player Roger Federer (pound 46 million).
[p?n'demik]
Yes. There are plenty of positives: earnings, economic growth, and US tax cuts. But they are already known. Stocks look ridiculously expensive by historical standards, but that tells us nothing about short-term moves. Ultimately, it comes down to liquidity, which has driven markets since they emerged from the crisis in 2009. If all goes according to plan, central banks will be decreasing their balance sheets, and removing liquidity, by the end of 2018. If they go through with this, the odds are that the S&P will stall. But even a tiny tremor could make the bankers blink. Expect the momentum to continue.
trans转移+port拿,运→移动着拿→运输
15. WeTransfer
Baoneng’s raid has been bitterly resisted by Wang Shi, Vanke’s founder who has sought out white knights in a so far successful effort to retain control of the management-led company. The takeover battle fuelled a surge both in the price of Vanke’s Shenzhen-traded shares and Mr Yao’s known worth.
To wish you joy at this holy season. Wishing every happiness will always be with you.
据第三方市场情报公司IDC日前公布的数据显示,去年中国智能手机制造商华为、OPPO以及vivo的年出货量大增,使得三家企业都成为了世界前5大智能手机制造商。
adj. 忙碌的,使用中的,订婚了的

4

The Journey of Flower
[k?m'pein]
Goldie Blox:
来自5个不同国家的5所商学院今年首次进入排行榜。新加坡李光前商学院(Lee Kong Chian School of Business)是新进入者中排名最高的,直接跃居第36位。加拿大女王大学史密斯商学院(Queen’s Smith School of Business)的排名提高最大,跃升32位至第67名。
Online marketplace Amazon.com Inc made its debut in the 2015 Thomson Reuters Top 100 global innovators list, leaving International Business Machines Corp, the world's largest technology services company, out of the list.
All-cash buyers. Skittish lenders. Skyrocketing prices. Anemic listings. These realities haunt buyers, turning the house hunt into a demoralizing slog. Unfortunately, buyers will probably have to soldier through another year of a market that favors sellers.
自从该调查首次面世以来,香港已经连续第七年高居榜首了。
然而,英国退欧运动和特朗普崛起中的煽动因素存在相似之处。
英国剑桥大学(University of Cambridge)佳奇商学院(Judge Business School)的排名上升5个位次,至第5位。这不仅是该学院首次跻身前5名,而且还是伦敦商学院在这个榜单上首次失去英国最佳商学院这个头衔。
This year, the Global 2000 companies hail from 62 countries, up from 46 in our inaugural 2003 ranking. In total, they raked in revenues of $38 trillion and profits of $3 trillion, with assets worth $161 trillion and a market value of $44 trillion.
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。

5

How has your trip to the US sofar this summer?
出演《美国队长3:英雄决裂》的斯嘉丽-约翰逊排名第三,收入为2500万美元,比去年下降了近30%。
1=somewhat false
美国当地时间3月23日,由尼克森电视台举办的第26届儿童选择奖颁奖礼在加州洛杉矶的南加大体育中心举行。好莱坞女星克里斯汀·斯图尔特身着蓝色连体裤出席,大秀美腿。在颁奖典礼上斯图尔特先是凭借着《暮色》系列终结篇《破晓(下)》摘得了最受欢迎电影女演员奖。之后又再次凭借电影《白雪公主与猎人》夺得了最受欢迎女动作影星的宝座,成为了本次颁奖礼上唯一一个独揽双奖的明星。当颁奖嘉宾宣布斯图尔特获奖时,她从座位上站起前往领奖台,一路上被孩子们“围攻”以致差点摔倒。由此可见孩子们对这位女星的喜爱程度了。
这名官员称,米特卜王子已于11月28日获释。米特卜王子在11月初以前一直掌管着颇有实权的国民警卫队。至少还有三名嫌疑犯也完成了和解协议。
Across all European schools, the average salary of alumni three years after graduation ranges from $143,000 for executive MBA graduates to $54,000 for MiM graduates. MBA graduates earned on average $123,000. Spanish and German MiM graduates enjoyed the highest salary three years after graduation, both $70,000 on average. French MBA graduates and Swiss EMBA graduates top their salary scale, with average salaries of $137,000 and $166,000 respectively.
adj. 有资格的,有限制的
她表示:“美国宪法第一修正案中对于言论自由的保护仅针对公共实体的违法情况,而哈佛是所私立大学,所以第一修正案根本不适用。”
Comic skit “You’ve Got Trouble”(Sun Tao, Qin Hailu etc)
“…was asked ttell the interviewer a little about herself, and didn’t have anything tsay.”
神经系统科学家发现了小脑的一项全新功能。长期以来人们一直认为小脑基本上与意识直觉等活动无关,它的主要作用是协调站立、呼吸等基本的身体活动,然而,实际上小脑在影响人类行为上也发挥着重要作用。
[sju:'pri:m]
Personal per capita disposable income increased by 6.3 percent in real terms.
There are merely citizens whose choices not only may, but surely will, change.

6

我原以为胡扯是失败与庸俗的产物——它的存在是因为真相往往太伤人,或者高管们懒得弄明原委。
The base hopes to keep up public awareness of pandas and the necessity of conservation of their natural habitats while Increasing the wild population by reintroducing individuals into areas in China where populations have declined.
3.The Andrea Yates Trial Inspired Desperate Housewives
decline
Mark Williams, chief Asia economist at Capital Economics, adds: “We expect that the performance of EM exports will continue to improve in 2017, with export values rising modestly in year-on-year terms.”
2020年,10美元钞票上将出现一名著名美国女性的画像。
美联储政策中任何意外举动的潜在影响,在2013年的“缩减恐慌”(taper tantrum)中表露无遗,当时,仅是美联储可能很快缩减其超宽松货币政策力度的暗示就足以引发一波全球恐慌。
同样地,如果TPP剩下的11国在美国退出后,能在日本的带领下设法挽救该协议,可能为该地区带来一些平衡。
The quickest growth in executive pay on average came from the hotel and catering sectors, at 47.58%.

n. 设计者

Conclusion

在即将卸任的中国领导层不愿做出任何有远见的决定时,中国必须沿着一条狭窄的道路审慎推进。
Wages will finally accelerate after years of stagnation
替代燃料:自从柴油车于上世纪50年代从欧洲进入美国以来,人们对柴油车的热情首次冷却殆尽,取而代之的是马力高得吓人的雪佛兰CamaroZL1(580匹马力),和707匹马力的道奇挑战者SRT地狱火等车型。另外,续航里程更长的燃料电池汽车也开始登上舞台,从电池动力汽车那里抢走了不少风头。
根据美国国会预算办公室(Congressional Budget Office)的数据,税收增加与支出削减将2013年的经济增速拉低了约1.5个百分点。许多预测人士认为,2014年财政因素对经济增速的拖累幅度将是2013年的三分之一或更低。牛津经济研究院(Oxford Economics)的美国经济学家达科(Gregory Daco)称,今年政治方面的确定性更高。
去年,CPI指数上涨在一月时达到峰值2.5%,随后在剩下的时间里在2%以下波动。
A chain connects the umbrella to a collar or harness.
阿曼达评价说:“十分精彩的演出,你们明星范十足,一定能赢得这场比赛。”
该车票系统由中国铁道科学研究院电子计算技术研究所研发。该研究所副所长朱建生称:“如果所有这些车票排列起来,可以绕地球7圈。”


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. 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.
  2. 对于共同创始人哈勃,未来12个月的第一要务是强化Bigcommerce的内部科技人才队伍,提供能够帮助商户构建更紧密客户关系的服务。一个例子是提供数据,帮助店铺经理追踪“被丢弃的购物篮”,以及提供能够将浏览者转变为买家的交易。这能推动商户的月销售额迅速增加15%,他说。
    The infectious disease known as scarlet fever famously reached pandemic proportions in the 19th century, striking down the young and the weak across the Western world.

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