Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

得益于均衡发展,广州和深圳在该榜单上分列前两位。而杭州则因其技术优势而排名第三。武汉则由于在发展和成本间的良好平衡排名第四,随后的南京则是由于文化和生活水平排名第五。
在纽约,任何人不得将多户建筑中的一套没有租户的公寓单间以短于30天的租期出租,这是非法的。然而,几乎每周都有人写信给“房地产答疑”专栏,咨询如何绕开这些规定。如果我交换公寓呢?如果没有书面形式的约定呢?
Outbound investment for the period totalled $86.3bn, according to the Ministry of Commerce.
比赛项目:
泰勒·斯威夫特和凯蒂·佩里选择了两种样式完全不同的极为诱人的礼服。泰勒选择了一款能够展现她修长身材的传统好莱坞式、迷人的古希腊风格的露背礼服,而凯蒂则穿着一件更短的、更有活力的礼服,每个地方都露了一点。
In a sign that civil service jobs may be losing their appeal, a report issued by recruitment website Zhaopin in late March said more than 10,000 public sector employees, including civil servants and staff members at public institutions, had submitted their resumes to potential employers through the site in just two months. The number was 34 percent higher during the same period last year, the report said.

The first time an influenza virus was found to be transmitted directly from birds to people, with infections linked to exposure to poultry markets. Six people in Hong Kong died. This virus was different because it moved directly from chickens to people, rather than having been altered by infecting pigs as an intermediate host. In addition, many of the most severe illnesses occurred in young adults similar to illnesses caused by the 1918 Spanish flu virus.
密码管理应用设计商Splashdata发布了一份“25个最常见密码” 榜单。
是的,当你到处面试的时候,去MIA没有借口借口很牵强的时候十分明显。可以在私人时间比如午饭时间电话面试。也可以利用节假日或者带薪假期进行长时间的现场面试,这样面试的时候你不会因为要赶回来上班感到紧张压迫。同时也可以帮助你面试进行的顺利,而且你也没占用工作的时间,Kay说。
Some industries will likely pick up faster than others. Industries such as construction and manufacturing will probably begin to hire sooner. Retail, tourism, and hospitality, which depend entirely on consumer spending, will probably be among the last to recover.
中国始终支持一个团结繁荣稳定的欧盟,也支持强大的欧元,支持欧洲一体化进程,因为这有利于经济全球化、世界多极化和文明多样化。我对欧盟的前景是乐观的,我们对中欧关系的发展前景也是看好的。
2.Show Up, Every Time
[freim]
Coca-Cola cut its sales forecast for this year as it struggles with a consumer slowdown in China, sending the drinks group’s shares down more than 3 per cent.
To make a long story short, the Seppenwolde group went bankrupt shortly after Christmas of 1772. The disaster was a top story in Dutch newspapers. It ruined some of Amsterdam’s merchants and bankers. To prevent a general credit collapse, the city of Amsterdam stepped in temporarily as a lender of last resort. Sound familiar?

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.

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.

1

McGowan was born into the polygamous Children of God Cult and ran away from home in her teens.
7、Bad body language habits
一有机会就炫一下小卷毛。
大学生创业的常见领域包括餐饮、农业、信息技术、运输、教育、文化。报告称,13.8%的创业者对住宿、餐饮业感兴趣,13.7%的创业者选择农业。
but the rate of growth appeared to slow noticeably in a number of top cities.
This year, China will further enhance international cooperation in fighting corruption, said a statement adopted at the second plenary session of the 19th CPC Central Commission for Discipline Inspection.
下面是2014年的几部重现活力、需要刮目相看的老剧——以及几部死气沉沉的老剧。
The judging committee (of one) has spent weeks deciding which members of the Royal family, politicians and celebrities deserve one of these most galling of gongs to mark a grievous breach of protocol or lapse in mannerly judgement over the past year.

survey
CPI increase kept around 3 percent.
当城市规划部门明年初(2015年——译注)提出初步的建议方案时,布鲁克林的东纽约(East New York)地区将被列为试点。随后,重新区划进程就将在该处全市最穷社区之一内展开。而紧随其后的,将是针对皇后区的西法拉盛(Flushing)的提案。
在考辛斯被交易后,接近一半国王队名单上的球员都应被清洗,然而并没有。很好。带上Buddy Mania,球馆里还有很多空座位可以挑选。
被调查的34个城市间的差距就更大了。北京市平均年终奖超过1.58万元人民币,超过了年终奖最低的沈阳市的三倍。沈阳市是中国东北铁锈地带辽宁省的省会。
[mɑ:sk]
vt. 编预算,为 ... 做预算
感恩节当天,沃尔玛、塔吉特(Target)和Kmart等美国大型零售商都开门营业,以便借假日购物旺季大赚一笔。今年,沃尔玛开始营业的时间甚至比去年早了两个小时。但好市多拒绝加入“黑色星期五狂欢”,感恩节并没有开门营业。首席执行官克雷格杰利内克认为,给员工放一天假比提高公司利润更加重要。
Hurricane Irma
当年秋天开学后,达洛伊西奥开始感觉到肩上背负起了来自投资方的巨大压力。他需要改善软件的运算法则,于是他找到了以色列一个从事自然语言处理的编程团队,并签订了合同。他还用谷歌(Google)搜索找到了一位居住在泰国、在该领域有过重要著作的退休教授。达洛伊西奥说,他成了我们的科研主管,他现在在雅虎的森尼维尔办公室工作。
德里克·罗斯
n. 喜剧,滑稽,幽默事件
Average age: 36

2

com共同,bat打,击-共同打-战斗com bat:共同生活的bat蝙蝠,免不了要combat
Businesses are already responding: Job openings in November hit the second highest level in 14 years. In another telltale sign, people are quitting jobs at the fastest rate in five years. Research shows that people who quit one job for another typically do so because they are offered higher pay.
We will push forward with structural adjustment in agriculture.
6. Google Adwords Keyword Planner
5. Life is like a coffee table: it’s got tea sets and dinnerware all over it. (beiju, 杯具, is a homophone for tragedy, 悲剧, and dinnerware, canju, 餐具, a homophone for disaster, 惨剧).
Yes Man is a heartwarming blockbuster that explores what would happen if you answered "yes" to every question in your life. Jim Carrey's character takes on this challenge and ends up learning Korean, taking flying lessons, and getting promoted. He goes from being a pessimistic divorced man to an exciting trendsetter and finds a new girlfriend in the process. It might sound like fiction, but this movie is loosely based on a memoir of the same name by freelance radio producer Danny Wallace.
本文作者为卡内基国际和平基金会(Carnegie Endowment)高级研究员、世界银行(World Bank)中国业务局前局长,译者/何黎
保险代理人员也增加了93.62万人,总人数逾560万人。
Hope you enjoy the happiness of New Year and all the trimmings.祝你享尽新年佳节的快乐和新年的礼品。
根据官方数据显示,今年前10个月中国对外非金融类投资同比下降40.9%,这反映出中国政府严格的资本管控带来持续影响。
Investigators have arrested one youth and one 18-year-old in connection to the July 9th shooting.
identical

6. Bubloon
Inflation for consumers, meanwhile, ticked up slightly to 1.5 per cent, versus a five-year low of 1.4 per cent in November.
coach
‘I Could Not Forget What Happened to Me That Night With Him’
transport
时间:2010-09-19 编辑:beck
Whiteness means being part of the group whose appearance, traditions, religion and even food are the default norm. It’s being a person who, by unspoken rules, was long entitled as part of “us” instead of “them.”
adj. 准确的,精确的
All this is happening before our eyes and yet we act as if we have all the time we want and all the solutions. I'm only a child and I don't have all the solutions, but I want you to realise, neither do you! 所有这一切就发生在我们眼前,然而我们还是一直向大自然无度索取我们所需要的。我仅仅是个孩子,我不知道该怎么办。 但我们这些孩子——这个星球的未来需要让您认识到,您不能说没办法!

3

6. A brand new human organ has been classified. Researchers have given the nod to the mesentery - an organ that's been hiding in plain sight in our digestive system this whole time. But that's only half the story, because we're still not sure exactly what it does.
腾讯通过聊天软件QQ的渠道将用户吸引到它的网络游戏和网站上去。分析师说,类似的模式对于微信也有可能非常管用。他们也说,微信的“朋友圈”功能给它加进了社交网络的元素,有可能最终吸引到广告商。
联想首席执行官杨元庆
White anxiety has fueled this year’s political tumult in the West: Britain’s surprising vote to exit the European Union, Donald J. Trump’s unexpected capture of the Republican presidential nomination in the United States, the rise of right-wing nationalism in Norway, Hungary, Austria and Greece.
vt. 使流通
9.Use One Planner
The pancreas produce insulin, and if yours don't, you need to inject yourself with the hormone manually. Diabetics are therefore trapped in a stressful routine of continually checking their blood sugar and then shooting insulin whenever the need arises.
我没有看到太多迹象表明,“合弄制”(Holacracy)等激进的“无管理者”模式将会普及。但会有越来越多的公司意识到,如果他们不断地尝试创新——就像初创公司那样——他们将比老派的官僚制度和精英管理制度更加灵活和果断。
n. 紧张,压力
While D'Aloisio spends 80 percent of his work time retooling and improving Summly (which has already been integrated into Yahoo!'s iPhone app), the other 20 percent is devoted to imagining the expansive challenges he'll take on next. He predicts there will be summarization programs that do for video what Summly does for the written word. He has grand thoughts about using technology to aid learning and would like to help fellow autodidacts while disrupting the old educational models.
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?”
[s?:'vei]
Economists say that both the residential and commercial markets in Hong Kong will be hurt by the same factors: slower growth in China, the depreciation of the renminbi, a crackdown on corruption on the mainland, and predictions that the US’s low interest-rate environment is due to end. However, government cooling measures introduced in 2012 to reduce speculative investment in Hong Kong property are an additional damper on the residential sector.
The Colombian singer, songwriter, dancer, record producer, choreographer, and model – Shakira stands 10th on the world's most beautiful women of 2015 list. She is listed as most powerful woman in the world by Forbes, and most popular dancer by wonders list. As of July 2014, She has become the first person to reach 100 million followers on Facebook.
vigilance

4

Sure, all of the hosting companies offer a basic CMS (content management system). But do they offer the flexibility that you need to get found online? Probably not. WordPress is an open-source CMS that you can install, customize and continuously optimize. You will likely need someone with development experience to help with set up, but once the template is installed, you’re probably smart enough to publish content without any assistance.
Airbnb Showdown
demo人民+-ic…的]→人口统计的
但多数白人常把民族和种族身份混为一谈。对很多白人来说,这种身份感觉像是支撑他们的世界最重要的支柱之一,而现在,它似乎受到了威胁。
企业客户看重该校的灵活性和创新能力。“我们开发的一个课程,是由一个试验性学习提供者共同教授的,”一名收到英国《金融时报》调查问卷的该校客户反馈道,“Iese在这一过程中一直是一个真正的合作伙伴,而我们的企业也获益于一支充满活力且准备充分的高管后备军。”
Tommy Wiseau and Greg Sestero become friends after meeting each other in an acting class in San Francisco. Hoping to achieve Hollywood stardom, Sestero moves to Los Angeles and signs on to appear in his buddy's project. Financed with his own money, Wiseau writes, directs and stars in "The Room," a critically maligned movie that becomes a cult classic.
祝老师新年充满平安和爱。
According to Brett Mills, senior lecturer in film and television studies at the University of East Anglia in the UK, Friends was the first sitcom that directly addressed the problems faced by twenty-somethings. Watching the show feels like reading the story of a young person’s life.
以美元计,上个月进口下跌了18.8%,跌至1141.9亿美元,跌幅超过了去年12月的7.6%,也超过了下跌3.6%的预期。
The next biggest provincial provinces were Jiangsu, Shandong, Zhejiang, Henan and Sichuan, finishing in the same position as 2015.
The regulator said that although this year's growth will be slightly lower than 35 percent due to the Chinese currency's depreciation, the film market will still see robust growth.

5

Sina's Weibo service, for example, has long offered features that Twitter lacks, notably a commenting function that allows multiple users to add their own thoughts to a user's posts. Tencent's QQ instant messaging service, which has more than 700 million users, offers additional features such as skins to change the look of the client and serves as a portal for the company to advertise other products and services. Sina declined to comment.
如果说2017年是政策制定者们开始担心“无保障无产阶级”(precariat)人数增长的一年,那么2018年将是他们尝试为此做些什么的一年。
6. “The Martian” With its red-rock buttes and mesas, Ridley Scott’s deeply satisfying space western both draws from an enduring genre and his own Pantheon legacy. (Read the review.)
"We felt very helpless that people thought that the fog and haze were caused by poor-quality oil produced by us." FU CHENGYU, member of the CPPCC National Committee and chairman of Sinopec
"Even though these two researchers worked independently of one another, the combination of Shapley's basic theory and Roth's empirical investigations, experiments and practical design has generated a flourishing field of research and improved the performance of many markets," the academy said.
Company: (Wonderbag) Natural Balance
intended
triangle
乔斯·威登一直都很喜欢科幻小说,也是西部小说的忠实拥趸。尽管这两种小说类型风马牛不相及,但是从《天使杀手》这部书中,他找到了一种方式,可以把二者融合起来。"我当时想把新垦地的概念好好地演绎一下",他说,"人类文明是由那些被历史深深伤害了的人们推动前行的,而不是那些创造历史的伟人。"这一次,威登决定把新垦地从西部搬到了"宁静号"宇宙飞船上。
迄今为止,Bigcommerce同名技术的吸引力就在于其简单性,以及与商户同步成长的能力。史蒂夫o凯斯说,“对于一些人来说,成败即系于此。”凯斯以公司董事的身份为Bigcommerce提供美国创业趋势方面的建议。“就在五年前,如果要打造一家有吸引力的网店,你需要花费几十万美元。如今,几个小时就可以搞定,每月成本还不到100美元。”
部分在企业界的资助下,该机构将一流毕业生派到面向低收入社区的学校至少两年时间,而且也完全知道,其中许多人将会在这一时期结束后不再从事教学工作。
Mr Cook’s decision to expand its cash return programme of dividends and share buybacks helped to defuse the situation with the activists, returning $94bn to date. In the end, he stared down the challenge just long enough for the next wave of iPhone growth to hit and new products to emerge from Sir Jonathan Ive’s workshop.
A candidate's age is no gauge of their effectiveness, Sonneborn tells PEOPLE, saying that despite Donald Trump being the oldest person elected to the U.S. Presidency, “He tweets like a kindergartener.”
最新名单显示香港大学排名第三,澳门大学排名第六。

6

3. Your boss received your résumé from a contact of a contact。
7.Morocco
1983年的夏天,早熟的17岁少年埃利奥与家人一同在意大利北部伦巴第的17世纪乡间别墅度假。他邂逅了英俊的博士生奥利弗,后者是埃利奥父亲的实习生。那个夏天,一切都沉醉在灿烂阳光中,埃利奥和奥利弗彼此探索着欲望觉醒带来的令人晕眩的美。这个夏天将改变他们的一生。
我们曾经都经历过:老板们和经理们让我们的生活越来越糟糕,不能管理好一堆文件,不理整个团队的员工。我之前写过一篇文章“不明智老板的特点”,在那篇文章里,一位考虑周到的评论者列出了他对如何做一个明智的老板的一些点评。
另一个出人意料的新领域是纳米技术。
尽管当下是一个全球性的经济环境,但仅有约20%的美国人会说第二门语言。Sixty Vocab的目标就是以其在线外语游戏改变这一现状。基于2000个单词相当于一门外语的六成精髓的假设,Sixty Vocab试图使学习必要词汇的过程变得有趣。这些在线游戏能教你在对话中最为常用的词汇,并辅以限制时间的规则——你在越短的时间内猜出单词,你就能越快地进入到下一个阶段。Sixty Vocab填补了你高中课程和昂贵外语学习项目之间的空白,为那些想要在早餐咖啡或通勤时间学习一门外语的人提供了一个独一无二的选择。
We will move forward with ecological conservation and improvement.
This year brought so many promising new shows: 2014 was the year of “True Detective,” “The Honorable Woman,” “Fargo,” “The Affair,” “Olive Kitteridge” and “Silicon Valley," among others. But there were also older shows that either stayed the course or somehow climbed their way back from a dip or even total eclipse, notably “The Comeback,” starring Lisa Kudrow, a HBO comedy that was canceled in 2005 after one season and then resurrected in November.
6、Social media addiction

该片根据同名童话故事拍摄而成,主要讲述了主人公毛各利的丛林奇遇,他试图在探险中发现自己。他在丛林中遇到很多生物(由众多演员扮演),正是这些生物使他的旅程变得异常艰辛。

Conclusion

5. You're taking four-hour lunches and have way too many dentist appointments。
由于最新一部007系列小说给詹姆斯·邦德(James Bond)进行了政治正确的大改造,能言善道、烟不离口、大男子主义的邦德形象可能将成为过去式。
['k?mpleks]
Dwyane Wade
As for the worst job of 2013? Newspaper reporter bumped last year's loser, lumberjack, for the ignominious distinction.
与此同时,前第五届和声明星 Camila Cabello证明了她的独唱生涯正在起飞,因为她的首张单曲《Havana》获得了最佳流行音乐奖。她的胜利意味着Taylor Swift失去了另一个奖项,尽管这对于歌手来说只是众多收获中的一个,但是近期她因为一年的沉寂过后又重新成为焦点。
今年中国经济成V字形强劲复苏,随之而来的是许多关于城市房价疯涨的报道。
In comments reported by state news agency Xinhua on Thursday from a speech given at a meeting of regional leaders in Cambodia on Wednesday, Mr Li said the Chinese economy had performed above expectations in 2017 as trade reversed two years of declines.


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. 最后,不管你是什么性格的人,积极生活,健康向上!
  2. 奥巴马的另两条上榜推文是在他卸任时发布的。
    可口可乐正在改组其业务,出售其在美国以及全球的瓶装业务,转而专注于生产其很多饮料使用的浓缩汁,以及研发。这些资产出售将让该公司将更多资源投入创新和收购。

Next Article:

   Comments ()

Clinical

Practice Management