Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

“An employee left a sticky note saying that he was quitting.”
特约专栏作家安东尼·盖尔恩是Paragon欧洲合作伙伴的常务董事。目前位于伦敦。
It is a timely warning. His findings, he writes, “point to a heightened risk of emerging market crises in the coming years as the Fed continues to normalise interest rates”.
发布日期:2015年
n. 精华,精锐,中坚份子
Mrs. May’s government proposed a rule that would publicly shame employers who hired foreign workers. And her first major speech was full of barbs directed against multiculturalism, including a jab against people who claimed to be “citizens of the world,” whom she called “citizens of nowhere.”

There was no indication of the identity of the kidnappers or their motive.
For many Western whites, opportunities for achieved identity — the top of the hill — seem unattainable. So their ascribed identity — their whiteness — feels more important than ever.
●"President Obama Confirms He Will Refuse To Leave Office If Trump Is Elected"
这里并不是要给特斯拉浇一瓢冷水。它已经证明自己具有生产一款复杂、先进且外观诱人的产品的能力。但无论是特斯拉自己的内部预测,还是投资人对其股票的追捧,都基于同样一个预期,那就是特斯拉未来依然会延续最近的大热势头。这是一种危险的假设,原因如下:
pilot
turkey
勒布朗·詹姆斯
14) When socializing, I don't find the right things to talk about 0 1 2 3 4
两者都宣称代表反对外国人和卖国贼的人民。

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.

“An employee stormed out in the middle of a meeting, without explanation.”

1

"They say: 'I wonder why she kept her head down in the meeting; I wonder why she's not eager to take over that project; I wonder why she's leaving early a couple days a week," Kay says. "You're planting questions in their head."
特斯拉的积压订单达到2.26亿美元。到2014年之前,特斯拉的生产速度大约为每周1000台,也就是说这些订单需要30周才能消化完。
美国的排放量在经过了最近几年的持续下降后,提高了2.9%。
你可能觉得夏威夷航空的运营相对容易,因为该公司的航班很少遇到美国大陆那种恶劣的天气条件。夏威夷航空公司在航班准点率排行榜上常年位居前列,在9月份最新公布的榜单上创下最高准点率。夏威夷航空公司最近宣布将把业务拓展到夏威夷岛外,开通从檀香山到北京的直达航班。
【中文译文】
For newcomers, these changes provide fresh housing options. But for residents, they can spell displacement. The same is true for shops such as De Robertis Pasticceria and Caffe in the East Village, which just closed after a 110-year run. And next year, the Union Square Cafe will likely conclude its 30 years in Union Square.
通用汽车公司(General Motors)帮助改善了大峡谷州的就业前景。今年3月,这家汽车制造商宣布,计划在凤凰城郊区钱德勒建设该公司的第四座信息技术创新中心。通用汽车预计将雇佣1,000名员工,主要包括为这座新中心效力的软件开发人员、数据库管理员和系统分析师。通用汽车公司首席信息官兰迪?莫特(Randy Mott)在新闻稿中宣布了这个举措,他表示,“大凤凰城地区是出色的枢纽,吸引了新兴技术人才——从大学毕业生到职场专业人士。”
截止发稿时为止,在中国社交媒体上仍然能够找到一些被泄露的照片和视频。

2010 10-year Treasury yield (year-end): 5.0%
结果那些要求进行设身处地和角色扮演的人在随后的提问环节表现最好。准确地说,这些运用设身处地法进行记忆的人记单词的效率是使用其他记忆方式的人的三倍。虽然主持这项实验的科学家们研究的是设身处地法对患有记忆力损伤的人恢复记忆的影响,但无论人们有没有记忆损伤,皆可能受益于此。如果你想记住朋友在哪买了一双鞋子,不妨就试着想象走进店里买鞋的是自己。
如今,中国对西方经济体的投资重回正轨,有望在今年再度刷新纪录:今年头六周,中资集团就宣布了700亿美元的潜在交易,尽管这个数字是非常初步的,并不是所有收购最终都能完成。
Another positive of the scheme is that it encourages professional flexibility, preparing the young for the career zigging and zagging that might be necessary in the modern world of work.
毫不奇怪,信贷具有“助周期性”。当资产价格一片繁荣时,乐观的贷款机构倾向于发放更多贷款,进而加剧市场的狂欢。当资产价格下跌时,贷款机构会控制风险,有时这种做法会加速下跌。
2005年,戴维森发现自己总是得跟在一岁大的儿子杰克后面,收拾他随处乱扔的儿童吸管杯。于是,她从塔吉特(Target)上买了一台缝纫机,为儿童吸管杯设计出一个类似皮带的奇妙装置——SippiGrip。但她并没有很快实现自己的创业梦想——她加入了微软人力资源团队,与X-Box部门合作。2007年,她在全国性贸易展上推出了SippiGrip。幸运的是,塔吉特邀请她参加2008年父母发明产品计划。目前,戴维森的产品已经在沃尔玛(Walmart)、婴儿反斗城(Babies "R" Us)和亚马逊等零售商开卖。
普华永道的校园和学校雇佣主管安德鲁?巴杰里(Andrew Bargery)表示,Teach First的毕业生出类拔萃:“他们已经在专业环境下工作过,拥有专业成熟度,并擅长交际。”
1.Photography: 22.3 percent increase
罗杰斯夫人还表示,正如条款中所述,她并没有同意她的儿子玩这个游戏。此外,由于这个游戏是免费的,所以该工作室不能够断言因为作弊软件而造成了利润损失。
These are the official James Bond theme songs, ranked from worst to best, with two honorable mentions because they may or may not count, but were just that good, dang it.
有一颗大小与地球相近的行星围绕着距离太阳最近的恒星——半人马座比邻星运转。这颗行星的“一年”仅有11天。但因为比邻星是一颗红矮星,它比太阳暗100倍左右,因此行星位于宜居区。另一则热门消息称,40光年外的一颗相似恒星的宜居区可能存在三颗行星。
'If you read Trigger Mortis, you’ll see actually there is a little twist to the tale in that particular story which I think sort of pays him off for his slightly patronising attitude.'
Imports grew 6.7 per cent year-on-year to $152.2bn after falling 1.4 per cent the previous month, according to China’s General Administration of Customs, defying a median forecast predicting contraction would worsen to 1.9 per cent.

2

n. 光泽,上光剂,优雅,精良
improvement
至少希拉里今年赢得了点什么。我相信她会非常兴奋。
The Nets should really feel free to tank out if only to get assets for the players who aren't integral to culture change and won't be on the next very good Brooklyn team. That means Brook Lopez, basically. The market on him is weird, but presuming it exists, it should be explored.
该网站声称,“越喝,你(和酒瓶)就越聪明,但实际上你喝得越多,你就越醉,脑海中保留的信息也更少。
a
The paperpot transplanter allows a single person to transplant 264 plants covering over 85ft in just minutes. What used to take hours, now takes minutes. Allowing you to spend less time transplanting crops, and more time doing other things like farm improvements, marketing, sales, or just taking some time off.
The data highlight the growing anxieties in some sectors of industry about what they see as unfair competition from Chinese rivals.
除了印度,其他金砖国家——巴西,俄罗斯,中国和南非——也削减了对美国政府债券的持有。
Singer Susan Boyle came undone -- literally, when her trousers popped open at a soccer match as she waved a Celtic fan above her head in Scotland. The "Britain
约翰奥瑟兹(John Authers)
《暮光之城》众星前照令人大跌眼镜

The Crown
多年以前,布莱恩·克兰斯顿还未在《绝命毒师》中饰演沃尔特·怀特,他曾和哥哥一起在一家餐馆打工。那儿的主厨是个非常刻薄的人。2011年,在马克·马龙的电台节目里当播客时,克兰斯顿如此描述道:"无论你对他多好,他还是讨厌你。"因此,所有的服务生平时都在谈论着如何谋杀他。克兰斯顿说这就是"他们平时讨论的所有内容"。
move动+ment表名词,“行为或结果”→运动
nutrition
美国哥伦比亚大学地球研究所周一发布的《2013全球幸福指数报告》显示,那些追寻快乐和幸福的人应该到北欧去,但得避开埃及以及那些受到欧元危机影响的国家。
Sam Smith is a fluid soul man, with style channeling Otis Redding, Aretha Franklin and Ray Charles alongside modern icons like Amy Winehouse and Adele.
The dip to the lowest level in five months came as some companies surveyed for the gauge noted that stricter environmental policies – intended to curb the toxic haze that descends upon much of China each winter – had restricted expansion.
If we ask "What salary are you looking for?" say you're flexible, or say it depends on the responsibilities of the job. Try not to name a salary unless we really push you, because that gives us a leg up in the negotiating.
Apple was the only top five PC maker to see shipments grow last year, up over 6%, while Acer saw the biggest fall, of more more than 18%.

3

The controlled test takes two-and-a-half hours and, according to theories, Nishi's score and subsequentIQ of 162 would be two points higher than famous physicist Einstein.
The Lost Tomb
卓越雇主排名:11
Online registration for the 2017 national civil servant exam started last Saturday.
Hugo Boss, Chevrolet and Kleenex dropped off the list, the report said.
镜头切换到《爱乐之城》的演员和剧组人员那里,他们高兴得抱成一团了,但大家可以听到比蒂好像在说:“应该是爱玛?斯通。”而唐纳薇回应道:“什么?”当《爱乐之城》剧组上台领奖时,可以听到旁边的舞台管理人员说:“哦……哦!天啊!他拿错信封了!”
排行榜的最新单曲有Shawn的《There's Nothing Holdin' Me Back》,击败DJ Khaled 的《Wild Thoughts ft. Rihanna》和Ed Sheeran的热播曲目《shape of you》,以及放了播破纪录Addy Yankee & Luis Fonsi的《Despacito》。
Now that Chris and his girlfriend, Rose, have reached the meet-the-parents milestone of dating, she invites him for a weekend getaway upstate with Missy and Dean. At first, Chris reads the family's overly accommodating behavior as nervous attempts to deal with their daughter's interracial relationship, but as the weekend progresses, a series of increasingly disturbing discoveries lead him to a truth that he never could have imagined.
The world's second-largest economy is catching up to traditional innovation front-runners, who were led again this year by Switzerland, Sweden, Britain and the United States, said the annual report by the U.N.'s World Intellectual Property Organization (WIPO), INSEAD Business School and Cornell University.
大型企业PMI为53.1,比上月下降0.7个百分点;中型企业PMI为49.8,回落1.3个百分点,意味着进入轻度收缩。小型企业PMI为49,下降0.4个百分点,意味着收缩加剧。
野村证券驻首尔策略师Michael Na表示:“这可能只是个开始。要惩罚韩国企业,他们有如此多的选项。”
1.《雨人》
Will José Antonio Meade be the next president of Mexico
The world got by in 2013 with fewer confidence-shaking moments than in prior years. But the vulnerabilities haven't disappeared. 'It's not a great story anywhere, though it's more hopeful than it has been,' said Jerry Webman, chief economist at OppenheimerFunds.
Maria Rios

4

许多人在学习小组中受益良多。你得有条有理地进行,不能拖延时间。你要将学习的内容彻底消化,并能够向别人复述出来。
5. 弗莱德·赫什三人组(Fred Hersch Trio),《漂浮》(Floating), Palmetto。赫什目前的钢琴三人组由约翰·艾伯特(John Hébert)担任贝斯,埃里克·麦克菲森(Eric McPherson)担任鼓手,他们有着精确的优雅。这张专辑的结构如同一场夜间俱乐部演出,包括若干重新编配的标准曲,以及几首强劲而充满情感的原创曲,有着强大的表现力。
目前全国11个省的52所高校配备了自动售货机,出售艾滋病检测试剂以供学生自查。
7. 建立声誉。
老虎要猎食,鸟儿要飞翔;
mort=death死+gage抵押品→抵押品不能动,像死一样→抵押(品)
ESCP Europe and MIT Sloan School of Management in the US also performed well. Both schools climbed five places into third and fifth place respectively.
There has also always been a certain fluidity to this concept of whiteness. Irish and Italian immigrants to the United States, and Jews in Britain, were once seen as separate from the white national majority, and are now generally considered part of it, benefiting from racial privilege. At the same time, Jews’ white skin did not protect them from being cast as outsiders by some of Mr. Trump’s supporters who have circulated anti-Semitic memes on social media.
On Monday night, Ankara confirmed that the Dutch ambassador would not be welcome to return to Turkey.
Google's top searches for 2017 included Matt Lauer and Hurricane Irma.The search giant has unveiled its annual Year In Search results that show the top Google searches in various categories globally and by country.
7. 举重训练可以帮助提高长期记忆力

5

Consider:
Anna Faith Carlson, 18, became an online sensation when she posted a picture of her posing next to a cardboard cutout of Elsa a few months ago.
今年的诺贝尔生理学或医学奖花落一项细胞层面的实验成果。
这个报告没有谈到可能影响患病数量的原因,但是很多人,包括在野党的成员,归咎于政府一味缩减医疗健康成本预算。
评委会将奖项授予了来自东京工业大学的大隅良典,以表彰他在细胞自噬作用研究上所做的贡献。
在不同产业和不同城市之间,年终奖的数额也有很大不同。金融机构的平均年终奖为1.72万元人民币,而教育部门年终奖则平均不到这一数额的一半,只有不足7500元人民币。
当然,我不是说你应该盲目地接受摆在面前的一切机会,花时间权衡一下利弊是对的。但当你想要说“No”时,你要确信是出于正当的理由,而不是因为心怀恐惧。
1. You became a LinkedIn superstar overnight。
vt. 以匙舀起
初创公司
教育企业高管的薪酬均值倒数第一,刚过280万元,约为金融业高管薪酬的1/10。
7.Drones
It was there in Rossella Jardini’s Moschino, from the bows and bouffants of spring-summer 2009 to the Mary Quant-inspired spring 2013 collection.
惊慌随之而来,不过这名少年很快镇定下来,他决定把控局面,寻找逃生出路。

6

Perhaps in response, at the start of 2017, China's media regulator quietly began including service fees charged by online ticketing companies when reporting box-office figures.
The recovery may help allay some of the gloom around emerging market countries, many of which used strong export growth as a springboard for rapid economic advancement in the early years of this century, before the export boom turned to bust.
Mr Li said the economy’s strength came as a result of the government shunning strong stimulus policies and its push for supply-side reforms.
The director Bennett Miller saw Mr. Carell as a good choice to play du Pont but didn’t want him to be too recognizable. He charged the makeup designer Bill Corso with the task of altering Mr. Carell’s look.
也许同等重要的是,稳定或者下降的油价将会缓解通货膨胀压力使美国工人的工资更具有购买力。Renaissance Macro经济学家Neil Dutta 称“这对于国内需求来说是一个明确的积极的消息,人们将会有更多可以用来消费的钱”。
Brands with the most to make up for in 2015:Volkswagen, whose stale product line depressed sales by 11%, thereby delaying Ferdinand Piech’s plans for global supremacy, and Volvo, down 17%, which has yet to make any progress under its Chinese owner.
凯瑟琳·毕格罗和编剧马克.波尔已经为了这部电影筹备了一段时间,影片讲述的是1967年发生在底特律的警方突袭行动,这次行动引发了美国历史上规模最大的一场民众暴动。出演该片的有凯特林.德弗、约翰.卡拉辛斯基、威尔.保尔特、约翰.波耶加以及杰克.莱诺。
这家Post-it即时贴和思高(Scotch)胶带制造商在2月份授权进行120亿美元的股票回购,取代当前75亿美元的回购计划。《财富》美国500强公司3M公司(3M) 遵循了去年末发表的声明行动。这项声明称,公司在之后4年准备投入100亿美元用于收购,最多将投入220亿美元用于回购。
Best Companies rank: 61

就国内而言,日益活跃的中产阶层正形成压力,要求得到问责制度更健全的治理。愈演愈烈的不平等滋生了一种不公正感;两亿农民工仍然受到二等公民的待遇,腐败也有增无减。对付这些问题的任务十分紧迫,但中国的经济成就助长了一种无端的自信。于是,在阿拉伯之春的刺激下,中国的体制采取激进举措,压制可能引发政治敏感运动的任何社会不满。

Conclusion

巴韦贾对全球化不断变化的性质的深度分析显示,全球贸易增长疲软背后的主要因素是投资减速。全球贸易增速曾在很长一段时间内是全球GDP增速的两倍。
It is estimated that over 89m enterprise retirees and more than 17m institution retirees will benefit from the adjustment.
潘通色彩研究所(Pantone Color Institute)的执行总监莱亚特丽斯·艾斯曼(Leatrice Eiseman)说:把这两种颜色组合起来反应出“一种令人慰籍的秩序感与和平感”,在这个全球动荡和缺乏安全感的时代,把这种感觉融入产品应该具有吸引力。它也暗示着,“我们”和“他们”之间没有界线。
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。
People in fourth-tier and smaller cities have economic pressures close to the national average level in terms of income, education, medical services and elderly care, while family and human relationship stress are higher than second- and third-tier cities.
For now, D'Aloisio isn't touching the money. 'I'm too young to appreciate the value of it,' he insists. 'I don't have a mortgage, I'm 17. To me, a hundred pounds is a lot. Take that as a benchmark.' Though he's not allowed to comment on Summly's sale price, when pressed he allows that he might one day like to deploy his newfound riches as an angel investor. No one around him seems to think there's a danger that the money will ruin him or that he'll be tempted to spend the rest of his life dissipating on a beach. 'He's pretty well grounded. You wouldn't believe how frugal he is,' says Diane. 'He's got a great engine,' says Lou. 'He won't stop at this.'
The Cnzz.com report also discusses the problem of the 'free-to-play' business model that's prevalent in China's online game sector. While many games companies in the U.S., for example, charge subscription fees, most Chinese games utilize the free-to-play model, which allows players to try out a game without paying. The longer players stay in the game, the more likely they will be to pay for in-game items to move up into higher levels of play. But that also means that people who spend the most money are the best performers.
深受大众喜爱的电视连续剧《仙剑奇侠传》的电影版本于今日在浙江正式开拍。


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. 4. 《狗心》(Heart of a Dog),导演:劳瑞·安德森(Laurie Anderson)。
  2. n. 行为,举动,品行
    ['t?l?ntid]

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