Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

5. The top 300bureaucrats will rally behind Xi’s reforms and these bold new programs, backingthe central government while bringing these ambitions to their provincialgovernments and setting parallel growth goals at home. Detailed plans forreform and accelerated growth will be set, and then promptly executed, ingeographies across China. We expect the tier three and four markets torally again this year, growing faster than tier one and two cities.
然而,还有人认为医生的所作所为可能是受不公平的体制所迫。另一位网友称:“作为一个病人,我更关心他们能否治好我的病,而不是他们发表了多少论文。”
re再次+form形状→再形成→改革,改造
Adding to the growing literature of sell-side analysts who think the answer to Apple's (AAPL) market valuation woes (down 35% since September) is a low-cost iPhone, MorganStanley's Katy Huberty has looked at China, the world's largest smartphone market, and done the math.
demo人民+-ic…的]→人口统计的
She argues, however, that the problems with lower liquidity of ETFs in Asia are a symptom of a fund distribution system that fails to incentivise ETF sales by intermediaries. “I don't think there is a quick fix, but you would see a pick-up if Asia moves to a fee-based model,” she says.

China’s bid to close its own Asia-Pac deal
['t?nl]
最佳轿车品牌:马自达
华盛顿(市场观查者)—美国经济2014年迎来了自二战后最曲折的复苏而且年末能源方面又遇到了大的波折,但是2015年美国经济将披荆斩棘变得更好。
麦迪逊马里奇(Madison Marriage)是会计和税收事务记者
As the stars' private jets swooped in, the internet was going mad for 'the Dad bod'; the slightly flabby male physique was trending and there were plenty of examples on screen. Deborah Cole of AFP noted a “sweating, panting and shirtless” Gerard Depardieu in Valley of Love and a flash of Joaquin Phoenix's “tubby tummy” in Woody Allen's Irrational Man. When Colin Farrell strode the red carpet for the premiere of The Lobster, he looked his usual trim self – but in the film he is distinctly paunchy. To add some girth for the role of a lonely singleton in Yorgos Lanthimos' absurdist black comedy, Farrell went on a massively calorific diet that included drinking melted ice cream, he told the Hollywood Reporter. Eating “two cheeseburgers, fries and Coca-Colas, and two slices of chocolate cake at 10am is not that fun,” he said. “And I love cheese?burgers."
大小:3073平方英尺(约286平方米)
这些数据衡量了校友们自毕业以来在职业方面成就如何,衡量标准包括薪资、职位级别及个人成绩。
identical

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.

9. The Chinese militarywill demand and receive vastly expanded investments in the form of advancedaircraft and ships.

1

清华大学位列第45名,是亚洲排名第三的高校。北京大学位居第57位。浙江大学排名第67位,本次是该校首次跻身该榜单100强。
让爱情多姿多彩:荷兰培育出彩虹玫瑰(图)
现在对于宣传单张的内容还没有详细的介绍,但之前投放的传单都包含谴责北韩统治者家族的言论。
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。
波尔图还有一系列较平民的博物馆、廉价的老式有轨电车和迷人的卵石海滩。葡萄园一日游这类短途旅行也非常便于安排。
据Mic上周报道,脸书表情包分享群组已经成为一个新兴的大学传统,全国各地的学生们用截图和配字互开玩笑,与对手学校互怼。
While the WeChat use of the "post-90s" generation has slightly decreased, from 94.1 percent to 86.6 percent.
Morgan Stanley’s Jonas believes the Model X will sell more based on features like its upgraded infotainment system unique “falcon-wing” back-seat doors than fuel economy and he will be disappointed if the Model X doesn’t win every major car of the year award. He isn’t alone. So will Elon Musk and a whole lot of Tesla investors who pray that the momentum behind this amazing stock keeps building.

He added that “almost every major Korean company, including Hyundai Motor and AmorePacific, relies heavily on Chinese sales”.
我们必须牢牢抓住就业这一民生之本,让人们在劳动中创造财富,在奋斗中实现人生价值。
calculation
IE’s alumni have the second-highest average salary increase following graduation, at 39 per cent. The school is ranked first for aims achieved and for international mobility. It is third for career progress. “There is a definite ‘before and after’ for career progression,” says one former student. “Post-MBA I felt I had more of a sense of direction not only of where I wanted to be, but also why, and how to make it happen.”
根据《重庆晨报》报道,今年4月24日,这名16岁的周姓同学将农药倒入了教室的饮水机中,显然是在报复扰乱课堂秩序、影响自己学习的同学们。
他进一步补充到,“有大约70名法国公民为恐怖分子当兵战死在叙利亚和伊拉克。”
体积大未必就是好的。
周边环境:斯托宁顿位于康涅狄格州东南部的小纳拉甘西特湾(Little Narragansett Bay),从哈特福特(Hartford)和罗德岛的普罗维登斯(Providence, R.I.)开车约1小时可达,从纽约市开车约3小时。这里曾是一个具有悠久历史的繁忙港口,至今仍然保留着一支商业捕鱼船队,有几个分布着殖民式和联邦式建筑的历史区,以及一个繁荣的航海社区。在该镇的一端有个小型的公共海滩,而在另一端罗德岛的沃奇·希尔(Watch Hill)则有个大得多的海滩,开车大约20分钟可到。这栋希腊复兴式房屋带有此类建筑必不可少的爱奥尼亚柱和山形墙上的扇骨半圆窗,房屋就坐落在市镇中心。
Any decision by China’s policymakers to begin selling down the country’s huge reserves would have a large impact on markets.
Most remittances ($117 billion) came from the United States, followed by Europe ($115 billion) and the Gulf states ($100 billion).
该剧在今年暑期播出,受众的是喜欢奇幻浪漫题材的年轻观众。
继去年10月被《时尚先生》杂志评为“最性感在世女性”、上月被《Details》杂志评为“最性感明星”后,这位美丽动人29岁女郎又得到一个荣誉称号:《男人装》杂志评选的“2013年最性感女性”,她打败了在榜上的其他99位女性和不计其数的未上榜女性。
2016年全球创新指数排名靠前的经济体中,日本、美国、英国、德国在创新质量方面表现突出。

2

国考报名将于本月24日截止,而考试将于11月27日在中国各大城市举行。
Colliding Neutron Stars
Also featured in the 2013 top 10 were Singapore, Zurich, Paris, the Venezuelan capital of Caracas and Geneva.
The Female Warlord Who Had C.I.A. Connections and Opium Routes
Yes, they hedge on the timing but the ticking time bombs are loud, close. And 'the precious-metals crash, starting in April of 2013, was the first warning of what is coming globally.'
6. Photojournalist
产品看起来并不太像一个鼻子,而是一个瓶子,装满了培养细菌的营养液体。但是给这个“鼻子”一个血液样本,让它嗅上一段时间,这个瓶子的斑点会改变颜色来表示它鉴别出的细菌种类。
Still relevant
5. Bank of America Corp.
The commerce ministry data showing plummeting real estate investment follows an overall 53 per cent rise last year to a record $33bn, according to separate data from JLL, a global realtor.
As stars such as Kevin Spacey and Morgan Freeman were alleged to have assaulted or harassed performers, activists began using the hashtag to share their ordeals online.
Against: It might be that bit too far from the mainstream to make a huge awards impact.

问:最后一个问题——在你的许多作品中,你总以强烈的感情质疑正义,质疑英雄主义是否道德。那么你对于成为英雄这种事是怎么看的呢?
Zuckerberg also helped launch a lobbying group that is working toward immigration and education reform in the U.S called FWD.us.
这份工作排名的依据分别是:收入、职业前景、工作环境、工作压力和体能需求等,大部分数据来自美国劳工部统计局。
在证监会分类的18个行业中,金融业高管以2736万元的年薪排名第一,地产业高管以1118万元的年薪位居次席。
10. 米歇尔?詹尼克(澳大利亚跨栏运动员)
台风艾玛
n. 精美的东西
So, before the world gets the better of you and slaps a title on your forehead, create a unique manifesto of what you think you are.
因为一种鲜为人知的病毒所造成的重大影响,2016年将在全球卫生方面被人们铭记。这似曾相识,不过此次登上全球头条新闻的不是埃博拉病毒,而是寨卡——一种通过蚊子传播的病毒,大脑存在缺陷的新生儿数量在巴西急剧增加与此有关。

3

That pushed the state share of total investment for the year to date down marginally to 36.6 per cent, still the largest share since 2011 and reflecting the outsize role of government spending in sustaining economic growth during 2016.
日前,一名14岁的中国少年,在一个晚上的时间内克服了人类史上的两大恐惧:被困电梯和完成家庭作业。而这多亏了他机智的性格。
adj. 有毒的
在气候学的史册里,2014年超过了2010年,成为最热的年份。有记录以来的10个最暖年份都是在1997年以后,反映了地球不断变暖的趋势,科学家说,这种变暖是人类活动的结果,并对人类文明和大自然构成了深远的长期危险。
Homing in on a brand that excels at making the kind of vehicle you’re looking for is an efficient way to focus your shopping and find the best car for you. The 2016 U.S. News Best Vehicle Brand awards recognize the best brands in four categories: Cars, SUVs, Trucks and Luxury.
在2009年美国经济开始复苏时,全球其他地区开始陷入各自的困境。
5. 地缘政治事件。不久之前,石油供应稍有差池,油价就会飙升。比如说2014年初,利比亚内乱造成该国石油出口中断,油价应声上涨。在伊拉克, 极端组织ISIS领了部分地区,石油供应中断的顾虑也造成油价急剧攀升。然而,自此之后,地缘政治事件对油价的影响大为减弱。2014年最后几周,利比亚再现战事。但市场仅在油价短暂上扬后便把这一问题抛诸脑后。不过,历史一再证明,地缘政治危机是对油价影响最大的短期因素之一。(财富中文网)
Summly和雅虎拒绝对交易的条款置评。
Among the gargantuan hedge funds that make up a majority of the industry’s assets under management, dispersion of returns shot up to notable levels. And for every big winner, like William Ackman’s Pershing Square, there was a big loser to counterbalance it, like John Paulson’s Advantage Fund. Investors choose hedge funds for their “non-correlated returns,” meaning a tendency to move opposite from the general market’s direction. They certainly got such returns this year, unfortunately.
['delikit]
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.
They are also less likely to seek employment in a different sector after graduation. Only 30 per cent changed industry sector compared with nearly two-thirds of full-time MBA students.
今年的全球女性权势榜中,有9位国家元首,她们治理的国家总GDP达到了11.8万亿美元——其中包括排名第一的权势女性、德国总理安吉拉·默克尔。还有24位公司的首席执行官,她们掌管的公司年营收总计8,930亿美元,另外16位女性创立了自己的公司,包括三位新晋亿万富豪中的两位:托里·伯奇和Spanx公司的萨拉·布雷克里。说起来,今年的榜单上有14位亿万富豪,她们的身家超过了820亿美元。
区块潜力巨大,以至于目前出现了创建更多“侧链”的倡议,尽管该想法存在争议。Chain是一款使创建比特币应用简便化的应用程序接口,该公司首席执行官亚当o卢德温表示:“我们目前并不想干扰主区块。主区块运作良好,我们不想破坏它。”
经济学人智库生活成本指数编辑乔恩?科派斯塔克表示,最显著的变化之一是澳大利亚生活成本的上升,它的两个城市悉尼和墨尔本分别名列第三和第五。夹在中间排名第四的是挪威的奥斯陆。

4

['sep?reit]
She also said that in the longer-term the other “R” was “reset”, by which she explained that monetary and fiscal policies around the world still had a long way to go before they could be classed as normal. “The final reset is those structural reforms that are necessary in all corners of the world,” she added.
2. Dominos. Brand love: -11% / Rank: 62
Unlike most boy-band dudes going solo, he never sounds like he's sweating to get taken seriously – he never loses touch with the exuberance and swagger he brought to One Direction in the first place. So get used to this man – you'll be hearing a lot more from him.
10. “Results” (Andrew Bujalski)
在做完所有他能做的自救措施后,这个务实的孩子不知道还要多久才会有人来救他,于是他决定做家庭作业。
A Method to the Madness
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。
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"。
今年世界卫生组织宣布H1N1型流感为全球性传染病。庆幸的是,这种病毒远没有人们最初想的那样危险,而最新面世的疫苗似乎已经平息了那弥留在人们心头久久不能散去的恐惧。
Yes — just. Democrats will regain control of the House of Representatives in the November midterm elections. Though they will not take charge until January 2019, they will waste no time preparing the House Judiciary paperwork. Mr Trump will label it a “witch hunt”. But another year of his surreal presidency makes it all but inevitable Democrats will campaign on a pledge to hold him to account. Whatever Robert Mueller’s investigation unearths before then is unlikely to turn enough Republicans against him.

5

7. Get Comfortable
输家:尼克斯
n. 轨道(track的复数);磁道;轮胎
Venezuela's government closed all crossings a year ago to crack down on smuggling along the 1378-mile (2219 kilometer) border. It complained that speculators were causing shortages by buying up subsidized food and gasoline in Venezuela and taking them to Colombia where they could be sold for far higher prices.
But economists generally expect the momentum of the recent past to resume and continue once storm distortions abate. The 45 economists who responded to The Wall Street Journal's latest monthly forecasting survey saw the jobless rate falling to 7.8% by next June and 7.5% by the end of 2013. Some say job growth could accelerate from its slow pace. 'I think businesses are going to have to hire,' said Bob Baur, an economist with Principal Global Investors.[qh]
Over 90 percent of them attended schools in English-speaking countries, such as the US, the UK and Australia, and over 70 percent pursue at least a bachelor's degree, according to the MOE.
Mr Mallaby accepted the award at a dinner in London on November 22, where the guest speaker was Dido Harding, chief executive of TalkTalk, the UK telecoms group.
I am here to speak for the countless animals dying across this planet because they have nowhere left to go. We cannot afford to be not heard. 我为这个行星上无数正在垂死的动物而演讲,因为它们几乎已经无处容身了。
新年来临,祝新年快乐,愿你时时刻刻幸福欢乐!
Manufacturer of advanced and quality products
Not every band can sound fresh 40 years into a career, but not every band is Blondie.
上榜理由:探险之旅
尽管这笔节省下来的钱目前看来相当可观,但其实远不够填补随之而来的不断升高的患病率所增加的社会负担的窟窿。
谎言10:我以为我早就把邮件发出去了。我真的发过了。说谎原因:如果告诉你我觉得这事不重要,我把这事忘了,就会伤害到我俩的关系了。

6

这枚奖牌拍出的高价远远超过了该拍卖行预计的成交金额——5万美元到10万美元。此前,仅有1903年诺贝尔和平奖奖牌在1985年被拍卖,拍得将近1.7万美元。
[?'θ?:riti]
During a town hall hosted by MSNBC on last Monday night, host Rachel Maddow asked Clinton whether she would match a campaign promise Canadian Prime Minister Justin Trudeau made good on earlier this year.
Julian Evans-Pritchard, China economist at Capital Economics, commented:
[ai'dentiti]
cred相信+it表名词,通常是抽象名词→相信
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.
n. 设计者
Few years in recent decades dawned with as much of a sense of pessimism as 2014. One consistent theme in the predictions for the year was that 2014 looked eerily similar to 1914. Most pundits predicted doom and gloom, especially in east Asia. Yet, while there were many horrific events — from thedowning of flight MH17 over Ukraine, to the abduction of hundreds of schoolgirls in Nigeria and the rise of the Islamic State of Iraq and the Levant — we have avoided outright world war. Now that the year is closed, with no repetition of 1914, it may be wise to investigate why the pundits were wrong, particularly on their ideas around the potential for conflict in Asia.

联系方式:Debbie McNally, Lakes Sotheby’s International Realty, (612) 388-1790; debbiemcnally.com

Conclusion

projected
adj. 终极的,根本
Enthusiastic supporters of the idea of a “universal basic income” for all citizens, meanwhile, will look to Finland where a trial is now well under way. In France, Emmanuel Macron will try to tread a delicate line in 2018 as he reforms the labour market, hoping to inject flexibility without increasing insecurity or incensing the unions.
与此同时,最近几个月,中国内地投资者一直在迅速开设股票交易账户并将资金投入股市。上证综指已成为亚洲今年表现最佳的股指,今年迄今已累计上涨近45%。
Lisa Stone
adj. 疲劳的
来自用卫星采集的独立温度测量结果没有显示2014年是记录年,但是接近记录。几位科学家说,卫星测量的数据反映的是大气层的温度,而不是地球的表面温度,所以卫星数据会与来自地面和海洋表面的测量结果略有不同,并不奇怪,而表面的温度测量显示了创记录的温暖。
参与沙特反腐行动的一名官员称,达成金额据信超过10亿美元的和解协议后,在该国反腐风暴中被捕的地位最高的沙特王室成员之一、米特卜·本·阿卜杜拉王子已获释。


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. 2.SpaceX demonstrates a big step towards fully reusable space craft
  2. 米特卜王子被捕不到一个月即获释,这显示出沙特想要迅速结束这场腐败调查,阿尔瓦利德·本·塔拉尔王子等多名王室成员和亿万富翁在调查中突然被捕。
    “有个员工烤了个蛋糕,把辞职信直接写在了蛋糕上。”

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