Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

在最近一连串的几场比赛之前,史蒂芬·库里真的没有想到能够创造这么多的NBA历史纪录。
数百所国内高校的2017届、2015届和2013届毕业生、共281万人参与了这项调查。
adj. 代理的,副的
5.X-Men: Apocalypse
It is also argued that Friends came about as the family unity of small-town America was being replicated in major urban centers as young people migrated without the maturity or streetsmarts to live alone. Before Friends, sitcoms tended to focus on family dynamics, with parents being the central characters. But when young people strike out on their own in the big city, who do they have for support? They must rely on each other to endure through the overwhelming confusion of youth.
它依旧是世界上最大的国家和最大的石油生产国。它依旧是联合国安理会常任理事国之一。它的核武库(冷战时期五个国家中的一个,现为九个中的一个)已逐步现代化。国防开支的持续增加使它接近当地和地区战争的大国统治的目标。

与此同时,还有其他因素在掣肘亚洲ETF市场,一些怀疑者担心,这些因素将阻碍散户市场的发展。
10. Michelle Jenneke
据教育部表示,这些学生90%以上都就读于英语国家,例如美国、英国和澳大利亚等,70%的人至少是在攻读学士学位。
吉尔伯特说:“那些以单打独斗闻名的品牌都开始与意想不到的伙伴合作。如果仔细研究苹果的投资,你会发现这个特殊队伍的成员名单,看起来就像是世界上能想象到的各行各业中最优秀的人才的名人录。”
达洛伊西奥也尽力维持着生活原本的样子。他的女友还是之前的那个女友。而且尽管他不再去学校了──坐在教室里就没空监管Summly的研发──他还是照常去找老师拿作业。他十分庆幸他的朋友不了解他企业家的那一面。而当我采访他的时候,他正准备和一群高中死党去希腊玩上一周。
美国和英国科学家基于数千份陆地和海洋的每日全球气温监测数据,得出上述发现。
与此同时,国内互联网用户已经养成了手机支付的习惯,去年用手机支付的用户数量飙升到了4.69亿,同比前一年增长了31.2%。
New artist: Florida Georgia Line
单词amnesty 联想记忆:

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.

Alternative fuels: For the first time since diesel-powered cars from Europe started arriving here in the 1950s, old first-person accounts about the joys of driving a diesel fall off to near zero. They are replaced by new first-person accounts about the joys of driving cars with ridiculously high horsepower like the 580-hp Chevrolet Camaro ZL1 and Dodge’s Challenger SRT Hellfire with 707 hp. Elsewhere: fuel-cell cars with their longer cruising range move center-stage, stealing the limelight from battery-powered cars.

1

Neumann, Silbermann and Sharp are three of 66 billionaires under 40 years old, a record for the Forbes list.
今年1至10月份的民间固定资产投资同比增长2.9%,比1至9月份的增速快了0.4个百分点。
《那年花开月正圆》并非改编自小说,而是基于真实人物女商人周莹的故事拍摄的。周莹生在清朝(1644-1911),是当时的陕西省女首富。
Continued experimentation with wearables is important, but the near-term requires a conversation “about whether current wearables, driven by a combination of organic efforts and corporate tech efforts, are really adhering to customer needs and wants or if companies need to explore a different set of partnerships to push wearables beyond early adopters and into the mainstream,” Gilbert says.
为Kinect开发《迪斯尼乐园大冒险》(Disneyland Adventures)和《精英:危险》(Elite: Dangerous)的开发商在ScreamRide中,将主题乐园经营发挥到了极致。玩家可以在游戏中建立夸张的过山车、云霄飞车和其他游乐设施,并进行试运营。游戏有三种玩法:工程师可以建设复杂的飞车,测试物理和重力极限;“尖叫骑手”则乘坐这些飞车,直接体验这种惊险与刺激——这有时会直接导致游戏人物死亡;而拆除专家可以用任何必要手段拆掉整个游乐园。随着《过山车大亨》(Roller Coaster Tycoon)等电脑游戏移植到了智能手机上,这一款次世代的过山车游戏可以让玩家有着时尚的互动体验。建设、体验和拆除过山车总是很有趣的,而ScreamRide则提供了多种方式,让你与朋友们共享这种兴奋之情。
该报道称,并没有老师和学生喝了有毒的水。
如果陆金所成功完成此轮融资,将可凸显出该行业今年以来增长有多快。该公司刚在4月融资5亿美元,公司估值在当时达到100亿美元。
Sixty Vocab:

On April 24, Zhou took the pesticide to the Yimin Technician Training School in Rongchang, Chongqing and hid the toxic substance under a desk.
The lending conditions were not limited to nude pictures. Also leaked were a number of screenshots of supposed dialogues between the borrowers and lenders, with one lender demanding that the female students deliver a video of herself masturbating.
节目35 歌曲《美丽中国》,沙宝亮 徐千雅
Official data indicates a total of 81 feature length films, including 47 Chinese titles, surpassed the 100 million yuan box office threshold.
Companies that cut support roles during the downturn, the report notes, will be "adding staff to help make departments more productive and efficient." That trend may herald a happy new year for job hunters.
Four other domestic movies made it to the top ten list, among them are the third winner Never Say Die, Kung Fu Yoga in the fourth place, the fifth winner Journey to the West: The Demons Strike Back, and Youth in the eighth place.
Last week, Clinton campaign chairman John Podesta said that the former first lady's shortlist of potential running mates will include women, quickly leading to speculation that Clinton will consider Massachusetts Sen. Elizabeth Warren, a popular progressive, for an all-female ticket.
Within days of becoming Prime Minister of Great Britain, Winston Churchill (Gary Oldman) must face one of his most turbulent and defining trials: exploring a negotiated peace treaty with Nazi Germany, or standing firm to fight for the ideals, liberty and freedom of a nation.
因此,在这个世界把你打败、为你冠以头衔前,发表独具风格的宣言,定义你心目中的自己。
《生活大爆炸》中绝不缺少天才。不只是因为这部剧向观众展示了很多绝顶聪明的科学家,同时,演员玛伊姆·比亚利克还拥有神经学博士学位。因此,演员们想要在剧中展示他们的聪明才智,并将整部剧做到精益求精,这也不足为奇。剧中谢尔顿和莱纳德的公寓里有一块很大的白板,这对铁哥们几乎在处理任何事时都会用到它,从完成从学校带回来的工作,到决定是否等到看完最新一部《蜘蛛侠》再吃饭,都离不开这块白板。
6.London's bike hire scheme couldn't be simpler, by the way: just go up to the terminal at any docking station, pay by card and take away one of our so-called "Boris bikes". When you're done with it, simply throw it into the nearest canal. They're disposable!
In 2017, his 14th season in the league, LeBron James averaged a career high in assists and rebounds. In the first two months of 2017-18, he's averaging a career high in 3-point percentage, but that's been talked about and dissected; it's been written about extensively.
开发商:Remedy Entertainment、Microsoft Studios

2

Allianz
现在的假手除了具备手的外形外,几乎没有其他功能。当然,这些假手能够拿东西和保持身体平衡,但是它们缺乏人手最重要的功能之一——触感。装了假手的人在碰触到一样物品时,如果不用眼睛看,是没法判断东西的。
智能酒瓶
注册人数:388人
支持:该片在多伦多国际电影节上获得人民选择奖,这个奖项通常是一个重要的风向标。
Man-made climate change is the main culprit for warming that was leading the world into “uncharted territory”, said Peter Stott, head of climate monitoring and attribution at the UK Met Office’s Hadley Centre for climate research, which released separate findings confirming the US analysis.
这些新数据是由一个叫做全球碳计划(Global Carbon Project)的追踪项目提交的,发表在了期刊《自然·地球科学》(Nature Geoscience)上。数据公布之际,正是联合国(United Nations)一次峰会召开前夕。此次峰会意在激发新的政治愿望来解决气候变化问题。科学家说,这些数据表明,如果要把长期的全球变暖问题控制在可以承受的范围内,还需要做出极大的努力。
Ford's F-series pickup, the reigning champion for the last quarter-century, held off a strong challenge from Chevrolet's redesigned Silverado to remain the nation's No. 1 selling vehicle. The race to become the best-selling car, an all-Japanese final, belonged again to the Toyota (TM) Camry, which beat out the Honda (HMC) Accord.
vt. 打斗
We were all going direct to Heaven, we were all going direct the other way
Security questions risks
"This is something we believe is really important for the future of our country,"Facebook (FB, Fortune 500) CEO Mark Zuckerberg said in August.

Author Anthony Horowitz has revealed the new book Trigger Mortis has been amended for modern readers and contains anti-smoking messages and for the first time an ‘outspoken’ gay friend.
PwC has counted votes and provides winner envelopes for the Oscars and has done so for more than 80 years. This is the first time in Oscar history that the wrong envelope had been opened while an award was being announced.
专业一点
《警察故事》(Babylon),Sundance,周四播出。詹姆斯·内斯比特(Jame Nesbitt)最近在《失踪》(The Missing)中出演了一个孩子失踪多年、备受折磨的父亲,他在这部剧中饰演的是完全不同的角色:一个斤斤计较的老派警官,雇用一个美国公关专家(布里特·马灵[Brit Marling]饰),来改善苏格兰场的形象。这部讽刺剧集由《贫民窟的百万富翁》(Slumdog Millionaire)的导演丹尼·博伊尔(Danny Boyle)执导,有点像阿尔曼多·伊安努奇(Armando Iannucci)的政治喜剧片《灵通人士》(In the Loop)。
1. Battle of the Sexes
为什么我如此有信心东亚不会爆发战争,无论在东中国海还是南中国海?答案很简单,因为我了解推动亚洲变化的力量。虽然许多亚洲邻国会发出愤怒的民族主义声明(他们必须这样做来应对普遍的民族主义情绪),但他们的行动是谨慎和务实的。
Brazil
先锋(Vanguard)的亚洲投资组合审查主管Yan Pu怀疑,亚洲的产品结构可能阻碍了ETF的发展。例如,亚洲ETF公司提供大量的股票ETF产品,但很少有固定收益产品。她指出,在美国,固定收益ETF增长迅速。
? President Obama declared a "major disaster" in New York and New Jersey. Flooding devastated the coast and more than 2.3 million lost power. The National Guard rescued hundreds from flooding in New Jersey. The governor, Chris Christie, a Republican, said the damage was "unthinkable". He praised the "outstanding" co-operation he had received from Obama.

3

Manufacturing has held up better, with profits growing 6.5 per cent, while profits from utilities such as electricity, heat and water grew 17 per cent, boosted by lower energy prices.
Take targeted and powerful measures to strengthen areas of weakness.
对于韩国部署萨德的决定,中国政府已经以越来越大的愤怒加以回应。尽管韩国坚称该系统旨在保护韩国免受朝鲜导弹的打击,中国却担心该技术会令这个美国的盟国查探中国的军事动向。
6.Head-Mounted Computer Displays
China becomes the first middle-income country to join the ranks of the world's 25 most-innovative economies, according to the Global Innovation Index (GII) released last Monday.
谁也不愿意自己的家门口整天闹个不停。
尽管两个数字都低于预期,它们还是显示出在加大量化宽松计划力度方面,日本央行正面临艰难的抉择。目前,环比数据看起来还不错,而同比数据则不太好。
刘易斯说道:“人们不能像这样,抛弃他们的宠物。每个人都有悉心照料自己宠物的法律义务。”
《蓝色茉莉》(Blue Jasmine):按年代顺序排列,本片属于导演伍迪?艾伦(Woody Allen)自我更新晚期的作品。不过,从艺术角度看,该片算得上是伍迪?艾伦作品中最优秀的喜剧之一。该片的卖点是凯特?布兰切特(Cate Blanchett)的出彩演绎,曾在《欲望号街车》中出演布兰奇?杜布瓦(Blanche DuBois)的凯特?布兰切特这一次出演女主角茉莉,离婚后精神状态有些癫狂。亚历克?鲍德温(Alec Baldwin)在剧中扮演茉莉的丈夫,是一个类似于马多夫(Bernie Madoff)的行骗者。其他人物方面,在经历了欺骗和失望后,莎莉?霍金斯(Sally Hawkins)、安德鲁?戴斯?克莱(Andrew Dice Clay)鲍比?坎纳瓦尔(Bobby Cannavale)以及路易?C.K(Louis C.K.)等人扮演的角色最终都找到了自己的方向。
马纳尔·阿尔-谢里夫(Manal al-Sharif)
007系列电影主题曲第八名:南希·辛纳查--《你只能活两次》
JM家庭企业公司:忠实员工奖励度假
Shapley made early theoretical inroads into the subject, using game theory to analyze different matching methods in the 1950s and 1960s. Together with US economist David Gale, he developed a mathematical formula for how 10 men and 10 women could be coupled in a way so that no one would benefit from trading partners. While that may have had little impact on marriages and divorces, the algorithm they developed has been used to better understand many different markets.
Peace and love for you at New Year from all your students.祝老师新年充满平安和爱。
8. 《疯狂的麦克斯4:狂暴之路》,导演:乔治·米勒。

4

节目7 歌曲《春暖花开》,那英
通常的说,在交易截止日前进行重大调整意味着一场灾难,特别是当它导致了名单的改变时。
担忧是围绕向下流动(downward mobility)和文化变迁,而愤怒是针对移民和冷漠的精英。
惊险、欢快与不安交替进行,乔纳森·格雷泽导演的非凡之处在于让色情电影难得的实现了幻想与现实的融合。
成长的故事:现代的巴黎郊区与20世纪70年代的旧金山,这两部影片以残酷的城市和无尽的热情,把成长为女人的可怕惊险之路变得戏剧化。
[plein]
罗塞略致力于改善公私合作伙伴关系,并使用这笔收入来挽救面临400亿美元的退休制度,预计不到一年就会崩溃。罗塞略也承诺与美国国会去年成立监督波多黎各财政的联邦控制委员会密切合作,他还说支持与债权人就协助重组一笔近700亿美元的公债谈判。
高中版的霍华德不像NBA版的霍华德那样令人生畏。如此看来,成为一个NBA巨星,霍华德付出了十倍的努力。
Five development concept of innovation, harmonization, green, openness and sharing
在即将结束的2014年,标普500指数再次实现亮眼增长,而那些本欲跑赢该指数的基金经理们,表现则没那么出色。Lipper公司称,截止11月底,85%的活跃股票型共同基金经理业绩低于标普500指数。而在正常的年份里,跑赢该指数的基金经理比例是今年的两倍,也就是说,通常只有约三分之二的基金表现不如标普500指数。Lipper公司称,这是30年来活跃基金经理相对大盘表现最差的一年。
Financial advisors and asset allocators who had been hoping to see some benefit this year from tactical strategies were also not spared the punishment of a capricious market. Of the top three tactical strategies in the country (Mainstay Marketfield, Good Harbor U.S. Tactical Core, F-Squared Premium AlphaSector Index), two had nearly imploded with double-digit losses while the third found itself under SEC investigation for misleading the public about its historical returns. The other giant tactical manager, Schwab’s $9 billion Windhaven Diversified Growth product, looks to end 2014 with a return close to zero. So much for tactics.

5

The banking industry has been experiencing a low profit growth period and will be for a long time, the National Business Daily reported, citing an expert. He said the banks' yearly profits growth reached 35 to 40 per cent in the past dozen years, but now the growth had slowed to less than 1 per cent, with some banks even recording a loss.
9.职业治疗师
蕾哈娜在榜单上排名第二,获得亚军,《男人装》表示:在这12个月以来,她真是无处不在,但是我们依然没有对她审美疲劳。
目前还不清楚拉格菲尔德离世之后将由谁来照顾邱佩特。
它还体现在詹巴蒂斯塔·瓦利(Giambattista Valli)最近的秋冬时装秀上,那场时装秀中充满泡泡袖印花长款衬衫和配套裤子,以及低腰直筒女学生连衣裙;还体现在麦丝玛拉(MaxMara)向乔治·巴里斯(George Barris)1962年为玛丽莲·梦露(Marilyn Monroe)拍摄的照片致敬的系列。
Twenty years of global negotiations aimed at slowing the growth of heat-trapping emissions have yielded little progress. However, 2014 saw signs of large-scale political mobilization on the issue, as more than 300,000 people marched in New York City in September, and tens of thousands more took to the streets in other cities around the world.
4.Avoid micromanaging
A $20 billion number would make any investor salivate, but when divided between buybacks and dividends, it's pocket change compared to the share repurchase announcements other companies have made in 2014.
所有这些合数值都比去年同期高,其中市场价值增幅最大(比去年同期增长13%)。这些公司在全球总共雇用了9000万人。
vt. 以匙舀起
没有什么事情能像太阳躲在月亮后面那样,把人们聚集在一起。
Ranked fourth with 15.27 million visitors, Dubai "made a quantum leap to become the global top-ranked" in visitor spending, the report says.
9.Bellarine Peninsula, Australia
Emissions have been falling gradually in recent years in most of the developed countries, in part because of economic weakness but also because of strengthening climate policies. Emissions in the 28-nation European Union fell 1.8 percent in 2013, despite increases in coal consumption in a few countries, including Germany and Poland. Emissions decreased sharply in Britain, Italy and Spain.

6

2.你突然变成Twitter上面思想领军人物。
Critics have been eager to point out that he is not so closely involved in new product development as his predecessor, and fails to elicit the same excitement when he takes to the stage to introduce them. But Mr Cook is aware of his shortcomings and has drawn on the worlds of fitness and fashion to assemble a new team of talents, including Angela Ahrendts, formerly of Burberry, and industrial designer Marc Newson.
However, the economists polled expect slightly higher growth rates and substantially higher inflation over 2016.
在岛上海边的总督大楼,数万名支持群众等待罗塞略在宣誓就职典礼后的到来,手握着伞挡住炽热阳光。
That's particularly striking in Brazil, with its highly mixed population that has more blacks than any country with the exception of Nigeria. More than half of Brazil's population self-identified themselves as black or of mixed-race in the 2010 census.
v. 商讨,向 ... 请教,查阅
8.表达感激之情
至于维护全球贸易的自由化,这需要世界各国共同努力,因为天下是天下人的天下。
读:挨批课。上课时赶上老师心情不好,念一段巨长的诗史批评你。这种方法确实是超凡脱俗,不同一般。E张黄色pic-超凡脱俗,不同一般的

Folk Song “Jasmine” (Song Zuying and Celine Dion, Canada)

Conclusion

Add your scores for questions one to nine to see how you score on the Negative Affectivity scale
华莱士对一切说“好”说了一年,然后写了这本书。这个尝试既促进了他的事业,也把他带进过邪教集会。不过,电影没说的是,华莱士曾在数不清的钓鱼网站注册。显然,一直说“好”在现实生活中可不是一帆风顺。
The reason is twofold: For one, logistically, there are simply too many opportunities to get caught job searching. Résumé copies will be found. Computer servers will be checked. Co-workers will notice when you're clearly elsewhere, either literally for interviews or emotionally (more on that later)。
The dollar value of China’s exports and imports grew in November after two months of contraction and in the face of a rally by the greenback that followed last month’s US presidential election.
康乃尔大学商学院院长兼该报告的合著者苏米特拉·达塔表示:“在提高创新素质上面投资是 缩小创新鸿沟的关键。”
同样令人震惊的是百日咳的发病率上升了59%,而百日咳是一种半个世纪前的综合免疫接种计划没能彻底消灭的疾病。
“Since these developments will not fade overnight, there is little hope for a trade revival in 2017,” says Mr Leering.
第三季度摄影师的工作增长了大约22%。报告的作者将这一增长归因于雇佣者“最终理解了他们的登录页面的高质量图片的重要性”。通过雇用受过培训的有创造力的专业人员来扩大提升网站知名度也是这一排行榜上的一个常在的主题。


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. Whiteness, in this context, is more than just skin color. You could define it as membership in the “ethno-national majority,” but that’s a mouthful. What it really means is the privilege of not being defined as “other.”
  2. Luckily, the singles are only half the story with Reputation. On "Dress," she's high on the rush of a new romantic thrill; on "New Year's Day," she's trying to figure out what she has after the party's over.
    2. Shanghai, China-The enormous metropolis of Shanghai—China's most populous city—has an historic urban core which sits alongside its status as a contemporary, global financial hub.

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