Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

A video of Bi Fujian, a popular television host, poking fun at a song from a Cultural Revolution-era opera about the Chinese civil war, with his own critical asides about Mao and the Communist Party, appeared online in April. Despite the government's efforts to contain its spread, it circulated widely, with some commenters defending Mr. Bi's opinions and his right to express them.
Yet the TV adaption couldn’t satisfy the audience, who prefer real history rather than fiction, and it only got 4.9 points on Douban.
[?.s?usi'ein]
['autreid?]
David said: ‘It was wonderful, you couldn’t fault it. It was perfection.’
'I just want to stay professional. I don't want them to think I'm a fangirl. I'm one of the performers and I'm not just a background dancer, I'm the dancer.'

Although various public incentives exist, many come in the form of tax breaks, low-interest loans or rebates. So a building might have to levy an assessment or raise maintenance to cover initial costs. “You run into the problem of nobody giving you the money upfront,” Mr. Luxemburg said.
这两个非比寻常的性玩具将在美国旧金山亚洲艺术博物馆即将举办的展览中展出。
但当格雷泽给我们带来《皮囊之下》,这部经过他长期酝酿的,由荷兰作家米歇尔·法柏的科幻小说改编的电影时,真是让人惊叹:欢快,不安,大胆。斯嘉丽扮演的外星人藏于人类的皮囊里,穿梭在格拉斯哥街道和商场,不亚于一位一线明星。现实生活中的路人在镜头中完美的展现,而隐身的约翰森面无表情的估算着三个地球人可被利用的热量值。接着演员带着被色诱的人类离开人群,来到她自己的地方:一个神秘的黑暗的洞穴中。在这里,情色恍惚间,人类贡献自己的肉体,被囚禁,被养殖成为食物,谁知道呢,又或许是人类的灵魂。
I wish you a happy New Year. All affection and best wish
['?unip]
1995年,荷兰维和部队未能阻止波黑塞族军队在位于波黑东部的斯雷布雷尼察杀害8000名穆斯林男子和男孩。
国家统计局最近开始跟踪研究的大城市的房价数据就支持这种可能性。
*Awards presented during the Creative Arts Emmy ceremony Sept. 10-11.
“有个女员工说自己去买靴子,但再也没露过面。”

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.

单词platform 联想记忆:

1

The Raptors entered February as the team that most needed to make a move: their hot start was fading, their defense wasn't up to snuff for a contender, they had a massive hole at the four, and they felt added urgency to make the most of Kyle Lowry's prime in advance of his upcoming free agency.
“在古代,库车的名字在中国文学中叫做龟兹,是建立在西域绿洲上的一个非常强大的城邦,研究人员写到。
“我们的人口和就业正处于历史高位,并在不断增长。这给租金和房价施加了很大压力,”纽约大学富曼房地产及城市政策中心(Furman Center for Real Estate and Urban Policy of New York University)的主任马克·威利斯(Mark Willis)说,“现在没有理由认为这些趋势可能发生改变。”
你倾向于隐藏自己的感情吗?
n. 元素,成分,组成部分,(复数)恶劣天气
Sure, Chris Paul is a bit bigger and stronger now, but he still looks almost identical to the way he did in high school. He even had his trademark mustache back in high school.
过去10年,全球最具价值品牌100强的品牌价值增长一倍多,增幅达到133%。品牌价值是根据收入和盈利能力等财务指标,结合消费者品牌认知调查计算的。
Two colors! It may not sound revolutionary, but everything is relative. And know this: It’s not about indecision, but social progress. That’s Pantone’s position, anyway.

中国民航局局长冯正霖表示,因天气造成航班延误的比例由2015年的29.5%增至2016年的56.8%。
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%。
Or, this year, to be women with a story to tell about abuse, sexual or otherwise — a couple of whom shared #MeToo moments in our pages. Carlotta Gall told the story of Henda Ayari, a French citizen of North African heritage and anti-Salafist activist who accused a prominent Oxford professor of raping her.
Summly的两位员工将迁至雅虎的加利福尼亚州总部,但就目前而言,达洛伊西奥抵挡住了硅谷的诱惑。
These larger screen sizes will put additional strain on iOS 7 and developers who will need to figure out how to adapt their apps to even more configurations. These additional formats will provide some exciting opportunities for applications as well, and we can anticipate that iOS 8 will contain many features designed to accommodate multi-screen design.
1.Under no circumstances should you ask your taxi driver how excited he is about having the Olympics in London this summer. It's not that he will be reluctant or embarrassed to offer a personal opinion on the matter. That is not the problem at all.
“Our population and employment is at an all-time high and growing. That puts significant pressure on rents and prices,” said Mark Willis, the executive director of the New York University Furman Center for Real Estate and Urban Policy. “There is no reason now to think that these trends are likely to change.”
Money Matters
有史以来第1个真正有用的机器宠物
停战日在1938年成为美国的正式节日,但在1954年改称退伍军人节。当时是第二次世界大战和朝鲜战争结束不久。退伍军人节跟每年五月最后一个星期一的阵亡将士纪念日不同。
1961年,爱德华·索普和克劳德·香农共同研制出第一副可佩戴的电脑眼镜。1968年,伊凡·苏泽兰制造出了"达摩克里斯的利剑"。这是第一台头戴式电脑,也是今天我们所有头戴式电脑的鼻祖。1980年,史蒂夫·曼恩,被称为"头戴式电脑之父",制造出了"可穿戴式电脑",这种电子增强型的眼镜,可以与其他电脑进行无线沟通以及共享视频。接下来的几年,他在眼镜领域继续研究,而在1999年时,他制造出了一副很像谷歌眼镜的眼镜,或者说谷歌眼镜的原型。他叫它做"电子眼镜"。
3. 捷蓝航空(JetBlue) 品牌喜爱度:40%/排名:218
调查结果显示,今年大约有9.8%的应届毕业生选择“慢就业”。所谓的“慢就业”是指一些毕业生不着急就业,而是选择旅游、在家陪父母以及继续等待机会自主创业等方式,慢慢考虑人生道路的现象。

2

“Today you have to shop by image,” Mr. Nathan said. “But if you are brave and don’t follow fashion, there are opportunities.”
fare
This is Us
周二公布的数据显示,去年12月,中国规模以上工业企业利润同比下降8%,是2011年末以来的最大降幅。11月数据的同比下滑幅度为4.2%。
7. 建立声誉。
但是,当今年12月WTO成员国聚集在布宜诺斯艾利斯召开两年一度的部长级会议时,我们将一尝世界新秩序的味道。一如既往的是,目前尚不清楚WTO此次能否产生一些实质性内容。但真正的考验在于,WTO有史以来第一次不由美国牵头讨论。中国或欧盟会取而代之吗?印度会像过去一样一心阻挠任何协议吗?
不会。这笔被誉为史上最大规模的首次公开发行(IPO),是沙特实际领导人穆罕默德本萨勒曼(Mohammed bin Salman)宏大经济重组计划的基石,因此沙特阿美IPO肯定会成行。该公司的股票将在沙特本国的证交所上市。不过,此次IPO计划在国外的部分不太可能是一次公开发行。唐纳德特朗普正在为纽约游说,伦敦也在全力以赴争取。香港和东京也在沙特的考虑之中。但沙特会转而选择非公开售股,或者在晚于预期的时间在国外上市。
In eighth place with $6.5 million, Chinese model Liu Wen, 29, is the only Asian model on the list, reflecting the lack of diversity that continues to plague runways.
inspect(vt 检查;视察)根:spect看
Nirvana in Fire
Americans are celebrating Columbus Day Monday.Columbus Day is a federal holiday observed on the second Monday in October, marking the anniversary of the arrival of Christopher Columbus to the Americas. Columbus, an Italian explorer sailing under the Spanish flag, led four expeditions to the New World, but never accomplished his original goal -- to find a western ocean route to Asia. Instead, Columbus ushered in a new era in world history by opening up the Americas to exploration.
?007 is almost always calm. (Maybe that's due to all the sex.) Even when people are trying to kill him he's calm. This is sexy. Bond doesn't move unnecessarily. You never see his knee bouncing or hands fidgeting. He speaks slowly and deliberately and is rarely rushed. These are all very charismatic qualities. He has the unflinching eye contact of a predator -- and this increases the chance women will fall in love with him. 007 doesn't gush over girls and show his feelings. He keeps them guessing and uncertainty increases attraction. Bond doesn't smile much and this too makes him sexy because happiness isn't alluring in men. His body language is commanding and he's not afraid to take up space, which is very masculine and appealing. 007 doesn't ramble on and this too is smooth. Bond never slouches. Good posture increases confidence, feelings of power and makes you physically tougher. (Which works out well when you want to look classy in your tuxedo while battling machete wielding evil minions.)

沃克排名第六,得益于他演艺生涯中最卖座的影片《速度与激情6》。在因车祸悲剧丧生之前,他已经完成了《速度与激情7》的大部分拍摄工作。据称环球影业(Universal)不会重新拍摄该片,而会对后续拍摄作出相应调整。
In 2013, the total number of applicants who qualified for the national service exam reached a record 1.52 million. In 2014, the total number decreased for the first time in four years to 1.41 million, the People's Daily website said.
Perhaps the biggest domestic threat to the 3% growth scenario would be a surprisingly swift hike in interest rates, but from all indications a dovish Federal Reserve is unlikely to take aggressive action in 2015.
Gitanjali因为拿下了本次最高奖项,从而获得了一笔2.5万美元的奖金。
现在达洛伊西奥还不负责管理他的收入。他坚称说,我太年轻了,还不懂如何发挥其价值。我没有房贷,我才17。对我来说100英镑就是个大数目了,这就是我对钱的大致概念。尽管他无法对Summly的售价置评,但当我逼问他未来打算如何支配的时候,他说他在考虑以后也许可以用所发之财来做一名天使投资人。在他身边,似乎没人觉得这份钱会毁掉他或者他会挥霍钱财浪费人生。戴安娜说,孩子很踏实,很有冲劲儿,他不会停止奋斗的。
妮诗原来就读于奥顿肖杨树街小学,现在就读于威辛顿女子学校,今年九月会进入奥尔特林厄姆女子语法学校。她与父母尼朗加和施若咪一起生活, 2001年,一家三口从斯里兰卡搬到了曼彻斯特。44岁的父亲尼朗加称赞妮诗在杨树街小学的启蒙老师们功不可没。他说:“我们很早就知道她有天赋,她很小就开始阅读和写字,而且非常擅长数学计算。我们让她做一些有挑战又有趣味的事。作为父母,你不想让孩子的天赋荒废掉,但是在他们的童年时期又需要平衡。她只是一个普通的10岁小孩,真的就像任何其他的10岁小孩。她喜欢阅读、骑车、散步,我们都为她感到骄傲。”
Qualcomm
Hong Kong has topped the list for the past seven years -- since its first appearance in the survey.
英国《金融时报》EMBA项目排行榜在对商学院和2011年毕业生进行调查的基础上编制,可以让人们大致了解学员在读EMBA前后的变化。

3

urb城市+an表名词和形容词,“…地方.…人参考:suburb郊区,aub+urb→城市的
报告显示,今年11月11日至15日五天期间,涉及电商平台、电商企业、物流公司、第三方支付机构、消费者等主体的失信案例数量同比增加57.49%。
The official prize citation said the two were awarded for "the theory of stable allocations and the practice of market design."
It was the age of wisdom, it was the age of foolishness…
In the US, New York, California and Texas received the most investment. Chinese firms invested $5.4bn in New York, the top beneficiary, with most of the money spent on three big financial services and real estate deals.
If he wins the primary, he would face off against first-term Republican Gov. Phil Scott, 59.
如果这届奥斯卡最佳影片的提名数有9或10部电影的话,那么《逃出绝命镇》能占一个。乔登?皮尔的剧本应该一定会被提名。
相比之下,新兴市场出口的平均单价差不多自2012年中以来就一直呈同比下降趋势,2016年2月同比降幅达到16.4%。
German Three:Mercedes-Benz begins to sag as new lower-priced Benz’s inevitably erode its once invincible “the best or nothing” status. At BMW, imminent arrival of a new 7-series cements its status as the preferred brand of Scarsdale, Shaker Heights, and Santa Monica. A new A3, starting at $30, 795, should nicely lift Audi’s sales beyond 2014’s 15% climb, and a new Q7 SUV should nicely lift profits.
Price is not everything, it is true. But even the bears would agree: everything has a price.
frame
时间:2009-10-26 编辑:vicki
警方在屋内查出一柄40口径的Smith & Wesson半自动手枪,目前正在进行弹道测试,检查器是否牵涉其他犯罪活动。
transport
And regarding Ukraine, the Russian president again denied that there are Russian troops operating inside eastern Ukraine where a pro-Russian separatist movement is fighting Ukrainian government troops. But he said Moscow never denied that "certain people" were there carrying out tasks "in the military sphere." He said Russia plans no sanctions against Ukraine, but will not extend preferential trade to Kyiv.

4

n. 娱乐
‘Jordan,’ ‘harley,’ ‘robert,’ ‘matthew,’ ‘daniel,’ ‘andrew,’ ‘andrea,’ and ‘joshua’ all made it on the list – along with ‘football,’ and ‘lakers.’
身为欧元区较弱经济体之一的意大利,是欧盟国家中获得中国企业投资最多的。这主要归因于倍耐力(Pirelli)和中国化工(ChemChina)达成的79亿美元交易。法国排在第二位,通过旅游和基础设施行业的一系列大笔交易获得36亿美元投资。
《权力的游戏》
当你在工作的时候,你的效率应该是很高的。不然的话,那就是在浪费你自己的时间和公司的财富。如果你很厌倦,一天当中大多数时间是在浏览网页,你可能是想要寻找其他的能够激励你的工作机会了。
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.
Video of the year: "Tornado," Little Big Town
22岁的吉吉·哈迪德和21岁的贝拉·哈迪德也是首次跻身榜单,分别位列榜单的第五位和第九位,吉吉·哈迪德的收入为950万美元,她的妹妹贝拉·哈迪德的收入为600万美元。
Several South Korea-linked entities have already felt Beijing’s wrath in response to the Thaad plans. Chinese state news agency Xinhua last month issued a stark warning to Lotte, one of South Korea’s biggest companies, for giving up land on which the Thaad platform will be hosted.
Company: Binary Group
In 2013, the total number of applicants who qualified for the national service exam reached a record 1.52 million. In 2014, the total number decreased for the first time in four years to 1.41 million, the People's Daily website said.

5

[?'din]
A disturbing and often bleak analysis of the automated future of work has been named 2015’s business book of the year.
持续推进政府职能转变。
Justin Bieber剃发募捐 集得4万美金
Companies do have black lists. It's not written down anywhere but it's a list of people they'd be happy to get rid of if the opportunity arises. If you feel invisible, if you're getting bad assignments, if your boss is ignoring you, or if they move your office, you're probably on it.
美国太空探索技术公司在航天器充分回收方面取得重大进展
单词original 联想记忆:
3) Tell Me More: “I’m all ears.” It’s the ultimate conversation starter! When you signal that you’re open and intrigued, the other party will respond in kind. And who can resist flattery? If your interest is genuine, you may just fuel a productive exchange.
Four factors should fuel the jobs recovery in 2013:[qh]
赫梅尔还指出,2008年油价飙升的局面(当时油价升破每桶140美元)将重现,但不太可能发生在2014年。他说,“油价将会上涨。”
[tr?ns'p?:t]
Two United States cities have seen significant increases in costs, with Los Angeles rising 19 places to enter the top 10.
美国时间上周日,乡村音乐界的大牌们齐聚拉斯维加斯,出席2013年乡村音乐学院奖颁奖典礼。
Managers are able to reward their subordinates in unique, personalized ways thanks to the budget they receive from corporate. Two examples of past bonuses: free trail rides at an equestrian stadium and a barbeque with lassoing and horseshow throwing lessons.

6

科派斯塔克表示,东京回归榜首并不让人惊讶,因为东京的高工资推动了物价的上涨,房价和房租也很昂贵。
Companies are always looking to save money, and outsourcing some roles to freelancers can help. Virtual assistants can perform many of the duties of full-time staffers, but with less commitment. These workers could help expand a business, or just encourage things to run more smoothly.
如果你需要买一辆新车,你有36个可选择的品牌。每个汽车品牌都满足了不同的需求,但并不是每个品牌都适合每一位消费者。有些品牌擅长制作高性能的车,有些专注于制作家庭适用的跨界休旅车,或是专门制作豪华型轿车。
延长的生育假如何落实往往由地方政府决定。国家层面应该颁布执行细则以及具备法律约束力的相关措施,以确保该政策的贯彻实施和合理执行,从而保证女性不因劳动成本最小化而受到雇主的歧视。
赫梅尔还指出,2008年油价飙升的局面(当时油价升破每桶140美元)将重现,但不太可能发生在2014年。他说,“油价将会上涨。”
小贝现身纽约时装周 为凯特选嫁衣?
英国新晋首相特蕾莎?梅的年收入为14万3462英镑(约合18万6119美元),其中包括了她作为国会议员的年收入74962英镑(约合97256美元)。
This whole week was a train wreck: the unconvincing denials, the timing of the Cousins trade on All-Star Sunday, the pathetic return value,
获奖者:加拿大总理贾斯廷·特鲁多

Zhang's piece is “so lush and so rich and so full and so complete,” Google Doodle team leader Ryan Germick told the Washington Post. “Every leaf seemed to have life in it.”

Conclusion

Are the political upheavals of 2016 — Brexit and America’s election of Donald Trump — a triumph of democracy or a threat to it? Democracies must respond to legitimate grievances.
[di'rekt?, dai'rekt?]
Farewell to Don and his perfect suits, to Peggy and her plaids, to Joan and her jewel tones and sheaths.
Chinese companies filed 7,150 patents with the European Patent Office (EPO) in 2016, a year-on-year increase of 24.8%, according to figures released by the EPO last Tuesday.
He added that “almost every major Korean company, including Hyundai Motor and AmorePacific, relies heavily on Chinese sales”.
挪威两度拒绝成为欧盟成员国,整体排名为地第十。“公民权益”排名第一,“最透明”国度排名第二。
More advanced components are in short supply, however, which could leave many customers waiting long after September to get hold of the new iPhone. That presents an opportunity for rivals such as Samsung’s new Note 8 or Essential, the smartphone maker led by Android co-founder Andy Rubin, which is targeting premium customers such as Apple’s with its slick $699 device. Google is also said to be preparing a new version of its Pixel smartphone, which has proved popular with early adopters.
当我表示自己对一门很难的课程十分害怕时,我的指导老师问我:“那你还想不想接受教育呢?”


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. 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.
  2. 麦高恩说“让女性发怒还很难”,MeToo支持者“为自己编写了一部小说”,并没有直面好莱坞的本质。
    A 9.1-percent drop in the annual average density of fine particulate matter (PM2.5) was seen in 74 major cities.

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