Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

Musk said he expects to be producing cars at a 100,000-a-year rate by the end of 2015.
Columbia Pictures克里斯蒂安?贝尔、艾米?亚当斯和布莱德利?库珀在电影《美国骗局》中早在1月份闹片荒的时候,人们不会想到今年会迎来如此多好电影。不仅如此,有几部影片甚至达到了被我们在心目中理想化了的那些老电影的水准。今年有两部电影脱颍而出。纯娱乐片方面,赢家显然是《美国骗局》(American Hustle),这部由大卫?欧?拉塞尔(David O. Russell)执导的影片讲述了上个世纪七十年代的行骗高手和他们的微妙骗术的故事,幽默诙谐,令人捧腹。而从创新角度看,《地心引力》(Gravity)的全新拍摄技术给观众带来了新的观影体验。人们普遍认为《美国骗局》无可挑剔,这部疯狂喜剧片是一部时代佳作。我个人则认为,《地心引力》是今年的最佳影片。
rough
The 8,000 volunteers who will welcome international visitors to London 2012 have been issued with a 66-page instruction manual, covering everything from foreign etiquette to uniform care and advice on dealing with journalists. But what of the visitors themselves? Could they not do with a manual outlining the customs, manners and practicalities of the islands they are visiting? We hereby present a simple guide to UK etiquette for the 2012 Olympics.
献上节日的问候与祝福,愿你拥有一个充满生机和欢乐的新年。
That was in line with last month’s manufacturing PMIs, which showed an uptick in sector activity,

这些各不相同的胡子是设计师弗朗西丝·汉农(Frances Hannon)设计的,在安德森的多部电影中(比如《青春年少》[Rushmore]和《水中生活》[The Life Aquatic With Steve Zissou]),她都为比尔·默里(Bill Murray)设计了面部毛发。这次,她让该片的很多演员留起胡子,供她修剪成任何想要的形状。
本文列举了16种我本人几乎每天都会使用的应用软件,我还将在本文中讨论为什么你也应该使用它们。
中国首先要把自己的事情办好,但关起门来也办不好自己的事情。所以我们的开放大门会越开越大。
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。
戛纳电影节素以质问与嘲笑著名。在本届电影节上,《青木原树海》(Sea of Trees)成为第一部遭遇观众挑剔的电影。该片由格斯?范?桑特Gus Van Sant指导。在媒体放映场,《青木原树海》遭遇嘲弄的风暴,陷入了嘘声之海。由于这些发生在首映红毯前,恶评迅速传播,使得盛典蒙上阴影。娜奥米?沃茨(Naomi Watts )和 马修?麦康纳(Matthew McConaughey)走上红毯时,《每日电讯报》(Daily Telegraph)形容此场景为“极其糟糕却又引人瞩目的羞辱之途”。但是在随后的新闻发布会上,马修?麦康纳,这位来自德克萨斯的演员表情坦然,“每个人都有权倒喝彩,正如他们有权喝彩一样,”他说道。我相信我们都知道他的意思。
But the economic picture has brightened considerably in Arizona, as the housing market stabilized and unemployment hit a post-recession low of 7.8% in May. As part of Forbes’ annual Best States for Business, we look at 35 factors to determine the best and worst states, including projected employment. Arizona is expected to have the fastest job growth at 3% annually over the next five years, according to Moody’s Analytics. The job gains are projected to boost household incomes 3.6% annually through 2017, which ranks second best in the U.S. after Illinois. The added jobs also go hand-in-hand with the state’s economic growth, which Moody’s forecasts to expand at a U.S.-best 4.6% annually.
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It is already illegal for employers to discriminate on the basis of race, color, sex, nationality, religion, age, or disability. But a majority of states still don't provide protection to LGBT individuals in the workplace. Apple (AAPL, Fortune 500) CEO Tim Cook wants to put an end to this discrepancy. In a November Wall Street Journal op-ed entitled "Workplace Equality Is Good for Business," Cook urged the passing of a federal law to protect workers from discrimination based on sexual orientation.
持有40亿美元亚洲相关资产的美国投资机构Cohen & Steers的基金经理梁纬濂(William Leung)认同这一点。他主张,随着价格下跌,投机性投资将被驱逐出市场。他补充称,行业中另类投资热度上升的趋势应当意味着,即便基础资产的价值上涨得更慢,房地产投资信托的价格也会上升。“我们认为,这次调整的幅度将不会太大,”他说。

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 Americans’ Set in the Reagan era, this FX series is nearly as deceptive as KGB agents posing as suburban American couple: In its second season, “The Americans” proved to be a drama about love, family, friendship and mistrust disguised as a Cold War thriller.

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In early November the government further tightened controls over outbound investment by requiring regulatory approval for some foreign acquisitions conducted through an offshore entity.
adj. 吓人的
Next year, the mayor’s affordable housing plan, which calls for building or preserving 200,000 units of affordable housing over the next decade, will begin to take shape. It hinges on a policy that requires developers to build affordable housing in exchange for being allowed to construct taller and denser buildings in neighborhoods rezoned by the city. Developers and housing advocates alike are waiting to see what it will look like once the administration adds muscle and flesh to the bones of the proposal.
stock
Meanwhile, La Rochelle Business School dropped 12 places to 60 having been last year’s highest climber.
n. 扩大,膨胀,扩充
欧洲工商管理学院的出类拔萃不仅表现在一年期MBA课程上,还体现于强大的国际文化(基于两个校区)以及覆盖面最广和最多样化的校友网络之一。该课程在校友国际流动性指标上排名第三,在国际课程体验指标上排名第六。
3.The Andrea Yates Trial Inspired Desperate Housewives

鲜菜价格同比上涨13%,助推食品价格同比上涨3.7%,涨幅比上月扩大0.5个百分点。
“The employee said she was going out to buy boots, but was never seen again.”
他说:“我认为在这个过程中让年轻人参与的最佳方式就是赢得比赛。”
(美联社)波多黎各,圣胡安市 - 波多黎各新总督周一宣誓就职,作为美国领土许多人认为要为新的紧缩措施做准备,并为该岛摆脱严重的经济危机重新推动建州或独立。
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对中国最大房地产开发商发起敌意收购的神秘亿万富翁姚振华已成为中国最富有的人之一,这凸显出了杠杆金融投资正如何推动私人财富取得巨大增长。
北方高等商学院毕业生的平均薪酬水平为10.5万美元,排名第11位,而斯隆毕业生为14.36万美元。他们的薪资增幅为79%,排名第七。
Over time, this ethnic blend has led to an uncommon harmony among the current squad, whose young players -- notably Eden Hazard and Romelu Lukaku of Chelsea, and Adnan Januzaj 贾努扎伊of Manchester United -- are the envy of many of their competitors.
问:写轻小说和写动画剧本有什么不同吗?
“…did a song and dance routine in hopes of getting the job.”
所有外出务工人员的年收入据估计达到了3万亿美元,然而大约有85%仍留在雇主国,他们汇款回家的钱,平均不到雇主国GDP的百分之一。
2016年上榜的全球十亿美元级富豪共计1810名,位居次席的是Zara创始人阿曼西奥·奥特加,商界巨擘沃伦·巴菲特紧随其后,埃卢则是位居本榜单的第四名。
游戏平台:Xbox One、Xbox 360、PS4、PS3 、PC

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劳瑞斯蒂尔
n. 紧张,压力
On questions 10 and 11, if you circled 0, enter 4; if 1, enter 3; if 2, enter 2; if 3, enter 1; if 4, enter 0.
在007电影主题曲榜单上,《女王密使》的主题曲获得荣誉推荐。
As we ring in the New Year, let’s take stock of where we are at with the oil markets. 2014 proved to be a momentous one for the oil markets, having seen prices cut in half in just six months.
当你和他/她打电话打到很晚,他/她挂了电话,你仍然想念他/她,即使电话只挂了2分钟
Blake Griffin
Wages will finally accelerate after years of stagnation
当晚的最大赢家要属兰伯特、埃里克·丘奇、杰森·阿尔丁和卢克·布莱恩。其中兰伯特更是一骑绝尘,既收获了最佳女歌手,还凭借《Over You》一举囊获年度最佳单曲和年度最佳歌曲。
History will look back on 2012 as the year when China anointed its "fifth generation" of leaders and shifted to a slower growth trajectory, writes Yukon Huang. This transition will take place against a backdrop of daunting internal challenges — increasing social unrest, widening income disparities and both ecological and man-made disasters — and of escalating external tensions, stemming from America's "pivot" to Asia and simmering regional worries about China's economic rise.
10.Supersensitive Electronic Skin
If a child on the street who has nothing, is willing to share, why are we who have everyting still so greedy? 如果一个孩子在自己一无所有的时候都能愿意分享,为什么拥有一切的大人却如此贪婪?

Neshama Spielman, from Jerusalem, found the artifact four years ago at a dig organized by the City of David and the Temple Mount Sifting Project, which works to examine tons of dirt removed without archaeological supervision from the Temple Mount by the Muslim Waqf. Details of the find and its identification, however, have only now been revealed. Spielman, who is aged 12, was just 8 when she made the find.
谎言9:对,我在高中足球队里就是个捣蛋鬼!说谎原因:我想让自己在别人的眼里更加闪亮。
When Beatty and Dunaway took the stage to announce the Best Picture award, Cullinan and Ruiz realized that they still had two best picture envelopes, meaning that the envelope taken on stage was a duplicate for an award that had already been announced.
4. Precious metals: 'Going dark! Economic cycles point downward'
“让人们感到不幸福的原因有很多——从贫穷,失业,家庭破碎到身体伤害” 报告声称,“但在一些特定的社会中,慢性的精神性疾病却是幸福的‘头号杀手’。如果我们想要一个更加幸福的世界,我们需要花更多努力来关心人们的心理健康。”
There were also shows that didn’t live up to early expectations but still had traction, most notably “The Affair,” on Showtime, which began as a Hamptons film noir and instead turned into a French art film. The crime may not be commensurate with the series’s punishingly slow pace and “Rashomon"-like storytelling, but the series picked up momentum — and suspense — in the final episodes.
据国际足联秘书长杰罗姆·瓦尔克说,贝老爷子的1950年版门票将在苏黎世的一家博物馆展出,展览定于2015年开放。他还说:“这版球票很稀有,我们希望博物馆能够珍藏。”
Consider:
星期三,美国财政部长杰克·卢宣布了这一计划。他说,财政部将发起一个名为“新10元”的社交媒体运动,并将举行一系列公民会议,征集人们的想法,以确定在新版10美元钞票上印哪位女性的画像。

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Celebuzz has pulled together some of the best snaps of celebrities who go pumpkin picking.Have a look now in the gallery above, then tell us: Are you ready to celebrate Halloween on Wednesday?
That figure is more than two times the city's population of about 10 million.
He said game and live-broadcast apps currently hosted by Tencent don't require real-name registration, but the company is considering establishing a platform for parents to monitor their children's behavior.
DNA from the bones matched that of descendants of the king's sister, while the skeleton had the twisted spine and battle injuries consistent with contemporary accounts, said researchers from the University of Leicester.
It was a rare glimpse into his closely guarded personal life that also put at risk Apple’s brand in less tolerant parts of the world. Mr Cook was driven to take a stand by his experiences growing up in Alabama, where he has talked of seeing discrimination that “literally would make me sick”.
瑞士、瑞典、英国再次占据榜单前三名。全球创新指数25强经济体中,有15个来自欧洲。
deprivation
故事背景设定于《星球大战3:西斯的复仇》和《星球大战4:新希望》之间,起义军盗取死星设计图,将很有可能成为被重金追杀的对象。对于电影详细情节,我们也不是很清楚。
1. Jennifer Lawrence
低通胀反映出需求趋弱,不利于人们增强对经济转型(从侧重制造业转向侧重消费)的信心,但另一方面,这种局面为中国政府实施刺激措施留出了空间——假如它希望为经济提供更大支持的话。
反对:尽管该片被洛杉矶影评人协会评为最佳剪辑奖,但却没有受到纽约影评人的重视。它的势头会逐渐减弱吗?
泰晤士高等教育世界大学排名的编辑菲尔·巴蒂说,“学校的全球发展前景是一个名牌大学的重要标志之一。顶尖大学聘请来自世界各地的教师,吸引来自全球有极高天分的学生,并能与所有的一流专业合作——不管是哪个国家的。”
['regju.leit,'regjuleit]
China's movie box office revenue rose 13.45 percent in 2017 to more than 55.9 billion yuan (8.6 billion U.S. dollars), with domestic films contributing 53.84 percent to the market, according to the State Administration of Press, Publication, Radio, Film and Television.
Other European cities have seen increases in costs, pushing them up the rankings. London rose five points, bringing it into the top 10.

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4. 《卡罗尔》(Carol)。这是托德·海因斯(Todd Haynes)第一次执导不由自己编剧的影片,编剧菲丽丝·奈吉(Phyllis Nagy)简化了派翠西亚·海史密斯(Patricia Highsmith)的小说原著,海因斯藉此再次证明,电影导演不必依靠拍自己亲自写的剧本才能成为伟大导演,这个真理却遭到许多雄心勃勃或功成名就的导演忽略。
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豆瓣网友“Jiuyuehuashang”称:“剧中,爱情就是女主唯一的追求。她生命的意义似乎就是找一个真命天子谈情说爱。不对,不是一个,是三四个。”
7. Amy Adams - $13.5 million
优秀的老板们懂得授权的艺术。我的一位评论家说要沿着线走“他们已经从目前的工作里面抽身”,意味着他们不干涉每一天和每一分的工作流程和程序。本质上,学着去授权给员工去代替微化管理是对员工的一种信任。
此外,规模以上工业增加值的同比增长,是在同期出口下滑7.3%的背景下取得的。
The People’s Bank of China has long intervened in foreign-exchange markets to hedge against excessive volatility. Since August, however, such intervention has expanded from the domestic spot market, which covers daily transactions, to include the offshore renminbi market in Hong Kong, as well as both onshore and offshore futures markets, traders say.
在周五晚上,金州勇士队以106比94击败了芝加哥公牛队,将战绩提升为14胜0负。库里本场比赛拿下27分,而卫冕冠军也距离NBA历史最佳开局纪录只有一场之遥。
另一些人则采用一些颇具创意的告别方式。人力资源公司OfficeTeam邀请美国600位人力资源经理透露一下他们最近耳闻目睹的最古怪离职方式。现在就让我们一起来欣赏一下吧:
We need to ensure that our consumers will have access to good options, benefit from such consumption, and most importantly that Chinese companies will be able to win over the consumers with their commitment to high quality and workmanship.
"This is a hard one for people to understand how they're doing it, but it's an easy one for managers to pick up," Kay says. In many cases, you're disengaged, or as Kay describes it: "not being totally mentally present." Maybe you used to chime in a lot during meetings, and now you're quiet. Maybe you're not producing as much as you used to. Maybe you're not excited about a new project you've been asked to manage。

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结果发现,被要求画出单词的参与者能够更准确地记起这些单词。而且画本身的质量并不会对记忆效果有什么影响,帮助记忆的仅仅是“画画”这个动作。对于香蕉,画一个大概的轮廓和详细的画出每个细节,产生的作用是一样的。参与者们即使只是花上几秒来画画,也能在记忆结果上有显著提高。研究人员还计划进一步地引进更复杂的单词甚至观点表述来观察参与者记忆表述的准确度。
英国《金融时报》2017年高管教育排行榜列出了全球85个最佳定制课程和75个最佳开放课程。排名主要基于学员和客户的满意度以及学校收入增长、国际化程度和师资多样性等指标。
The average entrepreneur uses dozens of cloud-based software and apps. Zapier connects your online life and helps you build new functionality. The best part about Zapier is that you don’t have to be an API wizard to use it.
“As we work to keep and attract more young professionals and job creators, we appreciate every young person who is engaged and invested in our state.”
该读数最后一次高于50是在2月份。对于该指数来说,是否高于50是区分制造业活动是扩张还是收缩的荣枯线。
比蒂和唐纳薇上台宣布最佳影片奖时,卡利南和瑞兹意识到他们手里还有两只最佳影片信封,也就是说,拿上台的信封是已经宣布过的奖项。
爱尔兰球迷。他们唱歌,跳舞,喝酒然后再唱歌。波尔多,球迷小伙们正在给一个法国婴儿唱摇篮曲让小孩睡觉。
所估计的收入来自电影、电视、化妆品及其他公司代言。宝莱坞女星迪皮卡?帕度柯妮是唯一一位首次入围的女星。
尽管很多人总把保时捷与纯性能车联系在一起,但近年来保时捷扩大了他们的阵容,包括帕纳梅拉,即为上图的豪华车型,除此外还有卡宴和小卡宴SUV。根据多数评论家,帕纳梅拉不仅继承了保时捷强大的性能,还满足了使用者对高端内置和联网特性的需求。
Who greets a member of any royal family, however young, with a high five?
2014年最佳引擎榜单的其他入选者还包括宝马5系豪华轿车和紧凑型雪佛兰科鲁兹(Cruze)所使用的涡轮增压柴油发动机,保时捷Cayman双座运动跑车的水平对置2.7升6缸发动机以及大众汽车捷达紧凑车的1.8升4缸涡轮增压发动机。
除了《地心引力》和《美国骗局》,我还选出了其他一些口碑不错的影片(按字母顺序排列):
中国香港——也许香港的标志性景观是一艘驶入画面的仿古船,其背景正是这座城市举世闻名的天际线,但《孤独星球》选中此地却是因为距维多利亚港数英里之外的自然遗产。
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.

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Meanwhile the services PMI reading for the month was 51.2. It had been 52 in October. The manufacturing PMI, reported earlier this week, came in at 48.6 in November, versus expectations of 48.3. It had been 48.3 in October
今年8月,来自托雷维耶哈的乔斯·哈维尔创建了一个AdWords账户,这是谷歌旗下的一项点击付费服务。
这些弊端是很现实的,但是也有很多方法来回避它们。比如说,你可以利用你的谋生工作向雇主展示你努力工作的诚意。并且你也可以在工作之余继续找其他的好工作。
But most overseas islands are sold as freehold properties.
英国新人结婚模仿“怪物史瑞克”(图)
因此,39%的90后试图避免使用手机所带来的负面影响,措施包括关闭APP的消息提示功能、限制社交媒体互动频率、以及在某些情况下完全不使用社交媒体等等。
根据两位了解相关计划的人士的说法,中国政府正在禁止中国旅游团体赴韩国旅游,这是对韩国拟部署美制萨德(Thaad)反导系统的最新报复手段。
Yu Xiuhua
The first is to view Asia as a market that has proved resistant to rapid development and will require significant structural and regulatory change before taking off. The second sees the possibility of sudden upside surprise.

The number of country rankings published this year rose to 42, up from 38 last year. The newly featured countries are Argentina, Mexico, Pakistan and Romania.

Conclusion

The No. 1 thing in job security is your relationship with your boss. Even if he says, "I'm sorry I really wanted to keep you, but they made me lay you off," that's almost never true. He probably made that decision.
But it's the best pay on offer for a major world leader.
"某时,世界呈现给我们是相互分隔的,但是这些电影和电视作品让我们感觉世界是相通的,"美国电影学院的总裁兼首席执行官Bob Gazzale如是说。"美国电影学院奖表彰这些电影艺术家们,勇于挑战,让我们受到鼓舞,娱乐,又励志,最后让我们意识到,我们都有着同样的心跳,"
Finally, only two schools join the open ranking for the first time this year. Antai College of Economics and Management at Shanghai Jiao Tong University comes straight in at 32 and Eller College of Management at the University of Arizona is ranked 68th out of 75.
去年,由于俄罗斯经济陷入衰退,总统普京的工资因此缩减10%,但在此之前,普京2014年4月薪资增长逾两倍,约970万卢布。
保险代理人员也增加了93.62万人,总人数逾560万人。
1.Provide strong leadership and a clear vision
Grains have fallen about 3 per cent.


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. Three Billboards Outside Ebbing, Missouri is a darkly comic drama from Academy Award winner Martin McDonagh.
  2. 9. Never trust the polls
    加拿大整体排名第二,幅员辽阔,位居世界第二。“生活质量”与“教育最佳国家”均居首位。

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