Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

Effective bosses must be effective decision makers. He or she cannot vacillate over every tiny decision. Being able to make decisions quickly and decisively — and then take responsibility for the outcome (see number 2) — is an important business skill, especially when managing others。
The government needs to work to emancipate and develop productive forces, bring out the initiative for the people and deliver greater benefits to the general public, the essence of governance is to always act in the overall interests of the whole country rather than just acting in one scenario departmental interests. The essence of our government is to always respond to the people’s call.
China, the world’s most populous country, ranks No. 20 overall. It is considered to be the third most powerful nation and the second best country in which to start a business.
哈维尔以自己的名字开了一个储蓄账户,并且用这些信息注册了AdWords账户。
char茶,ity状态-请喝茶的状态-施舍-仁慈
经济大萧条在全美各地产生了破坏性的影响,然而很少有地区像亚利桑那州那样遭受重创。20世纪初,该州借助强大的旅游业和房地产市场蓬勃发展。住房中位数价格在2003年到2006年间上涨了70%——仅次于内华达州的增幅——带动了更多的房屋和建筑行业工作岗位。直到2007年接近年底的时候,亚利桑那州的月失业率都一直维持在3.5%的低水平。但是随后经济陷入低谷。住房价格从相比高点惨遭腰斩,亚利桑那州6%的房产在2009年收到了止赎通知。在2009年和2010年的大部分时间里,该州的失业率保持在两位数居高不下,从最近五年的失业率情况看,恶劣程度仅次于内华达州。2008年以来,该州的家庭收入以全美最快的速度下降。

《老友记》中没有露骨的内容、不干净的台词或是黄段子,但它的幽默感却丝毫不减,为这个电视剧总喜欢裹挟着露骨内容的年代带来一阵清新之风。
007系列电影荣誉主题曲之一:路易斯·阿姆斯特朗--《我们拥有世界上的所有时间》
[?'pi?r?ns]
Thousands of supporters awaited Rossello’s arrival for the post-swearing-in inauguration ceremony at the island’s seaside Capitol building, clutching umbrellas to protect themselves from a searing sun.
11月房价环比平均下跌0.5%。
This journey into the mind and feelings of an 11-year-old-girl may be Pixar’s wildest adventure yet. It’s a very funny workplace sitcom (with exuberant, touching performances from Amy Poehler, Phyllis Smith, Mindy Kaling and others), an ingenious allegory of psychological development, and an almost unbearably moving and honest defense of the role of sadness in our lives. (Read the review.)
威尼斯被普遍认为是世界上最浪漫的城市之一,也是许多游客必来的水上城市。
这个系列的特制镜框和太阳墨镜以“DVF|为谷歌眼镜设计”为标签,价格高达1,600美元以上。迄今为止,谷歌已经和雷朋(Ray-Ban)眼镜的生产商陆逊梯卡(Luxottica)以及其他几家提供时尚眼镜的公司如普拉达(Prada)等展开过合作。它还招募了曾在艺术网站Art.com担任首席市场官的时尚总监艾维o罗斯来领导谷歌眼镜团队。
通常冷静的分析师们早已习惯了汽车行业的缓慢增长,但是遇到特斯拉,他们就丢掉了一贯的谨慎。德意志银行(Deutsche Bank)的分析师罗德o拉切给该股设定了310美元的目标价格。无独有偶,摩根士丹利(Morgan Stanley)的分析师亚当o乔纳斯也将特斯拉的目标股价定为320美元,并称它是“世界上最重要的汽车公司”。

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.

感情破裂搜索排行居首的是贾斯汀?比伯和赛琳娜?戈麦斯分手的消息,此外维多利亚?彭德尔顿打败了乔治亚?索帕,成为搜索次数最多的真人秀选手。

1

[r?b]
As the title suggests, the show also features the mothers of the pupils and the way that they often pit their children against each other.
欧盟完成与墨西哥现有贸易协议的(重新)谈判也是如此。在与墨西哥签订协议上,布鲁塞尔很可能比特朗普先冲过终点线。
时间长度:24个月
X
单词severe 联想记忆:
muscular
胡润研究院称,只有资本净值超过80亿元的女性才有资格入围中国女富豪榜前50名。

“在香港地区,房地产的基本面明显放慢下来,”他说,“我减持了一点儿,然后很快发生了全面调整,所以我等到反弹后,卖出了一部分。”
9France
Plastic surgery has long been big business in the US, but now the trend is sweeping across Asia.
TextPride是一门不错的生意,就是规模太小。与此同时,短信应用市场正在爆炸式增长。Facebook公司斥资190亿美元并购了WhatsApp,这款产品的每月活跃用户现已达到7亿人。拥有2.5亿注册用户的应用Tango目前市值15亿美元。Kik拥有2亿注册用户。Snapchat价值100亿美元,拥有一亿用户。Kik赞助的一项新研究表明,美国用户现在花在短信应用上的平均时间要多于社交网络应用。不过唯一的问题是,这些短信应用需要找到赚钱的手段,目前广告主还没找到靠谱的方式插入朋友间的聊天之中。
这张专辑中十分突出的一首歌《Him》(《他》)以低调的方式讲述了一个有关同性恋和文化偏执的催人泪下的故事,是一首倡导非异性恋者公民权的歌曲。
“This young Vermonter clearly has an interest in service and anyone putting ideas forward with the goal of making Vermont a better place is appreciated here,” Scott's spokeswoman, Rebecca Kelley, tells PEOPLE.
The same seven schools continue to dominate the top half of the ranking. AGSM at UNSW Business School of Australia entered the ranking for the first time in eighth position.
It was a confident, high-powered investment firm with credit lines at top financial institutions. It made big bets using borrowed money to buy assets and generate higher returns. But when the market for those assets went south, lenders demanded more collateral until the firm suddenly collapsed. Many frightened lenders clamped down on all borrowers, setting off an overall credit crunch.
《副总统》(Veep):Netflix公司的热门剧《纸牌屋》(House of Cards)今年露出疲态,但另一部讽刺华盛顿的HBO电视剧《副总统》却在第三季中更上一层楼。塞琳娜(朱莉娅·路易斯-德莱弗斯[Julia Louis-Dreyfus]饰)和助手加里(Gary,托尼·黑尔[Tony Hale]饰)在洗手间里发现自己即将成为总统后,激动得失声大笑,成为2014年喜剧片中最滑稽的一幕。
n. 休息寓所,撤退,隐居
在不久的将来,罗根(休?杰克曼饰)已迈入暮年。他在墨西哥边境附近的一个藏身所里照顾着重病的X教授(帕特里克?斯图尔特饰)。他计划隐世度日,但他遇见了一个非常像他的年轻变异人劳拉(达芙妮?基恩饰)后,这个计划搁置了。罗根必须保护这个女孩,与要捕杀她的黑暗势力斗争。
Through an ETF buying programme that has been criticised by some as the “de facto nationalisation” of the Japanese stock market, the central bank indirectly holds a 10 per cent stake in some 22 large Japanese companies and about 3 per cent of the whole Japanese stock market.
state站,立+ment→站着说话→声明;陈述

2

伦敦——自2002年开设以来,“周六人物”(Saturday Profile)便旨在向《纽约时报》的读者介绍世界各地的人。读者可能从来没有听说过这些人,但他们过着有趣的生活,做过不同寻常的事情,或者刚刚有了一段非凡的经历。
Who is hosting the 2014 Oscars?
Call it the crisis of whiteness.
另外上榜的有Pink,勒布朗詹姆斯,赛琳娜戈麦斯,伊恩萨默海尔德,Jay-Z和碧昂丝夫妇,本阿弗莱克等明星。
Coca-Cola is in the middle of transforming its business as it sells off its bottling operations in the US and across the globe to focus on producing the concentrate that makes many of its drinks as well as research and development. Those sales will allow the company to focus more of its resources on innovation and acquisitions.
另一个出人意料的新领域是纳米技术。
operate
爱德华卢斯(Edward Luce)
如果现在的闪电侠韦德减掉30磅肌肉,那你可能就分不清NBA版和高中版的韦德了。
Yet, the disparity in haircuts lasted for almost two years. In fact, the pessimism and risk-aversion of the Seppenwolde lenders reduced the overall availability of leverage in Amsterdam.
在经历了长达几十年的许诺后,新的基因疗法终于开始有了一些真实的好成果。不过就像所有的新型疗法一样,基因疗法需要向公众准确地传递如何治疗以及治疗背后的原理,这和疗法本身一样具有挑战性。
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.

pre前,de,cess走,or人:在前面走的人-前辈
[in'tendid]
我们对已经达成或者希望达成的一些区域贸易安排一直持开放态度,也乐见其成。只要是有利于贸易自由化的,我们都会去参与、去推进。
2016年,高管薪酬均值达709万元,同比增长8%,跑赢了我国国内生产总值6.7%和人均可支配收入6.3%的增速。
年度最佳艺人:卢克·布莱恩
But retail sales growth softened to 10 per cent in October, betraying economists’ expectations it would hold steady at 10.7 per cent growth from September.
BROAD CITY (Comedy Central, Jan. 14) Ilana Glazer and Abbi Jacobson return for a second season of satirizing the poses, compromises and sheer physical grossness of life in New York when you’re underemployed and self-absorbed.
为实现2020年医疗保健制度覆盖全民的目标,中国将改革药品市场,这将使其成为仅次于美国的第二大药品支出市场。未来5年内,预计中国人均药品支出将增长70%。
We have always adopted an open mind and approach to the various regional trading arrangements, and we will also welcome progress in these arrangements or proposed arrangements. China will continue to remain engaged and participate in the liberalization of global trade.

3

n. [宗
“有1400人出境去参加圣战,加入叙利亚和伊拉克境内的恐怖主义组织。” Valls告诉BFMTV。
达奇斯说:强大的财务性能和一系列新的特性使得邻客音成为2012年吸引用户的公司。这样的吸引力有助于公司在2013年从专业的业务网络转向活跃的交流平台。
比利时
con全部+serve保持+ative→保守的
你是不是今年遇到过一些糟糕的面试?这项调查肯定能让你振奋起来,除非你恰好也经历过类似窘境。人力资源公司OfficeTeam要求来自北美的600名管理者描述他们在2014年见过的最令人尴尬的面试失误。以下是他们给出的答案。
[':tn]
No.3: Diamond Is So Obsolete
上海复旦大学社会发展与公共政策学院院长彭希哲周二告诉环球时报,在产业结构升级的过程中,劳动密集型产业搬离都市圈,是导致这一人口变迁的最主要原因之一。
This makes China the leader among middle-income economies for this indicator, followed by India which has overtaken Brazil, according to the report jointly released by Cornell University, INSEAD and the World Intellectual Property Organization (WIPO).
据报道,霍莉·亨特(Holly Hunter)因出演《钢琴课》(The Piano)获最佳女主角奖,她的小金人放在科恩兄弟纽约的办公室中,它旁边还有因出演《冰血暴》(Fargo)而获得的奖杯。
巴里摩尔的病情基于米歇尔·菲利普斯的真实生活,她的头部在在两次机动车事故中受伤,记忆只能维持24小时。桑德勒用录像带,菲利普斯则是用便利贴和手机(对她而言还真时髦)撑了23年。
莱斯特大学研究人员表示,这副骸骨的DNA同理查三世一名姐妹的后代吻合,而且骸骨的脊柱弯曲,有战争留下的创伤,这都与历史记载吻合。
I used to think guff was a product of failure and mediocrity — it existed because the truth was too painful, or because executives had not bothered to ascertain what the truth was.
通用汽车(GM)咸鱼翻身不易,2010年举行首次公开募股一事就别惦记了。

4

5.重播和比赛精彩集锦同主要现场比赛一样精彩,所以我也会看。
Mr Baweja agrees with this conclusion, noting that both South Korea and India, another net commodity importer, are exporters of refined oil products, the dollar value of which should rise this year.
‘Jeopardy!’ This game show celebrated the 50th anniversary of its debut (broadcast on March 30, 1964), and proved it can still not only stump viewers but also surprise them. That’s not just because the host, Alex Trebek, briefly regrew a mustache after 13 clean-shaven years, but also because some contestants showed they could still rile an audience. This year, it was Arthur Chu, who introduced a blitzkrieg style of gamesmanship that provoked a cyber hate-fest. His strategy was thrilling and certainly effective: he came in second in the Tournament of Champions. (Ben Ingram, the nice guy, finished first.)
adj. 可能的,潜在的
Germany ranks No. 4 overall. The nation ranks No. 10 in Citizenship. It is also No. 1 in Entrepreneurship and No. 3 in Best Countries for Education.
每个句子后面有5个数字,选择最能反映你的感受的数字。
Mr Cook’s lack of showmanship has not always been seen as an asset.
在最新发布的英国《金融时报》管理学硕士(MiM)排行榜中,英国商学院有所进步,而法国商学院有所退步。
The parallels between Snapchat, the upstart "sexting" service, and social media behemoth Facebook (FB) in its early days are uncanny. We all know how well Zuckerberg's long bet paid off (not to mention how thoroughly he vanquished those dastardly Winklevoss twins). Could Snapchat's future be just as bright?
为保证更快的经济增长就必须要要消除美联储所担忧的另一个恶魔:通货紧缩,或者说价格下降。Baumohl 称“经济增长达到3%以上,并且自90年代以来新增了大量工作的国家发生通货紧缩几乎是不可能的”。
每天向大家推送短小精悍的英语学习资料.

5

14. 谷歌日历
In fact, create a hard and fast rule to keep work and job searching separate. That means no sneaking out for a phone interview. No browsing job boards. No applying or networking with your work email address. "You don't watch porn at work, and you don't work on your résumé at work," Kay says. "You just don't."
adj. 稳定的,安定的,可靠的
Will the UK economy be the slowest-growing in the G7
但煽动家利用此类抱怨的做法威胁到了民主。
6. Now, like an addict who can't stop, Gross writes in his Tipping Point blog that QE will run to 2015. Earlier it seemed like the Bubble With No Name Yet should be renamed the Bernanke Bubble. But now, with Gross and Pimco's $2 trillion at stake here, maybe we should call it The Gross Bubble.
The impact of sluggish growth on year-end payouts may have peaked in 2015, however, when 66 per cent of white-collar workers received no year-end bonus. And the 2016 level actually represents an improvement from 2014, when 61 per cent had to go without.
测试
据《重庆晨报》报道,经调查后,荣昌警方于4月29日以危害公共安全的罪名逮捕了周某。
源于:prim(adj 整洁的;最好的;早的)
mask
Tiger got to hunt, bird got to fly;
Condos and co-ops have been laying down the law, writing warning memos and fining wayward residents. For renters, breaking the rules could jeopardize a lease. Condos are tightening security, asking doormen to scrutinize visitors and requiring residents to sign authorization forms for guests. The practice has also raised insurance concerns.
4.无人驾驶的汽车

6

greenhouse
下面是我对2010年美国经济以及市场前景最乐观也是最终的猜测。
administration
据悉,大多数借款的女性年龄都在19到23岁之间。
States are falling all over themselves to be chosen as the site for Tesla’s proposed $5 billion Gigafactoryto produce lithium ion batteries. California is competing with Nevada, Arizona, New Mexico, and Texas, and the bidding for the factory, which could employ up to 6,500 people, is said to be up to $500 million.
Sarah Collins
However, some lawmakers already are discussing a standoff again in late February over raising the federal borrowing limit. 'You can never count on policy makers to not shoot themselves in the foot,' Mr. Daco said.
If 2017 was the year of fake news, 2018 is shaping up to be one of fake data. And just as fake news comes in many varieties — real news dubbed by the US president as fake, as well as nonsense gaining huge audiences on social media — so does fake data.
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。”

日历一页一页地翻到了12月,一些球队是时候考虑垫底的不可避免性了。那么,哪些球队应该开始着手垫底,哪些球队还需要观望,而哪些球队应该放弃这种打算呢。Flanns 和Zillz将会就这一问题展开讨论。

Conclusion

Cannes' heckles and jeers are famous and the first film to fall foul of this tough crowd was Gus Van Sant's Sea of Trees, which was greeted by a storm of raspberries and thunderous boos at its press screening. Because these take place before a film receives its black-tie premiere, word quickly gets around and can cast a pall over the big event. When Naomi Watts and Matthew McConaughey took their turn on the red carpet, it had “a horrifically compelling walk-of-shame quality” according to the Daily Telegraph. But the Texan actor put on a brave face at a press conference shortly afterwards. “Anyone has as much right to boo as they do to ovate,” he said. I think we know what he meant.
这个夏天,诺埃尔将成为受限制自由球员,考虑到他公认的防守能力、未开发的潜力和乐透秀身份,他期望得到一份慷慨的补偿合同,即使他的职业生涯上场时间还不足5000分钟。
n. 安装,放置,周围,环境,(为诗等谱写的)乐曲
节目34 歌曲《家人》,谭晶
生活的起起落落
o Battery power may turn out to be a transition technology. Cost reductions have been slow in coming, and Tesla needs a 30% improvement in order to build the $35,000 Model 3 it has promised for 2017. Toyota’s recent move was eye-opening. It is allowing a battery-supply deal with Tesla to expire and instead will redouble its work on hydrogen fuel cells. The cost of fuel cells is coming down faster than batteries and fuel cell proponents believe drivers will prefer a relatively rapid refuel with hydrogen to waiting hours to recharge their batteries.
n. 复合体
两队将于10月5日抵达深圳并将在深圳大运中心进行比赛。


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. The value of goods that crossed international borders last year fell 13.8 per cent in dollar terms — the first contraction since 2009 — according to the Netherlands Bureau of Economic Policy Analysis’s World Trade Monitor. Much of the slump was due to a slowdown in China and other emerging economies.
  2. As China clears the way forfreer markets and increased foreign participation, fortifies the infrastructureof its burgeoning cities, and creates the social conditions for middle classfamilies to grow in size, confidence, and spending power, watch for continuedgrowth in the world’s second biggest economy in 2014 and beyond.
    Wishing you all the blessings of a beautiful New Year season.

Next Article:

   Comments ()

Practice Management