Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

['trit?bl]
Italy, one of the eurozone’s weaker economies, received the most investment of any EU nation from Chinese companies. That was largely down to a $7.9bn deal between Pirelli and ChemChina. France was the number two country, receiving $3.6bn of investment through a string of big deals in the tourism and infrastructure sectors.
“It’s fundamentally about ‘who are we?’” said Eric Kaufmann, a professor of politics at Birkbeck College, University of London. “What does it mean to be part of this nation? Is it not ‘our’ nation anymore, ‘our’ meaning the ethnic majority?
它们大多来自50个不同的行业,包括食品和饮料、汽车和汽车零部件、媒体、零售、能源和互联网。
201001/93691.shtml
1.Rain Man

In comments reported by state news agency Xinhua on Thursday from a speech given at a meeting of regional leaders in Cambodia on Wednesday, Mr Li said the Chinese economy had performed above expectations in 2017 as trade reversed two years of declines.
跳水游泳花样游泳篮球小轮车曲棍球田径
单词stroke 联想记忆:
对于很多西方白人来说,取得“获得性身份认同”(登上山巅)的机会似乎已经变得遥不可及。所以“先赋性身份认同”——也就是他们的“白”——变得比以往更加重要起来。
Company: BlogHer
德系三巨头:由于奔驰的几款低价产品不可避免地会损害它“要么最好,要么什么都不是”(the best or nothing)的商誉,该公司也开始陷入低迷。而即将推出的新7系轿车则会进一步巩固宝马在美国富人圈中的地位。另外,起价30,795美元的奥迪A3,很可能会使奥迪的销量较2014年增长15%,新款Q7也将进一步提高奥迪的利润。
在全球最具价值品牌百强榜上,有15个中国品牌上榜,比去年多一个,较10年前大有增加,当时中国移动(China Mobile)是唯一上榜的中国品牌。
改变思想
8. Trang Islands, Thailand-The islands of Trang, a sleepy province in southeast Thailand, have remained under the radar. Wooden longtail boats can be rented to travel between the islands—and to see the endangered dugongs.

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.

1月份PPI同比下跌5.3%,跌速比去年12月的负5.9%有所放缓。自2012年3月起,中国PPI一直留在负值区间,去年8月起连续5个月位于负5.9%的低点。

1

Behind the facade of many a New York City apartment building is the dissonant sound of residents complaining. The gripes that make their way to the inbox of my Ask Real Estate column offer a glimpse into how residents cope with the myriad irritations that come with living in cramped and costly homes. They include the co-op shareholder horrified by a neighbor’s rats’ nest; the parents whose building has barred them from using a stroller in the elevator; and the renter whose kitchen cabinets fell from the walls.
“阅后即焚”社交网络的兴起
When did winter become the season of television’s most distinguished content? The fall season, with its organized and heavily publicized broadcast-network premieres, still gets the attention, but a greater number of interesting shows now arrive on cable, broadcast and online in the first quarter of the year.
adj. 令人振奋的,激励人的,鼓舞人心的
图表一显示的是上世纪70年代以来新兴市场银行、汇率及债务违约危机的发生次数——对照名义联邦基金利率。克普克以此为据,试图证明高位且不断上升的利率通常在新兴市场危机爆发周期之前出现。
The Global Obesity Epidemic
福布斯全球2000强是一个囊括全球最大最具有实力的上市公司的综合榜单,我们的衡量指标为营收、利润、资产和市场价值。
repertoire

众所周知,蝙蝠侠的扮演者不再是克里斯汀·贝尔,而是肉肉的本·阿弗莱克。他将打败超人,拯救哥谭镇。
特斯拉(Tesla)正处在蜜运中。这家电动汽车公司的财富以不可思议的速度积聚,而投资者仍在热烈地追捧它。
Ellen DeGeneres
欧盟正明确表现出,它希望利用美国在贸易上领导力的空缺来敲定新的贸易协议。欧盟在拉丁美洲与南方共同市场(Mercosur)的谈判时断时续,已经进行了10多年。但欧盟和阿根廷等南方共同市场的关键成员国正推动在今年年底前达成一项协议。这将成为一项重要声明,正好杵在美国的后院内。
电视剧版《何以笙箫默》改编自顾漫同名小说,由钟汉良和唐嫣主演,2015年1月首播。它讲述了一对情侣分离7年后重逢,一个执着于等待和相爱的故事。这部小说一直是网络小说中的佼佼者,并于2003年出版。凭借完美情人何以琛一角,演员钟汉良迅速跻身为女粉丝心中的白马王子。
雅虎宣布数据外泄影响数百万人引人震惊,勒索软件WannaCry和BadRabbit的网络攻击引人担忧,2017年我们经历了数起严重的网络安全灾难。
Company: BooginHead
尽管与普通的开瓶器并无二致,但它拥有精良的设计,是由不锈钢和实木制成的。
The next big attempt at a global climate agreement will come when negotiators from around the world gather in Paris in December. Political activists on climate change wasted no time Friday in citing the 2014 heat record as proof that strong action was needed.
自2017年初,金价上涨了15%,交易价为每盎司1334.78美元。
观看《皮囊之下》再次让我想起另外一个比较:奥逊·威尔斯,成功的用收音机创造了火星入侵的骗局;还有《赝品》(1975)中,那个让他的伙伴奥佳·柯达穿着迷你短裙走在街上,然后偷偷拍摄那些男人们看她的淫荡表情。
香港没有这样的熔断机制,由中国内地企业股票组成的H股指数(香港恒生中国企业指数(HSCEI))周一下跌不到4%,成交量也只是寻常。人们原本可能以为会更加惨烈。中国内地的散户投资者既可进入内地股市,也可进入香港股市——通过沪港通(Stock Connect)和一个有漏洞的体系——而且,如果你无法卖出你想卖的,你就卖你能卖的。一直最不看好中国经济的H股境外投资者也可能被认为是卖方。然而,尽管沪市周二开盘进一步下跌3%(之后出现反弹),香港的H股却依然保持坚挺。
相比之下,二线城市通报拥堵状况加剧,其平均拥堵涨幅达3.7%,其中重庆、长春、嘉兴、沈阳的拥堵涨幅最高,超过7%。

2

以美元计,上个月进口下跌了18.8%,跌至1141.9亿美元,跌幅超过了去年12月的7.6%,也超过了下跌3.6%的预期。
We will accelerate the development of emerging industries.
坚决打好蓝天保卫战。
虽然有17%的毕业生将创业列为同等最重要的原因,但他们中只有2%的人将此视为自己唯一主要的目标。然而,学员身上的创业精神明显在增强,超过四分之一的毕业生(26%)称在就读EMBA期间或毕业后创办了自己的公司。
Mila Kunis just keeps on raking in those sexy titles.
[im'pru:vm?nt]
“From one son of the South and sports fanatic to another, my hat’s off to you,” tweeted Bill Clinton, the former US president, in response to the article.
adj. 国内的,家庭的,驯养的
commercial
昨日发布的新数据是对2015年全球贸易图景的第一张快照。但在这些数据发布之际,有越来越多的人担心2016年对全球经济而言将比此前预期的更为危机四伏。
Collins grew up in rural, apartheid-era South Africa in the 1970s. Her childhood inspired her to focus on empowering women living below the poverty line through grassroots efforts. The Wonderbag, which was inspired by watching her grandmother cook with cushions, uses heat retention technology to cook food for 8-12 hours without the need for additional fuel. Collins witnessed the benefits African women received from using Wonderbags, reducing the amount of time they spent collecting firewood. For every bag sold, another is donated to a household in Africa, and in the past four years, the Wonderbags have found themselves in 600,000 African homes. Collins has launched the Wonderbag in the U.S. on Amazon, and hopes to sell the products via other retailers by 2014.
Hitting the Top 100 for the first time, French fashion brand Dior and Silicon Valley automaker Tesla Motors Inc. were at Nos. 89 and 100 respectively.

‘The Good Wife’ Once Will (Josh Charles), Alicia’s illicit love interest, died at the end of Season 5, this sexy CBS courtroom drama seemed as if it might droop and wither, but instead, the sixth season steamed with almost madcap energy, mixing Alicia’s newly fledged political campaign, a war of the roses between Alicia’s new firm and her old one, and the legal travails of Cary, her legal partner. Alicia isn’t quite so good anymore, and that makes “The Good Wife” all the better.
reservation
这份报告还指出,中国现在共有594名以美元计的亿万富翁,这一数字超越了美国的535名,但是并没有一名中国富翁进入全球首富前20名。
不过,对韩国和东盟(Asean)国家的出口都下滑了约3%,而对香港的转口贸易下滑幅度逾16%。
3.7 加大生态环境保护治理力度
单词designer 联想记忆:
美国创作型歌手泰勒·斯威夫特位列2015全球十大美女榜第七。她擅于创作有关个人经历的叙事性歌曲。她获奖颇丰,包括七项格莱美奖、16项全美音乐奖、11项美国年度乡村音乐奖、八项美国乡村音乐学院奖、34项公告牌音乐奖和一项全英音乐奖。她的作词,颇受纳什维尔词曲作家协会和作曲家名人堂的赞赏。截止2015年初,斯威夫特的专辑销量已超4000万,单曲下载量也逾1.3亿次,成为全球数字唱片销量最高的五位音乐人之一。
toxic
Mr Erdogan’s escalation comes in the midst of a vitriolic tit-for-tat between Ankara and The Hague, which began at the weekend after Dutch officials barred Turkish ministers from campaigning in Turkish communities inside the Netherlands.

3

Cross talk (Guo Degang and Yu Qian)
20. 对电影爱好者的最佳建议。8月学者韦勒·温斯顿·迪克森(Wheeler Winston Dixon)发出了警告:“如果你上亚马逊,看到什么精彩的黑白电影卖三美元,或者其他什么外国电影和鲜为人知的电影,赶快买下来,因为它就要绝版了,他们不会再出版它们了。”成千上万这种VHS格式的电影不会被做成DVD格式或蓝光格式,迪克森警告说。而下载的美丽新世界(又名电子销售)明年将是好年头。
单词property 联想记忆:
How the longer maternity leave policy is implemented is up to local governments to decide. Specific and legally-binding measures should be worked out at the national level to ensure the policy is carried out and properly enforced to ensure that women are not discriminated against by employers obsessed with minimizing their labor costs.
According to the study, 75% of consumers are aware of wearable technology (whether as futuristic fashion or new-age tech tool), but only 9% actually have any interest in wearing it. A meager 2% admitted to owning a wearable tech device, most of which consist of fitness trackers and smart watches, according to the study.
Emily Ratajkowski managed to steal the show, opting for a seriously saucy twist on the classic ballgown. Opting for a semi-sheer lacey black number, the We Are Your Friends actress ensured her world-famous figure was on display.
Around 280 million train tickets have been sold on 12306.cn since Jan 3, 2018 when tickets for the Spring Festival holiday started selling.
韩云平称,去年质检总局组织了两次大规模的检查,涉及超过5300批的进口消费品,例如空气净化器、汽车刹车块、家用电器和服装等,其中超过1500批的商品不合格。
[s?'plai]
Snap, however, has sunk to about $15 after initially rallying from its IPO price of $17 in March, damping some expectation of further activity involving so-called decacorns, tech companies that have achieved valuations of $10bn or more through private funding.
The Spring Festival Travel Rush, also known as Chunyun in Chinese, or Spring Festival Travel Season / Transportation Peak is considered to be the largest annual migration.It is the special period when China faces an extremely high traffic load, which results in great transportation problems, especially on the railway services.
The quality of its students makes LBS particularly valued. “Studying among so many talented people has instilled in me the belief that I can actually achieve something on my own,” comments one MBA graduate from the class of 2011.
吉尔伯特表示,对可穿戴设备的不断试验十分重要,但是现在短期内,人们还需要探讨一下:“技术的演进以及企业的研发力量共同推动了现有可穿戴产品的发展,但它们是否真的能够满足用户的需求;各公司又是否需要探索不同的合作模式,让可穿戴设备不仅限于早期使用者的圈子,而是被主流人群所接受”。
She has modelled for numerous clothing companies including Glitzy Girl, Sally Miller and Purple Pixies and featured in magazines including Teen Vogue, Cosmopolitan, Elle and Seventeen.
But there remains a mass of old master paintings in dealers’ stocks — and in collectors’ minds — whose asking prices still hark back to the age of Tommy Cooper. Unfortunately, in today’s market, and at those prices, many of these paintings will be as sellable as that Stradivarius canvas with the hole in it.

4

"Well, I am going to have a Cabinet that looks like America," the former secretary of state replied. "And 50 percent of America is women, right?"
根据世界黄金协会(World Gold Council)的数据,自2008年以来全球黄金供应每年都增长,这一增长在去年陷入停滞。作为世界最大的黄金生产国,去年中国的黄金供应创纪录地下降9%,这是自1980年来中国的黄金产出第二次下降。
adj. 暴露的,无掩蔽的,暴露于风雨中的 v. 暴露,
Moving away from fossil fuels to renewable energy is surely the most important engineering and scientific challenge of our age.
Phil Baty, editor of the rankings, said: "it seems that China's relentless march up the global league tables has stalled, after making major gains in recent years. This new data shows just how hard it is for emerging powers to break into the traditional global elite."
在这个越来越为人类所主宰的星球上,我们仍然可以从其他物种身上学习到很多东西。格陵兰鲨鱼可存活400年,是世界上最长寿的脊椎动物,这一发现让人类重新审视自己忙碌的人生。
According to a national plan for technology development, by 2020 research and development expenditure is targeted to reach 2.5% of total GDP.
Vo said with each plane flying 12 to 16 segments a day, one late flight can easily cascade into several delays in a single day. To offset that, the airline’s systems operation and control center makes adjustments when needed. That can involve inserting spare planes and extra crews into the schedule to make sure flights stay on time.
5. Lacking confidence in your career intuition
谷歌研究员发现,用安全性问题作为恢复账号登录的唯一方式,并不是那么有效。
全部或者大多数政府部门将会迁移,行政大楼计划将在2017年建成。

5

但是在名人搜索榜上,休斯顿和凯特王妃排在最前,紧随其后的是真人秀节目《X Factor》的评委盖瑞?巴洛和杜莉莎。
With the second round of (re)negotiations closing on Tuesday we have truly entered the technocratic phase of these trade talks.
Institutions may also fail.
Best Car Brand: Mazda
Make sure you've got a good plan for seeing that your children are cared for when you're scheduled to be in class, and when you need to study. It really is possible to raise children while you're going to school. People do it every day.
Influenced by the current economic situation, and resource relocation in China's financial market, the banking industry is away from the high-speed growth period, the expert added.
uni一个,que表形容词-独特的
其中涉嫌售假的占比近45%,同比去年上升18.2%。消费者差评、频繁退货、投诉案例也很多。部分商家通过虚假低价的商业陷阱来促销商品。
“An employee packed up her belongings and walked out without a word.”
我花钱太多了吗?过度消费会导致压力、混乱以及财政并发症。这也可能会随着时间的流逝变为一种危险的习惯。储蓄是一个非常棒的办法,万一遇到紧急情况,你极有可能为你之前的储蓄而感到欣慰。
['p?pjul?]
新的计划生育政策将会一定程度地刺激生育率。2014年将会有2百万新生儿童。这意味着1年就产生了15%的增长,这将会在未来进一步增强消费者信心。
安吉利拉瓦尔(Anjli Raval)
breakthrough

6

6. The parties are epic – if you have the time
4.Virtual Assistant: 17.6 percent increase
Actress in a Mini-Series or Movie: Sarah Paulson, “The People v. O. J. Simpson: American Crime Story”
《ScreamRide》
Like air, blue skies treat everyone equally.
Will Indian Prime Minister Narendra Modi try any more unorthodox economic experiments
这位《饥饿游戏》的女主角在AskMen.com网站评出的2012全球99个最性感女人排行榜中高居榜首。这一调查让网友票选他们最喜欢的女星,根据她们的外貌、个性、才能和其他吸引人的特质。该调查共收集了240多万张选票。
8.The Big Bang Theory Whiteboard Has Real Equations
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。

adj. 勤奋的,用功的

Conclusion

根据这份由互联网薪酬调查及报告提供商中国薪酬网发布的调查显示,清华大学2017届毕业生平均月薪达9065元。
Dreamworks Animation
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.
It's real easy for us to sit up here and tell teams that they need to go out there and lose a bunch of games. We're not the ones on the hook for ticket sales and advertisers.
v. 结带子,饰以花边
不管是什么根本原因,去年美国西部地区的极端温暖意味着,阿拉斯加州、亚利桑那州、加利福尼亚州和内华达州都创下了气温记录。加利福尼亚州的一些地区去年基本上没有冬天,那些地区的气温有时比季节正常温度高出10到15华氏度(5.5到8.3摄氏度)。在阿拉斯加的最大城市安克雷奇,2014年的气温从未低于华氏零度(或摄氏零下18度),在该市101年的气温记录中,这是首次。
“有个人给同事发了条短信说自己辞职了,并请她把这条短信转发给高管。”
n. 保护,防卫


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. n. 有价证券;担保;保证人;抵押物(security的
  2. 在主要贸易伙伴中,以美元计的出口确实出现增长的包括对美国的出口,同比增长5.5%,达到370.6亿美元。而对韩国的出口也显示增长8.3%至102亿美元。
    6.You Spend Time Looking For Other Jobs

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