Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

休伊·沃表示,每架飞机每天飞行12到16个航段,每个航班晚点都很容易造成当天几个航班的延误。为了解决这个问题,航空公司的系统运行和控制中心会在必要时做出调整。这可能涉及到把备用飞机和临时机组成员排入时间表,确保航班的准时到达。
达奇斯说:捷蓝航空在2012年初遇到过很多困难(一名飞行员在飞行途中突然精神崩溃,这让公司这一年的开头极为艰难),但是在繁忙的假日旅行期间,顾客的满意和优秀的社交服务把这个品牌带入了成功的行列。
你可能觉得我们对于列清单的爱好是从“十诫”继承而来,但安伯托·艾柯( Umberto Eco)的说法却正相反,“清单是文化的起源”,他写过一本书,《无限的清单》(The Infinity of Lists),书中在讨论自己熟悉的东西时这样说道。而且,文化希望“让无限变得可以理解”,并且“创造秩序——不是永远如此,但通常都是这样”,所以才有了荷马在《伊利亚特》中的人名清单,以及你冰箱上贴着的,永远做不完的家务清单。“我们喜欢清单,因为我们不想死,”艾柯还说,这可能是对“清单体”(listicle)的最佳解释了。
猪肉和蔬菜价格均同比下降了逾8%。
encouragement
国家统计局在发布最新数据的同时进行了解读,它将PPI连续上涨部分归因于煤炭开采和洗选业价格同比上涨15.4%,这一涨幅比上月扩大11.3个百分点。

“These are turbulent economic times, and yet we see Chinese companies acting with confidence and continue to make major moves in Europe and North America,” he said.
knot
Common 和 Day 将会演绎电影《马歇尔》中的歌曲《Stand Up For Something》还有Settle会演唱电影《马戏之王》中的歌曲《Thisis me》。
事实上,去往俄罗斯有许多可供选择的廉价航班。其国内的西伯利亚大铁路也使得交通十分便利。
Will Smith had a very successful career in the late 80s and early 90s as the second half of rap duo DJ Jazzy Jeff and the Fresh Prince. But in spite of his financial success, Smith did not manage his money well. It's a pretty classic tale, really. New fame, lots of money, no future plans, and lots of fancy toys added up to a lot of overspending. This lack of oversight and fiscal irresponsibility landed him on the brink of bankruptcy. He owed the government back taxes that he had not paid.
“Welcome to Me” (Shira Piven)
中国信息通信研究院的报告称,2016年国产手机出货量达4.98亿部,占国内手机总出货量的88.9%。
Shanghai, by comparison, trades on 12.6 times earnings. This reflects a wide (37 per cent) spread between the Shanghai’s A shares and the H-share equivalents. Before the ups and downs of 2015 it was more usually below 20 per cent, hinting at significant upside to the H-share index. True, it does not represent the best of China’s “new economy”, being heavily skewed towards banks in particular. Growth forecasts are moribund. Yet with expectations already so dire, it is hard to see how they can worsen. Even property — beset with overcapacity — has been pulling out of its slump.
居民社区

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.

18 November

1

dis离开,course跑,课程-离开课程需要毕业演讲
Enrollment: 388
Mr Baweja’s extensive analysis on the changing nature of globalisation suggests the prime factor behind the weakness of global trade growth (which for a long time expanded at twice the rate of global GDP) has been a slowdown in investment.
For now, D'Aloisio isn't touching the money. 'I'm too young to appreciate the value of it,' he insists. 'I don't have a mortgage, I'm 17. To me, a hundred pounds is a lot. Take that as a benchmark.' Though he's not allowed to comment on Summly's sale price, when pressed he allows that he might one day like to deploy his newfound riches as an angel investor. No one around him seems to think there's a danger that the money will ruin him or that he'll be tempted to spend the rest of his life dissipating on a beach. 'He's pretty well grounded. You wouldn't believe how frugal he is,' says Diane. 'He's got a great engine,' says Lou. 'He won't stop at this.'
In addition to a large, educated workforce to choose from, companies are also attracted to Arizona’s pro-business regulatory climate, which ranks No. 13 in the Mercatus Center’s Freedom in the 50 States. The study cites Arizona’s right-to-work law, liability laws and eminent domain reform.
A Datafolha polling group survey published in the Folha de S. Paulo newspaper showed that at Saturday's Brazil versus Chile match, 67 percent of attendees classified themselves as white and 90 percent came from Brazil's top two economic classes, which represent about 15 percent of the country's population.
The PPI fell 5.3 per cent year-on-year in January, moderating from December’s -5.9 per cent pace. PPI has remained in negative territory since March 2012, reaching a low of -5.9 per cent for the five consecutive months since August 2015.
安娜上班的地方位于富人区的一家购物中心的车库,她抱怨道:“我去上班的路上要多花费一小时,但我却得不到一个现场看球的机会。“

这个M3坟墓还包含有一座古坟,斜坡,密封的门,坟墓入口,屏风的墙,过道,墓室,以及偏殿,研究人员最近在《中国文化遗迹》杂志上写到。
The people of both countries have the wisdom to properly manage their differences, there is a need and there are also conditions for us to continue to expand our common interests.
安哥拉,津巴布韦,和阿尔巴尼亚的排名在所有国家中上升幅度最大。“从广度和深度上来讲,拉丁美洲,加勒比地区,以及撒哈拉以南非洲等地域的国家,人民幸福感提高比较大。腐败的减少也是提高幸福感的一个很重要的原因。”
如果一并考虑过去几天里公布的数据,情况也不会变得更好。上个月,日本仍在与通缩和家庭开支下滑作斗争。不过,今天早上公布的零售业销售数据超出了人们的估计。
HSBC said its private reading of China's manufacturing sector was stagnant last month, confirming a "flash" estimate already published.
Hurricane Irma
前“世界小姐”朴雅卡·乔普拉位列2015世界美女榜第九。她是一名印度演员兼歌手,是宝莱坞片酬最高的女演员之一,也是印度最受欢迎、知名度最高的名人之一。她获得过无数荣誉,包括印度国家电影奖的最佳女演员奖项,以及印度电影观众奖的四项大奖。
And the public chose Callabro to be crowned this year's winner, where they will take home a £250,000 cash prize and a spot at this year's Royal Variety Performance.
这句话最流行的变体是“别迷恋姐,姐只是个传说。”
“一国两制”的实践要不动摇、不走样、不变形。
泰勒斯威夫特被评为2012年最慈善明星。
Given that Dallas resisted tanking for years as Dirk Nowitzki's career has wound down and therefore has a fairly limited collection of young talent, adding the 22-year-old Noel without doing any major damage to its rotation counts as a smart play.
The M2 money supply increased by 11.3 percent, below our projected target of around 13 percent.

2

[ri'frid.reit?]
Taylor Swift, 'Reputation'
Under the Skin is just so visually free and uninhibited that there is an intense dark, destructive sexiness in everything about it – quite apart from the hilarious, bizarre, mesmeric eroticism of the film itself. It is a work of subcutaneous potency. It gets under your skin.
['institju:t]
Payouts also varied substantially between industries and cities. The average bonus at financial institutions was over Rmb17,200, while those in the education sector got less than half of that on average at less than Rmb7,500.
Tencent has been helped by agreements to pre-install software with Chinese handset makers who sold increasing numbers of handsets abroad in recent years, particularly in emerging markets, according to Mr. Wang.
这是悬在全球经济头顶的最大问题,也是最大风险。
而分子马达将会为医药和能源领域带来巨大的潜力。
[mɑ:sk]
badminton;basketball;fencing;Judo;Ping Pang;taekwondo;Tennis;weightlifting;Wrestling;Volleyball;Boxing;Hocky.
把产品的一端贴合身体部位弯曲,或者绕在座椅靠背上,另一端弯曲成能保护头部安全的造型。旅客还可以用旅行枕的手状设计放置电子设备看电影。
但是,租金稳定政策的反对者怀疑,在共和党人把持州议会的情况下,2015年将不会是租户运动的分水岭。舍温·贝尔金(Sherwin Belkin)是一名代表业主利益的律师,他说:“业主们认为可以借此机会对租金管制政策做一些亟需的改变。”

中国的科技巨头联想仍是PC市场的老大--占有市场份额的20%以上。惠普和戴尔分别名列第二、第三,苹果和华硕电脑并列第四。
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)。
Following the devaluation in mid-August, the renminbi rallied in September and October. Devaluation resumed in November, however, and the renminbi closed at its weakest level in three months at 6.4082 to the dollar yesterday. “Since October many countries around China have experienced some capital outflow, and China has had its share,” said Xie Yaxuan, an economist at China Merchants Securities in Shenzhen. “The strengthening dollar is bound to cause some repositioning into dollar assets.”
恭贺新禧,祝身体健康、事业发达。
INDOORS: This house was completed around 1848 and last updated in 2008. The front door has a transom and sidelights of red glass etched with a leaf motif. The first floor has a large living room with crown molding and two fireplaces, one of which warms the formal dining area. Off the living room is a family room with raised wall paneling, a wet bar and another dining area. French doors open to a slate patio. Several rooms have views of Little Narragansett Bay.
Losers: Kings
美国品牌如Chipotle、德克萨斯仪器公司和通用动力第一次出现在了该榜单上。
Foss also points out that recommendations from others are time-stamped, so it looks fishy to have five new accolades on your profile, all written within the same week. "They don't look like they're coming organically," she says. "It looks like you're out shaking the bushes, trying to get people to say nice things about you."
v. 伸展,展开,传播,散布,铺开,涂撒

3

1. The remote control belongs to me for the whole month.
Contributing columnist Antoine Gelain is the managing director of Paragon European Partners. He is based in London.
Funded partly by firms and companies, the charity places top graduates in schools serving low-income communities for at least two years, knowing full well that many of them will leave the profession at the end of this period.
The programme focuses on the early careers of the children that are enrolled in the Abby Lee Dance Company in Pittsburgh, Pennsylvania.
You're right to be paranoid. The company is always watching you, and there's a record of everything you do: every phone call, every text, every tweet and instant message. At most companies, they save that data forever.
Profits at China’s biggest banks shrank in 2015, as the sector weathered a year of central bank rate cuts and saw an end to easy profits after the government lifted the cap on interest rates on deposits.
The 54-episode series The Journey of Flower was one of the hottest topics on social media. The TV drama became a hit in the summer of 2015. The movie starring Huo Jianhua and Zhao Liying is based on a novel of the same title written by Fresh Guoguo. The aesthetical adaptation has picturesque outdoor scene in a Chinese ink painting style and charming male and female lead roles, attracting 800,000 followers on the drama`s official Weibo. The drama premiered in June of 2015. It tells a story from a female perspective of an orphan`s growth and romance on her way to becoming a goddess.
这些排行榜是基于某个特定学科的研究能力而做出评价,与综合榜单评价方式不同。
腾讯通过电子邮件表示,目前没有为微信寻找赢利模式的计划。作为一个多元化互联网企业,腾讯拥有650亿美元左右的市值,是中国最大的上市互联网公司。旗下游戏产品、虚拟产品和其他平台上的广告给它带来了强劲的收入流。
他说,我写的稿子影响着社区人们的生活。
13. iPhone 提醒
As a result of the country’s strict policies, some of the underwear brand's most famous models are unable to appear in its biggest event of the year with Gigi Hadid announcing that she won’t be attending on Twitter last week.
Wright is one of the most original figures of British Romantic painting, and this composition, held in the same private collection in Derbyshire since 1840, had an approachable low estimate of 100,000 because of condition issues and — not insignificantly — the fact that it was a charity donation to benefit Syrian refugees. As a result, at least three bidders pushed the price to 665,000 with fees.
蓝天在未来不会也不应该成为奢侈品。
absolutely

4

While people in first-tier cities are under more pressure, smaller cities may not be the ideal place to live either, according to the 2016 Annual Report on Social Mentality of China by the Chinese Academy of Social Sciences.
vt. 谣传
弗拉德-迪瓦茨令人尴尬的新闻发布会,Vivek Ranadive对巴迪-希尔德的兴趣被透露,以及未能换回选秀权的多余球员。
enter在中间+tain拿住+ment→在[工作]中间拿→娱乐,款待
Bangkok is projected to host 21.47 million "international overnight visitors" this year, according to the 2016 report by financial services corporation MasterCard.
“This is our make or break moment for the tenant movement,” said Ilana Maier, the program director for the Metropolitan Council on Housing. “If we aren’t able to drastically strengthen the rules now, none of this will matter in 10 years.”
“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.”
乔布斯在苹果平板电脑发布会上展示iPad,2010年1月,旧金山
巴尼汤普森(Barney Thompson)是法律记者
玛丽亚里奥斯
British statisticians’ unwillingness to correct known errors in the clothing price component of the RPI redistributes many billions every year from students, recent graduates, taxpayers and rail commuters to index-linked UK government bondholders, wealthy pensioners with RPI-linked pensions and rail companies.

5

New investment in Europe was up 28 per cent on the $18bn registered in 2014, a smaller increase than 2014’s doubling of the 2013 figure. Investment in the US was up 17 per cent compared on 2014’s level of $12.8bn.
Chris Paul
The retail side, she says, “is nascent and a mixed bag”. All countries in the region have a lot of work to do, she says, adding the Australian example has proven that regulatory changes can make a significant difference to generating pockets of interest.
Teach First补充称,与企业的合作非常重要,这不仅是因为资金问题,还因为这能帮助学校让学生掌握现代雇主所需要的更多技巧。
此类洞见尤其引起诉讼出资人的兴趣,后者支持原告以换取一定比例的损害赔偿金,并在出钱之前试图评估纠纷的可能结局。但是这种技术可能要到2019年乃至更遥远的未来才能突破。
re再次+form形状→再形成→改革,改造
Mr Cahan said that the vision and technology behind Summly’s machine-learning and natural language processing abilities were “equally impressive”.
1) I make contact easily when I meet people 0 1 2 3 4
201107/145539.shtml
con全部+tin拿住+uous→连续不断的
恭祝新年吉祥,幸福和欢乐与你同在。
蒋依依说,2013年人民币兑美元汇率上涨近3%,使北京成为了一个更加昂贵的旅游目的地。
Blind people smile even when they have never seen someone smile.
Yes. With the US Federal Reserve likely to raise interest rates a few times in 2018, trading is likely to be choppy in emerging markets. Sometimes it may feel a bit like a rerun of the 2013 “taper tantrum”. However, average GDP growth will rise to 5 per cent, up from a forecast 4.7 per cent this year. This will mostly be because Russia and Brazil, which have stumbled, will bounce back.

6

周二,萨尔州成为德国第一个禁止外国政客拉票的地区。德国数个地方议会基于消防安全等技术原因,取消了土耳其部长们原计划的拉票集会。
In June this year, a collaboration between universities and industry announced that it had discovered a huge reserve of helium gas in Tanzania, using a new exploration technique.
New Year's greetings and best wishes!
AR could be the bigger opportunity after Apple’s Tim Cook gave the technology his backing — it was included in Apple’s latest operating system and its iPhone X device.
周四,胡润研究院发布了品牌榜单,估价447亿美元的腾讯成为今年最有价值的中国品牌,这是腾讯连续第二次位居榜首了。
n. 保护,防卫
re回+spond承诺→承诺回去;respond的名词→回答;答应
不过另一个因素也影响着最新一集《007》的计划,主演“詹姆斯-邦德”丹尼尔-克雷格全心投入于演出《千禧年三部曲》,而其中的《龙文身的女孩》正在紧张拍摄中。而目前电影公司也没有遴选新一任007的打算,若果丹尼尔三度出演这一角色,电影至少得等到2014年才能上映。
中国富人近年来对岛屿表现出越来越浓厚的兴趣。

这些情况眼下一个都不存在。去年12月开始的美联储政策紧缩已经暂停。联邦基金利率(银行间隔夜拆借利率)估计低于自然利率逾一个百分点。美联储一直未作出意外之举。例如,美联储去年12月将政策利率提升25个基点之前发出了大量信号。

Conclusion

沪深300指数(CSI 300)包含了沪深两市交易的300支主要A股,其于2016年交易首日下跌7%,根据新推行的市场熔断机制,意味着当日股市交易已结束。
"Compared with previous years, this year's two sessions are due to see the new leadership elected, and reforms of organizations will be discussed. They will also elaborate on detailed plans for implementing policies proposed by the 18th National Congress of the Communist Party of China."
以下十条就是你找工作时可能露出的“马脚”
全球缓慢的经济增长并不会很大程度的拖累美国。美国的出口额虽然可能持平甚至下降,但是这将会被由于油价下降的石油进口额抵消,所以贸易赤字并不会给美国经济造成更进一步的影响。
国家统计局高级统计师绳国庆将这一下滑主要归因于食品价格下降了1.4%,这是15年来的首次下降。
The 2017 rankings feature the top 60 pre-experience courses for students with little or no background in the industry and the top six post-experience programmes for professionals already working in the sector. Only a handful of schools offer post-experience courses.
久而久之,这种民族融合给球队带了不同寻常的和谐。队中的年轻球员,尤其是切尔西的阿扎尔和卢卡库以及曼联的贾努扎伊,成了许多竞争对手羡慕的对象。
9. The 2012 Ig Nobel Anatomy Prize


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. 该报告显示,社交媒体,尤其是微信,过去一年里在40岁以上人群中变得越来越受欢迎。
  2. 一项由中国职业介绍机构智联招聘(Zhaopin)对1.15万名员工开展的调查发现,2016年底有50.9%的员工没有拿到年终奖。还有9.6%的员工则被告知年终奖会推迟至春节假期后发放。
    金维刚表示:“2016年居民消费价格指数仅同比上涨2%,低于预期的预测指标。属于温和通胀范围,反映了物价水平得到有效控制并保持基本平稳。”

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