Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

凡是这家汽车服务公司的忠实员工在效力满10年后,都可获得一份奖励:在佛罗里达州波卡拉顿的一处度假胜地欢度周末(此地距该公司总部仅15分钟车程)。这项福利此后每5年都可以享受一次。
'There are two ways of doing natural language processing: statistical or semantic,' D'Aloisio explains. A semantic system attempts to figure out the actual meaning of a text and translate it succinctly. A statistical system-the type D'Aloisio used for Summly-doesn't bother with that; it keeps phrases and sentences intact and figures out how to pick a few that best encapsulate the entire work. 'It ranks and classifies each sentence, or phrase, as a candidate for inclusion in the summary. It's very mathematical. It looks at frequencies and distributions, but not at what the words mean.'
For all of the acceptance speech kerfuffle when Gwyneth Paltrow won best actress for her role as Viola de Lesseps in John Madden’s 1998 film Shakespeare in Love, the Hollywood star has since said she keeps the award tucked away – “the thing freaks me out”.
现在,Swyft一半的收入都来自于为格温o史蒂芬尼制作的这类广告。雷表示,Swyft每月收入的增长幅度在50% 到100%之间。另一半就来自销售贴纸——主要是靠知名运动队和《怪物史莱克》这样的娱乐品牌授权。
美国航天局还表示:“新记录比旧记录高出这么多,以前只有1998年出现过一次。”
《死侍》将于2016年2月12日爆笑上映。 当然,电影中还有不少动作和杀戮场景。

A string of other Victoria's Secret models have also been banned from the country including Julia Belyakova, Kate Grigorieva and Irina Sharipova - all from Russia - and Ukraine's Dasha Khylstun.
7. 建立声誉。
Song “Beautiful China”(Sha Baoliang and Xu Qianya)
Skyfall Bond girl Berenice Marlohe has joined the all-star cast of Terrence Malick’s latest movie, which is in production in Austin.
Cheng further says, "once you find a list that fits your needs, just tap on the list to see suggested locations. Then swipe right or left to see more options and tap 'read more' or the arrow at the bottom of the screen to select a venue and get more details.".
char茶,ity状态-请喝茶的状态-施舍-仁慈
That was true, too, of “Mad Men” on AMC. which in its seventh season has all but exhausted its characters and its 1960s setting, but is still keeping viewers guessing about the end, which won’t air until next year. “The Sopranos” ended ambiguously. “Breaking Bad,” put an end to Walter White. Now, the next television mystery looming ahead centers on Don Draper’s last moments, dead or alive.
《逃出绝命镇》
4. 《狗心》(Heart of a Dog),导演:劳瑞·安德森(Laurie Anderson)。

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.

I give all my love to you this New year.值此佳节,献上我对你所有的爱。

1

The 2018 Academic Ranking of World Universities released last Wednesday by Shanghai Ranking Consultancy reveals that 62 research universities in China have made their list of the world's top 500 universities.
n. 笔画,击打,一笔(画)连续的动作,中风,
No. Football punditry is a mug’s game. Better to have the benefit of hindsight. There have been 20 previous World Cups. Of those, Brazil (five titles) and Germany (four), are regular contenders. Home advantage helps, with host nations winning the trophy six times. But next year’s festival of football is being held in Russia, which has the lowest-ranked team in the tournament.
SIZE: 6,364 square feet
Bursts of color are instant energy suppliers. If you can, paint your walls or use furniture and accessories to provide a colorful oomph.
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。
12. 最有希望的迹象。有段时间,你会觉得现状已经改善了,人们可以公开大声谈及业内的歧视现象。维奥拉·戴维斯(Viola Davis)出来说话,詹妮弗·劳伦斯(Jennifer Lawrence)公开谈起,自己比片中的合作男星片酬少。“我不想被视为‘难搞’或者‘被宠坏了’,”她在简报《伦尼》(Lenny)中为许多人发言,其中包括许多薪酬更低的人们。
该研究的公布正值美国政界反中国言论日益增加之际,此外,今年夏天3起针对从中国进口的钢铁产品的政治敏感反倾销案件即将作出裁决,可能导致美方对中国企业施加高达500%的惩罚性关税。

与此同时,法国拉罗谢尔高等商学院(La Rochelle Business School)的排名却下滑12个位置,排在第60位,去年该学校是排名上升最快的学校之一。
Do you often feel gloomy and down in the dumps?
The secretive billionaire who launched a hostile takeover bid for China’s largest property developer has emerged as one of the country’s richest people, illustrating how leveraged financial investments are propelling huge increases in private wealth.
With an increase of 7 percent over 2013,total spending on medicines will amount to $1.06trillion in 2014, says the report"The Global Use of Medicines: Outlook through2018" from the IMS Institute for Healthcare Informatics, releasedThursday.
The top-earning woman in the music business has been cashing in on a massive world tour, a constant stream of hit singles and a string of endorsements with a slew of major companies, while occasionally throwing thinly veiled barbs at her chief rival.
他说,“油价将波动上行。”
10月份中国非制造业商务活动指数(非制造业PMI)为54.3,低于9月份55.4的近期峰值。其中,服务业商务活动指数为53.5,比9月份的峰值回落0.9个百分点。就连建筑业的形势似乎也有所恶化,商务活动指数为58.5,较9月份回落2.6个百分点。
法国的巴黎高等商学院(HEC Paris)和法国高等经济商业学院(Essec Business School)连续第三年分列第二和第三。
当很多千禧一代很难找到工作或在低技能岗位上将就时,凭着项目本身与公司合作伙伴的联系以及校友网络,这些管理学硕士项目的毕业生获得了很高的就业率。
立场:呼吁进行移民改革
他在一则电话采访中向汤森路透基金会透露:“外出打工应该只是一个选择。但是对于2亿人来说,却是没得选择的选择。”
['b?:lru:m]
NATO’s bombing campaign began on March 24 1999 after peace talks meant to stop the persecution of ethnic Albanians in Kosovo collapsed. Targets in both Yugoslavia and Kosovo were struck—first the Serb air defense network that opposed NATO planes then a broader target array including Yugoslav army forces said to be directly involved in the persecution of Kosovars. The target list also included political-military targets inside the Yugoslav capital of Belgrade itself.

2

"We'll start with a broad list and then begin to narrow it," Podesta told the Boston Globe. "But there is no question that there will be women on that list."
或许你会认为这个60%并不起眼,但它是很重要的一步,因为在2003年,同性婚姻在美国的任何地方都是不合法的。
在北约1999年对南斯拉夫的空袭中,大西洋联盟对塞尔维亚和科索沃境内数以百计的目标进行了打击。绝大多数目标都没有争议:防空阵地、军队指挥部和其他军事目标。然而对一个特殊目标的摧毁却在世界另一端掀起了声势浩大的反西方特别是反美浪潮。那个目标就是驻贝尔格莱德的中国大使馆。
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.
斯科特的发言人丽贝卡·凯利告诉《人物》杂志:“显然这位年轻的佛蒙特人对服务很感兴趣,任何人提出的想法想让佛蒙特成为一个更好的地方,都能。”
Interest in wearable technology isn’t limited to technology companies. Mercedes-Benz is porting its mobile experience to a wearable device, while Virgin Atlantic is exploring the customer service aspect of Google Glass on a trial basis. Kenneth Cole is also using Glass as part of a marketing campaign.
本周一的谷歌首页涂鸦看起来十分意想天开,但关注却是一个非常严肃的问题:净水。该作品出自一名来自纽约长岛的11岁孩子之手,相当不错。
9.你会一直回避你的老板。
007系列电影主题曲第八名:南希·辛纳查--《你只能活两次》
Sonneborn, who lives in Bristol, Vermont, with his parents and younger sister, Julia, 11, is seeking the Democratic nomination.
《小镇疑云》,BBC America,3月4日播出。大卫·田纳特(David Tennant)携第二季归来,在这部引人共鸣的英国推理剧中继续饰演亚力克·哈迪(Alec Hardy)探员(去年他在美国翻拍版的《小镇疑云》[Gracepoint]中饰演埃米特·卡弗探员)。这部剧将于周一在英国首映,制作人们已经开始谈起第二季的秘密情节了,编剧克里斯·齐布纳尔(Chris Chibnall)在接受英国杂志采访时说的话可能会让剧迷不爱听,“第二季不是讲罪案的。”奥莉薇娅·科尔曼(Olivia Colman)继续饰演艾丽·米勒(Ellie Miller)探员,夏洛特·兰普林(Charlotte Rampling)和玛丽安娜·琼-巴普迪斯特(Marianne Jean-Baptiste)也加入了演员阵容。
位于芬兰赫尔辛基的开发商Remedy Entertainment通过之前的作品《英雄本色》(Max Payne)和《心灵杀手》(Alan Wake)模糊了好莱坞和游戏之间的界限。如今,这家工作室将次世代的图像技术与紧张气氛和电视剧剧本结合了起来。故事设置在Riverport大学城,玩家将控制杰克o乔伊斯和贝斯o怀尔德。这两人原本是普通人,但在一次导致时间裂缝的意外中,他们获得了操纵时间的超能力。在游戏过程中,时间体系会随时崩溃,导致环境中的时间暂停、断续、倒流和冻结。玩家在游戏中会与帝王联盟(Monarch Corporation)展开对抗,喜欢《英雄本色》中子弹时刻的玩家,可以在放大时间因素的枪战中寻找新的战略。除了虚拟的故事情节,游戏还采用了定制的实景真人叙事模式,根据玩家的不同选择将产生不同的后果。

Wishing you happiness during the holidays and throughout the New Year.
不过,时间不等人,特朗普总统也正通过威胁退出谈判而极力增添一些戏剧性的紧张感。
Dachis says: Adidas added more than 34 million new fans and followers in just 12 months this year. The company put that audience to good use and benefited from high levels of positive discussion all year long.
'Chinese clients are not only buying in Asia but in New York and Geneva as well.'
一定要展现自己过人的智慧,努力地表现出心神不定的样子。把那些社交技巧抛到脑后吧!
Age: 46
这位工作人员说道:“她注册时说自己姓韩,也不是像媒体上报道的姓苏。”
再来看一下流失顾客的公司吧。
5. It's a dog's life for the British

3

But industry watchers say that view misses an area where China goes toe-to-toe with Western rivals in innovation: extra features that make the Chinese version more interactive and more interesting to use.
This move works on multiple fronts for the Thunder. First, Gibson helps fill in for the injured Enes Kanter in the short-term and he brings playoff experience, solid rebounding and hard-nosed defense to a possible postseason matchup with the Spurs or Rockets.
17. Most Complex Hurdle As of Dec. 7, seven out of 20 domestic top-grossing movies released this year had female-driven stories, according to the website Box Office Mojo. By contrast, five out of 20 female-driven stories topped the international market, which accounts for some 70 percent of the industry’s revenue. This may look bad, but the numbers appear marginally better than they have in recent years.
节目14 歌曲《报喜》,陈慧琳
There are no right or wrong answers, just be honest with yourself.
With an 8.5-percent increase in profits, industrial enterprises reversed the previous year's negative growth of 2.3 percent.
The North has already warned that Park will "pay for his crimes in blood" if copies of the film make it across the border.
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.'
几乎没几个首席执行官的决策能像雅虎首席执行官玛丽莎梅耶尔禁止员工在家上班的决定那样引起了这么大的关注。这项政策出台后,人们最初的反应是它存在很大争议,而且让许多人感到不安,原因是人们认为这样的措施缺乏灵活性。
The year before, Taiwanese anti-China protesters chose the sunflower as the symbol for their cause.
The standout is "Him," a tear-jerker about queer love and cultural intolerance that, in its understated way, is an LGBTQ civil rights anthem.
In a rigorous analysis of Dutch financial records, Koudijs and Voth conclude that the only real difference between the pessimists and the optimists was whether they had gone through a harrowing personal experience. Koudijs compares it to the behavior of people who lived through the Great Depression, and who avoided financial risk for decades after trauma had passed.
其他在定制课程排名中表现突出的学校包括哈佛商学院(Harvard Business School),该院取得了今年最大幅度的排名攀升,上升9位至第5名。两年前,这所位于马萨诸塞州的学院还排在第18位。
Self-driving cars, selfie sticks, drones, touchscreen devices, e-cigarettes, jetpacks, and many other things seem like fairly modern inventions. Indeed, most of their "inventors" list them as newly invented and even go as far as seeking patents. But the fact is, many of these "inventions" have already been in existence for quite some time. They may have earlier lookalikes that ended up not going into production or that went into limited production due to one reason or another. Some also made it into full production but were recalled due to poor sales.
Cheng further says, "once you find a list that fits your needs, just tap on the list to see suggested locations. Then swipe right or left to see more options and tap 'read more' or the arrow at the bottom of the screen to select a venue and get more details.".

4

时间:2011-12-06 编辑:Jasmine
One of the more notorious incidents was when Zhu Ling, a student at the prestigious Tsinghua University, was paralyzed when her roommate allegedly poisoned her with thallium in 1994.
在数年的停滞之后薪酬将会加速提升
在小说中,格洛搬来与邦德在伦敦同居,并在争吵中一起度过早晨时光。
"The Constitution really doesn't apply here. The Constitution limits how much government can suppress speech, not a private university," she said.
In contrast, the nation witnessed a tumbling trend for minivans, whose volume totaled 71,300 units, a 31 percent drop year-on-year.
6.Belize
在这份榜单的前二十人中,C罗和梅西是仅有的两名足球运动员,此外,这份榜单上也没有任何女性运动员入围。
11. 另外26部我喜爱的影片——为什么不呢?其中很多影片本可以跻身我的十佳之列的。《迷失1971》(’71)、《艾米》(Amy)、《失常》(Anomalisa)、《骇客交锋》(Blackhat)、《芝拉克》(Chi-Raq)、《机械姬》(Ex Machina)、《实验者》(Experimenter)、《诉讼》(Gett: The Trial of Viviane Amsalem)、《恐龙当家》(The Good Dinosaur)、《伟人》(The Great Man)、《头脑特工队》(Inside Out)、《奋斗的乔伊》(Joy)、《洛杉矶消逝的风景》(Lost Landscapes of Los Angeles)、《魔力麦克2》(Magic Mike XXL)、《办公室》(Office)、《结果》(Results)、《荒野猎人》(The Revenant)、《西默简介》(Seymour: An Introduction)、《小羊肖恩》(Shaun the Sheep Movie)、《女间谍》(Spy)、《冲出康普顿》(Straight Outta Compton)、《橘色》(Tangerine)、《廷巴克图》(Timbuktu)、《生活残骸》(Trainwreck)、《白色上帝》(White God)及《狼群》(The Wolfpack)。
n. 反映,映像,折射,沉思,影响
时间:2011-11-03 编辑:Lily

5

社交名媛卡戴珊8月份参加凯莉·詹娜的19岁生日聚会时,笨手笨脚从跑车出来的方式让她不小心走光太多了。
Will the Democrats take back the majority in the midterm election in the US House of Representatives
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。
If Lloyd Grossman were to go through the keyholes of Oscar winners’ houses, he would find their golden statues in various spots: from prime real estate such as the mantelpiece to the depths of cupboards collecting dust.
vt. 打碎,破掉
我知道,这是需要时间的,但是这会使你更加了解自己所做的事。这也会是你到学校学习的原因,对吧?
If you are a working-class white person and you fear that the new, cosmopolitan world will destroy or diminish an identity you cherish, you have no culturally acceptable way to articulate what you perceive as a crisis.
Despite China's rise, an "innovation divide" persists between developed and developing countries amid increasing awareness among policymakers that fostering innovation is crucial to a vibrant, competitive economy.
谷歌英国的搜索结果分为热门趋势搜索榜和搜索次数排行榜。
这里我得提一下小牛队的处境。你很难在11月就告诉你球队的球迷们球队希望尽失,而你的名人堂球员仍旧在球员名单上时这一动作难度就更大了。
As part of its 2014 capital plan, the San Francisco, Calif.-based bank said it would increase its buybacks by 350 million shares, or a total of almost $17 billion. It also boosted its dividend rate by about 17% to $0.35 a share.
n. 外表,外貌,出现,出场,露面
以人民币计算,12月份出口环比成功增长0.6%,超过了收缩0.1%的预期,不过仍大大低于11月份5.9%的增幅。以人民币计的进口增长10.8%,是预期4.8%的增幅的两倍以上,不过仍比上个月低2.2个百分点。
Hope all your New Year dreams come true!

6

《极盗车神》日前入围了美国电影评议评选的十佳电影榜单,烂番茄评分93%,票房收入超过1亿美元。
1月份出口同比下滑6.6%至1.14万亿元人民币,而此前在去年12月份则曾增长2.3%。经济学家原本预计会增长3.6%。这是自去年7月下滑8.9%以来,出口出现的最大跌幅。
中国最高纪律监管机构日前表示,去年共有1300名涉嫌经济犯罪的外逃人员回国接受审判,其中腐败官员347人。
'Cutie and the Boxer' was hardly noticed by the movie-going public, but a list of fine films isn't a rundown of box-office triumphs. The reach of Zachary Heinzerling's debut feature-length documentary is equaled by its grasp. On the surface it's about nothing more-or less-than a troubled marriage that has somehow managed to last 40 years. Beneath the surface, then startlingly out in the open, is a history of rivalry (both husband and wife are artists), enmity, reluctant devotion and, most startling of all, enduring love.
《老友记》大部分剧集拍摄之时,手机和Google都还未普及,剧中的服装和道具现在看来也有些过时,但是,剧中的主题却依旧深得现在年轻观众的心。
本周一,研究小组表示,根据遗骨可以看出,理查三世患有严重的脊柱侧弯,或者说脊柱弯曲。这会让他十分痛苦,还会导致右肩比左肩高,但莎士比亚的《理查三世》中描述的枯萎的手臂却无从证实。
俄罗斯和北约(Nato)都呼吁缓和土耳其与荷兰的争执。
Yang Yansui, director of the School of Public Policy And Management at Tsinghua University, said the four-trillion-pension balance was mostly in personal accounts, while the pay-as-you-go pension system was greatly challenged by dependency ratio.
regulate

昨日发布的央行数据显示,中国外汇储备上月出现有记录以来第三大单月降幅。这重燃了人们对于中国遭遇资本外流的担忧,此前中国外汇储备似乎企稳。

Conclusion

7. "Suits" (2.6 million)
单词creative 联想记忆:
反对:《请以你的名字呼唤我》在很多方面的表现都很不错,但却没有哪一方面是最突出的。也许“甜茶”蒂莫西克莱门特的表演是该片冲奥的最大可能。
As inevitably happens with all things trade in this White House a vigorous debate has erupted over the future of Korus, as the pact is known in Washington. Among the biggest opponents within the administration are the Trump security team, which thinks breaking commercial ties with an important ally in the middle of a geopolitical crisis is probably not a great idea. US business doesn’t like the idea either. Both are likely to mean at least some short-term delays in Washington carrying out any threats. But then again the politics are also volatile in Seoul. Might the new government there exercise its own right to pull out?
余秀华
莱昂纳多凭借他在《荒野猎人》中的演出斩获最佳男演员奖项,打败了埃迪·雷德梅尼等劲敌。埃迪凭借在《丹麦女孩》中的演出获得金球奖提名。坊间盛传小李子有望在今年夺得他人生中第一座奥斯卡奖杯。
伊纳里图表示:“我差点忘记感谢所有参与拍摄的美国印第安人了,没有他们,这部电影不可能拍摄出来。我能够和这些人一起活着拍完这部电影,心中的惊喜和骄傲难以用语言表达。”
今年的获奖榜单如下:


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. 9.消防员
  2. A report by human resources website Zhaopin released recently found that only 3.1 percent of students expecting to graduate in July said they will start their own business, down from 6.3 percent in 2015.
    3.你老板从他认识的人那收到了你认识的人给的简历。

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