Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

Global movie earnings hit a record $38.3b in 2015, with China accounting for $6.8 billion, a nearly 50% increase over the previous year, according to data from the US National Association of Theatre Owners.
Facebook的品牌价值增长44%,该公司增加了新的功能,包括平安信使(Safety Check),让用户迅速通知家人和朋友他们是安全的。Elspeth Cheung表示,这些创新提高了这家媒体集团作为一个不可或缺的全球联络媒介的重要性,同时增加了其对广告商的价值。
“只要总体市场仍然相对积极,只要交易继续执行良好,我们继续预期今年余下时间会保持健康的交易量,”高盛(Goldman Sachs)美洲股票资本市场主管戴维?路德维格(David Ludwig)表示。
The former Miss Israel, Gal Gadot spot 6th in the list of 10 most beautiful women of 2015. She is the leading fashion model for the clothing company Castro. Gadot is known for her role as Gisele Yashar in The Fast and the Furious film series.
“失业”是金融类最热门的搜索项,其次是“华尔街公司”和“产品召回”。
除了你的华生,他会觉得这样的你性感极了!

2.《洛奇》
Say this about Bank of America chief Brian Moynihan: He certainly knows how to talk the talk. In his letter to shareholders, Moynihan went out of his way to thank U.S. taxpayers for making $45 billion in TARP funds available. He also described how he is working closely with 'policy leaders' on financial reform. Whether he can walk the walk - i.e., turn around BofA's fortunes - is another matter. While the company did repay its TARP loan in December, it is still sitting on billions of dollars of vulnerable residential and commercial mortgage debt - one reason the company spent 8,000 words discussing risk in its annual report.
智能开瓶器
"Moreover, most Chinese families only have one child, so many of us return to China because we want to stay close to our family and friends," said a student surnamed Su, who gave up his job in the UK and returned to take care of his mother in China.
Sometimes bosses suck. But if your boss sucks all the time and takes advantage of your time, it's time to find a new job.
Meanwhile, the University of Bradford School of Management and the University of Edinburgh Business School each climb 16 places, to 42nd and 55th, respectively. Judge Business School at the University of Cambridge rises 15 places to 14th.
However, the economists polled expect slightly higher growth rates and substantially higher inflation over 2016.
n. 董事,经理,主管,指导者,导演
Dirk Philippa, portfolio manager of Fidelity International’s global property fund, has also cut investments in Hong Kong from a 6-8 per cent overweight two years ago, relative to benchmarks, to a 1 per cent overweight position.

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 Peoria, Ill.-based maker of heavy equipment authorized $10 billion in stock repurchases in January and expected to buy back $1.7 billion of its shares in the first quarter this year to complete its previous $7.5 billion repurchase initiative. The ongoing buybacks are "a result of our record cash flow," said CEO Doug Oberhelman.

1

但由于受到英国脱欧的影响,英镑大幅贬值,英国首相的收入换算成美元后也在大幅缩水。
榜单前十位还包括:第五名的亚马逊总裁杰夫·贝佐斯,第六名的Facebook的马克·扎克伯格,位居第七的甲骨文公司老板拉里·埃里森,第八名的迈克尔·彭博及并列第九的科赫兄弟(大卫·科赫和迈克尔·科赫)。
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。
3.《初恋50次》
为了让世界都关注濒危物种和中国成都大熊猫基地,演出者们全力表演,节目精彩令人难以忘怀。他们不仅给伦敦市民带去了乐趣,还与基地大使、自然主义者奈杰尔-马文一同去学校向孩子们宣扬熊猫保护的理念。
数年来,莎尔玛·海雅克和格温妮丝·帕特洛都是性侵的受害者,麦高恩表示,她明白特朗普的支持者都憎恨好莱坞,因为他们的自由主义都是假的。
mod风度+est→做事有风度→礼貌的,谦虚的
adj. 肌肉的,肌肉发达的

At the forum, tech entrepreneurs also shared their views on virtual reality, which they said will be the most important computing platform over the next five to 10 years.
According to China's business magazine New Fortune's 2018 Chinese wealthy list, the top 10 tycoons' total wealth reached 1.72 trillion yuan, accounting for 18% of the combined wealth of the list's total 500, and the top 10's personal wealth has surpassed 100 billion yuan for the first time.
“环境越来越受到政策制定者的重视。”世界黄金协会市场情报部门负责人阿利斯泰尔?休伊特(Alistair Hewitt)说,“黄金开采受到更严格的监管。”
爱你的老公!
多年来,西方排放量的缓慢减少,被东方排放量的日益增加所抵消。2013年,这种趋势仍在继续。中国的排放量增加了4.2%,印度增加了5.1%。中印两国一直在以极快的速度修建火力发电厂。
不会。当然,这种情况可能发生,但是只要运气不是太差,梅眼下至少可以确保英国经济不会在2019年因掉落“无协议”悬崖而急剧下滑。2017年12月,“共识预测”(Consensus Forecasts)预测2018年英国将增长1.5%。该机构对日本和意大利的预测值更低,为1.3%。因此英国明年成为G7中经济增长最慢国家的几率应该在四分之一左右。
William Leung, portfolio manager at Cohen & Steers, the US investment house with $4bn of assets exposed to Asia, agrees. He argues that speculative investment will be driven out of the market as prices fall. He adds that a trend in the industry towards alternative investments should mean that the price of real estate investment trusts rises even if the value of underlying assets grow more slowly. “We don’t think this correction will be so sharp,” he says.
最佳喜剧类编剧:阿兹?安萨里(Aziz Ansari)和艾伦?杨(Alan Yang),《无为大师》,“父亲母亲” (Master of None, "Parents")
While still on stage, Beatty blamed the epic mishap on being given the wrong envelope, saying he had seen the name Emma Stone from 'La La Land' when he opened his envelope.
“我们做事情不是为了追求利润,我们做事情,是因为这些事情是正确和公正的,”库克咆哮道。他说,不管是为了人权、可再生能源还是为有特殊需求的人们提供帮助,“我不考虑该死的投资回报率”。“直截了当地跟你说,如果这是你考虑的硬性因素……那你还是把苹果股票卖了吧。”库克的语气严厉,毫不妥协,那是苹果员工或许永远不希望面对的一个声音。
但当格雷泽给我们带来《皮囊之下》,这部经过他长期酝酿的,由荷兰作家米歇尔·法柏的科幻小说改编的电影时,真是让人惊叹:欢快,不安,大胆。斯嘉丽扮演的外星人藏于人类的皮囊里,穿梭在格拉斯哥街道和商场,不亚于一位一线明星。现实生活中的路人在镜头中完美的展现,而隐身的约翰森面无表情的估算着三个地球人可被利用的热量值。接着演员带着被色诱的人类离开人群,来到她自己的地方:一个神秘的黑暗的洞穴中。在这里,情色恍惚间,人类贡献自己的肉体,被囚禁,被养殖成为食物,谁知道呢,又或许是人类的灵魂。
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!
愿快乐幸福永伴你左右。

2

Super Bowl
《屈服》原本打算用作片头曲,后来出于种种考虑作为片尾曲。这首歌曲总体来说温柔清新,但是管乐部分却大气磅礴。这是007系列电影主题曲中最出色的曲子之一,但并不是官方主题曲。它甚至比《明日帝国》最终选定的官方主题曲好听得多。
[l?un]
2.全球谋杀案
当他饰演《活力王子》中"威尔"一角时,前三季的薪水都被制作方扣除了70%!三年之后他才拿到全额工资。碰巧的是,主题曲的第一句就如同是按他的真实经历所写:"这故事就是说/我翻腾的生活/如何大起大落"。只不过在现实中,那个"(他)爱闹事的邻居"是美国国税局。
2013 Rank: 14
《速度与激情6》帮助其另外两位男演员在我们榜单中获得较高的排名:范·迪塞尔(Vin Diesel)和已故的保罗·沃克(Paul Walker)。迪塞尔以8.87亿美元位居我们榜单第四。《速度与激情6》在全球斩获7.89亿美元的票房。仅仅几个月之前,他出演的《星际传奇3》(Riddick)在各大影院上映,仅收入9,800万美元票房,不过,这也足以使迪塞尔的排名领先于他的搭档沃克。
在实验中,参与者们被要求回忆一些他们在实验开始的时候看到的图片,其中,一半参与者在回忆之前进行了举重训练,另一半参与者没有进行这样的高强度活动。他们发现,参与了举重训练的人在记忆能力上有所提高。这项研究实现了运动研究上的独辟蹊径,其他研究的研究对象多是对有氧运动本身,研究时间跨度长达数,但是这项研究的研究对象却是人类记忆,在研究时也仅仅是要求参与者们花一点时间举重而已。研究人员证明了其实提升记忆力并不需要数个小时的锻炼。下次再有谁让你去举重或者去健身馆锻炼的话,你大概会想感谢他一番的吧?
11月,由财新网(Caixin)赞助的中国制造业采购经理人指数(PMI)初值为48.6,高于预期的48.3。而10月份该读数则为48.3。读数显示上个月中国制造业活动在继续放缓,不过情况没有10月份那么糟糕。
桑尼伯恩说他不仅对特朗普的错误决定和无知时期感到失望,同时也因为总统对8月在弗吉尼亚州夏洛茨维尔举行的白人种族主义集会上反抗者被杀害后做出的回应感到失望——这也更加坚定了桑尼伯恩竞选州长的决心。
200911/88512.shtmlDuring NATO’s 1999 air war over Yugoslavia the Atlantic alliance struck hundreds of targets over Serbia and Kosovo. Most were uncontroversial: air-defense sites army headquarters and other military targets. The destruction of one target in particular however set off a wave of anti-Western—and anti-American in particular—protests half a world away. That target was the Chinese embassy in Belgrade.
梦工厂:内部消费券

[grɑ:nt]
Yes. In 2018 President Trump will deliver on some of his protectionist campaign rhetoric by taking punitive actions against China. The most likely triggers for action will be official reports that the Trump administration has commissioned into China’s alleged theft of intellectual property, and its subsidised production of steel and aluminium. The president, spurred on by his trade team, is likely to order retaliatory measures, including tariffs. Whether that marks the first shot in a trade war will depend on how China reacts. A Chinese decision to impose retaliatory tariffs, or to take America to the World Trade Organization, will signal the opening of hostilities.
她的作品《回归大自然》描绘了一台复杂的净水机器。她和一组谷歌的艺术家们共同将这幅作品变成了动画。
['t?]
就在一个月前,近200个国家的政府在巴黎达成了一项新的气候协议,目标是阻止全球气温比工业化前水平上升2摄氏度以上,最好限制在1.5摄氏度以内。
据《每日经济新闻》报道,这16家上市银行计划向股东返还3562亿元现金分红,与前一年相比减少了83亿元。
Company: BlogHer
Consider this: Will the experience enhance your knowledge and play to your strengths? Will it introduce you to new concepts and new people? (All great reasons to say yes!) Will it require you to develop new techniques for managing your team or working with more experienced people? Embrace this challenge and get out of your comfort zone.
今年的榜单包括三款涡轮增压柴油发动机,但这一点可能引来争议,尤其考虑到柴油在美国的普及程度低于欧洲;在欧洲,柴油引擎已经成为发动机话题的主角。这是第一次有超过两款柴油动力引擎跻身十大榜单,并且讽刺的是,其中这两款引擎均来自于美国国内汽车生产商,包括当前美国国内唯一一款全尺寸半吨皮卡Ram 1500所使用的引擎。

3

We will make a big push for progress in the reform of the social system.
《明迪烦事多》(The Mindy Project):福克斯频道的这部明迪·卡灵(Mindy Kaling)创作的喜剧已经在播第三季,但仍不热门,不过这无关紧要,因为它在不断进步——从单个喜剧演员的独角戏发展成非常有趣的集体表演,部分原因在于第二季增加了亚当·帕利(Adam Pally),并且对明迪的母校达特茅斯学院开起了玩笑。
Cheng继续说道:“一旦你找到适合自身需求的列表,只需轻按该列表即可看到推荐店铺的位置,然后通过左右滑动来查看更多选项,点击"阅读更多"或者屏幕底部的箭头可以选择地点和获得更多细节。”
The last leg of the year is set to be a busy one for initial public offerings on both sides of the Atlantic, with companies including Italy’s Pirelli, Alibaba-backed Best Logistics and video streaming platform Roku lining up to list.
由美国演员Jared Leto领衔的“火星三十秒”拿到了最佳另类音乐奖,同时还有Lana Del Rey,Lorde,The XX和Imanine Dragons等人提名。
今年1月份CPI同比上涨1.8%,去年12月同比上涨为1.6%。不过该指数仍落后于北京方面“3%左右”的目标。
The 15 ranked online MBA programmes provide flexible study options for working executives, who can expect to graduate with the same qualification as their full-time, residential MBA counterparts.
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。
Ben McLannahan is US banking editor
2017年,全球黄金的产量从上一年的3263吨上升至3268.7吨。这是自2008年以来的最小涨幅。2008年金融危机期间,黄金开采量下降了逾2%。
单词medal 联想记忆:
The highest scoring tournament: 1994 in theUnited Stateswhen 24 teams averaged 2.97 over 52 matches.
“The individual sent an email blast to the entire staff.”
9月,苹果iPhone 6s和6s Plus发售,在中国创下销售记录。中国占苹果公司总营收的逾四分之一。在这里,苹果的产品往往被视为地位的象征,它的竞争对手不仅有来自韩国的劲敌三星(Samsung),还有日益流行的中国智能手机品牌华为和小米。
"Those who disrupt testing and harm the equity of education by cheating will get the punishment they deserve," the ministry said.

4

单词allure 联想记忆:
2008年,詹纳作为顾问与印度达拉维一家呼叫中心的员工进行了交流。达拉维是南亚最大的贫民窟。那名工人说有数以百万计的无业村民具备有与他一样的能力。詹纳说:“我想:‘有没有可能利用外包为数十亿人每个人带来几美元,而不是为少数富人带去数十亿美元?’” 于是,她成立了撒马源公司(Samasource),用这个高科技平台帮助贫困的女性和年轻人获得谷歌(Google)、商务社交媒体公司LinkedIn和微软(Microsoft)等公司的数字项目。到目前为止,这个非盈利机构已经帮助16,000人脱离了贫困。近期,它还在美国成立了一个国内项目SamaUSA,主要面向居住在旧金山的低收入学生。
The movies were selected from more than 2,000 titles from 100 countries and will be screened in 30 cinemas and colleges around Beijing from April 8 to April 23, Zhang Xiaoguang, deputy head of China Film Archive, said last Thursday.
Company: Samasource
失业率的大幅下降的实际效果将会有所体现
2016年,中国电影票房经历了一次令人震惊的调整,从2015年的48%大幅下降到3.7%。
We will promote the liberalization and facilitation of international trade and investment.
Meanwhile producer prices fell 4.9 per cent year-on-year in February, as expected, compared to a 5.3 per cent fall in January. The drop was the smallest in eight months.
Justin Bieber was the big winner of the evening at the American Music Awards last night, taking home four accolades including Favorite Pop/Rock Male Artist, Fa
人类想知道“这是为什么?”
法国巴黎高等商学院排名第二,尽管该学院在除MBA以外的所有排名中都胜过伦敦商学院。法国巴黎高等商学院最终不敌伦敦商学院的原因是,其高管MBA课程Trium是与伦敦经济学院(London School of Economics)和纽约斯特恩商学院(Stern School of Business)合办的,因此这门课程在该项排名中的得分只有总得分的三分之一。(合办课程的商学院参与EMBA课程排名时按比例获得分值。)

5

Neneh Cherry “Blank Project” (Smalltown Supersound)
约40%的创业者的大部分收入都来自自己的公司,平均薪资约为19.4万美元,而非创业者的平均薪酬为17.1万美元。亚洲和大洋洲的创业者看起来是最成功的。他们中近一半人(48%)的大部分收入都来自自己的公司,而且薪资最高(平均为25.1万美元),稍高于中东的创业者(24.4万美元)。
现在是时候制订新年旅游计划了!有“背包客圣经”之称的《孤独星球》于近日向寻找地美价廉好去处的人们推荐了2017年性价比最高的旅游胜地清单。让我们一起来看看吧。
对爱、丧失与人生意义的沉思。喜欢狗的人与卢·里德(Lou Reed)的歌迷会特别容易受感动(我向双方都承认错误),但是任何有心人都会为安德森女士轻盈的智慧与极为庄重的风趣所打动。
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?
我们发展出人工记录声音的技术已经有几十年了,但是人工植入器官在耳朵这一领域没有任何改变。你可能认为生长在头两边的肉块极易替换,因为它们只是皮和软骨,而不是复杂的器官。事实上,科学家在制作假耳上并没有做得非常出色。传统的替代耳朵看起来或感觉起来都像塑料玩具。
Musk said he expects to be producing cars at a 100,000-a-year rate by the end of 2015.
The ‘one country, two systems’ principle needs to be steadfastly applied in Hong Kong without being bent or distorted.
肥皂剧通常都在电视收视排行榜上位居前列,但2012最流行的电视节目是英国广播电台儿童节目《麦克小骑士》,它打败了美国惊悚电视剧《国土安全》和真人秀节目《Towie》。
Among the 18 sectors categorized by the China Securities Regulatory Commission, financial executives ranked the highest with annual pay of 27.36 million yuan, followed by real estate executives at 11.18 million yuan.
adj. 复杂的,复合的,合成的
Congress will authorize billions more in stimulus that won't be called 'stimulus' and won't actually create jobs. And Congress will convene a bi-partisan deficit cutting commission that won't do much either. Until investors stop buying US Treasurys, why should Congress change its ways?
If you thought that getting sector over- and under-weights correct at the outset proved difficult, switching between them throughout the year was nearly impossible. A quantitative analyst from Nomura Securities explained to Barron’s in November that “industry leadership has been reversing from month-to-month at a rate unseen in decades of stock-market history. ‘Even if you’re picking the right stocks in a sector,’ he says, ‘things are moving around so much that your performance doesn’t persist.’”
中国拒绝承认存在任何不当行为,并表示正在努力解决工业产能过剩的问题。随着中国经济增长放缓,该问题变得日益尖锐。

6

吕特回应称:“这就是坐在沙发上发推特与治理国家的区别。如果你在治理这个国家,你就得做明智的决定,而驱逐大使是不明智的。”
4. Life Expectancy
“现在,我只给她稍微擦了点唇膏,涂了点指甲油。”
n. 商标
这个触动人心的成长故事完美捕捉了一个人从青少年初长为成年人的甜蜜又苦涩的阶段。
对于购房者,也不都是坏消息:房价明年(2015年——译注)仍将上涨,但步伐可能会从飙涨趋于平缓。“房价不会一味地陡然上涨,”柯克兰集团(Corcoran)的首席执行官帕梅拉·利伯曼(Pamela Liebman)说,“买家都有点疲劳了。”
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.
'If global demand picks up in the developed world, and you combine that with the growth in the emerging economies, I think the market is going to get tight,' he said, which means those mighty peaks could return to the oil-price graph.
(传说中的中心对称!!!!)不过Illuminati的对称文已经遗失,下面的对称文是Dan Brown在写《天使与魔鬼》的时候找朋友设计的。 就《天使与魔鬼》一书描述,尽管很多人怀疑该组织的真实性,但光照派的确存在,至今如此,并且已经渗入了当今各个领域,尤其是很多共济会成员都在其中。

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)。

Conclusion

罗杰斯对于中间剧情的反转十分不满,因此在拍完前三季之后决定离开剧组。这样的违约行为使他面临数百万美元的诉讼。但讽刺的是,韦恩·罗杰斯从来没有正式和剧组签订过合同(他涉及道德条款方面的问题)。因此该诉讼请求被驳回。你可能会说在这次的事件中,罗杰斯是笑到最后的人,但自从他离开剧组,《风流医生俏护士》又播出了八季,而罗杰斯在他的演艺生涯中再也没有取得过这样的成就。所以说他是笑到最后的人,也许只是一个相对的说法。
The best of 2015
['sep?reit]
剧中,罗根的爪子不再迅疾,自愈能力渐失,但他坚持照顾人生导师X教授(X教授的演技让你忍不住为他鼓掌!),看着影片里X教授忍受癫痫的痛苦实在是令人不忍。毫无疑问,该片赚足了粉丝的泪水。如果杰克曼和斯图尔特是认真的,这部片子是他们为对方献上的终篇,这番告别可谓是一曲千古绝唱。
皮卡大战:如果把得奖的问题抛在一边,福特的全铝皮卡生产起来很不容易,卖得也比较慢,这就为快速崛起的道奇公羊(Dodge Ram)1500提供了机会。同时,日产也试图忘掉该公司第一款全尺寸皮卡,也就是采用双拖斗造型的第二代Titan皮卡的失利。汽车业老将约翰o克拉福西克向《汽车新闻》透露了这个行业的最大秘密:在5万美元以上的市场区间,平价品牌的皮卡和SUV的销量要超过德系豪华品牌。
科学家改良光合作用提高作物产量
At least one model of the next iPhone is expected to feature image-capture technology that can sense depth, and track faces and expressions. A range of new emojis include monkeys and robots, whose animated expressions can mirror the iPhone user’s face as Apple battles for users’ attention with the likes of Facebook and Snapchat.
IDC认为,中国人可支配收入的增加导致了消费的增加,从而推动了国内手机市场的快速增长。


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. When you think of him, your heart would jump between fast and fast.
  2. 1. What big brother is eating isn’t noodles, but loneliness.
    With a bit of help from Charles Dickens, let’s take a look back at the year in which almost nothing worked:

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