Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

So far this year, companies have announced 376 share-repurchase initiatives for a total of $261 billion, according to data from Birinyi Associates. That's nearly 72% higher than 2012, though slightly lower when compared to the same period in 2013, which was a record year for buybacks.
n. 繁荣,兴旺
年龄对詹姆斯仍不是问题
Technically it is a project of the 10-member Association of Southeast Asian Nations to bring all of its trade deals in the region under one umbrella. It also lacks the ambition on many fronts of the TPP.
But this has begun to feel less like a relevant statement about what women want now and more like a retreat; an assumption, which I would characterize as false, that the past is a safe place to dress.
4. 2012年搞笑诺贝尔奖之神经科学奖

adj. 迷人的
周二在华盛顿DC的乔治市附近,人们沿着被淹的波托马克河在雨中漫步。
oDesk and Elance (now in the process of merging) are freelance marketplaces, which allow you to quickly identify, engage and hire freelancers from all over the globe. Need a website developer or content writer? Don’t hire an employee; instead, work with a freelancer. At last count, there were more than 1 million freelance contractors available via these marketplaces.
Iron ore imports fell 12.3 per cent by volume in October from the previous month and 4.9 per cent from the same month a year earlier while coal imports were down 21.4 per cent from September and 30.7 per cent from a year earlier, according to Chinese customs data.
首先,最受消费者喜爱的公司是:
The second match will be held at the Mercedes-Benz Arena in Shanghai on Oct 8.
5. 艾玛?斯通
We will continue to transform government function.
A Bubble With No Name Yet is still a bubble. But, Americans are too distracted, too numb, too in denial to hear the warnings. Reminds me of my headline back on March 20, 2000. 'Next crash, sorry you'll never hear it coming.'

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.

单词transport 联想记忆:

1

这项任命是由澳大利亚贸易、旅游与投资部长史蒂文·乔博于2月21日宣布的。中国国家旅游局局长李金早出席了该活动。
“I don’t think there are any companies that have survived big assaults from two of the biggest beasts in the hedge fund jungle,” says Ms Simpson of Calpers. “He is cool, calm and collected — the corporate exemplar of ‘Keep calm and carry on’.”
outrage
尽管有少数人坚持这种说法,但绝大多数研究气候的科学家表示,地球正在经历一个长期变暖的趋势,这种趋势给人类带来深刻的威胁,而且几乎完全是由人类活动造成的。
2016的很多电影都会有很好的票房号召力,但人们迫不及待想要观看的其实只有那么几部。
德银资产管理公司(Deutsche AM)亚太区被动型资产管理部门主管马尔科?蒙塔纳里(Marco Montanari)也认为,在亚洲ETF市场迈向更高台阶之前,必须从根本上改革分销制度。
Judge Business School at Cambridge University in the UK was the biggest riser, climbing 19 places to 29th thanks to a strong performance in the executive MBA ranking in its first participation in that list. Warwick Business School made a comeback to the top 20 (19) after missing out on the MiM ranking in 2013.
Europe fell into a debt crisis. Japan faced a natural disaster. Emerging markets, once the bright spots on the global landscape, lost their glow. Political crises from Italy to Egypt to Thailand raised the prospect of another round of global unrest.

Meanwhile, former Fifth Harmony star Camila Cabello proved her solo career is getting off to a flying start as she picked up the Best Pop award for her debut single, Havana.Her win meant that Taylor Swift was dealt another award snub, though it was just one of many for the singer, who recently made her return to the spotlight following her one-year hiatus.
9. Investors brains are so distracted, in denial, they won't get out in time.
revision
我预计真正的大戏将在2018年初展开。但这是唐纳德?特朗普的贸易世界。我们只有观看的份儿。
精准加力补短板。
[stres]
就目前来看,我觉得他们大概会在第十顺位,在这么低的顺位想要得到一个立即能够成为球队建队基石的新秀可不容易,并且留给鹈鹕队出成果的时间不多了。
The students were very experienced, commented one graduate. Networking and interaction among everyone involved were key aspects of this programme.
高通(Qualcomm)总部所在地的农民们肯定像它的雇员一样超爱这家无线电公司。每周,高通会在其总部圣地亚哥择址两处举办农夫市集。出售的商品从传统农产品到果酱、果冻无所不包。凡是订购了“社区支持农业”素食礼盒的高通雇员,在总部的一家咖啡馆即可轻松收货。
Bangkok's 2014-15 fall from the top was largely put down to political instability in recent years.
3=somewhat true
有的时候,老板挺糟糕的。但如果你觉得你的老板一直很差劲,占用了你的时间,是的,你该去找一份新的工作了。
The US has the most universities of any country in the overall ranking, with 221 schools earning a spot. The countries with the next-highest numbers of schools in the ranking are China and Japan with 136 and 76, respectively.

2

IE’s alumni have the second-highest average salary increase following graduation, at 39 per cent. The school is ranked first for aims achieved and for international mobility. It is third for career progress. “There is a definite ‘before and after’ for career progression,” says one former student. “Post-MBA I felt I had more of a sense of direction not only of where I wanted to be, but also why, and how to make it happen.”
Tuesday’s event at Apple’s new Cupertino headquarters is expected to reveal its much-anticipated 10th-anniversary iPhone, offering significant upgrades to the smartphone’s display, camera and overall design.
['m?:gid?]
adj. 透视的
No, this doesn't mean you should abandon your LinkedIn profile for fear of a suspicious boss. But it does mean you should be more careful. For one, turn off your activity broadcasts so that every savvy move you make isn't announced to your entire network. Here's how: From the homepage, hover over your photo in the top right corner, and click on "Privacy & Settings." From this page, click "Turn on/off your activity broadcasts."
Comparatively, the increase rate is higher than income rise of urban residents for the same time period, which is 17.4%.
STEP 9: BE SURE to tell everyone to shut up on a daily basis, it's endearing you know
The number of such applications in Beijing last year increased 426% from that of 2015.
The new numbers, reported by a tracking initiative called the Global Carbon Project and published in the journal Nature Geoscience, came on the eve of a United Nations summit meeting meant to harness fresh political ambition in tackling climate change. Scientists said the figures showed that vastly greater efforts would be needed to get long-term global warming within tolerable limits.
initially
Columbus Day became a U.S. holiday in 1971. It is generally observed by banks, state government offices, the Postal Service and federal agencies. The bond markets are closed for the holiday, but many businesses and stock exchanges remain open.
2016年度的《胡润百富榜》显示,姚振华的净财富去年涨了逾8倍,至172亿美元,他也因此成为中国的第四大富豪。去年他的排名是第204位。

调查结果显示,今年大约有9.8%的应届毕业生选择“慢就业”。所谓的“慢就业”是指一些毕业生不着急就业,而是选择旅游、在家陪父母以及继续等待机会自主创业等方式,慢慢考虑人生道路的现象。
报告还指出,其中2.01亿(27%)网民来自农村地区,城市和农村地区互联网普及率差距为45.2%。
The Pelicans have struggle to attract and keep free agents, they must retain Jrue Holiday this summer, Cousins is from nearby Alabama and enjoys a close friendship with Anthony Davis, and years of disappointing and injury-plagued seasons put the franchise in a position where it seemed to be teetering on perennial also-ran status.
Estimates for the size of the industry vary but Goldman Sachs figures suggest that sector loans grew from Rmb6bn to Rmb83bn between 2012 and 2014.
这晚,霉霉并没有参加这次颁奖典礼,虽然她提名最多。19岁的歌手Shaw表选突出,风头胜过了霉霉,在这场颁奖典礼上横扫众多奖项。
Comparing regions within specific categories of costs, the EIU notes that Asian cities are the most expensive for grocery shopping, with Seoul in South Korea the priciest for food. European cities are the most expensive in terms of recreation and entertainment.
你可以在任何时候进行冥想,但你可以在学习之前的15分钟,上课前的15分钟,考试前的15分钟进行冥想,你就会自己身为学生的良好表现而感到惊讶了。
你翻上去找第十二条,然后默默地笑自己....
“也许,小组会多你一个少你一个问题不大,但是,你的不称职就意味着67万人的缺席,你的失语就意味着67万人沉默。”

3

10. Are YOU Re-Energized?
Coca-Cola (KO, Fortune 500) Chief Executive Muhtar Kent thinks as both a first-generation American as well as a business leader that immigration reform is good for business. Kent outlined in a February USA Today op-ed how "lucky" he felt to be able to make his life in the U.S. and his belief that foreign entrepreneurs should have the same opportunity. The CEO wrote that he supports immigration reform because immigration is "an essential part of the growth calculus for this great country."
在20世纪90年代,罗斯把它应用到如何把美国医学生分配到医院。他开发了一种新的算法被全国驻地医师匹配程序所采用,这有助于把驻院医师分配到合适的医院。
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.
在几代人之中,工薪阶层的白人受到双重赐福:他们既拥有种族所带来的特权地位,也受惠于经济的繁荣发展。
此外,该报告还指出,雨果博斯、雪佛兰和舒洁则跌出了该榜单。
可口可乐CEO穆泰康是第一代美国移民,同时也是业界的领袖人物。他认为移民改革对企业有好处。2月份,他在《今日美国》(USA Today)的评论版对页文章中表示,他庆幸自己能够在美国生活,而且他认为其他外国创业者也应该获得同样的机会。穆泰康写道,他支持移民改革的原因是移民“是这个伟大国家进步基石的关键组成部分。我们必须让决心来到美国、同时又拥有高超技能的人更容易在这里生存和生活下去。”
Social networking platforms, including Weibo and mobile app WeChat, proved to be the best tools for cyberstars to magnify the power of communication, making it possible to create an industry that combines advertisements, e-commerce and fans.
波尔图基本与波特酒同义,并同样具有悠久的历史。该城市的历史城区和葡萄酒产区上杜罗已被联合国教科文组织列入世界遗产名录。
9. 米拉-库尼斯 1100万美元
人社部发言人李忠表示,2016年第一季度。我国的就业形势总体保持稳定。不过他补充说道,经济下滑和结构改革,使就业更困难。
The FORBES Global 2000 is a comprehensive list of the world’s largest, most powerful public companies, as measured by revenues, profits, assets and market value.
亲爱的朋友,你们即将毕业,呈现在你面前的世界拥有美好的前景和潜力;这个世界并不仅仅以办公室走廊或华尔街的形式出现,而是令人激动不已的真实世界,充满许多未解之谜,以及让人陶醉的体验。我们当中许多人都忽略了这个简单的真理。
源于:virtues(n 美德天使:九级天使中的第五级)
The Magic have bounced between average and bad, and they're currently on a downswing. Now Aaron Gordon and Nikola Vucevic are coming off the bench and Mario Hezonja is buried.

4

15. WeTransfer
The reality turned out to be tougher than he imagined. “I saw it as a two-year opportunity,” says Mr Ravenscroft. “The grinding reality is that it’s a slog.” Moreover, his mentor worked at Lehman Brothers, the bank that collapsed in 2008. “It wasn’t quite as long a mentoring relationship as I’d hoped,” he laughs.
该报告调研了156个国家,结果显示,丹麦、挪威、瑞士、荷兰和瑞典是幸福指数最高的前5个国家。而撒哈拉以南非洲的大部分国家——卢旺达,布隆迪,中非共和国,贝宁和多哥等则被该报告评为幸福指数最低的几个国家。中国列第93位。
2.Namibia
Personal per capita disposable income increased by 6.3 percent in real terms.
波尔图还有一系列较平民的博物馆、廉价的老式有轨电车和迷人的卵石海滩。葡萄园一日游这类短途旅行也非常便于安排。
这一新数据公布之际,杜特尔特正抵御国内外对其禁毒运动的指责,已有60万名潜在嫌疑人向当局自首。
英国国家电网(National Grid)的教育和技能主管托尼?莫洛尼(Tony Moloney)表示,参与该项目是国家电网旨在鼓励学校学生学习STEM科目(科学,技术、工程和数学)以及熟悉本领域工作的总体计划的一部分。
With the majority of professional advisors (myself included) preaching the benefits of global diversification to their clients, 2014 looks more like a draw than an outright victory in the harsh light of December’s low winter sun. Consider the fact that, through last week, the MSCI World Index gained just 2% on the year, with nearly 5% drops for both the MSCI Emerging Markets index and the EAFE index of developed markets outside of the United States. Ironically, the single best-performing foreign market in the world, the Shanghai Composite of mainland Chinese equities (up 45%) is the only one that U.S. investors could not actually put their money into.
10. Knighted Penguin
Much joy to you in the up coming year. May the warmest wishes, happy thoughts and friendly greetings come at New Year and stay with you all the year through.

5

At least 10 students lost their chance to attend Harvard College after posting "obscene memes" to a private Facebook chat, the main Harvard student newspaper reported.
adj. 可用的,可得到的,有用的,有效的
华尔街、大街上和华盛顿的每一个人都在不断地忘记市场周期的基本原理。请记住:《笑傲股市》(How to Make Money in Stocks)作者、《投资者商务日报》(Investors Business Daily)的比尔?奥尼尔(Bill O'Neill)说,市场的上行周期平均为3.75年,下行周期平均为九个月。
"某时,世界呈现给我们是相互分隔的,但是这些电影和电视作品让我们感觉世界是相通的,"美国电影学院的总裁兼首席执行官Bob Gazzale如是说。"美国电影学院奖表彰这些电影艺术家们,勇于挑战,让我们受到鼓舞,娱乐,又励志,最后让我们意识到,我们都有着同样的心跳,"
在原油市场连续数年获得新兴市场需求的支撑之后,快速增加的原油供应很可能会在2014年拉低油价,油市形势将继续随着这种供需动态变化而发生改变。
在这个风云变幻的世界,詹姆斯·邦德俘获了不少铁杆粉丝,是至今为数不多的仍在续拍的电影之一。在人们的意识里,无论发生什么事情,新的007电影依然会拍下去。
Song “Embrace Happiness”(Kelly Chen)
Those concerns are casting a heavy shadow over a two-day meeting of G20 central bank governors and finance ministers due to start tomorrow. The International Monetary Fund this week already warned that it was poised to downgrade its forecast for global growth this year, saying the leading economies needed to do more to boost growth.
e出,leg腿:露出大白腿………高雅的;但是靠这个优雅也是比较悲哀的一件事
BETTER CALL SAUL (AMC, Feb. 8) Vince Gilligan and Peter Gould’s “Breaking Bad” spinoff is probably the most anticipated new series of the winter. Starring Bob Odenkirk as the crooked lawyer Saul Goodman, the show is set before the action of “Breaking Bad,” so any appearances by Bryan Cranston or Aaron Paul would be cameos at best. But the audience favorite Jonathan Banks reprises his role as the phlegmatic enforcer Mike Ehrmantraut.
200911/88510.shtml
The infectious disease known as scarlet fever famously reached pandemic proportions in the 19th century, striking down the young and the weak across the Western world.
《银河护卫队2》
Schools relied on a wide range of technologies to ensure lively interactive delivery of their programmes including virtual classrooms, live sessions and multimedia teaching materials. Alumni were asked to rate delivery as well as indicate how effective online exams were. Results were encouraging. Schools appear to be getting better at online delivery. Every aspect of online delivery was rated higher than it had been in previous years, showing a greater level of satisfaction.

6

Meditate any time, but 15 minutes before you study, 15 minutes before class, 15 minutes before a test, and you'll be amazed at how well you can perform as a student.
用这个背带背孩子更加方便舒适。
The bulk was due to underlying global warming caused largely by rising emissions of carbon dioxide, the main man-made greenhouse gas produced by burning fossil fuels, such as coal and oil.
冲击奖项:最佳电影提名应该可以肯定。参演《至暗时刻》的加里奥德曼是最佳男主角的最热人选,如果说有谁能击败他的话,那可能就是克莱门特了。
《王冠》
n. 土耳其
But the declines continued, and now it’s all over, red rover.
Suspecting that the water had been mixed with something harmful, Tang reported the incident to the class monitor and teachers.
卓越雇主排名:32

Sixty Vocab:

Conclusion

根据独立健康慈善金基金的分析,到2021年,医疗预算将持续缩减大概8亿欧元(超过10亿美金),尤其是在性健康和性传染病方面的缩减。
In terms of the volume of exports from emerging markets, Mr Baweja would not rule out growth of around 4-5 per cent. But while this would represent a modest improvement on recent years, growth at this rate would still be “in the bottom quartile over the long-term distribution, even maybe the second decile”, given that median growth has been about 7 per cent a year over the past 25 years.
A new report released just last week confirmed that many of us are still using the word 'password' to access our accounts.
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.
单词scroll 联想记忆:
With its goal of universal healthcaresystem coverage by 2020, Chinais expected to transform the medicine market, becoming the second largest afterthe US.In the next five years, Chinaexpects per capita spending to grow by 70 percent.
headway
Obama defeated Romney in a series of key swing states despite a weak economic recovery and persistent high unemployment as U.S. voters decided between two starkly different visions for the country。


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. 这是今年最精致的浪漫电影与最尖锐的反浪漫电影,均来自美国电影界最缜密的聪明人。两部影片之间的关系最好用一首威廉·布莱克(William Blake)的诗歌来总结——《土块与卵石》(The Clod and the Pebble)。
  2. 该报告还指出,自2013年以来,中国已成为全球最大的工业机器人市场。并且在近年来,中国国内的供应商通过提供更多高端产品,正在向供应链上游进军。
    而或许更引人关注的问题是,雅虎究竟为何决定拿出3,000万美元来收购一款手机应用呢?诚然,Summly的文本精炼能力与新战略下的雅虎对移动设备的侧重不谋而合。伴随着以11亿美元对轻博客的收购,以及广受好评的新款天气应用的推出,Summly软件的加入见证了雅虎占领智能手机领域的坚定决心,以及为爱使手机的年轻消费者提供优质服务的不懈努力。

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