Literature Review

How to estimate your EHR implementation cost: Factors that impact your budget Joyrulez; by RickD32; 8/14/25 Implementing an EHR (Electronic Health Record) system is one of the most significant investments a healthcare organization can make. Beyond the obvious benefits of digital recordkeeping—such as improved patient care, streamlined workflows, and regulatory compliance—the financial implications of EHR implementation are considerable. Understanding the factors that influence costs is essential for accurate budgeting and successful project execution. This guide will break down the key considerations, providing insights into an ehr implementation cost breakdown, the roles involved, and hidden expenses that organizations often overlook.

A photo essay of birth & death doulas Charlotte Magazine; by A.M. Stewart; 8/17/25 I photographed my first death at 17. It was my great-grandmother’s funeral, and something inside me said it was an important moment to document. But it wasn’t until 2018—19 years later, when my father died—when I began to devote part of myself as a documentary photographer to the subject of death and dying.

The Medicare Advantage, ACA and No Surprises Act lawsuits to watch Modern Healthcare; by Bridget Early; 8/18/25 Legal challenges to Medicare Advantage marketing, health insurance exchange regulations and the No Surprises Act are working their way through the courts with major implications for the healthcare sector. Here are some key cases that could change how health insurance companies sell Medicare plans, how insurers and providers resolve out-of-network billing disputes, how consumers sign up for health insurance exchange plans, and how preventive healthcare is covered. 

Is Gen Z changing the culture of medicine? Medscape; by Kelly K. James; 7/9/25 ... In the workplace, Boomers are often assumed to have strong work ethics, while Millennials tend to value their free time more than preceding generations. While generational generalizations have shortcomings (as do all generalizations), the incoming crop of Gen Z doctors will likely affect the culture of medicine in significant ways. ...

Flu, COVID-19 vaccination rates falling among health care workers WWLP, Springfield, IL, originally Boston, MA; by Alison Kuznitz; 8/14/25 The rate of Massachusetts health care workers vaccinated against the flu and COVID-19 is declining, despite state officials pushing for the vast majority of providers to get their shots in order to stunt the spread of illnesses. The Department of Public Health’s goal is to achieve an annual flu and COVID immunization rate of 90% or higher among eligible health care personnel at all licensed facilities and emergency medical services. ... During the 2024-25 respiratory virus season, an average of 83.5% of providers in acute care hospitals were vaccinated against the flu, ... That compares to ... 52.3% in nursing homes, 68.7% in rest homes, 52.2% in adult day health programs, 21.2% in EMS and 65.4% in hospice. Editor's Note: Is 65.4% high enough for health care workers who consistently tending many of the most vulnerable persons receiving health care? What are the vaccination rates for your organization? 

Aveanna beefs up advocacy efforts, leans into preferred payer strategy Home Health Care News; by Joyce Famakinwa; 8/15/25 Amid an uncertain reimbursement environment and sea of recent policy updates, Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH) remains focused on the strategies that have been helping the company achieve success. ... This means ramping up the company’s efforts around advocacy, as well as actively working with various state Medicaid programs. Home Health Care News caught up with Jim Melancon at last month’s National Alliance for Care at Home Financial Summit to learn more. Melancon serves as senior vice president of government affairs at Aveanna. ... The company has 327 locations across 34 states.

YoloCares: A caring coalition for California The Davis Enterprise; by Craig Dresang; 8/15/25 In his closing remarks at a 2016 stakeholder meeting, hosted by the National Academy of Medicine, Dr. Victor Dzau (academy president) said, “We need a coalition, a movement, a critical mass. We need to work together so that the whole is greater than the sum of its parts. We need to come together to develop resources for policy and communication. We need to improve our communication — to patients and families, healthcare providers, government, and the public.” His words perfectly captured the founding spirit of the Coalition for Compassionate Care of California. ... The group is a small but mighty powerhouse that works closely with healthcare systems and providers, patient advocacy groups, professional associations and policy — and lawmakers to promote high-quality care for seriously ill Californians. 

Do you care about your legacy? 54% of Americans want to leave mark on the world Study Finds, New York, NY; by StudyFindsAnalysis, reviewed by Steve Fink; 8/15/25 Getting older changes everything, including what we care about most. A new survey of 2,000 Americans reveals ...

[United Kingdom] Dying patients bundled into ambulances and transferred in their final hours after 'cruel' managers shut hospice without warning Daily Mailm United Kingdom; by Liz Hull; 8/15/25 Dying patients were bundled into emergency ambulances and moved in their final hours after managers shut down a hospice without warning. Nurses on duty at the Sue Ryder Wheatfields Hospice, in Leeds, were left in tears after being told to ring relatives of end-of-life patients with the distressing news that their loved ones were being immediately transferred. ... One woman died within five hours of being moved, while another two patients had passed away within 48 hours. At least two families lodged formal complaints about their treatment in the aftermath.

The future of work: Prioritizing human connection with Ryan Jenkins Teleios Collaborative Network (TCN) - Anatomy of Leadership; podcast/video by Chris Comeaux with Ryan Jenkins; 8/13/25 "Connection isn't new, it's just neglected. And it's neglected now more than ever." These powerful words from Wall Street Journal bestselling author Ryan Jenkins set the stage for a transformative conversation about what might be our most critical yet overlooked human need. Despite our hyperconnected world of social media, texting, and endless digital communication, genuine connection continues to slip through our fingers. Jenkins reveals the crucial distinction between mere communication and true connection – explaining how our brains process these experiences differently and why it matters so profoundly.

Patient deaths, inner scars, and physicians’ need to grieveMedscape; by Andrea Goto; 8/6/25In 2023, Molly Taylor, MD, MS, a pediatric oncologist and attending physician at Seattle Children’s, sat in her parked car with tears streaming down her face. She was preparing to attend the memorial service for an 8-year-old patient she had lost a week prior. The patient’s mother had asked Taylor if she could share a few words about the little girl... Taylor is not alone in experiencing grief tinged with guilt after losing a patient. Although the prevalence of provider grief hasn’t been widely examined, a JPSM review published in 2023 indicated that it’s a significant issue in many areas of medicine.