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68 CIO / HEALTH IT Geisinger Holy Spirit CMIO Dr. Richard Schreiber on the 3 most dangerous trends in healthcare By Andrea Park R ichard Schreiber, MD, is the chief medi- cal informatics officer at Geisinger Holy Spirit in Camp Hill, Pa., associate CMIO at Danville, Pa.-based Geisinger and region- al assistant dean and professor of medicine at Geisinger Commonwealth School of Medicine. Dr. Schreiber, who has spearheaded multiple EHR adoptions during his time at Geising- er, told Becker's Hospital Review that his current priorities include optimizing and continuously upgrading the health system›s current EHR, as well as improving physician workflow and finding ways to counteract physician burnout. e latter two will remain top priorities in the years to come: "As I move toward retirement, I will focus on the physician experience and medical student teaching," he explained. Here, Dr. Schreiber discusses the healthcare initiative he is most excited about — and the three that he believes pose the biggest danger to healthcare. Editor's note: Responses have been lightly edit- ed for length and clarity. Question: What initiative are you most excited about today? How will it affect the future of healthcare de- livery? Dr. Richard Schreiber: CMS' effort to reduce physician burden gives me a somewhat optimistic outlook, as slowly and incrementally as it is going. ere's a very long way to go. Physicians need time to connect with their patients, render care and promote health. Our current burden of documentation, informa- tion seeking and catering to the insurers and other non-clinicians inhibits our workflows. Failure to unload onerous tasks will worsen our already suffering healthcare delivery. Q: What do you see as the most dan- gerous trend in healthcare today? RS: e reactionary movement to cut back on healthcare insurance for all, withdrawal of services for the poor — especially with regard to mental health and drug addiction services — and the failure of our current government to curb firearm-related deaths and injuries are dangerous trends in healthcare today. e U.S. ranks 11th in the world for gun-related deaths, but most of the first 10 are generally considered countries with even greater prob- lems with drug trafficking. I also foresee even greater control being given to insurance companies and businesses which control their own healthcare, leading to even greater increases in cost-shiing to consum- ers via higher deductibles, unpaid services and onerous prior authorization programs. ese also lead to delays in care and inade- quate treatment. In addition, the current chilling climate for immigrants will further diminish access to health services for this group, leading to more use of emergency care, higher costs and increased morbidity and mortality of this vulnerable population. n Mayo Clinic invests in breast cancer imaging AI By Andrea Park R ochester, Minn.-based Mayo Clinic has en- tered into a collaboration with Imago Sys- tems, a Lansdowne, Va.-based software company using artificial intelligence for the early detection of abnormalities in imaging data. Under the multiyear agreement, Mayo Clinic will provide financial backing to help Imago de- velop technology for breast imaging analysis. Additionally, Mayo Clinic researchers will lead and participate in clinical studies to validate the software, which aims to detect early-stage breast cancer in mammograms and other imaging data. Imago's technology uses AI algorithms to uncov- er more information and insight from traditional grayscale images. The software does not require any additional radiation exposure, and there- fore has the potential to be a safe and effective method for improving the diagnostic abilities of radiologists and clinicians, according to Thomas Ramsay, Imago's chairman and CEO. n Tampa General opens high-tech clinical command center By Andrea Park T ampa (Fla.) General Hospital launched a new "mission control" center Aug. 20 to improve patient care and cut costs with the help of artificial intelligence and predictive analytics. The CareComm center, developed in partnership with GE Health- care, features 20 "tiles," which are running apps using AI and predic- tive analytics to monitor patient flow and provide decision-making support to clinicians. The tiles are displayed across 38 screens in the center and are constantly updated with live data to help Care- Comm's clinical team of physicians, nurses and allied health profes- sionals better coordinate patient care. Tampa General is one of just five health systems in GE Healthcare's Command Center Ecosystem, joining The Johns Hopkins Health Sys- tem in Baltimore, Humber River Hospital in Toronto, AdventHealth Or- lando and Tacoma, Wash.-based CHI Franciscan, which launched its own AI-powered center in August. Prior to the 8,000-square-foot center's official launch, Tampa Gener- al established a temporary CareComm facility. Since its December opening, the temporary center has already helped the hospital re- duce patient length of stay by about half a day, resulting in savings of about $10 million. n