Becker's Hospital Review

21 INNOVATION they were very short and they were really just for me," Dr. Vogt said. "And now I actually step away from the computer. I'm better with my patients as far as communication and eye contact. "And then I think my note is much more accurate to what the patient says in the HPI [history of present illness] because instead of me typing one line for their symptoms, it's capturing what they said. And I think the plan is actually easier for them to read. Because the whole point of a patient being able to read their note on MyChart is for them to understand it. So this could actually could be really empowering for patients." Dr. Vogt said she's also looking forward to an upcoming Spanish version of DAX since a quarter of her patients only speak that language. "We're really excited about AI in general," she said. "It can hopefully function almost like a search tool in the EMR for those things where I'm going back and forth trying to figure out what's going on. It could tell, say, which of my patients with uncontrolled diabetes I haven't seen in the past three months." "e rate at which it's improving is just incredible," she added. "It's just really exciting."n Why NYU Langone Health combined informatics, IT By Giles Bruce N ew York City-based NYU Langone Health has integrated informatics within its IT department to harness the potential of new technologies such as generative AI. In 2023, the health system created the NYU Langone Health Medical Center IT Department of Health Informatics, a corporate operations department within IT to serve as an "enterprise-level hub of informatics activity" spanning clinical care, research and education, four NYU leaders wrote July 9 in Nature. "IT teams have become the new stewards to the treasure trove of informatics research enabled by the EHR and other dimensions of digital medicine applied to innovative digital health research studies, including patient portals, smartphones, and apps," the leaders wrote. "In many academic medical centers, this gatekeeper dynamic has created an undefined and inconsistent partnership between IT and informatics teams that is likely to prove untenable moving into the future." NYU Langone Health could serve as an example for other health systems pursuing a strategy to evolve alongside emerging technologies, the authors wrote. The new department has already leveraged its centralized capabilities to advance generative AI, establishing the first patient health data-safe OpenAI GPT-4 platform for in-house experimentation, hosting the first healthcare AI "prompt-a-thon," and deploying unified oversight of the technology. The article was written by Devin Mann, MD, strategic director of health innovation at NYU Langone Health; Elizabeth Stevens, PhD, an assistant professor of population health at NYU Grossman School of Medicine; Paul Testa, MD, chief medical information officer at NYU Langone; and Nader Mherabi, chief digital and information officer at NYU Langone. n Why nearly 40 hospitals use AI 'black boxes' for surgeries By Giles Bruce D ozens of hospitals have placed artificial intelligence-powered "black boxes" in operating rooms to improve surgical safety and outcomes, MIT Technology Review reported. For instance, Teodor Grantcharov, MD, associate chief quality officer for safety and innovation at Palo Alto, Calif.-based Stanford Health Care, developed a system that employs panoramic cameras, microphones and anesthesia monitors to record surgeries, the data from which is analyzed by AI, according to the June 7 story. Some hospital employees across the country have pushed back against the technology, either because they fear legal or job-related retaliation or say research on the devices' benefits isn't robust, the news outlet reported. Audio from surgeries is also a challenge to capture. e Surgical Safety Technologies system developed by Dr. Grantcharov is used by nearly 40 institutions across the U.S., Canada and Europe, including Rochester, Minn.-based Mayo Clinic, New York City-based Mount Sinai Health System and Durham, N.C.-based Duke University Health System, according to the story. Medtronic, Johnson & Johnson and Intuitive Surgical also make operating room black boxes. Hospitals with New Hyde Park, N.Y.-based Northwell Health and Somerville, Mass.-based Mass General Brigham also employ the technology, the publication reported. One estimate in the article put the cost of the black boxes at $100,000 to install and $25,000 a year for the analytics technology. Dr. Grantcharov told MIT Technology Review he believes the black boxes can do for surgery what similar devices accomplished for airlines. "e aviation industry made the transition from reactive to proactive thanks to data," he said. "From safe to ultra-safe." n

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