Becker's Hospital Review

58 CIO / HEALTH IT More CEOs, CFOs and CIOs see organizations losing grip on basic IT By Molly Gamble A cross industries, the percentage of C-level executives leaders who say their IT function is effective in delivering even basic services has plummeted over the last decade, according to a new report from IBM. e study, conducted by the IBM Institute for Business Value in collaboration with Oxford Economics, surveyed 2,500 C-level technology executives (CTOs, CIOs and CDOs) from 34 countries and 26 industries in Q1 2024. Across industries, only 47% of tech CxOs believe their IT organization is effective in basic services, a significant drop from 69% in 2013. Confidence in basic technology services among CEOs and CFOs has also decreased, with only 36% of CEOs and 50% of CFOs rating IT as effective, down from 64% and 60%, respectively, according to other research out of the institute. e report further highlights that collaboration between tech CxOs and CFOs oen falls short in practice. While 66% of CEOs emphasize the importance of strong collaboration between tech CxOs and CFOs, only 39% of tech CxOs collaborate with finance to integrate tech metrics into business cases. Just 35% of CFOs are involved early in IT planning. Founded in 2002, IBV is part of IBM Consulting. n Hospital for Special Surgery names first chief digital and technology officer By Carly Behm N ew York City-based Hospital for Special Surgery named its first chief digital and technology officer, according to an Aug. 13 news release. Ashis Barad, MD, will begin the role starting Sept. 10. He began his career as a pediatric gastroenterologist, and he has more than 18 years of clinical and medtech ex- perience. In his new role he will oversee technology and digital operations and lead partnerships to optimize care delivery. Dr. Barad previously worked as chief digital and informa- tion officer at Allegheny Health Network in Pittsburgh. HSS Associate Chief Information Officer Elizabeth Perlman will also succeed Chief Information Officer Jamie Nelson. Ms. Pearlman will report to Dr. Barad. n orthopedics, obstetrics and oncology next and eventually the emergency department. e health system's goal is for half of its approximately 3,000 physicians to adopt the tool, which is not mandatory. Beyond that, Mr. King said he can also foresee a day where the technology queues orders or automates charging for providers, or generates visit notes for patients in terminology they will understand. With the DAX Copilot, developed by Microso subsidiary Nuance, upon getting patient consent a clinician presses record on a smartphone app that ambiently listens to and transcribes the medical visit then quickly generates a dra clinical note for the Epic EHR once the appointment is completed. "It understands the context of the conversation with the physicians and the patients to where it can omit things — if we're talking about, for example, my child's soball game, it won't include that — but it will add a med to the med list, or problem to the problem list," Mr. King explained. "It's not just another technology that's transcribing the conversation. It holds it within the context of medicine." During a roughly four-month pilot, clinicians who used the app reduced their physical documentation load by about 30%, Mr. King said. "Patients are being seen faster by physicians when they need to get in for care, our physicians are able to document faster, and they have less of that [documentation] burden on their shoulder, so they get to do what they want to do, which is see those patients," he said. Organically, as a result, those physicians have also been able to see more patients, which would be a quantifiable return on investment (Mr. King said the financial terms of the deal are confidential). "But ultimately, the reason we did this was for the wellness of our physicians and combating administrative burden," he said. Farther out into the future, Mr. King envisions generative AI becoming a daily tool for providers across healthcare, from creating reports for radiologists aer reading images to conversing with and giving advice to members of the care team, furthering the goal of precision medicine. "e doctor will say, 'What are you thinking?' And the AI will respond back, 'I would prescribe this, this or this,'" he explained. "And the doctor might say, 'Well, what about this?' And the AI would respond back with, 'Well, this patient's genome might not metabolize it that well.' And it will just be able to pull that data instantly to help that physician make a better decision for that unique patient." n

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