2021 GI Outlook (GO) Conference | November 2021-Technology's Impact on GI Practices

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In this document, Dr. Seth A. Gross explores the impact of technology on gastroenterology (GI) practices. He highlights the long history of medical technology, dating back to ancient times when splints were used on Egyptian mummies. In the field of gastroenterology, advancements in technology have allowed for the development of tools like endoscopes and gastroscopes, which have greatly improved diagnostic and therapeutic procedures.<br /><br />One major success story in the integration of technology in GI practices is telehealth. Through telemedicine, physicians and patients can stay connected, providing face-to-face experiences and improving access to care. Telehealth has been fast-tracked by industry advancements and reimbursement policies.<br /><br />The adoption of technology in GI practices, however, does face challenges. One key hurdle is ensuring coverage and reimbursement for new technologies. Additionally, concerns about risks, costs, and alternatives must be addressed by patients, physicians, and hospitals. Many of these concerns can be mitigated through adequate support from professional societies and the promotion of evidence-based medicine.<br /><br />Artificial Intelligence (AI) is another promising technology in gastroenterology. Currently, AI is being used during colonoscopy procedures for lesion detection and characterization, with the potential for expansion into other areas such as Barrett's esophagus and risk stratification. The incorporation of AI can improve the quality of care by increasing lesion detection, reducing blind spots, and assessing bowel cleanse. It can also enhance healthcare overall by easing paperwork burden, reducing medical errors, and improving access to care.<br /><br />In order to successfully incorporate AI into GI practices, key factors such as patient benefit, clinical evidence, value-based care, and complementing the care team need to be considered. Barriers to AI implementation include the need for validation of new algorithms, regulatory approval, cost implications, and the lack of current reimbursement.<br /><br />Overall, embracing technology in GI practices can improve practice efficiency, expand the scope of practice, and enhance the quality of care. However, careful planning, stakeholder involvement, and consideration of cost and clinical merits are necessary to successfully integrate technology into healthcare workflows.

Asset Subtitle

Seth Gross, MD, FACG, FASGE, AGAF

Keywords

technology

gastroenterology

GI practices

medical technology

endoscopes

gastroscopes

telehealth

telemedicine

artificial intelligence

AI implementation