Becker’s Healthcare Podcast AI Governance and Digital Access at Mount Sinai Health System with Girish N. Nadkarni and Dr. Nicholas Gavin
Feb 22, 2026
Dr. Nicholas Gavin, an emergency physician and clinical informaticist leading digital front door and asynchronous care initiatives. Girish N. Nadkarni, clinician-scientist and Chief AI Officer building AI governance and assurance labs. They discuss expanding asynchronous care, persona-based AI oversight, generative AI for access and chatbots, regulatory and reimbursement headwinds, and prioritizing patient-centered, scalable tech.
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Scaling Asynchronous Care
- Mount Sinai expanded asynchronous care for acute, preventive, and chronic conditions to reduce the need for in-person visits.
- Nicholas Gavin described use cases like UTI treatment, HIV PrEP, and insulin/GLP-1 titration delivered via surveys and wearables.
Governance As An Enabler
- Mount Sinai created harmonized governance by persona and an AI assurance lab to enable safe, rapid deployment.
- Girish Nadkarni emphasized governance as an enabler rather than a blocker for AI and digital health.
Leverage Generative AI For Access
- Use generative AI and patient-facing chatbots to match patient preferences to appropriate care and automate routine tasks.
- Girish Nadkarni urged ensuring these tools are safe, effective, and responsible before scaling.