{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T08:31:19Z","timestamp":1771921879391,"version":"3.50.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Batia Wiesenfeld and Yindalon Aphinyanaphongs"},{"DOI":"10.13039\/100000001","name":"National Science Foundation","doi-asserted-by":"publisher","award":["#2129076"],"award-info":[{"award-number":["#2129076"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The study aimed to assess the usage and impact of a private and secure instance of a generative artificial intelligence (GenAI) application in a large academic health center. The goal was to understand how employees interact with this technology and the influence on their perception of skill and work performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>New York University Langone Health (NYULH) established a secure, private, and managed Azure OpenAI service (GenAI Studio) and granted widespread access to employees. Usage was monitored and users were surveyed about their experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over 6 months, over 1007 individuals applied for access, with high usage among research and clinical departments. Users felt prepared to use the GenAI studio, found it easy to use, and would recommend it to a colleague. Users employed the GenAI studio for diverse tasks such as writing, editing, summarizing, data analysis, and idea generation. Challenges included difficulties in educating the workforce in constructing effective prompts and token and API limitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The study demonstrated high interest in and extensive use of GenAI in a healthcare setting, with users employing the technology for diverse tasks. While users identified several challenges, they also recognized the potential of GenAI and indicated a need for more instruction and guidance on effective usage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The private GenAI studio provided a useful tool for employees to augment their skills and apply GenAI to their daily tasks. The study underscored the importance of workforce education when implementing system-wide GenAI and provided insights into its strengths and weaknesses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jamia\/ocae285","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T16:21:34Z","timestamp":1730218894000},"page":"268-274","source":"Crossref","is-referenced-by-count":5,"title":["Health system-wide access to generative artificial intelligence: the New York University Langone Health experience"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6934-0553","authenticated-orcid":false,"given":"Kiran","family":"Malhotra","sequence":"first","affiliation":[{"name":"New York University (NYU) Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Medical Center IT, Department of Health Informatics , NYU Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Department of Ophthalmology, NYU Grossman School of Medicine , New York, NY 10017,","place":["United States"]}]},{"given":"Batia","family":"Wiesenfeld","sequence":"additional","affiliation":[{"name":"Department of Management and Organization, NYU Stern School of Business , New York, NY 10012,","place":["United States"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2604-3458","authenticated-orcid":false,"given":"Vincent J","family":"Major","sequence":"additional","affiliation":[{"name":"New York University (NYU) Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Medical Center IT, Department of Health Informatics , NYU Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Department of Population Health, NYU Grossman School of Medicine , New York, NY 10016,","place":["United States"]}]},{"given":"Himanshu","family":"Grover","sequence":"additional","affiliation":[{"name":"New York University (NYU) Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Medical Center IT, Department of Health Informatics , NYU Langone Health , New York, NY 10016,","place":["United States"]}]},{"given":"Yindalon","family":"Aphinyanaphongs","sequence":"additional","affiliation":[{"name":"New York University (NYU) Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Medical Center IT, Department of Health Informatics , NYU Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Department of Medicine, NYU Grossman School of Medicine , New York, NY 10016,","place":["United States"]}]},{"given":"Paul","family":"Testa","sequence":"additional","affiliation":[{"name":"New York University (NYU) Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Medical Center IT, Department of Health Informatics , NYU Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Department of Emergency Medicine, NYU Grossman School of Medicine , New York, NY 10016,","place":["United States"]}]},{"given":"Jonathan S","family":"Austrian","sequence":"additional","affiliation":[{"name":"New York University (NYU) Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Medical Center IT, Department of Health Informatics , NYU Langone Health , New York, NY 10016,","place":["United States"]},{"name":"Department of Medicine, NYU Grossman School of Medicine , New York, NY 10016,","place":["United States"]}]}],"member":"286","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"key":"2025112420021387700_ocae285-B1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.diii.2023.02.003","article-title":"Revolutionizing radiology with GPT-based models: current applications, future possibilities and limitations of ChatGPT","volume":"104","author":"Lecler","year":"2023","journal-title":"Diagn Interv Imaging"},{"key":"2025112420021387700_ocae285-B2"},{"key":"2025112420021387700_ocae285-B3","author":"Deloitte","year":"2023"},{"key":"2025112420021387700_ocae285-B4","first-page":"1189","article-title":"The GenAI is out of the bottle: generative artificial intelligence from a business model innovation perspective","volume":"18","author":"Kanbach","year":"2024","journal-title":"Rev Manag Sci."},{"key":"2025112420021387700_ocae285-B5","author":"Dell'Acqua","year":"2023"},{"key":"2025112420021387700_ocae285-B6","author":"Brynjolfsson","year":"2023"},{"key":"2025112420021387700_ocae285-B7","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1093\/jamia\/ocad072","article-title":"Using AI-generated suggestions from ChatGPT to optimize clinical decision support","volume":"30","author":"Siru","year":"2023","journal-title":"J Am Med Inf Assoc"},{"key":"2025112420021387700_ocae285-B8","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s10439-023-03300-3","article-title":"Advancing the production of clinical medical devices through ChatGPT","volume":"52","author":"Li","year":"2024","journal-title":"Ann Biomed Eng."},{"key":"2025112420021387700_ocae285-B9","doi-asserted-by":"crossref","first-page":"460","DOI":"10.5603\/CJ.a2020.0093","article-title":"Clinical applications of artificial intelligence in cardiology on the verge of the decade","volume":"28","author":"Pieszko","year":"2021","journal-title":"Cardiol J"},{"key":"2025112420021387700_ocae285-B10","article-title":"Empowering our health system with a private and secure GPT service","volume":"27","author":"Austrian","year":"2023","journal-title":"Medium"},{"key":"2025112420021387700_ocae285-B11","author":"Small"},{"key":"2025112420021387700_ocae285-B12","doi-asserted-by":"crossref","first-page":"100022","DOI":"10.1016\/j.metrad.2023.100022","article-title":"A comprehensive survey of ChatGPT: advancements, applications, prospects, and challenges","volume":"1","author":"Nazir","year":"2023","journal-title":"Meta Radiol"},{"key":"2025112420021387700_ocae285-B13","doi-asserted-by":"crossref","first-page":"e18770","DOI":"10.1016\/j.heliyon.2023.e18770","article-title":"ChatGPT's influence on customer experience in digital marketing: investigating the moderating roles","volume":"9","author":"Abdelkader","year":"2023","journal-title":"Heliyon"},{"key":"2025112420021387700_ocae285-B14","doi-asserted-by":"crossref","first-page":"196","DOI":"10.3390\/admsci13090196","article-title":"Managing the strategic transformation of higher education through artificial intelligence","volume":"13","author":"George","year":"2023","journal-title":"Admin Sci"},{"key":"2025112420021387700_ocae285-B15","article-title":"How generative AI is changing creative work","volume":"15","author":"Davenport","year":"2023","journal-title":"Harvard Business Rev"},{"key":"2025112420021387700_ocae285-B16","doi-asserted-by":"crossref","first-page":"e0292216","DOI":"10.1371\/journal.pone.0292216","article-title":"An exploratory survey about using ChatGPT in education, healthcare, and research","volume":"18","author":"Hosseini","year":"2023","journal-title":"PLoS One"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/32\/2\/268\/60807746\/ocae285.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/32\/2\/268\/60807746\/ocae285.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T01:02:18Z","timestamp":1764032538000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/32\/2\/268\/7908142"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,25]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,11,25]]},"published-print":{"date-parts":[[2025,2,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocae285","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"value":"1067-5027","type":"print"},{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,2]]},"published":{"date-parts":[[2024,11,25]]}}}