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From Experience to ROI: How Mount Sinai Is Rethinking Diagnostics, AI, and the Inpatient Care Journey

From Experience to ROI: How Mount Sinai Is Rethinking Diagnostics, AI, and the Inpatient Care Journey

Fernando Carnavali, MD

Associate Professor
Medicine,
Icahn School of Medicine
and Chief General Internal Medicine,
Mount Sinai Health System

Dr. Carnavali is the Chief of the Division of General Internal Medicine for Mount Sinai Morningside and Mount Sinai West (MSM/MSW) and serves as the Medical Director of the Long COVID Satellite Clinic at Mount Sinai Doctors Ansonia (MSD-Ansonia). In this role, Dr. Carnavali oversees a large, complex division with eight outpatient service locations spanning Manhattan’s West Side from Harlem to Chelsea. Clinically, he focuses on the treatment and management of chronic illness, with a particular emphasis on Long COVID care.

In early 2020, Dr. Carnavali led MSM/MSW’s outpatient response to the COVID-19 pandemic, organizing early testing and triage for community patients and serving for eight weeks on the inpatient COVID units—an experience that provided firsthand insight into the impact of SARS-CoV-2 in New York City. In May 2021, he coordinated the launch of the Long COVID Clinic at MSD Ansonia and continues to personally evaluate new and ongoing patients each week.

Committed to sharing Mount Sinai’s expertise in Long COVID care, Dr. Carnavali has participated in numerous national and international forums, training providers in this emerging field. He has also built a strong media presence, spotlighting both the Ansonia clinic and the Mount Sinai Long COVID program to raise public awareness. Since 2024, he has served as Co-Principal Investigator on a grant from the Agency for Healthcare Research and Quality (AHRQ) and the Department of Health and Human Services titled “Evaluation of Long COVID Care Practices.”

In addition to Long COVID work, Dr. Carnavali leads outpatient practice transformation initiatives across MSM/MSW and the Mount Sinai Health System, guiding quality improvement teams to enhance patient satisfaction, improve access to care, and explore innovative service models.

From Experience to ROI: How Mount Sinai Is Rethinking Diagnostics, AI, and the Inpatient Care Journey

This episode features a highlighted segment from the ROI Centered Care Virtual Summit, produced by Bright Spots Ventures in partnership with TytoCare and the American Telemedicine Association.

In this conversation, Eric Glazer sits down with Fernando Carnavali, MD, Associate Professor of Medicine at the Icahn School of Medicine at Mount Sinai and Chief of General Internal Medicine at Mount Sinai Health System, to explore how large academic health systems can translate patient experience, diagnostics, and technology innovation into measurable ROI.

Rather than focusing on new tools for their own sake, Dr. Carnavali reframes the challenge: how to use existing data, connected devices, and AI-enabled diagnostics to improve the full patient journey, before, during, and after the visit while also supporting a stretched clinical workforce.

Drawing on Mount Sinai’s real-world operating environment, the conversation explores how experience, communication, and clinical efficiency are increasingly inseparable from financial performance, especially in inpatient and general internal medicine settings.

This discussion moves beyond pilot thinking to address what it takes to operationalize innovation at scale inside a complex health system.

What you’ll learn in this episode:

  • Why patient experience is a longitudinal journey, not a post-visit survey score
  • How Mount Sinai is using technology and diagnostics to strengthen communication, not replace clinicians
  • The role of AI and connected devices in improving both patient and provider experience
  • Why workforce constraints in primary and general internal medicine demand new care models
  • How health systems can focus on what’s already within their control to drive ROI
  • Why proving clinical and economic value upfront is essential to scaling innovation

Fernando Carnavali, MD

Associate Professor
Medicine,
Icahn School of Medicine
and Chief General Internal Medicine,
Mount Sinai Health System

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