
Do I Need to Refrigerate Ketchup? An A-to-Z Guide to Storing Condiments
You keep mustard in the fridge, but your partner (or roommate or dad) balks at the idea. Who's right? The fine print on the bottle, on nearly all of the bottles — 'refrigerate after opening' — isn't much help.
Turns out, that urging is rarely about health risks and more about quality, said Abby Snyder, the associate professor of microbial food safety at Cornell University.
Dressings separate, bright sauces darken and fiery flavors fade, given enough time. Spoilage microbes might even get a foothold, making condiments and other ingredients unpleasant but not unsafe to eat. All of these processes are slowed or even halted in the fridge, but they're already heavily inhibited by low levels of water (which bacteria need to survive) and high levels of their nemeses (salt, acid, sugar, active probiotic cultures or other preservatives).
So do you even need to refrigerate? 'A good rule of thumb: If you bought it from the refrigerated section at the store, it should stay in the fridge at home,' said Carla Schwan, the director of the National Center for Home Food Preservation at the University of Georgia.
For everything else, other than a handful of examples below, consider your lifestyle. 'If you use it often and it's shelf stable, keep it in the pantry or on the counter,' said Lisa Cheng Smith, the founder of the Taiwanese pantry shop Yun Hai. 'If you use it more rarely, put it in the fridge to make sure it stays in peak condition.'
A few other tips for making your condiments last: Keep shelf-stable bottles tightly sealed in a cool, dark, dry cabinet — not over the stove — as light and heat will speed up oxidation. (If you live somewhere hot and humid, you might need to move through them faster or keep more in the fridge.) And always use a clean, dry spoon or knife — no fingers — to avoid planting bacteria or the moisture they crave.
Below you'll find everything you need — informed by food safety microbiologists, fermentation experts and the manufacturers and purveyors themselves — to help you make the call on 22 common staples, and set any debates to rest. (Yes, you can move the peanut butter to the cabinet now.) Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Butter is safe at room temperature, though the flavor will eventually go off, so it's best to leave out only what you'll go through within a day or two. Salted will taste fresh longer than unsalted.
Kept in an airtight container, ghee — butter that has been simmered until its water evaporates — can keep for six months or longer at room temperature, said Angela Anandappa, a food microbiologist and the founding executive director and chief executive of the Alliance for Advanced Sanitation. With less-compact fat molecules for protection, whipped butters and plant-based butters are more defenseless and should stay refrigerated. Be sure to keep capers submerged in their brine. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Capers are usually sold bobbing in brine or vinegar or packed in salt crystals to block bacterial growth. But, once opened, pop any jars that are packed in liquid into the fridge and keep them submerged in their brine to stave off oxidation. 'Brine is the lifeblood,' said Brandon Gross, the senior vice president of brand for Divina, adding that capers have specific floral and mustard flavors that are enhanced in the fridge.
For dry-cured or salt-cured capers, Mr. Gross recommends storing them in an airtight container in the pantry, the same way you would dried fruit. The flavors of your favorite chile crisp will stay intact longer in the fridge. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
While chile crisp is inherently shelf-stable, as with any oil-based product, 'if you don't seal it properly or keep it in a dry, dark place, there is a higher likelihood of oxidation leading to rancidity,' said Jing Gao, the founder of Fly by Jing and author of 'The Book of Sichuan Chili Crisp.' She leaves her jars out, but admits that's a matter of speed: 'I go through jars pretty quickly.'
Preservative and sodium levels may vary, Ms. Smith of Yun Hai noted. For low-salt, no-preservative chile crisps (or homemade), she prefers to store them in the fridge 'because it preserves all the delicate flavors captured in the oil for as long as possible.' Fish sauce may darken over time if stored at room temperature. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Typically made from tiny fish like anchovies that have been salted and fermented, then pressed, fish sauce is salty enough to stay safe at room temperature after opening. But after a long stretch, 'you may notice the color getting darker and the flavors more muted,' said Tiffany Pham, the chief flavor officer at the fish sauce producer Red Boat. Ms. Pham recommends moving fish sauce to the fridge if you aren't likely to use it within a year.
'In our Vietnamese household, it's a daily use so we keep ours in the pantry, like our moms did,' said Danny Tran, a co-founder of Son Fish Sauce. But even if your fish sauce eventually deepens in color, it isn't necessarily a bad thing. 'Many home cooks actually enjoy this richer, more intense umami flavor as it ages,' Mr. Tran said. 'Some even say it 'matures' like soy sauce or balsamic vinegar.' Keeping honey at room temperature helps it stay smooth and golden. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
So long as you don't let moisture in — a wet spoon, a loose lid in 90 percent humidity — honey will last virtually forever in the pantry, according to Timothy Jackson and Nicole Lindsey-Jackson, the executive directors of Detroit Hives. In fact, archaeologists have discovered well-preserved honey in Egyptian tombs that was most likely still safe to eat.
'Putting honey in the fridge actually makes it crystallize faster, turning it thick and grainy instead of smooth and golden,' Mr. Jackson and Ms. Lindsey-Jackson wrote in an email. If your honey does turn into sugar, Mike Kurtz, the founder of Mike's Hot Honey, recommends gently warming the bottle in a water bath until it's about 110 degrees Fahrenheit, or just leaving the bottle on a sunny windowsill.
If you encounter bottles with added sugars or corn syrup, they should be used up more quickly. 'These don't have the same natural bombproof stability,' said Kirsten K. Shockey, an author of the cult cookbook 'Fermented Vegetables.' Different hot sauce styles require different storage. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
The hot sauce section is one of the few places you may not see a lot of labels with that familiar 'refrigerate after opening' suggestion, thanks to the high acidity of many brands. But it's worth checking, since there are as many hot sauce styles as there are fancy dog breeds. Vinegary types are fine at room temperature, but 'thick, pasty ones, less acidic ones or homemade hot sauces where the pH is unknown do best in the fridge,' said Julia Skinner, culinary educator and author of 'Our Fermented Lives.'
For example, Tabasco, a vinegar-based hot sauce, will be just fine stored in a cool, dark pantry for at least five years after opening, according to Christian Brown, a sixth-generation family member who oversees strategic sourcing for the company. Storing it in the fridge, however, will slow discoloration. The carotenoids that give color to plants (including the red peppers in hot sauce) break down when exposed to oxygen (a.k.a. oxidation), which is why you might start to see the sauce in the top part of an open bottle darken if it's been sitting for a long time. To settle another debate: Yes, you should use a clean butter knife or spoon to scoop your jam. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Sugar binds with water, hampering the growth of bacteria, molds and yeasts. But 'sugar is also what fuels microbes, so until you get to a place where the water is bound up, you have a party for the microbes,' Ms. Shockey said.
With that in mind, all varieties of jams and jellies should be kept sealed in the fridge after opening and discarded if they start to taste boozy or show signs of mold, since its roots grow deeper than the fuzz on the surface.
Sako Gordon, the owner of the jam business Ayako & Family, said her biggest tip for curbing bacterial growth in open jam jars is 'to try your best to avoid 'double dipping,' or cross contamination. If you can use a clean spoon in place of your butter knife to scoop out your jam,' she said, 'you'll prolong the freshness.' Even after opening, you can keep ketchup out. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Bottles are left out at room temperature in diners, so they can stay out in your kitchen, too (especially if you go through as much as those restaurants do).
The acidity in tomatoes makes ketchup shelf-stable, said Jennifer Sargent, the research and development culinary specialist at Conagra Brands, makers of Hunt's Ketchup. 'However,' she said, 'the flavor, quality and texture of your ketchup will deteriorate faster without refrigeration.'
The official stance of the United States Department of Health and Human Services' FoodKeeper App — an oft-cited gold standard among food safety experts — is that shelf-stable commercial ketchup is safe when stored at room temperature after opening. Where you store kimchi depends on the flavors you're chasing. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Like yogurt, sauerkraut and other lacto-fermented foods, kimchi is preserved by the hum of happy probiotic bacteria producing lactic acid, which creates a signature tang and wards off pathogens.
Fridge temperatures slow down, but don't stop, fermentation. 'You can enjoy 'fresh' kimchi,' allowing it to continue fermenting slowly in the fridge as you eat it, said Lauryn Chun, the founder of Mother-in-Law's, a small-batch kimchi brand, and author of 'The Kimchi Cookbook.' 'Or if you'd like a more fermented taste right away and accelerated fermentation (more bubbly, almost carbonated fizz in your mouth that Koreans love in kimchi), leaving it overnight in ambient temperature is fine. There may be liquid overflow and big 'pop' overflow upon opening the lid.' If the kimchi comes in brine, be sure to keep it completely submerged so microbes don't find a safe place to land. Small jars fit neatly in the refrigerator. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Unlike honey, pure maple syrup needs to be stored in the refrigerator, or it will eventually start to ferment or grow mold. If you don't have room in the fridge for a big jug, consider the freezer. 'Syrup that has been stored in the freezer will never change flavor or color,' said Cecile Branon of Branon Family Maple Orchards. 'It gets deliciously thick.' Keep a smaller amount in the fridge (starting with a clean, dry glass bottle) and refill as needed, letting the freezer jug sit out for 10 to 15 minutes to thin out before pouring it in.
If your jug was left out at room temperature and starts to swell or tastes boozy, sour or bubbly, it's fermenting, and Ms. Branon recommends discarding it. 'It likely won't make you sick as it is becoming a maple wine or vinegar. It may not be tasty, though,' Ms. Shockey said. At any signs of mold it should go, especially if you have a mold allergy. You can keep mayo at room temperature, but you may not want to. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Brace yourself: 'Shelf-stable commercial mayonnaise is safe when stored at room temperature after opening,' the Health and Human Services Department advises, giving us three to six months to leave it in the pantry. (The same is not true of the homemade kind, which typically contains raw eggs and should be refrigerated promptly.)
However, there are other reasons beyond lingering doubt that you'd want to keep it colder. It can be hard to control room temperature, which means mayo can get too warm and its emulsification can break down. That means it can get too loose or even separate and get an unpleasant oiliness, said Jessie YuChen, a coauthor and the recipe developer of the coming cookbook 'For the Love of Kewpie.'
They also caution against freezing mayo, intentionally or accidentally, which might happen by storing it in a fridge that's too cold, especially toward the back. When the water in mayo freezes, it forms ice crystals which disrupt the emulsion, separating the oil and egg yolk. Tucking your jar into the more temperate fridge door should prevent this. Where you find your miso in the store determines where you should keep it. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
You'll find unpasteurized miso — made from salted and fermented soybeans, rice, barley, or other ingredients — in the refrigerated section to keep it alive. 'Miso makers intentionally choose a specific state of maturation, similar to an aged cheese or wine,' Eleana Hsu and Kevin Gondo from Shared Cultures, a producer of miso and other umami seasonings, wrote in an email. Keeping living miso in the fridge slows down microbial activity and pauses the flavor in that state.
If your miso was sold at room temperature or says it doesn't require refrigeration, it's been pasteurized. It won't contain active probiotics and can be stored at room temperature, according to Rich Shih, a mold-based fermentation educator and a coauthor of the cookbook 'Koji Alchemy,' but the fridge will help it hang onto its flavor.
Pasteurized or not, the salt content will help ward off pathogens, similar to soy sauce, though the exposed surface of miso is more vulnerable to contamination. Cover it with the paper included by the manufacturer or plastic wrap and 'sprinkle a little salt on top of the miso for added insurance,' Mr. Shih said. If you have a lot of different types of mustard, refrigerate them all. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
'Thanks to the nature of the mustard seed — and ingredients like vinegar and salt — it's inherently stable,' said Brandon Collins, the mustard sommelier at Maille, the condiment brand. 'It's antibacterial, so nothing can really grow in it.'
That said, Mr. Collins explained: 'Mustard's heat comes from when water activates its natural defense mechanisms. Keeping it in the fridge slows that reaction down,' preserving the spice. So, if you go through mustard quickly, feel free to keep it out. 'If you're going to enjoy it slowly — or if you've got 100 different mustards on hand,' he said, 'then into the fridge it goes.' Be sure to tighten the lids of oil bottles between uses. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Broadly speaking, refined oils will have a longer shelf life than unrefined, according to Dr. Anandappa, but all will oxidize more quickly in bright light, heat and open air. So tuck oils away in a dark pantry and tighten those lids. Bonus points for metal or dark glass bottles over clear glass or plastic.
In homes where temperatures get above 77 degrees Fahrenheit, Takehiro Wada, the fifth-generation chief executive of the sesame producer Wadaman, recommends refrigerating sesame oil. If the oil becomes cloudy in the fridge, just let it stand at room temperature for a few minutes. 'It will quickly return to a liquid state,' Mr. Wada said.
The fridge also isn't a bad idea for infrequent users. 'If you leave oils too long in the pantry, they will eventually go rancid and get that paint chip flavor,' Ms. Smith said. There's no real contest here: keep these bottles in the fridge. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
The original oyster sauce was made — accidentally — when Lee Kum Sheung, the founder of Lee Kum Kee, boiled oyster broth down to a concentrated umami slurry. 'Now, it is often thickened with cornstarch,' Ms. Shockey said, 'which changes the nature of the sauce,' diluting the protective powers of salt and acid.
'I definitely refrigerate it,' said the Chinese culinary expert and cookbook author Grace Young, who favors the brand Megachef. (Directives from other brands like Lee Kum Kee and Kikkoman agree.) Stir natural peanut butters well before refrigerating them. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Both natural and no-stir styles of peanut butter are inherently low in moisture and can be stored in the pantry for a good three months after opening, according to the National Peanut Board. After that, move them to the fridge. If they've been sitting longer and the butter smells or tastes off, get rid of it.
Natural-style peanut butters don't have hydrogenated oils or other stabilizers, so over time the oil will float to the top and can be tricky to stir back in. Keeping them in the fridge after a good stir will slow this separation. In the pantry, periodically flipping the jar to store upside down (and back) will help the oil gently reincorporate. Or less gently, just make some strategic stabs and swipes with a table knife. Keeping pickles chilled also preserves their crunch. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Pickles are how generations have put cucumbers and other fresh vegetables on pause — but it's only a pause.
While experts generally recommend storing opened jars in the refrigerator, 'for fermented pickles (think full sours and half sours) you technically can store these on the counter, though your half sours will become full sours if you do,' Ms. Skinner said. Like all pickles, 'keep them completely submerged in brine to prevent pathogen growth and note that fermented cucumbers can get mushy very easily, especially in hot weather.'
With varying acidity and salt levels for different styles, popping jars in the fridge errs on the side of caution (and will keep them crunchier, too). Freezing homemade salsas is a great way to preserve their flavor and texture. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Fresh salsa is easy. If you made it yourself or bought it chilled at the grocery store, keep it in the fridge. Rick A. Martínez, the author of 'Salsa Daddy' (who also develops recipes for NYT Cooking), recommends eating it within four days or freezing it in an airtight container. 'By freezing, you will lock the flavor and color, and the salsa will remain fresh tasting for up to six months.' Chopped salsas like pico de gallo should be blended first to sidestep the slumpy texture of frozen-then-thawed raw vegetables. Blend on medium-low speed, 'no higher or you will incorporate air and activate the pectin and make a salsa jelly,' Mr. Martínez said.
Shelf-stable salsa from the grocery store aisle is trickier: It's theoretically processed to be safe in the pantry after opening, according to the Health and Human Services Department. Food safety and fermentation experts are more cautious, since salsas have some of the acidity of ketchup, but more moisture for microbes to latch onto.
To keep either type at its brightest, store in the fridge after opening and serve on an ice pack during hotter months, recommends a representative from Teresa's Gourmet Foods, which makes fresh and shelf-stable salsas. Some varieties of soy sauce are fine in the pantry. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Soy sauce has enough salt that harmful microbes can't take hold, and most commercial types are pasteurized for added shelf stability. 'However, if you buy artisan or higher-end soy sauce' that's been traditionally fermented, 'keep it in the fridge to retain its nuanced flavor,' said Kenji Morimoto, a chef and the author of the coming cookbook 'Ferment.' Low-sodium varieties benefit from the extra protection of the fridge, too.
Mr. Shih agrees, but notes that even small-batch soy sauces won't change quickly, unless the conditions are extreme. 'Don't freak out if you leave a bottle out overnight,' Mr. Shih said. Turn the jar upside down to prevent the solids from settling at the bottom. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Made from ground sesame seeds (and typically nothing else), tahini is low-moisture and safe to store at room temperature after opening. 'Pantry storage gives you an easier-to-mix texture, ideal for drizzling, dressings and sauces,' said Amy Zitelman, the chief executive and a founder of the tahini producer Soom Foods. For easier stirring, she recommends keeping the jar upside-down to counteract the solids settling into the bottom, which can happen more quickly at room temperature.
When tahini is chilled, it thickens to a nut-buttery paste. 'If you store it in the fridge and want it thinner for a recipe, just stir some ice-cold water into your bowl of tahini (not the jar!),' Ms. Zitelman said. (As with other condiments, introducing water will invite other forms of life to grow.) The tahini may seize up at first — just keep whisking in a little water at a time until it smooths out. Vinegars can, in fact, develop off flavors. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
While vinegar is a pantry staple and the stuff many things are preserved in (see: pickles, capers, hot sauce), it's not invincible. You'll want to keep it away from heat, sunlight, air and moisture. 'In other words, not next to or above your stovetop as many people do,' said Michael Harlan Turkell, the author of the cookbook 'Acid Trip: Travels in the World of Vinegar.'
Rarely, some lower-acid or unpasteurized vinegars will have labels recommending storing in the fridge. Mr. Turkell said the same advice would apply for any bottles that are cloudy or have a lot of particulates, which can age too quickly and develop off flavors.
Mr. Turkell's rule of thumb: If it doesn't smell like acetic acid — the powerful main component of vinegar — don't use it. 'Put the bottle down,' he said, 'because if acetic acid isn't in the forefront, it isn't vinegar anymore.' The vinegar and salt in Worcestershire help preserve it. Julia Gartland for The New York Times. Food Stylist: Yossy Arefi.
Both traditional and vegan brands are vinegar-based and amply salted, so they're considered safe at room temperature after opening. However, if Worcestershire doesn't move quickly in your household, the flavors will diminish faster in the pantry than at cooler temperatures.
'If you do choose to store open bottles at room temp, I'd say get a smaller size bottle and keep it in a cool, dark place,' said Hadar Cohen Aviram, an executive chef at McCormick & Company, which makes French's Worcestershire. And if you're shaking it into meatballs and loaves, make sure to wash your hands well before grabbing the bottle.
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A healthcare startup may launch with a bold and innovative idea, but turning that idea into a scalable solution that works across hospitals and complex health systems is rarely straightforward. From integrating with legacy infrastructure to navigating strict compliance requirements and diverse stakeholder priorities, even the most agile teams can struggle to scale effectively. Left unaddressed, these challenges can stall adoption, drain internal resources and limit a product's long-term impact. Below, members of Forbes Technology Council highlight some of the most common hurdles healthcare startups must be ready for and share their expertise on breaking into and succeeding in this challenging sector. 1. Finding Client Champions To scale solutions within a health system or payer organization, you need to engage a team of internal champions who can understand, justify and prioritize your platform. Organizations evaluate dozens if not hundreds of companies each year. Champions help articulate your value, often leveraging their professional credibility to advocate for it. Finding and 'winning' them is essential to scaling. - Graham Gardner, Kyruus Health 2. Navigating Integration Requirements Across Hospital Systems One of the biggest hurdles is navigating the complexities of integration requirements across different hospital systems. Healthcare startups frequently underestimate the time and resources needed for integrations. Success requires building flexible APIs from day one and having dedicated integration specialists who understand healthcare IT infrastructure, not just general software development. - Ted Kail, Cority Forbes Technology Council is an invitation-only community for world-class CIOs, CTOs and technology executives. Do I qualify? 3. Gaining Traction In A Risk-Averse Environment Most healthcare organizations are risk-averse and don't want to be early adopters. They look for proven, well-established companies and products, making it difficult for healthcare startups to get traction, even when they have clearly better solutions. Partnering and delivering real value to that first set of clients is critical in scaling early on. - John Bou, Modio Health 4. Integrating With Insurance Systems Health insurance companies amplify the interoperability challenge by adding another layer of complex, often siloed, data and systems that healthcare tech startups must integrate with. This makes the negotiation and implementation of business associate and HIPAA agreements more complicated, given the data types, security requirements and shared liabilities that arise from integrating with both providers and payers. - Ajai Paul, Affirm Inc. 5. Understanding The Complex Stakeholder Ecosystem Healthcare startups often make the mistake of viewing the U.S. healthcare system with a 'singular' point of view. It is an integrated ecosystem where each stakeholder is affected by the others, which means multiple interests must be aligned when adopting new technologies. - Raghav Ramabadran, Intelligine Technologies 6. Building Custom Integrations For Each Customer Healthcare startups' challenges include integrating with electronic health record systems, which is not a 'plug and play' process. Each hospital or system has its own highly customized version of an EHR, with unique workflows, data fields and security protocols. This lack of standardization means startups must build a new integration for nearly every customer. - Chris Ciabarra, Athena Security Inc. 7. Developing Strong Governance From The Outset Healthcare startups often wait to build full product depth until after landing their first client, but healthcare's high-risk, structured environment demands strong governance from day one. Change control, release management and a deep understanding of current operations, especially when replacing legacy systems, are essential before customizing. Building depth late risks delays and failure! - Trisha Swift, Mula Integrative Health & Wellness 8. Maintaining HIPAA Compliance With Digital Content One challenge healthcare startups face when scaling tech is managing digital content while staying HIPAA-compliant. Hospitals need more than stock photos and shared drives—they expect secure, role-based access to branded visuals that convey authenticity and protect patient privacy. Without a digital asset management strategy, startups risk falling short on compliance, credibility and growth. - Andrew Fingerman, PhotoShelter 9. Ensuring Consistent Performance And Compliance Across Disparate Systems Healthcare startups often struggle to scale because hospital environments vary widely in terms of infrastructure, workflows and data systems. Without a unified data architecture, real-time metrics, and built-in security and governance, it's hard to ensure consistent performance—or meet privacy requirements like HIPAA and business associate agreements governing protected health information. - Dave Albano, Diliko 10. Working Within Complex Pricing And Claims Rules One of the challenges is the integration of new tech into strict hospital billing and compliance processes. Hospitals have complex pricing and claims rules, and startups must work within these rules. They can't disrupt revenue or patient data safety. Doing this right builds trust and helps a solution scale faster. - Abhishek Sinha, Accenture 11. Processing Both Structured And Unstructured Health Data Integrating structured data (EHRs; lab results) and unstructured data (clinical notes; imaging; video) can be a major challenge. Healthcare startups must ensure their tech can process both, all while adapting to varying data and privacy standards across systems, which further complicates scaling and interoperability. Fortunately, generative AI is making this easier to do. - David Talby, John Snow Labs 12. Balancing Accuracy And Transparency With Scalability The healthcare and life sciences sector faces rigorous accuracy and transparency requirements that cannot be sacrificed and must be built into products from the start. Balancing this with scalability—which is really code for 'solving problems you don't have yet'—is a constant challenge—especially for startups, which often place a key focus on agility and speed. - Martin Snyder, Certara 13. Maintaining A Consistent, Accurate Record Of Core Assets One key challenge healthcare startups face when scaling tech solutions across systems is the inability to maintain a consistent and accurate record of core assets—such as patients, providers and devices—due to the absence of a robust master data management strategy. This causes data fragmentation, which in turn hinders decision-making, innovation and seamless integration across platforms. - Somnath Banerjee 14. Keeping Up With A Range Of Regional Norms And Laws Key challenges include a wide range of compliance requirements, regulations, cultural norms, and data privacy and region-specific laws—making a one-size-fits-all solution impractical, even within a single organization. Startups often rely on business rules engines that lack user friendliness. Agentic AI offers a more adaptable and intuitive alternative. - Koushik Sundar, Citibank 15. Working Within Legacy Hospital Systems One major challenge healthcare startups face when scaling tech solutions is integration with legacy hospital systems. Many hospitals rely on outdated EHRs or siloed IT infrastructure, making interoperability difficult. Startups must ensure compliance, data security and seamless integration to gain trust and adoption at scale. - Srikanth Bellamkonda 16. Clearly Demonstrating ROI And Pathways To Reimbursement Healthcare startups often struggle to clearly demonstrate a return on investment and secure reimbursement pathways. Without established billing codes or tangible cost-savings data, hospitals hesitate to allocate budget. Startups must invest heavily in economic validation, health economics and outcomes research, ensuring payers and finance teams see sustainable revenue models before adoption. - Manav Kapoor, Amazon 17. Creating An Internal COE Establishing an internal center of excellence with deep industry experience in scaling healthcare systems is vital, but costly. A key challenge lies in selecting vendors that align with the company's DNA. Bridging the gap between emerging tech and the unique demands of healthcare requires thoughtful planning and a nuanced understanding of both innovation and patient-centric outcomes. - Hari Sonnenahalli, NTT Data Business Solutions 18. Overcoming Resistance To New Tech I've regularly observed the challenges clinical sites face when adopting new technologies. There is often reluctance or resistance to change; staffing shortages further exacerbate these issues. A more effective approach may be to 'mirror' site-level data. This would allow AI-driven platforms to build a harmonized system that enables forward progress without disrupting existing workflows. - Rachel Tam, Bristol Myers Squibb 19. Accounting For Integration Issues When Building Solutions The biggest hurdle to overcome when scaling tech solutions across hospitals or healthcare systems is not technical; rather, it is integration—into provider workflows, clinical practice guidelines, financial models and revenue cycle management programs. Unless the issues around integration are considered and covered when building the solution, scaling will not occur. The landscape is littered with misaligned HealthTech startups. - Mark Francis, Electronic Caregiver 20. Completing Vendor Risk Documentation Post-ransomware, hospitals demand extensive vendor risk audits with hundreds of security controls, SOC 2/HITRUST docs, and custom BAAs. Completing these lengthy questionnaires stretches sales cycles to 18 to 24 months, burning cash and pulling engineers from product work to compliance, blocking scale. - Mohit Menghnani, Twilio
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GE HealthCare launches new advanced digital X-ray system to enable access and increase efficiency in high throughput settings
Definium™ Pace Select ET, a new floor-mounted digital X-ray system, enables access to affordable, high-quality medical imaging technology while easing workflow burdens in high-volume environments This new X-ray system, designed to act as a personal assistant for technologists, provides automation of in-room workflows and motorization of manual, repetitive tasks to increase throughput and reduce technologist learning curve CHICAGO, July 24, 2025--(BUSINESS WIRE)--GE HealthCare (Nasdaq: GEHC), today announced commercial availability of an advanced floor-mounted digital X-ray system, Definium™ Pace Select ET1, designed to deliver high-image quality and optimize efficiency in highly demanding environments while enhancing access and affordability. X-ray exams often serve as the entry point to diagnostic imaging, accounting for 60% of all imaging studies conducted, resulting in an ever-increasing workload for radiologists and technologists2 3. This increased demand, combined with acute staffing challenges where 80% of healthcare organizations are short-staffed and radiology technologists have the highest vacancies3, high burnout levels and work-related injuries, creates critical barriers to providing timely, effective diagnostic imaging for patients in need of X-ray imaging. GE HealthCare's new Definium Pace Select ET solves for many of these challenges by automating manual, repetitive steps and helping to reduce physical strain. The system leverages AI to ensure accurate patient positioning and consistent image quality across various clinical conditions while streamlining the technologist workflow to maximize the patient experience and throughput. "Burdened with the stress and pressure to keep radiology departments running smoothly and profitably, we aim to empower technologists with a system that consistently makes the first image count," said Sharad Sharma, Global General Manager, X-ray, at GE HealthCare. "With its advanced digital capabilities and automation, Definium Pace Select ET allows technologists of all experience levels to deliver consistent high-quality images to serve the full range of anatomies and patient populations." Easy-to-use features allow technologists to focus on patient care Building on the trusted Definium platform from GE HealthCare, the Definium Pace Select ET system brings advanced automation and workflow features to a flexible, floor-mounted system with elevating table, in-room exam control, and common user interface to assist technologists. "This launch reinforces our commitment to provide accessible, efficient, and high-quality care for patients, while alleviating stress from the technologist's workday by minimizing repetitive tasks and automating steps," said Jyoti Gupta, PhD, President & CEO of Women's Health and X-ray at GE HealthCare. "We remain dedicated to advancing our technology through transformative digital and AI-enabled capabilities that will remove barriers to timely and effective diagnostic imaging for any patient in need of X-ray imaging." The Definium Pace Select ET system brings the same high image quality typically seen in more expensive overhead tube suspension (OTS) systems to the affordability focused floor-mounted market. Designed and developed with extensive customer feedback, the system brings: Advanced automation to reduce workflow steps and physically demanding movements for technologists, potentially minimizing work-related injuries. Image variability reduction through the AI-enabled Helix™ Advanced Image Processing to provide consistent high-quality images. Prevention of errors before they occur through automated positioning, protocol selection, patient size (body habitus), and collimation via the Intelligent Workflow Suite, and a quality check prior to radiation exposure. To learn more about the new X-ray system, visit About GE HealthCare Technologies Inc. GE HealthCare is a trusted partner and leading global healthcare solutions provider, innovating medical technology, pharmaceutical diagnostics, and integrated, cloud-first AI-enabled solutions, services and data analytics. We aim to make hospitals and health systems more efficient, clinicians more effective, therapies more precise, and patients healthier and happier. Serving patients and providers for more than 125 years, GE HealthCare is advancing personalized, connected and compassionate care, while simplifying the patient's journey across care pathways. Together, our Imaging, Advanced Visualization Solutions, Patient Care Solutions and Pharmaceutical Diagnostics businesses help improve patient care from screening and diagnosis to therapy and monitoring. We are a $19.7 billion business with approximately 53,000 colleagues working to create a world where healthcare has no limits. GE HealthCare is proud to be among 2025 Fortune World's Most Admired Companies™. Follow us on LinkedIn, X, Facebook, Instagram, and Insights for the latest news, or visit our website for more information. _______________________________ 1 510(k) cleared. Not CE marked. Cannot be placed on the market or put into service or used with human beings until it has been made to comply with CE marking and/or regulatory approval. Not all features available in all markets. 2 MV 2019 X-ray CR / DR Market Outlook Report) page 9, 37 3 Pearson, Dave. "Radiology techs in especially high demand as 85% of hospitals seek 'allied' health workers", 23 Oct. 22. View source version on Contacts GE HealthCare Media Contact: Katie ScrivanoM +1 Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data