{"id":55397,"date":"2025-11-11T16:28:04","date_gmt":"2025-11-11T21:28:04","guid":{"rendered":"https:\/\/engineering.jhu.edu\/magazine\/?p=55397"},"modified":"2025-12-23T10:35:52","modified_gmt":"2025-12-23T15:35:52","slug":"systems-mindset","status":"publish","type":"post","link":"https:\/\/engineering.jhu.edu\/magazine\/changemakers\/systems-mindset\/","title":{"rendered":"Systems Mindset"},"content":{"rendered":"\n

As a child riding on the New York City subway, Ari Moskowitz, Engr \u201994, was captivated by the colorful and iconic transit map. But what fascinated him most wasn\u2019t the trains\u2014it was the system itself. \u201cIt reminded me of the human body,\u201d he recalls. \u201cVessels, organ systems, control mechanisms \u2026 everything working together to move something essential from one place to another.\u201d <\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

That early curiosity in how\u00a0systems function laid the\u00a0foundation for a career that\u00a0has spanned biomedical\u00a0innovation, medical device\u00a0development, and now,\u00a0global health advancement.\u00a0As a deputy director at\u00a0the Gates Foundation,\u00a0Moskowitz works with\u00a0industry and clinical\u00a0leaders, heading a portfolio\u00a0of investments and a\u00a0talented team focused on\u00a0medical devices and AI\u2014tools that are transforming\u00a0the way primary health\u00a0care is delivered in\u00a0underserved communities\u00a0around the world.\u00a0<\/p>\n\n\n\n

Moskowitz arrived at Johns Hopkins at age 16, drawn to a biomedical engineering major by a love of problem solving. His hands-on work in a materials science lab, helping develop an artificial hip simulator under the mentorship of former professor James Wagner, Med \u201978 (MS), Engr \u201985 (PhD), gave him an early taste of how research, building, and testing can directly impact patient care. <\/p>\n\n\n\n

That theme continued throughout his career, from developing resorbable stents and brain shunt systems, to leading diagnostic imaging programs at Boston Scientific, and even living in Ireland and Japan to identify novel technologies, support global product launches, and forge strategic partnerships. <\/p>\n\n\n\n

But it was his pivot to the Gates Foundation in 2022 that marked a profound shift in focus from product innovation from high-income markets to systems transformation for the world\u2019s most vulnerable populations. <\/p>\n\n\n\n

In this role, he works across an expert peer group focused on the maternal and newborn health space, spanning data, nutrition, microbiome, diagnostics, and drug product innovation and introduction. The medical devices and AI portfolio he heads encompasses approximately $200 million in global investments. The primary aim, he notes, is reducing mortality and morbidity in low- and middle-income countries through pregnancy risk stratification. <\/p>\n\n\n\n

\u201cMany low- and middle-income countries don\u2019t need more specialized tech; they need accessible, affordable tools that nonspecialists can use effectively,\u201d Moskowitz says.<\/p>\n\n\n\n

One example is a handheld ultrasound tool that replaces bulky, expensive hospital systems with an easy-to-use device designed for nurse midwives in community clinics. Based on simple sweeps of the pregnant patient, it uses software to automatically assess gestational age, fetal health, and risk factors without requiring imaging expertise. <\/p>\n\n\n\n

Another part of his team is working on wearable devices for risk monitoring during labor. Once the innovations are developed, Moskowitz and his team of four program officers plus regional advisers work with companies and governments to make sure they can be supplied and serviced at a reasonable cost. <\/p>\n\n\n\n

The challenge is sustainability. \u201cIf a health ministry can\u2019t afford it, we haven\u2019t succeeded. We\u2019re working at the intersection of engineering, policy, and economics to make these solutions more viable and easier to adopt,\u201d he says. <\/p>\n\n\n\n

\n

\u201cMany low- and middle-income countries don\u2019t need more specialized tech; they need accessible, affordable tools that nonspecialists can use effectively.\u201d<\/p>\n\n\n\n

\u2014 Ari Moskowitz<\/p>\n<\/blockquote>\n\n\n\n

Moskowitz says it\u2019s the systems mindset, nurtured at Johns Hopkins, that ties it all together. \u201cThe problems are complex, but solvable. And increasingly, fields are converging to create entirely new solutions. I still love figuring out how parts connect to serve something bigger. That\u2019s how we will equalize health care.\u201d <\/p>\n\n\n\n


\u2014 HEATHER LOWE<\/p>\n\n\n\n

illustration by Joe Kimmel<\/em><\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Ari Moskowitz, Engr \u201994, is transforming
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