In the fragmented world of U.S. healthcare, patients often have to wait in line or on hold, navigate multiple patient portals, and fill out numerous request forms—all in pursuit of their own medical history. Healthcare technology startup PicnicHealth is on a mission to put control back with the patient, where it belongs.

PicnicHealth’s growth, from closing successful venture rounds to winning machine learning (ML) competitions, speaks to not only improvements and opportunities in healthcare, but also how startups are leveraging Google Workspace and Google Cloud services to accelerate momentum.

The company does the heavy lifting of collecting records and leverages human-in-the-loop ML to transcribe and validate them with an abstraction team of medical professionals. The records are then structured into a complete medical history that patients can access and share with providers to get better care.

But PicnicHealth helps to improve patient health on more than one front. It allows patients to contribute their data to de-identified medical research, building high-quality, anonymized datasets that researchers and life sciences companies can use to better understand disease progression and treatment in the real world.

Google Workspace has been part of PicnicHealth from day one, helping the founders collaborate and shape the company’s vision using cloud-synced documents and spreadsheets to collaborate and model predictions. “I’ve had a Gmail account since 2006, and in college 100% of people worked out of Google Docs. Workspace continues to be the best choice for online collaboration, and that’s why it’s still the default standard for startups,” said Troy Astorino, CoFounder & CTO of PicnicHealth. “When we started PicnicHealth, my co-founder Noga Leviner was in San Francisco and I was in Southern California, and of course we used Workspace.”

Today, Google Workspace continues to play a central role in the company’s collaboration. “We create design documents in Google Docs, primarily for engineering and product changes, and get really healthy, vibrant discussions through comments,” noted Astorino. “This practice has grown beyond engineering and is used for everything from how the company operates to communication norms.”

Google Workspace offers everything the team needs to collaborate, no matter where employees are. PicnicHealth’s team has spread from San Francisco to being distributed across the country and around the world. Instant collaboration is crucial.

“We work in a complex domain where people need a lot of information to make good decisions,” said Astorino. “Google Workspace allows us to operate in a mode of default transparency, where people can easily get the information they need even if it wasn’t intentionally or directly shared with them. Whether it’s working in Docs or scheduling in Calendar, we can operate much more effectively than we could otherwise.”

By any measure, PicnicHealth’s trajectory is one of record success. The startup is a 2014 alumni of Y Combinator, a program that helped launch household names like Airbnb, DoorDash, and Dropbox. Three years later, the team went on to win the $1 million grand prize at Google’s Machine Learning Competition. And the momentum has continued— PicnicHealth has recently announced a $60 million Series C round, bringing the amount raised to date to over $100 million. With the Series C, PicnicHealth is investing in expanding its reach to more patients across over 30 diseases.

As a healthcare startup, PicnicHealth faced a very particular set of challenges, especially when working with and accessing data. Data fragmentation and interoperability are only some of the challenges of realizing the value of big data in the cloud. The healthcare industry is notoriously difficult to navigate due to sensitive data protection laws and regulations like the Health Insurance Portability and Accountability Act (HIPAA).

PicnicHealth started in the cloud on Amazon Web Services (AWS). However, after migrating over to Kubernetes and facing an expanding list of requirements for HIPAA compliance, the company started to explore alternatives.

“We needed to be HIPAA compliant, which was going to be painful on AWS, and we wanted to get away from managing and operating our own Kubernetes clusters,” recalled Astorino. “We had heard good things about GKE (Google Kubernetes Engine). And particularly valuable for us, — many technical requirements you need for HIPAA compliance are configured by default on Google Cloud.”

PicnicHealth would have had to implement a lot of changes and get specialized instance types to get their existing configuration to work. So, they began experimenting with Google Cloud and discovered a much smoother experience.

“It was a lot easier to manage in terms of product setup and developer experience,” said Astorino. “There is a sane product hierarchy of resources you can access and use through Google Cloud and the relationships between them, from coordinated IAM (identity and access management) to using Google Groups for granting permissions. Overall, it’s cleaner.”

Astorino added that the move has also opened the doors to taking advantage of other services in the Google Cloud ecosystem like Cloud SQL, BigQuery, and Cloud Composer. PicnicHealth also uses Security Command Center because it easily integrates with everything but also helps meet various compliance frameworks’ requirements, providing visibility, near-real-time asset discovery, and security information and event management.

But most importantly, the integrated ecosystem has simplified the work needed for PicnicHealth to create a secure environment for employees to use when working with sensitive medical records while still providing all the tools they need. For example, abstractors not only use Google Workspace but also have Chromebooks because they are easy to manage and secure.

Altogether, Google Cloud helps form a technology stack that has enabled the startup to build a massive labeled dataset containing over 100 million labeled medical data concepts. In turn, it accelerates PicnicHealth’s ability to generate highly-performant AI models and feed other ML pipelines, which has been vital for processing and reviewing data at scale.

To learn more about how Google Workspace and Google Cloud help startups like PicnicHealth accelerate their journey, visit our startups solutions pages for Google Workspace and Google Cloud.

For the past few years, we’ve applied core Google AI research and engineering to projects with positive societal impact, including forecasting floods, protecting whales and predicting famine. Artificial intelligence has incredible potential to address big social, humanitarian and environmental problems, but in order to achieve this potential, it needs to be accessible to organizations already making strides in these areas. So, the Google AI Impact Challenge, which kicked off in October 2018, was our open call to organizations around the world to submit their ideas for how they could use AI to help address societal challenges.

“Accelerating social good with artificial intelligence” sheds light on the range of organizations using AI to address big problems. It also identifies several trends around the opportunities and challenges related to using AI for social good. Here are some of the things  we learned—check out the report for more details.

AI is globally relevant 

We received 2,602 applications from six continents and 119 countries, with projects addressing a wide range of issue areas, from education to the environment. Some of the applicants had experience with AI, but 55 percent of not-for-profit organizations and 40 percent of for-profit social enterprises reported no prior experience with AI. 

Similar projects can benefit from shared resources

When we reviewed all the applications, we saw that many people are trying to tackle the same problems and are even using the same approaches to do so. For example, we received more than 30 applications proposing to use AI to identify and manage agricultural pests. The report includes a list of common project submissions, which will hopefully encourage people to collaborate and share resources with others working to solve similar problems.  

You don’t need to be an expert to use AI for social good

AI is becoming more accessible as new machine learning libraries and other open-source tools, such as Tensorflow and ML Kit, reduce the technical expertise required to implement AI. Organizations no longer need someone with a deep background in AI, and they don’t have to start from scratch. More than 70 percent of submissions, across all sectors and organization types, used existing AI frameworks to tackle their proposed challenge. 

Successful projects combine technical ability with sector expertise 

Few organizations had both the social sector and AI technical expertise to successfully design and implement their projects from start to finish. The most comprehensive applications established partnerships between nonprofits with deep sector expertise, and academic institutions or technology companies with technical experience.

ML isn’t the only answer 

Some problems can be addressed by using alternative methods to AI—and result in faster, simpler and cheaper execution. For example, several organizations proposed using machine learning to match underserved populations to legal knowledge and tools. While AI could be helpful, similar results could be achieved through a well-designed website. While we’ve seen the impact AI can have in solving big problems, you shouldn’t rule out more simple approaches as well. 

Global momentum around AI for social good is growing—and many organizations are already using AI to address a wide array of societal challenges. As more social sector organizations recognize AI’s potential, we all have a role to play in supporting their work for a better world. 

Today, manufacturers are advancing on their factory digitalization journey, betting on innovative technologies to strengthen competitiveness, deliver sustainable growth, and offer new services. Macroeconomic factors – such as high energy costs, increasing labor, and raw material shortages – drive the need for urgent operational optimizations and automation.

Cloud capabilities have matured at an accelerated pace, giving manufacturers practical avenues to achieve these goals. Manufacturers are finding new ways to bring AI and machine learning (ML) to practical use cases, like predictive maintenance, anomaly detection, and asset utilization management. However, manufacturers struggle to adopt AI at scale due to challenges around data accessibility, infrastructure, and technology.

Google Cloud created purpose-built tools and solutions to organize manufacturing data, make it accessible and useful, and help manufacturers quickly take significant steps on this journey by reducing the time to value. In this post, we will explore a practical example of how manufacturers can use Google Cloud manufacturing solutions to train, deploy and extract value from ML-enabled capabilities to predict asset utilization and maintenance needs.

The journey to machine learning insights starts with accessible data

The first step to a successful machine learning project is to unify necessary data in a common repository. For this, we will use Manufacturing Connect, the factory edge platform co-developed with Litmus Automation, to connect to manufacturing assets and stream the asset telemetries to Pub/Sub.

After the telemetry messages are published to Pub/Sub, Dataflow will identify each message based on its structure and apply corresponding normalizations and transformations, which are preconfigured in Manufacturing Data Engine. Once the messages are processed, the messages will be routed to Cloud Storage, BigQuery, and/or Cloud BigTable based on user configuration.

To train a machine learning model, manufacturers can use Vertex AI AutoML to build a no-code model based on the training data stored in the Manufacturing Data Engine.

Then, users can trigger a batch prediction job in Vertex AI or export the AutoML model to run on the edge component of Manufacturing Connect for real-time prediction. Regardless of the model deployment methods, the prediction and explanation results will be ingested into Manufacturing Data Engine, which can be analyzed and visualized in Looker.

A blueprint for classifying asset condition

The following scenario is based on a hypothetical company, Cymbal Materials. This company is a factitious discrete manufacturing company that runs 50+ factories in 10+ countries. 90% of Cymbal Materials manufacturing processes involve milling, which are accomplished using industrial computer numerical control (CNC) milling machines. Although their factories implement routine maintenance checklists, there are unplanned and unknown failures that happen occasionally. However, many of the Cymbal Materials factory workers lack the experience to identify and troubleshoot failures due to labor shortage and high turnover rate in their factories. Hence, Cymbal Materials is working with Google Cloud to build a machine learning model that can identify and analyze failures on top of Manufacturing Connect, Manufacturing Data Engine, and Vertex AI.

For the pilot, Cymbal Materials forms a team of manufacturing engineers and data scientists to evaluate the feasibility of solving the tool wear detection problem. To avoid compliance concern, the Cymbal Materials team chooses to start with a public tool wear detection dataset hosted on Kaggle. This dataset is collected from running machining experiments on 2″ x 2″ x 1.5″ wax blocks in a CNC milling machine. The dataset contains measurements from the 4 motors (X,Y, Z axes and spindle) and program values in the CNC machine, which maps well to the data that Cymbal Materials collects for their CNC milling machines.

To start, the Cymbal Materials data scientists download the tool wear detection dataset from Kaggle and upload the dataset to Cloud Storage. Then, the data scientists use Vertex AI to:

• Perform exploratory data analysis using Vertex AI Workbench
• Train machine learning models using Vertex AI AutoML
• Deploy machine learning models to perform batch prediction and export AutoML models for edge deployment
• Interpret predictions using Vertex Explainable AI

After seeing great performance of the AutoML tabular model, the Cymbal Materials data scientists decide to use the AutoML model to predict on the actual CNC milling machine telemetries from their factories and validate the generalizability of the AutoML model. They ask the manufacturing engineers to deploy Manufacturing Connect in a Cymbal Materials factory and stream telemetries for one CNC milling machine to the Manufacturing Data Engine.

Manufacturing Connect includes an edge component that can gather data from manufacturing assets via an extensive library of 250+ communication protocols. The edge component of Manufacturing Connect comes with built-in Node-RED and Docker runtime, which support running custom workflows and machine learning models at the edge.

Using pre-defined hierarchies, Manufacturing Connect pushes asset telemetries and states to Pub/Sub.

After the factory operational data are ingested into Pub/Sub, Cymbal Materials uses Manufacturing Data Engine to:

• Normalize, transform, and contextualize real-time operational data with slowly changing metadata
• Batch ingest historical operational data and prediction results
• Route data dynamically to Cloud Storage, BigQuery, and/or Cloud BigTable

Using the trained AutoML tabular model and real-time telemetries from CNC milling machines, the data scientists trigger a batch prediction job on the CNC milling machine telemetries in BigQuery. The data scientists configure the batch prediction to output prediction results in Cloud Storage such that Manufacturing Data Engine can batch ingest the prediction results after the batch prediction job completes.

To consume the prediction results, the Cymbal Materials manufacturing engineers use Looker to create visualizations. The dashboard allows the manufacturing engineers to:

• Visualize the CNC milling machine actual and predicted tool conditions over time
• Explain the prediction results by summarizing the top attributing features
• Create alerts based on the predicted tool condition for their assets
• Take actions by contacting the supplier and/or scheduling maintenance for their assets

From edge to cloud, improving production efficiency for manufacturers

To support the entire factory digitalization value journey, manufacturers are looking for capabilities from simple visualizations to predictive ML models. Robust solutions, such as the one covered here, provide rapid paths for engineers to extract insight from their factory data.

Having a common data repository for manufacturing data, industry-leading machine learning platform, and versatile dashboard components accelerate manufacturer’s digital transformation.

This solution brings the best of Google Cloud’s data analytics and artificial intelligence capabilities in an industrial environment. Manufacturing Connect creates the link between industrial machinery and Manufacturing Data Engine, the cloud platform where the manufacturing data are processed, normalized, contextualized, and stored in a ready-to-consume format. Vertex AI can build, deploy, and scale machine learning models using data stored in the Manufacturing Data Engine. Vertex AI includes AutoML and Workbench for training models without code and training custom models with code-first experience respectively.

Learn more about how Google Cloud is transforming manufacturing to meet changing customer expectations at our Google Cloud Next Manufacturing playlist.

What’s next

1. Introducing new Google Cloud manufacturing solutions: smart factories, smarter workers
2. Manufacturing Data Engine | Solutions | Google Cloud
3. GitHub – GoogleCloudPlatform/mfg-ml-examples

When Google announced our plan to go beyond purchasing renewable power for 100% of our energy usage and operate on 24/7 carbon-free energy by 2030, we noted that achieving this goal will require new transaction structures, advancements in clean energy policy, and innovative new technologies. Today, we’re pleased to announce that one of these new technologies—a first-of-its-kind, next-generation geothermal project—will soon begin adding carbon-free energy to the electric grid that serves our data centers and infrastructure throughout Nevada, including our Cloud region in Las Vegas.  

Google and clean-energy startup Fervo have just signed the world’s first corporate agreement to develop a next-generation geothermal power project, which will provide an “always-on” carbon-free resource that can reduce our hourly reliance on fossil fuels. In 2022, Fervo will begin adding “firm” geothermal energy to the state’s electric grid system, where Google’s commitments already include one of the world’s largest corporate solar-plus-storage power purchase agreements. 

Importantly, this collaboration also sets the stage for next-generation geothermal to play a role as a firm and flexible carbon-free energy source that can increasingly replace carbon-emitting fossil fuels—especially when aided by policies that expand and improve electricity markets; incentivize deployment of innovative technologies; and increase investments in clean energy research, development, and demonstration (RD&D). 

Next-generation geothermal technology

Traditional geothermal already provides carbon-free baseload energy to a number of power grids. But because of cost and location constraints, it accounts for a very small percentage of global clean energy production. 

That’s one reason this new approach is so exciting; by using advanced drilling, fiber-optic sensing, and analytics techniques, next-generation geothermal can unlock an entirely new class of resource. And the US Department of Energy has found that with advancements in policy, technology, and procurement, geothermal energy could provide up to 120 GW of firm, flexible generation capacity in the US by 2050. 

As part of our agreement, Google is partnering with Fervo to develop AI and machine learning that could boost the productivity of next-generation geothermal and make it more effective at responding to demand, while also filling in the gaps left by variable renewable energy sources. Although this project is still in the early stages, it shows promise.

Using fiber-optic cables inside wells, Fervo can gather real-time data on flow, temperature, and performance of the geothermal resource. This data allows Fervo to identify precisely where the best resources exist, making it possible to control flow at various depths. Coupled with the AI and machine learning development outlined above, these capabilities can increase productivity and unlock flexible geothermal power in a range of new places. 

This won’t be the first time that Google is applying software solutions to clean energy applications: we’ve just announced an update to our carbon-intelligent computing program that helps us reduce emissions associated with running applications at Google data centers. And other forms of AI and machine learning are currently being used to increase the value of wind energy. 

Already this year, Google has taken significant strides toward sourcing 24/7 carbon-free energy for all our data centers, office campuses, and Cloud regions. On Earth Day, our CEO Sundar Pichai announced that for the first time, five of our global data center sites operated near or at 90% carbon-free energy in 2020. 

Not only does this Fervo project bring our data centers in Nevada closer to round-the-clock clean energy, but it also acts as a proof-of-concept to show how firm clean energy sources such as next-generation geothermal could eventually help replace carbon-emitting power sources around the world.