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Case Study

EyecareLive Sees a Brighter Future in the Cloud with Enhanced Support

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Enhanced Support gave EyecareLive unlimited, fast access to expert support from a team of experienced Google Cloud engineers during the intricate, multifaceted migration. Read more...

EyecareLive transforms the healthcare ecosystem with Enhanced Support, a support service from the Google Cloud Customer Care portfolio.

Telemedicine is now mainstream. It exploded during the COVID-19 pandemic. A 2022 survey by Jones Lang Lasalle (registration required) found that 38% of U.S. patients were using some form of telemedicine. This number is expected to grow as consumers are demanding more convenient and immediate access to care, and doctors are seeking efficiencies, cost savings, and to forge closer relationships with patients.

But because the eye-care field is so heavily regulated, optometrists and ophthalmologists face more technical hurdles to perform telemedicine than their peers in other medical practices.

To join the telemedicine revolution, a generic technology solution wouldn’t do. Eye-care professionals need a more carefully architected and rigorously secure platform – one that ensures a very high degree of compliance and privacy.

EyecareLive provides exactly that. Their comprehensive cloud-based solution was built specifically for eye-care telemedicine practices. They not only facilitate telemedicine visits with patients via video, but help providers stay in compliance with complex industry regulations.

What’s more, EyecareLive is the only platform in the industry that conducts vision screening using Food and Drug Administration (FDA)-registered tests to check a patient’s vision before connecting them to a doctor through a video call. The doctor can thus triage any issues immediately and quickly determine the right next steps for proper care. In addition, their platform digitally connects optometrists and ophthalmologists to the entire eye-care ecosystem, including other doctors for referrals, insurance companies, hospitals, pharmaceutical firms, pharmacies, and, of course, patients.

On top of all of this, the automated back office for their eye-care practices processes electronic health records (EHRs), clinical workflow, billing, coding, and more into one platform. EyecareLive streamlines operations and frees up doctors to focus on delivering the highest possible eye healthcare and on building stronger relationships with patients.

“Considering the number of plug-and-play services that Google has built into the Google Cloud Healthcare solutions, Google is basically supporting the entire healthcare industry from an infrastructure provider point of view.” — Raj Ramchandani, CEO, EyecareLive

Seeking greater agility, EyecareLive migrated to Google Cloud

EyecareLive is truly cloud first. They had operated entirely in the AWS cloud since opening their doors in 2017. Several years in, they decided to look for an additional cloud provider with broader support for digital health platforms. They specifically wanted to migrate to one they could rely on to deliver plug-and-play services, which would accelerate innovation of their platform. Rather than re-architecting for a new cloud, EyecareLive wanted a cloud platform that would offer compatible services they could use to meet their needs for reliability and availability.

“If we want to deploy a new conversational bot or build AI models that assist doctors to diagnose based on a retina image, Google Cloud provides these services which are reliable and tested by Google Cloud Healthcare solutions in many cases.” — Raj Ramchandani, CEO, EyecareLive

Versatility was another requirement. The EyecareLive platform must fulfill the demands of a variety of organizations — doctors, pharmaceutical companies, clinics, and others. EyecareLive also has an international deployment strategy that goes far beyond offering a domestic telehealth solution. Therefore EyecareLive needed a cloud functionality that extended into the broader global eye-care ecosystem.

EyecareLive chose Google Cloud. The most compelling reason was the deep industry expertise found in Google Cloud for healthcare and life sciences. This distinguished Google Cloud from all other possible cloud providers considered by EyecareLive. “We like Google Cloud because of the differentiations such as Google Cloud Healthcare solutions, computer vision, and AI models that can be used out of the box,” says Raj Ramchandani, CEO of EyecareLive. “We found these features more robust for our use cases on Google Cloud than any other.”

“Google is heavily into its Healthcare Cloud. That’s what differentiates it. We love that part because we can tap into innovative healthcare cloud functionality quickly.” — Raj Ramchandani, CEO, EyecareLive

Key to production deployment (and beyond): Google Cloud Enhanced Support

As a cloud-born company, EyecareLive had an exceedingly tech-savvy team. But the migration was a complex one that involved migrating third-party software and networking products that were tightly integrated into EyecareLive’s own code. The team knew it needed expert help with the migration. What’s more, doctors, patients, and other users required 24/7 access to the platform, and any interruptions to availability or infrastructure hiccups during the migration would disrupt their online experiences. However, the EyecareLive team was already stretched by continuing to grow and innovate the business, so they asked Google Cloud for help.

EyecareLive purchased Enhanced Support, a support service offered by the Google Cloud Customer Care portfolio. Specifically designed for small and midsized businesses (SMBs). Enhanced Support gave EyecareLive unlimited, fast access to expert support from a team of experienced Google Cloud engineers during the intricate, multifaceted migration.

“It was my top priority to engage Google Cloud Customer Care to help us keep the platform always available for our doctors and users,” says Ramchandani. “The level of detail to the answers, the clarifications of having the Enhanced Support experts tell us to do it a certain way has been enormously helpful.”

For example, one of the valuable features delivered by Enhanced Support is Third-Party Technology Support, which gives EyecareLive access to experts with specialized knowledge of third-party technologies, such as networking, MongoDB, and infrastructure. This meant all components in EyecareLive’s infrastructure could be seamlessly migrated to Google Cloud, and afterward EyecareLive could lean on Enhanced Support experts to continue to troubleshoot and mitigate issues as necessary.

“The response times to the questions and issues we had when going live was fantastic. It was the best experience with a tech vendor we’ve had in a long time.” — Raj Ramchandani, CEO, EyecareLive

With Enhanced Support at their side, EyecareLive was able to get up and running quickly in preparation for their international expansion by using Google Cloud’s prebuilt AI models, load balancers, and networking technologies that were designed to be easily deployed across multiple regions throughout the globe. “We know exactly how to implement data locality to scale our deployment into different regions and into different countries, because we’ve learned that from the Google Cloud support team.” — Raj Ramchandani, CEO, EyecareLive

EyecareLive then proceeded to rapidly scale their business, knowing that Google Cloud would ensure they could meet compliance standards in whatever country or region they expanded into.

“Since we’ve moved to Google Cloud and chose Enhanced Support, we’ve had 100% availability. That’s zero downtime, which is incredible.” — Raj Ramchandani, CEO, EyecareLive

Enhanced Support also provided the capabilities for EyecareLive to:

  • Resolve issues and minimize any unplanned downtime to maintain a high-quality, secure experience for doctors and patients during and after migration
  • Acquire fast responses to questions from technical support experts
  • Learn from guidance from the Enhanced Support team beyond immediate technical issues

EyecareLive builds momentum toward their vision for eye-care telemedicine

By working closely with the Google Cloud Enhanced Support team, EyecareLive was able to successfully migrate their platform.

“If you ask any of my engineers which cloud provider they prefer, they’d all respond ‘Google Cloud,’” says Ramchandani. “The documentation is there, the sample code is there, everything that we need to get started is available.”

EyecareLive was then able to go on to grow and scale their business in the cloud in the following ways:

  • Successfully managed a complex migration with minimal disruption and maximum availability, ensuring a consistent, secure, and compliant-ready experience for doctors and patients
  • Gained the trust of both doctors and patients – they know that EyecareLive protects their sensitive medical data
  • Kept EyecareLive agile and focused on innovating forward rather than building new features from scratch by supporting the team as they took advantage of Google’s tailored, plug-and-play technologies
  • Analyzed performance over time to plan for future growth by partnering with Enhanced Support for the long term

“We know we can rely on Google Cloud from a security point of view. We love the fact that Google Cloud Healthcare solution is HIPAA compliant. Those are the things that make us trust Google to do the right thing.” — Raj Ramchandani, CEO, EyecareLive

With Enhanced Support, EyecareLive sees a bright future in the cloud

With the help of Enhanced Support, EyecareLive brings digital transformation to the eye-care in the healthcare industry by integrating the entire ecosystem of eye-care partners onto one platform making EyecareLive a leader in their industry.

Learn more about Google Cloud Customer Care services and sign up today.

Research Reports

Dataflow Guarantees 50+% Increase in Developer Productivity and Infrastructure Cost Savings: Read More

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Google Cloud commissioned Forrester Consulting to conduct a study evaluating the benefits, risks and costs of Dataflow on customers' organization. They found financial benefits in 4 areas, 50+% boost in dev productivity & infrastructure cost savings.

In our conversations with technology leaders about data-driven transformation using Google Data Cloud –  industry’s leading unified data and AI solution – , one important topic is incorporating continuous intelligence to move from answering questions such as “What has happened? to questions like “What is happening?” and “What might happen?”. The core to this evolution is the need for an underlying data processing that not only provides powerful real-time capabilities for events happening close to origination, but also brings together existing data sources under one unified data platform to enable organizations to draw insights and take actions holistically. Dataflow, Google’s cloud-native data processing and streaming analytics platform, is a key component of any modern data and AI architecture and data transformation journey, along with BigQuery, Google’s internet-scale warehouse with built-in streaming, BI engine and ML; Pub/Sub, a global no-ops event delivery service; and Looker, a modern BI and embedded analytics platform. One of the key evaluation factors is potential economic value of Dataflow to their organization, particularly in the context of engaging other stakeholders is key for many of the leaders that we engage with. So we commissioned Forrester Consulting to conduct a comprehensive study on the impact that Dataflow had on their organization by interviewing actual customers . 

Today we’re excited to share our commissioned study conducted by Forrester Consulting, the Total Economic Impact™ of Google Cloud Dataflow, which allows data leaders to understand and quantify the benefits of Dataflow, and use cases it enables. Forrester conducted interviews with Dataflow customers to evaluate the benefits, costs, and risks of investing in Dataflow across an organization. Based on their interviews, Forrester identified major financial benefits across four different areas: business growth, infrastructure cost savings, data engineer productivity, and administration efficiency. In fact, Forrester found that customers adopting Dataflow can achieve a 55% boost in developer productivity and a 50% reduction in infrastructure costs. In fact, Forrester projects that customers adopting Dataflow can achieve a range of up to 171% Return on Investment (ROI) and a less than six months payback period. Customers can now use figures in the report to compute their own Return on Investment (ROI) and payback period.

Dataflow.jpg

“Dataflow is integral to accelerating time-to-market, decreasing time-to-production, reducing time to figure out how to use data for use cases, focusing time on value-add tasks, streamlining ingestion, and reducing total cost of ownership.” – Lead technical architect, CPG

Let’s take a deeper look at the ways that Forrester found that Dataflow can help you achieve your goals and unlock your business potential. 

Benefit #1: Increase data engineer productivity by 55%

Developers can choose among a variety of programming languages to define and execute data workflows. Dataflow also seamlessly integrates with other Google Cloud Platform and open source technologies to maximize value and applicability to a wide variety of use cases. Dataflow streamlined workflows with code reusability,dynamic templates, and the simplicity of a managed service. Engineers trusted pipelines to run correctly and adhere to governance. Data engineers avoided laborious issue-monitoring and remediation tasks that were common in the legacy environments such as poor performance, lack of availability, and failed jobs. Teams valued the language flexibility and open source base.

“Dataflow provided us with ETL replacement that opened limitless potential use cases and enabled us to do smarter data enhancement while data remains in motion.” — Director of data projects, financial services

Benefit #2: Reduce infrastructure costs by up-to 50% for batch and streaming workloads 

Dataflow’s serverless autoscaling and discrete control of job needs, scheduling, and regions eliminated overhead and optimized technology spending. Consolidating global data processing solutions to Dataflow further eliminated excess costs while ensuring performance, resilience, and governance across environments. Dataflow’s unified streaming and batch data platform gives organizations the flexibility to define either workload in the same programming model, run it on the same infrastructure, and manage it from a single operational management tool. 

“Our costs with our cloud data platform using Dataflow are just a fraction of the costs we faced before. Now we only pay for cloud infrastructure consumption because the open source base helps us avoid licensing costs. We spend about $120,000 per year with Dataflow, but we’d be spending millions with our old technologies.” – Lead technical architect, CPG

Benefit #3: Increase top-line revenue by improving customer experience and retention with payback time of < 6 months

Streaming analytics is an essential capability in today’s digital world to gain real-time actionable insights. Likewise, organizations must also have flexible, high- performance batch environments to analyze historical data for building machine learning models, business intelligence, and advanced analytics. Dataflow enabled real-time streaming use cases, improved data enrichment, encouraged data exploration,improved performance and resiliency, reduced errors, increased trust, and eliminated barriers to scale. As a result, organizations provided customers with more accurate, relevant, and in-the-moment data-backed services and insights — boosting customer experience, creating new revenue streams, and improving acquisition, retention, and enrichment.

“It’s already been proven that we are getting more business [with Dataflow] because we can turn around results faster for customers.” – VP of technology, financial services technology

“When we provide data to our customers and partners with Dataflow, we are much more confident in those numbers and can provide accurate data within a minute. Our customers and partners have taken note and commented on this. It’s reduced complaints and prevented churn.” – Senior software engineer, media

Other benefits 

Eliminated administrative overhead and toil

As a cloud-native managed service, all administration tasks such as provisioning, scaling, and updates are automatically handled by Google Cloud. Teams no longer need to manage servers and related software for legacy data processing solutions. Admins also streamlined processes for setting up data sources, adding pipelines, and enforcing governance.

Saved business operations costs for support teams and data end users

Dataflow improved the speed, quality, reliability, and ease of access to data for insights for general business users, saving time and empowering users to drive better data-backed outcomes. It also reduced support inquiry volume while automating manual job creation.

What’s next?

Download the Forrester Total Economic Impact study today to dive deep into the economic impact Dataflow can deliver your organization. We would love to partner with you to explore the potential Dataflow can unlock in your teams. Please reach out to our sales team to start a conversation about your data transformation with Google Cloud.

Blog

How Retailers Can Beat Inflation Like a Pro With These 5 Tips

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Budget concerns and inflation shock are causing noticeable shifts in consumer behavior, a head-spinning turnabout since the pandemic days of 2020. We went from not having access to enough goods to now not having the right goods at the right price points. Heading into the holiday season, retailers will need to look sharp and be able to deliver value to the increasingly cost-conscious consumer — with frictionless product discovery and digital shopping experiences, relevant inventory, and personalization.

Those are a few of the insights gleaned from a recent eMarketer webcast on how retailers can better combat the effects of inflation, with pragmatic recommendations from experts including Amy Eschliman, managing director of retail solutions strategy and industry engagement at Google Cloud; Alexis Hoopes, vice president and head of e-commerce and direct-to-consumer (DTC) at Mattel Inc; and Elissa Quinby, head of retail insights at Quantum Metric. We’d like to share five key takeaways that retailers can adopt.

1. Be prepared for earlier holiday planning. Budget-conscious buyers are planning their purchases earlier than ever. According to our partner Quantum Metric’s latest Retail Benchmarks research, 40% of U.S. consumers and 30% in the UK have already started their holiday shopping1. At Mattel, Alexis noted, “We’ve learned to be nimble and early for our consumers, and to have products available for them when they’re ready to shop.” With higher prices, she added, “Consumers are preplanning and researching more, viewing product detail pages multiple times to check a higher-price item before adding it to their basket.”

Quantum Metric’s same research also shows that while average cart values grew between January to July 2022 — larger than they were at the same time last year1 — consumers were shopping less frequently. Because of higher prices, 37% of shoppers are now pre-planning and purchasing items all at once to help keep to their budget1. Amy observed. “That means retailers need to make it super easy for customers to find what they want to avoid shopping-cart abandonment.”

Retailers who make it easier for shoppers to find the right products, by providing Google-quality search and recommendations, can help reduce cart abandonment and increase conversions.

2. Get a handle on out-of-stock issues. While many of the supply-chain issues that surfaced during the pandemic have cleared up, inventory continues to be a challenge in retail. During the 2021 holiday season, Google/Ipsos research shows that consumers saw a 253% increase in “out of stock” messages versus pre-pandemic2. Elissa further pointed out that a great majority of both U.S. and UK consumers experience out-of-stock issues several times a month. It’s a fluid situation, however, with retailers facing bloated inventory as consumer demands quickly pivot from, for example, branded goods to generic or white-label items. “In the next six months or so, you really need to make sure you have the right inventory to meet consumer demands,” she advised.

The need for end-to-end visibility and the ability to act in real-time across the supply chain has never been more pressing. Google Cloud and our partners are tackling the top supply chain issues head on with solutions that enable end-to-end visibility, analytics and alert-driven event management as well as AI solutions and automation to streamline processes like procurement, fulfillment, and delivery.

3. Introduce value: communicate the quality of the product and the experience. While rising prices are paramount for many shoppers, it’s a common misconception that consumers are making purchase decisions based solely on price. Alexis remarked, “In e-commerce, we talk about price, product, service, and experience. Price is only one of the pillars for consumers. At Mattel, we are fully focused on product and experience. What makes this special? How do we connect directly in new ways to the consumer? Create ‘wow’ moments and deeper connections. When we think about value for our consumers, it’s the strength of the products that will drive the purchase.”

Elissa also noted that while consumers are doing a lot of comparison shopping, it’s really about value, whether a high-quality product or a high-quality experience. Quantum Metric’s Continuous Product Design solution, which is built with BigQuery, ingests data across multiple digital touchpoints, including from mobile and web applications, and connects customer signals to every stage of the product lifecycle to help deliver the products and experiences that customers actually want.

4. Ensure consistent experiences across channels. Today, consumers crave the cross-channel shopping experience. “The channel experience has gone from online to in-store to now everywhere,” Amy commented. “We call it ubiquitous digital shopping.” Elissa added that 75% of consumers do most of their shopping digitally. However, mobile drives 67% of digital traffic, but just 49% of sales.1 “Recent trends in traffic and conversion rates by device show that we can expect the most traffic for the big sale days on mobile,” she said. “People are looking for discovery and awareness, maybe even adding items to the cart as a placeholder or reminder. But they prefer to complete a sale on a desktop. It will be critical for retailers to offer a consistent experience, especially on major sale days like Black Friday and Cyber Monday.” Elissa also advised wrapping up any experiments with product and site design early, making sure to understand the customer experience holistically across the organization and prioritizing efforts to eliminate friction.

Consumers now expect to be able to shop wherever and whenever best fits their needs, whether in a store, on your website, through your app, or from within a social media ad, and have it be a consistently good experience no matter how they first entered or exited your commerce site. Google’s 2022 Retail Marketing Guide provides useful insights and tips on how to grow your online and in-app sales.

5. Personalize touchpoints to build loyalty. Connecting with your customer base and making sure they understand the value of your offering is essential. Alexis noted that the key is to keep your messages fresh as the holiday shopping season expands, providing new messages as they keep coming back to your store. “We need to engage them by helping them find what they are looking for at the right time,” she said. “Recognize that they are doing more planning and wish-list building early, then buying last-minute gifts at lower prices towards the end. Make sure those are front and center.”

Alexis also pointed out that today, consumers are providing more data points with the products they view or the items sitting in their carts. “What’s so great about e-commerce is that we can use all of this to create more personalized, direct messages targeted to those consumers,” she commented.

Amy recommended continuing to focus on conversion with product discovery and personalization, harnessing customer data to drive insights and action. “Any company’s biggest asset is their data. Using it in as many ways possible and activating it across the company is incredibly important,” she remarked. “Take advantage of your first-party data to activate everything from marketing campaigns to a more efficient supply chain. For every customer who comes to one of your digital properties, make sure your product discovery is as easy as possible. Pay attention to your recommendations, driving personalization to make that experience as unique and fruitful for the customer as possible.”

Achieving these objectives requires a modern cloud data warehouse and activation of a customer data platform. Retailers can explore how Google Cloud’s advanced data capabilities and our ecosystem of partners can power a customer data platform that supports more personalized marketing, shopping experience, and customer service.

While these are our key takeaways, we invite you to register to watch the on-demand webinar, “5 Ways Retailers Can Combat the Effects of Inflation,” for even more insights.

  1. Quantum Metric Retail Benchmarks, “Adjusting for Inflation.” The report is based on aggregated browsing behavior from January to July 2022, paired with a survey of 3,400 consumers in the U.S. and UK.
  2. Google/Ipsos, Holiday Shopping Study, Oct 2021 – Jan 2022, Online survey, US, n=7,253, Americans 18+ who conducted holiday shopping activities in past two days
Case Study

Google Cloud Platform Gives Us 5x the Processing Power to Analyze Physician Performance at 75% Lower Cost

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MD Insider is using ML to help patients figure out which doctors have the best outcomes for specific procedures by analyzing data from thousands of institutions and doctor-patient interactions. That wouldn’t have been possible without Google Cloud.

Patients about to undergo a healthcare procedure understandably want the best medical professionals they can get. But how can they know which doctors have had the most experience and the best outcomes with that particular procedure? How can they make an informed decision about which doctor to select when the information they have is limited to the doctor’s practice area and subjective reviews from other patients?

MD Insider is working to solve that problem using machine learning (ML) to objectively analyze doctor performance. By analyzing data from thousands of institutions and millions of doctor-patient interactions and medical events, MD Insider identifies physician performance insights based on their experience and outcomes. Insights are then integrated into a triage engine, that enables consumers to search for and schedule appointments with providers who meet their clinical criteria and convenience preferences, such as insurances accepted, office hours, locations, and language.

MD Insider also offers robust data APIs to help health systems, health plans, and employers reduce costs and improve quality of care. Payers use the APIs to curate high-quality provider networks and manage provider directories. Examples of MD Insider’s data APIs include Provider Experience and Share of Practice metrics, Provider Quality and Outcomes, Network Modeling, Expert Clinical Search Taxonomy, Find a Provider, Acute-Care Hospital Quality, and Provider and Facility Metadata.

“We use Google Cloud Platform the way the cloud was supposed to be used. By comparison, other cloud providers feel like you’re renting somebody else’s data center.”

Ed Holsinger, Lead Data Engineer and Head of Data Science, MD Insider

MD Insider is continuously ingesting the latest performance data about physicians and analyzing billions of rows of data. Requiring constant scalability, the company was born in the cloud; however, it had difficulty configuring server instances for the optimal balance of memory and CPU, and its Hadoop cluster had to be kept running 24/7. Network performance was often slow for no apparent reason. As a result, failure rates from node timeouts increased, and costs grew along with the data. MD Insider had to estimate its usage and pay up front, and received little financial benefit from sustained use commitments.

Knowing that data would continue to grow, MD Insider decided to move its data services — the most demanding and complex portion of its infrastructure — to Google Cloud Platform (GCP), and took advantage of GCP managed services for container management and big data analytics.

“One of the reasons we decided to move to Google Cloud Platform is because it feels like a unified, well-designed cloud architecture and pricing model,” says Ed Holsinger, Lead Data Engineer and Head of Data Science at MD Insider. “We use Google Cloud Platform the way the cloud was supposed to be used. By comparison, other cloud providers feel like you’re renting somebody else’s data center.”

“Moving to Google Cloud Platform and using Kubernetes Engine gave us 5x the processing power for analyzing physician performance at 75% less cost. Our data scientists have more power than ever before to generate insights for our customers.”

Ed Holsinger, Lead Data Engineer and Head of Data Science, MD Insider

5x the performance, 75% less cost

MD Insider now uses Kubernetes Engine to automate container management and deploy clusters in minutes with just a few clicks. When hundreds of machines are required to analyze a large dataset, automation in Kubernetes Engine deploys ML models as containers, each of which manages the full lifecycle of its task, including scaling up resources, deploying results, and scaling back down when the task is finished. It’s easy for MD Insider to specify exactly how much CPU and memory each container needs, helping maximize performance while reducing costs.

“Moving to Google Cloud Platform and Kubernetes Engine gave us 5x the processing power for analyzing physician performance at 75% less cost,” says Ed. “Our data scientists have more power than ever before to generate insights for our customers. Data scoring jobs that used to take three business days now take four hours.”

Adds Galen Meurer, Senior Software Engineer at MD Insider: “Even if all Google Cloud Platform had to offer was Kubernetes Engine, I would still want to use it. Previously we spent up to 30% of our time managing our container infrastructure, which we can now use for product development.”

A foundation for data science

MD Insider was happy to find that GCP offers a wide variety of managed services. For example, the company is supplementing its Kubernetes Engine clusters with BigQuery for its big data masters and selection jobs, enabling scientists to analyze new and different types of data as well as analyze larger datasets in less time. MD Insider also uses Cloud Storage for big data staging and Cloud Dataproc to run managed Apache Spark clusters for data processing.

“Google Cloud Platform gives us an incredibly powerful cloud architecture for data engineering and data science,” says Eric Wilson, CEO of MD Insider. “That gives our scientists independence, they can do what they need to do without waiting and with no contention between them.”

A developer-friendly platform

Migrating its data services was such a success that MD Insider decided to move the rest of its infrastructure to GCP, including the front end for its web application. Since the migration, MD Insider has experienced no unplanned downtime on GCP, allowing it to easily meet the 99.5% uptime SLA it promises to customers. It’s also taking advantage of Build Triggers in Kubernetes Engine to automate container builds and reduce build times by more than 40%. Production code can be updated in seconds, with no impact to end users other than making new features available.

“GCP has simplified our workflow in so many ways, from intelligent load balancing to content delivery and automating builds,” says Matthew Frey, Software Engineer. “Everything on GCP is cohesive and developer friendly, with a superior UI and better network performance than other cloud providers.”

Ryan Beaini, Senior Software Engineer at MD Insider, agrees: “Since we moved to GCP, our developers are definitely happier. The pain and the headaches we experienced because of the limitations of our previous toolset all went away.”

“We’re a small company, but what we’re doing is incredibly important. We’re helping people make decisions about healthcare providers that could impact their lives and even be life-saving. Google Cloud Platform is helping us make our mission bigger, better, and brighter.”

Eric Wilson, CEO, MD Insider

Securing billions of rows of clinical and non-clinical healthcare data

As a healthcare technology company, MD Insider processes billions of rows of clinical and non-clinical healthcare data. To control user access to GCP, it uses Identity & Access Management (IAM) along with Yubico YubiKeys for hardware-based two-factor authentication when logging into Google Workspace. MD Insider takes comfort that GCP encrypts data at rest by default, and encrypts and authenticates data in transit when data moves outside physical boundaries not controlled by Google or on behalf of Google.

“On GCP, everything that we need to be encrypted for compliance purposes is encrypted, which is fantastic,” says Eric. “When I tell our potential clients and partners about the resources that Google has dedicated to security, it gives them the confidence that their data will be protected.”

Transforming how teams work

As a growing company, MD Insider must collaborate seamlessly between offices in California, Colorado, and Illinois. It relies on Google Workspace for communication and productivity, using DocsSheets, and Slides to drive the business. Employee and team files are stored in Drive, and meetings are conducted via Google Meet with Chromebox for Meetings videoconferencing hardware kits. Google Workspace also helps MD Insider maintain information security by authenticating email domains with digital signatures in Gmail and scanning outgoing email using Gmail Data Loss Prevention (DLP).

“I use Google Workspace every day, and everyone else here does too,” says Eric. “Team Drives are a big time saver for us. We’ve let our previous office software expire, because there’s no need to pay for those licenses anymore.”

Promoting healthcare transparency

With GCP helping MD Insider increase velocity and momentum, the company is making exciting progress. For example, it has entered into a strategic partnership with Zelis Healthcare, which will use MD Insider’s API to provide insights for a next-gen analytics platform that will give health plans unprecedented transparency around physician performance.

“We’re a small company, but what we’re doing is incredibly important,” says Eric. “We’re helping people make decisions about healthcare providers that could impact their lives and even be life-saving. Google Cloud Platform is helping us make our mission bigger, better, and brighter.”

*Google Workspace was formerly known as G Suite prior to Oct. 6, 2020.

E-book

Security at Scale: A Peek into the Life of Google

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Defending the world’s largest network against persistent and constantly evolving cyber threats has driven Google to architect, automate, and develop advanced tools to help keep it ahead. Understanding how Google has built and evolved it’s defenses can help you make smart architectural decisions of your own as you move forward.

  • At Google every minute:
  • 10 million spam messages are prevented from reaching Gmail customers.
  • 694,000 indexed Web pages are scanned for harmful software.
  • 7,000 deceitful URLs, executables, and browser extensions that may carry viruses, unwanted content, or phishing attempts are spotted and stopped.
  • 6000 instances of unwanted software and nearly 1,000 instances of suspected malware are reported to Chrome users.
  • 2 phishing sites and 1 malware site are found and labeled.

Download this e-book to know more about Google’s security at scale.

Podcast

VM End-to-end: Series Transcript on Conversation on VMs and their Role to Cloud-native Future

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Missed the first episode of VM End-to-End, a conversation between a VM enthusiast and a skeptic? Here's the transcript. Read through it to see what can get you excited about VMs and their relevance in the cloud-native future!

VMs and their relevance to a cloud-native future: A conversation

Last week, we published the first episode of VM End-to-End, a series of curated conversations between a “VM skeptic” and a “VM enthusiast”. Join Brian and Carter as they explore why VMs are some of Google’s most trusted and reliable offerings, and how VMs benefit companies operating at scale in the cloud. Here’s a transcript of the first episode:


Carter Morgan (VM skeptic): My team asked me to research VMs and see how they compare to other cloud-native approaches, like microservices, containers, and serverless. And to be honest with you, I am not excited about it at all. So I’ve brought in someone who is, Brian, resident VM expert. Welcome, Brian!

Brian Dorsey (VM enthusiast): Hello. I’m super happy to be here, because I am really excited about VMs.

Carter: How? See this is why I wanted to bring you here. I don’t understand how you can be so excited about VMs, already?

Brian: How can you not? It is like the best of both worlds. You’ve got a stable, reliable system you can run anything on, and you’re in the cloud, close to all of the new features, and you get new automation tooling.

Carter: See, that’s what I’m kind of skeptical about. When I think about the features of a modern system, I’m not sure that a VM can provide me with those.

Brian: Okay. Well, let’s be kind of specific there. What do you mean by a modern system?

Carter: When I think about a modern system, I think about things like modularity. I think about scalability and reliability. I want automation. I don’t want to have to do everything manually. I even think about portability and being able to move my workloads wherever they need to go. I also don’t want to implement everything by hand. I don’t want to have to do everything myself. Is that something I can get with a VM?

Brian: Yeah. Great, because I actually think we can get most of that, and I wonder, why not? Let’s go one level deeper and then we’ll come back out. In your mind, what is a VM?

Carter: Oh, you’re putting me on the spot, Brian?!

Brian: Yep.

Carter: Okay. A VM, it’s a computer, but it’s a virtualization. It’s a slice of a computer. And so, what it lets you do is it lets you run multiple operating systems on one machine, so it looks like you have multiple machines running on one physical machine.

Brian: Yep. Absolutely. And in the cloud kind of not.

Carter: Oh, what?

Brian: Yeah. So here’s why I say not. The obstructions are all there, so you’ve got memory CPU, disk, networking. And instead of from one computer, in the cloud, that’s coming from all of the computers in a data center. So the CPU is coming from a lot of machines. The networking is from the whole data center. And so, I like to think about it as instead of a slice of a computer, it’s a slice of the data center

Carter: Instead of a slice of a computer, it’s a slice of a data center. That sounds interesting. Impressive, even. But also abstract. Do you have some examples of features that you can get from a cloud VM that you can’t get from a traditional VM on one machine?

Brian: My turn to be specific. Yeah. I think one example is like bin packing. You talk about these VMs, and their different shapes. So you have one that needs a lot of CPU and another that needs a lot of memory. Maybe you’ve got a bunch of them that need a lot of CPU and they don’t fit so well in the same box without orphaning some of the memory or CPU. And if you’re running those in a whole data center, or you can basically just leave it to Google to solve that problem, you can just have whatever shape machine you want and we’ll figure out where to put it. Basically, that lets you customize your machines to exactly what you need.

Carter: Okay. That’s very interesting, because that’s a hard problem. And so, if you can just let Google handle where your workloads are going to go, that’s a good benefit. If that’s the only benefit of cloud VMs though, I’m not sure I’m sold on them over other approaches. Is there anything else we got?

Brian: Absolutely. There’s a ton of stuff we could talk about in terms of automation and other things. But I think another really concrete example is disks, and it’s kind of my favorite there, because you think about a physical disk and you read and write blocks from it, right? It’s a block device. In the data center level, those blocks could be on hundreds or thousands of different machines, and so all of them are working together to give you more reliability and make things smoother, more predictable in terms of performance. So what you get out of it is something that looks a lot like a SAN, you can take backups of disks that are running even, or if you’ve run out of space, like I think almost all of us have, you can just make the disk bigger. So, things like that.

Carter: That’s impressive, especially like you’re saying being able to run and just scale up, scale down or resize. Okay. Then another very targeted question. It’s going to sound like a dig. I don’t mean it to you. Google’s putting a lot of effort and resources into Google Kubernetes Engine (GKE). And so, is Google even still investing in VMs?

Brian: Absolutely. Where do you think these containers run? Every Kubernetes cluster is running on top of a whole bunch of VMs. And so, everything you learned about VMs applies to those clusters that you’re running. Also, another example is our managed databases, so Cloud SQL. So if you’re running Postgres or MySQL on a Cloud SQL, that’s running on VMs. And there’s a bunch of other examples, too.

Carter: I can’t get away from VMs, even if I tried, it sounds like.

Brian: Nope.

Carter: Okay. The way you’re saying that is making me think that maybe I need to rethink my idea that VMs are just old, dusty pieces of technology. So I want to be clear, definitively, are you saying that VMs have a place in a cloud-native future?

Brian: Absolutely. I want to take old and dusty and turn that into mature and reliable. Then the future part, all these things are built on top of it and we’re building new things over time. So we’ve got tools for scaling clusters of machines up and down. That’s using Kubernetes, but you can use it directly. And we keep investing and doing more and more things there. So, absolutely, part of the future as well.

Carter: Okay. Then what about if I wanted to switch to them? I’m pretty familiar with Kubernetes. It’s fairly easy to get started. What about with VM? Is it going to take me years to get started on these?

Brian: No. It’s just a computer. Basically, anything that’s already running on a computer somewhere, even if you don’t have the team who built it nearby, you can run that on a VM and in turn you can run it on a cloud VM and get a bunch of the cloud benefits as well.

Carter: All right. I must admit that you’ve swayed me a little bit. I’m still skeptical, but what you said made a lot of sense. I still have a lot of questions. I want to know about keeping costs down. I want to know how to update VMs. I have this idea in my head that they’re really slow to start and stop. Stateful data, I’m curious about that.

Brian: Awesome. How much time do you have?

Carter: All right. You know what, let’s have this convo another day, and maybe, just maybe we can agree that VMs do matter in a cloud-native future.

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