Scope for Tech Adoption and Advancements in Healthcare are Still High: Google Cloud Research
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Since the start of the COVID-19 pandemic, there’s been a rapid acceleration of digital transformation across the entire healthcare industry. Telehealth has become a more mainstream and safe way for patients and caregivers to connect. Machine learning modeling has helped speed up innovation and drug discovery. And new levels of integration and data portability have helped enable greater vaccine availability and equitable access to those who need it.
Data has been at the crux of this digital transformation — helping people stay healthy, accelerating life sciences research and delivering more personalized and equitable care. We recently unveiled partial results from our research with The Harris Poll, which revealed that nearly all physicians (95%) believe increased data interoperability will ultimately help improve patient outcomes. Today, we’re unveiling the second part of that research.
In February 2020, we commissioned The Harris Poll to survey 300 physicians in the U.S. about their biggest pain points — this was just before the COVID-19 pandemic strained the entire healthcare system and made us all hyper-aware of the risks we take in going to the hospital. In June 2021, we followed-up with those same questions and more. What it unveiled was just how much COVID-19 reshaped technology’s role in the healthcare field and how it’s changing day-to-day operations for physicians.
Here are some of the highlights:
Healthcare organizations accelerated technological upgrades over the course of the pandemic. After a year shaped primarily by the COVID-19 pandemic, use of telehealth saw substantial YOY growth, jumping nearly threefold from 32% in February 2020 to 90% this year. Forty-five percent of physicians say the COVID-19 pandemic accelerated the pace of their organization’s adoption of technology. In fact, more than 3 in 5 physicians (62%) say the pandemic has forced their healthcare organization to make technology upgrades that normally would have taken years. For example, 48% of physicians would like to have access to telehealth capabilities in the next five years. Before the COVID-19 pandemic, about half of physicians (53%) say their healthcare organization’s approach to the adoption of technology would best be described as “neutral” (i.e., willing to try new technologies only if they have been in the market for awhile or others have tried and recommended them).
Despite the technological leaps this year, most physicians still believe the industry lags behind in technology adoption but recognize the opportunity for technological support and advancement. The majority of physicians don’t view the healthcare industry as a leader when it comes to digital adoption. More than half of physicians describe the healthcare industry as lagging behind the gaming (64%), telecommunications (56%), and financial services industries (53%). However, the healthcare industry is not seen to be trailing as much as it was last year behind retail (54% in 2020; 44% in 2021); hospitality and travel (53% in 2020; 43% in 2021); and the public sector (39% in 2020; 26% in 2021).
Better interoperability alleviates physician burnout, improves health outcomes and speeds up diagnoses. The majority of physicians say increased data interoperability will cut the time to diagnosis for patients significantly (86%) and will ultimately help improve patient outcomes (95%.) In addition to better patient experiences and outcomes, more than half of physicians (54%) believe increased access to data via technology has had a positive impact on their healthcare organization overall. A majority believe that technology can alleviate the likelihood of physician “burn-out” (57%) and that efficient tools help decrease friction and stress (84%). And, as a result, 6 in 10 physicians say access to better technology and clinical data systems would allow them to have better work/life balance (60%) and that better access to/more complete patient data would reduce administrative burdens (61%). It is therefore not surprising that nearly 9 in 10 physicians (89%) say they are increasingly looking for ways to bring together all patient data into a single place for a more complete view of health.
Familiarity with new Department of Health and Human Services (DHHS) interoperability rules grows, and many physicians are in favor. Most physicians (74%) say they have at least heard of the new DHHS rules (launched in 2019) to improve the interoperability of electronic health information. This is a clear rise from 2020 (64%), but deeper knowledge is fairly low. Only 30% of physicians say they are somewhat or very familiar with the new rules (though, again, this is a rise from 2020, when only 18% said they were very/somewhat familiar). Similar to in 2020, among those who have heard of the new rules, nearly half are in favor (48% in 2021; 45% in 2020) but a similar proportion remain unsure (46% in 2021; 50% in 2020). And like in 2020, by far the top potential benefit of the rules is thought to be forcing EHRs to be more interoperable with other systems (70%).
Google was founded on the idea that bringing more information to more people improves lives on a vast scale. In healthcare, that means creating tools and solutions that make data available in real time to help streamline operations and improve quality of care and patient outcomes. For example, our recently announced Healthcare Data Engine makes it easier for healthcare and life sciences leaders to make smart real-time decisions through clinical, operational, & groundbreaking scientific insights. To find out more about the Healthcare Data Engine, click here.
Survey methodology: The 2021 survey was conducted online within the United States by The Harris Poll on behalf of Google Cloud from June 9 – 29, 2021 among 303 physicians who specialize in Family Practice, General Practice, or Internal Medicine, who treat patients, and are duly licensed in the state they practice. The 2020 survey was conducted from February 18 – 25, 2020 among 300 physicians who specialize in Family Practice, General Practice, or Internal Medicine, who treat patients, and are duly licensed in the state they practice. Physicians practicing in Vermont were excluded from the research. This online survey is not based on a probability sample and therefore no estimate of theoretical sampling error can be calculated. For complete survey methodology, including weighting variables and subgroup sample sizes, please contact press@google.com.
Data-first Digitization Helps Leverage the Cloud for Your Mainframe Assets
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For many enterprises, the venerable mainframe is home to decades’ worth of data about the company’s customers, processes and operations. And it goes without saying that the business would like access to that mainframe data — to report on it, to analyze it with big data analysis tools, or to use it as the basis of new machine learning and artificial intelligence initiatives.
At Google Cloud, we are eager to work with organizations to help them transform their mainframe assets for the cloud era. Of course, we can help them modernize their mainframe applications by migrating them to the cloud. At the same time, working with partners and customers, we’ve developed another, more lightweight approach that can help them start to leverage the cloud for their mainframe assets much more quickly than performing a full-fledged migration. We call this approach data-first digitization.
In this rapidly evolving digital ecosystem, it’s imperative to understand the difference between ‘modernization’ and ‘digitization.’ With modernization you start with the current state and look forward, and rely on mainframe application migration approaches such as rehosting (emulation), refactoring (automated code transformation), reengineering — or simply replacing a custom application with a commercial package. With digitization, you start with the future state that you want to achieve, and work back to what is required to get there.
This data-first digitization approach includes a mainframe data-first integration framework comprising in-house and partner products and tools to migrate heterogeneous data sources from the mainframe to Google Cloud Storage. Once mainframe data has been copied to Cloud Storage, it can then be integrated and leveraged by Google Cloud tools such as BigQuery, AI and machine learning prodcuts and Smart and Stream analytics platforms. The integration framework covers both bulk batch data transfers and real-time data replication (change data capture).
Data-first digitization is based on the tenet that ‘applications are transient, data is permanent.’ By bringing data first to Google Cloud instead of traditional ways of modernizing applications (for example, with Gartner’s 7 options to Modernize), this allows organizations to leapfrog to new business models, use cases and innovative ways to serve end customers. For example:
- Making decisions with smart and stream analytics platforms and AI/ML engines. These tools need data to make decisions. Google is a pioneer in extracting information and value from the raw structured and unstructured data, and this approach opens up mainframe data for use by BigQuery and AI/ML models.
- Building new reporting applications. With access to mainframe data, you can use Google cloud products like Looker and Appsheet to build net-new reporting applications, expediting the process of retiring mainframe reporting applications, and accelerating your overall transformation.
In our experience, taking a data-first digitization approach to your mainframe offers a number of benefits:
- Faster time-to-business: Because data-first modernization is built on existing products, the implementation cycle is much shorter.
- Less capital investment: You spend your time integrating products, not developing applications.
- Minimized risk: Data-first integrates with existing, proven and reliable Google Cloud products.
- Faster overall mainframe transformation: When you shift your modernization center of gravity from the application to the data, you look at mainframe applications from a business perspective instead of just “keeping the lights on.” As a result, only the most business-critical applications are modernized and many support applications can be decommissioned, accelerating your transformation journey.
Taking a data-first approach to digitization is still relatively new, but we’re heartened by customers’ early successes. Watch this space for additional insights, reference architectures and technical white papers around data-first. And if you think this approach may be right for you, reach out to mainframe@google.com.
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How Do You Cut Costs and Improve Staff Productivity, and Business Visibility? Ascend Money Has an Answer
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Hundreds of millions of residents of South East Asia have only limited access to banking and finance services. However, help is at hand. One of South East Asia’s largest fintech businesses, Ascend Money is using digital technologies to realize its mission of enabling as many people as possible to access innovative financial services and live better lives.
According to Ascend Money, 60 percent of the region’s 620 million residents do not have access to a full suite of financial services. Even a relatively small proportion of this market represents a big opportunity for the business.
Ascend Money’s offerings include the TrueMoney regional payment platform for underserved and digital consumers. The TrueMoney platform supports more than 40 million consumers across six countries: Cambodia, Indonesia, Myanmar, the Philippines, Thailand, and Vietnam.
“We found, based on value, ease of use, effectiveness, and the skills and adaptability of our own team members, BigQuery and other Google Cloud Platform services were the best fit for our business.”
– Abraham Jarrett, Head of Engineering, Ascend Money
TrueMoney also provides an e-wallet app that provides easy ways to top up mobile phones, undertake online shopping, and pay for products and services; a network of 65,000 branded shops; and international remittances, initially between Thailand and Myanmar. In addition, Ascend Money offers financial products to small to medium businesses.
Ascend Money is part of the South East Asian online business Ascend Group, which also operates e-commerce, e-procurement, data centers, cloud services, fulfilment, and digital marketing services.
Cost is a key criteria
Ascend Money initially started operations using physical infrastructure and on-premises workforce productivity applications. However, as the business grew its customer base and expanded into new markets, its technology leaders began to explore options to improve value for money; reduce the maintenance load on in-house team members; improve its data management and analysis; and collaborate more effectively.
“Operating our own on-premises infrastructure entails a higher cost of ownership and maintenance, as well as requiring us to scale up our hardware as needed,” says Abraham Jarrett, Head of Engineering, Ascend Money. “We conducted an evaluation and found that moving to the cloud would deliver a range of benefits.”
G Suite and Google Cloud Platform the best fit
The business evaluated solutions available in the market and opted to move to G Suite and Google Cloud Platform.
“Moving to Google Cloud Platform was an optimization exercise, with lowering our costs our primary goal, and achieving better performance an added benefit,” says Jarrett. Google Cloud Platform monitoring, diagnostic, and analytics tools have enabled Ascend Money to reduce its infrastructure spending, becoming more efficient and cost-effective in the process.
“Managing software is a big cost for us. Through G Suite, we are significantly reducing our software deployment, licensing, and repair costs.”
– Abraham Jarrett, Head of Engineering, Ascend Money
The Ascend Money team saw Google Kubernetes Engine as enabling a seamless way of transitioning from an on-premises data center to a cloud service. “We considered industry trends such as what people were adopting and who we could hire when making our decision,” says Jarrett. “Engineering teams are focusing on using Kubernetes open source container management at scale and as a way of doing business, which was attractive to us.
“Google Kubernetes Engine presented the easiest way to manage and orchestrate our containers, and drive us away from our existing infrastructure.”
BigQuery best for cost and ease of use
Ascend Money also reviewed data infrastructure solutions, with its business intelligence and data platform teams considering a range of options. The teams quickly ruled out an on-premises solution due to the capital investment required and opted for a cloud service. Following a rigorous evaluation of Google Cloud Platform against the services offered by another cloud provider, Ascend Money opted to run on Google Cloud.
“We found, based on value, ease of use, effectiveness, and the skills and adaptability of our own team members, BigQuery and other Google Cloud Platform services were the best fit for our business,” says Jarrett. The business is now running an architecture comprising a BigQuery analytics data warehouse; Cloud Storage to store raw and archive data; Cloud Dataflow to process stream and batch data, and Cloud Pub/Sub for event ingestion and delivery.
“We’re expanding our utilization of BigQuery and other services on a daily basis,” says Jarrett.
Ascend Money is also using a range of Google Cloud Platform services for the infrastructure outside its data platform, including Stackdriver logging and monitoring; Cloud KMS to manage cryptographic keys for its cloud services, Cloud Build to undertake continuous integration, delivery, and deployment; Cloud DNS to provide domain name system services; and Cloud Functions to enable its developers to run and scale code in the cloud.
With Google Cloud Platform, Ascend Money is now processing about 12GB of batch data per day and streaming data from about 200 data marts per day in Thailand alone.
Cost effective scalability and faster to market
Google Kubernetes Engine has enabled the business to scale and deliver to market faster. “We can build on the platform, take the application and container and deploy them to scale out,” says Jarrett. “The Google Kubernetes Engine orchestration mechanism that provides containerized, elastic scalability is extremely important in allowing us to manage costs and expend our effort efficiently. Through Kubernetes, we can write once and deploy everywhere.”
With Google Cloud Platform, the business has saved 3,000,000 THB (about US$90,000) in licensing costs and, through automation tools, reduced the time to complete infrastructure activities by 50 percent.
“We don’t have as many meetings since we deployed G Suite and we can work effectively in a distributed fashion.”
– Abraham Jarrett, Head of Engineering, Ascend Money
Ascend Money’s entire workforce is now using G Suite to collaborate and operate productively. The business is achieving a range of benefits including being able to get new team members up and running more quickly and reduced cost. “Managing software is a big cost for us,” says Jarrett. “Through G Suite, we are significantly reducing our software deployment, licensing, and repair costs.” Meanwhile, the shorter time to onboard team members to G Suite is paying off with improved productivity and an accelerated ability to collaborate.
Ascend Money team members primarily use Sheets, Slides, and Docs to create internal materials, including product requirement documents in Docs and workforce and project planning spreadsheets in Sheets.
The organization also uses Hangouts Meet to collaborate when working from different locations. “We don’t have as many meetings since we deployed G Suite and we can work effectively in a distributed fashion,” says Jarrett. “People can work from home and we have five regions plus Thailand where they can collaborate live on a document, such as a slide deck for board meetings or meetings with our chief executive officer, head of engineering, or other senior managers.”
20 hours per week saved
Jarrett describes the time savings of using web browser-based productivity software and G Suite as saving them an average of 20 hours per week. This has improved productivity and the quality of life for Ascend Money’s hard-working team, increasing overall staff satisfaction.
“The ability to work remotely is a big win for us,” Jarrett says. “Our team members can keep one computer at work and one at home and access the same information, they can work in a plane while it sits on the tarmac, or update a Google Doc or a Google Sheet in real time on their phone. They can work anytime, from any location, as long as they have an internet connection. They have less dead time, meaning more uptime.”
With Google Cloud Platform and G Suite, Ascend Money is ideally positioned to support growing demand for its fintech services in South East Asia, particularly among people with limited access to banking. “We have the agility and dynamism to support rising demand and look forward to continuing to work with Google to realize our business ambitions,” says Jarrett.
Sainsbury’s Uses AI to Figure Out How the World Eats
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Retail will forever be an industry that must constantly reinvent itself in response to, and anticipation of, ever-changing consumer demands.
Digital transformation is fueling these changes and we’ve previously spoken about how businesses including Ulta Beauty and Kohl’s are taking advantage of Google Cloud to put data at the center of what they do and deliver the best possible shopping experience and product offerings for their customers.
Leveraging Google Cloud machine learning platform, Sainsbury is able to develop predictive analytics models to spot trends and adjust inventory, providing shoppers with a better experience.
Sainsbury’s, one of Britain’s best-known supermarkets, is another great example of a business transforming the way it engages with its customers with the cloud.
With over 150 years of service, Sainsbury’s vision is to be the most trusted retailer, where people love to work and shop. It makes customers’ lives easier, by offering great quality and service at fair prices.
The food industry and the way that customers shop is rapidly changing. From foodie hashtags on Instagram, to the latest cooking fads, customers want to stay connected to the latest trends and Sainsbury’s is empowering them do that.
To help Sainsbury’s achieve this goal, its Commercial and Technology teams, in partnership with Accenture, are building cutting-edge machine learning solutions on Google Cloud Platform (GCP) to provide new insights on what customers want and the trends driving their eating habits.
With the help of Google Cloud Platform, we are generating new insights into how the world eats and lives, to help us stay ahead of market trends and provide an even better shopping experience for our customers.
–Phil Jordan, Group CIO, Sainsbury’s
Sainsbury’s solution relies on data from multiple structured and unstructured sources. Using Google Cloud’s powerful cloud-based analytics tools to ingest, clean and classify that data, and a custom-built front-end interface for internal users to seamlessly navigate through a variety of filters and categories, Sainsbury’s is able to gain advanced insights in real time.
As a result, Sainsbury’s has been able to develop predictive analytics models to spot trends and adjust inventory, providing shoppers with a better experience.
Phil Jordan, Group CIO of Sainsbury’s believes this project will have a big impact.
“The grocery market continues to change rapidly. We know our customers want high quality at great value and that finding innovative and distinctive products is increasingly important to them. With the help of Google Cloud Platform, we are generating new insights into how the world eats and lives, to help us stay ahead of market trends and provide an even better shopping experience for our customers.”
This project is also a great example of the successes Google Cloud customers have when they work with the company’s partners.
“We’re delighted to partner with Google Cloud to help the Sainsbury’s Commercial team apply predictive analytics to the identification of new and emerging trends in grocery,” says Adrian Bertschinger, Managing Director for Retail, Accenture.
“The food sector is experiencing significant, rapid disruption, and this new, cloud-based insights platform will help Sainsbury’s identify trends much earlier and adapt their product assortment in a faster, more informed way—all for the benefit of customers.”
Whatever the next food or shopping trend may be, Sainsbury’s is looking to the cloud to help them stay a step ahead.
Dassana: Choosing Google Workspace and Google Cloud to accelerate growth and reach goals
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When Dassana co-founders Gaurav Kumar and Parth Shah, formerly founder and founding engineer at RedLock (now Prisma Cloud by Palo Alto Networks), set out on a new startup journey in 2020, they knew exactly where to start: sign up for Google Workspace.
“Every startup I’ve been at, we used Google Workspace,” said Kumar. “We’ve been using it for so long, and we’re all used to it. It’s like drinking water—you don’t think about it.”
“We’re big on user experience,” explained Shah. “Google is one of the few companies out there that is all about building the right kind of user experience that’s easy to follow. The sharing capabilities are amazing and, of course, easy to use. Docs, Sheets, Slides—we use all of it.”
Dassana, which emerged from stealth with $5 million in seed funding earlier this year, is a next-generation security data lake. It provides a holistic picture of security risk across an organization and its business units by ingesting large volumes of structured data in a schema-less fashion. Their success is a great testament to why startups are choosing not only Google Workspace, but a range of Google Cloud products.
Though the Dassana team was comfortable with Workspace from the start, not all their early technology choices were the best fit for the company, and Google Cloud services became more crucial as the startup evolved. For example, the team opted to use Amazon Web Services (AWS) to start their cloud journey, but ultimately started to explore other cloud options when they decided to run their technology platform on Kubernetes.
“We started looking into which cloud platforms provide the best Kubernetes experience,” said Kumar. “Hands-down, Google Kubernetes Engine (GKE) had the best experience. If you look at product velocity and how GKE has evolved over time, from its early days to GKE Autopilot and all the features and other native integrations—nothing even comes close.”
In particular, Kumar noted that the native integration between Google Workspace and GKE was particularly unique and useful. “When I go to Google Workspace and then go to GKE, my identity is already there,” he said. “I don’t have to integrate or manage anything. If I disable an account in Workspace, it’s also disabled on GKE.”
Another advantage is that GKE allows you to set up Google Groups to work with Kubernetes role-based access control (RBAC) for GKE clusters. This lets administrators maintain users and groups outside of GKE and assign RBAC permissions directly to Groups in Workspace without any extra engineering work or overhead management.
“I can actually use my Workspace identity to give granular controls to my GKE workloads. The integration of Google Groups in GKE and Kubernetes is a lifesaver. It’s saved us a lot of hassles,” said Kumar. Kumar also noted that the platform delivers better performance compared to other solutions thanks to the low latency of Google Cloud’s global network.
Like many startups, Dassana has found a powerful combination in Google Workspace and GKE on Google Cloud that lets them connect technologies, easily collaborate with their teams, and rapidly build their product. The team also recognizes the necessity of continued innovation, and is exploring additional Google Cloud products to help them accelerate their momentum. For example, Dassana plans to use the performance and scale of Cloud Storage buckets to store the company’s data. The team is also investigating how to save time by using Pub/Sub to integrate data directly from Google Workspace and other sources for security analytics.
To learn more about why startups like Dassana are choosing Google Workspace and Google Cloud to accelerate their growth and reach their goals, visit our startup solutions pages for Google Workspace and Google Cloud.
Conversations on Government Security with Dmitri Alperovitch, CrowdStrike’s Founder and Former CTO
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As I was preparing for my fireside chat with Dmitri Alperovitch, Founder and Former CTO of CrowdStrike and Executive Chairman of the Silverado Policy Accelerator, for the Google Cloud Government Security Summit taking place on Tuesday, July 20th, I was reflecting about recent developments in cybersecurity, Zero Trust best practices – including aspects of Google’s journey – and the benefits that this approach to cybersecurity brings to the public sector.
As Dmitri and I discussed what we wanted to share during our session at the Government Security Summit, I quickly realized how pertinent the information was to our public sector audience. For that reason, ahead of Tuesday’s event, I wanted to give you a glimpse of what is to come in our fireside chat. Read below for an exclusive preview of what we plan to discuss. If you are planning to attend on Tuesday, we encourage you to ask questions through our interactive chat function and sign up for 1:1 time with our Ask the Expert program.
Check out my chat with Dmitri below…
Heather: What do you see as the most significant changes in both the attack surface and cybercriminal tactics in recent years? And why do these changes present unprecedented challenges for public sector?
Dmitri: In terms of the threat landscape, the more things change, the more they stay the same. The adversaries haven’t changed that much. It’s actually striking. Not all threats are emanating from governments or state actors – either directly or by providing safe harbor to criminals – but a large portion are. That has not changed. The volume and scale of attacks have grown, however, and become massive. And now, the greatest challenge is that everyone is a target. Before, only top-end institutions and government organizations were facing nation state threats. That has changed either through targeted attacks or accidental ones, such as WannaCry. The question now is “How do we protect the most vulnerable and extend much-needed protection to smaller organizations that do not have deep security expertise or resources?”
Heather: Earlier this year, the Biden Administration released its Cybersecurity Executive Order (EO). What do you see as the most important takeaways and potential impact of the EO?
Dmitri: The Cybersecurity EO is set to have a significant impact. The biggest change is a shift in strategy. For many decades, we all had the mentality that we have to keep attackers out of the network. That is great in theory, but we all know that it is a virtual impossibility with a network of any significant size. Adversaries will find a way in. And, we used to think it was game over once they were in the network.
Then about 10 years ago, we began to see a change. Google led the way with its BeyondCorp strategy as did Lockheed Martin with its sentinel Kill Chain framework. Now, when an adversary penetrates a network, it’s not the end of the game, but the beginning. That is the case if the organization is prepared with a network architecture built around Zero Trust principles. The adversary now has to move laterally, steal credentials, and elevate privileges to get to the resources they want. A Zero Trust architecture can slow them down and give organizations time to detect and eject adversaries from the network. The EO recognizes the power of this approach and has made Zero Trust its fundamental tenet.
Heather: Federal agencies have spent the last 60 days looking at Zero Trust and developing their plans. What do you hope to see? What is critical to accelerating implementation?
Dmitri: The EO establishes a very ambitious timeline, and the US government is not known to move rapidly due to a number of restrictions and considerations. That said, the EO recognizes the idea that logging has to be at the center of modern architecture. Agencies need full visibility into what is going on at endpoints and across the network, have to hunt continuously across networks for adversaries, and must work to rapidly eject them. That is at the core of the EO, and it is a great shift. The private sector should be watching and learning as well.
Heather: What pitfalls should the Federal government look out for in moving forward to implement the EO?
Dmitri: One of the main challenges is the limited authority of the President. Congress is the only branch with the power to change the laws. While the establishment of the Cybersecurity and Infrastructure Security Agency (CISA) a few years ago allows for hunting across agency networks, CISA still has limited authority. It cannot manage the cybersecurity of more than 120 civilian agencies.
Some agencies are performing well when it comes to security, but we have to recognize that this is not the norm. Not all agencies have the capacity to recruit the best cybersecurity talent, but their needs may be just as great. We need to centralize capabilities and leverage the cloud, like Google, to provide all agencies with the best cyber talent and resources.
Join us at the Google Cloud Government Security Summit to hear the rest of our conversation. The event is complimentary. Register today to reserve your spot on July 20th. If you have any questions about the event, please reach out to us at cloudsummitsupport@google.com.
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