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Securing apps using Anthos Service Mesh

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Discover how Google's Corp Eng leverages Anthos Service Mesh to create a unified, secure, and efficient platform for accessing a wide range of applications, transforming internal security and connectivity. Read more...

Hi there! I’m David Challoner from Access Site Reliability Engineering (SRE), here with Anthony Bushong from Developer Relations to talk about how Corp Eng is adopting Anthos Service Mesh internally at Google.

Corp Eng is Google’s take on “Enterprise IT”. A big part of the Corp Eng mission is running the first and third party software that powers internal business processes – from legal and finance to floor planning and even the app hosting our cafe menus – all with the same security or production standards as any of Google’s first party applications.

Googlers need to access these applications, which sometimes then need to access other applications or other Google Cloud services. This traffic can cross different trust boundaries which can trigger different policies.

Access SRE runs the systems that mediate this access, and we implemented Anthos Service Mesh as part of our solution to secure the way Googlers access these applications.

But why?

You can probably tell, but the applications Corp Eng is responsible for have disparate requirements. This often means that certain applications are tied to disparate infrastructure due to legal, business or technical reasons – which can be challenging when those infrastructures work and operate differently.

Enter Anthos. Google Cloud built Anthos to provide a consistent platform interface unifying the experience of working with apps on these varying underlying infrastructures, with the Kubernetes API at its foundation.

So when searching for the right tool to build a common authorization framework to mediate access to CorpEng services, we turned to Anthos – specifically Anthos Service Mesh, powered by the open-source project, Istio. Whether these services were deployed in Google Cloud, in Corp Eng data centers, or at the edge onsite at actual Google campuses, Anthos Service Mesh delivered a consistent means for us to program secure connectivity.

To frame the impact ASM had on our organization, it’s helpful to introduce the roles of the folks who manage and use it:

Figure 1 – Anthos Service Mesh empowers multiple people across different roles to connect services securely

For security stakeholders, ASM provides an extensible policy enforcement point running next to each application capable of provisioning a certificate based on the identity of the workload and enforcing mandatory fine-grained application-aware access controls.

For platform operators, ASM is delivered as a managed product, which reduces operational overhead by providing out-of-the-box release channels, maintenance windows, and a published Service Level Objective(SLO).

For service owners, ASM enables the decoupling of their applications from networking concerns, while also providing features like rate limiting, load shedding, request tracing, monitoring, and more. Features like these were typically only available for applications that ran on Borg, Google’s first-party cluster manager that ultimately inspired the creation of Kubernetes.

In sum, we were able to secure access to a plethora of different services with minimal operational overhead, all while providing service owners granular traffic control.

Let’s see what this looks like in practice!

The architecture

Figure 2 – High-level architecture for Corp Eng services and Anthos

In this flow, user access first reaches the Google Cloud Global Load Balancer [1], configured with Identity Aware Proxy (IAP) and Cloud Armor. IAP is the publicly available implementation of Google’s internal philosophy of BeyondCorp, providing an authentication layer that works from untrusted networks without the need for a VPN.

Once a user is authenticated, their request then flows to the Ingress Gateway provided by Anthos Service Mesh [2]. This provides additional checks that traffic flows to services only when the request has come through IAP, while also enforcing mutual TLS (mTLS) between the Anthos Service Mesh Gateway to the Corp services owned by various teams.

Finally, additional policies are enforced by the sidecar running in every single service Pod [3]. Policies are pulled from source control using Anthos Config Management[4], and are propagated to all sidecars by the managed control plane provided by Anthos Service Mesh[5].

Managing the mesh

If you’re not familiar with how Istio works, it follows the pattern of a control plane and a data plane. We talked a little bit about the data plane – it is made up of the sidecar containers running alongside all of our service Pods. The control plane, however, is what’s responsible for updating these sidecars with the policies we want to enforce:


Figure 3 – High-level architecture for Istio

Thus, it is critical for us to ensure that the control plane is healthy. This is where Anthos Service Mesh gives our platform owners a huge advantage with its support for a fully-managed control plane. To provision cloud resources, like many other companies, our organization uses Terraform, the popular open-source infrastructure as code project. This gave us a declarative and familiar means for provisioning the Anthos Service Mesh control plane.

First, you enable the managed control plane feature for GKE by creating the google_gke_hub_feature resource below using Terraform.

resource "google_gke_hub_feature" "feature_asm" {
name = "servicemesh"
location = "global"
provider = google-beta
}

Keep in mind that at publication time, this is only available via the google-bet provider in Terraform.

Once created, we then provision a ControlPlaneRevision custom resource in a GKE cluster to spin up a managed control plane for ASM in that cluster:

apiVersion: mesh.cloud.google.com/v1alpha1
kind: ControlPlaneRevision
metadata:
  
name: asm-managed
  
namespace: istio-system
spec:
  
type: managed_service
  
channel: regular

Using this custom resource, we are able to set the release channel for the ASM managed control plane. This allows for our platform team to define the pace of upgrades in accordance with our team’s needs.

In addition to managing the control plane, ASM also provides management functionality around the data plane to ensure each sidecar Envoy is kept up to date with the latest security updates and is compatible with the control plane – one less thing for service operators to worry about. It does this using Kubernetes Mutating Admission Webhooks and Namespace labels to modify our Pod workload definitions to inject the appropriate sidecar proxy version.

Syncing mandatory access policies

With the core Anthos Service Mesh components in place, our security practitioners can define consistent, mandatory security policies for every single GKE cluster, using Istio APIs.

For example, one policy is enforcing strict mTLS between Pods using automatically provisioned workload identity certificates. Earlier, we talked about how this is enforced between the Istio Gateway; that same policy enforces mTLS between all Pods in our cluster.

Figure 4 – A high-level diagram of mutual TLS

Another policy we implement is denying all egress traffic by default, requiring service teams to explicitly declare their outbound dependencies. The following is an example of using an Istio Service Entry to allow granular access to a specific external service – in this case, Google. This helps prevent unintended access to external services.

apiVersion: networking.istio.io/v1alpha3

kind: ServiceEntry
metadata:
  
name: google
spec:
  
hosts:
  - www.google.com
  
ports:
  - number: 443
    
name: https
    
protocol: HTTPS
  
resolution: DNS
  
location: MESH_EXTERNAL
EOF

These policies are automatically synced to all service mesh namespaces in each cluster using Anthos Config Management. By using our internal source control system as a source of truth, Anthos Config Management can sync and reconcile policies across all of our GKE clusters, ensuring that these policies are in place for every single one of our services. You can find more details about our implementation of Anthos Config Management here.

With this in place, our team plans on eventually migrating away from security automation that operates solely based on explicit IP, port and protocol policies.

Integration with Identity-aware Proxy

The publicly available version of the BeyondCorp proxy used by CorpEng is called Identity-aware Proxy (IAP), which offers an integration with Anthos Service Mesh. IAP allows you to authenticate users trying to access your services and apply Context-Aware-Access policies. This integration comes with two main benefits:

  • Ensuring that user traffic to services in the service mesh only come through Identity-aware Proxy
  • Enforcing Context-aware access (CAA) trust levels for devices, defined by multiple device signals we collect

Identity-aware Proxy allows us to capture this information in a Request Context Token (RCToken), which is a JSON Web Token (JWT) created by Identity-aware Proxy that can be verified by ASM. IAP inserts this JWT into the Ingress-Authorization header. Using Istio Authorization Policies similar to the following policy, any requests without this JWT are denied:

apiVersion: security.istio.io/v1beta1
kind: AuthorizationPolicy
metadata:
name: iap-gateway-require-jwt
namespace: istio-system
spec:
selector:
matchLabels:
app: istio-iap-ingressgateway
action: DENY
rules:
- from:
- source:
notRequestPrincipals: ["*"]


Here is an example policy that requires a fullyTrustedDevice access level – this might be a device in your organization that is known to be corporate-owned, fully-updated, and running an IT-approved configuration :

apiVersion: security.istio.io/v1beta1
kind: AuthorizationPolicy
metadata:
  name: require-fully-trusted-device
  namespace: fooService
spec:
  selector:
    matchLabels:
      app: fooService
  action: ALLOW
  rules:
  - from:
    - source:
       requestPrincipals: ["*"]
    when:
    - key: request.auth.claims[google.access_levels]
      values: ["accessPolicies/$orgId/accessLevels/fullyTrustedDevice"]

This allows our security team to not only secure service to service communications, or outbound calls from services, but also specifically require incoming requests come from trusted devices and authenticated users using a trusted device.

Enabling service teams

As an SRE, one of our priorities is ensuring Service-level indicators (SLIs), SLOs, and Service-level agreements (SLAs) exist for services. Anthos Service Mesh helps us empower service owners to do this for their services, as it exposes horizontal request metrics like latency and availability to all services in the mesh.

Before Anthos Service Mesh, each application had to export these separately (if at all). With ASM service owners can easily define their Service’s SLOs in the cloud console or via terraform using these horizontally exported metrics. This then allows us to integrate SLOs into our higher-level service definitions so we can enable SLO monitoring and alerting by default. You can see the SRE book for more details on SLOs and Error budgets.

The takeaway

ASM is a powerful tool that enterprises can use to modernize their IT infrastructure. It provides:

  • A shared environment-agnostic enforcement point to manage security policy
  • A unified way to provision identities, describe application dependencies

This also enables previously unheard of operational capabilities such as distributed tracing or incremental canary rollouts – which were difficult to find in the typical enterprise application landscape.

Because it can be incrementally adopted and composed with existing authorization systems to close gaps – barriers to adoption are low and we recommend you start evaluating it today!

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Application Development with Kpt

Learn how to create and customize configuration packages with Kpt to build applications and adhere to configuration-as-data philosophy.

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End Security Risks with the Unattended Projects Recommender Feature

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Google Cloud's Unattended Project Recommender in the Active Assist helps organizations identify abandoned projects based on API and networking activity, billing, usage of cloud services, and other signals. Learn how!

In fast-moving organizations, it’s not uncommon for cloud resources, including entire projects, to occasionally be forgotten about. Not only such unattended resources can be difficult to identify, but they also tend to create a lot of headaches for product teams down the road, including unnecessary waste and security risks. 

To help you prune your idle cloud resources, we’re excited to introduce Unattended Project Recommender. It’s a new feature of Active Assist that provides you with a one-stop shop for discovering, reclaiming, and shutting down unattended projects. With actionable and automatic recommendations, you no longer have to worry about wasting money or mitigating security risks presented by your idle resources. Unattended Project Recommender uses machine learning to identify, with a high degree of confidence, projects that are likely abandoned based on API and networking activity, billing, usage of cloud services, and other signals. This feature is available via the Recommender API today, making it easy for you to integrate with your company’s existing workflow management and communication tools, or export results to a BigQuery table for custom analysis.

Thousands of projects can be unattended in large organizations, presenting major security risks

Your cloud projects can go abandoned or unattended for a number of reasons — ranging from a test environment that’s no longer needed, to project cancellation, to project owner switching jobs, and more. Not only can such projects contribute to your cloud bill (waste) but they may contain security issues such as open firewalls or privileged service account keys that attackers can exploit to get a hold of your cloud resources for cryptocurrency mining or, worse, compromise your company’s sensitive data. These security risks tend to grow over time because the latest best practices and patches are usually not applied to unattended projects. 

We experience this issue here at Google, too… In fact, it has been on Google’s internal security team’s radar for some time now, so we joined forces and looked into this problem together, starting with our very own “google.com” organization cloud projects. We quickly found some projects that were unattended, but remediating this issue was easier said than done due to challenges in several areas:

  • Detection: With lots of signals available to you via sources like Cloud Monitoring, what are the right ones you should look at (e.g. API, networking, user activity)? How can you tell the difference between an unattended project and a project that has a low level of activity by design (e.g. a “shell” project that holds an auth token)?
  • Remediation: Once you have identified a project that seems abandoned, how do you go about ensuring that it’s indeed an unattended project? How do you reduce the risk of deleting something that might be essential to a production workload, causing irreversible data loss? How do you solve this at the scale of your entire organization, beyond a one-time cleanup? 

Over the course of 2021 we built and tested a Google-internal prototype first, cleaning up many of our internal unattended projects, and then worked with a number of Google Cloud customers to build and tune this feature based on real-life data (thank you to all of our early adopters for working with us and your generous feedback that helped us shape this feature!) It was not uncommon for us to come across organizations with thousands of unattended projects, and we’re very excited to bring Unattended Project Recommender to all customers, in public preview.

Discovering and acting on unattended project recommendations

Unattended Project Recommender analyzes usage activity across all projects under your organization, including the following data:

  • API activity (e.g. service accounts with authentication activity, API calls consumed)
  • Networking activity (ingress and egress)
  • Billing activity (e.g. services with billable usage)
  • User activity (e.g. active project owners)
  • Cloud services usage (e.g. number of active VMs, BigQuery jobs, storage requests)

Based on these signals, it can generate recommendations to clean up projects that have low usage activity (where “low usage” is defined using a machine learning model that ranks projects in your organization by level of usage), or recommendations to reclaim projects that have high usage activity but no active project owners. Here’s what an example post-processed summary list of recommendations can look like for the “foobar” organization that has 3 projects:

  Project ID: demo-project-307815
Recommendation: CLEANUP_PROJECT

Project ID: new-project
Recommendation: N/A

Project ID: bobs-playground-project
Recommendation: RECLAIM_PROJECT

In addition to the recommendations, you can also examine the underlying project activity insights that the recommendations are based upon. The insights provide additional information that can be useful for integration with your organization’s existing workflows and automation (e.g. send an auto-generated email or chat message to project owners based on the list provided by the owners field). Here’s an example insight payload:

  content:
  activeAppengineInstanceDailyCount: 0
  activeCloudsqlInstanceDailyCount: 0
  activeGceInstanceDailyCount: 3
  activeServiceAccountDailyCount: 1
  apiClientDailyCount: 18922           // Daily average API calls produced
  bigqueryInflightJobDailyCount: 0
  bigqueryInflightQueryDailyCount: 0
  bigqueryStorageDailyBytes: 0
  bigqueryTableDailyCount: 0
  consumedApiDailyCount: 0             // Daily average API calls consumed
  datastoreApiDailyCount: 0
  gcsObjectDailyCount: 11
  gcsRequestDailyCount: 0
  gcsStorageDailyBytes: 2663548
  hasActiveOauthTokens: false          // OAuth tokens used in the last 180 days
  hasBillingAccount: true
  numActiveUserOwners: 1
  owners:                              // List of project owners
  - activeOnProject: false
    member: user:user1@example.com
  - activeOnProject: true
    member: user:user2@example.com
  serviceWithBillableUsage:
  – Cloud Storage
  - Compute Engine
  vpcEgressDailyBytes: 264456938       // Daily average VPC egress bytes
  vpcIngressDailyBytes: 392435047      // Daily average VPC ingress bytes
  usagePercentile: 20                  // Level of usage relative to other projects

GCP projects are used in many different ways and for many different purposes. In case you get a recommendation to delete a project that’s being used in a way that’s out of the scope for this feature, you can dismiss the recommendation and it will stop showing up for the given project. 

Restoring deleted projects

When you choose to shut down a project using the projects.delete() method, it gets marked for deletion. After a project is marked for deletion, it becomes unusable, all resources within that project are shut down, and a 30-day wait period for the project and all of its data to get fully deleted begins.

In case a useful project is accidentally shut down, you have the option to restore the project within that 30-day wait period. Since restoring allows you to recover most but not necessarily all of your project data and resources, we recommend carefully examining the utilization insights associated with a project and considering any additional utilization signals that may not be captured by the Unattended Project Recommender before taking the cleanup action.

Early customer success stories

A number of enterprise customers are already using Unattended Project Recommender to keep their organizations clean of unattended projects and resources.

Decathlon, a French sporting goods retailer, is excited for the insight Unattended Project Recommender will bring to their environment, and are already deploying it as a part of their latest cloud security initiatives.

“After a thorough test of this feature and the validation of our CISO, we ended up deleting our first 775 projects, and no one complained! A great help to improve our security. The next step for us will be to operationalize it at scale, and implement a company wide policy for unattended resource management.” —Adeline Villette, Cloud Security Officer

For Veolia, one of the world’s largest water, waste and energy management companies, not only does this feature reduce security risks and waste, but also helps drive cultural shift and alignment with its ecological transformation strategy.

“This feature allows us to reduce our costs and security debt on assets that are no longer in use, and is also fully in line with Veolia’s philosophy of limiting its carbon footprint. After having tested Unattended Project Recommender on more than 3,000 projects throughout our organization, we are looking to bring it as proactive alerts to our project owners at scale.”Thomas Meriadec, Product Manager

Box, a secure cloud content management provider, views it as a foundation for building a repeatable process to remediate unused resources.

“Unattended Project Recommender is a great fit for us. It gives us a unified view of project usage across our entire organization and enables us to address security risks of legacy projects in a systematic and organized manner, ensuring an even safer environment.” —Matt Bowes, Staff Security Engineer

Getting started with the Unattended Project Recommender

To help you get started, we’ve prepared a Cloud Shell tutorial (source code) that you can use to find unattended project recommendations within your own Projects/Folders/Organization. Click this button to clone the tutorial from GitHub and run in your Cloud Shell environment:

google cloud shell.jpg

As you can see, listing recommendations for your projects only takes a few clicks with the tutorial (special thanks to Lanre Ogunmola, Security & Compliance Specialist, for making this look so easy)! For additional detail on using the gcloud CLI or API to discover unattended project recommendations, please refer to the documentation page.

You can also automatically export all recommendations from your Organization to BigQuery and then investigate the recommendations with DataStudio or Looker, or use Connected Sheets that let you use Google Workspace Sheets to interact with the data stored in BigQuery without having to write SQL queries.

As with any other Recommender, you can choose to opt out of data processing at any time by disabling the appropriate data groups in the Transparency & control tab under Privacy & Security settings.

We hope that you can leverage Unattended Project Recommender to improve your cloud security posture and reduce cost, and can’t wait to hear your feedback and thoughts about this feature! Please feel free to reach us at active-assist-feedback@google.com and we also invite you to sign up for our Active Assist Trusted Tester Group if you would like to get early access to the newest features as they are developed.

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A Security Practitioners Guide to Best Practice GCP Security

Building secure services using GCP is easy, when you know all the tools available to you. Selecting the right services and configurations to meet your security needs requires you to know your tools.

In this practical session, you will go beyond the theory, and will go through best practices for securing GCP using examples, real-world customer scenarios and practical tips and advice.

The video covers the breadth of offerings available to you, and recommend how you can use them to meet your security needs. We aim for you to leave with new ideas for securing your GCP environment that you can put into practice immediately.

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Macy’s Migration to Cloud: How Google Cloud NAT Upheld Security

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Macy's ensures robust cybersecurity during their infrastructure migration to Google Cloud, leveraging Cloud NAT for secure internet access, scalability, and high availability without compromising user experience.

Macy’s is well known for its high-end fashion worldwide. What is not as well known are the strong measures it takes to ensure its customers’ data remains secure. When Macy’s decided to move its infrastructure from on-premises to Google Cloud, it required the move be done without sacrificing security or degrading the user experience.

Migrating from on-premises to the cloud isn’t always a simple feat, especially when one of Macy’s key requirements was a managed solution that could secure their workloads’ internet access without impacting throughput and latency.

Implementing Cloud NAT at scale

Applying security safeguards without creating additional friction can be difficult, especially for Macy’s and its more than 40 million active users. Macy’s needed a way to perform network address translation to ensure its clusters could create outbound connections to the internet without needing public IP addresses. Every use case led back to Cloud NAT.

Cloud NAT is a distributed, cloud-first service that provides network address translation for workloads without external IP addresses. These workloads typically access the internet to download updates or interact with SaaS services. 

Cloud NAT provided a means for Macy’s workloads to initiate outbound connections by translating the associated private IP addresses to one or more shared public IP addresses. This enabled Macy’s to reach the outside world while preventing the outside world from initiating a connection to it. What was even better for Macy’s was that Cloud NAT simplified the configuration and maintenance with no additional networking, forwarding, or routing configuration required.

https://storage.googleapis.com/gweb-cloudblog-publish/images/1_Google_Cloud_NAT.max-1600x1600.png

Ensuring continued high performance

The software-defined networking that underpins Cloud NAT equipped Macy’s with more than just the benefit of simplified management. High availability is built into the product since it doesn’t depend on any virtual machine or physical gateway device, and it is available across different regions if a zone goes down. With an uptime SLA of 99.99%, Macy’s could feel confident that their operations would run without disruption.

Cloud NAT can also be configured to automatically scale the number of NAT IP addresses used. The proxyless architecture enables a chokepoint-free NAT operation so that workloads’ throughput and latency are minimally impacted. The myriad of benefits associated with using Cloud NAT over a traditional proxy are depicted below.

https://storage.googleapis.com/gweb-cloudblog-publish/images/2_Google_Cloud_NAT.max-1700x1700.png

Lastly, Cloud NAT works with Google Compute EngineGoogle Kubernetes Engine, and Serverless VPC Access connectors to support Cloud Functions, Cloud Run, and Google App Engine Standard. The built-in cloud integrations helped give Macy’s the confidence to deploy Cloud NAT knowing it met all the predefined requirements.

https://storage.googleapis.com/gweb-cloudblog-publish/images/3_Google_Cloud_NAT.max-1100x1100.png

Upholding the highest security standards

Macy’s took advantage of Cloud NAT’s built-in logging and monitoring capabilities. NAT logs are automatically forwarded to a SIEM tool for transformation and analysis. This innate functionality provides greater insight into Macy’s environment and allows the security team to take action if any anomalous behavior is detected.

Cloud NAT’s inherent security and extensive benefits made it a straightforward decision for Macy’s. However, Cloud NAT is only one component of Macy’s defense-in-depth strategy, as illustrated below. It works with the existing Cloud Firewall rules to ensure only appropriate traffic is entering and exiting workloads. 

None of the Cloud Firewall rules previously established needed to be reconfigured since Cloud NAT sits in front of the firewall. Existing egress firewall rules are evaluated for each packet before it hits the NAT, and ingress firewalls rules are evaluated after the packet hits the NAT. Cloud NAT does not permit any unsolicited inbound requests from the internet even if firewall rules would otherwise permit those requests.

https://storage.googleapis.com/gweb-cloudblog-publish/images/4_Google_Cloud_NAT.max-1500x1500.png

Macy’s continues to prove that security will never go out of style.

Learn more about Cloud NAT

Cloud NAT provides a path to help ensure your private resources stay private. Please watch this video on protecting your network with Cloud NAT to learn more about how it can help secure your environment. You can also get started using our quick start guide.

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Google Products Helps HMH’s Healthcare Staff Work from Anywhere Efficiently and Securely!

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When many challenges knocked the door as an aftermath of the 2020 COVID-19 pandemic, the 17-hospital healthcare system decided to extend its partnership with Google to elevate patient data security and safe, equitable access. Read how!

Hackensack Meridian Health (HMH) executive Mark Eimer explains how an ambitiously-timed rollout of a comprehensive suite of Google products helped the entire organization—from doctors to IT staff—achieve better security, cultivate a more equitable work environment, and ultimately, improve patient outcomes.

How does a recently merged, 17-hospital healthcare system fast-track a platform migration and hardware rollout securely and in a way that improves work for everyone, regardless of location or role? These are the questions that kept me up at night in early 2020, when the pandemic demanded a “big bang”—something our legacy laptops and operating systems couldn’t handle.

We began our work with Google in 2020 with the adoption of Chrome as our default browser. As we migrated platforms, keeping patient data safe was of the utmost importance to us, along with providing every staff member with the tools they needed to work virtually. Our staff often experienced issues accessing our web-based applications using Internet Explorer or Edge Browser, a problem that went away when we switched to Chrome. Chrome’s versatile compatibility also made it easier for my team to migrate all of our web-based operations, and Chrome’s security and manageability were key components to making this switch a huge win for the organization.

The success of this migration led us to extend our Google partnership to patient care applications—where Google’s expertise in AI and ML helps scale the use of diagnostics tools and improve other aspects of the patient journey.

image4.jpg
Patient care is at the center of HMH’s mission

Achieving security at every step 

Like so many other healthcare organizations, we’ve been concerned about ransomware attacks. This is part of why we moved to Google Workspace and distributed over 3,000 Chrome OS devices in kiosk mode in March of 2020, when many of us went remote due to the pandemic. We were very concerned about team members accessing corporate applications through home devices that were running EOL operating systems (WIN7), as well as a general lack of antivirus and encryption measures.

We were protected by the fact that Google’s software and hardware both had built-in security features that we needed to stave off sophisticated attackers. For example, Chrome OS automatically updates to the latest security update and encrypts data living outside the cloud on the hardware. These features protected us from security-related disruptions, letting us securely move a huge library of file shares and emails across thousands of accounts to Google Chrome OS in just four months.

A year later, in March 2021, we migrated the enterprise over to Google Workspace and saw an immediate reduction in spam by 30% from the inherent built-in AI/ML. This meant staff were less likely to receive (and click through) phishing attempts. My team could connect, create, and collaborate easily and securely—even as more of us were working from home and needed to access sensitive data remotely. 

Leveling the playing field

As an organization, we were surprised by how many team members didn’t have personal computers at home. We quickly decided that if we needed team members to work from home, the health network would have to supply hardware. Chromebooks’ lower price tag compared to PCs—on top of their built-in security controls—allowed us to purchase, deploy, and support that initial distribution of 3,000 Chromebooks to team members in less than three weeks, providing devices to every eligible remote employee instead of just a select few. This was vital to reaching our equitable technology goal as part of our diversity and inclusion initiative: everybody has the same tools to do good work.

When all employees have what they need to do their jobs well, we get better patient outcomes. Before we began this cloud adoption journey, patient and staff experiences were different within the hospitals and outside of them. 

Now it’s the same wherever our staff is, and we’ve seen efficiency and accessibility benefits extend to the patient side. For example, we built a web-based contact center that supports 80 locations that use Workspace and Chrome OS devices. Since customer service, admin, and providers are all on the same system, it has become a one-stop shop for patients.

Furthermore, through the Grow with Google program, we were able to provide another benefit to employees that drove our equity goals. Google trained 50 non-IT staff members—from environmental services, food and nutrition, and other non-tech areas who were interested in making a career change to IT—on the Google products we were using. They may not have thought about switching to a career in IT before the Grow with Google program came to our organization, but through this partnership, they now have that opportunity.

A strategic, long-term partner

With any large-scale rollout, the work doesn’t end once laptops are in employee hands. Google has shown their commitment to long-term collaboration as they continuously optimize their products for the unique needs of healthcare providers and go the extra mile in tailoring tools to our staff’s workflows. 

For example, on the Chrome OS side, the Google team has helped our registration desks and document centers with device integration for hardware like credit card readers and e-signature pads. They’ve also helped us meet security and privacy requirements mandated by state and federal governments around HIPAA, Medicaid, and Medicare reimbursements. Over this next year, we’ll look at a feature roadmap with Google Cloud to deliver further enhancements, iterating on the product itself to meet our needs for the present and the future.

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Combining technology and expertise

Delivering the future of healthcare

The benefits we’ve seen around security and usability—and the ability to provide all staff with equal access to Google’s technology—are why we’re expanding our partnership with Google to both the administrative and clinical sides of HMH. In addition to further Google rollouts with corporate, next year we’re distributing Chromebooks to all 350 of our ambulatory clinics.

We’re also working with the Google professional services team to create a custom AI model that analyzes 3D mammogram images. This AI model will enable two providers to read mammograms—which adheres to international best practices but is currently rare in the US—without requiring additional time. Conducting double readings of mammograms will yield better health outcomes for our patients, such as a lower patient recall rate and an increased accuracy in detecting breast cancer.

We’re currently building the model using a variety of Google Cloud products, including Cloud Healthcare API. Once complete, this model is expected to be trained, deployed, and maintained in Google’s Vertex AI, allowing our providers to be more productive as they make clinical decisions with AI support. As the model is proven over time, we plan to make the predictive services accessible to other healthcare organizations.

With Google, we’re able to achieve a unified architecture for storing data as well as training and deploying AI models, which enable our staff to work more efficiently and securely from anywhere. While I may not be able to predict the future as accurately as AI can, I foresee our continued partnership with Google as a key part of HMH’s improved provider and patient outcomes.

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