It’s simply amazing to witness how some of our systems integrators employ Google Cloud solutions to drive innovation in ways we at Google may never have considered—especially in healthcare.  According to analyst firm MarketsandMarkets, the market for the Cloud in healthcare is projected to grow 43% between 2020 and 2025 to nearly $65 billion, fueled by the need for better technology infrastructures and faster digital transformation.  

Healthcare and life sciences communities are looking to Google Cloud and its Service engagement model partners to improve collaboration and activate the power of medical data.  These transformations deliver robust data analytics and bring a much deeper perspective into health epidemics like COVID-19 to help save lives.

In the healthcare and life sciences industry, our Google Cloud partners and customers provide constant energy and inspiration–and are the magic in some key healthcare innovations globally.  

Let me show you how they are solving real-world business challenges.

Improving collaboration in Healthcare

Cloudbakers and Comanche County Memorial Hospital transitioned 2,000 employees to Google Workspace to improve collaboration, reduce costs, and increase security. By implementing a system that requires less maintenance while enabling mobile access to data and true collaboration, Comanche County Memorial Hospital saves $175,000 annually on licenses and helps medical professionals spend more time with patients.

“We chose Google Workspace because it cost a quarter of what we were paying previously, offers the kind of modern features that healthcare facilities need, and gave us data security and peace of mind.” —James Wellman, CIO, Comanche County Memorial Hospital

Accessing previously locked down medical data

Google Cloud and Quantiphi supported advances in cloud-based machine learning services to reduce infrastructure costs, unlock new paths of treatment, and dramatically reduce the amount of time it takes to evaluate scanned imagery following a stroke.  John Hopkins University BIOS Division has been working on medical imaging to accelerate insights from scans on approximately 500 patients from 2,500 hours to 90 minutes, and lead to more accurate decision-making for brain injury patients that will ultimately improve medical outcomes.  

“We’ve aligned closely with the goal of showing that a cloud-based, AI-driven approach is robust and that it can be performed while protecting personal PHI. In terms of costs, the cloud has definitely reduced some of the traditional financial demands of our research.” —Daniel F. Hanley, Jr., M.D., Director, Johns Hopkins University BIOS Division

Improving data access with the flexibility of Google Cloud

With the help of MediaAgility, TRIARQ migrated to Google Cloud to modernize their platform, build new applications, and expand their global footprint.  With BigQuery, TRIARQ can now consolidate all transactional data, past and present, into a single location to report on specific insights and predict future data from e-prescriptions to complex revenue-cycle data and value-base analysis.

“The future of this industry will need to be a global one, and we can no longer be stuck in legacy systems if we want to survive. Having a team that is passionate about supporting us in this journey is definitely a plus point.”—Yaw Kwakye, Co-founder and Chief Architect, TRIARQ

Increasing visibility to COVID-19 outbreaks for actionable insights

As part of its response to the COVID-19 pandemic, HCA Healthcare chose to work with Google Cloud and SADA to create a national portal that increases visibility into outbreaks in 3,100 counties across the country in just 8 weeks.  Now, the portal generates 30,000 new analytical views each day that can help inform private and public sector decision making for reopenings, closures, hot spots, and many other population health management activities. 

“This project required deep knowledge of AI, and consumer-facing platforms, as well as healthcare. Google brought together the ideal combination of product, people, and partners. Google Cloud’s healthcare-specific products along with SADA’s expertise in the healthcare IT space made this partnership the perfect choice to move quickly and intelligently.”—Dr. Edmund Jackson, Chief Data Officer, HCA Healthcare

We’re committed to building the technology, resources, and services through Partner Advantage to help our partners address this opportunity.  Looking for a solution focused partner in your region who has achieved Expertise and/or Specialization in your industry?  Search our Global Partner Directory.  Not yet a Google Cloud partner? Visit Partner Advantage and learn how to become one today!

The future of AI is better AI—designed with ethics and responsibility built in from the start. This means putting the brakes on AI-driven transformation until you have a well-functioning strategy and process in place to ensure your models deliver fair outcomes. Failing to recognize this imperative is a threat to your bottom line. The following post provides a simple framework to follow to keep your business on the right track as you place more trust in algorithms. 

AI is inherently sociotechnical. AI systems represent the interconnectedness of humans and technology. They are designed to be used by and to inform humans within specific contexts, and the speed and scale of AI means that any lack of responsibility—such as bias, safety, privacy, scientific excellence etc—will also replicate at that same speed and scale. Without ethics and responsibility built in by design, AI systems lack the critical “inputs” or societal context that enable long term success. 

Lawsuits stemming from AI systems that are biased towards certain groups are stacking up. In August 2020, IBM was forced to settle a lawsuit with the city of Los Angeles for misappropriating data it collected for its weather channel app. Health services company, Optum, is being investigated by regulators for creating an algorithm that allegedly recommended that doctors and nurses pay more attention to white patients than to sicker black patients. And Facebook, which granted Cambridge Analytica, a political firm, access to the personal data of more than 50 million people, is buried in legal work.  Google has also run into its share of issues with algorithms making egregious mistakes. 

While lawsuits are real, the foundational reason ethical AI is critical to your bottom line is trust. Without it, increasingly, consumers will ignore you and choose a brand they do trust. Research from Kantar, which runs one of the largest global brand equity studies (4 million consumers, 18,000 brands, across 50 markets), revealed that almost 9% of a brand’s equity is driven by corporate reputation, of which responsibility is a key attribute. Over the last decade, the importance of responsibility to consumers in relation to making brand choices has tripled. 

The study stated brands perceived to be among the world’s most trusted and responsible shared three crucial factors that proved particularly important for building consumer trust and confidence, even when a brand might be new to a market. These are:

• Honesty and openness
• Respect and inclusion
• Identifying with and caring for customers

Brands that develop these associations more strongly tend to outperform their competitors in defending and growing their brand value.

Technology and business leaders need to focus on four areas to accomplish a well-functioning ethical AI strategy. Lopez Research refers to this group of tasks as SEED, which stands for security, ethics, explainability, and data (SEED). Each of these topics could be an article in itself, but this post will define several essential components. 

SECURITY (S)  

It might not seem obvious, but a robust AI strategy requires an embedded security strategy. Companies should look for hardware-level security in components such as GPUs and CPUs. IT leaders should build software security into models to minimize attacks such as poisoning, evasion, deepfakes, backdoors, and model extraction. The threat of adversarial data poisoning attacks machine learning models by maliciously introducing inaccurate data designed to corrupt the model’s ability to be accurate. Another security threat is model extraction, also known as model cloning, where a hacker finds a way to either reconstruct a black-box machine learning model or extract the training data. The first line of defense against all security attacks is to design security at the outset, but the next best step is to frequently test models to ensure they are operating as planned. Business leaders, data science experts, and IT leaders must work together to regularly review the outcomes of AI models.

ETHICS (E)

Today, organizations must understand that ethics should be designed into the solution at its outset. The ethics process starts with defining the potential positive and negative outcomes of the model that your business is creating. Once the team has evaluated potential harmful effects, which means unpacking the systems, beliefs, power hierarchies and dynamics that interconnect with the technology, it’s your responsibility to eliminate or minimize the impact of these outcomes. It’s also critically important to review the impact of models in production and shut down models demonstrating issues. An example of this was the public beta release of the Tay chatbot that Microsoft deployed and rapidly shut down because it propagated negative biases. 

Yet, many organizations aren’t taking this action. The FICO study revealed that 93% of companies said responsible AI was critical for success but only 33% of these companies were measuring AI model outputs to ensure these models were operating as expected (measuring for model drift). Another survey by Pew Research revealed that 68% believe that ethical principles focused primarily on the public good will not be employed in most AI systems by 2030. 

Regulations may turn this tide, regardless of whether organizations plan to adopt an ethical AI framework. Laws governing the ethical use of data in AI are expected to be finalized as soon as 2022, such as the European Commission’s proposed legal framework for AI. Organizations that start with ethical use of AI in mind will be better positioned to deal with customer privacy concerns and regulatory compliance.

EXPLAINABILITY(E)

As models have become more sophisticated, it’s also become increasingly difficult to explain why a model created a specific outcome. In the FICO Responsible AI  report, 65% of respondents could not explain how specific AI model decisions or predictions are made, and only 35% said their organization made an effort to use AI in a way that was transparent and accountable.  However, it’s never been more important to clarify how AI models came to conclusions such as why a loan was denied, why a particular strategy should be implemented, and how AI selected a set of resumes to review for a position. The goal is to create an explainable AI model from the outset but many of today’s models lack this capability. Every business should review its existing models and use open-source toolkits that can be found on Github.com that support the interpretability and explainability of machine learning models. 

Keep in mind that explainability isn’t one-size-fits-all. Different stakeholders need different types of information. Much of explainability to date has focused on “opening the black box” which gets equated to information that is only useful for other data scientists. That’s important, but it doesn’t help the line of business users whose workflows AI is integrated into, or end users who deserve information about how decisions are made; or policymakers who don’t have data science backgrounds, and so on. 

DATA (D) 

An equally important item in ethics is data. Ethics starts with ensuring you have the correct data to create and update models. Three main issues include representative data, inherent biases within existing data, and inaccurate data. A critical issue that most companies miss in creating models is that current data sets frequently lack full market representation. A recent Capgemini Research Institute report revealed that 65% of executives “were aware of the issue of discriminatory bias” with these systems.

Awareness is the first step, but organizations must take action to remedy this issue. Historical data may no longer serve a company’s current needs for model creation. Historical records may contain biases against certain groups. For example, historical criminal data records show an imbalance in ethnic groups’ incarceration, which would lead to model biases. Additionally, laws and societal norms also change. Certain groups were prosecuted for sexual preference in the past, but today this information would create an inaccurate model. 

Companies have also discovered that using demographic data, a common practice in marketing, can also lead to model bias. For example, individuals that primarily used cash for transactions and others that lived in specific zip codes were at a disadvantage in banking models to determine creditworthiness. To minimize these issues, a company needs to augment its data with full representation in areas such as ethnicity, gender, age, behavioral and economic profiles.

Design AI models with a continuous feedback loop

Another, more prominent, yet tricky issue is data accuracy. As the adage says, garbage in, equals garbage out. The least appreciated but arguably the most essential component of the AI model lifecycle is ensuring the model has accurate data at all times. Inaccurate data from either poor data hygiene or data that was tampered with for security purposes can cause model failures. Organizations need to invest the time and resources to ensure they have the correct data. Data privacy is another key element that businesses must address, but the concepts of data privacy, sovereignty, and security are significant enough that we will come back to this in a separate article. 

Overall, it’s clear that while we may have an abundance of data, it most likely doesn’t represent what we want to model for the future. A successful AI strategy is an ethical AI strategy that requires the organization to be thoughtful in its model creation by ensuring it has a broad representation of accurate data and testing the outcomes to ensure the models are secure and operating as expected. 

Organizations that define an AI model lifecycle with a continuous feedback loop will reap the benefits of better intelligence. This will increasingly mean stronger, longer lasting trust with customers and staying on the right side of new laws and regulations.

According to a National Academy of Medicine discussion paper, social determinants of health (SDoH) account for upwards of 80% of a population’s health outcomes. Breaking this down further, 50% come just from socioeconomic and physical environment factors such as education, employment, income, family and social support, community safety, air and water quality, and access to housing and transit. SDoH determine access to and quality of healthcare, and are contributors to a system of disparate access to care.

We believe that to more efficiently provide comprehensive healthcare access to more people, providers will leverage technology to blend in-person and virtual modes of care delivery.

In this article, Amwell and Google Cloud examine five ways telehealth – as part of a provider’s overall care model – can help democratize access to healthcare. (graphic url) 

Remove distance as a barrier to care

8.6 million Americans live more than 30 minutes from their nearest hospital. Long drives can deter patients from seeking care or maintaining routine visits. On the flip side, 92% of Americans nationwide have access to wired broadband in the home or through mobile broadband. Therefore, having a virtual visit just a click away can help remove barriers to care, like distance.

Eliminate the risk of unnecessary exposure

Virtual care means that patients don’t have to worry about potential exposure in transit, while sitting in waiting rooms, or from direct interactions during in-person health visits. This is particularly relevant when it comes to those with chronic diseases or underlying conditions. Telehealth provides patients who may be more susceptible to diseases with access to continuous healthcare without putting them at higher risk for developing more severe symptoms. Virtual visits can occur in the comfort –and safety– of patients’ homes.

Extend access to specialized care

55% of preventable hospitalization or mortality in rural settings is due to lack of access to specialty care. With telehealth, physical proximity to specialized services–typically in urban areas–can be reduced as a limiting factor. Virtual solutions grant everyone access to top specialists, regardless of location.

Save time and money

By augmenting in-person visits with telehealth applications, providers can benefit from greater efficiencies in scheduling, helping to improve their bottom line, and add more flexibility to their workday. Meanwhile, patients can spend less on travel and childcare, limit time taken off work, and save on other costs associated with in-person visits — for a savings of $35 to $690 per visit. In a survey by the COVID-19 Healthcare Coalition, 76% of the 2,000+ patients surveyed across the US responded that transportation was removed as a barrier, 65% reported they no longer had to take time off from work for an appointment, and 67 percent reporting lower costs than an in-person visit.

Combat physician shortage and fatigue

Research shows there will be a shortage of more than 100,000 doctors by 2030. In the midst of a physician shortage, telehealth can help improve care delivery and make it more efficient, ensuring more people can still have their healthcare needs addressed. Additionally, by integrating intelligence such as case triaging along with telehealth into a virtual care model, providers can help reduce clinician burnout.

Amwell and Google Cloud are partnering to deliver transformative telehealth solutions that will make it easier for more patients to receive care and improve patient and clinician experiences across the continuum of care. One example includes embedding real-time captioning and translation services powered by Google Cloud’s AI and NLP technologies within the Amwell platform to increase health access and understanding for more people.

As physicians, we are excited that the future of healthcare will continue to blend cloud technologies like EHR-integrated telehealth platforms, AI, healthcare-trained virtual agents along with in-person care to create an integrated hybrid care model that will improve patient outcomes and unburden providers, all while expanding access to broader patient populations.

To learn more, download the whitepaper “Healthcare’s Virtual Transformation,” written in conjunction with Becker’s Hospital Review.

^{1: “Social Determinants of Health 101 for Health Care: Five Plus Five,” National Academy of Medicine, October 2017}

Enterprises are increasingly seeking out technologies that help them create unique experiences for customers with speed and at scale. At the same time, customers want flexibility when deciding where to manage their enterprise data, particularly when it comes to business-critical applications.

That’s why I’m thrilled that Sprinklr, the unified customer experience management (Unified-CXM) platform for modern enterprises, has partnered with Google Cloud to accelerate its go-to-market strategy and grow awareness among our joint customers. Sprinklr will work closely with our global salesforce, benefitting from our deep relationships with enterprises that have chosen to build on Google Cloud. 

Akin to Google Cloud’s mission to accelerate every organization’s ability to digitally transform their business through data-powered innovation, Sprinklr’s primary objective is to empower the world’s largest and most loved brands to make their customers happier by listening, learning, and taking action through insights. With this strategic partnership now in place, Sprinklr and Google Cloud will go-to-market together with the end-customer as our sole focus.

Traditionally, brands have adopted point solutions to manage segments of the customer journey. In isolation, these may work — but they rarely work collaboratively, even when vendors build “Frankenstacks” of disconnected products. These solutions can’t deliver a 360° view of the customer, and often reinforce departmental silos. All of which creates point-solution chaos.

Sprinklr’s approach is fundamentally different and is the way out of the aforementioned point-solution chaos. As the first platform purpose-built for unified customer experience management (Unified-CXM) and trusted by the enterprise, Sprinklr’s industry-leading AI and powerful Care, Marketing, Research, and Engagement solutions enable the world’s top brands to learn about their customers, understand the marketplace, and reach, engage, and serve customers on all channels to drive business growth. 

Sprinklr was built from the ground up as a platform-first solution, designed to evolve and grow with the rapid expansion of digital channels and applications. The results? Faster innovation. Stronger performance. And a future-proof strategy for customer engagement on an enterprise scale.

“Sprinklr works with large, global companies that want flexibility when deciding where to manage their enterprise data and consider our platform a business-critical application,” said Doug Balut, Senior Vice President of Global Alliances, Sprinklr. “Giving our customers the opportunity to manage Sprinklr on Google Cloud empowers them to create engaging customer experiences while maintaining the high security, scalability, and performance they need to run their business.”

To learn more about this exciting partnership and the challenges we jointly solve for customers, check out the recent conversation between Google Cloud’s VP of Marketing, Sarah Kennedy, and Sprinklr’s Chief Experience Officer, Grad Conn. Or read the press release on the partnership.