Telehealth Improves Patient and Clinical Experiences across Continuum of Care

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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
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Google Cloud Cortex Framework: Innovate on Cloud with Less Risk, Cost and Complexity!
Google Cloud Cortex Framework is a comprehensive approach to cloud innovation that enables users to accelerate value with less risk, complexity and cost! The Cortex Framework includes a comprehensive tools and know-how to build, design and deploy cloud solutions to address business challenges and achieve desired outcomes. Watch the video to get started with Google Cloud Cortex Framework.
Giving Customers More Choice: Google Cloud’s New Product and Pricing Options

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Over the past several years, Google Cloud has made significant investments in our infrastructure product portfolio. We launched new Tau T2D VMs, which deliver 42% better price-performance vs. other leading cloud providers. We upgraded Cloud Storage to offer more flexibility to support customers’ enterprise and analytics workloads, with dual-region buckets and upcoming Turbo Replication. And we’ve delivered numerous improvements to our global network, including expansion to 29 cloud regions.
However, from conversations with customers, we’ve also learned we can do more to align our capabilities and pricing with their varied workloads. So, today, we are announcing we will adjust our infrastructure product and pricing structure to give customers more choice in how they pay for what they use alongside new, flexible SKUs with new product options and capabilities. These changes are designed to help ensure better product fit for our customers’ use cases across a wider array of workloads. They are also designed to better align with how other leading cloud providers charge for similar products, so customers can more easily compare services between leading cloud providers.
Some of these changes will provide new, lower-cost options and features for Google Cloud products. Other changes will raise prices on certain products. Ultimately, our goal is to provide more flexible pricing models and options for how customers are using our cloud services. Here’s an overview of what customers can expect:
Which services are changing? What new services are being introduced?
We are changing prices for some storage, compute, and networking products. The changes provide customers with new ways to optimize their spending based on workload type and size, or data portability needs, as well as reducing costs on some services. Specific changes include:
- Cloud Storage pricing changes for data mobility, including replication of data written to a dual- or multi-region storage bucket, and inter-region data access
- Introduction of a new lower-cost archive snapshot option for Persistent Disk (PD), so that compliance/archiving use cases are charged less than compute-intensive DevOps workloads
- New outbound data processing pricing for Cloud Load Balancing, in line with other leading cloud providers
- New pricing for Network Topology, which will include Performance Dashboard within Network Intelligence Center at no additional charge
Will customers’ bills increase? Decrease?
The impact of the pricing changes depends on customers’ use cases and usage. While some customers may see an increase in their bills, we’re also introducing new options for some services to better align with usage, which could lower some customers’ bills. In fact, many customers will be able to adapt their portfolios and usage to decrease costs. We’re working directly with customers to help them understand which changes may impact them.
When will the new prices go into effect?
Today, we sent customers a six-month notice on the price changes, which go into effect on October 1, 2022. Customers under existing commit contracts with a floating or fixed discount will not face any changes until renewal. Our goal is to help our customers manage any impact of these changes and allow time for them to adjust or modify their implementations.
What should customers do next?
There are a number of things customers can do to prepare for the changes:
- Read through the Mandatory Service Announcement (MSA) sent on March 14.
- Consider what actions, if any, they may want to take based on current storage, networking, and compute needs. Many of these changes may have simple choices associated with them.
- Consider using the Storage Transfer Service to select the right Cloud Storage bucket locations. Storage Transfer Service will be available free-of-cost for transfers within Cloud Storage, starting April 2 until the end of the year.
For those customers under contract, Google Cloud account representatives are available to discuss these changes. Please visit our pricing page and the links below for more details on our updates to storage, networking, and PD pricing, including information on how to modify your implementations if needed. If you do not have an account manager and still have questions please review our public FAQ, which will be updated regularly, as well as the resource links below.
Note: This pricing analysis is valid as of February 2022.
Resources:
How Vertex Vizier’s Automated Hyperparameter Tuning Improves ML Models

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We recently launched Vertex AI to help you move machine learning (ML) from experimentation into production faster and manage your models with confidence—speeding up your ability to improve outcomes at your organization.
But we know many of you are just getting started with ML and there’s a lot to learn! In tandem with building the Vertex AI platform, our teams are dropping as much best practices content as we can to help you come up to speed. Plus, we have a dedicated event on June 10th, Applied ML Summit, with sessions on how to apply ML technology in your projects, as well as grow your skills in this field.
In the meantime, we couldn’t resist a quick lesson on hyperparameter tuning, because (a) it’s incredibly cool (b) you will impress your coworkers (c) Google Cloud has some unique battle tested tech in this area and (d) you will save time by getting better ML models into production faster. Vertex Vizier, on average, finds optimal parameters for complex functions in over 80% fewer trials than traditional methods.
So it’s incredibly cool, but what is it?
While machine learning models automatically learn from data, they still require user-defined knobs which guide the learning process. These knobs, commonly known as hyperparameters, control, for example, the tradeoff between training accuracy and generalizability. Examples of hyperparameters are the optimizer being used, its learning rate, regularization parameters, the number of hidden layers in a DNN, and their sizes.
Setting hyperparameters to their optimal values for a given dataset can make a huge difference in model quality. Typically, optimal hyperparameter values are found via grid searching a small number of combinations, or tedious manual experimentation. Hyperparameter tuning automates this work for you by searching for the best configuration of hyperparameters for optimal model performance.
Vertex Vizier enables automated hyperparameter tuning in several ways:
- “Traditional” hyperparameter tuning: by this we mean finding the optimal value of hyperparameters by measuring a single objective metric which is the output of an ML model. For example, Vizier selects the number of hidden layers and their sizes, an optimizer and its learning rate, with the goal of maximizing model accuracy.
- When hyperparameters are evaluated, models are trained and evaluated on splits of the data set. If evaluation metrics are streamed to Vizier (e.g. as a function of epoch) as the model is trained, Vizier’s early stopping algorithms can predict the final objective value, and recommend which unpromising trials should be early stopped. This conserves compute resources and speeds up convergence.
- Oftentimes, models are tuned sequentially on different data sets. Vizier’s built in transfer learning learns priors from previous hyperparameter tuning studies, and leverages them to converge faster on subsequent hyperparameter tuning studies.
- AutoML is a variant of #1, where Vertex Vizier performs both model selection, and also tunes architectures/non-architecture modifying hyperparameters. AutoML usually requires more code on top of Vertex Vizier (to ingest data etc), but Vizier is in most cases the “engine” behind the process. AutoML is implemented by defining a tree like (DAG) search space, rather than a “flat” search space (like in #1). Note that you can use DAG search spaces for any other purpose where searching over a hierarchical space makes sense.
- There are times when you may wish to optimize more than one metric. For example, we would like to optimize model accuracy, while minimizing model latency. Vizier can find the Pareto frontier, which presents tradeoffs for multiple metrics, allowing users to choose the appropriate tradeoff. Simple example: I want to make a more accurate model, but would like to minimize serving latency. I do not know ahead of time what’s the tradeoff between the two metrics. Vizier can be used to explore and plot a tradeoff curve, so users can select on the most appropriate one. For example, “a latency decrease of 200ms will only decrease accuracy by 0.5%”
Google Vizier is all yours with Vertex AI
Google published the Vizier research paper in 2017, sharing our work and use cases for black-box optimization—i.e. The process of finding the best settings for a bunch of parameters or knobs when you can’t peer inside a system to see how well the knobs are working. The paper discusses our requirements, infrastructure design, underlying algorithms, and advanced features such as transfer learning that the service provides. Vizier has been essential to our progress with machine learning at Google, which is why we are so excited to make it available to you on Vertex AI.
Vizier has already tuned millions of ML models at Google, and its algorithms are continuously improved for faster convergence and handling of real-life edge cases. Vertex Vizier’s models are very well calibrated and are self-tuning (they adapt to user data), and offer unique power features, such as hierarchical search spaces and multi-objective optimization. We believe Vertex Vizier’s set of features is a unique capability to Google Cloud, and look forward to optimizing the quality of your models by automatically tuning hyperparameters for you.
To learn more about Vertex Vizier, check out these docs and if you are interested in what’s coming in machine learning over the next five years, tune in to our Applied ML Summit on June 10th, or watch the sessions on demand in your own time.
Tau VMs Joins Google Cloud to Offer Cost-effective Performance of Scale-out Workloads

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Scale-out workloads demand the best combination of performance and price to bring down the cost of delivering applications, all while providing an excellent user experience. We are excited to announce a new virtual machine (VM) family, Tau VMs, coming to Google Cloud. Tau VMs extend Compute Engine’s VM offerings with a new option optimized for cost-effective performance of scale-out workloads.
T2D, the first instance type in the Tau VM family, is based on 3rd Gen AMD EPYCTM processors and leapfrogs the VMs for scale-out workloads of any leading public cloud provider available today, both in terms of performance and workload total cost of ownership (TCO). The x86 compatibility provided by these AMD EPYC processor-based VMs gives you market-leading performance improvements and cost savings, without having to port your applications to a new processor architecture.
As illustrated below, Tau VMs offer 56% higher absolute performance and 42% higher price-performance (est. SPECrate2017_int_base) compared to general-purpose VMs from any of the leading public cloud vendors.


SPECrate is a trademark of the Standard Performance Evaluation Corporation. More information available at www.spec.org

What our customers and partners are saying
Snap
“At Snap, it is critical for our business to continue improving our scale-out compute infrastructure for key Snapchat capabilities like AR, Lenses, Spotlight and Maps,” said Cody Powell, Senior Engineering Manager, Snap Inc. “We were impressed when we tested Google Cloud’s new Tau VMs with Google Kubernetes Engine. While it’s early days, we believe we can gain double digits in infrastructure performance improvements for key workloads—enabling us to do more with less and invest even more in new features for our amazing Snapchat community.”
Twitter
“High performance at the right price point is a critical consideration as we work to serve the global public conversation,” said Nick Tornow, Platform Lead, Twitter. “We are excited by initial tests that show potential for double digit performance improvement. We are collaborating with Google Cloud to more deeply evaluate benefits on price and performance for specific compute workloads that we can realize through use of the new Tau VM family.”
DoiT
“DoiT partners with leading cloud vendors who are focused on growth and cost optimization,” said Yoav Toussia-Cohen, CEO, DoiT International. “In our preliminary testing of Google’s new Tau VMs with the Coremark benchmark, we were thrilled to see the incredible performance at 50% better than a comparable ARM-based offering from another leading public cloud. With Tau VMs, Google Cloud has set a new bar for price-performance, making the cloud even more accessible to digital-native companies. We are excited to bring Google’s Tau VMs to our joint customers.”
Designed for demanding scale-out workloads
Tau VMs bring the benefit of Google’s long-standing experience engineering platforms for scale-out workloads to our customers. They come in multiple predefined VM shapes, with up to 60vCPUs per VM, and 4GB of memory per vCPU. They offer up to 32 Gbps networking bandwidth and a wide range of network attached storage options, making Tau VMs ideal for scale-out workloads including web servers, containerized microservices, data-logging processing, media transcoding, and large-scale Java applications.
Google Kubernetes Engine support
Google Kubernetes Engine (GKE) is the de facto standard for organizations looking for advanced container orchestration, delivering the highest levels of reliability, security, and scalability. GKE supports Tau VMs on day 1, helping you optimize price-performance for your containerized workloads. You can add Tau VMs to your GKE clusters by specifying the T2D machine type in your GKE node-pools.
Pricing
Tau VMs will be priced to support significant TCO and price-performance improvements for your cloud applications. A 32vCPU VM with 128GB RAM will be priced at $1.3520 per hour for on-demand usage in us-central1.
Coming soon to a Google Cloud region near you
If you are interested in trying out T2D VMs when they become available in Q3 2021 please sign-up here.
Google Cloud Region in Columbus to Accelerate Ohioan Businesses and Tech Transformation

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Digital tools such as cloud computing are fueling economic transformation across the US, including Ohio. Google continues to invest across cities and communities in Ohio, bringing over 200 jobs to the state, and helping provide $12.85 billion of economic activity for tens of thousands of Ohio businesses, nonprofits, publishers, creators and developers. To further accelerate the transformation of all Ohioan businesses and technologists, we’re thrilled to announce our newest Google Cloud region in Columbus, Ohio is open. The Columbus cloud region brings a second region to the Midwest, the 10th region to North America, and grows our global cloud region count to 33.

A region for the Buckeye State
Now open to Google Cloud customers, the Columbus region (us-east5) provides you with the speed and availability you need to innovate faster, build high-performing applications, and serve local customers — all on the cleanest cloud in the industry. Additionally, the region gives you added flexibility to distribute your workloads across the central, midwest, and eastern US.
The Columbus region offers immediate access to three zones, for high availability workloads, and our standard set of products, including Compute Engine, Google Kubernetes Engine, Cloud Storage, Persistent Disk, CloudSQL, and Cloud Identity. Our private backbone connects Columbus to our global network more quickly and securely. In addition, you can integrate your on-premises workloads with our new region using Cloud Interconnect. This means that Columbus-based customers can expand globally from their front door, and those based outside the region can more easily reach their users in the Midwest.
What customers are saying
Industries including retail, financial services, and IT are investing in Columbus. Organizations across these verticals have turned to the Google Cloud to innovate faster and help solve their most complex challenges
“As Wendy’s continues to innovate in new ways to create fast, frictionless, and fun interactions that redefine the way customers visit and enjoy our restaurants, our partnership with Google Cloud is a key enabler to delivering on our AI/ML and data analytics strategies. The proximity of the new Google Cloud region to Wendy’s headquarters provides the ability for us to move and scale quickly as business needs evolve. Additionally, Google Cloud’s investment in Columbus positions central Ohio as a true technology hub, which further boosts Wendy’s and other regional employers’ ability to recruit innovative talent,” said Kevin Vasconi, Chief Information Officer, Wendy’s.
“Huntington National Bank’s API Architecture is a central component to our growth and technology strategy. As our business segments grow from an offering and geographic perspective, we must evolve our technology to provide the optimal experience for our customers and our partners. Collaborating directly with Google Cloud on the build out of their cloud region in Central Ohio, provides the access our technology teams need to innovatively scale our infrastructure to meet the demands of our business with increased availability, lower latency, and greater resiliency,” said Geoff Preston, Chief Architect, Huntington National Bank.
“Google Cloud has been instrumental in our ability to scale and optimize data management and compute resources. We prioritize scale, elasticity and resilience in cloud services and Google Cloud delivers all three globally and locally. With Google Cloud security, we can efficiently process the quantities of application data required to accelerate alert detection and reduce response times for the critical infrastructure our customers depend on to enable the continuity of their vital applications.” said Sheryl Haislet, Chief Information Officer at Vertiv, a global provider of critical digital infrastructure and continuity systems headquartered in Columbus, Ohio, that leverages Google Cloud solutions to provide resilience for its operations and to better support customers.
“The addition of the new cloud region in Ohio continues to demonstrate Google Cloud’s commitment to the enterprise space and their presence in the region,” said Chris Delong, Chief Technology Officer, Designer Brands Inc. / DSW
What’s next
We are thrilled to welcome you to our new cloud region in Columbus, and eagerly await to see what you build with our platform. Register here for our Cloud Study Jam in June – an event for local developers to get hands-on training with Google Cloud. Stay tuned for more region announcements and launches this year, including our next U.S. region in Dallas, TX. And for more information, contact sales to get started with Google Cloud today.
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