Lung cancer is the leading cause of cancer death in the United States and like any cancer, early detection is crucial to survival. Screening at-risk populations is an important part of reducing mortality, and if concerning nodules are found on imaging, further testing may be required. Today, we’ll share how Northwell Health uses Google Cloud products such as Cloud Healthcare APIs and BigQuery to increase caregiver productivity and deliver better care for patients with findings that indicate potential development of lung cancer.

Northwell is New York’s largest healthcare provider

Northwell Health is New York’s largest healthcare provider with 23 hospitals and nearly 800 outpatient facilities. Northwell’s nearly 4,000 doctors care for millions of patients each year, and at this scale, there is an immense amount of healthcare data to manage. To better manage and leverage this data, Northwell Health partnered with Google Cloud starting in 2018.

Enabling caregivers to spend more time with patients

Nic Lorenzen, the lead developer of Northwell Emerging Technology and Innovation team, has a mission to put together data for caregivers in a way that makes sense. It is no secret that inefficient electronic health records systems have a negative impact on a physician’s ability to deliver quality care. Traditional EHRs have information distributed across many tabs, which forces caregivers to spend considerable time at the computer trying to find information. Moreover, speed of care matters. If care is delayed, patients may have to spend more time in the hospital and may suffer worse health outcomes.

To solve this problem, Nic’s team focused on giving caregivers the most relevant pieces of data at the right time by developing an intelligent clinician rounding app. The data needed to derive these insights can depend on the caregiver’s role–a nurse cares about different things than a cardiologist. This system aggregates multiple data sources, and provides patient-specific insights to caregivers.

This system would not have been possible before with traditional EHRs and data warehouses that have proprietary data models and rarely sync data in real time. Now with data easily accessible through Google Cloud’s Healthcare solutions, Nic’s team can deliver the right clinical information to the right people instantly. These days, Nic says, “instead of spending 75% of our time dealing with architecting the underlying platforms, we spend 75% of our time focused on  higher value use cases for clinicians and patients. Google Cloud’s Healthcare solutions have greatly improved our developer productivity and time to value.”

Caregivers have found this new system to be a game changer.Before the implementation of this system, caregivers would spend, on average, seven to nine minutes finding the data needed to make medical decisions for one patient. Now, that aggregated information is delivered to a caregiver’s mobile device in less than a second.

Ensuring patients get the right care with the power of AI

There are a number of reasons why patients might not get the care that they need. For example, patients today can go to multiple hospitals and clinics settings, and coordinating care across multiple facilities is complex. Regional hospitals and clinics have their own siloed view of their data, so pertinent information gathered by one clinic might not be seen by another. These gaps in clinical data lead to gaps in patient care.

When a patient gets radiologic imaging, they may have findings unrelated to the reason they initially got the imaging. For example, a chest CT for a car accident might reveal an incidental lung nodule that could be cancerous. Unfortunately, research shows that a large portion of patients do not get follow up for these incidental findings because it isn’t the primary reason why the patient is seeing a doctor. Moreover, social determinants of health are a factor that affects which patients receive follow-up care. Identifying these patients and providing the necessary follow up care prevents adverse events related to delayed detection of cancer.

With Cloud Healthcare solutions, Northwell built an AI model to identify these patients so that oncologists can appropriately follow up with patients who have findings suspicious for lung cancer. The AI model detects incidental pulmonary nodules in radiology reports so that doctors can then contact the patients that need follow-up care. Nic says his team was able to build this system in a week: “Google Cloud did a lot of heavy-lifting for us and allowed us to get to the AI applications much faster. It allowed us to build a platform that just works.” 

Healthcare systems can now rapidly generate healthcare insights with one end-to-end solution, Google Cloud Healthcare Data Engine. It builds on and extends the core capabilities of the Google Cloud Healthcare API to make healthcare data more immediately useful by enabling an interoperable, longitudinal record of patient data. Northwell Health uses Google Cloud as the core of their platform, enabling their developers to create solutions to the most pressing healthcare problems.

Special thanks to Kalyan Pamarthy, Product Management Lead on Cloud Healthcare and Natural Language APIs for contributing to this blog post.

Azimut Group operates an international network of companies handling investment and asset management, mutual funds, hedge funds, and insurance. Founded in Milan, Italy in 1988, Azimut Group today has branches in fifteen countries, including Brazil, China, and the USA.

“We have subsidiaries and manage funds all over the world,” explains Simone Bertolotti, IT Manager at Azimut Holding S.p.a. “That means that any technology that we put in place has to cover needs from many different countries.”

“When complicated analysis has to be executed, we have to increase our table space in a couple of minutes so that the AI can drill down into the data and deliver the information we need.”

—Simone Bertolotti, IT Manager, Azimut Holding S.p.a.

Azimut manages its funds with investment advisors who use information sourced from Bloomberg, Reuters and others. “They use a huge amount of data,” says Simone. “They work with spreadsheets, algorithms, formulae and they analyse data in minutes.” In finance, every second is crucial, which is why Azimut decided to develop a risk management dashboard that can process information even more quickly, then distribute it worldwide.

“When an advisor manages data, that data is used to make immediate decisions on funds, capital movements or whether to sell stock,” says Simone. “They have to be ready to make recommendations for any amount of data that comes to them. For our dashboard, that means that when additional information arrives or complicated analysis has to be executed, we have to increase our table space in a couple of minutes so that the AI can drill down into the data and deliver the information we need.”

Generating insights at speed

Investors and investment managers make decisions based on the most accurate, up-to-date information possible. For Azimut Group, information sourced through financial data vendors such as Bloomberg and Reuters provided only part of the data that the group required.

“We looked to collect information from a range of different providers,” explains Simone, “then analyse it to develop a predictive algorithm that could work faster than an advisor stationed at the terminal. We set ourselves the challenge to try to manipulate that data to add new insights into our matrix, so that every one of our branches across the world can see risk information about the funds in real-time.”

“We compared Google Cloud Platform’s performance with our previous cloud provider, and saw huge benefits of switching to Google. For me, the key performance issue is scaling. With Google Cloud Platform I know that I can increase and decrease my infrastructure quickly, when I need it.

—Simone Bertolotti, IT Manager, Azimut Holding S.p.a.

The first cloud provider Azimut used to build its system struggled to scale quickly to meet different kinds of data challenges. “If we wanted to add more cores, that was fine,” says Simone. “But the previous cloud provider made it complicated to raise the amount of space in a database infrastructure and scale up to demand. Scaling up for more in-depth analysis would take a day, and our need was immediate.”

That’s why Azimut switched one year ago to Google Cloud Platform to run the 150 VMs on its risk analysis platform. “We compared Google Cloud Platform’s performance with our previous cloud provider, and saw huge benefits of switching to Google. For me, the key performance issue is scaling,” says Simone. “With Google Cloud Platform I know that I can increase and decrease my infrastructure quickly, when I need it. Instead of waiting a day to scale up infrastructure, we can request and add space to our database in a couple of minutes.”

The infrastructure of Azimut’s solution handles around 800TB of data per month, and Google’s global network of servers and high-speed connections ensure that it gets to where it’s most needed by the most direct route. Impressed by the speed, security and availability of Google Cloud Platform, Azimut has moved its intranet on to Google Cloud Platform, too, eliminating the need for staff to login with VPNs.

“Instead of waiting a day to scale up infrastructure, we can request and add space to our database in a couple of minutes.”

—Simone Bertolotti, IT Manager, Azimut Holding S.p.a.

Driving ahead with Noovle

For Azimut, migrating the risk management dashboard is the latest of many Google product collaborations with cloud consultancy Noovle. “Everything started five years ago,” says Simone, “when Noovle assisted us in migrating to Gmail from our on-premise email solution. From G Suite to Google Cloud Platform, we’ve had a great relationship. Noovle provides consultancy services, support for mobility, and external advisors who work on our premises, such as when they trained us how to broadcast our meetings on Google Hangouts. As an independent company, we know we can trust them for transparent advice. All they care about is the best way to get a job done and to help us reach our goals.”

New app, new customers

In a business case comparison, Google Cloud Platform cost Azimut 35% less to run than the previous cloud provider. Now the group is building a major new mobile application on Google App Engine to be released in 2018.

“The new mobile application will allow customers to trade directly, without human advisors, by proposing different investment solutions depending on targets the customers set,” says Simone. “So if a customer aims to make money with investments, they enter their relevant personal information and we carry out the necessary regulatory checks and suggest what they could buy. The entire project will be based on Google Cloud Platform, so customers can control their investments through the app while we manage the fund, using Google Cloud Spanner on the backend.”

Generative AI is a rapidly expanding technology with a wide range of potential applications. Google Cloud Learning is thrilled to offer a new, no-cost Generative AI Fundamentals skill badge. This skill badge is designed for anyone eager to learn about the power of generative AI. No technical skills or prior knowledge required!

For those new to digital credentials, Google Cloud skill badges are digital credentials issued by Google Cloud in recognition of your knowledge of Google Cloud products and services. Individuals can earn skill badges on Google Cloud Skills Boost, and can share their skill badge to their social media profile and resume.

Watch the short videos in the generative AI courses and complete the final quiz to earn the Generative AI Fundamentals skill badge pictured below. In as little as 120 minutes, you will learn the basics of how generative AI works, how Google Cloud AI technology can be used by businesses and individuals, and how the principles of responsible AI lead to ethical decisions about the use of generative AI. 

By earning the skill badge, you will demonstrate your understanding of foundational concepts in generative AI.

The topics covered in the courses include:

1. Introduction to Generative AI 

• Explain how generative AI works
• Describe generative AI model types
• Describe generative AI applications

2. Introduction to Large Language Models

• Define large language models (LLMs)
• Describe LLM use cases
• Explain prompt tuning
• Describe Google’s generative AI development tools

3. Introduction to Responsible AI

• Identify the need for a responsible AI practice within an organization
• Recognize that decisions made at all stages of a project make an impact in Responsible AI
• Recognize that organizations can design an AI infrastructure to fit their own business needs and values

Earn the skill badge and show off your generative AI knowledge today! And for more content to help you stay up to date with generative AI, check out “The Prompt” and our generative AI primer for executives on Transform with Google Cloud.

When it comes to the adoption of artificial intelligence (AI), we have reached a tipping point. Technologies that were once accessible to only a few are now broadly available. This has led to an explosion in AI investment. However, according to research firm McKinsey, for AI to make a sizable contribution to a company’s bottom line, they “must scale the technology across the organization, infusing it in core business processes” — and based on conversations with our customers, we couldn’t agree more.

While investments in pure data science continue to be essential for many, widespread adoption of AI increasingly involves a category of applications and services that we call AI Agents. These are technologies that let customers apply the best of AI to common business challenges, with limited technical expertise required by employees, and include Google Cloud products like Document AI and Contact Center AI. Today, at Google Cloud Next ‘22, we’re announcing new features to our existing AI Agents and a brand new one with Translation Hub.

“AI is becoming a key investment for many companies’ long term success. However, most companies are still in the experimental phases with AI and haven’t fully put the technology into production because of long deployment timelines, IT staffing needs, and more,” said Ritu Jyoti, group vice president, worldwide AI and automation research practice global AI research lead, at IDC. “Organizations need AI products that can be immediately applied to automate processes and solve business problems. Google Cloud is answering this problem by providing fully managed, scalable AI Agents that can be deployed fast and deliver immediate results.”

Translation Hub: An enterprise-scale translation AI Agent

At I/O this year, we announced the addition of 24 new languages to Google Translate to allow consumers in more locations, especially those whose languages aren’t represented in most technology, to help reduce communication barriers through the power of translation. Businesses strive for the same goals, but unfortunately it is often out of reach due to the high costs that come with scaling translation.

That’s why today, we are announcing Translation Hub, our AI Agent that provides customers with self-service document translation. With 135 languages, Translation Hub can create impactful, inclusive, and cost-effective global communications in a few clicks.

With Translation Hub, now researchers are able to share their findings instantly across the world, goods and services providers can reach underserved markets, and public sector administrators can reach more members of their communities in a language they understand — all of which ultimately help make for a more connected, inclusive world.

Translation Hub brings together Google Cloud AI technology, like Neural Machine Translation and AutoML, to help make it easy to ingest and translate content from the most common enterprise document types, including Google Docs and Slides, PDFs, and Microsoft Word. It not only preserves layouts and formatting, but also provides granular management controls such as support for post-editing human-in-the-loop feedback and document review.

“In just three months of using Translation Hub and AutoML translation models, we saw our translated page count go up by 700% and translation cost reduced by 90%,” said Murali Nathan, digital innovation and employee experience lead, at materials science company Avery Dennison. “Beyond numbers, Google’s enterprise translation technology is driving a feeling of inclusion among our employees. Every Avery Dennison employee has access to on-demand, general purpose, and company-specific translations. English language fluency is no longer a barrier, and our employees are beginning to broadly express themselves right in their native language.”

Document AI: A document processing AI Agent to automate workflows

Every organization needs to process documents, understand their content, and make them available to the appropriate people. Whether it’s during procurement cycles involving invoices and receipts, contract processes to close deals, or for general increases in efficiency, Document AI simplifies and automates various document processing. With two new features launching today, Document AI can allow employees to focus on higher impact tasks and better serve their own customers.

For example, payments provider Libeo used Document AI to uptrain an invoice parser with 1,600 documents and increase its testing accuracy from 75.6% to 83.9%. “Thanks to uptraining, the Document AI results now beat the results of a competitor and will help Libeo save ~20% on the overall cost for model training over the long run,” said Libeo chief technology officer, Pierre-Antoine Glandier.

Today, we’re announcing these new features to our existing Document AI Agent:

• Document AI Workbench can remove the barriers around building custom document parsers, helping organizations extract fields of interest that are specific to their business needs. Relative to more traditional development approaches, it requires less training data and offers a simple interface for both labeling data and one-click model training.
• Document AI Warehouse can eliminate the challenges that many enterprises face when tagging and extracting data in documents by bringing Google’s Search technologies to Document AI. This feature can make it simpler and easier to search for and manage documents like workflow controls to accommodate invoice processing, contracts, approvals, and custom workflows.

Contact Center AI: A contact center AI Agent to improve customer experiences

Scaling call center support can be expensive and difficult, especially when implementing AI technologies to support representatives. Contact Center AI is an AI Agent for virtually all contact center needs, from intelligently routing customers, to facilitating handoffs between virtual and human customer support representatives, to analyzing call center transcripts for trends and much more.

Just days ago, we announced that Contact Center AI Platform is now generally available to provide additional deployment choice and flexibility. With this addition to Contact Center AI, we are furthering our commitment to providing an AI Agent that can assist organizations to quickly scale their contact centers to improve customer experiences and create value via data-driven decisions.

Dean Kontul, division chief information officer at KeyBank, had this to say about powering their contact center with Contact Center AI from Google Cloud: “With Google Cloud and Contact Center AI, we will quickly move our contact center to the Cloud, supporting both our customers and agents with industry-leading customer experience innovations, all while streamlining operations through more efficient customer care operations.”

Start delivering business results with AI Agents, today!

If you’re ready to get started with Translation Hub, this Next ‘22 session has the details, including a deeper dive into Avery Dennison’s use of the AI Agent.

To learn more about our Document AI announcements, check out our session with Commerzbank, “Improve document efficiency with AI,” as well as “Transform digital experiences with Google AI powered search and recommendations.”

And, to explore Contact Center AI Platform, watch “Delight customers in every interaction with Contact Center AI,” featuring more insight into KeyBank’s use case.