New Way Now: Endeavor Health puts an AI-first lens on pathology, improving efficiency by up to 40%

*Featured in this video:* Dr. John Groth, Physician and Pathologist, Endeavor Health *Executive summary:* Pathology has relied on microscopes to view tissue slides since the 1600s, and less than 15% of U.S. hospital systems have digitized this critical diagnostic process. Endeavor Health, a nine-hospital system in the Chicagoland area, transformed its pathology practice by developing a first-of-its-kind digital pathology software stack in collaboration with Google Cloud. This system addresses three key barriers in the field of pathology: scalability and storage, interoperability, and adoption. Using BigQuery, Gemini, and Google Cloud infrastructure, the organization digitized 1.5 million slides annually (averaging 1.3 gigabytes each) and improved efficiency by up to 40% while empowering patients to access and understand their pathology images. *Challenge:* Traditional pathology requires physical microscopes to view tissue slides, a practice that has remained unchanged since the microscope's invention in 1626. But this lack of innovation has created barriers: Pathologists must physically transport slides via courier or rely on phone calls and emails to collaborate, a slow process that gets in the way of effective patient care. Endeavor Health, a nine-hospital system in the Chicagoland area, sought to overcome three critical barriers to digital transformation: scalability and storage for handling massive data volumes, interoperability to make systems work together, and adoption to create solutions people actually want to use. *Solution:* Endeavor Health co-created its fully cloud-based digital pathology software stack with Google Cloud, transforming physical tissue slides into a digital environment viewable on screens and accessible to AI. The system uses BigQuery as its unified data platform to integrate healthcare data and process 1.5 million slides annually, and relies on Gemini for comprehensive analytics. This infrastructure-first approach combines human exper