Don’t Get Stranded without a Data Security Action Plan | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Don’t Get Stranded without a Data Security Action Plan

August 26, 2016
by Mark Shelhart, Sikich LLP
| Reprints

The cybersecurity challenges that face healthcare providers can seem staggering. Last year, the industry accounted for nearly 70 percent of all records exposed in data breaches, according to the Identity Theft Resource Center, and protected health information breaches impacted more than 113 million individuals, according to the Office for Civil Rights (OCR). Further, with health records increasing in value (surpassing credit card data) for criminals, hacking continues to rise.

Some institutions will report that they are “mostly secure.” And while awareness of threats has increased in the healthcare sector, many providers remain behind the curve on cybersecurity and lack the ability to prevent even common intrusions. Compounding the challenge for providers, state governments have responded to cyberattacks with increased scrutiny. Ever-changing laws dictate what actions a provider must take to both alert patients affected by a breach and offer remediation. Many of these amended laws expand the reach of current notification requirements, add to the definition of “personal information” and increase reporting requirements to state attorneys general.

For example, North Dakota modified its notification law to require any organization that “owns” or “licenses” state residents’ data that includes “personal information” to report the breach to the attorney general if it impacts more than 250 people. This applies even if the organization isn’t based in the state. North Dakota isn’t alone. Several other states, including Connecticut, Nevada, Oregon and Tennessee amended data breach notification laws in 2015 and 2016. And state attorneys general are making it clear that they want to be in the loop early when a breach occurs.

Mark Shelhart

Webinar

Components of Strong Cybersecurity Program - A Closer Look at Endpoint Security Best Practices

Endpoint protection remains a core security challenge for many healthcare organizations and it is more important than ever for healthcare organizations to actively manage their full range of...

Navigating this increasingly complex maze of requirements from different states while simultaneously combatting data breaches is not an easy task. That’s why it’s critical for healthcare providers to prepare a comprehensive data security action plan by following these five steps:

1. Benchmark to identify vulnerabilities—A risk assessment is a key first step to help a provider determine where the greatest risks are within the organization. This helps the leadership team then determine what security resources to deploy and where to focus attention.

2. Adopt a consistent security posture—Healthcare providers need to take a consistent security stance across their organizations. This includes thorough application and network penetration testing, vulnerability scanning and ongoing server monitoring and patching. A robust security testing regimen can help reduce vulnerabilities and protect providers’ most important and sensitive information.

3. Evaluate and manage third-party relationships—Hospitals have many vendors that handle everything from payments to data storage. These vital operational relationships can also be perilous if the vendor falls victim to a breach that compromises sensitive hospital and patient data. That’s why it’s crucial to make security a key consideration when selecting vendors and to scrutinize current third-party relationships. Healthcare providers must learn what vendors are legally responsible for in the event of a breach and also do their best to evaluate vendors’ security practices. The bottom line is that all organizations should have a policy requiring their vendors to disclose any security incident.

4. Gain a full understanding of all state and federal regulations—With lawmakers passing new regulations related to breaches on a regular basis, providers need to ensure they have a grasp on their level of legal exposure in different states—well before a breach occurs. Trusted legal advisors, both internal and external, can play a key role in keeping providers up to speed on the latest regulations and should be an integral part of an incident response team.

5. Implement a communications strategy to protect your reputation—Providers also need a reputation management plan and a communications strategy to control their message and handle the flood of press inquiries after a breach. Planning ahead ensures the breached organization is equipped to comply with all relevant authorities and tell a clear and honest story to patients, the general public and the media. Breaches handled poorly can shatter reputations and lead to deteriorating trust. Organizations that invest in thoughtful communications and execute a well-grounded media relations strategy will set themselves up to preserve their reputation and regain their footing for future success.

Healthcare organization leaders should take immediate stock of their security stance. How secure is sensitive data? Is the organization ready to spring into action in case of a breach? With the healthcare industry in the crosshairs, and new laws putting added pressure on providers of all sizes, action can’t be delayed. The companies that adopt an ongoing commitment to security and implement a comprehensive action plan that addresses both pre-breach data security and post-breach reputation management can feel more confident in the face of today’s ever-evolving threats and regulations.

Mark Shelhart is a senior manager for incident response and forensics in the security and compliance practice at Sikich LLP. He can be reached at mark.shelhart@sikich.com.


2019 Southern California San Diego Health IT Summit

Renowned leaders in U.S. and North American healthcare gather throughout the year to present important information and share insights at the Healthcare Informatics Health IT Summits.

April 23 - 24, 2019 | Southern California


/article/cybersecurity/don-t-get-stranded-without-data-security-action-plan
/blogs/mark-hagland/cybersecurity/assessing-new-cybersecurity-practices-publication-why-small-and

Assessing the New Cybersecurity Practices Publication: Why Small and Medium-Sized Care Organizations Have Reason to Rejoice

| Reprints
A new set of voluntary cybersecurity practices just released by HHS offers practical advice and conceptual supports that fill information gaps
Click To View Gallery

How helpful will the new set of voluntary cybersecurity practices that the Department of Health and Human Services (HHS) released in late December, be, to the leaders of patient care organizations? Only time will tell, as part of the value of the release will only be made manifest as the leaders of patient care organizations move forward to implement some of those practices, and the potential success of such implementations is in some way measured and benchmarked.

But the release is a first start, at least. As Healthcare Informatics Associate Editor Heather Landi reported on January 2, HHS released the set of practices in the form of a publication “that marks the culmination of a two-year effort that brought together over 150 cybersecurity and healthcare experts from industry and the government under the Healthcare and Public Health (HPH) Sector Critical Infrastructure Security and Resilience Public-Private Partnership.”

“Cybersecurity is everyone’s responsibility. It is the responsibility of every organization working in healthcare and public health.  In all of our efforts, we must recognize and leverage the value of partnerships among government and industry stakeholders to tackle the shared problems collaboratively,” Janet Vogel, HHS Acting Chief Information Security Officer (CISO), said in a statement published with the release of the new publication.

Health Industry Cybersecurity Practices: Managing Threats and Protecting Patients (HICP), the primary publication of the Cybersecurity Act of 2015, Section 405(d) Task Group, aims to raise awareness, provide vetted cybersecurity practices, and move organizations towards consistency in mitigating the current most pertinent cybersecurity threats to the sector,” HHS officials stated. “It seeks to aid healthcare and public health organizations to develop meaningful cybersecurity objectives and outcomes. The publication includes a main document, two technical volumes, and resources and templates.”

The overall publication consists of several sections, the first being the HICP, which “examines cybersecurity threats and vulnerabilities that affect the healthcare industry. It explores five current threats and presents 10 practices to mitigate those threats; “Technical Volume 1: Cybersecurity Practices for Small Health Care Organizations,” which offers cybersecurity practices for small healthcare organizations; “Technical Volume 2: Cybersecurity Practices for Medium and Large Health Care Organizations”; the “Resources and Templates” portion, which “includes a variety of cybersecurity resources and templates for end users to reference”; and a Cybersecurity Practices Assessments Toolkit, which “helps organizations prioritize their cyber threats and develop their own action plans using the assessment methodology outlined in the Resources and Templates volume”—that last section being still under development as of Jan. 2.

As Landi reported, “The HICP publication aims to provide cybersecurity practices for this vast, diverse, and open sector to ultimately improve the security and safety of patients. The main document of the publication explores the five most relevant and current threats to the industry. It also recommends 10 cybersecurity practices to help mitigate these threats.”

What’s more, she wrote, “The main document presents real-life events and statistics that demonstrate the financial and patient care impacts of cyber incidents.  It also lays out a call to action for all industry stakeholders, from C-suite executives and healthcare practitioners to IT security professionals, that protective and preventive measures must be taken now. The publication also includes two technical volumes geared for IT and IT security professionals, one focusing on cybersecurity practices for small healthcare organizations, and one focused on practices for medium and large healthcare organizations.”

Among the salient statistics reported in the HICP:

  • Fifty-eight percent of malware attack victims are small businesses.
  • In 2017, cyber-attacks cost small and medium-sized businesses an average of $2.2 million.
  • Sixty of small businesses go out of business within six months of an attack.
  • And, 90 percent of small businesses do not use any data protection at all for company and customer information.

How does that translate into impacts on smaller healthcare organizations? Among other incidents, the HICP notes that:

  • A popular orthopedic practice announced that its computer system was hacked via breach of a software vendor’s log-in credentials. This breach put just under a half-million people at risk of identity theft. Of those, 500 patient profiles appeared for sale on the dark web. The information for sale included names, addresses, social security numbers, and other personally identifiable information (PII). Although not posted for sale, pertinent PHI such as X-ray results and medical diagnoses were also stolen.

 

  • A rural hospital had to replace its entire computer network after a ransomware cyber-attack froze the hospital’s electronic health record (EHR) system. Doctors were unable to review their patients’ medical histories or transmit laboratory and pharmacy orders. Officials were unable to restore essential services and could not pay the ransom for the return of their system. After consultations with the Federal Bureau of Investigation and cybersecurity experts, hospital officials made the difficult decision to replace the entire system.
  •  

Of particular practicality is some of the very basic advice given to the leaders of smaller healthcare organizations. To wit: “Doctors and nurses know that hand sanitizing is critical to prevent the spread of germs. That does not mean health care workers wash up as often as they should. Similarly, we know that cybersecurity practices reduce the risk of cyber-attacks and data breaches. Just as we are able to protect our patients from infection, we should all work towards protecting patient data to allow physicians and caregivers to trust the data and systems that enable quality health care. Just as health care professionals must wash their hands before caring for patients, health care organizations must practice good ‘cyber hygiene’ in today’s digital world, including it as a part of daily universal precautions,” the HICP notes. “Like the simple act of hand-washing, a culture of cyber-awareness does not have to be complicated or expensive for a small organization. It must simply be effective at enabling organization members to protect information that is critical to the organization’s patients and operations. Your organization’s vigilance against cyber-attacks will increase concurrently with your and your workforce’s knowledge of cybersecurity. This knowledge will enable you to advance to the next series of cybersecurity Practices, expanding your organization’s awareness of and ability to thwart cyber threats.”

Meanwhile, both smaller and larger patient care organizations will benefit from the technical supports, including a Security Risk Assessment Tool, a set of recommendations on medical devices and cybersecurity, and an incident response risk management handbook.

What this set of resources does is to fill a gap between theory and technical practice in a key area. Will it shift the entire landscape of cybersecurity for patient care organizations? No, that would be a far-too-ambitious goal. But the healthcare IT leaders of smaller and medium-sized patient care organizations in particular, will welcome practice advice and supports, as they move forward in their journeys around cybersecurity. Any such journey is inherently challenging, and federal publications and resources like these will be of real value in moving patient care organization HIT leaders forward.

 

 

More From Healthcare Informatics

/news-item/cybersecurity/hhs-releases-voluntary-healthcare-cybersecurity-practices

HHS Releases Voluntary Healthcare Cybersecurity Practices

January 2, 2019
by Heather Landi, Associate Editor
| Reprints

In late December, the Department of Health and Human Services (HHS) released voluntary cybersecurity practices to the healthcare industry with the aim of providing practice guidelines to cost-effectively reduce cybersecurity risks.

The “Health Industry Cybersecurity Practices (HICP): Managing Threats and Protecting Patients” publication aims to provide guidance to healthcare organizations of all types and sizes, ranging from local clinics to large hospital systems.

The industry-led effort was in response to a mandate set forth by the Cybersecurity Act of 2015 Section 405(d), to develop practical cybersecurity guidelines to cost-effectively reduce cybersecurity risks for the healthcare industry.

According to HHS, the publication marks the culmination of a two-year effort that brought together over 150 cybersecurity and healthcare experts from industry and the government under the Healthcare and Public Health (HPH) Sector Critical Infrastructure Security and Resilience Public-Private Partnership.

“Cybersecurity is everyone’s responsibility. It is the responsibility of every organization working in healthcare and public health.  In all of our efforts, we must recognize and leverage the value of partnerships among government and industry stakeholders to tackle the shared problems collaboratively,” Janet Vogel, HHS Acting Chief Information Security Officer (CISO), said in a statement.

While technologies are vital to the healthcare industry and help provide life-saving treatments and improve patient care, these same technologies are vulnerable to myriad attacks from adversaries, ranging from criminals and hacktivists to nation-states, according to HHS. These technologies can be exploited to gain access to personal patient data or render entire hospital systems inoperable. Recent cyber-attacks against the nation’s healthcare industry continue to highlight the importance of ensuring these technologies are safe and secure.

“The healthcare industry is truly a varied digital ecosystem. We heard loud and clear through this process that providers need actionable and practical advice, tailored to their needs, to manage modern cyber threats. That is exactly what this resource delivers; recommendations stratified by the size of the organization, written for both the clinician as well as the IT subject matter expert,” Erik Decker, industry co-lead and Chief Information Security and Privacy Officer for the University of Chicago Medicine, said in a statement.

The HICP publication aims to provide cybersecurity practices for this vast, diverse, and open sector to ultimately improve the security and safety of patients. The main document of the publication explores the five most relevant and current threats to the industry. It also recommends 10 cybersecurity practices to help mitigate these threats.

The main document presents real-life events and statistics that demonstrate the financial and patient care impacts of cyber incidents.  It also lays out a call to action for all industry stakeholders, from C-suite executives and healthcare practitioners to IT security professionals, that protective and preventive measures must be taken now. The publication also includes two technical volumes geared for IT and IT security professionals, one focusing on cybersecurity practices for small healthcare organizations, and one focused on practices for medium and large healthcare organizations.

 

Related Insights For: Cybersecurity

/news-item/cybersecurity/cynergistek-protenus-partner-privacy-monitoring-programs

CynergisTek, Protenus Partner on Privacy Monitoring Programs

December 26, 2018
by Heather Landi, Associate Editor
| Reprints

CynergisTek, Inc., an Austin, Texas-based healthcare cybersecurity firm, is partnering with Protenus, a healthcare compliance analytics company, to combine the companies’ technology tools and services with a focus on patient privacy monitoring programs.

The partnership will grant health systems access to Protenus’ analytics platform that leverages artificial intelligence to gather data related to potential patient privacy risks, along with CynergisTek’s patient privacy monitoring services.

According to the Protenus research, insider incidents accounted for 23 percent of all breaches that occurred at health systems in Q3 2018. This figure will only continue increasing, indicating that now more than ever, health systems need a cost-effective solution to meet the daily challenges of managing patient privacy.

To address this need, CynergisTek and Protenus formed a preferred partnership to combine CynergisTek’s healthcare consulting experience and privacy programs with Protenus’ healthcare analytics technology to offer health systems both the people, processes, and technology components of a strong patient privacy monitoring program, according to the companies.

“As health systems face mounting challenges in creating and maintaining robust patient privacy monitoring programs, we identified a need to partner with a company offering complementary services so that health systems can act on the insights uncovered by our analytics,” Nick Culbertson, CEO and co-founder of Protenus, said in a statement.

 “Data privacy is evolving as a dominate theme in conversations, both in healthcare and other industries, and health systems need to take an end-to-end approach to patient privacy to truly address this complex and mission-critical challenge,” Mac McMillan, CEO and president of CynergisTek, said in a statement.

 

See more on Cybersecurity

agario agario---betebet sohbet hattı betebet bahis siteleringsbahis