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Resource Overview

General cybersecurity guidance would suggest that Health IT breach should not be considered a matter of "If", but rather a matter of "when". How an organization prepares and responds to an episode of breach is just as important as defending itself from breach. Unfortunately, Health Centers are seen as a domain with high potential for data breach and consequently it is critical for Health Center leadership to embrace breach mitigation across their entire organization vs being a matter to be addressed by their Health IT team.

Breach can occur through both internal and external network leaks, through malware such as Ransomware, and through physical means on site. The resources provided below are meant to provide general knowledge about breach mitigation and methods for mitigating against breach incidences.

Breach Mitigation and Response Resources
Ransomware Guidance Presentation for Health Centers
Ransomware Guidance Presentation for Health Centers

Ransomware Guidance Presentation for Health Centers

A rapid increase in the computerization of health care organizations, many without the capacity to keep up to date with the extensive privacy and security measures required, has made them targets for cyber-criminals. In the last couple of years there have been numerous ransomware attacks that has held critical hospital data at ransom.

Health Centers may be perceived as more vulnerable targets by cyber-criminals due to a potentially smaller IT staff and older set of IT infrastructure (e.g., operating systems without latest security updates). To make things worse, a decrease in the black market price of health data has increased hackers needs to pursue ransom from further providers.

Health IT Privacy & Security Skill Sets
Health IT Privacy & Security Skill Sets

Health IT Privacy & Security Skill Sets

Since 2010, the healthcare industry has seen a remarkable increase in the use of technology in the administration and delivery in healthcare. This has led to a mass migration of data from paper charts and isolated systems to Electronic Medical Records (EMRs) and interconnected systems that transmit patient health and financial information across trusted and untrusted networks. While this has been a boon for the industry in its ability to provide timely information to those who need it the most, this transition has introduced a great deal of risk to the confidentiality and integrity of the information. Coupled with the fact that the information can be quickly monetized by criminals through insurance fraud and identity theft, the ecosystem is target-rich.

Breach Protection Overview Presentation for Health Centers
Breach Protection Overview Presentation for Health Centers

Breach Protection Overview Presentation for Health Centers

Data breaches in healthcare are consistently high in terms of volume, frequency, impact, and cost. High-level breaches are increasingly occurring in a more targeted manner toward health centers. This presentation provides Health Center leadership and trainers with a template to use to build out their own organization-specific presentation on breach.

Health Center Breach Awareness
Health Center Breach Awareness

Health Center Breach Awareness

Healthcare providers have become a lucrative target for cyber criminals and many reported breaches are occuring at health centers. Since 2009, when the Department of Health and Human Services started tracking breaches that involved protected health information exposure of 500 patients or more, upwards of 1700 cases have been reported. These breach incidences are highlighted on the U.S. Department of Health and Human Services, Office for Civil Rights Breach Portal.

Guidance on the HIPAA Privacy, Security, and Breach Notification Audit Program
Guidance on the HIPAA Privacy, Security, and Breach Notification Audit Program

Guidance on the HIPAA Privacy, Security, and Breach Notification Audit Program

The HHS Office for Civil Rights has started its next phase of audits of covered entities and their business associates. The 2016 Phase 2 HIPAA Audit Program will review the policies and procedures adopted and employed by covered entities and their business associates to meet selected standards and implementation specifications of the Privacy, Security, and Breach Notification Rules. 

Encrypting Data at Rest on Servers
Encrypting Data at Rest on Servers

Encrypting Data at Rest on Servers

It is common practice today to encrypt data at rest, that is, data stored on servers. This is especially applicable to health centers who are less frequently actively transporting data across disparate networks. Like many smaller healthcare organizations, Health Centers are particularly vulnerable to potential attack and infiltration by data hackers for several reasons: they tend to have fewer technical support staff, resource limitations make it harder to assess, implement, and maintain safe data practices, and organizational inertia limits preventive action when no threat is perceived. 

Turn the Lights on Ransomware
Turn the Lights on Ransomware

Turn the Lights on Ransomware

This YouTube video provides an exciting ransomware re-enactment that helps explain how a ransomware incident occurs, common mistakes and methods for mitigation. It also includes a link to a Ransomware Readiness Assessment by the security vendor TrendMicro.

Ransomware in Action
Ransomware in Action

Ransomware in Action

In this YouTube video security specialists show a live example of how ransomware moves through and encrypts a system’s files.

How to Protect EHRs at Scale and With Crypto-Agility
How to Protect EHRs at Scale and With Crypto-Agility

How to Protect EHRs at Scale and With Crypto-Agility

WHAT YOU'LL LEARN

Patients willingly share Personal Health Information (PHI) living in Electronic Health Records (EHRs) with trusted healthcare providers, yet how reliable are the controls in place to ensure continual privacy? When data is physically and digitally shared across so many networks, what protection scenarios must be considered? The answer, any and all. Cyber criminals are becoming more inventive every day, demanding action from healthcare networks to move at pace with their adversaries.

While budget and staffing continue to be named as the biggest issues in the healthcare IT, what steps can be taken to ensure security and overall trust to deliver the best patient care? The solution is to either increase budget/personnel or people or invest in agile automation.

During this webinar, you'll learn:

  • Widening threat landscape for EHR breach
  • How to securing EHRs containing PHI at scale
  • The benefits of investing in crypto-agile automation tools aimed at enhancing patient experience

SPEAKERS:

MARK THOMPSON - Vice Presidnet of Product Management CSS

As the Vice President of Product Management at Certified Security Solutions, Mark is responsible for strategic management of the company's product portfolio and market adoption. Prior to CSS, Mark was Sr. Director of New Product Introduction for Aclara Technologies, and the product manager for Aclara's Metrum line of LTE products. He was at Aclara since 1998 where he developed the STAR network product line and developed and ran product marketing for several wireless communication solutions for gas, water, and electric utilities. Mark founded the Wi-Fi Alliance Smart Grid Task Group, which is responsible for the certification program for Smart Energy Profile 2.0 running on Wi-Fi devices. Mark is the former chair the group and member of the ZigBee Smart Energy and Consortium for SEP Interoperability. Mark also founded the IEEE 802.11ah standards group devoted to the development of Sub-GHz Wi-Fi for Smart Grid and sensor networks, and was its first chair. Mark was a voting member of the NIST Smart Grid Interoperability Panel and is a past member of the Board of Directors of the UTC’s Smart Networks Council.

TED SHORTER - Chief Technology Officer CSS

Responsible for CSS' Intellectual Property development efforts, Ted helps align CSS’ security focus with the changing Enterprise and Internet of Things (IoT) landscape. A renowned Public Key Infrastructure (PKI) expert, Ted has provided oversight to hundreds of private-sector Enterprise PKI deployments. Ted has worked in the security arena for over 25 years, in the fields of cryptography, application security, authentication and authorization services, and software vulnerability analysis. His past experience includes 10 years at the National Security Agency, a Master's Degree in Computer Science from The Johns Hopkins University, and an active CISSP certification.

 

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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