Our Readers are likely well aware that older medical devices may present a Hacker’s Holiday, but putting a very fine point on it was Kevin Fu, associate professor of electrical engineering and computer science at University of Michigan, speaking at a Healthcare IT News healthcare cybersecurity forum this week in Boston. Mr Fu pointed out that many hospitals are actively using old devices and old PC systems; one local hospital had 600 supposedly unpatched Windows XP (!) boxes deployed. Older medical devices were not designed with security in mind, which he likens to basic sanitation:
“If you’re using this old software, these old operating systems, you’re vulnerable to all that malware – that garden-variety malware – that has been out in the wild for more than 10 years.” and “This is not rocket science; this is basic hygiene. This is forgetting to wash your hands before going into the operating room. Here we have medical devices where, if malware gets through the perimeter, there is very little defense.”
The press has been concentrating on the big breaches and external hacking (they do make good copy–Ed.), and we’ve expended a lot of air on things like the EHR Wars, but the real threats are more mundane, as Ponemon and others in the field have warned for years. Software updates and infected USB flash drives can spread malware. A vendor can be a regular Typhoid Mary unintentionally corrupting systems and devices down the line. (more…)
Reporting from the HIMSS Connected Health Conference (CHC)
Cybersecurity is one of the three central themes of this year’s HIMSS CHC, and excellent timing for releasing the highlights of Verizon’s first ever PHI (Protected Health Information) Data Breach Report. This is a spinoff of their extensive, eight years running international Data Breach Investigations Report (DBIR).
It’s not just your doctor’s office, hospital or payer. It will be no surprise to our Readers that the healthcare sector is #7 in breaches–but that a PHI breach may come from non-healthcare (in US, HIPAA-covered) sources. This Editor spoke with Suzanne Widup, the lead author of the PHI Report and an info security/forensics expert, and included in that 90 percent are workers’ compensation programs, self-insured companies, the public sector, financial/insurance companies and–as a damper on this highly competitive (but hard to gauge results) area–wellness programs. Most organizations, according to Ms Widup, aren’t even conscious that they are holding this information and need to specially protect it from intrusion, as “PHI is like gold for today’s cybercriminal.”
Consistent with other authoritative tracking studies like Ponemon Institute’s and ID Experts’, the threat is from within: physical theft and loss, insider misuse and ‘miscellaneous’ account for 77 percent of theft. And as Bryan Sartin, managing director of Verizon’s RISK team noted in his keynote today, attacks take over a seven-month period on average to even be noticed. The breaches are long term, start small and sneaky. 2/3 of organizations don’t find out on their own, only when it starts to affect other partners. (Surprise!) Despite the proven Chinese and Black Vine involvement in several high profile, high-volume data hacks (Anthem), and ‘brute force’ hacks that make headlines (iCloud last year), the average breach is an inside job where “assets grow legs and walk off” in Dr Widup’s words, or privilege misuse.
When I asked Ms Widup about the Internet of Things (which is moving high on the hype curve, from what your Editor has experienced to the nth degree at this conference), she confirmed that this is an area that needs extra cybersecurity protection. (more…)