InfoSec Management In Healthcare

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A look into infosec management practices in healthcare

A look into infosec management practices in healthcare

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  • 1. Infosec Management In Healthcare Or why security blankets and Johnny shirts don’t cover your backside HTCIA Atlantic Chapter Annual Conference October 22, 2013
  • 2. About me • Sr. Security Analyst for Capital District Health Authority – The information presented here is my own opinion and not related in anyway whatsoever with my employer • Co-founder of The Atlantic Security Conference www.atlseccon.com • Co-founder of the Halifax Area Security Klatch www.thehask.com • Big time fan of Bruce Lee and blues music!
  • 3. Healthcare & The Law • There is no Canadian federal law requiring health care providers to disclose details regarding data loss and breaches. • Bill C-475 seeks to update PIPEDA to include mandatory breach notification and consequences for security breaches • Nova Scotia’s Personal Health information Act has been effective since June 1, 2013 • The only Canadian jurisdiction that currently has made security breach notification mandatory is Alberta
  • 4. Diagnosis • The United States has federal legislation requiring healthcare providers to inform the public of breaches. The Health Information Technology for Economic and Clinical Health (HITECH) effective since 2009 • Top 5 PHI Breaches, 2012 (redspin breach report)
  • 5. Diagnosis • 538 breaches of protected health information (PHI) • 21,408,505 patient health records affected • 21.5% increase in # of large breaches in 2012 over 2011 but… a 77% decrease in # of patient records impacted • 67% of all breaches have been the result of theft or loss • 57% of all patient records breached involved a business associate • 5X historically, breaches at business associates have impacted 5 times as many patient records as those at a covered entity
  • 6. Diagnosis • 38% of incidents were as a result of an unencrypted laptop or other portable electronic device • 63.9% percent of total records breached in 2012 resulted from the 5 largest incidents • 780,000 number of records breached in the single largest incident of 2012
  • 7. Only In Canada eh!
  • 8. Why they want it… • Healthcare records combined with other personal information creates an identity portfolio • These portfolios or “kitz” can be used for multiple fraud types • “kitz” can sell on the underground market for up to $1300.00
  • 9. Prognosis • There is an epidemic of data loss for healthcare • We pretty much stink at handling PHI • Things are getting better but there is still lots of room for improvement
  • 10. Managing Data • Confidentiality refers to preventing the disclosure of information to unauthorized individuals or systems • Integrity is maintaining and assuring the accuracy and consistency of data • For any information system to serve its purpose, the information must be available when it is needed.
  • 11. In the News
  • 12. Hacking Medical Devices • We miss you Barnaby Jack
  • 13. A day in the life... (The mostly boring underbelly of infosec)
  • 14. Browse to Host
  • 15. Looking For The Obvious
  • 16. Great Success!
  • 17. Raising Awareness…
  • 18. Keeping a watchful eye • Network Monitoring – Establish a baseline – Identify anomalies and problem areas – Identify root cause – Historical reporting to help trend and scale services
  • 19. Keeping a watchful eye Network Access Control • Knowing who and what is on the network • Access policies based upon role/requirement • Process for poorly behaving computers (Threats)
  • 20. A day in the life of infosec... continued • Endpoint Protection
  • 21. A day in the life of infosec... continued • What is significant in this list regarding Risk? • Most infections and threats appear to be Trojans… • Key loggers, downloaders, remote administration, screen scrapers
  • 22. A day in the life of infosec... continued • Security Incident Event Management – Monitor activity between client-server, client-client and server-server – Monitored 24x7 365 days a year by Systems Operations Centre – CDHA Support staff are notified when there is traffic of interest
  • 23. Portals Here…Portals There… Portals Everywhere • XSS – Cross Site Scripting • On OWASP top 10 list for 2013
  • 24. XSS Quick Demo • Joe McCray from Strategic Sec has an online site for practicing XSS (Thanks Joe... I owe you a rum and coke) http://199.204.214.176/xss_practice/ • A quick test for an XSS vulnerability - <script>alert('XSS alert')</script> – This will open a popup alert window with the message XSS Alert • This script will have much more impact to the “C” level folks – <br><br>Your session has expired please login to continue:<form action="destination.asp"><table><tr><td>Login:</td><td><input type=text length=20 name=login></td></tr><tr><td>Password:</td><td><input type=text length=20 name=password></td></tr></table><input type=submit value=LOGIN></form>
  • 25. RISK • Infosec is really about RISK…. The sooner we all realize that the better
  • 26. RISK Management Basics • Qualify - What is the attack surface? What is exposed? Confirmed and potential • Quantify - What is the likelihood and the impact? How does it compare to other exposures • Correct - What measures should we take to Avoid, Accept, Reduce and or Transfer RISK • Stop and ask what is the level of RISK the organization can/will assume
  • 27. What we don't want to do • Security Theater is a term that describes security countermeasures intended to provide the feeling of improved security while doing little or nothing to actually improve security
  • 28. What we should be doing • Security should be baked in... reach out to your Project Managers, let them know what you can do • Be an enabler and help them to introduce new services that are secure • Look at your environment with filters – Classify your data - In healthcare we filter by public, administrative and clinical – Identify systems and applications and rate them by criticality (low, medium, high) • Identify vulnerabilities and gaps in these systems and applications • Apply some RISK management basics to avoid, accept, reduce and/or transfer RISK
  • 29. Security Lifecycle • Balancing security requirements with business needs can be challenging • Strive for continuous improvement • Security is a process not a product
  • 30. The answer... • Why don't security blankets and Johnny shirts cover your backside? – Johnny shirts are designed so that a patient does not have to pull the shirt over their head , it can be put on lying down and of course so they can easily use the washroom. – No single solution can mitigate every threat.... there is always an exposure
  • 31. Thank you • Twitter Handle – @k0z1can • Linkedin Profile – http://ca.linkedin.com/in/andrewkozma • Parting thoughts – “Absorb what is useful, discard what is not, add what is uniquely your own.” ~ Bruce Lee – See you all at the next Atlantic Security Conference March 27th and 28th, 2014