Mobile ≠ Desktop: Unlock the Mobile & IoT Gold Rush

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These are slides from the talk given by Medigram CEO Sherri Douville to CISO's, IT leaders, and security engineering leaders on August 4, 2017 at (ISC)2. Mobile and IoT hold huge promise though there's work to be done to earn patients' and stakeholders' trust in efforts put towards systems reliability, performance, and security. In the talk and these slides, Ms. Douville reviewed how mobile computing is a new paradigm, how the hospital environment is prohibitively challenging from a physics standpoint, how mobile security is completely different than network or desktop security, and how to get physician and board support. Ms. Douville highlighted how apps that work in other environments don't work in hospitals and why. Session attendees learned how to explain mobile computing in the hospital environment to hospital executives and board members. They obtained an understanding of mobile computing and why it’s a growing security risk, how it’s particularly challenging in the hospital environment, and how to get physician leader and board buy-in. Attendees earned CISSP CPE credits. With Medigram, you can save lives by guaranteeing that the message was sent and received and by getting the information to clinicians reliably, even in low connectivity environments.

Mobile

Conﬁden'al. Copyright Medigram@2017
How I Got Here Today

Interests:
•  Lifelong interest in healthcare
•  Mobile compu'ng & mobile security
•  Biophysics, R coding/#3 Big Data/IoT cer'ﬁcates
•  Video, mobile games childhood hobby
•  10+ Yrs. regulated clinical sales with J&J, #12 disease states/service lines
•  Strategic business advisor
•  NorCal HIMSS Board: Innova'on Conference 2017 co-chair & board
nomina'ng commi_ee

Conﬁden'al. Copyright Medigram@2017
Agenda:
Mobile Computing, Hospital Challenges, & Mobile Security
•  IoT is exci'ng, more work to do
•  Mobile challenges in hospitals
•  Mobile security complexity
•  How to Talk to Physician execu'ves
•  How to Engage Your Board

Conﬁden'al. Copyright Medigram@2017

Communica'on Delay = Leading Cause of Preventable Death

Conﬁden'al. Copyright Medigram@2017
Mobile: A New World

Conﬁden'al. Copyright Medigram@2017
Newer Chips: Harder to Run Web/Sequential Software
Why Apps That Are “OK” at Home Don’t Work in Hospitals
-What’s wrong with 8 cores?

Conﬁden'al. Copyright Medigram@2017
EMI/RFI/ISI Impact on Mobile Phone (& App) F(x)
Image source: Murata
Will Dr. Collins get this data?

Phone Drops Signal & Slows Performance

SoAware which is slow elsewhere
doesn’t work in many hospitals

Conﬁden'al. Copyright Medigram@2017
Hospitals = Faraday Cage
Why Smartphones Are Hard in Hospitals
Nothing gets in or out here!

Conﬁden'al. Copyright Medigram@2017
CONNECTIVITY WORSENS: OLDER, WEB, & CONSUMER TECH FAILING
Apps that worked two years ago no longer work in hospitals

Conﬁden'al. Copyright Medigram@2017
Where EMI Comes From –High Level

Conﬁden'al. Copyright Medigram@2017
New Med Technologies
Create New Unexpected Sources of EMI/RFI

Conﬁden'al. Copyright Medigram@2017
Mobile ≠ Desktop
App Crashes Due to Latency

Conﬁden'al. Copyright Medigram@2017
2-second delay load = abandonment rates up to 87 percent
Latency Is Security Vulnerability

Conﬁden'al. Copyright Medigram@2017
Saving Lives
Designing For Bad Connectivity & Low Latency
•  Guaranteed NoTﬁcaTons

•  Always know if the message
was received in seconds

Conﬁden'al. Copyright Medigram@2017
Combating Latency

Conﬁden'al. Copyright Medigram@2017
Successful HIT & SV Jokes: Combating Latency

Conﬁden'al. Copyright Medigram@2017
Network Security Necessary, Not Sufficient

Conﬁden'al. Copyright Medigram@2017

Image credit IDG
IT App Management Technique

Conﬁden'al. Copyright Medigram@2017
Mobile: More Ways Into the Network

Conﬁden'al. Copyright Medigram@2017
IoT No. 1 Exec Cyber Security Concern in Tech Pro Research
-80% of IoT applications not tested for vulnerabilities

Conﬁden'al. Copyright Medigram@2017
Addressing Compliance & Security

Conﬁden'al. Copyright Medigram@2017
Unprecedented Complexity, Entry Points
Credit: DHS Study on Mobile Device Security

Conﬁden'al. Copyright Medigram@2017
Mobile Computing Stack
Credit: DHS Study on Mobile Device Security

Conﬁden'al. Copyright Medigram@2017
What’s at Stake?

Conﬁden'al. Copyright Medigram@2017
Homeland Hack: Will Life Imitate Art?

Conﬁden'al. Copyright Medigram@2017
Mobile Security Management
MDM, MAM, EMM, IIC –What’s It Going to Be?
Credit: Aberdeen Research

Conﬁden'al. Copyright Medigram@2017
Relating to Physician Leaders: Bring Data

Conﬁden'al. Copyright Medigram@2017
Physician Leader Aspirations?
What’s Internal & What’s Not
?

Conﬁden'al. Copyright Medigram@2017
Ask: What Are Key Clinical Service Lines?

Conﬁden'al. Copyright Medigram@2017
Partnering With Your Board

Conﬁden'al. Copyright Medigram@2017
How to Talk to Your Board

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Mobile ≠ Desktop: Unlock the Mobile & IoT Gold Rush

1. Conﬁden'al. Copyright Medigram@2017 Saving Lives Through Mobile, Contextual Informa'on

2. Conﬁden'al. Copyright Medigram@2017 Mobile ≠ Desktop Industry 4.0 Health IT Leader Unlock the Mobile & IoT Gold Rush August 4, 2017 (ISC)2 East Bay Summer Conference Cyber Health, Privacy, and Automa'on Track 6: Sherri Douville, CEO Medigram

3. Conﬁden'al. Copyright Medigram@2017 How I Got Here Today Interests: •  Lifelong interest in healthcare •  Mobile compu'ng & mobile security •  Biophysics, R coding/#3 Big Data/IoT cer'ﬁcates •  Video, mobile games childhood hobby •  10+ Yrs. regulated clinical sales with J&J, #12 disease states/service lines •  Strategic business advisor •  NorCal HIMSS Board: Innova'on Conference 2017 co-chair & board nomina'ng commi_ee

4. Conﬁden'al. Copyright Medigram@2017 Agenda: Mobile Computing, Hospital Challenges, & Mobile Security •  IoT is exci'ng, more work to do •  Mobile challenges in hospitals •  Mobile security complexity •  How to Talk to Physician execu'ves •  How to Engage Your Board

5. Conﬁden'al. Copyright Medigram@2017 Communica'on Delay = Leading Cause of Preventable Death

6. Conﬁden'al. Copyright Medigram@2017 Mobile: A New World

7. Conﬁden'al. Copyright Medigram@2017 Newer Chips: Harder to Run Web/Sequential Software Why Apps That Are “OK” at Home Don’t Work in Hospitals -What’s wrong with 8 cores?

8. Conﬁden'al. Copyright Medigram@2017 EMI/RFI/ISI Impact on Mobile Phone (& App) F(x) Image source: Murata Will Dr. Collins get this data? Phone Drops Signal & Slows Performance SoAware which is slow elsewhere doesn’t work in many hospitals

9. Conﬁden'al. Copyright Medigram@2017 Hospitals = Faraday Cage Why Smartphones Are Hard in Hospitals Nothing gets in or out here!

10. Conﬁden'al. Copyright Medigram@2017 CONNECTIVITY WORSENS: OLDER, WEB, & CONSUMER TECH FAILING Apps that worked two years ago no longer work in hospitals

11. Conﬁden'al. Copyright Medigram@2017 Where EMI Comes From –High Level

12. Conﬁden'al. Copyright Medigram@2017 New Med Technologies Create New Unexpected Sources of EMI/RFI

13. Conﬁden'al. Copyright Medigram@2017 Mobile ≠ Desktop App Crashes Due to Latency

14. Conﬁden'al. Copyright Medigram@2017 2-second delay load = abandonment rates up to 87 percent Latency Is Security Vulnerability

15. Conﬁden'al. Copyright Medigram@2017 Saving Lives Designing For Bad Connectivity & Low Latency •  Guaranteed NoTﬁcaTons •  Always know if the message was received in seconds

16. Conﬁden'al. Copyright Medigram@2017 Combating Latency

17. Conﬁden'al. Copyright Medigram@2017 Successful HIT & SV Jokes: Combating Latency

18. Conﬁden'al. Copyright Medigram@2017 Network Security Necessary, Not Sufficient

19. Conﬁden'al. Copyright Medigram@2017 Image credit IDG IT App Management Technique

20. Conﬁden'al. Copyright Medigram@2017 Mobile: More Ways Into the Network

21. Conﬁden'al. Copyright Medigram@2017 IoT No. 1 Exec Cyber Security Concern in Tech Pro Research -80% of IoT applications not tested for vulnerabilities

22. Conﬁden'al. Copyright Medigram@2017 Addressing Compliance & Security

23. Conﬁden'al. Copyright Medigram@2017 Unprecedented Complexity, Entry Points Credit: DHS Study on Mobile Device Security

24. Conﬁden'al. Copyright Medigram@2017 Mobile Computing Stack Credit: DHS Study on Mobile Device Security

25. Conﬁden'al. Copyright Medigram@2017

26. Conﬁden'al. Copyright Medigram@2017 What’s at Stake?

27. Conﬁden'al. Copyright Medigram@2017 Homeland Hack: Will Life Imitate Art?

28. Conﬁden'al. Copyright Medigram@2017 Mobile Security Management MDM, MAM, EMM, IIC –What’s It Going to Be? Credit: Aberdeen Research

29. Conﬁden'al. Copyright Medigram@2017 Relating to Physician Leaders: Bring Data

30. Conﬁden'al. Copyright Medigram@2017 Physician Leader Aspirations? What’s Internal & What’s Not ?

31. Conﬁden'al. Copyright Medigram@2017 Ask: What Are Key Clinical Service Lines?

32. Conﬁden'al. Copyright Medigram@2017 Partnering With Your Board

33. Conﬁden'al. Copyright Medigram@2017