Why Healthcare Security Matters

guest · Jan 7, 2020

Data breach investigated at Mercy Health Lorain
January 6, 2020
https://www.morningjournal.com/news...cle_5d82e9b4-30c9-11ea-8b00-ff4d2c5c3bff.html

Mercy Health-Lorain Hospital’s billing service provider is investigating a data breach, according to a news release from law firm Mullen Coughlin.
RCM Enterprise Services Inc. provides billing services to Mercy Health Lorain Hospital Laboratory.

While no attempted access or misuse of patient or guarantor information has been discovered, RCM is providing notice in what officials are calling an error in the invoice mailing process that caused individually indentifiable information to appear in the clear address “window” on medical invoices, the release said.

On or around Nov. 7, 2019, RCM advised Mercy Lab that batches of medical invoices created and mailed by RCM’s contracted mailing vendor were printed incorrectly.
Instead of the name, street address, city, state and zip code of the patient (or his/her guarantor) appearing in the clear address “window” of the envelope, what actually appeared were names, street addresses and Social Security numbers, the release said.
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In a statement, Mercy Health spokesperson Jonathon Fauvie said patient privacy and security will continue to be the top priority and lauded RCM for taking quick and decisive action.
“Mercy Health takes the privacy and security of our patients’ information as our number one priority and require our vendors to do the same,” Fauvie said.
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guest · Jan 9, 2020

mood said: ↑

Data Leaks in the Medical Industry: A Worldwide Epidemic
October 21, 2019
https://www.wizcase.com/blog/medical-breaches-research/
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Chinese tech companies still can’t stop medical data leaks
January 9, 2020
https://technode.com/2020/01/09/chinese-tech-companies-still-cant-stop-medical-data-leaks/

Two security flaws at Chinese medical device operators put over 24 million patient records at risk in October. These medical data leaks reveal how cybersecurity practices and regulations lag behind as China’s healthtech industry plows ahead.

Cybersecurity monitoring site WizCase first noticed the leaks, which came from two separate sources. TechNode reviewed screenshots from the reported leaks and sought out further details from Dutch cybersecurity researcher Victor Gevers.
Unprotected patient data
“The leaks were initially identified as servers with open DB ports which were connected to the open internet,” Avishai Efrat, a lead researcher at WizCase who was part of the team that disclosed the leaks, told TechNode.
Elasticsearch is a search function added on top of the server model and “is commonly used for making big data sets easily searchable,” said researcher Victor Gerves.
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Booming industry, lax regulation

“It was reported about 17% of network attacks in hospitals come from medical devices,” Simun Hui, a Shanghai-based partner at law firm Baker Mckenzie, told TechNode. “77% of hospitals said that they are concerned about the security risk of medical equipment.”
Hui said there is “a trend that hackers are no longer satisfied with extracting medical records and patient data. They are reaching out to the medical devices and threatening the safety of patients.”
Authorities are yet to release any regulations specifically covering medical data at healthtech providers.
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guest · Jan 9, 2020

Oregon healthcare provider warns 25,000 patients of malware attack
January 9, 2020
https://www.beckershospitalreview.c...-warns-25-000-patients-of-malware-attack.html

Portland, Ore.-based Native American Rehabilitation Association of the Northwest began notifying patients Jan. 3 that their information may have been exposed in a data breach.

In November, the healthcare provider discovered that a limited number of staff had fallen victim to a phishing attack. The phishing emails contained the computer malware known as Emotet. The U.S. Department of Homeland Security notes that Emotet is a costly and destructive malware that has affected state, local and tribal governments as well as organizations in the private sector.
After an investigation, NARA determined that 344 current or former patients had their electronic records accessed without authorization or were at a greater risk of unauthorized access. Additionally, according to the Office for Civil Rights, 25,187 patients may have been affected.

Since the phishing attack, NARA was able to remove the malware, restrict unauthorized access and had staff reset their passwords. Additional endpoint protections have also been installed to monitor for suspicious activity on computers.
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ronjor · Jan 10, 2020

Georgia Man Charged With Making 'Fake' HIPAA Violation Claims

Marianne Kolbasuk McGee (HealthInfoSec) January 10, 2020
Prosecutors: Defendant Reported Hospital Worker for HIPAA Crimes That Never Happened
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guest · Jan 10, 2020

Ransomware Attacks Reported by Florida and Texas Healthcare Providers
January 10, 2020
https://www.hipaajournal.com/ransomware-attacks-reported-by-florida-and-texas-healthcare-providers/

The Center for Facial Restoration in Miramar, FL, is one of the latest healthcare providers to experience such an attack. Richard E. Davis MD FACS of The Center for Facial Restoration received a ransom demand on November 8, 2019 informing him that his clinic’s server had been breached and data had been stolen.

According to Dr. Davis’s substitute breach notice, the compromised server contained the data of approximately 3,600 patients. While it is possible the attackers stole the files of all patients, there are reasons to suspect only a very small number of patient photographs and personal data may have been stolen.
All patients potentially affected by the attack have now been notified and steps have been taken to improve security, including replacing all hard drives and implementing new firewalls and anti-malware software. The ransom demand was not paid.
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Children’s Choice Pediatrics Ransomware Attack Impacts 12,689 Patients
Children’s Choice Pediatrics in McKinney, TX, is notifying 12,689 patents that some of their protected health information may have been accessed by unauthorized individuals who used ransomware to try to extort money from the practice.

The attack occurred on or around October 27, 2019 and resulted in the encryption of data on its network. Children’s Choice had backed up all data and attempts were made to recover all files encrypted by the ransomware. That process has been completed, but it was not possible to restore all patient data. Some patient records could not be recovered.
Children’s Choice has now strengthened security to prevent similar attacks from occurring in the future.
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guest · Jan 10, 2020

Improving Responses to Medical Device Vulnerabilities
January 10, 2020
https://readwrite.com/2020/01/10/improving-responses-to-medical-device-vulnerabilities/

You might somehow stand a breach in your personal computer, but getting your medical device hacked is a lot worse. These devices are accountable for so many lives, and the manufacturers must not overlook the vulnerabilities at any cost. Here is improving responses to medical device vulnerabilities.
The concern about medical devices’ cybersecurity came into the limelight a decade ago.
The vulnerabilities came to light about medical devices only after IoT enabled medical devices became prominent. Ethical hackers have demonstrated the loopholes in modern IV pumps, insulin pumps, pacemakers, and other medical devices multiple times.

A hacker can simply use one of the devices personally and keep a track of the manufacturing loopholes and error messages. Once a hacker finds enough weak points, software vulnerabilities, sensitive hardware information, they can launch intensive attacks on the vulnerable points.
Why medical devices need cybersecurity? [...]
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To summarize
Securing medical devices in a complex network is indeed a challenging mission.

Until there is significant coherence in the market, businesses must implement specialized solutions crafted for the very need at their end. Human life is at stake with medical devices; there is no room for error. A medical device’s cybersecurity is a non-negotiable investment for everyone involved.
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guest · Jan 11, 2020

ronjor said: ↑

Millions of Americans’ Medical Images and Data Are Available on the Internet. Anyone Can Take a Peek.
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A billion medical images are exposed online, as doctors ignore warnings
January 10, 2020
https://techcrunch.com/2020/01/10/medical-images-exposed-pacs/

Hundreds of hospitals, medical offices and imaging centers are running insecure storage systems, allowing anyone with an internet connection and free-to-download software to access over 1 billion medical images of patients across the world.

Yet despite warnings from security researchers who have spent weeks alerting hospitals and doctors’ offices to the problem, many have ignored their warnings and continue to expose their patients’ private health information.

“It seems to get worse every day,” said Dirk Schrader, who led the research at Germany-based security firm Greenbone Networks, which has been monitoring the number of exposed servers for the past year.
As part of our investigation, we found a number of U.S. imaging centers storing decades of patient scans.

Experts who have warned about exposed servers for years say medical practices have few excuses.
Schrader did not lay blame on the device manufacturers. Instead, he said it was “pure negligence” that doctor’s offices failed to properly configure and secure their servers.
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guest · Jan 11, 2020

Georgia Man Charged With Making 'Fake' HIPAA Violation Claims
Prosecutors: Defendant Reported Hospital Worker for HIPAA Crimes That Never Happened
January 10, 2020
https://www.inforisktoday.com/georgia-man-charged-making-fake-hipaa-violation-claims-a-13598

In a bizarre "whistleblower" case, federal prosecutors have charged a Georgia man in connection with an alleged "intricate scheme" involving falsely reporting that a Savannah hospital worker committed criminal HIPAA violations.

The U.S. Department of Justice says Jeffrey Parker, 43, who initially "claimed to be a whistleblower," has been charged with falsely reporting that a "former acquaintance" violated HIPAA by committing patient privacy violations.
According to court documents, Parker was charged with one count of making false statements. He faces a maximum sentence of five years in prison and a $250,000 fine.
Messy Case
TV station website Fox28Media reported Wednesday that the case kicked off last October when Parker contacted the station alleging that a nurse at an unidentified Savannah hospital violated HIPAA by emailing "graphic pictures" of traumatic injuries, including gunshot victims, who were treated at the hospital. [...]

"While I have seen many employment cases center around whether someone actually violated HIPAA, this is the first time I have seen allegations that an individual falsified a claim of a HIPAA violation and brought it to law enforcement," Greene says.
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guest · Jan 11, 2020

HIPAA Compliant – What Types of Information Does HIPAA Protect?
January 11, 2020
https://gbhackers.com/hipaa/

The medical information of the patients, according to Dash, are safeguarded and against unauthorized parties.

There are 18 identifiers in total for the relevancy. These identifiers subject to the HIPAA Privacy, Security and Breach Notification Rules.
Ones who are compliant with these are facing serious charges.

So, what kind of information that the HIPAA law protects? The items are solely coming from the patients, who are the parties whose data need to be protected. So, giving out any of those items will violate the HIPAA rules for sure.
The Information which is Protected by the HIPAA: [...]
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How HIPAA can benefit the Patients?
The HIPAA protect the data from unauthorized individuals.
Only authorized personnel are able to access the health data with a good porton. HIPAA also protects the privacy of the patients by limiting the uses of the health information.

Since the data is transferred electronically, HIPAA can help the concerned parties to protect their data.the data will remain intact so that the individuals can rest assured that the health providers can protect their privacy and secrecy.
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hawki · Jan 11, 2020

"Patients of Hacked US Surgical Company Hit with Ransom Demands

"Patients of a hacked facial surgery company in Florida are being individually threatened by cyber-criminals, who are demanding money in return for not releasing stolen personal information to the public...

Compromised data may include driving licenses, passports, home addresses, email addresses, phone numbers, patient photographs, and credit card payment receipts..."

https://www.infosecurity-magazine.com/news/patients-of-hacked-surgical/

guest · Jan 11, 2020

mood said: ↑

eHealth hit by ransomware attack but personal health data is secure, says spokesperson
January 6, 2020
https://www.cbc.ca/news/canada/sask...th-data-is-secure-says-spokesperson-1.5416261
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Sask. NDP asks for government security review following ransomware attack
Computer system that stores confidential medical data of Saskatchewan residents attacked on weekend
January 9, 2020
https://www.cbc.ca/news/canada/saskatchewan/sask-ndp-security-ransomware-1.5420895

The Saskatchewan NDP is asking for a government-wide security review following a ransomware attack that hit eHealth.

The NDP is asking the government for a "security review of ministry and agency sites and databases to identify and address gaps and weaknesses."
NDP health critic Vicki Mowat called the attack "the predictable result of a longstanding failure to keep up with emerging threats to Saskatchewan people's most sensitive information."

As of Thursday, eHealth's MySaskHealthRecord online database remained temporarily disabled. A notification on the site reads, "New registrations, as well as returning users logging in, will not be able to access the site."
Julianne Jack, executive director of communications for the Ministry of Central Services, said on Wednesday that "any links to eHealth applications or between Saskatchewan.ca and eHealth have been suspended" while servers are restored and repaired.
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guest · Jan 11, 2020

Does HIPAA Apply to Schools?
January 9, 2020
https://www.hipaajournal.com/does-hipaa-apply-to-schools/

HIPAA applies to healthcare providers, health plans, healthcare clearinghouses, and business associates of those entities but how does HIPAA apply to schools? In this post we explore when HIPAA applies to schools and how the Health Insurance Portability and Accountability Act intersects with the Family Educational Rights and Privacy Act (FERPA).
Does HIPAA Apply to Schools?
Generally, HIPAA does not apply to schools because they are not HIPAA covered entities, but in some situations a school can be a covered entity if healthcare services are provided to students.

One scenario where the HIPAA Privacy Rule would apply is when a healthcare professional provides medical services such as vaccinations at the school but is not employed by the school. In this situation, the healthcare professional would be required to comply with HIPAA, the records would be covered by HIPAA while they are held by the healthcare professional, and that individual would be required to obtain authorization before the health information is disclosed to the school.
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guest · Jan 12, 2020

mood said: ↑

Hackers crack 15M LifeLabs accounts, obtain lab results and health card numbers
December 17, 2019
https://dailyhive.com/calgary/lifelabs-hacked-cyber-attack
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Lifelabs Data Breach, the Largest Ever in Canada, May Cost the Company Over $1 Billion in Class-Action Lawsuit
January 8, 2020
https://www.cpomagazine.com/cyber-s...mpany-over-1-billion-in-class-action-lawsuit/

Though the company was hacked in October, the public did not become aware of the LifeLabs data breach until December 17 when the company posted an open letter on its website.
The class action lawsuit
There are currently three proposed class action lawsuits in response to the LifeLabs data breach. The largest of these is seeking $1.13 billion in damages plus an added $10 million in punitive penalties. If the courts opt to allow such a lawsuit, they will have to evaluate each suit on its individual merits before deciding to certify any.
Security issues at Canadian hospitals
The LifeLabs data breach comes in the midst of general concern about the Canadian health care system’s ability to protect patient data.
Canadians have valid reason to be concerned about the ability of their country’s medical facilities to properly secure themselves, given that cybersecurity budgets are often thin.

“If the organization is unable to implement these controls due to budgetary issues, there should be a strong awareness training program for the employees to recognize the common attacks. [...]"
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guest · Jan 13, 2020

Windows 7 support is about to end with 46,000 HSE devices running the OS
January 13, 2020
https://www.siliconrepublic.com/enterprise/windows-7-support-ends-hse-upgrade

PC users running Windows 7 have been warned to upgrade to avoid possible cyberattacks as support for the software ends.
Companies that may not be ready for the move can choose to pay Microsoft for extended security updates through to January 2023 – [...]
Around 80pc of the HSE’s devices running Windows 7
One such organisation paying for the extended security updates is Ireland’s Health Service Executive (HSE). Last Thursday (9 January), it emerged that the Government would spend €1.1m to extend security support for the operating system.

The HSE confirmed that the health service still has 46,000 Windows 7 devices on its network of 58,000 computers. With only 12,000 devices upgraded, the affected number of devices amounts to around 80pc of the HSE’s computers.
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‘Value for money’
A spokesperson for the HSE said that, in an average year, the health service replaces around 7,500 desktops and laptops. “In 2020, the plan is to increase this number to a total of 13,500 devices, by bringing forward those devices due for replacement in 2021 by one year, as upgrading these in 2020 would not be value for money,” they continued.

“Negotiations were carried out with Microsoft in order to achieve the best value for money for this service. The cost is approximately €1.1m for Windows 7. It was decided by the executive management team to avail of this extended support.”
The HSE annual IT budget for replacing and purchasing new devices will now be increased by €5m to €11m in order to replace a number of the affected devices.
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guest · Jan 13, 2020

mood said: ↑

Cyber attack hits Enloe; patient records safe, officials say
January 4, 2020
https://www.chicoer.com/2020/01/04/cyber-attack-hits-enloe-patient-records-safe-officials-say/

Enloe Medical Center: Network outage at Enloe
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No update yet on Enloe cyber attack; no patient data compromised, hospital says
January 13, 2020
https://www.chicoer.com/2020/01/13/...ck-no-patient-data-compromised-hospital-says/

Enloe Medical Center in Chico was attacked in a ransomware incident the evening of Jan. 2, according to a press release from the hospital. Unfortunately, the incident is still being investigated and there has not yet been an update made by the hospital.
However, officials at the hospital are assuring former, present and future patients that there is no evidence that patient information has been accessed or compromise.

“A big misconception is when something happens like this, it’s not something we can give an update on daily,” said Enloe’s marketing and communications manager, Joe Page.
Page said there have been no issues or delays in patients receiving the care at the hospital since the incident.
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guest · Jan 15, 2020

Cyberattack paralyzes Czech hospital
Confirmed: A Russian virus attacked Czech hospital
January 15, 2020
https://rmx.news/article/article/confirmed-a-russian-virus-attacked-czech-hospital

The Russian Ryuk computer virus attacked the computer network of the Benešov Hospital in December, but Czech police announced that it was just one victim of many companies and organizations attacked, and not a specific target.

The cryptovirus paralyzed the operations of the Benešov hospital on Dec.11, after which the facility was forced to operate in a restricted manner before returning to full operation over two weeks later, on Dec. 30.
The hospital estimated the operating loss to reach 38 million korunas (€1.5 million), while the reinstallation of the servers cost another 2 million korunas (€79,560).

Currently, the hospital is operating normally and medical operations that were cancelled due to the cyber attack will be performed in January and February.
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guest · Jan 15, 2020

Leeuwarden hospital stops data traffic after attempted hack
January 15, 2020
https://nltimes.nl/2020/01/15/leeuwarden-hospital-stops-data-traffic-attempted-hack

The Leeuwarden Medical Center stopped all data traffic with the outside world as a precaution after hackers tried to break into the hospital's systems, the hospital said on Wednesday.

As a result of this measure, patients cannot access their electronic records, communication with other hospitals is hindered, and hospital employees are unable to work from home.
Leeuwarden Medical Center works with Citrix servers for communication with the outside world. The hospital believes that the attempted hack has to do with a vulnerability that was recently discovered in those servers.

"By closing external data traffic, Leeuwarden Medical Center wants to prevent malicious parties from accessing company data," the hospital said. The attempted hack was reported to Citrix and the hospital took all measures the company advised.
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guest · Jan 15, 2020

Hospital staff to be investigated over alleged ‘derogatory’ online posts
January 15, 2020
https://www.irishtimes.com/news/hea...ver-alleged-derogatory-online-posts-1.4139792

University Hospital Limerick says it plans to investigate staff over the alleged leaking of confidential patient information as well as “derogatory” Facebook posts.
Staff have been told they may face disciplinary action for remarks on social media “made in the name of the HSE” which are offensive or derogatory.

The warning comes from Colette Cowan, chief executive of University of Limerick Hospitals Group, who has told employees in an email she is gravely concerned at breaches of confidential information related to the business of the health service and in particular concerning patient records.

“Equally of concern is the misuse of social media that may inadvertently lead to a breach of confidentiality.”
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guest · Jan 15, 2020

Healthcare under attack: 2/3 of orgs hit last year, insiders an issue, training lacking
January 15, 2020
https://www.scmagazineuk.com/health...siders-issue-training-lacking/article/1670926

More than two thirds (67 percent) of healthcare organisations suffered a cyber security incident in the last 12 months, according to new research.

A survey of senior business decision makers within healthcare organisations across the UK, also found that almost half of these incidents occurred as a result of viruses or malware introduced by third party devices.
The study was carried out by data security provider Clearswift to highlight the serious threat that data breaches and malicious attacks pose to the UK’s health-related data.

The survey also found that the industry is still suffering from insider threats, with 39 percent of incidents occurring as a result of employees sharing data with unauthorised recipients and 37 percent coming from employees not following cyber protocols.
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ronjor · Jan 16, 2020

Wednesday, January 15, 2020

Texas Doctor Found Guilty for Role in $325 Million Health Care Fraud Scheme Involving False Diagnoses of Life-Long Diseases
A federal jury found a Texas rheumatologist guilty today for his role in a $325 million health care fraud scheme in which he falsely diagnosed patients with life-long diseases and treated them with toxic medications on the basis of that false diagnosis.
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guest · Jan 17, 2020

Online Pharmacy PlanetDrugsDirect Discloses Security Breach
January 15, 2020
https://www.bleepingcomputer.com/ne...-planetdrugsdirect-discloses-security-breach/

Canadian online pharmacy PlanetDrugsDirect is emailing customers, notifying them of a data security incident that might have impacted some of their sensitive personal and financial information.

PlanetDrugsDirect (also known as Planet Drugs Direct) is an active Canadian International Pharmacy Association (CIPA) member, and association of licensed, retail pharmacies that sell medication to Canadian and U.S. citizens, and more
Online pharmacy security breach
The Canadian online prescription referral service informed a yet unknown number of customers via email of a recent data security incident that may have impacted some of their data.

"Our investigation to date indicates that your exposed data may include your name, address, e-mail address, phone number, medical information including prescription(s), and payment information," PlanetDrugsDirect says in the breach notification.
PlanetDrugsDirect's site says that the online pharmacy collects several types of personal, financial, and medical information "necessary for providing service and arranging to fill your orders through our contracted pharmacies and government approved dispensaries."
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guest · Jan 17, 2020

mood said: ↑

Ransomware detected in Great Plains Health computer network
November 26, 2019
https://www.knopnews2.com/content/n...Plains-Health-computer-network-565477751.html
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Nebraska hospital 80% recovered after November ransomware attack
January 17, 2020
https://www.beckershospitalreview.c...covered-after-november-ransomware-attack.html

North Platte, Neb.-based Great Plains Health is nearly recovered following a ransomware attack in November 2019 that encrypted the hospital's computers, according to local NBC affiliate KNOP.

Hospital officials say they are 80 percent finished with the recovery processes. Only thing left to recover is archived information, which hospital officials say is rarely used.

"All of the important patient systems are in the first 40 percent of the systems that have to be recovered. So I can say confidently the systems that we are recovering now have little or no effect on any kind of patient care," said Great Plains Health CIO Brandon Kelliher to KNOP.
The hospital did not have to turn away any patients during the recovery processes.
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ronjor · Jan 18, 2020

Epic Systems, a major medical records vendor, is warning customers it will stop working with Google Cloud

Christina Farr@chrissyfarr Jan 17 2020
Epic Systems has been phoning customers to tell them it will not pursue further integration with Google Cloud.
The company is instead focusing on Amazon AWS and Microsoft Azure, citing insufficient interest from customers in Google.
The move comes as Google is facing criticism from privacy advocates about its work with Ascension, one of the largest U.S. health systems.
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guest · Jan 18, 2020

mood said:

↑: Senator Demands Answers Over Exposure of Medical Images in Unsecured PACS (September 27, 2019)
↑: Sen. Warner Asks HHS for Answers on Unsecured Medical Images (November 11, 2019)
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German Researchers Accessed Service Members’ Sensitive Medical Data—and One Lawmaker Wants Answers
January 16, 2020
https://www.nextgov.com/cybersecuri...al-dataand-one-lawmaker-wants-answers/162497/

A Democratic lawmaker wants answers and actions taken to address unsecured servers at three military medical facilities that he said are putting service members’ personal information at risk.

Sen. Mark Warner, D-Va., penned a letter to the Defense Health Agency Thursday pressing it to eliminate the exposure of sensitive medical data belonging to military personnel that he said remains vulnerable due to risky practices at Fort Belvoir Medical Center, Ireland Army Health Clinic and the Womack Army Medical Center.

“The exposure of this information is an outrageous violation of privacy and represents a grave national security vulnerability that could be exploited by state actors or others,” Warner wrote.
In Thursday’s letter, the lawmaker presses the agency to remove the vulnerable PACs from open access to the internet and immediately mitigate the security issues. To understand the severity of exposure, Warner also asks officials to answer a series of questions regarding information security management practices at military medical hospitals.
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guest · Jan 19, 2020

Adventist Health Identifies Data Breach
January 18, 2020
https://www.mymotherlode.com/news/local/980752/adventist-health-identifies-data-breach.html

Adventist Health Sonora is making patients aware of a data breach that was discovered at an Adventist Health hospital in Southern California.

A phishing incident compromised an email account at Adventist Health Simi Valley and it contained patient information outside the immediate service area through partner and vendor communications.

Adventist Health reports, “Even though the incident was isolated, out of an abundance of caution, we have provided information to potential impacted individuals in each of our communities, including 2,653 potential impacted patients residing in the Sonora area. We are also offering a year of free identity theft protection services through a data breach and recovery services expert.”
The statement adds, “While there is no indication that any patient information, or protected health information (PHI), was accessed or acquired, the safety and privacy of our patients is our highest priority.”
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