Healthcare is one of the most regulated industries in the U.S. HIPAA, or the Health Insurance Portability and Accountability Act of 1996, requires healthcare organizations and their third-party service providers, such as labs and billing companies, to have data security measures in place protect patients’ private health information (PHI). HIPAA compliance is complex, and the penalties for non-compliance are stiff; if a facility’s PHI is breached, and it is found they were not compliant with HIPAA, the facility could face millions of dollars worth of fines. In some cases, company executives can even be held criminally liable.

C-level executives in the healthcare industry may not understand the intricacies of ransomware attacks or phishing schemes, but they do understand the seriousness of HIPAA compliance. They also fall into the trap of thinking that if their organization is compliant with HIPAA, that means their systems are safe. As a result, they devote most or all of their cyber security resources to complying with HIPAA.

HIPAA compliance is crucial – but a cyber security plan cannot start and end with HIPAA compliance.

HIPAA Compliance Is Only a Starting Point to Protect Patient Data

Today’s healthcare IT environment is highly complex. In addition to electronic health records (EHRs), mobile technology, cloud applications, electronic health exchanges, and Internet of Things (IoT) devices are growing in popularity. These technologies are making it easier for healthcare providers to deliver quality care and are improving patients’ lives, but each new gadget and application means new vulnerabilities for hackers to exploit.

In a recent survey of information security experts conducted by the Brookings Institution, most respondents indicated that they felt HIPAA does not sufficiently address modern healthcare data security issues, mainly because the law is light on specifics. HIPAA compliance is primarily about demonstrating that an organization has met certain documentation and procedural requirements. It does not outline precise technical safeguards.

The proof that HIPAA compliance is insufficient to protect against ransomware and data breaches is in the statistics. Healthcare is the most likely industry to experience a data breach. Nearly 90% of healthcare organizations – and 60% of third-party healthcare vendors – have experienced at least one breach. Nearly 80% have had two or more, and nearly 50% have had three or more.

Why Isn’t HIPAA Compliance Enough?

There are several reasons why HIPAA compliance does not provide full data protection on its own. First, it isn’t meant to. Technology simply changes too quickly for any legislation to keep up. By the time a new set of rules were written, they’d already be out of date! This is why HIPAA focuses on what organizations need to achieve, not on precisely how they should go about achieving it. Second, every organization’s IT environment is different. A data security plan that works well at one facility may fall flat at another. Finally, compliance rules cannot adequately address the threats posed by mistakes, negligence, or malicious acts on the part of a facility’s employees, which cause nearly half of all data breaches.

HIPAA compliance should be the starting point – not the entirety – of a comprehensive, proactive healthcare data security plan.

Many healthcare organizations do not have the resources to handle all of their information security needs in-house; many others don’t know where to start. This is why they should partner with a professional cyber security firm such as Lazarus Alliance. The cyber security experts at Lazarus Alliance have deep knowledge of the cyber security field, are continually monitoring the latest information security threats, and are committed to protecting organizations of all sizes from security breaches. We offer full-service risk assessment services and Continuum GRC software to protect companies from data breaches, ransomware attacks, and other cyber threats.

Lazarus Alliance is proactive cyber security®. Call 1-888-896-7580 to discuss your organization’s cyber security needs and find out how we can help your organization.

When contracting with a service provider, such as a data center, it is important for companies to ensure that their provider possesses the cyber security-related certifications and compliance standards that are applicable to the company’s industry. Data centers, as well as service providers who contract with data centers, sometimes claim to be “SSAE 16” certified. In an effort to cut through the noise and clear up some of the confusion regarding SSAE 16 compliance, Lazarus Alliance would like to clarify what SSAE 16 compliance is—and isn’t.

What is SSAE 16?

SSAE 16 is an internationally recognized auditing standard for service organizations. It was developed by the American Institute of Certified Public Accountants (AICPA) and replaces the previous standard, SAS 70. SSAE 16 reporting helps service organizations comply with the requirements of Sarbanes Oxley (section 404) to demonstrate effective internal controls covering financial reporting. SSAE 16 applies to data centers that host systems that are involved in their clients’ financial reporting, as well as web hosting providers, ASPs, and ISPs who perform services that are relevant to their clients’ financial reporting.

There are three types of reports that can be issued: an SOC 1, an SOC 2, or an SOC 3, all of which address different controls. Performing an SSAE 16 audit and issuing an SOC report demonstrates a service provider’s commitment to maintaining a sound control environment that protects their clients’ data and confidential information.

Some service providers who use SSAE 16-compliant data centers imply that they are, somehow, SSAE 16 compliant by proxy. This is not the case; just because you use a provider who is SSAE 16 compliant does not mean that your company is SSAE compliant, and to imply such is black-hat marketing.

There is No Such Thing as SSAE 16 “Certification”

A Google search on “SSAE 16” reveals numerous instances of companies claiming to be “SSAE 16 Certified.” Organizations are compliant with SSAE 16; there is no such thing as becoming “SSAE certified.” SSAE 16 has to do with issuing SOC reports; no “certification” is awarded to anyone. Beware of any service provider that claims to possess an SSAE 16 “certification” or purports to be working towards getting one.

Need SSAE 16 Compliance Auditing Services?

If you have questions about SSAE 16, or if your company needs SSAE 16 auditing services, Lazarus Alliance can help! Depending on your team’s availability, our SSAE 16 audit process initially takes just a few weeks from start to completion. We realize that our clients have full-time, everyday obligations in addition to dealing with auditors, so we will be happy to work around your schedule and provide a quality audit and report in the time frame you desire.

Lazarus Alliance’s primary purpose is to help organizations attain, maintain, and demonstrate compliance and information security excellence in all jurisdictions. Lazarus Alliance specializes in IT security, risk, privacy, governance, cyberspace law, and compliance leadership solutions and is fully dedicated to global success in these disciplines. Learn more about Lazarus Alliance and why Lazarus Alliance is Proactive Cyber Security™!

Up until now, healthcare cyber security has been focused on protecting patient data, ensuring HIPAA compliance, and, more recently, protecting systems from ransomware attacks. However, as healthcare technology advances, a new threat is emerging: the potential for hackers to attack smart medical devices such as insulin pumps and pacemakers. If IoT security is not taken seriously, innovation will be stunted and, in the case of healthcare, lives will be lost.

What is the Internet of Things?

The Internet of Things (IoT) refers to the growing number of “smart,” internet-connected devices that are infiltrating every part of our lives, such as fitness wearables, smart TVs, connected cars, smart thermostats, and even smart buildings. Business Insider estimates that over the next five years, $6 trillion will be spent developing IoT technology, and by 2020, 24 billion IoT devices will be in use.

The healthcare industry, which has historically been slow to implement new IT technology, has enthusiastically embraced IoT devices, which can be wearable (such as a fitness monitor) or implantable (such as an insulin pump). Allied Market Research predicts that the world IoT healthcare market will reach $136.8 billion by 2021, more than doubling its $60.4 billion value in 2014.

Despite this rapid growth, IoT security is severely lacking. IoT devices may be smart, but they have far weaker security controls than regular computers. IoT passwords are often hard-coded and freely available online, and some devices are very difficult to patch or update. There are a myriad of device manufacturers, with more entering the market every day – but no common security controls or best practices, and no procedures to track devices as they move through the supply chain from the manufacturer to the end user. This results in IoT devices having numerous vulnerabilities that are just waiting to be exploited.

IoT security vulnerabilities aren’t purely hypothetical. Recently, cyber security experts demonstrated how Nest’s smart thermostat and Ring’s smart doorbell could be breached and turned into entry points into a home network. (Ring’s manufacturer has since issued a firmware update to address the vulnerability.) While there have been no reported attacks involving either device, logically, it’s only a matter of time before an IoT device is targeted.

And if hackers can get into thermostats and home security devices, why couldn’t they breach a pacemaker or an insulin pump? Especially since someone has already done it.

Healthcare IoT Security: The Next Ransomware Threat

As we’ve reported in previous blogs, the healthcare industry has suffered from a number of major ransomware attacks in the past few months, beginning in February, when Hollywood Presbyterian Hospital, after being locked out of their system for a week, paid hackers the equivalent of $17,000.00 in Bitcoin to get back in. Some security experts feel that by caving in and paying up, the hospital inadvertently proved to hackers that using ransomware to attack healthcare facilities means fast money. If a hospital will part with large sums of money to get back into its computer system, how much would a patient be willing to pay to keep a life-sustaining medical device working?

Again, such a scenario is not hypothetical. TechTarget reports that two patients in a hospital in Austria figured out how to hack into their own medication infusion pumps because they felt their pain was not being managed properly. Frighteningly, to get in, the patients simply went online, looked up the hard-coded passwords for their pumps, then used them to log in and adjust their doses. The patients ended up overdosing and suffering respiratory problems.

If a layperson with no computer science training can manage to figure out how to hack into an IoT medical device, imagine what a money-motivated hacker with advanced technical skills could accomplish. A hacker could access a pacemaker or an insulin pump, begin draining the battery, and refuse to stop until the victim pays a ransom. The only obstacle would be determining how to deliver the ransom demand to the victim, but with reams of personal information easily available online, it would not be difficult for a hacker to obtain a victim’s mobile phone number or email address and use these to deliver the ransom demand.

What Can Healthcare Providers Do to Protect Patients?

The recent ransomware attacks on medical facilities have proven that hackers have no regard for human life and are fully willing to put fragile patients at risk in their quest to make a quick buck. The healthcare industry needs to take IoT security every bit as seriously as other forms of cyber security, and industry leaders must put pressure on IoT device manufacturers to establish security controls and best practices, such as eliminating hard-coded passwords and ensuring that IoT devices are as easy to patch and update as computers and mobile phones.

Healthcare facilities can take proactive security measures right now by developing a robust information security policy to include security awareness among all healthcare personnel and, from a technical perspective, continuous monitoring of systems so that baseline user patterns can be determined and deviations that may indicate possible attacks can be detected.

In addition to establishing an internal culture of security awareness, implementing a solid security plan, and monitoring systems for suspicious activity, it’s a good idea for healthcare facilities to enlist the services of a professional cyber security firm such as Lazarus Alliance. The cyber security experts at Lazarus Alliance have deep knowledge of the cyber security field, are continually monitoring the latest information security threats, and are committed to protecting your healthcare organization from security breaches. We offer full-service risk assessment services and Continuum GRC software to protect hospitals and other healthcare organizations from data breaches and ransomware attacks.

Lazarus Alliance is proactive cyber security®. Call 1-888-896-7580 to discuss your organization’s cyber security needs and find out how we can help your organization prevent ransomware attacks and data breaches.