The Guide Book to Data Security
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1 The Guide Book to Data Security Rich Miller President & CEO, Virtua September 8, 2017 Optima Healthcare & California Healthcare Insurance Owners Retreat September 8, 2017
2 Agenda Leadership & Cybersecurity What s ahead: About Virtua Healthcare Phishing Attacks: Impacting Awareness and Behavioral Change Rich s 10 Leadership Tips
3 Mission, Vision, Values Customer Awareness and Service Product & Price Transparency (Quality & Safety) CONSUMER LOYALTY Caring Culture Employment Engagement
4 Mission, Vision, Values MISSION: Virtua helps you Be Well, Get Well, Stay Well VISION: Virtua will be the premiere choice in health and wellness VALUES: Integrity Respect Caring Commitment Teamwork Excellence
5 Overview of Virtua Ambulatory Access and Navigation Virtua Medical Group Virtua Express Urgent Care CVS MinuteClinics Health & Wellness Centers Ambulatory Surgery Centers Home Health Agencies serving Burlington, Camden and Gloucester counties Virtua Home Caregivers Hospital Based Ambulatory Programs Teladoc
6 Overview of Virtua Population Management Virtua Care-Accountable Care Organization Virtua Physician Partners Clinically Integrated Network Acute Care Three acute care facilities in excess of 950 beds o Marlton o Mount Holly Relocation to Westampton (Projected ) o Voorhees Post Acute Two skilled nursing facilities in excess of 300 beds
7 Overview of Virtua Other Virtua Foundation Virtua Assurance Captive Quality and Safety Best Regional Hospitals US News & World Report Patient Safety Excellence Award Healthgrades A Rating The Leapfrog Group Financial AA- credit rating with Standard & Poor s and Fitch Ratings Total revenues of $1.3 billion
8 Something Smells PHISHY Impacting Awareness and Behavioral Change
9 The on Cybersecurity If you don t have one already, create an IT Committee to the Board Make data security part of your strategic plan Employ a Chief Information Security Officer (CISO) Invest in the necessary technology (Not an option not to be compliant) Work with GREAT partners (makes sure goals are aligned on security) Engage in constant employee education on best practices around data security Develop policies and procedures on how to protect data, but also what to do should a breach occur Centralize IT purchases, and have every vendor complete an in depth questionnaire Ensure all vendors have cybersecurity insurance and BAA (Business Associate Agreement) Governance, Communication, Risk Management Program s are required no matter the size of the organization
10 Security Threats Healthcare Organizations Worry About the Most Employee negligence Cyber attackers Use of public cloud services Mobile device insecurity Employee-owned mobile devices or BYOD Malicious insiders Identity thieves Process failures System failures Insecure mobile apps (ehealth) Insecure medical devices Other 2% 6% 40% 33% 32% 29% 26% 19% 15% 15% 13% 70% 0% 20% 40% 60% 80%
11 2016 HIGH PROFILE EXAMPLES Ground to a halt after hackers breached the system Relied on pen and paper records for over a week Paid the 40 bitcoin ($17,000) ransom to regain control of its network MedStar Health and a hospital in Kentucky were hit with similar attacks
12 Why are Phishing attacks so dangerous? Often the appears to come from a legitimate company and looks very official. In some cases, the actually comes from a known legitimate address that has been compromised. Easy to be fooled into providing credit card numbers, social security numbers and account information The sense of urgency and impending doom created coaxes recipients into taking immediate action or face dire consequences. Double clicking on unknown Word, Excel, or PDF attachments can lead to serious virus infections such as Ransomware.
13 Why is so successful? Highly Targeted & Thrives on Familiarity The attacker knows your name, your address, and at least a little about you. The salutation on the message is likely to be personalized: "Hi Bob" instead of "Dear Sir. The may make reference to a "mutual friend." Or to a recent online purchase you've made. Because the seems to come from someone you know, you may be less vigilant and give them the information they ask for.
14 Vulnerabilities Not just EHRs devices (monitors, pumps, etc.) Industry push for connectivity adds risk HIEs, and community physicians Common deficiency lack of effective risk assessments Vulnerabilities through vendor relationships It s not just IT/technical security PEOPLE
15 2016 Susceptibility of HealthCare vs. Other Industries 25% 20% 15% 21.2% 18.2% 17.4% 17.2% Average Susceptibility Rate of Each Industry % 15.3% 14.9% 14.2% 14.2% 13.8% 13.2% 13.1% 12.9% 12.4% 11.9% 11.9% 11.8% 10% 9.7% 9.7% 9.6% 7.3% 5% 0% The healthcare industry had an average susceptibility rate of 14.2%. This number represents the average susceptibility rate of 100 healthcare companies and over 1,000 scenarios launched.
16 2016 HealthCare Susceptibility by Size 20.0% 18.0% 16.0% 14.0% 12.0% Healthcare Industry Average Susceptibility Rate by User Group Size % 15.2% 18.3% 18.0% 14.8% 10.0% 8.0% 8.3% 6.0% 4.0% 2.0% 0.0% 0-10K 10K - 25K 25K - 50K 50K - 75K 75K - 100K > 100K Healthcare companies with 10K to 25K users had an average susceptibility rate of 15.2%. Similar size as Virtua
17 2016 Virtua vs. Other Healthcare Company Susceptibility Rates Virtua Health vs. Other Healthcare Companies Average Susceptibility Rates 35% 30% 30.4% 29.7% 28.3% 27.0% 25% 23.8% 20% 19.2% 17.8% 16.6% 16.6% 16.4% 15.9% 15% 10% 13.1% 12.9% 11.0% 9.3% 5% 0% The average susceptibility rate of 14 healthcare companies similar to Virtua that ran scenarios in Compared to these companies, Virtua Health had an average susceptibility rate of 12.9% for all scenarios completed in 2016.
18 Firewalls, gateways, filtering, and other perimeter defenses Inside the perimeter soft & gooey Need education, awareness, communication, and tools
19 Virtua Defense In-Depth Strategy People Training/Education Phishing Awareness Policy and Procedures Physical Security Security Administration Role Based Access Cyber Exercises Technology Cisco Firewalls SourceFire IDS/IPS Cylance End Point Protection Trend Micro WebSense Web Filtering ProofPoint Gateway Qliqsoft Secure Texting LogLogic Log Management Mobile Device Management Dual Factor Authentication Zix Secure Digital Guardian DLP Operations Identity and Access Management 24x7 Monitoring Intrusion Detection Incident Response Auditing Risk Assessments Patch Management Hardening guides Third Party Audits
20 Governance Security starts at the top cyber risk should be part of the Risk Management (RM) program Build in accountability for information security across the organization from frontline to executive staff Ensure the information security function is visible (Senior management accountability and board engagement) Educate, communicate!
21
22 Virtua s Phishing Awareness Solution Prepares employees to be more resilient and vigilant against targeted cyber attacks. PhishMe helps enterprises proactively combat the serious threat of Phishing by cultivating their most overlooked security asset: their users. Empowers employees to easily report suspicious s to the internal security team and help desk in a timely manner. Provides incident responders with the ability to effectively prioritize, analyze, and act on suspect reports detected by users, producing actionable intelligence that can be integrated with and employed by an organization s existing security infrastructure and analytics capabilities.
23 Virtua s Phishing Awareness Solution Reduce employee susceptibility to -based social engineering Minimize/eliminate repeat victims OUR Goals Minimize/eliminate employee backlash to this process Encourage employees to report suspicious s in a timely manner Rapid detection and response to phishing/malware attacks
24 Virtua s Phishing Awareness Solution PhishMe Reporter Simplified single-click reporting for users Standardized submission format to security and the help desk Reported PhishMe scenarios reflected in reporting Fully customizable Enterprise-wide deployment
25 Virtua s Phishing Awareness Solution Protect Yourself and Your Company Be very cautious when looking through . Examine it closely before opening of clicking on any links or attachments. Hover over all links in an without clicking on them. This tells you exactly where the URL is going to take you. If you don t recognize the link, don t click! REPORT IT!
26 Rich s Ten Leadership Tips Be the same person at work, as you are at home. In other words, be genuine all the time bring your values with you everywhere you go! It s all about people, people who you surround yourself with and how you hire. There will be great days and there will be bad days stay even keel do something for someone every day. Use your intuition in decision making. Listen well. Cultural change is enormous and takes time. Get a life coach as you move up someone you can talk intimately to. (different perspective) Life balance is crucial. Have fun enjoy the small stuff. Quiet time time to think.
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