COURSE TITLE: CYBER TBD Reference Manual Table of Contents – To be developed Section 1. Overview of Current Cyber Security Threats Why should the Dental Community Care about Cyber Security? Imagine this: A virtual intruder, like Tony Soprano, quietly downloads countless patient files containing private medical information — names, procedures, medications, related claims data — which are then sold and resold across the globe. Or imagine that a few laptops containing much of the same type of data fall into the wrong hands. Such security breaches are increasingly making headlines as banks, brokerages, and even government offices grapple with such embarrassing and damaging thefts. This scenario — which could make a shady character like Tony Soprano a nice amount of cash — could be a nightmare for a health plan. Or, imagine this: You are on vacation, kayaking in Florida. Suddenly, the phone rings. It’s your office, with alarming news. Your server has been hacked, you are locked out of your electronic patient records, and you cannot access the records until you pay a ransom to the hackers who infiltrated your practice’s computer system. Your practice is being held hostage! Until you can unlock these records, you are helpless. You cannot take care of patients. You have no access to your appointment scheduler. You have no access to patient x-rays. Should you pay the $500 that is being requested? In these cases above, what is at stake? Your patients’ privacy? Your
One of the main ethical issues that faces health care is the security of patient information. This information is protected by laws and regulations such as HIPPA, but there are still concerns Scott, et al, 2005). Among those concerns is the new concept of electronic patient records and information. These records are designed to help hospitals and doctors get patient information more quickly, so that patients can receive treatment as soon as possible. Unfortunately, anything kept and transmitted on a computer has the potential to be hacked, so that is a serious concern for patients. Not all patients want their medical records to be available electronically, but they may not have too many options (Romano & Stafford, 2010). Opting out may not be an option for them, and if they do have that option it could reduce the speed and quality of treatment that these patients would receive. Do they want to risk that, just so they can feel as though their medical information is better protected?
There are many problems that could arise from a patient’s information landing into the hands of a stranger, a boss, an enemy, or any other individual that does not have permission to view that information.
In a large service-related Healthcare organization with the staff to patient ratio approximately 1:100, there is a greater threat by technology of breaching security records. Medical records include information about ones physical and mental being. They may contain information about ones relationship with family members, sexual behavior, drug or alcohol problems and HIV status ( Burke & Weill, 2005). The confidentiality is threatened when the medical records information is put on the Internet, by use of telemedicine, and by the use of e-mail by healthcare workers. Although this is the fastest way to store and share
On February, 8, 2011, Ortho Montana, PSC, a healthcare provider submitted a data breach which affected thirty seven thousand people. The type of breach described was ‘Theft’ and information was breached from Laptop. The exact description included in the web description states a laptop which had electronic unsecured protected health information was either lost or stolen. This took place when the laptop was taken to an event by a workforce member.
The electronic protected health information (ePHI) gets electronically stored and collected in hard copy form as they secure the information. According to the U.S. Department of health and Human Service Office for Civil Rights (OCR) report, millions of people have been impacted by HIPAA data breaches. Hence, healthcare organizations must protect and secure personal health data now more than ever because of the threats that are associated with information. This would substantially increase the protection of healthcare from cyber threats. Moreover, these people are extremely diverse and the cleverness of their data information must be organized within hospitals. Medical records are in high demand because of the sophistication of the records.
Securing larger volumes of data than before, health care providers must be able to adapt to new methods of data storage and access of patient records. Security breaches in health care organizations is lost or stolen from unencrypted devices and media where the provider is using to retrieve records. As more health providers continue to use mobile devices to access pertinent information from electronic medical records systems the chances for breach increases so dramatically. (Rogers,
As health professionals, it’s essential to take every precaution to protect sensitive patient information including personal contact information and medical history. Patient data is regulated by the government and provides privacy and security provisions for safeguarding medical information. The law that regulates these processes, the Health Insurance Portability and Accountability Act (HIPAA), has become a prominent point of public discussion over recent years due to an onslaught of security concerns and cyberattacks on health providers and insurers.
Last week it was reported that 500 patient records had been compromised. Our IT Security department has done an extensive audit and concluded that there are many issues with our security system regarding the protection of our patient’s privacy. Outlined below are some issues that were found and how they are going to be addressed going forward.
In February of 2015 the health insurance company Anthem Blue Cross Blue Shield reported to the public that “tens of millions” of records with protected health information, including but not limited to: social security numbers, birthdays, full names, addresses. The Wall Street Journal has even gone so far as to say this might have been the single largest healthcare breach to ever have occurred. (Wilde Mathews, 2015).
As with any online digital format, concerns of breach exist. Internet hackers possess a digital power that frightens individuals looking to conceal sensitive data. There have been cases in which medical information has been accessed by unauthorized users. While this does not occur all too frequently,
The second security breach case is of Barnes & Noble. In September 2012, hackers stole credit card information of customers who shopped at sixty-three Barnes & Noble stores across the United States, which included New York City, San Diego, Miami and Chicago. The company discovered customer information had been stolen but kept the incident quiet per the request of the Justice Department so the F.B.I. could find out who was behind the intrusion (Huffington Post, 2012).
The potential vulnerabilities within a Health Delivery Organizations (HDOs) are numerous. The impact of exploitation of the can be enormous. It’s not only that the information will be damaged, stolen, or misused; the actual or implied theft of improperly protected electronic data can result in extortion threats. The cost and distraction of a hacker’s extortion demand that threatens to shut down an entity’s system or to expose confidential information can be significant. In addition to the direct costs related to the extortion demand, a facility can have major expenses, including those for the required notification of patients related to the real or threatened release of their identity information. Many states require companies to notify all of their customers if a breach is even suspected. The potential for exploitation does not stop there. Consider any of the following scenarios, note that some do not even require access to personal information, a hacker just needs to get access:
In a world full of electronics it would only seem logical to have health records electronic. Not only are medical records efficient, reliable, and quick to access, new technology allow patients to access their own personal medical records with a simple to use login and password. “People are asking whether any kind of electronic records can be made safe. If one is looking for a 100% privacy guarantee, the answer is no”(Thede, 2010). At my hospital, upon every admission we ask the patient for a password for friends and family to have to have if they would like an update on the patient 's condition. We do not let visitors come up and see the patient without the patient 's consent. In doing these things, we help to ensure the safety and protection of the patient 's health information and privacy.
In light of available security measures and their widespread acceptance within the information security community, there is no excuse for healthcare organizations to fail in fulfilling their duty to protect personal patient information. Guaranteeing the confidentiality and privacy of data in healthcare information is crucial in safeguarding the data of patients as there should be a legal responsibility to protect medical records from unauthorized access.
All the consumers affected were also made vulnerable to subsequent identity theft given malicious attackers stole their personal data. Equifax was directly affected since its stock began to plunge immediately the news was made public. Additionally, the corporate governance of the company was tarnished given three Equifax executives sold shares worth around $2 million days after the breach discovery, and the “retiring” of the chief security information officers is questionable (Surane & Melin, 2017). Also, the company was exposed to litigations with some lobbyists and interest groups pushing regulators to hold Equifax accountable for the negligence and poor treatment of affected consumers. The proposed new data security laws will present a greater burden to other corporations. Two such laws are the Promoting Responsible Oversight of Transactions and Examinations of Credit Technology (PROTECT), and Freedom From Equifax Exploitation (FREE) will attract more government scrutiny and limit the type of personal data that companies can collect from customers (Alperan, Carter, & Sofio, 2017).