You’re not dealing with somebody walking through the door. But at that point, you’re trusting the hardware itself. You’ll have to answer questions and we want to make sure we’re covering topics most interesting to you, OK, sure. So they’re not having to spend 10 minutes scrubbing and scrubbing out for …, in fact, the patient, Those things all have inherent risk, right? So, I, you know, I definitely see device manufacturers going the way of encrypting all of their data. EU has things like GDPR, which are even though a broader extension of that, general privacy. Like Google wants, it has an easy, but the model has it easier, because the annotation is, is, is the users are actually doing the annotation. We have this beautiful televisions, but, but through that evolution, it gained compute capabilities, so these things are running, you know, these things are running, you know, real MIPS arms, and, in some cases, X 86 processors, in order to, you know, not only provide the, you know, high frequency rate, some dithering on the screen in order to make things pop. You need to pay And yeah, that of course is something that gets leaked on Twitter. I’m going to the store. So, know, when an IT organization looks at segmenting their network into logical zones, they typically do it in geographic ways, in the sense of, like, let’s do a v-lan per floor, and let’s do a self net per business unit. What does all of this asking of the hospital administrators, you brought up at the beginning? I am who I say I am. I mean, these types of things, our, I would say egregious and just kind of security in general at the enterprise, or, you know, Fortune 500 companies. And I can basically get around these issues that I talked about with model poisoning with trying to steal models. Tom drained it this way, I now come up with this global model That’s a conglomerate of all of there’s an average of all of theirs if you will. Thank you all again for joining us and thank you to Tony and Jeff. So they ended up coming up with this concept federated learning. Particularly in the cloud where we need to have, really, these distributed datasets over the world because this is a global pandemic. Yeah, so, I mean, the, I think it’s becoming more and more, you know, kind of evident that it’s, it’s connected devices. One of the cruel tricks to these ransomware operators, I’ve seen before, is, know, one of the things that they do, first and foremost is I get them in the box, and then they’ll turn off logging, right? 64 Healthcare Cyber Security jobs available on Indeed.com. And so some of the questions that immediately come up were, “can we do this wirelessly?” which doesn’t mean remote in terms of like in the next building, it means 10 feet outside the door. Right. And what’s really interesting about that one is that, in addition to all the regulatory compliance and everything, they were so confident of the algorithm. You know, Jeff trained it this way, Becky trained it this way. See if you qualify for or renew your Apple Health managed care. Experts explore why hospitals are being singled out and what any company can do to better protect themselves. So, HR is on the third floor, and, you know, here’s the VLAN, and here’s their supplement, That’s incredibly difficult, and I’ve seen a lot of organizations fail. Because telehealth platform providers are often the middle ground, so to speak, between RPM ecosystems and the health organization, it is important for them to assure security between the patient and health provider – and for health systems to determine their privacy and security … So, I’m trying to track, Becky, through her credit history, and her bank history, and all of these disparate, kind of data stores, and coming up with a single question that I want to ask about, Becky, as opposed to, you know, Jeff, in the in, in this. They don’t have a person behind them, usually, you know, surfing Facebook so that they’re not the random, right. Learn how your comment data is processed. As you can see, the basic issue there is that the model itself has information about the data. So, when I look at security model, security frameworks, or, you know, you know, particularly like device security, It is absolutely the bare minimum. And I’m, I’m, we’re using it in order to create machine learning models on the device and healthcare in order to figure out, you know, is this a MRI machine by GE? So, what we’re seeing organizations do is say, Hey, look, we need an asset inventory that includes everything, right? (Source: Health IT Security) 22. I will say there’s, there’s a, there’s a funny one that I think it’s IDX, there’s a, there’s one that’s, like, 99.9% of the AI approved algorithms are, are FDA cleared. Left to right: Khalid Alodhaibi, medical service directorate, Ministry of Defence, Ibrahim Al-Omar, private sector participation project general director at the Vision Realisation Office – Ministry of Health, Sufana AlMashhadi, director, Innovation Center at King Fahad Medical City and Dr Ahmed Balkhair, advisor for digital transformation, Ministry of Health … And these proof of, I am who I say, I am and I’m not authorized to be on this. Obviously just basic TLS encryption is going to be standard for everything. And then basically, the models plural come back now from every user that they’ve trained on and you just have to come up with some way of getting a single consensus model. Apply to Security Officer, Customer Service Representative, Information Security Analyst and more! What do you, what do you, do you have anything to say on that, FDA regulations and device? This is this is Tony’s bit, so this is all really new, interesting stuff. You need to use this standard with this, and, you know, this machine with this. Know, robots that are conducting surgery, like, well, a lot of the surgery centers are, you know, leaning on robotic surgeries for, you know, lower invasive procedures. Denial of service attack could have fatal consequences. The moment that these things get external, it’s the moment that you can have somebody anywhere in the world that can attack it. You may need to download version 2.0 now from the Chrome Web Store. For instance, we did a position paper, I think it was last year, they are starting to consider software as a medical device, which is kind of interesting that, you know, it’s an AI AI model that’s completely software based, and now looking at some sort of evidence based FDA clearance on those. Tony’s a physician, and he’s got extensive experience in AI, neuro physiology, excuse me, telemedicine and data science. So, we’re starting to see organizations not only do asset discovery in real time, so using something that’s passive on the networked in order to create an asset inventory that you could say, right now, what is this device? But, you know, these are things that people are thinking about in terms of Machine learning and AI. They only did they only connect to maybe 4 or 5 or 10 machines on the network. If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. One thing is, now you’re moving models around. The fine-tuned expertise of healthcare connected machines, along with the enormous cost to upgrade hardware in many instances, leave holes on a network that simply cannot be patched. As an attacker, you only need an IP address, that’s it, right? The result has been a newfound attention from ransomware and other malicious actors circling and waiting for the right time to strike. Infosec Insider content is written by a trusted community of Threatpost cybersecurity subject matter experts. So you’d pull out your cell phone, And you’d start to type a message to your loved one. So you get these things where you know these vulnerabilities are having to be modulated by the device and how the device is typically used. And I’m going to send the model out. But then what we’re finding out is that if we put our privacy hat on, there’s actually a better model for them being able to do it at the edge, right? Data never moves. And there’s no guarantee that you’re gonna get your data back. Tony, are you, are you in agreement with that generally? OK, let’s get into sort of, the most pressing, which is the human cost. And so what happens is that you’ve got, you know, lots of data in New York, and lots of data in Mumbai and lots of data in Moscow. And then sometimes, it’s just, the data’s literally too large to transmit. So, you know, just picking on that one example, it’s easy to point to the, to the, oh my God, why is my coffeemaker connected to Wi-Fi? No, I think it might have been the easiest way to do it. The struggling retailer’s back-end services have been impacted, according to a report, just in time for the holidays. And it could be internal, it could be external. According to HealthIT.gov, individual health care organizations can improve their cyber security by implementing the following practices: 1. We’re trying to, you know, trying to memorize data, things like that. That’s a key that, you know, is unique to that, and so you can say, is my if I’m running Windows, is my weight, hence my window has been hacked. We’re actually going out there and trying to figure out where those holes are and continuously plugging through them. People like to talk about shadow IT, but there’s definitely a shadow IOT problem in the sense that you have devices that break HIPAA overtly. But, I will say (shameless self-promotion) that at Supercomputing 2020, which is going on this week, We actually have a demo showing federated learning using an Intel security technology called SGX Software. • You know, security could probably push back and say, Hey, on what? I’m hearing you, say that you don’t necessarily advise against just paying, paying off the ransomware, and get any. Yeah, I think the first one is just going to be their policies, that this is a, this is a proactive space. Know, having your MRI machine, B the pivot or the distribution point for ransomware is very difficult because you can install AV, you can install an endpoint detection. I’m sure there is, I’m sure there’s actually several of them that, that were happening there by the, by the FDA to be be used by it, so yeah. You know, in the sense of gotten devices that are inherently vulnerable, right? Security checklists and plans alone are not enough to develop a strong … OK, let’s just go to the Q and A We’ve got some really good questions, and I want to make sure we have time for them. We’ve got some data, and we’ve all agreed to the same way of organizing that data of making sure that the, the annotations are the ground truth labeling of that data is same. Controlling access to electronic records is a challenging task – it requires Healthcare IT Security … But what we want to do now is we want our experts to kind of separate the hysteria from everything else and give us an overview of what that should be telling us. And try to centralize all this data. Blood pressure, you know, all those things that you end up getting plugged into, it just opens up the space enormously and you have to add in that security of if I put in a device to a new device, to the network, I plugin, a new sensor. But what we were able to show with this paper is that, if, in this case, we had a dataset that was open, that was, you know, we could get all the data is kinda centralized. And the enclave is only accessible by you, so I could run something on Jeff’s computer and Jeff couldn’t actually access it unless he had my key to access it. And we also have a new e-book coming out focused on this very topic: Cybersecurity and Healthcare. Healthcare cybersecurity risks are ignored. Sponsored Content is paid for by an advertiser. But I also wanted to talk about the evolving role of the engineer within the healthcare IT space. We data silo problems or for a host of reasons, privacy and legality, obviously, in the US, there’s HIPAA laws around healthcare information. Even more nefarious, you could actually start to poison models. But you’re in a literal state of, it’s going to either take me millions of dollars to rebuild my entire business, or recover from a backup from six months ago because I don’t have a robust backup strategy or just pay the ransom and do it. Or are there incremental steps that you know at the edge that we can start taking that might work OK, with some existing infrastructure? But it also brings up these very kinds of academic, or I would consider them academic. Let’s do that. Usually, go through some sort of procurement process with clinical engineering, IT, operations may be security. Like, you know, every time that I saw, you know, oh it’s a denial of service vulnerability, you know, great. We have an excellent conversation planned on a critically important topic, Healthcare cybersecurity. It has access to 20 terabytes of information. But things like even, I put in, for example, there’s one of the things for an encode that was along with these, these, these ventilators was having just dashboards and nursing stations, and having kind of wireless had wireless displays. You know, there is a definite lack of, you know, and I think it’s the right thing to do, honestly. Healthcare cybersecurity is a growing concern. Not the image itself, but the hash of what, the, what the image we’re supposed to be and that gets us back to that adversarial kind of, You know, learning aspect. Much harder to do, where you’re, let’s say, in a in a in a system, let’s say, I’m, like a financial system, where you’re looking at different data stores for the same individual. So, know, I’ve seen network administrators be fooled by this in the sense of like, Oh, guys. Because it’s cool, I mean all these printers spitting out horrible visual Sorry. It’s not been updated and it’s a jailbroken hyphen, right. once you go surf the web site, I go get a piece of malware that tries to, you know, install ransom, world device. Have policies in place to do this? And you could do something called a model inversion attack. It’s good. You know, not only are we saying, in healthcare an external attack surface, but absolutely, an internal attack surface increase as well. Because, from an IT perspective, you can’t manage what you can’t see, and from a security perspective, you can’t control and protect what you don’t know, right? Let’s just introduce our panelists today. Because the data doesn’t move, but is there anything else that, is an issue? And we were able to show that, basically, if you were to just train at a single hospital on just the local dataset, the final model with all the data was 17% better, on average than if you just trained on any given place. But the old models of, know, from, from an IT perspective, or from an engineering perspective of, oh, yeah, let’s take all these imaging data. That was coined by Google, because they ran across the same issues and what they wanted to do in the original paper, this was about five years ago, or so they were looking at your cell phone. We know, I mentioned MRI machines that are coming off the factory line right now with Windows seven, Windows XP at Speed zero, running Web servers, FTP servers, and file transfer protocol, so that right here, and can never be patched. And I want to let you know that this webinar is going to be delivered to your inbox. 2015 was a record year for healthcare … Are you using the data at one, albeit the largest site? That’s now going to be bread and butter for a hospital engineer is to is to be able to deal with this health care internet of things, where you’re going to have all sorts of devices being either plugged in or being wirelessly plugged into your network and handling these security certificate exchanges. Because, you know, they let’s cover this internally because we don’t want the shares of our, you know, company going down. The HHS Office of the National Coordinator for Health Information Technology (ONC) is administering $2.5 million in funding from the Coronavirus Aid, Relief, and Economic Security Acts (CARES Act) … Here’s proof that I actually measure the temperature over the last 10 days, and this is what I did, because I don’t know what the numbers are, that he actually measured SGX and trust exe execution environments, And these kind of security models have this idea of attestation in them. Another way to prevent getting this page in the future is to use Privacy Pass. A lot of their tools, tactics, and procedures, are based on getting into the network either through paid things. And so that was the initial thing. So, on the ones that we’re doing, we’re really doing the academic kind of work to show equivalence in the two techniques. You know, you buy an MRI machine that has no Windows XP, SP zero on it, that could live in the network for 10 years or more. Because I’ve I’ve done this and this is this is this adversarial kind of kind of imaging. I know, you know, some people don’t understand what that means, but, you know, from a cybersecurity perspective that, you know, that means that they’ve actually thought about not only, you know, data privacy and data protection, as part of their, kind of, you know, their ecosystem for their product. And these devices weren’t necessarily set up to do that. It’s one of those things where when regulations are put in place, you’re basically saying, Hey, I I go to this minimal level without being fined for being just a … wrong. It might take you five minutes to kind of gown-in, five minutes to gown-out, just to go in and make a slight change to a ventilator. I mean, it’s not as broken as it seems. So those are the kind of kind of Paradigms. It’s really good to have trusted vendors, right, vendors that you know are going to be doing it right? You know, because we absolutely have seen an increase in either, you know, targeted attacks against health care organizations, or no simple attacks like phishing and spam, working on users as they’ve kind of migrated to the home. Establish a Security Culture. It does it right to be, first, the payment is really to just get your data back. This field is for validation purposes and should be left unchanged. It’s prospective studies and retrospective studies. Imprivata PatientSecure is the leading positive patient identification solution for healthcare that improves patient safety and financial outcomes through biometric identification. “In the world of security and privacy, the need for IT solutions focused on healthcare continues to grow,” said Joe Van De Graaff, Vice President, Digital Health and Security at KLAS Research. So there’s been, you know, a lot of push to kind of back engineer some of these things and try to take some of the existing technologies to do these healthcare wireless kind of systems or remote monitoring kind of technologies building in the security. Before we get started, we want to have a quick poll. So one of the first things they do, and a ransomware event is like, Hey, don’t talk about this, Right? And robots, these, these robots, I’m not gonna pick on the individual vendor, but that is something so cool. Just to make sure that, you know, they can’t take pictures of their screen, if they do, then, you know, the IT organization might not be looking for it, but they could be at least materially aware of it if it starts to occur. OK, well, I want to thank you both so much for your time and your insights today. And it’s almost like you’re doing like a pharmacology kind of test. So federated learning and the data silo. We don’t allow these things, and yet we find them in every right, and you are one Alexa away from basically sending potentially sensitive information up to an angles on web service that’s not potentially not HIPAA compliant or hitrust compliant. Mainly because it’s not a, It’s not a malware problem. If I bring in my cell phone, I need to know to the minute that that thing, you enter my network because it could transact some malicious activity. The administrator of your personal data will be Threatpost, Inc., 500 Unicorn Park, Woburn, MA 01801. I mean, where, where to hospital administrators? Uh, There are, but, honestly, I would say that Security Standards are the basic foundation model, right? And they change their pricing to reflect that, right? The HITECH Act is prompting more healthcare organizations to move medical records to an electronic format, but this process also raises new Healthcare IT Security issues. It’s not just I I plug it into the network, and oh, I now have access, I have to prove to the network who I am. It could be something as, I won’t say simple as that. So, being able to kind of take a security focus bottoms up approach in the sense of, let me, let me figure out what’s on my network, right? So thank you both so much for joining us. It’s really policies, rather than, like, prescriptions of, you know, here’s exactly what you need to do. You’ll hear, the kind of catchphrases “data is the new oil.” If you have oil and you don’t know how to price it, you want to get something out of opening up this data and, you know, if it’s going to help. There’s no reason why, know, just an HR needs to be able to hit the IP and touch the external surface of this MRI machine because it only needs to talk to four machines and the network. And if you are crafty, you can actually get data from models by doing that. A lot of these IOT devices, they’re very, very deterministic. And what is a threat model for it? So you’re giving the, I’m giving Jeff an algorithm code that I want him to run. And these are all things that are in the headlines, and there’s more, Turkish government agencies acting in the public works. And he worded it better than I did but, that’s the idea. Alternatively, a lightly edited transcript of the event follows below. And so being able to take that and say, hey, I’ve got an MRI machine that runs Windows XP, SP zero, It’s going to be here for the next seven years. So, you know, we have seen device manufacturers adopt that, it has just been extremely, extremely slow. Do you want me to pick up a? If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. Obviously you know, we’re seeing more and more medical devices go through, kind of transformation, from a development perspective, in terms of adopting things like security development, lifecycles. Some of the stuff doesn’t even pass the smell test in some cases from a security perspective in the sense of, you know, hey, I’m going to have an implantable cardiac defibrillator in my, you know, my chest that has Bluetooth and connectivity that, you know, I want to make sure that that’s at least hardened. You know, Windows seven, Windows XP, SP zero are kind of commonplace within healthcare and also these IOT devices They don’t have a life cycle of 1 to 2 years. ... and optimise clinical workflows by solving user access challenges and protecting patient privacy and improving security … They have a robust backup strategy on paper, and a lot of these health care organizations, you will say they have a robust backup strategy. And they were able to say, well, we could not tell us the hospitals where they could say, here’s the original sharing. I think we exist in this really kind of opportunistic time. Healthcare security in 2021 2020 roundup and our predictions. So, I encourage you to kind of go to that site, And, yeah, I kind of open it up. Like we’ve got ransomware, but we’ve got good system restore points from three weeks, and so let’s not pay the ransom right, now let’s spend 2 or 3 days, you know recovering from a known good system, restore point, and now they’ve wasted 2 or 3 days. 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