In a recent cybersecurity incident, Ascension, a major health system, has disclosed that cybercriminals stole files potentially containing personal information. This comes about a month after Ascension initially reported falling victim to a ransomware attack.
Ascension revealed that the attackers managed to extract files from seven of its 25,000 file servers. While the investigation is ongoing, preliminary findings suggest that these files may include protected health information and personally identifiable information. However, Ascension has yet to determine the exact data compromised or the specific patients affected.
Despite the breach, Ascension reported no evidence indicating that data from its electronic health records were stolen. The attack was traced back to an employee inadvertently downloading a malicious file, mistaking it for a legitimate document.
In response to the attack, Ascension is offering free credit monitoring and identity theft protection services to patients and employees. Those interested in these services can call 1-888-498-8066 to enrol.
The attack, discovered on May 8, caused paradigm altering disruptions across Ascension’s network. Some elective surgeries and appointments were postponed, and one hospital in Illinois temporarily redirected ambulances to other facilities. Nurses at several hospitals faced challenges, such as difficulties in accessing doctors’ orders for medications and tests, and issues with their standard procedures for medication administration.
Ascension Illinois has recently restored its primary technology for electronic patient documentation, allowing hospitals and doctors' offices to resume electronic documentation, charting, and order sending. This restoration marks a crucial step in returning to normal operations.
This incident at Ascension is part of a troubling trend of cyberattacks targeting healthcare institutions. Earlier this year, Lurie Children’s Hospital in Chicago and the University of Chicago Medical Center also faced cyber incidents. Healthcare systems are prime targets for cybercriminals due to their size, reliance on technology, and the vast amounts of sensitive data they handle, according to the U.S. Department of Health and Human Services.
As cyber threats expand their territory, healthcare systems must remain vigilant and enhance their cybersecurity measures to protect sensitive patient information. The Ascension attack underscores the critical need for robust security protocols and employee awareness to prevent future breaches.
In a pivotal transformation within the healthcare industry, a prominent shift is currently unfolding. Direct Secure Messaging (DSM) has emerged as a game-changer, modernising the way vital information is shared among healthcare providers, pharmacies, and laboratories. Traditionally, healthcare communication has relied heavily on outdated methods like faxing, costing the US healthcare system billions annually and compromising patient safety. DSM, however, introduces a secure and efficient alternative, addressing concerns about privacy and security.
DSM operates on a secure protocol, similar to email but comes with enhanced security measures. Healthcare providers receive unique digital certificates that act as a digital signature, ensuring authenticated identity and encrypting messages for authorised recipients only. This means medical records, lab results, and other sensitive information can be sent directly through electronic health record (EHR) systems or DSM-enabled platforms, eliminating the need for cumbersome and insecure methods like faxing.
1. Security: DSM employs advanced encryption techniques, minimising the risk of unauthorised access during transmission.
2. Efficiency: By eliminating manual processes like printing and faxing, DSM streamlines communication workflows, saving time and resources for healthcare providers.
3. Accuracy: Unlike faxing, DSM ensures the accurate and reliable transmission of information in its original format.
4. Interoperability: Built on standardised protocols, DSM facilitates seamless communication between different healthcare systems, promoting interoperability.
5. Compliance: With increasing regulatory requirements, DSM aids healthcare organisations in complying with data privacy regulations such as HIPAA.
Direct Secure Messaging represents a significant leap forward in healthcare communication, aligning with the digital age's demands for secure, efficient, and interoperable solutions. As healthcare continues to evolve, DSM is poised to play a crucial role in shaping the future of healthcare delivery.
DSM has become a trusted method for secure and interoperable communication of health information, particularly in healthcare referrals. Offering a secure alternative to fax, DSM transforms healthcare referrals, care coordination, and clinical communication.
1. Secure and Interoperable Communication: DSM provides a trusted mechanism for exchanging health information, ensuring seamless communication between healthcare providers.
2. Improved Patient Care Coordination: By expediting information exchange, DSM positively impacts patient care coordination, providing timely and comprehensive data for informed decision-making.
3. Efficiency and Reliability: DSM is highly efficient and reliable, reducing the time for referrals and facilitating prompt patient appointments.
4. Data Mapping and Integration: DSM enables seamless data mapping and integration between different healthcare systems, minimising the effort required for data transfer and enhancing patient care.
In a broader spectrum, Direct Secure Messaging emerges as a transformative tool for healthcare referrals, simplifying communication, reducing burdens on providers, and benefiting both patients and care teams. With its reliability, ease of use, and ability to streamline data integration, DSM represents a significant step towards enhancing the overall efficiency and effectiveness of healthcare communication.
As healthcare embraces the digital revolution, Direct Secure Messaging stands at the forefront, ushering in an era where communication is not only instant and seamless but also prioritises the utmost security and efficiency in patient care.
On Thursday, the department’s security team, Health Sector Cybersecurity Coordination Center (HC3), issued an alert where it urged all U.S. healthcare businesses to protect their NetScaler ADC and NetScaler Gateway equipment from ransomware gang invasions.
"The Citrix Bleed vulnerability is being actively exploited, and HC3 strongly urges organizations to upgrade to prevent further damage against the Healthcare and Public Health (HPH) sector. This alert contains information on attack detection and mitigation of the vulnerability,” the alert read.
"HC3 strongly encourages users and administrators to review these recommended actions and upgrade their devices to prevent serious damage to the HPH sector."
Prior to the aforementioned warning, Citrix had already issued two warnings urging admins to patch their appliances in priority. It also urged administrators to terminate all open and persistent sessions. Moreover, in order to stop hackers from obtaining authentication tokens even after the security upgrades have as well been installed.
Cybersecurity professional Kevin Beaumont has been monitoring and analyzing cyberattacks against a variety of targets throughout the globe, such as Boeing, DP World, Allen & Overy, and the Industrial and Commercial Bank of China (ICBC), and he discovered that these targets were probably all compromised through the use of Citrix Bleed exploits.
On Friday, Beaumont revealed that the U.S.-based managed service provider (MSP) experienced a ransomware attack by a threat group, that has exploited a Citrix Bleed vulnerability a week earlier.
The MSP continues to work on securing its susceptible Netscaler appliances, which may leave its clients' networks and data open to additional intrusions.
The vulnerability was fixed by Citrix in early October, but Mandiant subsequently discovered that it has been actively exploited as a zero-day since at least late August of 2023.
AssetNote, an external attack surface management company, on October 25, released a CVE-2023-4966 proof-of-concept exploit explaining how session tokens can be accessed by cybercriminals from Citrix appliances that has not been patched.
According to Japan-based threat researcher Yukata Sejiyama, over 10,000 Citrix servers – many of which belonged to some important organizations globally – were still susceptible to Citrix Bleed attacks more than a month after the critical flaw was patched.
"This urgent warning by HC3 signifies the seriousness to the Citrix Bleed vulnerability and the urgent need to deploy the existing Citrix patches and upgrades to secure our systems," said John Riggi, a cybersecurity and risk advisor for the American Hospital Association, a healthcare industry trade group that represents 5,000 hospitals and healthcare providers across the U.S.
According to Riggi, this case also highlights the ferocity with which ‘foreign ransomware gangs,’ (majorly the Russian-speaking groups), continue to attack medical facilities and other healthcare institutions. Ransomware attacks interrupt and delay health care delivery, placing patient lives in danger.
In a recent report published on Wednesday by research conducted by Proofpoint, an email security company, around 90% of healthcare organizations have experienced at least one cybersecurity incident in the past year.
In the past two years, more than half of the healthcare organizations have reported to have experienced an average of four ransomware attacks. 68% of the organizations surveyed noted that the attacks “negatively impacted patient safety and care.”
The aforementioned report conducted by Proofpoint includes a survey of more than 650 IT and cybersecurity professionals in the US healthcare sector, highlighting the healthcare sector's ongoing susceptibility to common attack methods. It occurs as the Cybersecurity and Infrastructure Security Agency works to provide greater assistance to small, rural hospitals that are underfunded and wilting under constant cyberattacks.
As healthcare organizations struggle to find alternatives to their outdated technology so they can keep providing services, these efforts are using up more and more of their resources. Between 2022 and 2023, the cost of the time spent minimizing the attacks' consequences on patient care rose by 50%, from around $660,000 to $1 million.
In the case of ransomware assault in hospital systems, where computer networks shut down, the impact is rapid and extensive.
Stephen Leffler, president and chief operating officer of the University of Vermont Medical Center, spoke about how a ransomware assault in October 2020 brought about a catastrophe at his facility during a congressional hearing in September. For 28 days, senior physicians had to train junior physicians on how to use paper records as the National Guard assisted the IT department in a round-the-clock operation to wipe and reconfigure every computer in the network.
Leffler remarked, "We literally went to Best Buy and bought every walkie-talkie they had." This was due to their internet-based phone system being offline. Between 2022 and 2023, the cost of patient care grew by 50%, from about $660,000 to $1 million.
Leffler, who has been an emergency medicine doctor for 30 years, further commented “I've been a hospital president for four years. The cyberattack was much harder than the pandemic by far.”