#NatCon14 #NatCon14
Data Security in a Mobile,
Cloud-Based World
Jacob Buckley-Fortin
CEO eHana
What we’ll cover
• Trends • Risks
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Trends
Mobile Has Taken Over
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• 450 million users worldwide
• Adopted primarily outside of the U.S.
• More messages sent than SMS worldwide • More photos sent than Facebook
$19,000,000,000
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The Cloud is Taking Over
Trend #2
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Services Delivered
Over the Internet
Three Key Service Models
#NatCon14 Infrastructure as a Service
Replaces physical devices you would normally host • Virtual Servers • Virtual Storage • Virtual Network Equipment Platform as a Service Hosted Application
Program Interfaces (APIs) • Development
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Hosted software delivered over the Internet
• Productivity Software • Electronic Health Records • Customer Relationship Management • Helpdesk • Human Resources • General Ledger • Enterprise Resource Planning • Appointment Reminders • Other things… Software as a Service
Benefits of the Cloud
• Speed
• Cost (expense vs. asset) • Scale
• Updates
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Google Apps for Nonprofits
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SaaS vs. Legacy
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“Software is Eating the
World”
Marc Andreessen
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Industrial Economy • HQ-Oriented,
process-centric workplace
• Analog products, one-size-fits-all
• System-centric back-office IT
Information Economy • Distributed, mobile,
dynamic, agile workplace
• Digital, smart, predictive products
• User-centric, simple front-office IT
Compliance
#NatCon14 Security Laws
• HIPAA (and HITECH/HIPAA)
• FTC Act section 5 (unfair and deceptive practice) • State breach laws
• State information security laws (201 CMR 17 is the strictest in the country)
• State-specific laws for specific medical conditions
Protected Health Information
1. Names;
2. All geographical subdivisions smaller
than a State, including street address, city, county, precinct, zip code, and their equivalent geocodes, except for the initial three digits of a zip code;
3. All elements of dates (except year) for
dates directly related to an individual, including birth date, admission date, discharge date, date of death; and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 90 or older;
4. Phone numbers; 5. Fax numbers;
6. Electronic mail addresses; 7. Social Security numbers; 8. Medical record numbers;
9. Health plan beneficiary numbers; 10. Account numbers;
11. Certificate/license numbers; 12. Vehicle identifiers and serial
numbers, including license plate numbers;
13. Device identifiers and serial numbers; 14. Web Universal Resource Locators (URLs);
15. Internet Protocol (IP) address
numbers;
16. Biometric identifiers, including finger and voice prints;
17. Full face photographic images and any comparable images; and
18. Any other unique identifying number,
#NatCon14 State Standards – MA P.I.I.
A Massachusetts resident's first name and last name or first initial and last name in combination with any one or more of the following data elements that relate to such resident: (a) Social Security number;
(b) Driver's license number or state-issued identification card number; or
(c) Financial account number, or credit or debit card number, with or without any required security code, access code, personal identification number or password, that would permit access to a resident’s financial account
#NatCon14 Big vendors will now sign BAAs
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Theft + Loss = 82% of records
#NatCon14 Breach Notification
• U.S. states have 47 breach notice laws • HIPAA is the only federal breach notice
law, and it only applies to HIPAA CEs and BAs
• HIPAA breach standard was tightened in 2013
– Risk analysis required if not reporting
Breach Notification
• Breach means “the acquisition, access, use, or disclosure of PHI in a manner not permitted… which compromises the
security or privacy of the PHI”
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• Requires immediate notification of Federal Gov’t > 500 individuals affected
• Annual notification < 500 individuals • Notification to a major media outlet
• Listed on public website (“public shaming”) • Individual notification to patients
• Penalties range from $10,000 - $1.5M
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Recommendations
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Safe Harbor - Algorithmic Process
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ENCRY
PTION
-
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DISK
ENCRY
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ENCRY
PTION
-
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HIPAA Safe Harbor
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Supported by all 4 major
Operating Systems
Microsoft “Bitlocker” • Windows Vista, 7, 8 (Pro) • Transparent operation • TPM, USB, PIN Control Panel > System and#NatCon14 OS X “FileVault”
• OS X 10.3+ • Transparent
operation
Preferences > Security & Privacy
#NatCon14 iPhone + iPad
• iOS 3.0+
• Just use a PIN
Settings > General > Passcode Lock
Touch ID
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Unless you have 3rd party software…
• Windows XP, 2000 laptops • OS X before 10.3 Panther • Android 2.X Phones/Tablets
• Original iPhones … may be at risk!
So, about Windows XP…
• Security updates, support have ended • Windows XP machines storing PHI are
likely not HIPAA compliant
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Required by 201 CMR 17
17.04(5) Encryption of all personal information stored on laptops or other
portable devices
Require Full Disk Encryption
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Create BYOD Policies
Recommendation #2
Bring Your Own Device (BYOD)
• 68% CIOs support BYOD in some form • 46% enforce device security
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“When strong winds
blow, don’t build walls
but rather windmills.”
#NatCon14 Bring Your Own Device (BYOD)
• Technical Approach (MDM) • Roles & Responsibilities – Users – Purchasing – Helpdesk • Training
• Privacy of user data • Security
– Transmission – At-rest
• Plans & Carriers • Apps
• Asset Tracking • Incentives
BYOD Agreements
• Determines eligibility
• Defines reimbursement levels • Explains security considerations • Defines acceptable use
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Implement Mobile Device
Management (MDM)
Recommendation #3
Mobile Device Management (MDM)
#NatCon14 MDM Enrollment • Text message • Email • Web address MDM Security
• Require device encryption
#NatCon14 MDM Workflow
• Install apps
• Add Wifi Passwords • Install email accounts
• Limit sharing of corporate resources • Add bookmarks
MDM Device Management
• Remove corporate assets when employee leaves
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Unified Threat Management
(UTM)
#NatCon14 Components of UTM • Firewall • Intrusion Prevention • Antivirus / Antispam • VPN • Content Filtering • DLP strategies Examples
• Prevent use of USB sticks
• Implement web filtering – Dropbox, Google Drive, etc.
• Review Instant Messaging, email filters, secure email
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Remember:
Mobile & Cloud Security
is Just Security
• Develop written infosec plan • Assign Security & Privacy
officer
• Lock out terminated employees
• Manage 3rd-parties
• Restrict physical access to PHI
• Document incidents & breaches
• Use Single Sign-On
• Password complexity & resets
• Block after multiple attempts • Encrypt data in transit
(especially over wifi) • Monitor systems • Use firewalls • Educate and train