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Data Security in a Mobile, Cloud-Based World

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#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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#NatCon14

Trends

Mobile Has Taken Over

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#NatCon14

• 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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#NatCon14

The Cloud is Taking Over

Trend #2

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#NatCon14

Services Delivered

Over the Internet

Three Key Service Models

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#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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#NatCon14

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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#NatCon14

Google Apps for Nonprofits

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#NatCon14

SaaS vs. Legacy

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#NatCon14

“Software is Eating the

World”

Marc Andreessen

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#NatCon14

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

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#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,

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#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

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#NatCon14 Big vendors will now sign BAAs

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#NatCon14

Theft + Loss = 82% of records

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#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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#NatCon14 Breach Notification

• 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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#NatCon14

Recommendations

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#NatCon14

Safe Harbor - Algorithmic Process

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#NatCon14

ENCRY

PTION

-

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#NatCon14

DISK

ENCRY

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#NatCon14

ENCRY

PTION

-

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#NatCon14

HIPAA Safe Harbor

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#NatCon14

Supported by all 4 major

Operating Systems

Microsoft “Bitlocker” • Windows Vista, 7, 8 (Pro) • Transparent operation • TPM, USB, PIN Control Panel > System and

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#NatCon14 OS X “FileVault”

• OS X 10.3+ • Transparent

operation

Preferences > Security & Privacy

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#NatCon14 iPhone + iPad

• iOS 3.0+

• Just use a PIN

Settings > General > Passcode Lock

Touch ID

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#NatCon14

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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#NatCon14

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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#NatCon14

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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#NatCon14

“When strong winds

blow, don’t build walls

but rather windmills.”

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#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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#NatCon14

Implement Mobile Device

Management (MDM)

Recommendation #3

Mobile Device Management (MDM)

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#NatCon14 MDM Enrollment • Text message • Email • Web address MDM Security

• Require device encryption

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#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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#NatCon14

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#NatCon14

Unified Threat Management

(UTM)

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#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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#NatCon14

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

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