Free EMR Newsletter Want to receive the latest news on EMR, Meaningful Use, ARRA and Healthcare IT sent straight to your email? Join thousands of healthcare pros who subscribe to EMR and HIPAA for FREE!!

Securing Mobile Devices in Healthcare

Posted on February 8, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This post is sponsored by Samsung Business. All thoughts and opinions are my own.

When you look at healthcare security on the whole, I think everyone would agree that healthcare has a lot of work to do. Just taking into account the top 5 health data breaches in 2015, approximately 30-35% of people in the US have had their health data breached. I’m afraid that in 2016 these numbers are likely going to get worse. Let me explain why I think this is the case.

First, meaningful use required healthcare organizations to do a HIPAA risk assessment. While many organizations didn’t really do a high quality HIPAA risk assessment, it still motivated a number of organizations to do something about privacy and security. Even if it wasn’t the step forward many would like, it was still a step forward.

Now that meaningful use is being replaced, what other incentive are doctors going to have to take a serious look at privacy and security? If 1/3 of patients having their records breached in 2015 isn’t motivating enough, what’s going to change in 2016?

Second, hackers are realizing the value of health data and the ease with which they can breach health data systems. Plus, with so many organizations going online with their EHR software and other healthcare IT software, these are all new targets for hackers to attack.

Third, while every doctor in healthcare had a mobile device, not that many of them accessed their EHR on their mobile device since many EHR vendors didn’t support mobile devices very well. Over the next few years we’ll see EHR vendors finally produce high quality, native mobile apps that access EHR software. Once they do, not only will doctors be accessing patient data on their mobile device, but so will nurses, lab staff, HIM, etc. While all of this mobility is great, it creates a whole new set of vulnerabilities that can be exploited if not secured properly.

I’m not sure what we can do to make organizations care about privacy and security. Although, once a breach happens they start to care. We’re also not going to be able to stem the tide of hackers being interested in stealing health data. However, we can do something about securing the plethora of mobile devices in healthcare. In fact, it’s a travesty when we don’t since mobile device security has become so much easier.

I remember in the early days of smartphones, there weren’t very many great enterprise tools to secure your smartphones. These days there are a ton of great options and many of them come natively from the vendor who provides you the phone. Many are even integrated into the phone’s hardware as well as software. A good example of this is the mobile security platform, Samsung KNOX™. Take a look at some of its features:

  • Separate Work and Personal Data (Great for BYOD)
  • Multi-layered Hardware and Software Security
  • Easy Mobile Device Management Integration
  • Enterprise Grade Security and Encryption

It wasn’t that long ago that we had to kludge together multiple solutions to achieve all of these things. Now they come in one nice, easy to implement package. The excuses of why we don’t secure mobile devices in healthcare should disappear. If a breach occurs in your organization because a mobile device wasn’t secure, I assure you that those excuses will feel pretty hollow.

For more content like this, follow Samsung on Insights, Twitter, LinkedIn , YouTube and SlideShare

To Improve Health Data Security, Get Your Staff On Board

Posted on February 2, 2016 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

As most readers know, last year was a pretty lousy one for healthcare data security. For one thing, there was the spectacular attack on health insurer Anthem Inc., which exposed personal information on nearly 80 million people. But that was just the headline event. During 2015, the HHS Office for Civil Rights logged more than 100 breaches affecting 500 or more individuals, including four of the five largest breaches in its database.

But will this year be better? Sadly, as things currently stand, I think the best guess is “no.” When you combine the increased awareness among hackers of health data’s value with the modest amounts many healthcare organizations spend on security, it seems like the problem will actually get worse.

Of course, HIT leaders aren’t just sitting on their hands. According to a HIMSS estimate, hospitals and medical practices will spend about $1 billion on cybersecurity this year. And recent HIMSS survey of healthcare executives found that information security had become a top business priority for 90% of respondents.

But it will take more than a round of new technical investments to truly shore up healthcare security. I’d argue that until the culture around healthcare security changes — and executives outside of the IT department take these threats seriously — it’ll be tough for the industry to make any real security progress.

In my opinion, the changes should include following:

  • Boost security education:  While your staff may have had the best HIPAA training possible, that doesn’t mean they’re prepared for growing threat cyber-strikes pose. They need to know that these days, the data they’re protecting might as well be money itself, and they the bankers who must keep an eye on the vault. Health leaders must make them understand the threat on a visceral level.
  • Make it easy to report security threats: While readers of this publication may be highly IT-savvy, most workers aren’t. If you haven’t done so already, create a hotline to report security concerns (anonymously if callers wish), staffed by someone who will listen patiently to non-techies struggling to explain their misgivings. If you wait for people who are threatened by Windows to call the scary IT department, you’ll miss many legit security questions, especially if the staffer isn’t confident that anything is wrong.
  • Reward non-IT staffers for showing security awareness: Not only should organizations encourage staffers to report possible security issues — even if it’s a matter of something “just not feeling right” — they should acknowledge it when staffers make a good catch, perhaps with a gift card or maybe just a certificate. It’s pretty straightforward: reward behavior and you’ll get more of it.
  • Use security reports to refine staff training: Certainly, the HIT department may benefit from alerts passed on by the rest of the staff. But the feedback this process produces can be put to broader use.  Once a quarter or so, if not more often, analyze the security issues staffers are bringing to light. Then, have brown bag lunches or other types of training meetings in which you educate staffers on issues that have turned up regularly in their reports. This benefits everyone involved.

Of course, I’m not suggesting that security awareness among non-techies is sufficient to prevent data breaches. But I do believe that healthcare organizations could prevent many a breach by taking advantage of their staff’s instincts and observational skills.

Wearable Health Trackers Could Pose Security Risks

Posted on February 1, 2016 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Last October, security researchers made waves when they unveiled what they described as a 10-second hack of a Fitbeat wearable health tracker. At the Hack.Lu 2015 conference, Fortinet security researcher Axelle Apvrille laid out a method for hacking the wearable through its Bluetooth radio. Apparently, Aprville was able to infect the Fitbit Flex from as much as 15 feet away, manipulate data on the tracker, and use the Flex to distribute his code to a computer.

Fitbit, for its part, denied that its devices can serve as vehicles for infecting users with malware. And Aprville himself admitted publicly that his demonstration was more theoretical than practical. In a tweet following the conference, he noted that he had not demonstrated a way to execute malicious code on the victim’s host.

But the incident does bring attention to a very serious issue. While consumers are picking up health trackers at a breathless pace, relatively little attention has been paid to whether the data on these devices is secure. Perhaps even more importantly, too few experts are seeking ways to prevent these devices can be turned into a jumping-off point for malware. After all, like any other lightly-guarded Internet of Things device, a wearable tracker could ultimately allow an attacker to access enterprise healthcare networks, and possibly even sensitive PHI or financial data.

It’s not as though we aren’t aware that connected healthcare devices are rich hunting grounds. For example, security groups are beginning to focus on securing networked medical devices such as blood gas analyzers and wireless infusion pumps, as it’s becoming clear that they might be accessible to data thieves or other malicious intruders. But perhaps because wearable trackers are effectively “healthcare lite,” used almost exclusively by consumers, the threat they could pose to healthcare organizations over time hasn’t generated a lot of heat.

But health tracker security strategies deserve a closer look. Here’s some sample suggestions on how to secure health and fitness devices from Milan Patel, IoT Security Program Director at IBM:

  • Device design: Health tracker manufacturers should establish a secure hardware and software development process, including source code analysis to pinpoint code vulnerabilities and security testing to find runtime vulnerabilities. Use trusted manufacturers who secure components, and a trusted supply chain. Also, deliver secure firmware/software updates and audit them.
  • Device deployment:  Be sure to use strong encryption to protect privacy and integrity of data on the device, during transmission from device to the cloud and on the cloud. To further control device data, give consumers the ability to set up user and usage privileges for their data, and an option to anonymize the data.Secure all communication channels to protect against data change, corruption or observation.
  • Manage security:  Include trackers in the set of technology being monitored, and set alerts for intrusion. Audit logging is desirable for the devices, as well as the network connections and the cloud. The tracker should ideally be engineered to include a fail-safe operation — dropping the system down to incapability, safely — to protect against attacks.

This may sound like a great deal of effort to expend on these relatively unsophisticated devices. And at present, it just may be overkill. But it’s worth preparing for a world in which health trackers are increasingly capable and connected, and increasingly attractive to the attackers who want your data.

The Biggest Challenge in Healthcare: Excuses

Posted on January 29, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

In one of my many conversations, someone told me the following quote that really stuck with me. I can’t remember who told me it and they didn’t want to be named, but I thought the comment was incredibly insightful.

The problem with healthcare is that it’s all complex. If people want to find an excuse not to do something, they can find one.

I think this quote is spot on. Is there anything in healthcare that isn’t complex? At least in healthcare technology, everything is complex. It’s not enough to just create a solution and roll it out tomorrow. You have to consider HIPAA laws, FDA regulations, reimbursement regulations, Federal laws, state laws, medical licensures, medical liability, etc etc etc.

Doctors principle of “first do no harm” is very real in healthcare and a generally good principle, but it can also be invoked easily to say no to anything you don’t want to do. Even if the thing that could be done doesn’t actually do any harm and could actually be beneficial to patients.

My prediction is the next 10 years, organizations are going to be defined by how an organization approaches this challenge. On the one hand we’ll have organizations that choose to use complexity as an excuse to not innovate. On the other hand we’ll have organizations that embrace hard, challenging, complex problems with solutions instead of excuses. It won’t be easy for these organizations, but it will absolutely differentiate them from their competitors.

I’m not suggesting that we should lower the standards of what’s acceptable to implement in healthcare. Instead, I’m suggesting that we make the effort required to explore new innovations and collaboratively work on solutions that handle the complexity of healthcare while providing incredible value to your organization and patients. After all, the very best things in life are challenging and difficult. Let’s embrace the challenging and difficult instead of using it as an excuse for inaction.

NIST Goes After Infusion Pump Security Vulnerabilities

Posted on January 28, 2016 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

As useful as networked medical devices are, it’s become increasingly apparent that they pose major security risks.  Not only could intruders manipulate networked devices in ways that could harm patients, they could use them as a gateway to sensitive patient health information and financial data.

To make a start at taming this issue, the National Institute of Standards and Technology has kicked off a project focused on boosting the security of wireless infusion pumps (Side Note: I wonder if this is in response to Blackberry’s live hack of an infusion pump). In an effort to be sure researchers understand the hospital environment and how the pumps are deployed, NIST’s National Cybersecurity Center of Excellence (NCCoE) plans to work with vendors in this space. The NCCoE will also collaborate on the effort with the Technological Leadership Institute at the University of Minnesota.

NCCoE researchers will examine the full lifecycle of wireless infusion pumps in hospitals, including purchase, onboarding of the asset, training for use, configuration, use, maintenance, decontamination and decommissioning of the pumps. This makes a great deal of sense. After all, points of network connection are becoming so decentralized that every touchpoint is suspect.

The team will also look at what types of infrastructure interconnect with the pumps, including the pump server, alarm manager, electronic medication administration record system, point of care medication, pharmacy system, CPOE system, drug library, wireless networks and even the hospital’s biomedical engineering department. (It’s sobering to consider the length of this list, but necessary. After all, more or less any of them could conceivably be vulnerable if a pump is compromised.)

Wisely, the researchers also plan to look at the way a wide range of people engage with the pumps, including patients, healthcare professionals, pharmacists, pump vendor engineers, biomedical engineers, IT network risk managers, IT security engineers, IT network engineers, central supply workers and patient visitors — as well as hackers. This data should provide useful workflow information that can be used even beyond cybersecurity fixes.

While the NCCoE and University of Minnesota teams may expand the list of security challenges as they go forward, they’re starting with looking at access codes, wireless access point/wireless network configuration, alarms, asset management and monitoring, authentication and credentialing, maintenance and updates, pump variability, use and emergency use.

Over time, NIST and the U of M will work with vendors to create a lab environment where collaborators can identify, evaluate and test security tools and controls for the pumps. Ultimately, the project’s goal is to create a multi-part practice guide which will help providers evaluate how secure their own wireless infusion pumps are. The guide should be available late this year.

In the mean time, if you want to take a broader look at how secure your facility’s networked medical devices are, you might want to take a look at the FDA’s guidance on the subject, “Cybersecurity for Networked Medical Devices Containing Off-the-Shelf Software.” The guidance doc, which was issued last summer, is aimed at device vendors, but the agency also offers a companion document offering information on the topic for healthcare organizations.

If this topic interests you, you may also want to watch this video interview talking about medical device security with Tony Giandomenico, a security expert at Fortinet.

Healthcare Data Breach Deja Vu…More Like Groundhog Day

Posted on January 27, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.


I was intrigued by Ryan Witt’s comment about it being Deja Vu when it came to more healthcare data breaches. In many ways he’s right. Although, I’d almost compare it more to the movie Groundhog Day than deja vu. If it feels like we’ve been through this before it’s because we have been through it before. The iHealthBeat article he links to outlines a wide variety of healthcare breaches and the pace at which breaches are occurring is accelerating.

I think we know the standard script for when a breach occurs:

  1. Company discovers a breach has occurred (or often someone else discovers it and lets them know)
  2. Company announces that a “very highly sophisticated” breach occurred to their system. (Note: It’s never admitted that they did a poor job protecting their systems. It was always a sophisticated attack)
  3. Details of the breach are outlined along with a notice that all of their other systems are secure (How they know this 2nd part is another question)
  4. They announce that there was no evidence that the data was used inappropriately (As if they really know what happens with the data after it’s breached)
  5. All parties that were impacted by the breach will be notified (Keeping the US postal service in business)
  6. Credit monitoring is offered to all individuals affected by the breach (Makes you want to be a credit monitoring company doesn’t it?)
  7. Everything possible is being done to ensure that a breach like this never happens again (They might need to look up the term “everything” in Webster’s dictionary)

It’s a pretty simple 7 step process, no? Have we seen this before? Absolutely! Will we see it again? Far too much.

Of course, the above just covers the public facing component of a breach. The experience is much more brutal if you’re an organization that experiences a breach of your data. What do they say? An ounce of prevention is worth a pound of cure. That’s never more appropriate than in healthcare security and privacy. Unfortunately, far too many are living in an “ignorance is bliss” state right now. What they don’t tell you is that ignorance is not bliss if you get caught in your ignorance.

Security Concerns Threaten Mobile Health App Deployment

Posted on January 26, 2016 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Healthcare organizations won’t get much out of deploying mobile apps if consumers won’t use them. And if consumers are afraid that their personal data will be stolen, they’ve got a reason not to use your apps. So the fact that both consumers and HIT execs are having what I’d deem a crisis of confidence over mHealth app security isn’t a good sign for the current crop of mobile health initiatives.

According to a new study by security vendor Arxan, which polled 815 consumers and 268 IT decision-makers, more than half of consumer respondents who use mobile health apps expect their health apps to be hacked in the next six months.

These concerns could have serious implications for healthcare organizations, as 76% of health app users surveyed said they would change providers if they became aware that the provider’s apps weren’t secure. And perhaps even more significantly, 80% of consumer health app users told Arxan that they’d switch to other providers if they found out that the apps that alternate provider offered were better secured. In other words, consumer perceptions of a provider’s health app security aren’t just abstract fears — they’re actually starting to impact patients’ health decision making.

Perhaps you’re telling yourself that your own apps aren’t terribly exposed. But don’t be so sure. When Arxan tested a batch of 71 popular mobile health apps for security vulnerabilities, 86% were shown to have a minimum of two OWASP Mobile Top 10 Risks. The researchers found that vulnerable apps could be tampered with and reverse-engineered, as well as compromised to provide sensitive health information. Easily-done hacks could also force critical health apps to malfunction, Arxan researchers concluded.

The following data also concerned me. Of the apps tested, 19 had been approved by the FDA and 15 by the UK National Health Service. And at least where the FDA is concerned, my assumption would be that FDA-tested apps were more secure than non-approved ones. But Arxan’s research team found that both FDA and National Health Service-blessed apps were among the most vulnerable of all the apps studied.

In truth, I’m not incredibly surprised that health IT leaders have some work to do in securing mobile health apps. After all, mobile health app security is evolving, as the form and function of mHealth apps evolve. In particular, as I’ve noted elsewhere, mobile health apps are becoming more tightly integrated with enterprise infrastructure, which takes the need for thoughtful security precautions to a new level.

But guidelines for mobile health security are emerging. For example, in the summer of last year, the National Institute of Standards and Technology released a draft of its mobile health cybersecurity guidance, “Securing Electronic Records on Mobile Devices” — complete with detailed architecture. Also, I’d wager that more mHealth standards should emerge this year too.

In the mean time, it’s worth remembering that patients are paying close attention to health apps security, and that they’re unlikely to give your organization a pass if they’re hacked. While security has always been a high-stakes issue, the stakes have gotten even higher.

Personalized Medicine Gone Wrong

Posted on January 22, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Personalized Care in a Digital World

Nothing like a cartoon to use humor to illustrate a really important point. We have to be careful that personalized medicine doesn’t make medicine less personal. Also, a great reminder that technology should assist the doctor and not replace it. Technology doesn’t have common sense.

7th Annual New Media Meetup at #HIMSS16 Sponsored by Stericycle Communication Solutions

Posted on January 21, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

7th Annual New Media Meetup - HIMSS16 in Chicago

For those of you planning to attend the HIMSS 2016 conference in Las Vegas, I’m excited to share the details of the 7th Annual New Media Meetup at HIMSS. For those who’ve missed the last 6 events, it’s a unique event that brings together healthcare IT bloggers, tweeters, and other social media influencers at the mecca of Healthcare IT conferences.

It’s incredible to think that this will be our 7th year hosting the New Media Meetup during HIMSS. Since HIMSS 2016 is returning to my hometown of Las Vegas, I knew we had to set a new bar for the event. Luckily our sponsor, Stericycle Communication Solutions, was on board with my ambitious plans. I hope everyone will spend some time checking out Stericycle Communication Solutions and thank them for sponsoring the event.

Here’s a quick summary of what we have planned for the event:
When: Wednesday 3/2 6:00-8:00 PM (Unofficial Karaoke after party starts at 8)
Where: Gilley’s at Treasure Island Casino – 3300 S Las Vegas Blvd, Las Vegas, NV 89109 MAP (Treasure Island is a short walk across the street from the Venetian/Sands)
Who: Anyone who uses or is interested in New Media (Blogs, Twitter, Social Media, Periscope, Blab, etc)
What: Food, Drinks, Mechanical Bull, Dance Floor, Giveaways, and Amazing People

Register Here!

Note: We have limited space for the event and so like in past years, we’ll have to close registration once we reach capacity.

Sponsored by Stericycle Communication Solutions
SRCL Communication Solutions
Stericycle Communication Solutions helps bring patients and healthcare organizations closer together. We believe that the key to patient engagement and positive patient experiences is effective and timely communication.

Stericycle Communication Solutions offer a unique combination of Live Agent services and Technology products that allow patients and providers to interact through multiple communication channels: phone, email, voice, text and online. We provide scheduling (phone and online self-serve), physician referral, population health, payment, follow-up, after-hours answering, care coordination and appointment reminder solutions to over 27,000 organizations.

Learn more at www.stericyclecommunications.com

Those interested in the New Media Meetup at HIMSS will want to check out the full scale Healthcare IT Marketing and PR Conference that we’re hosting in Atlanta April 6-8, 2016. It’s a special 3 days devoted to health IT marketing and PR professionals.

A really big thank you also goes out to all the members of Influential Networks and Healthcare Scene that help promote the New Media Meetup. This event was originally brought together through social media and is still largely organized thanks to social media.

Let me know if you have any questions and I look forward to seeing many of you in Las Vegas very soon!

7th Annual New Media Meetup - HIMSS16 in Las Vegas

How Tech Companies are Changing Our Healthcare Infographic

Posted on January 19, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

UIC’s Masters in Health Informatics has put out a great infographic that looks at how tech companies are changing our healthcare system. However, what struck me most about the infographic was that it focuses on how medicine is going to become (some might say becoming) far more personalized. I’ve always been struck by the fact that many of the advancements in healthcare that we dream about are only possible through the use of technology. Many of the personalize medicine initiatives aren’t even in the realm of thinking in a paper world. That’s a powerful idea.

I’m sure that many out there might read this and argue that the addition of computers is causing a de-personalization of health care. I’d argue that it all depends on how the tech is implemented. In many cases today, healthcare technology has de-personalized the care that’s provided. However, that doesn’t have to be the case. Technology should be a tool that makes the care a doctor provides extremely personalized. That’s true from a data and patient-physician interaction perspective.

Take a look at the infographic and be sure to share your thoughts in the comments:
How Tech Companies are Changing our Healthcare Infographic