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ASPR TRACIE – Readiness and Response Planning – Ep 322 

 September 17, 2021

By  Donna Grindle

ASPR TRACIE

You know how we love to pass along guides and resources that can help you improve your organization’s privacy and security programs. Today, we are going to review a recent resource guide put out by HHS’ ASPR TRACIE office called Healthcare System Cybersecurity – Readiness and Response Considerations. This guide is packed with very helpful tips, best practices, and resources surrounding cybersecurity and responding to cyber incidents. And it’s FREE!

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In this episode:

ASPR TRACIE – Readiness and Response Planning – Ep 322

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ASPR TRACIE – Readiness and Response Planning

[09:42] HHS’ Office of Assistant Secretary for Preparedness and Response (ASPR) has sponsored the Technical Resources Assistance Center and Information Exchange (TRACIE) since 2015. ASPR TRACIE is an online resource designed to help healthcare facilities understand how to reduce the risk associated with cyber events, including how to care for patients and keep the business up and running during such an event. This publication was published in Feb 2021 and is very much worth taking a look at for some great tips and tools to use for every organization.

Healthcare System Cybersecurity: Readiness & Response Considerations

We like how this guide is laid out. There are sections on preparedness and mitigation, a section on response and a section on recovery. Does this sound familiar? Maybe list the NIST cybersecurity framework reference we talk often about? As a matter of fact the document does follow and recommend that organizations utilize NIST. It also references HICP 405D practices. We’ve said many, many times that you need to have a plan. This guide is a very comprehensive guide to help you create an effective plan to respond to cybersecurity events.

IT Incident Response Planning

[16:37] The guide begins with IT Incident Response Planning where it recommends incorporating basic IT preparedness principles into planning process, including:

  • Understand historical healthcare-related attacks and the subsequent lessons learned.
  • Have an incident response plan and practice and update it regularly.
  • Implement cybersecurity digital infrastructure checklists into operational protocols.
  • Ensure enterprise and individual facilities, emergency managers, and IT teams plan collaboratively.
  • Implement cyber-hygiene programs and employee education drills to prevent successful attacks.
  • Identify clinical and non-clinical operational vulnerabilities within facilities.
  • Identify and understand how to engage with critical external partners such as Healthcare Coalition (HCC) stakeholders

Cybersecurity Readiness

So, maybe what they are saying here is that you can’t do the easy risk analysis, IR and BC/DR as a check the box item? Maybe you need to look at the issue in a much broader context than just HIPAA compliance?

Effective mitigation of cyberattacks relies on careful planning by the facility or health system’s IT team in conjunction with facility leadership, providers, and ancillary departments. Comprehensive routine evaluations of the facility or health system across departments and systems can provide insight into their interdependencies and expose vulnerabilities to address.

We are actively trying to figure out how to successfully get the resources they reference here.

Federal cybersecurity services are available at no cost to all entities. Smaller facilities, rural health centers, or others with limited IT resources in particular may explore free cyber hygiene services provided by the Cybersecurity and Infrastructure Security Agency (CISA) to identify any system vulnerabilities, evaluate resilience, and stay current on cyber practices.

Routine Mitigation

This sounds familiar. It basically means go to the cloud, but don’t assume that is a few clicks and then you are done worrying about security.

Modernize legacy systems and move towards virtualized data centers and cloud-based services. Give special consideration to securing cloud-based systems and understanding the unique risks associated with virtualized environments.

Key elements in the communication and collaboration section:

  • Identify and set up a knowledge center capability (or other incident management system or response document library) to serve as an information repository. Ensure staff are trained on how to use the system (e.g., accessing specific functions, uploading/downloading documents). Consider conducting a demonstration to review where vital information will be held, what functions are available, and limitations or restrictions.
  • Test connectivity to collaboration platforms and document libraries from alternate locations prior to an incident to troubleshoot issues. Proactively resolve connectivity and access issues. Ensure instructions for use and access are available offline and in print.
  • Have a contingency plan for loss of email and voice communications systems such as VoIP lines (two alternatives would ensure redundancy).

The guide goes on and on to include cybersecurity exercises (giving you exercise scenarios along with exercise frequency and engagement recommendations), downtime principles (discussing how to define downtime and preparing your workforce for downtimes, and of course recommendations on things to consider during your response to a cyber security event.

Let’s just say so we cannot stress enough the value of everything that’s in this ASPIR TRACIE guide. It even includes forms and checklists and just makes you think about what you have. Take the time to read through this 30 page guide. I assure you that you’ll find very valuable information in it to include in your own response preparedness and response plans.

Stick with us because we’re going to talk about National Cybersecurity Awareness Month and talk more about freely available things to build your cyber security, privacy and security culture.

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