EXECUTIVE BRIEF The Transformative Challenges and Complexity of Securing Healthcare Four critical cybersecurity issues affecting healthcare today. The healthcare sector is among one of the most increasingly vulnerable sectors to cyber threats, posing significant risks to patient safety, data confidentiality, and operational integrity. The stakes have also never been higher in healthcare, with the world recovering from the impacts of the COVID-19 pandemic, new medical technologies and applications affecting the wellness and safety of patients throughout their lifetime. This brief outlines the transformative challenges in healthcare cybersecurity and identifies the top four critical issues currently affecting the sector. What’s at Risk? While the financial and monetary impacts from cyberattacks on hospitals, insurance providers, and other key components of the healthcare sector have become increasingly frequent headlines, it’s poses even greater risks on cornerstone of healthcare: patient care and outcomes. The cascading effects of successful cyberattacks on critical healthcare infrastructures and electronic health records (EHR) can disrupt patient care in some frightening ways: •Patients don’t get the care they need when healthcare providers are taken offline due to ransomware or DDoS attack. •Surgeons postpone surgeries because the information necessary to perform a life-saving surgery becomes inaccessible. •Failures in diagnostic procedures and laboratory tests result in delayed medical treatment. •Emergency Room (ER) bypass causes ambulances to diverge to healthcare facilities miles farther, leading to degraded and irreversible outcomes.
2|The Transformative Challenges and Complexity of Securing Healthcare Transformative Challenges in Healthcare Cybersecurity 1.Integration of Internet of Things (IoT) Devices: Although innovations in the health technology space has led to the adoption of IoT devices in healthcare, such as smart monitors and connected medical equipment, it has simultaneously expanded the attack surface. Many of these devices lack robust security features, making them susceptible to unauthorized access and control that could lead to further malicious network access. 2.Electronic Health Record (EHR) Systems: The digitization of patient records has streamlined information sharing but also centralized sensitive data like personal identifiable information (PII), making EHR systems prime targets for cyberattacks. Ensuring the security of these systems is paramount to protect patient confidentiality. 3.Remote Work and Telehealth Services: The rise of telehealth and remote work arrangements has introduced new vulnerabilities. Insecure home networks and personal devices used by healthcare professionals can become entry points for cyber threats. 4.Third-Party Vendor Dependencies: Healthcare organizations often rely on third-party vendors for services like billing and data management. Security breaches within these external entities can compromise the healthcare provider’s systems and data. Four Critical Cybersecurity Issues Affecting Healthcare Today As illustrated above, these changes in the healthcare industry have given rise to and contributed to several critical cybersecurity issues. Below are some of the most pressing issues affecting healthcare today and what their impacts are. 1.Ransomware Attacks Description: Ransomware consists of malicious software that encrypts confidential healthcare data, with attackers demanding payment for decryption keys and threatening to sell data on black markets. These attacks often lead to hefty payments, negative impacts on patient care due to downtime, and encourage bad actors to engage in even more ransomware attacks. Impact: •In 2023, the healthcare sector filed the greatest number of ransomware complaints with the FBI (Figure 1).1 •A 2024 survey revealed that 67% of healthcare organizations experienced a ransomware attack in the past year.2 Figure 1 Critical Infrastructure Sectors Impacted by Ransomware in 2023 Number of organizations filing ransomware complaints with the FBI, by sector Source: FBI Internet Crime Report 2023
3|The Transformative Challenges and Complexity of Securing Healthcare 2.Phishing and Social Engineering Attacks Description: Phishing and social engineering attacks involve deceptive communications trick healthcare staff into revealing sensitive information or granting system access. Impact: •In 2021, phishing was the initial attack vector in 40% of cyberattacks, marking a 33% increase from the previous year.3 •In 2024, 88% of healthcare workers opened phishing emails, highlighting the sector’s vulnerability to such attacks.4 3.Data Breaches Description: Data breaches are caused by unauthorized access to confidential patient information due to hacking, insider threats, or inadequate security practices. Impact: •Since the COVID-19 pandemic, healthcare data breaches of 500+ records have reached record highs (Figure 2).5 •In 2023, 79.7% of healthcare data breaches were attributed to hacking incidents, up from 49% in 2019.5 4.Insider Threats Description: Insider threats involve security breaches originating from within the organization, either maliciously or inadvertently. Due to the rise of third-party vendor dependencies, insider threats have expanded the number of people who have access to sensitive data and systems within a healthcare organization. Impact: •In 2024, insider threats accounted for 22% of all healthcare cybersecurity incidents.6 •Approximately 26% of human factor-based breaches in healthcare result from insider carelessness, negligence, or apathy.7 Figure 2 Healthcare Data Breaches of 500+ Records (2009 – 2024) Source: HIPAA Journal
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