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10 August 2024

Cybersecurity Breaches Disturb Healthcare Operations And Patient Trust

Increasing number of cyberattacks raises alarms across healthcare facilities impacting patient care and operational efficiency

The healthcare sector is facing serious challenges with the alarming rise of cyberattacks, exposing weaknesses and vulnerabilities within its systems and processes. These incidents represent not just data breaches but operational disruptions, impacting the care provided to patients across various facilities.

Take, for example, the significant cyberattack on Change Healthcare, owned by UnitedHealth Group, which occurred earlier this year. This incident was labeled by the American Hospital Association as "the most severe attack against a U.S. healthcare organization." More than just compromising sensitive patient health records, the breach disrupted billing processes, leading to significant financial losses. UnitedHealth executives anticipated losses could soar to as high as $1.6 billion for the first quarter alone. The impact was widespread, with claims of backlogs affecting nearly one-third of hospitals across Indiana.

Laura Kracher, vice president at the Indiana Hospital Association, noted, "About a third of our 170 member hospitals were impacted by the Change Healthcare cyberattack; for some, up to 100% of revenue was affected." This kind of disruption not only threatens the viability of healthcare establishments but also the wellbeing of countless patients relying on timely treatments.

Another blow came from the ransomware attack against OneBlood, Florida’s primary blood distributor. This attack occurred shortly after the Change Healthcare breach, heightening concerns about the security of healthcare institutions. When OneBlood's systems went down, hospitals dependent on its blood supply faced significant challenges. Susan Forbes, the organization's senior vice president, confirmed, "We felt the impact of this the most when it came to labeling blood for release to hospitals." Despite these challenges, OneBlood was able to restore its systems to full operational capacity within days, showing resilience amid crisis.

The ransomware attack on McLaren Health Care, affecting 13 hospitals and impacting their IT infrastructure, underscores another layer of concern. After the attack, McLaren activated its downtime procedures, which still allowed for operations but led to the cancellation of non-emergency procedures and delays for patients. Despite these operational adjustments, they faced substantial hurdles. Patients were even directed to bring printed copies of their medical histories—indicative of the struggle to maintain care continuity during such incidents.

Cybersecurity experts have emphasized the importance of organizations prioritizing cyber resilience. Carrie Gluck, chief information and security officer at Rectangle Health, articulated the need for healthcare organizations to transition cybersecurity to the executive level. "Cybersecurity is increasingly becoming pivotal not just for IT departments but for the entire operation of healthcare providers. A lapse isn’t just about data; it can critically impact patient care too," she said.

Beyond the immediate financial and operational impacts, the long-term consequences of these breaches raise deep-rooted fears about the security of patient information. According to the U.S. Department of Health and Human Services, there have been six hacking incidents within Indiana's healthcare sector since the beginning of the year alone. Each breach not only compromises sensitive data like medical records, dates of birth, and insurance details but also shakes the foundation of trust between healthcare providers and patients.

So what can individuals do to protect themselves amid these threats? Experts recommend having hard copies of medical records and insurance policies to guard against situations where healthcare providers might be incapacitated due to cyber incidents. Kaustubh Medhe from Cyble advises patients to be proactive: "It's smart to have backup plans. Understand what your coverage is and create personal files you can access when needed."

Vigilance is another critical step for patients. Keeping tabs on bank accounts and health records, along with watching for signs of suspicious activity, can be the difference between catching potential fraud early or suffering significant consequences later. Medhe underscores the necessity of using multifactor authentication and regularly updating devices for protection against threats.

Collaboration is key to addressing this pressing issue. Various organizations, including the Indiana Hospital Association and Indiana State Medical Association, have been proactive. They recently sent letters to the Indiana Department of Insurance outlining the unprecedented challenges healthcare providers face due to cyberattacks, advocating for insurance companies to modify existing business processes to facilitate operations post-attack. This includes maintaining open lines of communication with both patients and providers to mitigate confusion and inefficiencies.

On the governance side, regulatory agencies are stepping up their support. Collaboration between healthcare organizations and government entities can significantly boost threat detection and response capabilities moving forward. "Collaboration among government, law enforcement, and private sector stakeholders is critical. It can help facilitate threat intelligence sharing and coordinated responses to cyber threats," Lisa Plaggemier of the National Cybersecurity Alliance suggests.

The healthcare industry’s inclination to adopt advanced technological solutions has sometimes outpaced its ability to secure them. A recent rise from the pandemic has illustrated vulnerabilities due to decreased auditing of cybersecurity protocols. Regaining ground lost during this time by engaging actively with cybersecurity measures is non-negotiable. Implementing regular internal audits and compliance assessments, and utilizing enhanced security measures such as double encryption and multifactor authentication will vastly strengthen defenses.

The path forward isn’t just about patching existing systems—it requires healthcare organizations to reevaluate their entire operational framework and be prepared for evolving threats. Understanding and sharing the risks between patients and providers can create more resilient systems, emphasizing the importance of protecting what is perhaps one of the most sensitive areas of our lives—our health.

The public's increasing awareness around cybersecurity risks places the onus on healthcare organizations to reestablish trust and safety for their patients. After all, when patients walk through doors seeking care, they shouldn’t have to worry about whether their most personal information might be at risk.

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