MSPs and Ransomware: Does Your Provider Practice What They Preach?

Managed service providers (MSPs) are coming under increased scrutiny because of a number of ransomware incidents reported on various security sites over the last 12 months. Criminals have learned that by infiltrating a single MSP, they can use the provider’s tools to infect and take hostage all of the MSP’s clients. Because the reporting of these incidents is haphazard, the number of compromised MSPs could be a handful, or it could be dozens. What is certain is that hundreds or thousands of their clients have experienced severe business disruption — or worse.

The enhanced scrutiny is justified, and as an MSP, we welcome it.  We use powerful tools to manage and monitor our clients’ networks and systems. With that comes a responsibility to ensure that our own security is equal to or greater than the level that we promote to our clients.

Healthcare MSPs in the Crosshairs

Given that many MSPs specialize in serving a certain type of business, here are a few examples drawn from healthcare organizations over last year:

  • During July, an MSP serving dental offices was infiltrated and used to spread ransomware across dozens of practices throughout Washington and Oregon. A week after the attack, the MSP realized it didn’t have the resources to restore all the impacted systems in a reasonable timeframe and advised customers to seek outside assistance with restoring their files. Two weeks after the attack, the MSP announced it was closing its doors.
  • An August attack on a Wisconsin-based MSP planted ransomware on 400 dental practices around the country. The attack encrypted not only patient files, but also emails and most worryingly, the company’s HIPAA-compliant backup system. A follow-up letter to their clients indicated that the MSP had a decryption key. Presumably, they paid the ransom.
  • In November, a Wisconsin-based MSP serving more than 100 clients, which operated nearly 2,500 nursing homes in 45 U.S. states, was hit, cutting off many of their facilities from patient records, email and telephone service. The MSP declined to pay the ransom. While it took days or weeks to restore the data, the MSP had a few factors working in their favor. One, a sharp-eyed employee spotted suspicious activity in the early morning hours during the attack and immediately alerted higher-ups within the company, who closed off the network. This limited the damage. Two, there were offsite backups.
  • In early December, a Colorado-based MSP was used to install ransomware on computers at more than 100 dental practices. The company refused to pay the ransom to unlock all of the client sites, and left the clients to restore their businesses on their own. Some negotiated separately to pay the ransom to restore their practices, while others restored from backups.

Closing the Vulnerabilities

Ultimately the criminals do their damage by gaining administrator access to the MSP’s remote monitoring and management (RMM) tool, which allows them to install and execute the ransomware infector on the clients’ systems. The following means of infiltrating and compromising administrator credentials are either explicitly known or have been implicated in one or more incidents. We also list the countermeasure; ask your MSP if these protections are in place.

Means of Gaining Administrator Access

Known vulnerability in an unpatched RMM tool or administrative console

Zero-day exploit in an RMM tool

Login credentials stored in cleartext on compromised machine

Exploiting open remote desktop protocol (RDP)

 

Phishing email

Protective Countermeasure

Program of regular, systematic and diligent patch management and application

Proactive monitoring of the MSP’s IT environment

Password vaulting solution or encryption and best-practices password policy

Disabling RDP if not needed, or application of access control lists to limit RDP sessions to known IP addresses

Email filtering solution backed with regular cybersecurity awareness training

Above All, Do This …

A single countermeasure would have stopped the vast majority of these attacks: Requiring two-factor (2FA) or multi-factor authentication (MFA) without fail, for each and every administrator connection and session, to each individual client’s IT environment. MSPs should enforce MFA to the enterprise login and ensure it encompasses VPN connections, RDP sessions, RMM sessions, internal management systems, and SaaS applications.

The other essential countermeasure is regular backups that are air-gapped or stored offsite. In far too many ransomware incidents, backups were stored online and the ransomware infector encrypted the backups as well, making them useless for restoring the client’s data. Also, in some instances the criminals first disabled the backup agents on each system, then waited for the old backups to age before executing the ransomware. So it’s important to not only have a backup system, but to monitor the backups and test for recoverability.

At FIT Solutions, we do all of the above and encourage you to ask your MSP if they do the same. We also have the advantage of our cybersecurity offering, SOCBOX, which provides us with the services of a Security Operations Center for 24-hour proactive monitoring—but we don’t stop there. We also contract with a separate third party to do regular penetration testing and evaluate our environment to ensure our defenses are solid.

If you’d like more information about MSP security, please give us a call at 888-339-5694.

Is Your MSP Proactive or Reactive? The Role of a Technology Business Plan

Here at FIT Solutions, we pride ourselves on the way our teams don’t just fix problems; they deliver additional business value for our clients. That means applying technology to improve operations, reduce costs, boost efficiency and productivity, and protect and enhance security. Let’s take a look at one of the primary ways we accomplish that: a regularly updated Technology Business Plan (or TBP, as we call it).

When you engage with us, we send one of our senior engineers onsite to take a holistic look at your facility and IT operations. A team of engineers assigned to you then delivers a set of recommendations. It is essentially a gap analysis between your current IT environment and prevailing best practices for an organization of your purpose, scope and size.

This is NOT a one-and-done exercise. The TBP is a living document, geared to a timeframe of up to 24 months, that is regularly updated to chart your progress. It’s a stepwise, realistic approach geared to budgetary realities and your own appetite for change and improvement. Many of the recommendations don’t cost anything.

While the recommendations are geared specifically to your organization, the TBP addresses four general areas.

Environment Enhancements

A great many IT environments have been built piecemeal over the years with a mix of workstations, Wi-Fi access points and various makes of networking hardware. We look for opportunities to consolidate and standardize, replace outdated equipment, and create common configurations that will make the entire environment easier to maintain and lower the cost of operations. We also address opportunities to cut costs and increase efficiency by switching Internet providers or swapping out telephone systems; bringing in management solutions for administering printers, computers, or mobile devices; making better use of existing software; or acquiring new solutions. Employees and staffing fall under this category as well, such as employee onboarding practices and user training.

Network Security

Many of the most valuable recommendations in this area are free, because they revolve around password-policy shortfalls such as password reuse, allowing short or weak passwords, not mandating regular changes, or instances where entire staff shares the same set of login credentials. Relatively low-cost security enhancements include cleaning out unused accounts and properly setting privileges. Additional security technologies such as multi-factor authentication, single sign-on, spam filtering and other email security measures, encryption or ransomware defense might be called for, depending on use patterns and your degree of susceptibility and exposure.

Licensing, Renewals, and Compliance

Here we address hardware and software that is reaching end-of-life or out-of-warranty, calling for replacement, refresh or upgrade as your budget allows. Legal matters such as email retention policies and your posture with respect to compliance and other regulations falls under this category as well, and might include our recommendations or referrals to third-party experts we have worked with.

Disaster Recovery and Business Continuity

This includes your backup and retention procedures and policies, and ability to restore if necessary. In addition, we consider shortfalls unique to your environment, such as whether you have remote users with critical files that need to be backed up, or whether you might be better served with a solution that enforces file storage on a network repository rather than individual workstations. We also consider your ability to work through a power outage or loss of Internet connectivity, and whether you need to have contingency solutions in place.

In this time of uncertainty and business upheaval, many are seeing a stark contrast between proactive and reactive managed service partners. Clients prefer proactivity. In our experience, clients appreciate these regularly updated technology business plans, especially if their experience with a previous IT service provider was more of a reactive, break-fix service than a proactive partner. Our clients use these reports to plan ahead, budget for essential improvements, and solve problems before they happen. Does this approach to IT services appeal to you? Give us a call at 888-339-5694.

Livin’ La Vida Zoom—Keeping In Touch with a Remote Workforce

During this time of COVID-19, self-isolation and social distancing, businesses and communities across the nation and the globe are dealing with a lot of turbulence. More and more organizations are turning to remote workforce solutions to continue operations.

Many of these businesses are used to being in a physical location; moving to a completely remote setup may take some adjustment. In our last post, we discussed how a Virtual Desktop Infrastructure (VDI) can allow your team to securely access corporate data from their personal devices. But the human element of your teams is just as important.

Now more than ever, company culture and structure are going to be vital for stability. Here at FIT Solutions, we made it a point to recreate our office environment as closely as possible in a virtual setting. This has allowed us to transition seamlessly into remote work. Some of the things we’re doing to maintain normal operations include:

  1. Structure & Routine
    We’ve encouraged our team to stick to their regular routine where possible—maybe filling the time they would have spent commuting with physical activity, like working out or walking the dog. Normal dress code still applies. By dressing professionally, team members are always ready to jump on a call or video meeting with a client or prospect. All remote employees are expected to have their cameras on for Zoom meetings; this helps everyone stay alert and engaged.
  2. Department Touchbase
    Each afternoon, department heads have a Zoom meeting, no more than 10-15 minutes, with all members of their team to make sure everybody’s on track.
  3. Client Communications
    Immediately after San Diego announced shelter-in-place guidelines, we began reaching out to our clients. Members of procurement and sales jumped in to help our account managers reach everyone as soon as possible. We asked how they were doing with the transition, whether they needed any help, and assured them that everything is business as usual on our end—they wouldn’t experience any gaps in service from our team!
  4. Team Motivation
    At FIT, we pride ourselves on the quality of service that we provide, and we love hearing positive feedback from our happy clients! We have a designated Microsoft Teams channel dedicated to sharing these testimonials and kudos with the whole team. It’s also a means for team members to shine a spotlight on a coworker that went above and beyond. These shout-outs keep us excited and determined to keep providing the best possible service we can.

Adjustments

While our normal structure was already well-arranged to support remote work, we did make a few adjustments, from which we’ve seen good results.

  1. All-Hands Huddle
    Every morning, we have a 15-minute all-hands meeting through Zoom. Cameras are required to be on, and virtual backgrounds are encouraged. Members of our management team take turns sharing recent wins, news, tips and positive thoughts to motivate our team to success. We center these stories around our core values to keep our company culture strong and focused. Since we began working from home, having this meeting daily (instead of weekly) helps to keep everybody on the same page and working towards the same goal.
  2. Storytime
    During our all-hands huddle, one or two employees take a few minutes to share something personal and positive—maybe their new home-office set-up, or what they’re doing to stay active or productive while shut-in, or a great experience they had with a coworker or client. We love seeing each other’s pets and kiddos!
  3. Virtual Happy Hour
    We usually do these monthly or semiweekly at the office, so it was only natural to continue this tradition on Zoom! Everybody’s welcome to dress-down and share a beer and stories from home.

Even though sometimes it feels like we’re practically living on Zoom these days, these tips are helping the FIT team to stay positive and busy! What is your business doing or trying to continue operations from home? If you need help getting your workforce set up with secure remote access, let us know; we’d love to have a conversation with you. Not sure if you’re fully equipped? Get your free assessment today or call 888-339-5694.

How to Quickly — and Securely — Enable Work-From-Home

In response to current events, your business may be faced with the challenge of quickly putting a work-from-home program in place for your employees. Here’s the hard part: those employees will be largely on their own, with varying degrees of technical knowledge, connecting from their own home networks and accessing corporate data and resources. You need not only to get them connected, but equip them to work productively, with ample security in place so you don’t put your organization at unnecessary risk.

Considering the Alternatives

The best-practices approach — under normal circumstances — is to distribute preconfigured corporate-owned laptops. Aside from the expense, time might be the bigger issue in our current situation as businesses everywhere are rushing to equip remote workforces. Currently, the time from order to delivery of new laptops is around 15-30 days, for some suppliers.

A tempting short-term fix is to allow employees to connect to corporate resources directly using their own personal home computers, laptops, or tablets. However, this exposes corporate assets to a wide variety of risks that are outside of your control. These risks include outdated or insufficient endpoint protection, access of confidential data by others in employee households, and rogue devices on a poorly secured home network — among other threats.

The Right Technology, Right Now: Virtual Desktop Infrastructure

Virtual Desktop Infrastructure (VDI) is a widely used remote access approach with many advantages. With VDI, employees use their personal devices to access a virtual desktop — a computer that they control remotely. They view the screen, and control it via mouse or keyboard. The approach is much less expensive than provisioning and distributing laptops, and far more secure than a direct connection. With VDI, business owners can:

  • Provision remote access for tens or hundreds of users cost-effectively with a cloud-hosted solution
  • Allow secure access by a wide range of employees’ personal devices, from home PCs to laptops and tablets to smartphones
  • Tightly control access by combining standard login credentials with multi-factor authentication (MFA) to guard against weak or compromised passwords
  • Keep corporate data off of personal or public networks — the corporate data only appears superficially onscreen, and never actually enters or is stored on the user’s personal device
  • Provide a familiar environment and business access —the virtual desktop can be configured to look and behave exactly like an office-based system, with access to all corporate applications and data stores, productivity, email and collaboration software

At FIT Solutions, we can quickly set up a VDI for your employee remote access. It is housed in our data center in a private cloud, with all essential security measures provided. We connect the virtual desktops to any applications or data you need, whether those are in another public or private cloud, or in your own data center with access protected through a secure point-to-point VPN.

Have questions? We have the answers. For more information or to get started right away, give us a call at 888-339-5694. We’re also offering a free Remote Workforce Readiness assessment, which you can find here.

Business Email Compromise (BEC): Hidden Danger in Legacy Protocols

Attempts to compromise business email accounts are much more common than you might think, and when they’re successful, criminals are able to make off with large sums of money. Typically they aim to gain control over the email account of an executive or administrative assistant with the authority to direct or execute financial transactions. They masquerade as that person and inject themselves into an email thread, to initiate a transaction or re-direct a transaction, tricking the business into moving the funds into a bank account controlled by the criminal.

We’ll describe how criminals often gain access to account credentials, and then explain how to close the vulnerability. But first, a few words about just how pervasive these account hijackings are. Proofpoint conducted a six-month study of this kind of attack and found that:

  • Approximately 60% of Microsoft Office 365 and G Suite tenants were targeted
  • Roughly 25% of Office 365 and G Suite tenants were breached as a result
  • Criminals achieved a 44% success rate in breaching an account at a targeted organization

Account Takeover Technique: IMAP Password Spraying

Email services typically enforce a lockout when a password is mis-entered multiple times, which is considered a telltale sign that some unauthorized person is trying to access the account. Password spraying is a brute-force technique that aims to get around the account lockout. Instead of focusing on a single account at a time with a large list of possible passwords, the criminal does the inverse. The attacker starts with a relatively short list of common passwords, and “sprays” them across multiple email accounts at multiple organizations, taking care that the attempts on each individual account and organization are spaced far enough apart that they don’t trigger a lockout. In fact, on the access logs, each attempt looks like a routine login failure rather than part of a coordinated attack.

Here’s the other important thing to know about these attacks. They commonly access the mail server using the Internet Mail Access Protocol (IMAP) — a standard that’s been around for more than 30 years. The criminals use this route because it’s enabled by default on most servers, it’s easy to write scripts for it that automate the attack, and most of all, it doesn’t support more secure methods of authentication beyond simple usernames and passwords.

Sprayproofing the Environment

Business email compromise (BEC) has become such a huge problem that we routinely recommend that every business that uses Office 365 or G Suite implement multi-factor authentication (MFA), and require it any time a user connects from a new location or device. Here’s the rub, though: the IMAP protocol doesn’t support MFA. When IMAP is enabled, it gives criminals a way to access the server that bypasses MFA, leaving it wide open for password-spraying.

So, we recommend disabling the IMAP protocol and its older cousin, post-office protocol (POP3). POP3 isn’t used as often for spraying attacks, but it has the same vulnerabilities as IMAP. Very few users should be using IMAP or POP3 to access their email. For those that do, we recommend they connect to Office 365 with Outlook Anywhere, which is more secure.

If you’re reluctant to disable IMAP and POP because it might inconvenience a few users, realize that both protocols are on the way out. For example, Microsoft has announced it will stop supporting simple username/password authentication for IMAP and POP3 in October 2020.

At FIT Solutions, we make it our business to stay on top of vulnerabilities like this to keep our clients’ businesses safe. It’s a great example of the value-add you get with our managed IT services. If you would like to know more, give us a call at 888-339-5694.

Ransomware Wakeup Call: 4 Tips to Protect Yourself

It’s a sad fact that criminals often prey on the most vulnerable. This was proven true in the ransomware attacks that impacted LTPAC facilities during November. Not only were the facility operators victimized, but sudden lack of access to medical records profoundly impacted their ability to care for patients and residents.

This incident was first reported by journalist and investigative reporter Brian Krebs. More than 100 facilities were impacted, and the ransomware cut off access to critical systems, including access to patient records, client billing, phone systems, internet service and email. The scope of the attack was audacious. The threat to peoples’ lives was deplorable. But most galling to us, as IT service providers, is that the incident was so preventable. More on that below.

Why Healthcare is Such a Tempting Target

In this case, the perpetrators were identified as a Russian gang, an adversary well-known among security experts. What’s clear here is that criminals don’t care that their actions could actually endanger peoples’ lives. They go after healthcare because lives are at stake, and they know that many healthcare organizations don’t have extra dollars around to invest in security.

Smaller and mid-size organizations are often the targets of choice. Health systems serving smaller communities, community hospitals, group medical practices, specialty centers, rehabilitation providers and dental practices have all been ransomware targets. Some have even had to close their doors after an attack.

A Few Ounces of Prevention Can Go a Long Way

Here are some of the ransomware prevention measures that we recommend and put in place for our clients. These are standard security practices, and aren’t necessarily more expensive than what you’re doing right now.

  1. Enact an anti-ransomware group policy on computers. Use a Windows Group Policy Object that prevents unknown executable files from running in temporary folders or in the AppData folder. Almost every single ransomware variant we have seen runs from one of these locations.
  2. Segregate cloud resources. Use a provider that can deliver a private hybrid cloud — not a public cloud where your data and applications are pooled with those of other companies. That protects your company in case another becomes infected with ransomware. You don’t want their problem becoming your problem—and everybody else’s.
  3. Separate backups from network shares. The ultimate protection against ransomware is maintaining regular and up-to-date backups so you can restore from them if an attack encrypts your data and makes it unreadable. But don’t store your backups on your network, accessible through a mapped drive, or the attack could compromise your backups, too.
  4. Bolster your endpoint protection. We’re presuming you already have antivirus in place. Because ransomware is a targeted attack, the criminals take care to alter their executable files, so signature-based antivirus isn’t very effective. Consider switching to an endpoint protection product that employs a “defense in depth” strategy rather than just relying on signatures.

At FIT Solutions, we supply IT services to many senior care organizations including assisted living and LTPAC facilities. We urge you to implement the tips above; you can do them yourself. Of course, if you’d like help, you can always call us at (888) 339-5694. We’d be happy to partner with you to protect your organization from ransomware.

5 Practical Tips for Year-End IT Budgeting and Procurement

As year-end approaches, many of our customers take a critical look at their budget and budget-planning processes. That can involve 1) looking at the current year’s budget for opportunities to make potential procurements in order to get those expenses in before the year-end, as well as 2) setting the budget for the coming year.

Here are a few things to consider as you set priorities for new investments and upgrades. Don’t overlook changes that can lower your operating costs.

Items for Consideration

  1. License renewals. This is perhaps the most crucial item, since if you allow licenses to lapse, you lose the use of critical software and systems. License considerations are especially important this year, with Windows 7 end-of-life coming January 14, 2020. We covered this topic in an earlier post, especially the compliance implications. Include Windows 10 upgrades in your budgeting plans. Look at the age of your Windows 7-licensed workstations, and decide whether it makes more economic sense to replace them entirely with new Windows 10-licensed systems.
  2. Aging equipment. There’s a tendency to wait until something fails before you replace it. But if a system is near or past the end of the warranty period, it might be better to replace it proactively and avoid the costs and inconveniences of downtime while you wait for replacement of a broken machine.
  3. Network refresh. Take a closer look at your networking equipment, such as switches, routers and wireless access points. If they’re older, possible failure is a concern, but you also need to determine whether they can keep up with current network standards and expectations. Would a faster or more-capable switch improve performance or manageability? Would upgrading your older wireless access points or adding new ones improve network coverage or get rid of dead spots?
  4. Security. You can never be too secure, but there are a few additions that will improve your security posture immensely. One is free: enforcing a password policy that requires strong, regularly changed passwords. Another that is inexpensive or free is implementing multi-factor authentication (MFA) anytime a user logs on for the first time, or from a different machine or remote location. There are third-party solutions, or you can use the MFA capability built into Office 365.
  5. Service providers. Take a look at your monthly fees paid to service providers, and consider whether a different solution could give you a lower price, better performance, or new features. Feature-rich voice-over-IP systems have much to recommend them over traditional telephone services, and are generally less expensive. The same is true of replacing an older Internet connection with a vendor who delivers over fiber. If you have a large number of printers, there are printer management services that can save you money on consumables by controlling the use of color toner and ink, and curbing unnecessary printing.

Planning Proactively

At FIT Solutions, we help our clients look at the big picture of their technology, project future needs and plan proactively. One of the services we offer is the development of a Technology Business Plan that considers many of the areas above and more. It includes a Technology Infrastructure Roadmap that looks at short-, near- and long-term needs on a quarter-by-quarter basis so that you can budget effectively, accurately and proactively.

This holistic view will guide you to a more stable infrastructure, tighter security and increased performance while serving as a guideline for prioritizing and decision-making. If you’d like to get started, call us at (888) 339-5694.

Outlook Security: Why You Should Deploy MFA for Office 365

Multi-factor authentication, or MFA (sometimes known as two-factor authentication, or 2FA), is recommended whenever basic usernames and passwords aren’t enough for protecting sensitive logins.

If you’ve ever been asked to confirm your identity by entering a code sent to your phone, you’ve used MFA. The method is widely used for online banking accounts, to bolster security when employees remotely access corporate sites, and to help satisfy HIPAA requirements. More and more, though, we’re advising its use to protect all access to Office 365.

We’re making this recommendation because of the experiences of some of our newer clients. It’s a sad fact that organizations often discover they need our security services only after they’ve been victimized. Several have turned to us after making tens of thousands of dollars in payments that were never received, because the money was sent to fraudulent bank accounts. That’s when they called us in to untangle what happened.

Who’s Reading My Emails?

We’ve found a new breed of criminals who specialize in hijacking email accounts. They’re very sophisticated, expert in covering their tracks, and victims are none the wiser — until it’s too late and the money’s gone.

It all starts with compromised login credentials that criminals use to gain access to one or more individuals’ email accounts. The perpetrator either tricks the individual into giving up the credentials with a phishing email, or simply purchases lists of stolen login credentials on the dark web. Once access is obtained, the criminal lurks and learns, watches and waits. The goal is to find out who moves the money and how. Who are the approvers? Who gives the instructions? Who executes the transactions?

Or Worse, Who’s Sending My Emails?

Less sophisticated criminals would be content to send a bogus invoice. This new sort is looking for legitimate transactions conducted in the normal course of business. They intercept those transactions by issuing instructions to send the money to different accounts, masquerading as the authorized worker. They’re sending these emails from the actual mailboxes, complete with signatures, so the communications look legitimate. Of course, because these are sent using the real email accounts, the compromised users would see the bogus messages in their outbox, or the inbox would contain replies to messages they never sent. To avoid detection, the criminal sets rules in the Outlook account to immediately delete the bogus messages based on the subject line.

Here’s an example of a sophisticated criminal attack; this happened to an engineering firm with about 20 employees. The criminal had the email credentials for the employee responsible for payroll, and also knew, from reading the emails, who the firm’s third-party payroll provider was. Trying the employee’s email credentials on the payroll account revealed that the employee used the same password in both places. Now it was simple to log in to the payroll provider and re-route all the direct deposits to accounts the criminal controlled.  An entire month’s payroll was lost before the theft was discovered.

Detection and Prevention

There are two approaches to dealing with these kinds of attacks. One is detection, through SOC monitoring. SOC monitoring issues alerts for suspicious email access, such as a user accessing from a different location or device, or a user simultaneously logged in from two locations or devices. Either of these is an indicator of unauthorized access of an email account.

Prevention is where MFA comes in. In addition to username and password (something the user knows), MFA adds an additional factor (something the user possesses). The additional factor is the user’s smartphone. Unless the criminal also steals the employee’s phone, the compromised login credentials are useless. There are several approaches to implementing MFA:

  1. Some third-party applications that do single sign-on have MFA capabilities. Examples include Okta and Duo. Microsoft Azure also supports MFA.
  2. Office 365 has the ability to natively enable MFA through the Microsoft Authenticator application. However, some companies have issues with mandating that employees install specific applications on their personal smartphones. If the company doesn’t reimburse employees for their phone use, this becomes a concern for the HR department.
  3. Office 365 also supports native MFA by sending a one-time passcode to the employee’s phone via a text message. This gets around the reimbursement issue because it doesn’t require loading a specific application on the phone. Plus, the simplicity of the approach allows employees to self-enroll through an eight-step process that requires less than two minutes to complete. The impact on the employee is minimal, because the one-time passcode is required only when the employee is logging in from an unknown location or device.

At FIT Solutions, our managed IT services include implementing the multiple forms of MFA. We also perform SOC monitoring through our cybersecurity offering, SOCBOX. You can learn more about FIT Solutions managed IT services, or better yet, call us at (888) 339-5694.

8 Steps to Mobile Device Security for Senior Care Environments

National Cybersecurity Awareness Month, observed each October, promotes heightened awareness of the importance of computer security issues. This year’s theme is “Own IT. Secure IT. Protect IT.”

The first — Own  IT — refers to taking responsibility for security. While much of the focus of the messaging is on individual security, there are some timely reminders for business environments as well. This is especially true for our FIT Solutions customers who use mobile tablets to access EHR and other clinical systems.

Your internal network contains protected health information, and for HIPAA compliance, you must be absolutely sure that any connected devices are secure. Here are the best practices we recommend:

  1.  Secure Your Wi-Fi.
    This is vital for LTPAC environments. Offering Wi-Fi to patients and their guests is a standard business practice, and is essentially an expectation.  Keep the guest Wi-Fi on a network that is separate from the clinical network, and establish a firm policy to prohibit your staff from sharing the clinical network password with patients or guests. Business-class Wi-Fi access points allow you to set up separate networks and prevent cross-traffic between them. If your staff brings their own smartphones to work, only allow them to access the guest network. You might offer them a third and separate network that allows some access, but still prevents their devices from accessing clinical data. Given the possibility of an unsecured device leading to a breach of patient data, you simply must allow only devices that you can directly control and secure to access medical records.
  2. Require Endpoint Security Software.
    Any device that connects to your network is an endpoint with access to your network’s data. PCs are no longer the only vulnerable point; Android devices are especially susceptible, and criminals are increasingly targeting tablets running iOS. Make anti-malware software part of the standard configuration, and set it to trigger regular updates.
  3. Fortify Your Logins. 
    A tablet or other device that has access to medical data must be locked with a passphrase to prevent unauthorized use by visitors who might pick it up. In addition to a strong password policy, the best practice is to enable multi-factor authentication for any access to the clinical network. These measures protect you against unauthorized use of the device as well as against criminals guessing passwords or using stolen credentials to gain access. In addition, hide the SSID so you’re not broadcasting the name of the clinical network.
  4. Mandate VPN Use.
    Mobile devices can be susceptible to eavesdropping. Take advantage of the strong encryption offered by a VPN by implementing a VPN for access to the clinical network if the device needs to leave the secure network. Look for one that also supports multi-factor authentication to protect the VPN logins.
  5. Protect Against Malicious Apps.
    One of the biggest mobile-device risks is applications that pose as something useful or fun, but are actually designed to steal data. Establish policies that limit or block the use of third-party software on your clinical devices.
  6. Develop and Require a Secure Configuration.
    Establish a standard, secure configuration for devices that connect to the clinical network.  This includes requiring a lock code or password for access, preventing access of other wireless networks, and either hiding the device from Bluetooth discovery or, better still, disabling Bluetooth altogether.
  7. Enable Remote Lock and Wipe.
    Be sure you are able to remotely lock the device to prevent its use if it is ever lost or stolen. Ideally, the devices don’t store any data at all and are only used to access or update the patient records. But if they do hold any data, or as an extra measure of protection, ensure you can wipe the data from the device as well. If the device is found, you can simply re-image it from a backup.
  8. Conduct Mobile Security Audits.
    Hire an outside firm to annually audit your mobile security and perform penetration testing. Testing using the same mobile devices that you use in your environment will uncover potential issues before a criminal discovers them.

We encourage you to use National Cybersecurity Awareness Month to take a serious look at your security and address any shortcomings. If you would like assistance implementing these measures or an evaluation of your HIPAA compliance posture, FIT Solutions is here to help. Call us today at 888-339-5694.

Windows 7 End-of-Life (EOL): How to Maintain HIPAA Compliance

You may soon be facing a HIPAA compliance headache on the workstations in your healthcare facility. Microsoft support for Windows 7 and Windows Server 2008 ends on January 14, 2020. 

No more security patches will be issued after that date. This puts those operating systems at odds with the HIPAA administrative safeguards, which include the specification for “protection from malicious software,” specifically “procedures for guarding against, detecting, and reporting malicious software.”

The end of support means that workstations running those operating systems will be unpatched against new exploits, leaving them highly vulnerable, and therefore, out of HIPAA compliance.

If you are still running those older operating systems, you’re not alone. Many companies still have Windows 2008 servers and Windows 7 workstations in their environments. While these operating systems are ten years old and newer systems are certainly better, organizations keep using them. They are very stable and continue to do their jobs well. But the longer you hang onto them, the greater the risk to your organization.

First, let’s talk about the risks, and then how to alleviate them without having to purchase all-new systems at once.

Lessons from Past Compliance Audits

After a data breach occurs, history shows that regulators conduct a thorough audit of the affected organization’s entire environment. They look at everything. Although the breach was caused by an employee walking out with a thumb drive that was lost or stolen, every other instance of non-compliance that the auditors uncover is subject to a fine, even if it had nothing to do with the breach. Organizations that have been found using Windows products that were past their end-of-life — such as Windows XP — have been fined for that in the past. Undoubtedly, Windows 7 and Server 2008 will be no exception.

Considering the Alternatives

Under the language of the HIPAA rule, specifications are listed as either required or addressable. “Protection from malicious software” is an addressable specification. That gives organizations a bit of wiggle room. Complying with an addressable specification involves evaluating the risk, considering the measures to mitigate it, coming up with a reasonable alternative that is equivalent, and documenting it. (That’s the short version; here’s the official source on how to meet an addressable specification.)

Let’s say you find it impossible or at least extremely cost-prohibitive to replace all of your out-of-compliance operating systems by January 14. You could address the HIPAA specification by updating a set number of systems every month between now and the end of 2020, until all have been updated. In the meantime, you implement an Endpoint Detection and Response (EDR) monitoring system to keep an eye on the unpatchable systems, as well as use encryption on the systems that hold personal health information (PHI).

Hopefully, you have already performed this sort of analysis across all of the HIPAA specifications as part of your overall compliance effort. HIPAA requires you to perform a risk analysis, have a risk management plan, and document them both. Those are the first documents an examiner will want to see.

At FIT Solutions, we can advise you on all of the aspects of IT that impact your ability to comply with HIPAA. That includes helping you with your risk management and risk assessment plans and documentation, as well as assisting with your Windows 7 and Windows Server 2008 end-of-life planning.

Call us today at 888-339-5694.

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