What to Do When Hacktivists Target Your Health System

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1 What to Do When Hacktivists Target Your Health System A Complimentary Webinar From healthsystemcio.com Sponsored by Proofpoint Your Line Will Be Silent Until Our Event Begins at 12:00 ET Thank You!

2 Housekeeping Moderator Anthony Guerra, editor-in-chief, healthsystemcio.com Ask A Question We will be holding a Q&A session after the formal presentations. You may submit your questions at any time by clicking on the QA panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as All Panelists. Download the Deck Go to Download today's deck at: Shortened URL at bottom of all slides View the Archive You will receive an when our archive recording is ready. Separate registration is required.

3 Agenda Approximately 45 Minutes 30 minutes: Daniel Nigrin, MD, CIO, Boston Children's Hospital 5 minutes: A Word From Our Sponsor: Patrick Wheeler, Director, Product Marketing, Proofpoint 10 minutes: Q&A w/daniel Nigrin

4 What to Do When Hacktivists Target Your Health System

5 Case Study What happened? How did we respond What did we learn? Could it happen again?

6 A Shot Across Our Bow March 20, 2014 notified by external cyber intelligence group about Twitter/Pastebin posting by Anonymous, threatening attack result of highly publicized child custody case Anonymous: loose and decentralized group of hacktivist individuals d0x of staff and presiding judge posted Details of BCH external web site posted

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8 Was This the Real Anonymous? Not hard to get details they posted Not hard to post a video on YouTube Should we just discount it then?

9 Was This the Real Anonymous? Should we just discount it then? NO!! Convened Hospital s Incident Response Team, began forming contingency plans Especially focused on potential need to go dark, cutting ourselves off from Internet if necessary Message to entire organization emphasizing vigilance, security best practices Contacted authorities

10 It Begins About 3 weeks later... low volume DDoS attack starts Mitigated by network changes Cat and mouse we address attack, they change tactic/increase volume 1 week later, Easter/Patriot Day weekend (Boston Marathon bombing 1 year anniversary) Massive uptick in DDoS volume Engaged 3 rd party vendor to assist in filtering traffic

11 Internet Traffic During DDoS Attack Nigrin, NEJM, July 31, 2014

12 *** ***

13 Not Just DDoS Direct penetration attacks on exposed ports, web sites Proactively took down virtually all externally facing sites: research, philanthropy, patient and provider portals, etc Massive influx of malware laden s Proactively shut down entire system for ~24 hrs Re-emphasized to staff to not open suspicious mails/attachments Ensured no malware made it through filters

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17 It Ends About 1 week after high volume DDoS started, it abruptly declined, to a low trickle Only gradually brought externally facing sites back online, after extensive 3 rd party (re)penetration testing Took a deep breath!

18 Out of all bad things... good things come

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20 What Did We Learn DDoS countermeasures are critical! Know what systems (or features within systems) depend on Internet access, and have contingency plans for those Recognize importance of , and need for alternate forms of communication Need to push through security initiatives no excuses anymore Securing teleconference meetings Separating signal from noise

21 And Most Importantly As an industry, we ve got to pay closer attention to these threats, and prioritize our efforts against them, far more than we have done in the past

22 What to Do When Hacktivists Target Your Health System Patrick Wheeler, Director, Product Marketing, Proofpoint

23 is Arguably the #1 Threat Vector There is ample evidence that is the preferred channel to launch advanced targeted attacks. - GARTNER, JULY 2013 Criminals who pursue a career in phishing can reap millions of dollars a year, even if they only manage to snag just a few victims per scam. - Brian Krebs, KrebsOnSecurity and investigator who revealed Target breach Users WILL be phished, and they WILL eventually click. - Verizon 2014 Data Breach Investigations Report A BUSINESS REPUTATION CAN BE AFFECTED IMMENSELY BY A PHISHING ATTACK... IRRELEVANT OF A COMPANY S SIZE, IT CAN TAKE A LONG TIME FOR PEOPLE TO REGAIN CONFIDENCE IN A BUSINESS - Rachel Ark, Hacksurfer

24 The Limits of User Education Attackers continually refine and try new phishing templates

25 The User Challenge

26 New Threat Landscape, New Requirements TRADITIONAL ANTI-SPAM Traditional Reputation and Signature Systems 99% effectiveness good enough Black-box TODAY S THREATS Mass customization and botnets increasingly bypass Every message matters Real-time, end-to-end insight and rich policy are critical

27 Proofpoint Security Suite BLOCK DETECT Known, Emerging Threats RESPOND Targeted, Previously Unknown Threats Proofpoint Enterprise Protection Proofpoint Targeted Attack Protection

28 Proofpoint (NASDAQ: PFPT) Security-as-Service Leader What We Do Protect the Most Sensitive Data of the World s Most Successful Companies Comprehensive Data Protection Portfolio Scalable Security-as-a-Service platform Advanced Threat Protection Demonstrated Success Key Partners 3 of the 5 largest US Retailers 5 of the 5 largest US Banks 3 of the 5 largest US Defense Contractors 2 of the 5 largest Global Pharmaceuticals Companies Select Partners & Customers Accolades Leaders Quadrant: Magic Quadrant for Secure Gateways & Enterprise Information Archive Champions Quadrant & Innovation Award, 2012

29 Gartner Positions Proofpoint in the Leaders Quadrant 2014 Magic Quadrant for Secure Gateways Gartner positions Proofpoint in the Leaders Quadrant Evaluation based on Completeness of Vision and Ability to Execute Magic Quadrant for Secure Gateways by Peter Firstbrook and Brian Lowans Gartner, Inc., July 1, 2014 This Magic Quadrant graphic was published by Gartner, Inc. as part of a larger research note and should be evaluated in the context of the entire report. The Gartner report is available from Proofpoint upon request. Read the full report:

30 Q&A Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as All Panelists.

31 Thank You! Thanks to our featured speaker: Daniel Nigrin, MD Thanks to our sponsor: Proofpoint You will receive an when our archive recording is ready. (Separate registration is required) CHIME CHCIO Credits Attending our Webinars = 1 CEU Questions/Comments Anthony Guerra Go to to view our upcoming schedule and see the last 12 months of archived events.

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