Can we learn from an imagined ransomware attack on a hospital at home platform? | #hacking | #cybersecurity | #infosec | #comptia | #pentest | #ransomware

The following events are reported in chronological order. This simulated scenario is entirely hypothetical and fictitious. Any similarity to actual persons, entities, or organizations is purely coincidental.

System launch, March 15, 2023, metropolitan area, somewhere in continental Europe

Patients in Ward@Home: 0

National Press office, CommiNet: “CommiNet and TradiCare launch the Ward@Home program to transform regional health services. Our partnership will deliver Ward@Home solutions via our unique virtual care platform (Fig. 1a). We use AI to collect and monitor health information remotely, working with our community care professionals. The platform detects problems with a patient in real-time, predicts the risk of worsening conditions, and notifies the patient, carers, and health care professionals, as required. Today’s launch is a proud moment for CommiNet and TradiCare, and our ‘doctor-led, digitally enhanced’ strategy.”

Fig. 1: Storyboard of events.

a Launch of Ward@Home service and description for patients. b Launch of Ward@Home service and description for physicians. c Ransomware attack notification message. d An Incident Room (IR) is established according to the Ward@Home cybersecurity procedures. e Description of the Ransomware attack and its effects on the Ward@Home network.

Pre-launch review, March 16, 2023, CommiNet corporate HQ

Patients in Ward@Home: 0

Meeting: ‘Ward@Home’ platform pre-launch system review.

Present: Senior executive and contributing project/clinical teams CommiNet & TradiCare,

Presentation, ‘Summary of Risk Management’, CommiNet VP of Regulatory, Quality and Compliance (VP RQC): “In the risk management report, you can see that all risks have been mitigated. All residual risks are assessed as acceptable, and the benefit-risk assessment shows a positive ratio of risk versus benefit … Indeed, we are confident that the patients in Ward@Home will receive equivalent, if not better, monitoring than in standard hospital care, particularly at night and weekends. The system is fully compliant with GDPR.”

Question: IT Systems Responsible Person, TradiCare: “How has the risk of extended system downtime been mitigated?”

Answer CommiNet VP RQC: “Our TightNet™ network system architecture has achieved 99.999% uptime across all our regional networks for 5 years, and the ‘Ward@Home’ platform software is verified and validated, passing all test sets and is compliant with the state-of-the-art cybersecurity standards.

Answer: Chief Transformation Officer, TradiCare: “We can switch back to the current standard of care if we experience any unexpected teething problem. We will be closely monitoring the platform as it goes live. Our community teams are well-trained, and the 24/7 operation center is adequately staffed to sort out any launch issues. Our backup policies keep incremental backups daily, and we have provisioned long-term offline backups. This allows us to revert our systems almost instantly to any secure state in the past, should it be necessary.”

TradiCare Annual General Meeting, January 24, 2024

Patients in Ward@Home: 573

Presentation, ‘Corporate Statement’, CEO TradiCare: “The healthcare sector has been under significant pressure in 2023. As a sector, we face a convergence of cost pressures and tightness in the clinical labor market with a shortage of both doctors and paramedics. TradiCare has a better economic outlook than similar care systems due to our pioneering technology adoption. We will continue to leverage our digital transformation program to deliver significant cost savings and allocate our clinical personnel in the best way possible.


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