Trend Micro The Game - Recorded Video on Decisions
Summary
TLDRIn a high-stakes scenario, a hospital faces a life-threatening crisis when a ransomware attack cripples its systems during a mass casualty event. Mark Jefferson, the hospital's CISO, must navigate a series of critical decisions to prevent a catastrophe. From investing in central security management to addressing compliance breaches and enhancing staff security awareness, Mark's choices determine the hospital's ability to save lives and protect sensitive patient data.
Takeaways
- π The script revolves around a critical situation in a hospital where a 45-year-old female patient is in a life-threatening condition due to high-speed trauma.
- π‘ The hospital's vital systems go down, including the computer system, which is essential for patient care and treatment, highlighting the importance of reliable IT infrastructure in healthcare.
- π The hospital is hit by a ransomware attack, which is a form of cyberattack that encrypts data and demands payment for its release, causing chaos and putting patients' lives at risk.
- π Mark Jefferson, the hospital's Chief Information Security Officer (CISO), is introduced as the person responsible for preventing such attacks but has made wrong decisions leading to the current crisis.
- π The concept of going back in time to correct past mistakes is presented as a hypothetical way to help Mark make the right decisions to prevent the cyberattack.
- π₯ The hospital has a large clinic with a virtualized data center and cloud solutions, but there are security concerns due to the removal of some security measures for performance reasons.
- π Mark identifies the need for central management of security across all virtual and cloud servers, suggesting the investment in a versatile security solution with minimal performance impact.
- π A compliance breach is discovered involving patient clinical data, indicating a lack of proper security and privacy measures in handling sensitive information.
- π€ The script reveals a common practice of sending patient data to personal emails, which is a significant security risk and a violation of compliance standards.
- π The hospital staff's lack of IT security training is exposed, showing the need for better security awareness and practices among all employees, not just the IT team.
- π‘οΈ The importance of implementing and enforcing security policies and procedures is emphasized, as is the need for training to address the human element in cybersecurity.
Q & A
What was the critical situation faced by the hospital in the script?
-The hospital faced a critical situation where a 45-year-old female patient was in a life-threatening condition with unstable vital signs, and the hospital's computer system was down due to a ransomware attack, which affected patient care and treatment.
Who is Mark and what role does he play in the script?
-Mark is the hospital's Chief Information Security Officer (CISO). He was responsible for preventing such cyber attacks but initially made the wrong decisions. The script suggests going back in time to have Mark make the right decisions to prevent the catastrophe.
What was the initial security setup of the hospital's network as described in the script?
-The hospital had a fully virtualized data center with failover and hot standby setups, along with cloud solutions for lab analytics and home healthcare products. However, some security measures were removed from the virtual and cloud environments due to performance overhead concerns.
What was Mark's suggestion for improving the hospital's security?
-Mark suggested investing in a solution that provides central management for all security and works across all virtual and cloud servers, which would have an immediate impact on the hospital's security.
What compliance issue was the hospital facing in the script?
-The hospital was facing a compliance issue related to patient clinical data. There was a registered complaint that former patients received unsolicited sales approaches from a third party, which indicated a potential data breach.
What was the nature of the data breach mentioned in the script?
-The data breach involved patients' clinical data, where a specific condition was targeted by a third party for unsolicited sales approaches. The hospital had only one patient with this condition in the past two years, suggesting a possible inside leak.
How did the hospital staff handle the situation when the ransomware attack occurred?
-The hospital staff had to resort to manual processes and workarounds, such as sending manual orders for patient care and attempting to troubleshoot the computer systems while dealing with the influx of emergency patients.
What was the security awareness level among the hospital staff as depicted in the script?
-The security awareness level among the hospital staff was low. Practices such as sending confidential patient data to personal email addresses and lack of IT security training were common.
What steps did Mark take to address the security and compliance issues?
-Mark initiated an inquiry into the data leak, planned to meet with operations to ensure no further compliance issues, and proposed organizing training sessions for the staff to improve their security awareness.
What was the outcome of the security training and anti-ransomware measures implemented by Mark?
-The security training and anti-ransomware measures helped prevent a potential breach and the ransomware from crippling the hospital's operations. The staff became more vigilant in reporting phishing emails, contributing to the overall security of the hospital.
Outlines
π Hospital Crisis: Ransomware Attack and System Failure
The script opens with a chaotic scene in a hospital where a 45-year-old female patient is in critical condition. The medical staff is unable to access the computer system due to a ransomware attack, which has frozen all computers and tablets. This crisis is exacerbated by a multi-vehicle accident that brings in numerous patients requiring immediate care. Mark Jefferson, the hospital's Chief Information Security Officer (CISO), is introduced as someone who was supposed to prevent such attacks but failed. The narrative suggests that the only way to help Mark is to go back in time and make the right decisions regarding security measures.
π οΈ Security Improvements and Compliance Breach
The narrative shifts to Mark's first day at Golden Oaks Clinic, where he discusses network improvements with David, the IT manager. They talk about the clinic's virtualized data center and security measures, which Mark identifies as lacking due to the removal of some security from virtual and cloud environments. Mark proposes investing in central management for security across all platforms. Later, Mark learns of a compliance breach involving patient clinical data, which has led to an investigation. He is tasked with finding out how the data leaked and ensuring no further compliance issues.
π Inadequate Security Practices and Training
Mark discovers that the clinic's security policies are being ignored, with staff using personal email addresses for work-related communications, including sending patient data. He learns that there has been no IT security training for the staff, and existing policies are not well understood or enforced. Mark decides that training sessions for the staff are necessary and plans to implement them with the help of David. Meanwhile, the hospital is dealing with a potential breach and the upcoming compliance investigation.
π‘οΈ Preventing a Breach and Strengthening Security
The script concludes with Mark taking action to prevent a breach and strengthen the hospital's security. He enables anti-ransomware functionality in deep security and ensures that staff are trained on security awareness. This proactive approach helps the hospital to avoid the ransomware attack and maintain operations during a critical situation. The doctors are able to save patients' lives, and Mark reflects on the importance of making informed decisions about security investments and staff training.
Mindmap
Keywords
π‘Pneumothorax
π‘Vital Signs
π‘Ransomware
π‘Compliance
π‘CISO
π‘Failover
π‘Security Awareness
π‘Phishing
π‘Anti-Ransomware Functionality
π‘Data Breach
π‘IT Security Training
Highlights
A 45-year-old female patient with critical vital signs requires immediate medical attention.
The hospital faces a potential pneumothorax case, necessitating urgent decompression.
An unexpected system failure occurs, impeding the medical staff's ability to access patient files and place orders.
The hospital's IT infrastructure, including Scarlet, is down, causing a crisis in patient care.
Mark Jefferson, the hospital's CISO, is introduced, highlighting the need for improved security measures.
A discussion about the hospital's network architecture reveals vulnerabilities in the virtual and cloud environments.
Mark suggests investing in central management for security across all servers to enhance protection with minimal performance impact.
A compliance breach is discovered, with patient clinical data being misused for unsolicited sales approaches.
The hospital initiates an internal inquiry to trace the data leak and prevent further compliance issues.
Mark discovers that staff members are using personal emails for work-related communications, risking data security.
There is an evident lack of IT security training among the hospital staff, leading to poor security practices.
An investigation into the hospital's patient health data compliance is launched by the authorities.
Mark and the team prioritize making the network compliant and implementing security policies to prevent future breaches.
A multi-vehicle accident brings a surge of patients to the hospital, testing the staff's crisis management and security measures.
The hospital staff successfully manage the influx of patients, demonstrating the effectiveness of recent security training.
Mark's proactive decisions, including enabling anti-ransomware functionality, prevent a potential ransomware attack.
The story concludes with a reflection on the importance of IT security training and the impact of Mark's decisions on the hospital's operations.
Transcripts
45-year-old female P struck at high
speed responsive but unstable Vital
Signs BP 85 over 60 heart rate 120
respiratory rate 30 prepare for
decompression of pneumothorax right
away 1 2 3 stat abdominal andex CT scan
I I can't access our system for some
reason send in manual order now
pressure's falling she stopped breathing
what the hell is this my computer is
frozen
up where's it call them now can anyone
tell me what's going on with our
computer system right now Scarlet is
down we can't access any
files Mark all computers all tablets are
just not working you have to help us I
don't know what's going on here hi M I
need you here right now stand there
don't you see what is happening here we
have tons of
patients because any idea what this
means job and let us do ours people are
dying here and we can't even place a
simple order you are supposed to be
responsible for security stand there
don't
you go there do you
see do
something
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when every second is a matter of life
and death this is not just a problem
it's a catastrophe while the hospital
staff were dealing with victims of a
multi- vehicle accident the hospital was
hit by ransomware the chaos that
overcame the clinic has put patients
lives at
risk Mark is the hospital ciso he was
hired to prevent such attacks
unfortunately he made the wrong calls
and failed the only way to help him now
is to go back in time and have Mark make
the right decisions it's all on you are
you
[Music]
ready okay good
[Music]
luck
[Music]
hey Mark good to see you David meet Mark
Jefferson and new SE so this is David
our Ox manager welcome to Golden Oaks
how's the first day not bad at all it's
a pretty big Clinic you got here I
almost got lost in the corridors happens
to everyone anyway it came at the right
time we were just talking about possible
improvements to the network would' love
to hear your opinion gladly I'd like to
go through the architecture schematics
first as you see we have a fully
virtualized data center set up for a
failover with a hot standby and a few
Cloud solutions for our lab analytics
and Home Healthcare
products what kind of security are you
running standard model strong perimeter
DMZ content filtering that kind of stuff
of course we have AV on the endpoints
but we had to remove some of the
security from the virtual end and Cloud
environments because of the overhead I
do know that there's a black hole as far
as mobile devices go though and what do
you think Mark well I appreciate what
you do here David but frankly I see some
room for
improvement do you have anything
specific in mind actually I
[Music]
do
I appreciate your effort
David and although I'm suggesting
enhancing our security I think we should
use the infrastructure as the foundation
for it it's pretty solid in my opinion
thanks uh I'm open to your suggestions
I'm glad to hear that I have an idea
that will almost have immediate impact
on our security but there is a cash
we'll need to expedite spending of the
next quarter's budget now
now I'm ready to consider it if the
costs are reasonable okay here's what I
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think well we need something versatile
that covers our basic security needs but
at the same time has minimal impact on
performance we should invest in
something that gives us Central
management for all security and also
works across all our virtual and Cloud
servers do you have any specifics there
are a couple on the market right now
I'll find the best cost benefit ratio
and make a proposal sounds good let's
make it
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happen
hello hi Mark Logan sorry to bother you
so early it's okay I'm already up what's
going on I've just got word that we're
in breach of compliance and an
investigation's being kicked
off what kind of datb are we talking
about I'm forwarding it to you right now
looks like patients clinical data talks
about a registered complaint that former
patients have received unsolicited sales
approaches the complaint refers to a
third party that tried to sell Medical
Treatments for a very specific condition
I
condition and we didn't have many
patients that suffered from it in the
past 2 years we only had one around half
a year ago how do you want to handle
this we'll need to take on our own
inquiry of course to prepare
documentation investigators might
require and want you to meet with Ops
and find out how that data leaked and
make sure there are no more compliance
issues okay I'll be there in 15
[Music]
minutes
can you email me the record and the
latest test results on this new patient
um oh what's his name gosh uh he suffers
from intermittent cramping pain and
diarrhea Mr Garcia room 151 yeah exactly
that's the one just send it to my
personal email and I'll look at the
records when I get home oh Dr Allan are
you working from home again don't you
have any social life no I don't have
time for that unfortunately yeah thanks
uh excuse me oh I'm Mark Jefferson I'm
Mia Sam I know who you are you're the uh
cyber security guy oh yeah that's me uh
can I ask you something
[Music]
sure what was that all
about what
I overheard your conversation since it
was email related it's kind of in my
ballpark oh Dr Allen works a lot from
home I send him patients data whenever
he requests
it does he use his personal email
address for work related Communications
yeah we all do it sometimes it's just
easier for all of
[Music]
us
what kind of data are you sending him
well usually information about his
patience like test
results full patient records with names
and addresses and other patient
information sometimes the doctor needs
to keep track of his patients otherwise
he just get lost in a pile of documents
and
[Music]
emails
is that standard practice in this Clinic
what sending patients data to doctors
and their personal email addresses I
wouldn't say it's a standard but a lot
of the doctors ask us to do
it so Dr Allen isn't the only one who
uses his personal email address for work
stuff and keeps patients medical data in
his personal
device no it happens quite
often
I get the impression that throughout
your years here no one has actually
taken the time to train the staff on it
security issues have you ever had an IT
security training at all not as far as I
can remember there is this policy that
they make everybody sign when they're
hired do you by any chance remember the
details of this policy no it's a long
time ago
[Music]
thank you for the chat that was really
helpful see you around Mr Jefferson now
you take
[Music]
care oh hey Mark what's up
you want to C no thanks listen we have a
situation I just got word the
authorities have launched an
investigation into the hospital's
patient Health Data compliance that's
unexpected not really when you know how
security policies have been ignored in
the clinic anyway we have to do
something about it there is a possible
breach we have to take care of someone
make sure the whole infrastructure is
compliant can we do both that's the
problem how do you want to
proceed
[Music]
with the upcoming investigation we have
to make sure our network is more
compliant let's focus on that I agree
but what about the brege what's done is
done but we have to prioritize in my
opinion making our Network compliant is
more critical right now when that's done
we can look for the breach well all
right any
[Music]
ideas I don't think any Tech solution
will fix our problems totally it's
obvious that something is not working
with the implementation of security
policies and procedures in our hospital
I think we are all aware of how it
security Works David I don't mean you or
your guys I'm talking about regular
staff I'm talking about doctors nurses
janitors
even before I came here I overheard a
doctor Ask a Nurse to send him
confidential patient data to his private
email I talked to the nurse about it and
it seems this is standard practice here
I think there is a lot of work to be
done here so what do you want to do
about
[Music]
it well I'll need your help on this we
need to do training sessions for the
staff I'll run this by Logan we would
have to organize this quickly not
telling what might happen next I'll try
to set it up this week and make sure you
enable the anti-ransomware functionality
in deep security just in case can I
count on your help sure
thanks all Personnel please report to ER
we have incoming wounded from a highway
collision at least 10 injured ETA 5
[Music]
minutes hello hello what's going on we
may have a big problem uh we're getting
swamp by reports from all of our Network
that people are receiving fishing emails
it's uh seems that they are almost
identical but look credible and relevant
what's the status everything seems to be
okay we're monitoring external traffic
as well as lateral
movement I don't want to jinx it but it
looks like no one has fallen for the
bait they're just reporting the emails
to us the security training seems to be
working all right let's hope so I'll
keep you
posted year-old male head on collision
visible bleeding the fast now prep him
for surgery you hear me stay with us I'm
Dr Miller I'm going to help
you hey is everything all right a lot of
new patients but we've got everything on
under
control well done you prevented the
breach and the ransomware from crippling
the hospital's operations in the end the
doctors were able to save patient lives
now let's take a closer look at some of
the decisions that you
made we'll need to experise spending of
the next quarters budget
now we need something versatile that
covers our basic
security needs but at the same time has
minimal impact on performance having
realized that some basic security
measures were not in place in the data
center you inherited you decided to
scour the market for an integrated
solution that offered Central management
and visibility for all your different
server infrastructure a quick win to
resolve a pressing issue
have you ever had an IT security
training at all not as far as I can
remember and make sure you enable the
anti-ransomware functionality in deep
security just in case you did great by
digging a little deeper in your
conversation with members of staff and
uncovered their lack of security
awareness this prompted you to enable
the anti-ransomware functionality in
deep security and avoid the
attack
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