
 
        
         
		HOW TO PREPARE FOR A CYBER BREACH 
 John Southrey, CIC, CRM, Director,  
 Product Development and Consulting Services, TMLT 
 Data breaches continue  
 to be rampant in health  
 care, and the financial  
 impact to physicians  
 and patients can be  
 greater than expected. It is widely  
 known among cyber criminals that  
 healthcare organizations generally  
 have limited security budgets and  
 inadequate data safeguards, making  
 them easy targets for cyberattacks.1 
 As the use of various forms of  
 technology — such as internetconnected  
 medical devices and health  
 data sharing — increase throughout  
 health care, so will cyber risks. And  
 the direct and indirect costs of a  
 breach can be devastating. 
 Direct costs of a breach can  
 include: 
 Wayne Wenske,  
 Senior Marketing Coordinator, TMLT 
 •	 fees for legal counsel 
 •	 IT forensic expert fees 
 •	 breach notification expenses 
 •	 third-party damages 
 •	 regulatory fines and penalties  
 Indirect costs can include: 
 •	 loss of income 
 •	 expenses to deal with the incident 
 •	 potential loss of revenue from  
 reputational harm caused by  
 adverse media about the breach 
 Cloud-based breaches   
 Breach incidents can occur on or  
 off premises, including in the cloud.  
 Therefore, moving data to the cloud  
 does not eliminate cyber risks. 
 More healthcare organizations are  
 relying on uninterrupted access to  
 28  Dallas Medical Journal   November 2018 
 cloud-based information to conduct  
 their operations. If a cyberattack  
 causes the cloud’s network to go  
 down, this dependence can expose  
 medical practices to a damaging  
 business interruption. 
 This kind of breach can be  
 especially disruptive for a practice  
 without contemporaneous data  
 backup, or if access cannot be  
 restored in a timely manner. Even if  
 the practice has a real-time backup,  
 restoring corrupted data can take days  
 or weeks. 
 The Allscripts ransomware attack  
 in January 2018 is a prime example.  
 The attack shut down two data  
 centers that hosted Allscripts’ EHR  
 systems and software used for the  
 electronic prescribing of controlled