Top 5 Mistakes Chiropractors Make with Their Digital Security

December 01, 2020 00:19:08
Top 5 Mistakes Chiropractors Make with Their Digital Security
ChiroCast: Insights for modern chiropractors
Top 5 Mistakes Chiropractors Make with Their Digital Security

Dec 01 2020 | 00:19:08

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Show Notes

Aaron Jones, Director of Compliance and IT at ChiroTouch, and Dr. Tami Howard, ChiroTouch Trainer, discuss five of the biggest mistakes chiropractor's made when it comes to their office's digital security.  

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Episode Transcript

WEBVTT 1 00:00:01.159 --> 00:00:04.280 Welcome to another episode of catch up with CAIRA touch. I'm one of your 2 00:00:04.320 --> 00:00:07.790 host Dr Tammy Howard. In this episode we're going to talk about the top 3 00:00:07.950 --> 00:00:12.669 five mistakes that chiropractic offices make with their digital security. Joining me today is 4 00:00:12.789 --> 00:00:16.510 Aaron Jones. Aaron is the director of it here at Cairo touch and, 5 00:00:16.629 --> 00:00:21.070 amongst the many responsibilities he has here, helps to ensure the security of our 6 00:00:21.109 --> 00:00:24.820 internal systems so we can provide the highest level of service to our clients. 7 00:00:24.859 --> 00:00:28.019 Hi, Aaron, thanks for joining us. Hi, Timmy, glad to 8 00:00:28.059 --> 00:00:31.219 be here. I know when you and I first met to discuss this idea 9 00:00:31.260 --> 00:00:35.969 of doing a podcast on digital security, we realize pretty quickly how large this 10 00:00:36.130 --> 00:00:40.369 topic can get and also how scary it can sound to people at times. 11 00:00:40.810 --> 00:00:45.369 Small Business owners have so much on their minds already and digital security is not 12 00:00:45.649 --> 00:00:49.210 always at the top of that list. Well, you're absolutely right, Tammy. 13 00:00:49.210 --> 00:00:52.920 It is a very scary topic. I know it is a big topic 14 00:00:53.119 --> 00:00:56.799 and so much to take action on. Can you dive into one of the 15 00:00:56.840 --> 00:01:00.359 first common mistakes that Chiropractic offices make? Sure? I think this is very 16 00:01:00.520 --> 00:01:07.349 common in fact, and that is when users of any network go to set 17 00:01:07.390 --> 00:01:11.269 up the parameters of their network. Often they'll get through the naming of the 18 00:01:11.349 --> 00:01:15.310 network and that's about it and they won't look any deeper into the settings. 19 00:01:15.430 --> 00:01:19.180 Are Certainly the security options. They might set up a password, but very 20 00:01:19.299 --> 00:01:25.180 often there will be a wireless network that is either unsecured or protected only by 21 00:01:25.180 --> 00:01:29.500 a very weak password, and that is just so common that that it's essentially 22 00:01:29.579 --> 00:01:34.329 leaving the door open to any would be attacker to jump on the network that 23 00:01:34.409 --> 00:01:40.609 might also host a lot of really important critical systems and make them vulnerable to 24 00:01:40.689 --> 00:01:44.969 attack. Yeah, I know oftentimes you'll go into businesses and they'll have like 25 00:01:45.049 --> 00:01:49.280 a guest account that's available. Is that something that is generally more secure? 26 00:01:49.400 --> 00:01:53.680 If there is a guest network, it can be. The concept of a 27 00:01:53.760 --> 00:02:00.680 guest account first allows guests inside that business to connect to the Internet without having 28 00:02:00.680 --> 00:02:06.469 to input a password. The second consideration there is to isolate or put those 29 00:02:06.549 --> 00:02:10.150 users of the network into a bubble and keep them away from the sensitive resources 30 00:02:10.270 --> 00:02:14.189 on the business network. Right. So, if it's set up properly, 31 00:02:14.469 --> 00:02:19.819 then a guest network is absolutely a safe thing to provide to visitors to the 32 00:02:19.860 --> 00:02:23.979 business. An important thing to turn on is wireless guest isolation. It's a 33 00:02:24.020 --> 00:02:30.330 pretty common feature in most routers and that wireless guest isolation essentially does just what 34 00:02:30.449 --> 00:02:35.810 I was suggesting. It puts those guest Internet users in a bubble where they 35 00:02:35.849 --> 00:02:38.169 can't see or touch anything else on the network. Most people, if you 36 00:02:38.289 --> 00:02:43.449 like, understand that they shouldn't have unsecured wireless networks, so it's interesting to 37 00:02:43.490 --> 00:02:47.680 see that that's still a common mistake that people make. What is the large 38 00:02:47.960 --> 00:02:53.400 concern there is that somebody can gain access through that to your sensitive data. 39 00:02:53.879 --> 00:03:00.189 That's exactly right. You would be surprised to learn how easy it is for 40 00:03:00.430 --> 00:03:05.430 attackers, with the sophisticated towels that are winely available now, to get into 41 00:03:05.590 --> 00:03:09.469 essentially whatever they'd like to through your network. And a lot of times even 42 00:03:09.509 --> 00:03:15.460 a secured wireless network will have the password to the network posted somewhere visibly within 43 00:03:15.580 --> 00:03:21.620 the office. So if someone is on Your Business Network, they are able 44 00:03:21.780 --> 00:03:27.099 to collect things like user names and passwords, Ip addresses to sensitive systems, 45 00:03:27.330 --> 00:03:30.610 they can see packets of information passing back and forth and they can in fact 46 00:03:30.889 --> 00:03:36.569 impersonate other users from within that network. So there are just a number of 47 00:03:36.650 --> 00:03:42.319 dangers there and it's really important to keep outside actors off of Your Business Network. 48 00:03:42.800 --> 00:03:46.080 Don't leave those passwords posted visibly. Huh, that's absolutely right. But 49 00:03:46.319 --> 00:03:50.719 also, I would say, in addition to keeping them secret, change them 50 00:03:50.800 --> 00:03:58.189 often right, because those passwords certainly can be given out to non employees in 51 00:03:58.349 --> 00:04:00.710 the event that someone needs to jump on the network and perhaps they are a 52 00:04:01.189 --> 00:04:06.270 vendor partner or maybe they're a family member of an employee. You might end 53 00:04:06.310 --> 00:04:12.580 up spreading the password around more broadly than you intended to. So Changing Your 54 00:04:12.620 --> 00:04:17.699 Business Network Password often is good policy, and certainly keep from posting it publicly. 55 00:04:18.300 --> 00:04:24.220 That's a good sigling into another common mistake that we see people make graves 56 00:04:24.410 --> 00:04:30.529 the we password security, or maybe not changing passwords quite as often as they 57 00:04:30.529 --> 00:04:32.689 should be. There are so many things that we rely on passwords for, 58 00:04:33.050 --> 00:04:39.160 and password fatigue is real, having to remember so many different passwords for the 59 00:04:39.240 --> 00:04:43.800 different systems that you interact with on a daily basis. The most important thing 60 00:04:43.839 --> 00:04:47.720 to do is to think about password policies. What is it that you want 61 00:04:47.879 --> 00:04:54.069 to pursue in terms of passwords security? Do you want to have passwords that 62 00:04:54.110 --> 00:04:59.430 are unique for all of your critical business systems, meeting your password isn't dolphin, 63 00:04:59.509 --> 00:05:01.910 one, thouusand nine hundred and eighty five across every system that you connect 64 00:05:01.949 --> 00:05:06.579 to. That's certainly a great place to start, but thinking through those different 65 00:05:06.660 --> 00:05:13.500 expectations and writing them down into a password policy is really the first step. 66 00:05:13.819 --> 00:05:16.699 Without a standard to follow, you can't expect all of the people who have 67 00:05:16.819 --> 00:05:21.209 access to your critical data and your critical systems to fall in line. Well, 68 00:05:21.250 --> 00:05:24.810 now that you've told everyone my password, I'm going to have to go 69 00:05:24.889 --> 00:05:29.290 and change it. Hoops, how'd you know I love dolphins? I know 70 00:05:29.410 --> 00:05:35.079 that something that you've hopped on quite a bit is using longer phrases or pass 71 00:05:35.160 --> 00:05:40.560 phrases. Can you talk a little bit about some of that for our listeners? 72 00:05:40.600 --> 00:05:46.120 Absolutely so. There is conventional wisdom with regards to password security, but 73 00:05:46.240 --> 00:05:50.990 the important thing to note is that that wisdom is always changing. There is 74 00:05:51.230 --> 00:05:59.550 an organization and the National Institute of Standards and Technology that keeps uptodate standard or 75 00:05:59.589 --> 00:06:06.420 recommendation for password strength for just generally Internet security practices, Best Practices for things 76 00:06:06.500 --> 00:06:12.899 like passwords, for things like remembered tokens and other things that software systems and 77 00:06:13.100 --> 00:06:18.810 users might employ to secure their systems and data. Those rules are always changing 78 00:06:18.970 --> 00:06:26.490 and in fact the recommendations evolve as humans adapt to this password fatigue. One 79 00:06:26.529 --> 00:06:30.769 of the things that we do is we end up relying on the same mechanisms, 80 00:06:30.889 --> 00:06:34.399 we fall back on the same patterns when we're required to change passwords very 81 00:06:34.519 --> 00:06:42.000 often, and we do more often reuse passwords across even very critical systems. 82 00:06:42.680 --> 00:06:46.759 If we have to change these passwords and they have to adhere to a certain 83 00:06:46.079 --> 00:06:51.750 minimum strength. So mist, the National Institute of Standards In technology, acknowledges 84 00:06:51.829 --> 00:06:58.470 that the best thing to do is to have different passwords across different critical systems 85 00:06:58.709 --> 00:07:02.740 and make them longer phrases. A pass phrase that is easy for the human 86 00:07:02.819 --> 00:07:09.300 to remember but harder for an attacker to crack. Essentially, a password is 87 00:07:09.339 --> 00:07:13.220 harder for an attacker to crack if it is longer. The way that a 88 00:07:13.300 --> 00:07:19.370 password is cracked is generally not by human hands but by computers iterating through hundreds, 89 00:07:19.529 --> 00:07:25.410 thousands, millions of different possibilities, and the longer your password is, 90 00:07:25.810 --> 00:07:29.769 the less likely it is that they will ever attain a hit on your password. 91 00:07:30.240 --> 00:07:33.120 So by using a longer pass phrase, you make it much less likely 92 00:07:33.199 --> 00:07:39.439 that that password will be cracked and you can also make it somewhat memorable for 93 00:07:39.560 --> 00:07:44.120 the system that you're signing into, and I think this brings up something that 94 00:07:44.389 --> 00:07:47.149 I know you are planning and talking about today as well, but some of 95 00:07:47.189 --> 00:07:55.149 the human as a risk factor conversation where employee may be of your companies using 96 00:07:55.269 --> 00:08:01.939 the same password for personal items as they are for the business. So talk 97 00:08:01.980 --> 00:08:05.220 a little bit on that if you would. It's so common. One of 98 00:08:05.259 --> 00:08:11.620 the main ways that passwords will be compromised is because a username and password combination, 99 00:08:11.889 --> 00:08:16.290 or even the identity of a person, which may have several user names 100 00:08:16.329 --> 00:08:20.810 associated with it, either on the dark web or in the possession of some 101 00:08:20.930 --> 00:08:24.290 attacker, can be correlated to passwords they're using for much more important systems. 102 00:08:24.490 --> 00:08:30.800 So let's say, for example, your paypal password gets compromised, or perhaps 103 00:08:30.800 --> 00:08:35.279 your password on pinterest gets compromised. If you're using the same password and same 104 00:08:35.360 --> 00:08:41.590 naming convention on a very critical business system, then essentially the other system is 105 00:08:41.669 --> 00:08:46.110 already compromised as well. It's just a matter of time before that combination is 106 00:08:46.230 --> 00:08:50.990 tried. So the most important thing to remember is that every business system should 107 00:08:52.389 --> 00:08:58.779 be treated as unique. You're not protected if you have one strong password that's 108 00:08:58.820 --> 00:09:03.580 used with one lag on across all really critical business systems, and certainly I 109 00:09:03.659 --> 00:09:11.769 would strongly advise against using the same password in your personal accounts as you do 110 00:09:11.929 --> 00:09:15.129 in your business accounts. So don't change my password to iile of dolphins one 111 00:09:15.129 --> 00:09:18.049 thousand nine hundred and eighty five and use that across all accounts. Right. 112 00:09:18.490 --> 00:09:24.600 Just make sure you change the ease two threes in dolphins forever. Exclamation. 113 00:09:24.639 --> 00:09:31.799 A lot of chiropractic offices don't tend to run their own email systems. They'll 114 00:09:31.840 --> 00:09:37.200 rely on something like Gmail account or hotmail account. So talk a little bit 115 00:09:37.240 --> 00:09:41.990 about unmanaged email systems. In what we should be looking for is kind of 116 00:09:43.110 --> 00:09:46.509 best practice. there. It's very easy, especially for small businesses, to 117 00:09:46.629 --> 00:09:52.789 rely on email addresses that can be obtained for free, with very little effort, 118 00:09:52.019 --> 00:09:58.620 through public email systems like Gmail and hotmail. The problem largely comes in 119 00:09:58.179 --> 00:10:03.539 because there's no administrative control of those email systems. You can't and force the 120 00:10:03.580 --> 00:10:09.889 password policy that you just wrote, so you have no ability to deactivate or 121 00:10:11.129 --> 00:10:16.809 forward or control a personal email address that your staff member who just left Dis 122 00:10:18.129 --> 00:10:22.639 gruntled might have used. Because of that, I would recommend looking at one 123 00:10:22.679 --> 00:10:28.960 of three options for upgrading the way you do email. One of the easiest 124 00:10:28.000 --> 00:10:33.080 ways to upgrade from a public email system is to look at a business email 125 00:10:33.360 --> 00:10:39.029 system through the same provider. So let's say your staff is comfortable with Gmail. 126 00:10:39.549 --> 00:10:43.429 Buying into a g suites account, or essentially a business level google account, 127 00:10:43.909 --> 00:10:50.019 will allow an administrator to provision and control email addresses. Those email addresses 128 00:10:50.100 --> 00:10:54.740 can have password policies enforced that will match top to bottom throughout the organization, 129 00:10:56.299 --> 00:11:01.539 and user accounts can be enabled or disabled based on the status of the user. 130 00:11:03.220 --> 00:11:09.169 There's another level that can be attained by managing your own private email system. 131 00:11:09.570 --> 00:11:15.970 That can take the form of a hosted email service or a selfhosted email 132 00:11:16.330 --> 00:11:22.559 server. Those last two options are certainly more complex than a g suites or 133 00:11:22.600 --> 00:11:26.080 office three hundred and sixty five business account, but all three of these options 134 00:11:26.200 --> 00:11:33.909 allow far greater control over the email users and the routing of the email and 135 00:11:35.269 --> 00:11:39.470 all things having to do with the security of that email account. A lot 136 00:11:39.470 --> 00:11:45.190 of times that something that's not necessarily considered when creating these gmail accounts and things 137 00:11:45.230 --> 00:11:48.580 like that. They are going to lose control over that if the staff leaves, 138 00:11:48.659 --> 00:11:52.500 so that's a really important business consideration for offices. So thanks for talking 139 00:11:52.539 --> 00:11:56.220 about that. The next point that I want to talk about it I know 140 00:11:56.299 --> 00:12:03.330 it's one of your favorites because you have control over this within Cairo touches some 141 00:12:03.409 --> 00:12:07.850 of the staff training around security principles. So, for listeners on the phone 142 00:12:07.929 --> 00:12:13.690 that aren't we're Aaron helps to keep us on our toe. Is Er a 143 00:12:13.809 --> 00:12:16.799 care touch around security principles and one of the things that he does for us 144 00:12:16.919 --> 00:12:24.240 is yearly staff training on this topic. And so talk a little bit about 145 00:12:24.720 --> 00:12:28.960 some of the reasons that you've picked up the staff training piece for Cairo touch 146 00:12:30.269 --> 00:12:35.470 and what the major areas are that you feel should be focused on. Definitely, 147 00:12:35.110 --> 00:12:39.669 in addition to being director of it, I also we're the hat of 148 00:12:39.870 --> 00:12:45.580 compliance officer for our organization, and you're right that one of the most important 149 00:12:45.820 --> 00:12:52.500 facets of it security is the human element. The people who are actually pulling 150 00:12:52.539 --> 00:12:58.379 the levers, pushing the buttons and managing the sensitive data and systems that are 151 00:12:58.419 --> 00:13:01.370 so critical to your business are the ones on the front line. There are 152 00:13:01.409 --> 00:13:07.490 the ones that are at most risk of making a mistake or being attacked. 153 00:13:07.769 --> 00:13:11.570 And when I say being attacked, I mean that quite literally. Fishing attacks 154 00:13:11.730 --> 00:13:16.639 through email and other means are very common and they're meant to trick users. 155 00:13:18.159 --> 00:13:20.919 So one of the most important things to do is to make sure that the 156 00:13:22.080 --> 00:13:26.919 users inside your organization know that these attacks are coming. They know what they 157 00:13:26.039 --> 00:13:33.230 look like, they can characterize them and predict what they're going to look like 158 00:13:33.429 --> 00:13:37.669 and feel like, but also to continually remind and build up a culture of 159 00:13:37.909 --> 00:13:45.220 security awareness within your organization. If every single person on your team is vigilant 160 00:13:45.659 --> 00:13:52.379 and aware and defending the organization against it attacks and other threats, then it's 161 00:13:52.620 --> 00:13:56.129 very likely that you'll have great success. But if even one person in your 162 00:13:56.169 --> 00:14:01.690 organization is much more relaxed than the others, then you've got a weak link 163 00:14:01.730 --> 00:14:07.090 in the chain. So not only is it really important to acknowledge that humans 164 00:14:07.129 --> 00:14:11.720 are probably your biggest risk factor, but also you should be conducting regular training, 165 00:14:13.000 --> 00:14:18.840 training on that only HIPPA and the protection in classification of protected health information, 166 00:14:20.240 --> 00:14:24.669 but also just it risks and it security in general. Doing that training 167 00:14:24.710 --> 00:14:28.389 at the point of bringing on a new hire and also just annually is great, 168 00:14:30.029 --> 00:14:35.789 but what we find to be as powerful is regular, unexpected security reminders 169 00:14:35.230 --> 00:14:41.539 that can snap people back into awareness of a particular threat that they might have 170 00:14:41.700 --> 00:14:46.980 grown a little bit more relaxed against. The fishing attempts now seem to be 171 00:14:46.419 --> 00:14:54.049 much more complex than before. They're becoming much more sophisticated in their attempts now 172 00:14:54.529 --> 00:14:58.370 with SMO those fishing emails and things that will go out. So having that 173 00:14:58.450 --> 00:15:01.450 regular reminder to kind of be on your toes, it's really good. It 174 00:15:01.490 --> 00:15:05.809 helps me, at least I know. So what happens if all else fails? 175 00:15:07.399 --> 00:15:13.919 So something fails in our attempts and we have a disaster, whether that's 176 00:15:13.960 --> 00:15:20.159 a natural disaster or some type of a technology disaster, what are the important 177 00:15:20.200 --> 00:15:24.070 systems that we should have in place for that? There are a number of 178 00:15:24.149 --> 00:15:30.750 different ways to approach this topic. The idea of disaster recovery often revolves solely 179 00:15:30.750 --> 00:15:33.990 around where is the backup of my data? How do I get my data 180 00:15:35.110 --> 00:15:39.299 restored after x, Y Z might occur, but very little time is often 181 00:15:39.379 --> 00:15:46.980 spent on understanding the steps between the failure and the recovery, and that's really 182 00:15:46.019 --> 00:15:52.490 where all the meat of this discussion is. Disaster Recovery and contingency planning is 183 00:15:52.529 --> 00:15:58.970 multifaceted because there are many different types of systems and many different levels of criticality 184 00:16:00.009 --> 00:16:03.720 of data that you have to contend with. Not Everything that you had before 185 00:16:04.360 --> 00:16:10.320 a crash, a flood, a tornado is critical to have back on the 186 00:16:10.360 --> 00:16:14.000 other side of it. That may be an ideal state, but understanding what 187 00:16:14.120 --> 00:16:18.480 the most critical things are can often lead to you protecting at a much higher 188 00:16:18.519 --> 00:16:22.429 level those things which are more critical. So that's an important for a step, 189 00:16:22.629 --> 00:16:26.389 really documenting what you have, whether it's data, whether it is a 190 00:16:26.509 --> 00:16:33.419 piece of software or some specific configuration that you need to recreate, and then 191 00:16:33.580 --> 00:16:37.059 making sure that you have a plan for putting that back in order, from 192 00:16:37.139 --> 00:16:41.179 most critical to least critical. The second thing that I think is important, 193 00:16:41.179 --> 00:16:47.210 after you've documented what you have and what you want to get back, is 194 00:16:47.289 --> 00:16:52.490 to think through different scenarios that might realistically happen. If you are somewhere where 195 00:16:52.490 --> 00:16:56.250 it is completely impossible for floods to occur, you don't need to have a 196 00:16:56.289 --> 00:17:02.200 flood contingency plan, but thinking through all of the realistic scenarios, however unlikely 197 00:17:02.320 --> 00:17:07.079 they might be, and then ranking those again by likelihood, by risk. 198 00:17:07.119 --> 00:17:11.519 Right. So we want to look at the impact versus the likelihood and wherever 199 00:17:11.559 --> 00:17:15.349 we see a hot a peak in the cross section of those two things. 200 00:17:17.109 --> 00:17:19.869 That's a risk to you, right. So you want to have a contingency 201 00:17:19.910 --> 00:17:22.990 plan for everything that might be likely to happen, and certainly this could be 202 00:17:23.029 --> 00:17:29.150 computer failure, it could be cyber attack, it could be theft, it 203 00:17:29.269 --> 00:17:32.900 could be a natural disaster. Each one of these things puts you in a 204 00:17:33.019 --> 00:17:37.460 different position with regards to recovery and if you go through and make a plan 205 00:17:37.700 --> 00:17:41.700 for each one of them in it can often lead to a much better outcome 206 00:17:42.019 --> 00:17:47.569 when one of those things might occur. It might be beneficial for our listeners 207 00:17:47.650 --> 00:17:52.690 to have somewhere to seek out information beyond to this podcast. So, with 208 00:17:52.930 --> 00:17:56.490 that said, is there any specific resources that you would find helpful to point 209 00:17:56.529 --> 00:18:02.519 our listeners to for continuing their education on this topic? There are a ton 210 00:18:02.559 --> 00:18:08.680 of resources available online for both it security and specifically healthcare it security. The 211 00:18:08.759 --> 00:18:12.829 first thing that I would recommend that listeners do is head to Cairo touchcom. 212 00:18:14.190 --> 00:18:18.150 We have a resources section at Cairo touchcom, slash resources, which has several 213 00:18:18.430 --> 00:18:23.390 security ebooks. You can just search security ebook there and those are a good 214 00:18:23.430 --> 00:18:29.059 place to start. But also there's a wealth of information available at health it 215 00:18:29.660 --> 00:18:33.619 Dotcov. That information is far reaching. It certainly is not specific to Chiropractic, 216 00:18:34.059 --> 00:18:38.420 but it does answer a number of the questions that you might have as 217 00:18:38.539 --> 00:18:42.890 follow ons from the topics today. Excellent. Well, thank you so much 218 00:18:42.890 --> 00:18:48.529 for joining us today and giving us all of this wonderful information on how to 219 00:18:48.730 --> 00:18:52.130 protect offices, and thank you all for catching up with Cairo touch. Make 220 00:18:52.170 --> 00:18:57.319 sure to tune in every week on spotify, itunes or Cairo touchcom backslash podcast 221 00:18:57.440 --> 00:19:00.039 to listen to our latest episodes.

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