More than half of all healthcare vendors have experienced a data breach that has exposed protected health information. Because of this, vendors know it can be costly. The average breach costs nearly $3 million and exposes roughly 10,000 records, new research from the Ponemon Institute shows.
When breaches that expose PHI do occur, only about one-third of vendors say that they would immediately notify healthcare providers -- a low number that points to a broken system of managing third-party risk in the healthcare industry.
Of the 54% of respondents who had at least one data breach involving PHI over the past two years, 41% had six or more breaches during this time. They cite the human factor as their biggest vulnerability when it comes to data breaches, suggesting that automation technology and process changes will be key in stemming the tide.
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Yet while more than half of those surveyed said a data breach could result in a loss of business, only 36% of vendors said their organization would immediately notify their healthcare providers if they had a breach that involved PHI or other sensitive information. In total, 43% of vendors have access to PHI.
According to Ed Gaudet, CEO of Censinet, which sponsored the Ponemon survey, vendors are having significant challenges with the overall process -- everything from the cost of data breaches to the exposure in terms of the record count.
Part of the issue is that providers are going through a major transformation when it comes to running their businesses. More medical devices can be connected to the cloud and the internet than ever before, and this means having software and other components that need to be continually assessed.
"Healthcare providers are also adopting new technologies faster than ever before," said Gaudet. "Ten years ago this wasn't a problem. Today, though, providers are looking at the application of AI and machine learning. Digital health is going through a renaissance."
Unfortunately, organizations are still using certification processes that take several months to complete, and often presuming they'll be good for the next year. But the technology dynamic has changed considerably.
According to the findings, 59% of respondents say risk assessments become out-of-date within three months or less. But only 39% say their organization is required to update their risk assessment every six months (18%) or at least once a year (21%).
That's an issue, because at the halfway point of 2019 the healthcare industry experienced more data breaches than in all the previous years combined. And the trend is going up: Despite all of the investments being made in security technologies, the number of breaches -- and the costs -- are still climbing.
"There's an issue where organizations think the breach is too small to report, or it's not material," said Dr. Larry Ponemon, chairman and founder of the Ponemon Institute. "They may not think there's a privacy risk."
A significant impact of all this on providers and patients specifically is that one large data breach can be catastrophic due to the sensitive nature of the information. There's a direct cost involved, but also a number of indirect costs owing to the practice being so broken. It adds up to a pretty significant drain overall.
Another important data point in the survey is that two in five vendors say providers don't require them to take action when there are privacy and security gaps. Gaudent said that boils down to the level of responsibility and accountability that both sides take.
When it comes to risk assessments, providers don't have the resources to cover all the vendors in the space. Instead they stratify them into three buckets based on what they perceive as the highest risk. But a breach will still likely find its way in, usually at the weakest link.
One of the issues the industry faces is that assessments are still largely done through manual processes involving spreadsheets and email. It's a time-consuming and costly process.
"Providers want to protect their business, so these analysts go back and forth until they feel confident they have that transparency," said Gaudet. "Some providers enable their analysts to work with the vendors directly to remediate those risks. And most providers frankly understand this is a hard thing to do."
That's largely because of all the people involved in the process. There are those who are involved directly, but there's also a tenfold indirect cost of processing risk assessment because they start at the procurement process -- supply chain, legal, finance, etc. -- until a contract is signed with a vendor. That doesn't end once the contract is signed; there's typically a process to reassess the vendor after a certain amount of time. The problem is that many vendors don't get reassessed at all.
Nearly 60% of vendors believe that their risk assessments are out of date within three months of filling them out, but fewer than 20% say providers make them fill out assessments more than once per year, the data showed.
Supply chain systems can change from month to month or week to week, while some of these assessments can take up to six months or more; as soon as the assessment is made public, it's out-of-date. Fifteen years ago, on-premises software changed perhaps twice per year. Now, software is getting patched and updated almost daily.
"How do you keep up with that if you're using manual steps and processes or approaches with a time base of a year? It just doesn't make sense," said Gaudet. "We're human beings -- we manage risk every day. We manage risk when we cross the street. We're constantly dealing with risk, yet we think it's OK that healthcare looks at risk on an annual basis."
The best way to take action, he said, is to automate as much of the process as possible, then collaborate with the vendor to truly understand the risk not at an organizational level but down to the micro-level of the product or service being implemented.
"Collaboration and proof enables the provider to do an analysis and assess if they have the right policy, the right procedure in place and the right controls," said Gaudet. "A good vendor is one that understands and has made a cultural change, rather than just checking a box in the survey.
"The amount of time in the process trips the vendor up," he said. "We think that time is important, but you've got to really automate the workflow, streamline it in a way that changes how people look at risk and how continually they're looking at risk across the supply chain."
Ultimately, the healthcare industry needs to enable vendors to have the right tools and processes in place to engage in the right behaviors. That can provide the level of transparency and confidence they need to protect their businesses, and it also mitigates the risk of losing patient data -- and patient safety.
"If you think about losing patient data, it's costly and embarrassing," said Gaudent, "but if a medical device that a loved one is connected to goes down, now it becomes a patient safety issue. It's personal."