How insufficient cyber security kills pharma: HIPAA, CCPA, ISO 27001, SOC2, and GDPR.

cyber security in healthcare

Explore the importance of cyber resilience and compliance to standards like HIPAA, CCPA, ISO 27001, SOC2, and GDPR in order to protect health information and avoid hefty fines.

The average cybersecurity breach in the pharmaceutical industry is estimated at costing $5.06 million. With hundreds of such violations happening annually, there is a huge financial downside with the lack of cybersecurity. Yet, to help companies mitigate potential breaches, data security standards are designed to lower the chances of sensitive data being stolen. 

This article is dedicated to those standards. A major point is to show how noncompliance with HIPAA, CCPA, ISO 270001, SOC2, and GDPR make companies’ cybersecurity vulnerable to threats. In addition, it is crucial to illustrate the simple steps toward compliance and argue the benefits of such an approach. 

Importance of pharma industry cybersecurity: Lessons from recent data breaches

Why is cybersecurity important in pharma? There are two particular answers to this question. First, it is worth noting that the global cybersecurity market is booming, which means more companies work with more clients and their data. With more companies adopting digitization, there is a growing demand for effective cybersecurity measures. Statista forecasts the global cybersecurity market will reach $345.4 billion by 2026 compared to $217.9 billion in 2021 (see Fig.1).Why is cyber security important in healthcareFigure 1. Size of the global cybersecurity market worldwide

Second, the importance of data security in pharma is measured by the number of data breaches that happened in the past and the degree of damage inflicted by them. In a nutshell, more and more  costly security breaches are happening every year. To illustrate the harm that can be inflicted by security breaches, here are several key examples from the pharmaceutical industry. 

Dragonfly attack on pharmaceutical suppliers

A recent report from cybersecurity agency Black Kite suggests that about 89 percent of pharma companies are at risk of experiencing a phishing attack. To illustrate, in September 2014, the pharma industry became a victim of a targeted malware attack resulting in intellectual property theft. More specifically, the so-called Dragonfly malware infected thousands of business computers while collecting pharma control systems information across the U.S. and Europe. As a result of the attack various pharma companies were forced to postpone ongoing drug discovery processes.

NotPetya attack on pharmaceutical giant Merck

A NotPetya attack took place in 2017. It was immediately coined as one of the most damaging cyber attacks in history. While initially directed by Russia against Ukraine, the pharmaceutical giant Merch was hit as a result of the attack. The malware took down around 30,000 computers across the company’s different departments. An estimation suggested that the cost of the damages from the attack was about $1.3 billion. In addition, the malware disrupted the production of an important HPV vaccine produced by Merck. 

Winnti attacks on Bayer

The case of Bayer and Roche emphasizes the importance of creating potent statewide health care security. In the so-called Winnti attacks, an alleged China state-backed hacker group targeted Bayer. While the company managed to mitigate the attack and no data theft occurred, the case raises an important question concerning industrial espionage. 

Cyber attacks on AstraZeneca and Pfizer

One of the most recent cases targeting pharma cybersecurity is linked with Pfizer and AstraZeneca. In December 2020, the European Medicines Agency (EMA) indicated the breach of privacy and security in pharma-associated documents corresponding to the Pfizer vaccine. At the same time, hackers from North Korea initiated a spear-phishing campaign against AstraZeneca. At this point, along with sensitive information being stolen, both companies suffered about $5 million in losses. 

Statista illustrates that in 2021 the average cost of a data breach revolved around $4.24 million, an increase from $3.84 million experienced in previous years (See Fig.2).Cyber attacks on AstraZeneca and PfizerFigure 2. The average cost of data breaches worldwide. 

The data breaches in recent years show that the pharmaceutical industry is a legitimate target for malicious attacks. Through this perspective, cybersecurity in pharma gains an even greater significance. This is a time when pharma data security standards are coming to light.

HIPAA 

What is privacy in healthcare and pharma? Privacy means ensuring a patient’s sensitive data is in good hands and protected from being disclosed without a person’s consent. Pharmaceutical companies follow particular guidelines and adhere to existing security standards to protect patient privacy. At this point, HIPAA is at the forefront of proper data security. 

Known as the Health Insurance Portability and Accountability Act, HIPAA was signed in 1996. Generally, the law offers the following protections:

  • Easier data transfer for patients when people change jobs.
  • Protection of sensitive billing and payment data.
  • Standardization of medical pricing and administrative tasks within the industry.
  • Ensuring compliance to the principles of consent and security of confidential patient information.

Regarding cybersecurity in healthcare, Title II of HIPAA offers specific guidelines for storing, processing, transferring, and accessing electronically protected health information (ePHI). At this point, noncompliance with HIPAA security rules often results in data breaches and hefty fines. An estimation shows fines ranging from $100,000 to $2.6 million (see Fig.3).What is privacy in healthcareFigure 3. Average HIPAA penalty 2008-2021.

There is a dedicated HIPAA’s “Wall of Shame,” which is an online portal showing all the data breaches with information like the number of individuals impacted, type of breach, and the breach submission date. 

Compliance with HIPAA security rules relies on several key principles:

  1. Implementation of a security management process, including a risk analysis of ePHI and security measures to mitigate potential risks.
  2. Adoption of procedures illustrated in Title II to guard against malicious software.
  3. Training of users on the principles of malicious software protection.
  4. Integration of limitations on the access controls to ePHI and granting access only to people who have received data protection training. 

HIPAA offers simple and effective protective measures to help pharma providers avoid damaging data breaches and hefty fines associated with noncompliance. 

CCPA

The California Consumer Privacy Act (CCPA) is an American version of the EU’s GDPR. Yet, instead of banning businesses from collecting consumers’ data, the standard focuses on the biggest tech corporations like Google, Amazon, and Facebook. Essentially, there are three given criteria determining whether CCPA applies to the business or not:

  1. The company generates more than $25 million annually.
  2. At least half of the generated revenue is collected from selling consumers’ personal data.
  3. The data is collected from 50,000 or more customers.

The standard’s important connotation is linked to the perception of a “consumer.” Following Section 17014 of Title 18 of the California Code of Regulations, CCPA does not apply to a consumer if they are not a California resident. In the context of pharma, the standard applies to clinical research and the security of medical databases. 

Compliance with CCPA also requires considering the various HIPAA exemptions. One key exemption is applied to Protected Health Information (PHI). Such markers are collected and used by HIPAA as “Covered Entities” and “Business Associates.” In other words, pharma and life science companies offer healthcare services not covered by “Covered Entities” when processing patient health information

Finally, in terms of the consequences of noncompliance, breaking CCPA standards often results in civil penalties ranging from $2,500 for a non-intentional violation to $7,500 for an intentional violation. For pharma companies operating in California, CCPA is worth considering, especially along with the HIPAA security rules

ISO 27001

Dealing with privacy and security in healthcare and pharma often results in numerous major challenges associated with data protection. For example, ISO 27001 is a standard that encourages a business to consider the process of data protection. More specifically, the controls in the standard offer suggestions on how such processes can be implemented and improved to become more feasible. Furthermore, ISO27001 encourages companies to implement sets of technical measures and controls to ensure data confidentiality, integrity, availability and safety. 

ISO 27001 takes a holistic approach to cybersecurity in pharma. It entails aspects like risk assessments, risk treatment plans, inventory of assets, and key roles of users. There is a range of benefits compliance to ISO 27001 offers, including:

  • Plugging gaps in security systems.
  • Gaining a competitive advantage.
  • Demonstrating compliance, which results in fewer fines.
  • Reducing the risks of cyber attacks.
  • Retaining a good reputation.

In the wake of recent events, there were three major cyber attacks in the Indian pharma industry. They took place for several months in 2020. As a result of the attacks, over 121 million medical records were compromised. The investigation showed a direct correlation between noncompliance to ISO 27001 and the companies’ insufficient security measures to repel the malicious cyber attacks.

To get ISO 27001 certification, a company needs to complete a compliance checklist:

  • The scope of how ISO 270001 will be applied to the company.
  • An Information Security Management System (ISMS) policy update.
  • An established risk assessment methodology.
  • A risk treatment plan.
  • A Statement of Applicability to determine the proper and applicable ISO 27001 controls.
  • A roadmap of technical measures to be implemented so as to support the applicable controls.
  • A plan for a training program for all employees who have access to digital or physical assets.
  • A plan for internal audit check-ups.
  • A strategy for corrective measures, if needed.

Following the aspects mentioned above results in functional risk-based cybersecurity, meaning that the company is ready to mitigate any data breach or prevent it from happening in the first place. This results in protected health information and the ability to repel security threats effectively. 

SOC 2

System and Organization Controls for Service Organizations 2 (SOC 2) is a framework that helps determine whether an organization’s practices are proven to be effective in protecting customer and client data. SOC 2 is mostly applied to companies that store data in the cloud, which is the case in the SaaS sector.

In the pharma industry, SOC 2 offers clear security protocols associated with the usage of patient data. For instance, if a company develops medical devices and in some manner maintains or transfers sensitive patient information, the SOC 2 standard provides reports illustrating how information security should be applied, especially when dealing with Personal Health Information (PHI). 

Being SOC 2 compliant offers a range of benefits. Most notably, undergoing the audit illustrates that the company or provider has sufficient security to operate with patient health information. A SOC 2 certification boosts a company’s reputation as well. In addition, adherence to data security standards often translates into a competitive advantage. The highest levels of data security mean the highest levels of reliability.

Becoming SOC 2 compliant relies on the proper understanding of preparing SOC 2 reports. A starting point is to adhere to the Trust Service Principles: Security, Availability, Processing Integrity, Confidentiality, and Privacy. A SOC 2 report offers assessments on each of these principles. Here is more information on preparing SOC 2 reports, per each principle.

GDPR

General Data Protection Regulation (GDPR) is the European data protection legislation enforced in May 2018. Under this principle, organizations operating with the personal information of any EU data subjects are obliged to demonstrate compliance or face penalties in the high millions. Essentially, to avoid hefty fines, companies operating with the personal data of Europeans need to show how they will protect it. This means illustrating how data from supplies, clinical trial subjects, and consumers are managed, transferred, and stored for pharmaceutical companies. 

Usually, pharma companies store massive amounts of patient health information. Following the rules of GDPR, everything from patient databases to consumer communications records need to be protected from breaches. In addition, GDPR is especially important when dealing with medical research in the pharma industry. If using anonymous data is impossible, pharmaceutical companies engaging in medical research need to protect patient privacy through measures like: 

  • Processing only the minimum amount of personal data required.
  • Maintaining patient health information in such a way so as to avoid any substantial damage to the individual.
  • Processing data does not correlate to measures relating to particular individuals.

Taking things further, in pharmacovigilance, there is an additional measure applied. Notably, GDPR requires businesses to report adverse reactions correlated with the principles of patient consent. 

The crucial aspect is to consider the consequences of GDPR noncompliance. A so-called “GDPR Noncompliance Tracker” offers a great deal of information on all companies who have received hefty fines because of their inability to apply such significant security standards. Several examples are worth noting to show the extent of recent GDPR-related penalties. In 2021 Amazon was issued a staggering $877 million fine. Another instance is WhatsApp, the platform paid a $255 million fine. Finally, Google Ireland, failing to adhere to GDPR rules, was fined $102 million

With the massive fines, millions of people were affected as well. A HIPAA report indicates that 2015 peaked in the number of individuals affected by data breaches. In terms of sheer numbers, more than 113 million people were affected by the lack of cybersecurity (See Fig.4).what is General Data Protection RegulationFigure 4. Individuals affected by healthcare data breaches.

While GDPR noncompliance proved to be financially exhausting, compliance to the standard is fairly simple. Article 6 of the GDPR sets forth six foundational principles for processing personal data:

  1. Consent. The processing is done in accordance with the patient’s consent. 
  2. Contract. The processing is done per the contract established beforehand.
  3. Legal obligation. The processing is necessary to comply with the law.
  4. Public task. The process is required to contribute to the public good.
  5. Vital interests. The processing serves to protect someone’s life.
  6. Legitimate interests. The processing is important for the legitimate interests of a third party.

Following the aspects mentioned earlier ensures GDPR compliance. Keeping all the data security standards in mind and the consequences of noncompliance, it is worth noting several key elements currently helping to improve data protection in a respective industry. 

Aspects for improving data protection in pharma

Essentially, the experts outline nine steps for improving data protection in pharma. These include the following:

  1. Educating staff to avoid human error and negligence.
  2. Restricting access to data and applications from the people without authorization and proper training.
  3. Implementing protective data controls to block actions like web uploads, copying to external drives, and unauthorized email sends.
  4. Logging control monitor users accessing information and resources that are potentially susceptible to data breaches.
  5. Encrypting data in transit thus ensuring greater security to protected health information
  6. Securing mobile devices to restrict access to sensitive data.
  7. Mitigating connected device risks by keeping them in separate networks.
  8. Conducting regular risk evaluations to establish the weakest points in pharma cybersecurity
  9. Backing up data to an offsite location to ensure the stolen information can be restored with minimum harm inflicted.

These simple steps do not take too much to complete. Yet, they ensure a healthcare provider or a pharmaceutical company has sufficient measures to protect patient privacy, avoid fines, and keep a competitive advantage.

All in all

Cybersecurity in pharma relies on anticipating risks and assessing the company’s ability to gather, properly store, and analyze sensitive data. To make the process easier, there are existing security standards. A pharmaceutical company does not need to invent the wheel all over again. It needs to do everything possible to comply with HIPAA, CCPA, and GDPR while also getting ISO 27001 and SOC 2 certification. These are the safeguards protecting pharma from reputational and financial damages that data breaches can inflict. 

If you have any additional questions on HIPAA, CCPA, ISO 27001, SOC 2, and GDPR compliance, please contact us

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