1. Cook Children’s 1 Theresa Meadows, RN, MS, CHCIO Senior Vice President and CIO Co-Chair HHS Health Care Cyber Security Task Force July 2016 Cybersecurity: President Obama named it one of the most important challenges we face as a nation

2. Cook Children’s 2 Agenda About Cook Children’s Health Care System Healthcare Cybersecurity Taskforce Questions

3. Cook Children’s 3 About Cook Children’s Founded in 1918 – Fort Worth Free Baby Hospital Cook Children’s Hospital Fort Worth Children’s Hospital 1984 Merger: Cook- Fort Worth Children’s Medical Center 2013 Nationally recognized Integrated Delivery System

4. Cook Children’s 4 Cook Children’s Health Care System Eight Companies CC Medical Center CC Physician Network CC Home Health CC Health Plan CC Health Foundation CC Northeast Hospital (JV) CC Pediatric Surgery Center (JV) CC Health Services (for profit)

5. Cook Children’s 5

6. Cook Children’s 6 Service Area Defined Source: Claritas Demographics (2007) 6-County Service Area Outlying Referral Area Tarrant, Parker, Hood, Johnson, Wise, Denton (47% of state)

7. Cook Children’s 7 Why would I want to participate on this taskforce?

8. Cook Children’s 8 280,000+ identified as attacks and stopped per month on average

9. Cook Children’s 9 “People should be able to easily and securely access their electronic health information and send it to any desired location. They need to be able to understand how their information can be shared and used. And they must be assured that this information will be effectively and safely used to benefit their health and that of their community.” Secretary Sylvia Mathews Burwell Department of Health & Human Services (HHS)

10. Cook Children’s 10 History of the HealthCare Industry Cybersecurity (HCIC)Task Force Established under Section 405 of the CyberSecurity Information Sharing Act of 2015 (CISA) Purpose – To evaluate cybersecurity risks that are unique to the healthcare industry and recommend best practices to mitigate those risks Term – Task force expires in March 2017

11. Cook Children’s 11 HCIC Task Force Responsibilities A.Analyzing how other industries have implemented strategies and safeguards to address cybersecurity threats; B.Analyzing challenges and barriers the health care industry encounters when securing itself against cyber attacks; C.Reviewing the challenges to secure networked medical devices and other software or systems that connect to an electronic health record; D.Providing the Secretary with information to disseminate to healthcare industry stakeholders to improve their preparedness for, and response to, cybersecurity threats; E.Establishing a plan to create a single system for the Federal Government to share actionable intelligence regarding cybersecurity threats to the health care industry in near real time for no fee; and F.Reporting to Congress on the finding and recommendations of the task force regarding how it carried out subsections A – E.

12. Cook Children’s 12 Criteria for selecting HCIC Task Force Members Service in a position of influence in an organization that is representative of a component of the broad health care and public health sector Experience in dealing with technical, administrative, management, and/or legal aspects of health information security Knowledge of major health information security policies, best practices, organizations and trends Ability to participate actively in Task Force meetings and contribute to the Task Force products

13. Cook Children’s 13 HCIC Taskforce Membership Federal Government Private Sector Healthcare Organizations Public and Private sector experts on information technology and cybersecurity Sector Represented: Hospitals/Providers Pharmaceuticals Medical Devices Laboratories Health Plan/Payers Health Information & Medical Technology

14. Cook Children’s 14 Keeping Public Engaged Hosting 4 public meetings to update on progress Next meetings occur in October and December HHS plans to launch a blog to further engage the public

15. Cook Children’s 15 HCIC Taskforce Progress Monthly meetings to discuss how to: Undertake the charge defined by the CISA Define which initiatives and products would best serve the health care community Outline the scope of final findings and recommendations to Congress

16. Cook Children’s 16 Continued progress Established internal working groups to more completely investigate and address the broad range of issues affecting the health care sector. Risk identification by Sector Risk category definition and priority Patient Safety Confidentiality Availability Integrity Determine shared risks across sectors

17. Cook Children’s 17 Process for final report creation Development of a framework Mapping requirements of the Act to working group efforts Identification of best practices within other critical infrastructure sectors Gaps and challenges for the healthcare sector Process for cyber information sharing

18. Cook Children’s 18 Questions?