1. HIMSS – January 28, 2002 Remote Servicing under HIPAA with proposed Solution A John F. Moehrke Chairmen of Remote Servicing Focus Group NEMA/COCIR/JIRA Security and Privacy Committee Systems Engineering – Security and Privacy in Healthcare GE Medical Systems

2. NEMA/JIRA/COCIR Security and Privacy Committee HIMSS – January 28, 2002 What you will learn today Remote Servicing is critical Remote Servicing presents new security risks Vendors are working on a common solution that will a.Reduce administration (Hospital and Vendor) b.Improve Accountability c.Provide a more secure environment Privacy is the Goal, Security is the way.

3. NEMA/JIRA/COCIR Security and Privacy Committee HIMSS – January 28, 2002 Security and Privacy Committee (SPC) Joint effort by NEMA-MII, COCIR-IT, and JIRA Mission: Ensure a level of data security and data privacy in the health care sector that:  Meets legally mandated requirements  Can be implemented in ways that are reasonable and appropriate  Reduces Healthcare costs of compliance Scope: All systems, devices, components, and accessories used in medical imaging informatics Scope is not exclusive of other products and is expected to be extendable to all Equipment that maintains Patient Data (PHI) International data security and data privacy legislation, currently focusing on the European Community, Japan, and the United States of America

4. NEMA/JIRA/COCIR Security and Privacy Committee HIMSS – January 28, 2002 Efforts of the SPC Educational Document :  http://medical.nema.org/privacy/education.pdf http://medical.nema.org/privacy/education.pdf Remote Servicing Proposal (This talk)  http://medical.nema.org/privacy/remote.pdf http://medical.nema.org/privacy/remote.pdf Audit Controls:  http://medical.nema.org/privacy http://medical.nema.org/privacy Secure IHE Profiles  Work in progress Members: AGFA, GE, Kodak, Konica, Philips, Siemens, Toshiba

5. NEMA/JIRA/COCIR Security and Privacy Committee HIMSS – January 28, 2002 Why do Remote Servicing? Benefit to Health Care Provider Better Availability and Integrity of the systems Quick response as no Travel involved Higher quality of service  Knowledge base available at the Vendor  Expert can be applied to the problem/solution Benefit to Vendor Lower costs to service equipment More service offerings (preemptive diagnosis) Remote Service Centers (RSC) centralize knowledge and expertise

6. HIMSS – January 28, 2002 Hospital Remote Servicing today Vendor Z Vendor Y Complex Wired Infrastructure Vendor X Remote Service Center Modem Connections Hospital Network

7. HIMSS – January 28, 2002 Hospital Remote Servicing Solution Vendor Z Vendor Y Vendor X Ex. Internet VPN Uses Hospital Network Access points

8. HIMSS – January 28, 2002 Hospital Access Control Vendor Z Vendor Y Vendor X 2. Device under service 1. Individual Service Personal 3. Access point Edges 1. Individual Service Personal 2. Device under service

9. HIMSS – January 28, 2002 Hospital Audit Trails Vendor Z Vendor Y Vendor X 2. Device under service 1. Individual Service Personal 3. Access point Edges 3. Session specifics where and when 1. Individual Service Personal 1. who, what, where, when & why 2. Device under service 2. when, and what

10. NEMA/JIRA/COCIR Security and Privacy Committee HIMSS – January 28, 2002 Health Care Provider gains Control and Manageability Control of each session and/or vendor Rules that restrict where vendor X can go, what tools they can use, when they can connect, etc Strong Access Point Authentication Audit trails to prove accountability

11. NEMA/JIRA/COCIR Security and Privacy Committee HIMSS – January 28, 2002 Next Steps for SPC  Focus Group Charter Define a Reasonable and Practical solution that follows this architecture Candidate ‘A’ -- IPSec tunneling over the Internet  ESP/AH – 3DES and SHA1  IKE – Session Key negotiation  Certificates – communicated out-of-band (mail, courier, etc)  Filtering and Routing rules maintained by the Healthcare facility  Audit trails maintained at RSC  Individual Authentication maintained at the RSC

12. HIMSS – January 28, 2002 Hospital Solution A: IPSec on Internet Vendor Z Vendor Y Vendor X IPSec Tunnel, ESP+AH 3DES, SHA1 IKE-RSA, PKI out-of-band

13. NEMA/JIRA/COCIR Security and Privacy Committee HIMSS – January 28, 2002 Conclusion The Focus Group is actively creating these Descriptions of Candidate Implementations  Vendors are providing experts from their Service organizations  AGFA, GE, Kodak, Philips, Siemens, Toshiba, + Targeting End of 2002 with demonstration at RSNA Will seek approval by NEMA, COCIR, and JIRA early 2002 Likely Vendor implementations mid 2002

14. HIMSS – January 28, 2002 John F. Moehrke GE Medical Systems 262-293-1667 John.Moehrke@med.ge.com