Incident Score: Analysis & Impact (DCH1781267955)
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Rankiteo Score Impact Analysis
Key Highlights From The Incident Analysis
- Timeline of DCH Health System's Ransomware and lateral movement inside company's environment.
- Overview of affected data sets, including SSNs and PHI, and why they materially increase incident severity.
- How Rankiteo’s incident engine converts technical details into a normalized incident score.
- How this cyber incident impacts DCH Health System Rankiteo cyber scoring and cyber rating.
- Rankiteo’s MITRE ATT&CK correlation analysis for this incident, with associated confidence level.
Full Incident Analysis Transcript
In this Rankiteo incident briefing, we review the DCH Health System breach identified under incident ID DCH1781267955.
The analysis begins with a detailed overview of DCH Health System's information like the linkedin page: https://www.linkedin.com/company/dch-health-system, the number of followers: 8113, the industry type: Hospitals and Health Care and the number of employees: 2201 employees
After the initial compromise, the video explains how Rankiteo's incident engine converts technical details into a normalized incident score. The incident score before the incident was 768 and after the incident was 668 with a difference of -100 which is could be a good indicator of the severity and impact of the incident.
In the next step of the video, we will analyze in more details the incident and the impact it had on DCH Health System and their customers.
On 01 October 2019, DCH Regional Medical Center disclosed Ransomware issues under the banner "Ransomware Attacks Disrupt Hospitals in the US and Australia".
A series of ransomware attacks has severely impacted healthcare operations in the United States and Australia, forcing hospitals to divert patients and cancel appointments.
The disruption is felt across the environment, affecting Hospital IT systems, patient records, booking systems.
In response, moved swiftly to contain the threat with measures like Systems temporarily closed to all but critical new patients, manual system fallback, and stakeholders are being briefed through Public advisories for outpatient appointments and elective surgeries.
The case underscores how Ongoing, teams are taking away lessons such as Healthcare IT infrastructure vulnerabilities can directly impact patient care. Ransomware groups are becoming increasingly sophisticated in targeting organizations for extortion, and recommending next steps like Enhance cybersecurity measures, improve incident response planning, and invest in resilient IT infrastructure for healthcare providers, with advisories going out to stakeholders covering Outpatient appointments advised to be confirmed by phone; elective surgeries proceeded as planned (US). Some elective surgeries and appointments canceled (Australia).
Finally, we try to match the incident with the MITRE ATT&CK framework to see if there is any correlation between the incident and the MITRE ATT&CK framework.
The MITRE ATT&CK framework is a knowledge base of techniques and sub-techniques that are used to describe the tactics and procedures of cyber adversaries. It is a powerful tool for understanding the threat landscape and for developing effective defense strategies.
MITRE ATT&CK® Correlation Analysis
Rankiteo's analysis has identified several MITRE ATT&CK tactics and techniques associated with this incident, each with varying levels of confidence based on available evidence. Under the Initial Access tactic, the analysis identified Exploit Public-Facing Application (T1190) with moderate confidence (50%), supported by evidence indicating vulnerabilities in healthcare IT infrastructure and External Remote Services (T1133) with lower confidence (40%), supported by evidence indicating hospitals systems temporarily closed to all but critical new patients. Under the Execution tactic, the analysis identified User Execution: Malicious File (T1204.002) with moderate confidence (60%), supported by evidence indicating ransomware attacks has severely impacted healthcare operations. Under the Impact tactic, the analysis identified Data Encrypted for Impact (T1486) with high confidence (90%), with evidence including data encryption such as Yes (ransomware), and systems affected such as Hospital IT systems, patient records and Inhibit System Recovery (T1490) with moderate to high confidence (70%), with evidence including full recovery could take weeks, and manual system fallback required. Under the Exfiltration tactic, the analysis identified Exfiltration Over C2 Channel (T1041) with lower confidence (30%), supported by evidence indicating ransomware groups are becoming increasingly sophisticated. Under the Credential Access tactic, the analysis identified Valid Accounts (T1078) with lower confidence (40%), supported by evidence indicating systems temporarily closed to all but critical new patients. Under the Defense Evasion tactic, the analysis identified Obfuscated Files or Information (T1027) with moderate confidence (50%), supported by evidence indicating ransomware strain remains unidentified. These correlations help security teams understand the attack chain and develop appropriate defensive measures based on the observed tactics and techniques.
Sources & References
- DCH Health System Rankiteo Cyber Incident Details: https://www.rankiteo.com/company/dch-health-system/incident/DCH1781267955
- DCH Health System CyberSecurity Rating page: https://www.rankiteo.com/company/dch-health-system
- DCH Health System Rankiteo Cyber Incident Blog Article: https://blog.rankiteo.com/dch1781267955-dch-regional-medical-center-northport-medical-center-dch-health-system-fayette-medical-center-ransomware-october-2019/
- DCH Health System CyberSecurity Score History: https://www.rankiteo.com/company/dch-health-system/history
- DCH Health System CyberSecurity Incident Source: https://www.bbc.com/news/technology-49905226
- Rankiteo A.I CyberSecurity Rating methodology: https://www.rankiteo.com/Images/rankiteo_algo.pdf
- Rankiteo TPRM Scoring methodology: https://static.rankiteo.com/model/rankiteo_tprm_methodology.pdf