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In the News

Threat actor attacked MGM Resorts

September 24, 2023

View profile for Jason Rebholz

I'll help you learn cyber security | The TeachMeCyber Guy | CISO, Advisor, Speaker, Mentor

6h

The threat actor behind the MGM Resorts attack had something to say yesterday...and they weren't short on their words. In a 1,100 word statement, the threat actor gave their…unique…perspective on the situation. I parsed through it all to pull out a possible timeline of activity. 🕜 Friday 9/8 - Saturday 9/9 🕜
 - The threat actor gained initial access to MGM resorts by socially engineering the IT help desk into resetting a user account. - The threat actor gained privileges to access domain controllers and dumped credentials, which they then cracked. They also claim to have intercepted passwords syncing between Okta and presumably Active Directory - The threat actor also obtained Okta super user access and Azure Global Admin access. This would have given near complete control of the environment. - The threat actor stole data at some point, though it’s unclear the extent of that data theft. - MGM Resorts appears to have taken initial containment steps, though they were not effective. 🕜 Sunday 9/10 🕜
- MGM Resorts implemented additional containment measures and attempted to kick the attacker out of the environment. This unfortunately was unsuccessful. 🕜 Monday 9/11 🕜
- The threat actor purportedly encrypted over 100 ESXi hypervisors (these run virtual machines, so the impacted number of servers is much higher). - The threat actor provided a link to download (presumably) a sample of stolen data. 🕜 Tuesday 9/12 - Wednesday 9/13 🕜
- MGM continued their incident response and recovery efforts with the help of outside experts. - The threat actor monitored user(s) lurking in their negotiation portal and presumably were upset that no one wanted to chit chat. 🕜 Thursday 9/14 🕜
- The threat actor posted a 1,101 word statement to “set the record straight” on the attack. - The threat actor claims to still have access to the environment and is threatening to carry out additional attacks if MGM does not make contact with them. /end timeline Continued #hugops to the MGM team. Navigating an active attacker situation is never a straightforward affair, regardless of what people may say. And given the sophistication of this threat actor compared to your typical ransomware group, well their job is such that much harder. For the rest of us, as we watch and learn more about what happened, it's important to remember why this information is helpful. Understanding the techniques these groups use helps you update your security program to defend against them. A perfect security program only exists in rhetoric. A motivated attacker will find a way regardless of your defenses. Stay knowledgeable, stay kind. ------------------------------
🤓 Hi, I’m Jason, the “TeachMeCyber” guy
💡I simplify cyber security to help you learn faster
🔔 Follow me for daily cyber security posts #teachmecyber #cybersecurity #ransomware #mgm

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Cultivating Innovative AI Solutions to Enhance Patient Care

September 24, 2023

Frontline Caregivers and Staff at Cedars-Sinai Hold ‘Idea-Thons’ to Explore, Develop and Adopt Generative AI Healthcare Tools

Read More

How Meditech Plans to Integrate Google’s Generative AI Into Its EHR

September 24, 2023

EHR, EMR, medical record

Along with many other companies in the healthcare technology space, Meditech is exploring ways to enhance its software through the use of generative AI.

The EHR vendor has been partnered with Google Cloud for about five years. Over the past year, Meditech has deepened its relationship with the tech giant by exploring ways to embed Google’s generative AI into its EHR. But Meditech is not adding generative AI to its EHR capabilities just because that seems like the hot thing to do right now — the company is approaching its generative AI efforts in a steady, intentional way, COO Helen Waters said in an interview this week.

Given that the digital health field is in the midst of a generative AI hype cycle, it’s imperative that companies in this space don’t fall into the trap of implementing new technologies just for the sake of adopting something new and exciting, Waters noted. Meditech is avoiding this by focusing its generative AI efforts on specific use cases that the company thinks will have serious potential to alleviate clinicians’ burnout, she said.

For one of its generative AI projects, Meditech is using Google’s large language models (LLMs) to power the search and summarization experience within its EHR. Meditech is relying on Google’s LLMs for data harmonization so that clinicians can quickly access a longitudinal view of their patient. In other words, the effort is seeking to ensure clinicians have quick and easy access to all relevant information about a patient — including health data from the Meditech Expanse EHR, health data from legacy technology platforms, scanned handwritten notes and medical images.

Having swift access to a comprehensive view of their patient accelerates physicians’ ability to make sound, informed decisions about treatment, Waters pointed out.

Meditech is also exploring how to layer Google’s Med-PaLM 2 into its EHR’s search and summarization capabilities. Unveiled in April, Med-PaLM 2 is a medical AI system that harnesses the power of Google’s LLMS. The tool is currently being piloted at Mayo Clinic and other health systems — they are testing its ability to answer medical questions, summarize unstructured texts and organize health data.

Once multiple LLMs are layered together into the EHR, clinicians may soon be able to ask the EHR more intelligent questions about the patient data that’s being summarized, said Rachel Wilkes, Meditech’s director of marketing.

As it works to integrate Google’s generative AI into its technology, another use case that Meditech is focusing on is the auto-generation of clinical documentation. Specifically, the company is developing an EHR functionality that will generate generate a “hospital course narrative” — a summary of the patient’s stay, composed at the time of discharge.

When a patient has an acute inpatient hospital stay, the length of the stay and the complexity of the care provided can make the documentation process quite arduous at the time of discharge. Providers tell Meditech that this documentation process can take 30 minutes of a clinician’s time each time a patient leaves the hospital, Wilkes pointed out.

She said Meditech is currently working with Google to determine the best way to leverage its LLMs to generate hospital course narratives in the EHR. These summaries of a patient’s stay will be presented to clinicians in their Meditech Expanse workflow, and they will have the option to edit the summary or any drafted pieces of documentation included within it.

“We’re not doing this just to do it. We’re looking to see how we can use this technology to make sure we can help our organizations deliver safe, efficient, impactful care. We’re doing this in a thoughtful, deliberate way. We’re doing a very careful review of the use cases that we’re pursuing, how they impact existing workflows and how we can embed this into Expanse for the betterment of the experience for our users,” Wilkes declared.

Photo: invincible_bulldog, Getty Images

Read More

Epic's biggest moves in 2023

September 24, 2023

From deepening its integration of Microsoft's generative AI tools into its ecosystem to rolling out a new online app gallery, here are 14 of Epic Systems' biggest moves this year:

  1. UPMC is moving from nine EHRs to Epic Systems.
  2. Epic Systems integrated two-way patient texting, which allows hospitals and health systems using its software to offer patients mobile messaging that can send them alerts about appointments, prescriptions and billing.
  3. Epic said it will roll out an online app gallery to help users find resources and connections.
  4. Epic Systems founder and CEO Judy Faulkner told audiences at the company's annual Users Group Meeting that the vendor plans to provide more training for workers struggling to learn its software systems, connect millions more patient records to data systems and use generative AI to reduce provider workload.
  5. Epic Systems and Microsoft again expanded their partnership and will integrate conversational, ambient and generative AI technologies into Epic's EHR ecosystem.
  6. KeyCare, the only Epic-based virtual care company in the U.S., ended its first year with 10 health system and health tech partnerships.
  7. Epic created the "Partnership and Pals" collaboration program allowing companies to work with the vendor.
  8. Epic Systems said it will partner with Nuance, a clinical documentation software company owned by Microsoft, to integrate GPT-4-powered clinical documentation technology into the company's EHR software. Under the partnership, Nuance's Dragon Ambient eXperience Express, an AI-powered clinical documentation application that uses GPT-4, will be integrated into Epic.
  9. According to KLAS Research, the EHR vendor added 83 hospitals to its network in 2022, the most of any EHR vendor last year.
  10. Leading health systems from across the country, including Palo Alto, Calif.-based Stanford Health Care and Rochester, Minn.-based Mayo Clinic, have pledged to use Epic's software to share health information with the Trusted Exchange Framework and Common Agreement.
  11. Epic entered a partnership with Microsoft to develop and integrate generative AI into its EHR software. Under the partnership, the companies will combine Microsoft's Azure OpenAI Service with Epic's EHR software. UC San Diego Health, Madison Wis.-based UW Health, Chapel Hill, N.C.-based UNC Health and Palo Alto, Calif.-based Stanford Health Care have already started to use the new integration to automatically draft message responses.
  12. The EHR vendor snagged New Hyde Park, N.Y.-based Northwell Health as a new customer. The health system will move from an Allscripts EHR system to an Epic one.
  13. Epic Systems was approved for onboarding to join the Trusted Exchange Framework and Common Agreement, a new health information exchange framework.
  14. Epic was named the top overall health IT software suite for the 13th year in a row in the 2023 Best in KLAS Awards.

Copyright © 2023 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

Read More

Threat actor attacked MGM Resorts

September 24, 2023

View profile for Jason Rebholz

I'll help you learn cyber security | The TeachMeCyber Guy | CISO, Advisor, Speaker, Mentor

6h

The threat actor behind the MGM Resorts attack had something to say yesterday...and they weren't short on their words. In a 1,100 word statement, the threat actor gave their…unique…perspective on the situation. I parsed through it all to pull out a possible timeline of activity. 🕜 Friday 9/8 - Saturday 9/9 🕜
 - The threat actor gained initial access to MGM resorts by socially engineering the IT help desk into resetting a user account. - The threat actor gained privileges to access domain controllers and dumped credentials, which they then cracked. They also claim to have intercepted passwords syncing between Okta and presumably Active Directory - The threat actor also obtained Okta super user access and Azure Global Admin access. This would have given near complete control of the environment. - The threat actor stole data at some point, though it’s unclear the extent of that data theft. - MGM Resorts appears to have taken initial containment steps, though they were not effective. 🕜 Sunday 9/10 🕜
- MGM Resorts implemented additional containment measures and attempted to kick the attacker out of the environment. This unfortunately was unsuccessful. 🕜 Monday 9/11 🕜
- The threat actor purportedly encrypted over 100 ESXi hypervisors (these run virtual machines, so the impacted number of servers is much higher). - The threat actor provided a link to download (presumably) a sample of stolen data. 🕜 Tuesday 9/12 - Wednesday 9/13 🕜
- MGM continued their incident response and recovery efforts with the help of outside experts. - The threat actor monitored user(s) lurking in their negotiation portal and presumably were upset that no one wanted to chit chat. 🕜 Thursday 9/14 🕜
- The threat actor posted a 1,101 word statement to “set the record straight” on the attack. - The threat actor claims to still have access to the environment and is threatening to carry out additional attacks if MGM does not make contact with them. /end timeline Continued #hugops to the MGM team. Navigating an active attacker situation is never a straightforward affair, regardless of what people may say. And given the sophistication of this threat actor compared to your typical ransomware group, well their job is such that much harder. For the rest of us, as we watch and learn more about what happened, it's important to remember why this information is helpful. Understanding the techniques these groups use helps you update your security program to defend against them. A perfect security program only exists in rhetoric. A motivated attacker will find a way regardless of your defenses. Stay knowledgeable, stay kind. ------------------------------
🤓 Hi, I’m Jason, the “TeachMeCyber” guy
💡I simplify cyber security to help you learn faster
🔔 Follow me for daily cyber security posts #teachmecyber #cybersecurity #ransomware #mgm

  • No alternative text description for this image

See more comments

To view or add a comment, sign in

Read More

Cultivating Innovative AI Solutions to Enhance Patient Care

September 24, 2023

Frontline Caregivers and Staff at Cedars-Sinai Hold ‘Idea-Thons’ to Explore, Develop and Adopt Generative AI Healthcare Tools

Read More

How Meditech Plans to Integrate Google’s Generative AI Into Its EHR

September 24, 2023

EHR, EMR, medical record

Along with many other companies in the healthcare technology space, Meditech is exploring ways to enhance its software through the use of generative AI.

The EHR vendor has been partnered with Google Cloud for about five years. Over the past year, Meditech has deepened its relationship with the tech giant by exploring ways to embed Google’s generative AI into its EHR. But Meditech is not adding generative AI to its EHR capabilities just because that seems like the hot thing to do right now — the company is approaching its generative AI efforts in a steady, intentional way, COO Helen Waters said in an interview this week.

Given that the digital health field is in the midst of a generative AI hype cycle, it’s imperative that companies in this space don’t fall into the trap of implementing new technologies just for the sake of adopting something new and exciting, Waters noted. Meditech is avoiding this by focusing its generative AI efforts on specific use cases that the company thinks will have serious potential to alleviate clinicians’ burnout, she said.

For one of its generative AI projects, Meditech is using Google’s large language models (LLMs) to power the search and summarization experience within its EHR. Meditech is relying on Google’s LLMs for data harmonization so that clinicians can quickly access a longitudinal view of their patient. In other words, the effort is seeking to ensure clinicians have quick and easy access to all relevant information about a patient — including health data from the Meditech Expanse EHR, health data from legacy technology platforms, scanned handwritten notes and medical images.

Having swift access to a comprehensive view of their patient accelerates physicians’ ability to make sound, informed decisions about treatment, Waters pointed out.

Meditech is also exploring how to layer Google’s Med-PaLM 2 into its EHR’s search and summarization capabilities. Unveiled in April, Med-PaLM 2 is a medical AI system that harnesses the power of Google’s LLMS. The tool is currently being piloted at Mayo Clinic and other health systems — they are testing its ability to answer medical questions, summarize unstructured texts and organize health data.

Once multiple LLMs are layered together into the EHR, clinicians may soon be able to ask the EHR more intelligent questions about the patient data that’s being summarized, said Rachel Wilkes, Meditech’s director of marketing.

As it works to integrate Google’s generative AI into its technology, another use case that Meditech is focusing on is the auto-generation of clinical documentation. Specifically, the company is developing an EHR functionality that will generate generate a “hospital course narrative” — a summary of the patient’s stay, composed at the time of discharge.

When a patient has an acute inpatient hospital stay, the length of the stay and the complexity of the care provided can make the documentation process quite arduous at the time of discharge. Providers tell Meditech that this documentation process can take 30 minutes of a clinician’s time each time a patient leaves the hospital, Wilkes pointed out.

She said Meditech is currently working with Google to determine the best way to leverage its LLMs to generate hospital course narratives in the EHR. These summaries of a patient’s stay will be presented to clinicians in their Meditech Expanse workflow, and they will have the option to edit the summary or any drafted pieces of documentation included within it.

“We’re not doing this just to do it. We’re looking to see how we can use this technology to make sure we can help our organizations deliver safe, efficient, impactful care. We’re doing this in a thoughtful, deliberate way. We’re doing a very careful review of the use cases that we’re pursuing, how they impact existing workflows and how we can embed this into Expanse for the betterment of the experience for our users,” Wilkes declared.

Photo: invincible_bulldog, Getty Images

Read More

Epic's biggest moves in 2023

September 24, 2023

From deepening its integration of Microsoft's generative AI tools into its ecosystem to rolling out a new online app gallery, here are 14 of Epic Systems' biggest moves this year:

  1. UPMC is moving from nine EHRs to Epic Systems.
  2. Epic Systems integrated two-way patient texting, which allows hospitals and health systems using its software to offer patients mobile messaging that can send them alerts about appointments, prescriptions and billing.
  3. Epic said it will roll out an online app gallery to help users find resources and connections.
  4. Epic Systems founder and CEO Judy Faulkner told audiences at the company's annual Users Group Meeting that the vendor plans to provide more training for workers struggling to learn its software systems, connect millions more patient records to data systems and use generative AI to reduce provider workload.
  5. Epic Systems and Microsoft again expanded their partnership and will integrate conversational, ambient and generative AI technologies into Epic's EHR ecosystem.
  6. KeyCare, the only Epic-based virtual care company in the U.S., ended its first year with 10 health system and health tech partnerships.
  7. Epic created the "Partnership and Pals" collaboration program allowing companies to work with the vendor.
  8. Epic Systems said it will partner with Nuance, a clinical documentation software company owned by Microsoft, to integrate GPT-4-powered clinical documentation technology into the company's EHR software. Under the partnership, Nuance's Dragon Ambient eXperience Express, an AI-powered clinical documentation application that uses GPT-4, will be integrated into Epic.
  9. According to KLAS Research, the EHR vendor added 83 hospitals to its network in 2022, the most of any EHR vendor last year.
  10. Leading health systems from across the country, including Palo Alto, Calif.-based Stanford Health Care and Rochester, Minn.-based Mayo Clinic, have pledged to use Epic's software to share health information with the Trusted Exchange Framework and Common Agreement.
  11. Epic entered a partnership with Microsoft to develop and integrate generative AI into its EHR software. Under the partnership, the companies will combine Microsoft's Azure OpenAI Service with Epic's EHR software. UC San Diego Health, Madison Wis.-based UW Health, Chapel Hill, N.C.-based UNC Health and Palo Alto, Calif.-based Stanford Health Care have already started to use the new integration to automatically draft message responses.
  12. The EHR vendor snagged New Hyde Park, N.Y.-based Northwell Health as a new customer. The health system will move from an Allscripts EHR system to an Epic one.
  13. Epic Systems was approved for onboarding to join the Trusted Exchange Framework and Common Agreement, a new health information exchange framework.
  14. Epic was named the top overall health IT software suite for the 13th year in a row in the 2023 Best in KLAS Awards.

Copyright © 2023 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

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