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Lessons Learned from the HSE Cyber Attack

LEADERSHIP FOR IT SECURITY & PRIVACY ACROSS HHS HHS CYBERSECURITY PROGRAM OFFICE OF INFORMATION SECURITYL essons Learned from the HSE Cyber Attack02/03/2022 TLP: WHITE, ID# 202202031300 Agenda2 Background on the HSE Cyber Attack Threat Profile for Conti Ransomware HC3 Observations for Conti Ransomware Timeline of the Incident Key Findings General Takeaways for Healthcare OrganizationsNon-Technical:Managerial, strategic and high-level (general audience)Technical:Tactical / IOCs; requiring in-depth knowledge (sysadmins, IRT)Slides Key: 3 The Health Service Executive (HSE) of Ireland is thecountry s publicly funded healthcare system under the IrishDepartment of Health, consisting of 54 public hospitalsdirectly under HSE authority, and voluntary hospitals whichutilize national IT infrastructure. On May 14, 2021, HSE suffered a major ransomwarecyberattack that caused all its IT systems nationwide to beshut down. It became the most significant cyberattack on an Irish stateagency, as well as the largest known Attack against a healthservice computer system in history, occurring during theCOVID-19 pandemic.

CHOs during the extended response to restore applications, systems and services at pace. • The HSE had limited to no ability to investigate the attack using its own tooling. • The HSE’s Incident Response provider identified evidence of how the attacker was able to …

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