HANA Oncolyzer

An interesting use case of technology for better health is HANA Oncolyzer at http://epic.hpi.uni-potsdam.de/Home/HanaOncolyzer

“Build on the newest in-memory technology the HANA Oncolyzer is able to analyze even huge amounts of medical data in shortest time”, says Dr. Alexander Zeier, Deputy Chair of EPIC. Research institutes and university hospital support from HANA Oncolyzer by building the basis for a flexible exchange of information about efficiency of medicines and treatments.

In near future, the tumor’s DNA of all cancer patients needs to be analyzed to support specific patient therapies. These analyses result in medical data in amount of multiple terabytes. “These data need to be analyzed regarding mutations and anomalies in real-time”, says Matthias Steinbrecher at SAP’s Innovation Center in Potsdam. As one of the aims the research prototype HANA Oncolyzer was developed at our chair in cooperation with SAP’s Innovation Center in Potsdam. “The ‘heart’ of our development builds the in-memory technology that supports the parallel analysis of million of data within seconds in main memory”, saysMatthieu Schapranow, Ph.D. cand. at the HPI.

and

research activities result in 500.000 or more data points per patient.

and

With the help of a dedicated iPad application medical doctors can access all data mobile at any location anytime.

 

Denial of Service Attacks against Hospitals and Emergency Rooms

One of the most frightening possibilities of cyber warfare is to use remotely deployed , or timed intrusion malware to disturb, distort, deny health care services.

Computer Virus Shuts Down Georgia Hospital

A doctor in an Emergency Room depends on critical information that may save lives if it is electronic and comes on time. However this electronic information can be distorted (which is more severe than deleting it)

The electronic system of a Hospital can also be overwhelmed. If there can be built Stuxnet worms on   nuclear centrifuge systems (like those by Siemens), then the widespread availability of health care systems means these can be reverse engineered for particularly vicious cyber worms.

An example of prime area for targeting is Veterans Administration for veterans of armed forces, but also cyber attacks against electronic health records.

Consider the following data points-

http://threatpost.com/en_us/blogs/dhs-warns-about-threat-mobile-devices-healthcare-051612

May 16, 2012, 9:03AM

DHS’s National Cybersecurity and Communications Integration Center (NCCIC) issued the unclassfied bulletin, “Attack Surface: Healthcare and Public Health Sector” on May 4. In it, DHS warns of a wide range of security risks, including that could expose patient data to malicious attackers, or make hospital networks and first responders subject to disruptive cyber attack

http://publicintelligence.net/nccic-medical-device-cyberattacks/

National Cybersecurity and Communications Integration Center Bulletin

The Healthcare and Public Health (HPH) sector is a multi-trillion dollar industry employing over 13 million personnel, including approximately five million first-responders with at least some emergency medical training, three million registered nurses, and more than 800,000 physicians.

(U) A significant portion of products used in patient care and management including diagnosis and treatment are Medical Devices (MD). These MDs are designed to monitor changes to a patient’s health and may be implanted or external. The Food and Drug Administration (FDA) regulates devices from design to sale and some aspects of the relationship between manufacturers and the MDs after sale. However, the FDA cannot regulate MD use or users, which includes how they are linked to or configured within networks. Typically, modern MDs are not designed to be accessed remotely; instead they are intended to be networked at their point of use. However, the flexibility and scalability of wireless networking makes wireless access a convenient option for organizations deploying MDs within their facilities. This robust sector has led the way with medical based technology options for both patient care and data handling.

(U) The expanded use of wireless technology on the enterprise network of medical facilities and the wireless utilization of MDs opens up both new opportunities and new vulnerabilities to patients and medical facilities. Since wireless MDs are now connected to Medical information technology (IT) networks, IT networks are now remotely accessible through the MD. This may be a desirable development, but the communications security of MDs to protect against theft of medical information and malicious intrusion is now becoming a major concern. In addition, many HPH organizations are leveraging mobile technologies to enhance operations. The storage capacity, fast computing speeds, ease of use, and portability render mobile devices an optimal solution.

(U) This Bulletin highlights how the portability and remote connectivity of MDs introduce additional risk into Medical IT networks and failure to implement a robust security program will impact the organization’s ability to protect patients and their medical information from intentional and unintentional loss or damage.

(U) According to Health and Human Services (HHS), a major concern to the Healthcare and Public Health (HPH) Sector is exploitation of potential vulnerabilities of medical devices on Medical IT networks (public, private and domestic). These vulnerabilities may result in possible risks to patient safety and theft or loss of medical information due to the inadequate incorporation of IT products, patient management products and medical devices onto Medical IT Networks. Misconfigured networks or poor security practices may increase the risk of compromised medical devices. HHS states there are four factors which further complicate security resilience within a medical organization.

1. (U) There are legacy medical devices deployed prior to enactment of the Medical Device Law in 1976, that are still in use today.

2. (U) Many newer devices have undergone rigorous FDA testing procedures and come equipped with design features which facilitate their safe incorporation onto Medical IT networks. However, these secure design features may not be implemented during the deployment phase due to complexity of the technology or the lack of knowledge about the capabilities. Because the technology is so new, there may not be an authoritative understanding of how to properly secure it, leaving open the possibilities for exploitation through zero-day vulnerabilities or insecure deployment configurations. In addition, new or robust features, such as custom applications, may also mean an increased amount of third party code development which may create vulnerabilities, if not evaluated properly. Prior to enactment of the law, the FDA required minimal testing before placing on the market. It is challenging to localize and mitigate threats within this group of legacy equipment.

3. (U) In an era of budgetary restraints, healthcare facilities frequently prioritize more traditional programs and operational considerations over network security.

4. (U) Because these medical devices may contain sensitive or privacy information, system owners may be reluctant to allow manufactures access for upgrades or updates. Failure to install updates lays a foundation for increasingly ineffective threat mitigation as time passes.

(U) Implantable Medical Devices (IMD): Some medical computing devices are designed to be implanted within the body to collect, store, analyze and then act on large amounts of information. These IMDs have incorporated network communications capabilities to increase their usefulness. Legacy implanted medical devices still in use today were manufactured when security was not yet a priority. Some of these devices have older proprietary operating systems that are not vulnerable to common malware and so are not supported by newer antivirus software. However, many are vulnerable to cyber attacks by a malicious actor who can take advantage of routine software update capabilities to gain access and, thereafter, manipulate the implant.

(U) During an August 2011 Black Hat conference, a security researcher demonstrated how an outside actor can shut off or alter the settings of an insulin pump without the user’s knowledge. The demonstration was given to show the audience that the pump’s cyber vulnerabilities could lead to severe consequences. The researcher that provided the demonstration is a diabetic and personally aware of the implications of this activity. The researcher also found that a malicious actor can eavesdrop on a continuous glucose monitor’s (CGM) transmission by using an oscilloscope, but device settings could not be reprogrammed. The researcher acknowledged that he was not able to completely assume remote control or modify the programming of the CGM, but he was able to disrupt and jam the device.

http://www.healthreformwatch.com/category/electronic-medical-records/

February 7, 2012

Since the data breach notification regulations by HHS went into effect in September 2009, 385 incidents affecting 500 or more individuals have been reported to HHS, according to its website.

http://www.darkdaily.com/cyber-attacks-against-internet-enabled-medical-devices-are-new-threat-to-clinical-pathology-laboratories-215#axzz1yPzItOFc

February 16 2011

One high-profile healthcare system that regularly experiences such attacks is the Veterans Administration (VA). For two years, the VA has been fighting a cyber battle against illegal and unwanted intrusions into their medical devices

 

http://www.mobiledia.com/news/120863.html

 DEC 16, 2011
Malware in a Georgia hospital’s computer system forced it to turn away patients, highlighting the problems and vulnerabilities of computerized systems.

The computer infection started to cause problems at the Gwinnett Medical Center last Wednesday and continued to spread, until the hospital was forced to send all non-emergency admissions to other hospitals.

More doctors and nurses than ever are using mobile devices in healthcare, and hospitals are making patient records computerized for easier, convenient access over piles of paperwork.

http://www.doctorsofusc.com/uscdocs/locations/lac-usc-medical-center

As one of the busiest public hospitals in the western United States, LAC+USC Medical Center records nearly 39,000 inpatient discharges, 150,000 emergency department visits, and 1 million ambulatory care visits each year.

http://www.healthreformwatch.com/category/electronic-medical-records/

If one jumbo jet crashed in the US each day for a week, we’d expect the FAA to shut down the industry until the problem was figured out. But in our health care system, roughly 250 people die each day due to preventable error

http://www.pcworld.com/article/142926/are_healthcare_organizations_under_cyberattack.html

Feb 28, 2008

“There is definitely an uptick in attacks,” says Dr. John Halamka, CIO at both Beth Israel Deaconess Medical Center and Harvard Medical School in the Boston area. “Privacy is the foundation of everything we do. We don’t want to be the TJX of healthcare.” TJX is the Framingham, Mass-based retailer which last year disclosed a massive data breach involving customer records.

Dr. Halamka, who this week announced a project in electronic health records as an online service to the 300 doctors in the Beth Israel Deaconess Physicians Organization,

Interview Mike Boyarski Jaspersoft

Here is an interview with Mike Boyarski , Director Product Marketing at Jaspersoft

.

 

the largest BI community with over 14 million downloads, nearly 230,000 registered members, representing over 175,000 production deployments, 14,000 customers, across 100 countries.

Ajay- Describe your career in science from Biology to marketing great software.
Mike- I studied Biology with the assumption I’d pursue a career in medicine. It took about 2 weeks during an internship at a Los Angeles hospital to determine I should do something else.  I enjoyed learning about life science, but the whole health care environment was not for me.  I was initially introduced to enterprise-level software while at Applied Materials within their Microcontamination group.  I was able to assist with an internal application used to collect contamination data.  I later joined Oracle to work on an Oracle Forms application used to automate the production of software kits (back when documentation and CDs had to be physically shipped to recognize revenue). This gave me hands on experience with Oracle 7, web application servers, and the software development process.
I then transitioned to product management for various products including application servers, software appliances, and Oracle’s first generation SaaS based software infrastructure. In 2006, with the Siebel and PeopleSoft acquisitions underway, I moved on to Ingres to help re-invigorate their solid yet antiquated technology. This introduced me to commercial open source software and the broader Business Intelligence market.  From Ingres I joined Jaspersoft, one of the first and most popular open source Business Intelligence vendors, serving as head of product marketing since mid 2009.
Ajay- Describe some of the new features in Jaspersoft 4.1 that help differentiate it from the rest of the crowd. What are the exciting product features we can expect from Jaspersoft down the next couple of years.
Mike- Jaspersoft 4.1 was an exciting release for our customers because we were able to extend the latest UI advancements in our ad hoc report designer to the data analysis environment. Now customers can use a unified intuitive web-based interface to perform several powerful and interactive analytic functions across any data source, whether its relational, non-relational, or a Big Data source.
 The reality is that most (roughly 70%) of todays BI adoption is in the form of reports and dashboards. These tools are used to drive and measure an organizations business, however, data analysis presents the most strategic opportunity for companies because it can identify new opportunities, efficiencies, and competitive differentiation.  As more data comes online, the difference between those companies that are successful and those that are not will likely be attributed to their ability to harness data analysis techniques to drive and improve business performance. Thus, with Jaspersoft 4.1, and our improved ad hoc reporting and analysis UI we can effectively address a broader set of BI requirements for organizations of all sizes.
Ajay-  What do you think is a good metric to measure influence of an open source software product – is it revenue or is it number of downloads or number of users. How does Jaspersoft do by these counts.
Mike- History has shown that open source software is successful as a “bottoms up” disrupter within IT or the developer market.  Today, many new software projects and startup ventures are birthed on open source software, often initiated with little to no budget. As the organization achieves success with a particular project, the next initiative tends to be larger and more strategic, often displacing what was historically solved with a proprietary solution. These larger deployments strengthen the technology over time.
Thus, the more proven and battle tested an open source solution is, often measured via downloads, deployments, community size, and community activity, usually equates to its long term success. Linux, Tomcat, and MySQL have plenty of statistics to model this lifecycle. This model is no different for open source BI.
The success to date of Jaspersoft is directly tied to its solid proven technology and the vibrancy of the community.  We proudly and openly claim to have the largest BI community with over 14 million downloads, nearly 230,000 registered members, representing over 175,000 production deployments, 14,000 customers, across 100 countries.  Every day, 30,000 developers are using Jaspersoft to build BI applications.  Behind Excel, its hard to imagine a more widely used BI tool in the market.  Jaspersoft could not reach these kind of numbers with crippled or poorly architected software.
Ajay- What are your plans for leveraging cloud computing, mobile and tablet platforms and for making Jaspersoft more easy and global  to use.
Mike-The cloud

Continue reading