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17-year old imposter does CPR on patient in Kissimee, FL

Posted on March 5, 2012 7:28 pm by Caroline Ramsey-Hamilton Comment

Security measures in place are being questioned in Kissimmee, Florida at Osceola Regional Medical Center after clerk passes as a physicians assistant!

Hospital security procedures, including staff screening practices at Osceola Regional Medical Center, are getting a second look after a 17-year-old passed himself off as a physician’s assistant and took part in several exams and procedures, including doing CPR on a patient. The Orlando Sentinel reported that hospital management is reviewing its practices to ensure a similar incident doesn’t occur. The youth was able to secure a hospital ID badge from the human resources department by claiming to need a new one because the surgical practice at which he worked had changed names. In fact, the youth was employed part time as a billing clerk at a doctor’s office. When confronted by staff, the youth said he was working undercover for the sheriff’s department, so they would be unable to check his employment records



Man Makes Meth in his Car in Hospital Parking Lot

Posted on March 5, 2012 7:18 pm by Caroline Ramsey-Hamilton Comment

Hospital security cameras showed that a
33-year-old man was making meth in his car in the facility’s
parking lot before the vehicle became engulfed in flames.
The man was burned over 80 percent of his body and
later died of his injuries. The car, which was in the Horizon
Medical Center lot, was captured on security video that
showed the man mixing ingredients just before there was
fireball inside the car. A sheriff’s office detective working
security at Horizon requested assistance to put out the fire.
In examining the site, he noticed canisters and other possible
drug-related items in the car and called the drug task force,
according to news accounts



Severe Tornados and Why We Need to Stay Prepared

Posted on March 2, 2012 6:23 pm by Caroline Ramsey-Hamilton Comment

The damage and destruction from the path of a tornado is incredible – and only matched by the sad stories of the survivors, if they are lucky enough to survive.

If there’s one thing that social media has improved – it is the ability of an individual in an affected area to get detailed updated by the minute on a smartphone or over the internet.

The old early warning systems were set up for radio, that was in the days when everyone listened to radios.   I do listen to the radio for maybe 5 minutes a day, in the car, just long enough to put in the CD or connect my ipod.   So the Twitter accounts and iphone-smartphone apps from CNN, the National Weather Service, Weatherbug and dozens more really help to keep people informed.

I often hear news anchors lament the over-availability of information these days, but I think the more access we get to this kind of information and other kinds of info is absolutely a wonderful thing for society and for most people!

If you do live in a tornado-, hurricane- or other disaster-likely area, the Weatherbug app is one of the best because you can set it to actually chirp if severe weather threatens.

As far as risk reduction – being able to protect yourself against major weather events is one of the threats you can more easily eliminate or at least manage.

Are there mor

“Although the average number of April tornadoes steadily increased from 74 a year in the 1950s to 163 a year in the 2000s, nearly all of the increase is of the least powerful tornadoes that may touch down briefly without causing much damage. That suggests better reporting is largely responsible for the increase.

There are, on average, 1,300 tornadoes each year in the United States, which have caused an average of 65 deaths annually in recent years.

The number of tornadoes rated from EF1 to EF5 on the enhanced Fujita scale, used to measure tornado strength, has stayed relatively constant for the past half century at about 500 annually. But in that time the number of confirmed EF0 tornadoes has steadily increased to more than 800 a year from less than 100 a year, said Harold Brooks, a research meteorologist at the National Severe Storms Laboratory. ”

 

 



Use A Data-Driven Security Program to Transform Organization Security

Posted on February 22, 2012 2:45 pm by Caroline Ramsey-Hamilton Comment

Data-Driven Security

How to Target, Focus and Prioritize
The Security Program

  by Caroline Ramsey-Hamilton

Management has to have Metrics

Management of a security program is no different than management of cash flow, employee productiveness, profitability, or any other set of metrics that organizations use to measure how well something is being done, and how it could be improved. Historically, however, security has been run by a few unique professionals, perhaps with a military or law enforcement background and the security program has existed in a vacuum, with few ways to measure it’s effectiveness and value to the organization, except to list what hasn’t happened!

Security officers may complain that management is not listening to their complaints, including not making enough money available to implement new technology, or to fix a loophole that has the potential to create havoc in the organization. Many security conferences feature sessions with titles like “How to Sell Security to Management” and try to address this disconnect between senior management and their security programs.

Peter Drucker, the world famous management consultant, said “If you can’t measure it, you can’t manage it.”

Very recent improvements in security technology, camera technology and its integration with computer networks and information security has allowed a massive amount of data to be collected.  Everything from digital images, to incident reporting and tracking, and even internet-based reporting of technical vulnerabilities, allow management metrics to be applied to the management of the security program to target the program to be maximally effective, to focus the available dollars in the areas which would provide the most protection for the least amount of money, and to prioritize the controls that need to be improved or implemented, based on their return on investment.

Security has never been more important to the organization. Many court cases recently have been decided on the basis of whether the organization was using ‘due care’ and utilizing every ‘reasonable’ security precaution. Existence of adequate security has become very important in premises liability cases and will likely become equally important in future litigation.

Risk assessments are the foundation of a data-driven security program. Through the process of risk assessment, managers can measure the effectiveness of the organization’s total security program, including analyzing the value of the organizational assets, the threat level (based on the mission of the organization), the existing vulnerabilities, and the effectiveness of existing controls. Basing the risk assessment on the concept of data-driven security means that real numbers are used in the following areas:

1. Determining the value of the assets of the organization, including the facilities, the personnel, products, production facilities, raw materials, transportation, vehicles, information technology equipment, data and information. In additional to quantifying present day replacement value, the sensitivity of various information assets and a determination of their criticality to the main mission of the organization must be determined.

2. Analyzing the Threat Level affecting the organization, including analyzing of incident report logs which would indicate how many potential intrusions have been attempted, as well as an analysis of physical intrusion indicators, such as missing badges, any security incidents, and any indications of industrial espionage which have been reported, either at the facility under review, or at any of the organization’s other facilities. Industry data on intrusions in similar companies or analogous agencies is also very helpful in determining threat level.

Many companies now use reports which quantify threat data, including statistics on criminal activity by exact location, by zip code (such as the Uniform Crime Index) as well as many information sources of weather data, such as NOAA (U.S. National Oceanographic and Atmospheric Administration, various international associations and government agencies.

3. Identifying vulnerabilities in the organization, including surveying individuals at every level of the organization, from the receptionist to the CEO.  To ascertain the weaknesses in the way the employees comply with security, there are new electronic survey tools,( like Risk Watch®)  which measures security compliance against published standards such as FEMA 426, (How to Protect Buildings Against Terrorist Attacks). control standards.  New regulations, like Joint Commission, Behavioral Health and Workplace Violence (OSHA 3148) require such compliance-based
baseline assessment surveys.

4. Identifying potential categories of loss, which would include components like direct losses (damage/destruction), injury or death to either staff or patients/customers/vendors; theft of property or product,  theft of data/information,  and loss of an organization’s reputation. These loss categories are used to quantify the effect of threats on the organization because you can estimate the loss impact on various functions of the organization.

5. Safeguards (Controls) include all the possible controls that could protect an organization either by reducing the likely of a threat occurring, or reducing the amount of damage that the organization sustains from a threat that materializes. Controls are quantified by:

a. Life Cycle of the Control – How Long They are Good for.

b. Cost to Implement the Control to 100% in the organization

c. Indication of the percentage that the control is already implemented in the organization

By accumulating data in these 5 categories, it becomes possible to run scenarios that pair the threat and vulnerability, match it to organizational assets, analyze the loss potential, and evaluate the cost effectiveness of a variety of different controls.

Advantages of a Data-Driven Security Program

The primary advantage of a data driven security program is that it provides support for the security function within the organization by being able to illustrate directly how security not only protects the organizational assets, but also, how the security profile changes over time.

In addition, it becomes possible to benchmark the various plants and facilities against themselves, and against both domestic and international standards, including military standards for the Defense Industrial Base. For example, if a multinational company with facilities and networks around the world can analyze their security based on the principle of a data-driven security program, then they can instantly identify the areas or facilities that have problems and address them much more quickly and effectively than they could if they were depending on a fuzzy, quantitative assessment method. When an organization makes the decision to adopted a more disciplined approach to analyzing security risk, they must also use all the other typical management functions such as planning, development of a budget and incorporation of the plan into the organization’s overall planning.

After the initial baseline risk assessment, and using the input from the analysis, the organization can began to develop implementation strategies to address the vulnerabilities identified in the assessment. As each vulnerability is addressed, cost-effective mitigation strategies can be put in place.

At the same time,  the security plans and policies can be measured so that policy changes can be made, if necessary, or training and awareness programs can focus in the areas that need reinforcement with the organization.

The Security director, using his already established budget and implementation timelines for each safeguard, can then manage the improvements, using either internal staff or he can make the decision to outsource the additional controls (or their implementation).

These improvements can be tracked themselves, to establish how effective they are in their individual tasks, and also can be periodically re-assessed to see how the organization’s total security profile has improved.

The first benefits from a data driven security program emerge during this implementation phase because not only can you measure how much more effective the new security configurations are, but there is an additional value-added component of
re-acquainting the employees with the security program and increasing awareness across the organization.

To ensure continued value in the program, collection mechanisms such as automated incident response, threat reporting and vulnerability reviews must be automated. There are new security software programs that evaluate and analyze these types of data and can dramatically increase the effectiveness of a data-driven security program.

This type of data-driven security program creates a security program that becomes a baseline for management to quickly assess the security profile of the entire organization.  It makes it easier to provide a safe, and secure workplace for both management and employees, and may decrease the possibility of a workplace violence incident, theft or domestic or international terrorist attack.

This data-based concept of risk management creates a bridge between executive management and the security professionals in the organization who now have an avenue for open communication, discussion and consideration of the role of security throughout the organization.

 

About the Author

Caroline Ramsey-Hamilton is the founder of Risk Watch International, and a leading security risk assessment expert.  She was a Charter member of the National Institute of Standards and Technology’s Risk Management Model Builders Workshop from 1988 to 1995.  From 1996-1998, she served on the working group to create a Defensive Information Warfare Risk Management Model,  (DIWRM2) under the auspices of the Office of the Secretary of Defense.  She was also a member of the National Security Agency’s Risk Rating Workshop and the IBM Data Governance Working Group to create a Data Governance model for the nation’s largest banks.

She has developed specialized risk assessment programs for HIPAA, Information Security, FFIEC, GLBA, Sarbanes Oxley, and corporate security programs including working with The Clearinghouse, large investment banks, the Federal Reserve and a variety of other Federal agencies on Risk Assessment guidelines.   In addition, she is a member of the ASIS Physical Security Council, SARMA( the Security Risk Management Association) based inWashington, D.C.  Ms. Ramsey-Hamilton is certified in Homeland Security and Anti-Terrorism and recently received a lifetime achievement award from the Anti-Terrorism Accreditation Board and the Maritime Security Council.

Hamilton works around the world on critical risk issues including a new set of risk assessment guidelines for the Nuclear Regulatory Commission, a risk model for airport security and a risk model for medication error with Philadelphia Children’s Hospital.

She has completed Risk Assessments for over twenty-five U.S. government agencies including the Department of Defense, the Technical Support Working Group, and the Nuclear Regulatory Commission, and many healthcare organizations including Cleveland Clinic, HCA, Sheikh Khalifa Medical City, the University of Miami Medical Center and many more.  She has written several books and articles over twenty-five different publications.

www.caroline-hamilton.com

caroline.r.hamilton@gmail.com

 

 

TWEET: http://twitter.com/riskalert



Data-Driven Security – Using Metrics to Focus & Target Security Programs

Posted on February 9, 2012 6:34 pm by Caroline Ramsey-Hamilton Comment

Security programs can be dramatically improved by using a metrics-based assessment to focus them on the areas of greatest threat, and to use metrics as a management tool to keep the security program targeted on the areas that need the most attention.

Using a data-driven approach – that is, using real numbers to measure
and quantify security, always results in tangible improvements.

Management of a security program is no different than management of any other department, whether it’s human resources, cash flow, employee productiveness, profitability, or any other set of metrics that organizations use to measure how well something is being done, and how it could be improved.

Security officers may complain that management is not listening to their complaints, including not making enough money available to implement new technology, or to fix a loophole that has the potential to create havoc in the organization.

Most security conferences feature sessions with titles like “How to Sell Security to Management” and try to address this disconnect between senior management and their security programs. Peter Drucker, the world famous management consultant, said “If you can’t measure it, you can’t manage it.”

Fortunately, recent improvements in security technology and in development of wider reporting of threats and vulnerabilities, allow management metrics to be applied to the management of the security program to target the program to be maximally effective, to focus the available dollars in the areas which would provide the most protection for the least amount of money, and to prioritize the controls that need to be implemented,  based on their return on investment.

Risk assessments are the foundation of a data-driven security program. Through the process of risk assessment, managers can measure the effectiveness of the organization’s total security program, including analyzing the value of the organizational assets, the threat level (based on the mission of the organization), the existing vulnerabilities, and the effectiveness of existing controls.

Basing the risk assessment on the concept of data-driven security means that real numbers are used in the following areas:

1.  Determining the value of the assets of the organization, including the facilities, the personnel, the security systems and the current controls.

2.  Analyzing the Threat Level, based on either internal incident reports, or industry data, including the Uniform Crime reports. 

3. Identifying vulnerabilities in the organization, including surveying individuals at every level of the organization, from the local facility manager to the CEO to find out how they are implementing security in their workplace.

4. Identifying potential categories of loss, which help focus the security program on the problem areas.

5. Analyzing current Controls that are currently in place, or that could be added to protect an organization.

By gathering data in these 5 categories, it becomes possible to run scenarios that pair the threat and vulnerability, match it to organizational assets, analyze the loss potential, and evaluate the cost effectiveness of a variety of different controls and prioritize security controls by “bang for the buck”.

Using data-based security builds a bridge between executive management and the security professionals in the organization who now have an avenue for open communication and consideration of the role of security throughout the organization.

 

 

 



No Way to Win an Election – A Risk Assessment

Posted on January 2, 2012 3:57 pm by Caroline Ramsey-Hamilton Comment

Watching the pandemonium that is the build up to the Iowa Caucus, you can follow the thread that pandering and trying to appeal to the lowest common denominator brings to the Iowa Caucus candidates.

They have taken what could have been an asset, and transformed it into the threat that each of the candidates seems to be fixated on –  that they will not be considered ‘enough of a social conservative’ and so will not win the caucus. 

So, by having a field of five (Paul, Newt, Santorum, Perry and Bachman) competing to be the most dogmatic, the most restrictive, the most anti-abortion, the most anti-immigrant, the most family-oriented, etc., they have actually pared down their own chances of winning.

Romney is running in the slightly more moderate vertical, which no one wants to compete in because it’s not such a knee-jerk distinction, which is why I left him out of this analysis.

In risk assessment terns, this means they have focused on addressing the wrong potential threat (not being conversative enough), and failed to address the real threat (losing the election or coming in dead last).

For the field of five, it turns out that by directly competing against each other, they energize their narrow social conservative vertical and that keeps all five of them alive, and the eventual  outcome is the splintering of that narrow field, which effectively prevents any one of them from anything close to a clear win.

It may be a great way to promote yourself for a later VP slot, or, who knows, maybe a future ambassadorship, but it’s NO WAY TO WIN AN ELECTION!

 



Outlook on Risk & Security Compliance in 2012 – What to Expect.

Posted on January 1, 2012 6:59 pm by Caroline Ramsey-Hamilton Comment

This New Year’s Eve, I thought at times my neighbors were using a rocket launcher and several assault rifles to shoot up the New Year.  Lucky for me,  I spent the awake time to contemplate the outlook for risk, threat and security issues for 2012 and here’s what I see for 2012.

1.  Government-Mandated Compliance Is Here to Stay for the Healthcare Industry.

I remember when the IT departments are many hospitals thought George W. was going to revoke the HIPAA Security Rule.  It never happened, and this year, for the first time, there is a regulatory body in place that is intent on REAL ENFORCEMENT.

The Dept. of Health & Human Services, Office of Civil Rights,  has expanded HIPAA Security and Privacy Rules to include “Business Associates” including lawyers working in healthcare, and the infamous “3rd Party Providers” who do everything from warehouse data to taking over the IT function of a hospital, and this trend will continue as pressure builds from consumers who’s medical and financial data continues to be compromised.

2.  Workplace Violence Prevention will become an OSHA mandate, if not in 2012, at least by 2015.  Based on the slug-like pace of OSHA, who only recently provided directives for high risk industries, and the pressure from the more than 30 states who have passed their own regulations,  the pressure to stop the number of incidents and to lower their intensities will increase and management will be forced to address it as a major corporate issue.

3.  Pressure on the financial industry to protect consumer information will increase.  Like many other areas, pressure is increasing to prevent the enormous data breaches we saw in 2011, like Tricare, the recent Stratfor hack by Anonymous, Wikileaks and HealthNet breaches.  Consumers are the squeaky wheel and they want the convenience of plastic and internet use, and they will not tolerate breaches, and they are all registered voters!

The FFIEC has already tightened up on both risk assessment standards, as well as
authentication guidelines for all financial institutions.

 

There will be a increase in requirements for risk assessment as an accountability feature to force managers to maintain better security in all areas of their organizations. 

Accountability means that individual managers will be held responsible for the decisions they make regarding other people’s:

1.  Financial Data

2.  Medical Records

3.  Safety from both Violence & Bullying in their workplaces.

Budgets can be cut, and staff can be reduced but consumers are demanding protection of their information, and themselves, and the regulators will make sure they get it in 2012!



What’s the Risk of Backing Newt Gingrich?

Posted on December 15, 2011 3:31 pm by Caroline Ramsey-Hamilton Comment

Hundreds of the shakers and movers in the Republican party AND the Democratic party are doing their risk assessments this week on who to openly support, and doing the risk calculation on whether it is better to wait and see what emerges, or make their comments/endorsements now and worry about the fall out later!

Here is the kind of risk model for politics that people use, often unconsciously- to make those decisions. Political risk is especially tricky because there are 2 stakeholders to consider:

1. what’s good for ME personally
2. what’s good for THE PARTY, DISTRICT, or COUNTRY.

Here’s a list of threats that politicians worry about in a situation like this:

1. Lose my current position
2. Lose my Power in the Party/Coalition/Media
3. Lose campaign contributions
4. Lose voters
5. Lose tea party support
6. Lose respect from peers
7. Lose future election
8. Lose income
9. Look wrong in the media
10. Create bad sound byte
11. Face Reprisals Later from Establishment
12. Lose Media Support (however it exists).

More tomorrow on how to value the assets of an ongoing campaign.



Obesity is Being Subsidized by Federal and County Governments!

Posted on October 5, 2011 2:44 pm by Caroline Ramsey-Hamilton Comment

Chris Christy is a guy who looks like he is heavy enough to be pre-diabetic, must have high blood pressure, probably high cholesterol, too.

We all know what this fat-syndrome looks like.  Michelle Obama knows, with her emphasis on reducing childhood obesity.  Jamie Oliver knows with his effort to make school cafeterias healthier.

Here’s the DISCONNECT – the federal government is subsidizing unhealthy, bad food that contributes to our national health crisis.  Did you know the government INVENTED high fructose corn syrup to help farmers.  

Local city and county government subsidize bad food in their school cafeterias because it’s easier to let McDonalds make the food, then the ‘cooks’ don’t actually have to cook, just heat up the pre-packaged food.

Watch TV shows like THE BIGGEST LOSER, and see how being overweight causes emotional problems, as well as health problems and you can just go to the local mall to see how prevalent the problem.

It’s SO EASY to eat healthy and get healthy but this healthy message is drowned in government fundings for beef producers, cattle barons, pork producers, chicken farmers and even the salt lobby.

Yes, the SALT LOBBY wants the government to stop telling people they are eating too much salt and to stop setting healthy limits.

I think this country is ready for a nutrition revolution – don’t eliminate the unhealthy choices, but don’t subsidize them!  Take away their free money and food will be right-priced and the country’s energy can go to teaching people about eating healthy.

This is such a frustrating mess, energized by my own lifelong battle with weight –
that some days I want to just walk around the country, door, to door, doing personal health risk assessments – showing people how to eat and cook healthier!

The SALT LOBBY?  Give me a break…



Starting a Hospital Security Risk Assessment

Posted on September 28, 2011 7:26 pm by Caroline Ramsey-Hamilton Comment

How to make sure your Security Department is Working for the Hospital.

Security Risk Assessment are not just Required by the Joint Commission – they are required in many states as a preventive measure to help prevent and reduce workplace violence.

The Risk Assessment also helps managers and administrators assess their security program, directly measure it’s effectiveness and helps determine
cost effective methods that can give you a great deal of protection for the lowest possible cost — something we call “bang for the buck”. 

The recent increase in violence comes as a surprise to doctors, nurses, managers and administrators, too.  Violence is not a concept that people usually associate with hospitals.  For years, hospitals have been seen as almost a sanctuary of care for the sick and wounded in our society.   However, the perception of hospitals has been changing over the last fifteen years due to a variety of factors.

 1.  Doctors are no longer thought of as “Gods”.  This means they are
      are more easily blamed when a patient’s condition deteriorates.

 2.  Hospitals are now regarded as businesses.  This perception has been
       been aggravated by television in shows like a recent “60 Minutes”, as well as
       by the effects of the recession on jobs and the loss of health insurance.

3.  Lack of respect and resources (funding) for hospital security departments
   .  Rather than being seen as a crucial protection for the hospital staff and
      patients, many security departments are chronically underfunded and used
      for a variety of non- security functions, such as making bank deposits for
      the hospital gift shop, driving the education van, etc.

The federal government  issued a guidance document for dealing with violence issues in healthcare,  called OSHA 3148.01R, 2004, Guidelines for Preventing Workplace Violence for Health Care & Social Service Workers.  You can download a copy at www.osha.gov/Publications/osha3148.pdf




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