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October 26, 2022

Securing Patient Data at Cullman Regional Medical Center

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Oct 2022
Discover how Cullman Regional Medical Center safeguards patient data with Darktrace AI. Learn how to keep sensitive data protected with the Darktrace experts!

Cullman Regional Medical Center strives to improve the health of our community by providing excellent medical resources. We have over 50 providers offering a wide range of specialized care across our offices in Cullman and Hartselle, Alabama. 

To deliver the best services possible, we rely on technology. Staff members record medical histories in digital files. Guests interact with us through online portals. Medical IoT devices collect patient data. Yet the same digital adoptions that make healthcare more efficient also present vulnerabilities that threat actors can exploit to gain access to our digital systems. 

Another major concern comes from insider threat, whether malicious or accidental. Data security depends on user compliance, which can be hard to enforce and monitor. Even unintentionally, medical professionals can introduce risk simply by bringing personal devices, such as smart phones or watches, into the network.  

In late 2020, the FBI, CISA, and HHS issued a warning after the number of cyber-attacks targeting the healthcare sector reached record highs. The agencies cautioned that cybercriminals could exploit malware like TrickBot to harvest credentials, hijack resources to mine crypto-currencies, exfiltrate data, and deploy ransomware. 

The attacks targeting the healthcare sector have gone up in frequency and complexity. While protecting our digital infrastructure and patient data has become increasingly difficult, it remains vitally important. That’s why we deployed Darktrace.

High stakes healthcare security

The consequences of cyber-attacks in medicine can be devastating. Lost or stolen medical records can damage a hospital’s reputation and cost millions of dollars. According to a Ponemon Institute study, the financial cost of a data breach in the healthcare sector can cost two to three times more than a breach in any other industry.  

Beyond reputational or financial harm, cyber-attacks against hospitals and clinics can be lethal. They can force ambulances to be re-routed, surgeries to be postponed, and treatment options to be scaled back. In 2021, over 45 million patients were impacted by cyber-attacks on healthcare centers, and almost 25% of Health Delivery Organizations found that cyber-attacks increased patient mortality rates.

Darktrace protects our digital infrastructure to avoid these consequences. Its Self-Learning AI learns our organization— from the laptops and servers to the IoT devices to the users themselves— to recognize what constitutes our “pattern of life.” The AI then uses this information to identify the subtle behaviors that indicate a cyber-attack. Once an attack is detected, Autonomous Response reacts with surgical precision to neutralize it without disrupting our normal digital activity.  

Darktrace is always on and can detect and respond to attacks within seconds, providing another layer of security for our hospital and clinics. Darktrace’s approach, based on understanding our organization to create bespoke security, allows the AI to spot threats that slip by traditional security tools, which rely on rules and signatures. In this way, Darktrace can detect insider threats, too.  

Finally, not only does Darktrace protect us by stopping cyber-attacks, but it also serves as a deterrent to threat actors by making us a harder target. 

Protection in action

Darktrace has successfully helped us monitor and protect our digital estate. We have used it to examine suspicious traffic and troubleshoot access related problems. Darktrace’s Cyber AI Analyst investigates attacks and translates its findings into understandable explanations displayed in a single screen.  

Darktrace has proven its value to us on multiple occasions. The same day that one of our clinic managers installed a new file transfer protocol, Darktrace identified traffic going out over an unencrypted port. With its visibility and understanding of our cyber landscape, Darktrace detected this abnormal action and responded at machine-speed. It protected us from exposing personal patient data.

Another time, Darktrace noticed someone on our guest network running a network snooping tool, triggering us to remove their computer from the network. While it was only on our guest network, the threat actor could have been targeting the patients that were using it. Darktrace protected them, helping us live up to our goal of serving our guests with compassion and respect.

Keeping our organization healthy

We do not have a large enough IT staff to constantly monitor all traffic across our digital estate, so Darktrace supplements and augments our team. The AI continuously monitors our cyber landscape and responds to attacks without disrupting our normal digital activities. Moreover, it works at all times of the day, even when I am not online. By handling the maintenance of our security, Darktrace buys my team time to work on other projects. 

The cyber security of our organization is crucial for the safety of our patients and practitioners. Since deploying Darktrace, my team feels reassured that our security posture can handle any attacks that come our way. Darktrace is a valuable tool in our security stack. 

Inside the SOC
Darktrace cyber analysts are world-class experts in threat intelligence, threat hunting and incident response, and provide 24/7 SOC support to thousands of Darktrace customers around the globe. Inside the SOC is exclusively authored by these experts, providing analysis of cyber incidents and threat trends, based on real-world experience in the field.
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Sean Simpson
Executive Director of IT, Cullman Regional Medical Center (Guest Contributor)
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January 29, 2025

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Inside the SOC

Bytesize Security: Insider Threats in Google Workspace

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What is an insider threat?

An insider threat is a cyber risk originating from within an organization. These threats can involve actions such as an employee inadvertently clicking on a malicious link (e.g., a phishing email) or an employee with malicious intent conducting data exfiltration for corporate sabotage.

Insiders often exploit their knowledge and access to legitimate corporate tools, presenting a continuous risk to organizations. Defenders must protect their digital estate against threats from both within and outside the organization.

For example, in the summer of 2024, Darktrace / IDENTITY successfully detected a user in a customer environment attempting to steal sensitive data from a trusted Google Workspace service. Despite the use of a legitimate and compliant corporate tool, Darktrace identified anomalies in the user’s behavior that indicated malicious intent.

Attack overview: Insider threat

In June 2024, Darktrace detected unusual activity involving the Software-as-a-Service (SaaS) account of a former employee from a customer organization. This individual, who had recently left the company, was observed downloading a significant amount of data in the form of a “.INDD” file (an Adobe InDesign document typically used to create page layouts [1]) from Google Drive.

While the use of Google Drive and other Google Workspace platforms was not unexpected for this employee, Darktrace identified that the user had logged in from an unfamiliar and suspicious IPv6 address before initiating the download. This anomaly triggered a model alert in Darktrace / IDENTITY, flagging the activity as potentially malicious.

A Model Alert in Darktrace / IDENTITY showing the unusual “.INDD” file being downloaded from Google Workspace.
Figure 1: A Model Alert in Darktrace / IDENTITY showing the unusual “.INDD” file being downloaded from Google Workspace.

Following this detection, the customer reached out to Darktrace’s Security Operations Center (SOC) team via the Security Operations Support service for assistance in triaging and investigating the incident further. Darktrace’s SOC team conducted an in-depth investigation, enabling the customer to identify the exact moment of the file download, as well as the contents of the stolen documents. The customer later confirmed that the downloaded files contained sensitive corporate data, including customer details and payment information, likely intended for reuse or sharing with a new employer.

In this particular instance, Darktrace’s Autonomous Response capability was not active, allowing the malicious insider to successfully exfiltrate the files. If Autonomous Response had been enabled, Darktrace would have immediately acted upon detecting the login from an unusual (in this case 100% rare) location by logging out and disabling the SaaS user. This would have provided the customer with the necessary time to review the activity and verify whether the user was authorized to access their SaaS environments.

Conclusion

Insider threats pose a significant challenge for traditional security tools as they involve internal users who are expected to access SaaS platforms. These insiders have preexisting knowledge of the environment, sensitive data, and how to make their activities appear normal, as seen in this case with the use of Google Workspace. This familiarity allows them to avoid having to use more easily detectable intrusion methods like phishing campaigns.

Darktrace’s anomaly detection capabilities, which focus on identifying unusual activity rather than relying on specific rules and signatures, enable it to effectively detect deviations from a user’s expected behavior. For instance, an unusual login from a new location, as in this example, can be flagged even if the subsequent malicious activity appears innocuous due to the use of a trusted application like Google Drive.

Credit to Vivek Rajan (Cyber Analyst) and Ryan Traill (Analyst Content Lead)

Appendices

Darktrace Model Detections

SaaS / Resource::Unusual Download Of Externally Shared Google Workspace File

References

[1]https://www.adobe.com/creativecloud/file-types/image/vector/indd-file.html

MITRE ATT&CK Mapping

Technqiue – Tactic – ID

Data from Cloud Storage Object – COLLECTION -T1530

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About the author
Vivek Rajan
Cyber Analyst

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January 28, 2025

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Reimagining Your SOC: How to Achieve Proactive Network Security

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Introduction: Challenges and solutions to SOC efficiency

For Security Operation Centers (SOCs), reliance on signature or rule-based tools – solutions that are always chasing the latest update to prevent only what is already known – creates an excess of false positives. SOC analysts are therefore overwhelmed by a high volume of context-lacking alerts, with human analysts able to address only about 10% due to time and resource constraints. This forces many teams to accept the risks of addressing only a fraction of the alerts while novel threats go completely missed.

74% of practitioners are already grappling with the impact of an AI-powered threat landscape, which amplifies challenges like tool sprawl, alert fatigue, and burnout. Thus, achieving a resilient network, where SOC teams can spend most of their time getting proactive and stopping threats before they occur, feels like an unrealistic goal as attacks are growing more frequent.

Despite advancements in security technology (advanced detection systems with AI, XDR tools, SIEM aggregators, etc...), practitioners are still facing the same issues of inefficiency in their SOC, stopping them from becoming proactive. How can they select security solutions that help them achieve a proactive state without dedicating more human hours and resources to managing and triaging alerts, tuning rules, investigating false positives, and creating reports?

To overcome these obstacles, organizations must leverage security technology that is able to augment and support their teams. This can happen in the following ways:

  1. Full visibility across the modern network expanding into hybrid environments
  2. Have tools that identifies and stops novel threats autonomously, without causing downtime
  3. Apply AI-led analysis to reduce time spent on manual triage and investigation

Your current solutions might be holding you back

Traditional cybersecurity point solutions are reliant on using global threat intelligence to pattern match, determine signatures, and consequently are chasing the latest update to prevent only what is known. This means that unknown threats will evade detection until a patient zero is identified. This legacy approach to threat detection means that at least one organization needs to be ‘patient zero’, or the first victim of a novel attack before it is formally identified.

Even the point solutions that claim to use AI to enhance threat detection rely on a combination of supervised machine learning, deep learning, and transformers to

train and inform their systems. This entails shipping your company’s data out to a large data lake housed somewhere in the cloud where it gets blended with attack data from thousands of other organizations. The resulting homogenized dataset gets used to train AI systems — yours and everyone else’s — to recognize patterns of attack based on previously encountered threats.

While using AI in this way reduces the workload of security teams who would traditionally input this data by hand, it emanates the same risk – namely, that AI systems trained on known threats cannot deal with the threats of tomorrow. Ultimately, it is the unknown threats that bring down an organization.

The promise and pitfalls of XDR in today's threat landscape

Enter Extended Detection and Response (XDR): a platform approach aimed at unifying threat detection across the digital environment. XDR was developed to address the limitations of traditional, fragmented tools by stitching together data across domains, providing SOC teams with a more cohesive, enterprise-wide view of threats. This unified approach allows for improved detection of suspicious activities that might otherwise be missed in siloed systems.

However, XDR solutions still face key challenges: they often depend heavily on human validation, which can aggravate the already alarmingly high alert fatigue security analysts experience, and they remain largely reactive, focusing on detecting and responding to threats rather than helping prevent them. Additionally, XDR frequently lacks full domain coverage, relying on EDR as a foundation and are insufficient in providing native NDR capabilities and visibility, leaving critical gaps that attackers can exploit. This is reflected in the current security market, with 57% of organizations reporting that they plan to integrate network security products into their current XDR toolset[1].

Why settling is risky and how to unlock SOC efficiency

The result of these shortcomings within the security solutions market is an acceptance of inevitable risk. From false positives driving the barrage of alerts, to the siloed tooling that requires manual integration, and the lack of multi-domain visibility requiring human intervention for business context, security teams have accepted that not all alerts can be triaged or investigated.

While prioritization and processes have improved, the SOC is operating under a model that is overrun with alerts that lack context, meaning that not all of them can be investigated because there is simply too much for humans to parse through. Thus, teams accept the risk of leaving many alerts uninvestigated, rather than finding a solution to eliminate that risk altogether.

Darktrace / NETWORK is designed for your Security Operations Center to eliminate alert triage with AI-led investigations , and rapidly detect and respond to known and unknown threats. This includes the ability to scale into other environments in your infrastructure including cloud, OT, and more.

Beyond global threat intelligence: Self-Learning AI enables novel threat detection & response

Darktrace does not rely on known malware signatures, external threat intelligence, historical attack data, nor does it rely on threat trained machine learning to identify threats.

Darktrace’s unique Self-learning AI deeply understands your business environment by analyzing trillions of real-time events that understands your normal ‘pattern of life’, unique to your business. By connecting isolated incidents across your business, including third party alerts and telemetry, Darktrace / NETWORK uses anomaly chains to identify deviations from normal activity.

The benefit to this is that when we are not predefining what we are looking for, we can spot new threats, allowing end users to identify both known threats and subtle, never-before-seen indicators of malicious activity that traditional solutions may miss if they are only looking at historical attack data.

AI-led investigations empower your SOC to prioritize what matters

Anomaly detection is often criticized for yielding high false positives, as it flags deviations from expected patterns that may not necessarily indicate a real threat or issues. However, Darktrace applies an investigation engine to automate alert triage and address alert fatigue.

Darktrace’s Cyber AI Analyst revolutionizes security operations by conducting continuous, full investigations across Darktrace and third-party alerts, transforming the alert triage process. Instead of addressing only a fraction of the thousands of daily alerts, Cyber AI Analyst automatically investigates every relevant alert, freeing up your team to focus on high-priority incidents and close security gaps.

Powered by advanced machine-learning techniques, including unsupervised learning, models trained by expert analysts, and tailored security language models, Cyber AI Analyst emulates human investigation skills, testing hypotheses, analyzing data, and drawing conclusions. According to Darktrace Internal Research, Cyber AI Analyst typically provides a SOC with up to  50,000 additional hours of Level 2 analysis and written reporting annually, enriching security operations by producing high level incident alerts with full details so that human analysts can focus on Level 3 tasks.

Containing threats with Autonomous Response

Simply quarantining a device is rarely the best course of action - organizations need to be able to maintain normal operations in the face of threats and choose the right course of action. Different organizations also require tailored response functions because they have different standards and protocols across a variety of unique devices. Ultimately, a ‘one size fits all’ approach to automated response actions puts organizations at risk of disrupting business operations.

Darktrace’s Autonomous Response tailors its actions to contain abnormal behavior across users and digital assets by understanding what is normal and stopping only what is not. Unlike blanket quarantines, it delivers a bespoke approach, blocking malicious activities that deviate from regular patterns while ensuring legitimate business operations remain uninterrupted.

Darktrace offers fully customizable response actions, seamlessly integrating with your workflows through hundreds of native integrations and an open API. It eliminates the need for costly development, natively disarming threats in seconds while extending capabilities with third-party tools like firewalls, EDR, SOAR, and ITSM solutions.

Unlocking a proactive state of security

Securing the network isn’t just about responding to incidents — it’s about being proactive, adaptive, and prepared for the unexpected. The NIST Cybersecurity Framework (CSF 2.0) emphasizes this by highlighting the need for focused risk management, continuous incident response (IR) refinement, and seamless integration of these processes with your detection and response capabilities.

Despite advancements in security technology, achieving a proactive posture is still a challenge to overcome because SOC teams face inefficiencies from reliance on pattern-matching tools, which generate excessive false positives and leave many alerts unaddressed, while novel threats go undetected. If SOC teams are spending all their time investigating alerts then there is no time spent getting ahead of attacks.

Achieving proactive network resilience — a state where organizations can confidently address challenges at every stage of their security posture — requires strategically aligned solutions that work seamlessly together across the attack lifecycle.

References

1.       Market Guide for Extended Detection and Response, Gartner, 17thAugust 2023 - ID G00761828

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