Is Cloud an option for Canadian Healthcare healthcare and medical research organizations?

Yes, Canadian healthcare and medical research organizations are moving to the cloud. The cloud market is expected to grow in Canada significantly through 2027.

There are several reasons why Canadian healthcare and medical research organizations are moving to the cloud. 

• Reduce costs by eliminating the need to invest in and maintain on-premises infrastructure. 
• Enable the healthcare research community to drive their research more expediently to clinical outcomes
• Improve patient satisfaction by making it easier for patients to access their health information and communicate with their providers.
• Improve the quality of care by providing access to patient data and records from anywhere in the country. 

Overall, the transition to the cloud is a positive development for Canadian healthcare and medical research organizations. 

Canadian healthcare providers face many challenges before they can move to the cloud, such as addressing security and privacy concerns, data sovereignty issues, and ensuring interoperability. To help them overcome these challenges, it is important to provide Healthcare Data Custodians, Infrastructure Architects, and Research Leads with clear guidance on how the cloud can align with Canadian Healthcare Regulations. This will allow them to have a practical understanding of what is required to enhance their cloud journey and facilitate a smoother transition to the cloud.

iSecurity and MD+A Health are actively assisting Canadian healthcare and medical research organizations in comprehending the risks and exploring pathways to embrace the cloud. Through extensive research and analysis, iSecurity and MD+A Health have evaluated Google Cloud as a suitable platform for healthcare. Their diligent efforts have resulted in the production of comprehensive documents that detail their findings via a Threat Risk Assessment (TRA) and a Privacy Impact Report (PIA).

Why a Threat Risk Assessment? 

A threat risk assessment is a process of identifying and evaluating threats to an organization and then determining the likelihood and impact of those threats. The goal of a threat risk assessment is to identify the most serious threats and develop mitigation strategies to reduce the likelihood and impact of those threats.

A threat risk assessment typically involves the following steps:

1. Identify threats: The first step is to identify all potential threats to the organization. This can be done by brainstorming, interviewing experts, or reviewing historical data.
2. Evaluate threats: Once the threats have been identified, they need to be evaluated in terms of their likelihood and impact. The likelihood of a threat is the probability that it will occur, while the impact of a threat is the severity of the consequences if it does occur.
3. Prioritize threats: The threats need to be prioritized based on their likelihood and impact. The most serious threats should be addressed first.
4. Develop mitigation strategies: Once the threats have been prioritized, mitigation strategies need to be developed to reduce the likelihood and impact of those threats. Mitigation strategies can include things like implementing security controls, training employees, and developing contingency plans.
5. Implement mitigation strategies: The mitigation strategies need to be implemented and tested to ensure that they are effective.
6. Monitor and review: The threat risk assessment should be monitored and reviewed regularly to ensure that it is still effective.

Why a Privacy Impact Assessment?

A Privacy Impact Assessment (PIA) is a process that organizations use to identify and assess the privacy risks associated with a new or changed information technology (IT) system or project. The goal of a PIA is to help organizations protect the privacy of individuals whose personal information is collected, used, or disclosed by the IT system or project.

PIAs typically include the following steps:

1. Identifying the purpose of the IT system or project and the types of personal information that will be collected, used, or disclosed.
2. Identifying the privacy risks associated with the IT system or project.
3. Assessing the likelihood and severity of the risks.
4. Developing and implementing controls to mitigate the risks.
5. Monitoring the effectiveness of the controls.

PIAs are an important tool for organizations to help them follow privacy laws and regulations. They can also help organizations build trust with their patients, employees and the research community by demonstrating their commitment to protecting privacy.

The benefits of conducting a PIA:

• Helps organizations identify and assess privacy risks
• Helps organizations develop and implement controls to mitigate privacy risks
• Helps organizations comply with privacy laws and regulations
• Helps organizations build trust with customers and employees

Why Google Cloud?

Google Cloud is committed to providing Canadian healthcare organisations with an environment to expand both their clinical and research environments. Google Cloud has invested significant resources into building out a cloud environment based on best practices coming from Google’s experience running some of the world’s largest platforms.  

Some highlights include:

• Built-in security features that help protect your data and applications from unauthorized access, use, disclosure, disruption, modification, or destruction.
• A comprehensive security management platform that helps you assess, prioritize, and address security risks across your organization.
• A team of security experts who can help you design, implement, and manage your security solutions.
• A wide range of security training and resources to help you learn about and stay up-to-date on the latest security threats and best practices.

Over the past decade, cybersecurity has posed an increasing risk for organizations. In fact, cyber incidents topped the recent Allianz Risk Barometer for only the second time in the survey’s history. The challenges in combating these risks only continue to grow. Adversaries tend to be agile and are consistently looking for new ways to land within your digital environments. They also drive attack vectors that work, which means enterprise risk leaders are now forced to look for new ways of securing infrastructure and data.

Cloud comes of age in the modern day cybersecurity threat landscape

When cloud, in its various delivery models, was first introduced, it didn’t fit neatly into the security frameworks that had seemingly protected networks for many decades. Public cloud was the answer to ongoing IT challenges: scale, resources, security capabilities, and budget cycle limitations. Now, public cloud is meeting the increasing challenge of implementing cybersecurity controls and frameworks that are capable of protecting today’s global enterprise.

Cloud adoption – with all its scale and redistribution of longstanding security paradigms – is the optimal choice for infrastructure and security, particularly as organizations grapple with the need to engage in digital transformation. We assert that successful digital transformation is impossible without incorporating the use of the scale, security architecture, and resiliency of the cloud.

Consequently, cloud adoption becomes a necessary component of roadmap discussions and planning as your organization looks to reduce overall risk. Risk leaders and enterprise cybersecurity leaders must consider that moving data, digital processes, and priority workloads to the public cloud is a crucial step for meeting the current and future digital needs of the enterprise. Going forward, this digital transformation increasingly will include hybrid infrastructure environments composed of a combination of on-premises and cloud solutions.

Pinpointing where threats thrive

As digital environments become more complex within a given organization, proactively countering adversaries becomes all the more difficult. It’s harder to implement, scale, and adhere to existing security and control frameworks. It’s also increasingly challenging to apply framework guidance to new applications, build and support infrastructure within a secure foundation, and maintain good cyber hygiene through the digital lifecycle.

As reported by TechTarget, the 2020 hack of the SolarWinds Orion IT performance monitoring system is a prime example. It grabbed headlines “not because a single company was breached, but because it triggered a much larger software supply chain incident.” This vulnerability in popular, commercially available, and widely utilized software compromised the data, networks, and systems of thousands of companies when a routine software update turned out to be backdoor malware.

A close look at the root problems behind high-profile security breaches reveals that it’s a lack of agility and an inability to scale resources that prohibit the modern security organization’s ability to respond quickly enough to counter new challenges. Look even closer and you’ll often find an insufficient implementation of best practices and ineffective solutions, leaving an organization continually chasing the next tool or solution and scrambling to stay ahead of emerging threats.

While the cost to individual businesses is high, most organizations struggle with the needed skills and resources to rigorously maintain data security basics and ensure readiness for inevitable attacks. The previous sentence is especially true when you consider that maintaining an effective state of cybersecurity readiness is a costly practice that requires the continual development of expertise, the evaluation of new tools, and an ongoing element of vigilance.

Threat visibility is a big part of the problem. You can’t protect your company from what you can’t see. For individual enterprises – with critical data workloads housed in a combination of on-premises servers, a variety of endpoints, and both private and public cloud instances – staying ahead in the ongoing battle requires a new approach.

The identification of actionable alerts and other data contributes to a better overall state of readiness. Thought leadership and discussions related to Autonomic Security Operations provide a promising outlook for security organizations willing to lean into the changing technology landscape – a landscape that now benefits from leveraging automation and machine learning currently used in security stacks. Reducing the chance of introducing vulnerabilities or missing-critical alerts starts with ensuring full visibility into an increasingly expanding and complex environment.

The evolution of a shared responsibility to a shared fate

Industry megatrends are driving cloud adoption and with it a path to improved cybersecurity. Among these trends is the concept of shared fate as an evolution of the historical shared-responsibility model. Shared fate drives a flywheel of increasing trust which develops as more enterprises transition to the cloud. This compels an even higher security investment and a more vested interest from cloud service providers.

At Google Cloud, shared fate means we take an active stake in our customers’ security posture, offering capabilities and defaults that help ensure secure deployments and configurations in the public cloud. We also offer experience-based guidance on how to configure cloud workloads for security, and can assist with risk management, reduction, and transfer.

The Google Cloud Risk Protection Program represents the continuing evolution of the shared-fate model. The program offers a practical solution that provides the modern enterprise a snapshot comparison of its current security state against well-adopted cloud-security frameworks. It also give you an opportunity to explore cyber insurance designed to meet your needs from our partners Allianz and Munich Re.

When performed with diligence, cloud adoption can help increase your overall cybersecurity effectiveness. Using a hybrid approach – and steadily reducing which data assets remain on premises – can strengthen your overall security posture and reduce risks to the organization.

Cloud security and the ability to reduce risk

In comparison to the enterprise-by-enterprise security scramble to protect data and workloads in individual private clouds, global public cloud solutions like Google Cloud can be a force multiplier when adhering to established best practices. By that, we mean, quite literally, that you get more security at every touchpoint – from infrastructure and software to access and data security.

Strong security in the public cloud starts with the foundational pieces: the hardware and design elements. At Google, for example, we take a security-by-design approach within both the data center and purpose-built components themselves. Within Google Cloud, data is encrypted by default – both at rest and in transit. Google’s baseline security architecture adheres to the zero trust principles, meaning that every network, device, person, or service initially cannot be trusted.

Embarking on a zero trust architecture journey gives modern security practitioners the ability to methodically shut down traditional attack vectors. Zero trust also provides more granular visibility and control of rapidly expanding environments. The recent emphasis of its benefits, as the U.S. White House set forth through an executive order on increasing cybersecurity resilience, is an example of the wide-scale recognition by both government and industry on the benefits of this approach.

Since adopting a zero trust approach more than a decade ago, Google has achieved a recognizable level of maturity, reflected by our internal infrastructure and multiple enterprise offerings, enabling different aspects of the zero trust security journey.

Compliance and privacy drive critical elements of the cloud adoption cycle

Privacy frameworks, regulatory compliance, and data sovereignty are driving critical elements of the cloud adoption cycle. Cloud providers must ensure they have the necessary controls, attestations, and abilities to audit in order to provide organizations with the tools to preemptively satisfy regulatory and compliance mandates across the globe.

Now consistently expected to be part of a design feature that’s built into the cloud journey, it cannot simply be an add-on capability. The direction of this evolution promises to play more of a role in the future of cloud adoption, not less. Because this is an ongoing component of enterprise risk evaluation, your business must consider cloud providers that can partner on this critical aspect of the journey – and not leave you without the resources to respond to this growing critical need.

Building trust into your digital transformation journey

Digital transformation is difficult because the modern enterprise must build and design for both today and tomorrow. From a security perspective, the challenge has often been that security industry practitioners cannot always predict what the future will look like. That said, there are clear steps you can take to mitigate all-around risk throughout the process.

How you approach the cloud is, of course, integral to your journey, but it doesn’t need to be an all-or-nothing proposition. And although technology debt continues to persist with legacy systems, that doesn’t mean you shouldn’t begin to move forward.

Google Cloud enables you to modernize at your own pace and understand what’s realistic. We recommend you move what data you can to a more secure public cloud today, followed by a phased approach to move more in the months and years that follow. The key tenets of our approach to security in the public cloud include:

• The security-by-design posture of Google Cloud can help modern-day enterprises scale security capabilities and reduce risk with an architecture built on zero trust principles.
• The Google Cloud approach to security and resiliency includes a framework to help you protect against adverse cyber events by using our comprehensive suite of solutions.
• Google Cloud can help ensure your organization adheres to the requirements of a growing and increasingly complex regulatory and compliance environment.
• The ideal model of a future organization is one where cloud plays a major role in infrastructure design and architecture. Your organization should begin to view public cloud as an enabler of the business and a core component of digital transformation.

As you transition more data to the public cloud, it’s paramount that trust is ingrained in every step you take with your cloud service provider. Many service providers readily take on a shared responsibility with your organization when it comes to security. At Google, we take it several steps further with our shared fate model to help ensure data security in the public cloud. Your future and our’s are part of the same data security journey.