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HIPAA Compliance in the Cloud Christopher Crosbie & Jonathan Fritz

HIPAA Compliance in the Cloud

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Page 1: HIPAA Compliance in the Cloud

HIPAA Compliance in the Cloud

Christopher Crosbie & Jonathan Fritz

Page 2: HIPAA Compliance in the Cloud

CHRISTOPHER CROSBIE MPH, MSHEALTHCARE AND LIFE SCIENCE SOLUTION ARCHITECT MANAGER

[email protected]

Page 3: HIPAA Compliance in the Cloud

An Expansive EcosystemIndustry and world-spanning ecosystem

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Cloud Computing: Rx for Healthcare~83% of Healthcare organizations are using cloud services and use is expected to grow in the future.

The most frequent uses today include hosting clinical applications and/or data and the most common model seen is SaaS.

Nearly all of the healthcare organizations presently using cloud services plan to expand use of cloud services in the future.*

* 2014 HIMSS Analytics Cloud Survey.

Page 5: HIPAA Compliance in the Cloud

Collaborative Medical Research on AWS

Management Application

onAmazon EC2

AWS Direct Connect

bucket with objects

vault

Metadata onDynamoDBMetadata

exposure viaAmazon

CloudSearch

Research center data

center

External Researchers RDS for

Data permission manageme

nt

Internet gateway Analytics

Processing on multiple

clusters

Lifecycle polices

Page 6: HIPAA Compliance in the Cloud

Collaborative Medical Research on AWS

Management Application

onAmazon EC2

AWS Direct Connect

bucket with objects

vault

Metadata onDynamoDBMetadata

exposure viaAmazon

CloudSearch

Research center data

center

External Researchers RDS for

Data permission manageme

nt

Internet gateway Analytics

Processing on multiple

clusters

Lifecycle polices

Page 7: HIPAA Compliance in the Cloud

Amazon EMR – Hadoop in the Cloud• Managed platform• Launch a cluster in minutes • Leverage the elasticity of the cloud• Baked in security features• Pay by the hour and save with Spot• Flexibility to customize

HIPAA controls for Hadoop are relevant no matter which distribution or cloud vendor you choose

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Why is HIPAA compliance such a hot topic with Hadoop?

Because it’s important, and it’s hard

Page 9: HIPAA Compliance in the Cloud

HIPAA 101 • It’s HIPAA, not HIPPA• HIPAA stands for the Health Insurance Portability and Accountability Act. • HIPAA regulation, terms you should know

• Privacy rule• Protected Health Information (PHI)• Security rule• Breach Notification rules• Enforcement rules

• HHS Office for Civil Rights (OCR) conducts audits• The Office of the National Coordinator for Health Information Technology (ONC)• Omnibus Rule (2013)

A data storage company that has access to protected health information (whether digital or hard copy) qualifies as a business associate, even if the entity does not view the information or only does so on a random or infrequent basis. Thus, document storage companies maintaining 26 protected health information on behalf of covered entities are considered business associates, regardless of whether they actually view the information they hold. To help clarify this point, WE HAVE MODIFIED THE DEFINITION OF “BUSINESS ASSOCIATE” to generally provide that a business associate includes a person who “creates, receives, MAINTAINS, OR TRANSMITS” protected health information on behalf of a covered entity.

Page 10: HIPAA Compliance in the Cloud

Who is a Business Associate?• A third party that creates, receives, maintains, or transmits protected

health information(PHI) on behalf of a health care provider, clearinghouse or health plan. (covered entity)

• i.e. your cloud provider

https://aws.amazon.com/compliance/hipaa-compliance/

https://cloud.google.com/security/compliance

https://www.microsoft.com/en-us/TrustCenter/Compliance/HIPAA

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11

Meeting BAA Requirements ExampleAWS HIPAA Configuration Requirements Customers must encrypt ePHI in transit and at rest

Customers must use EC2 Dedicated Instances for instances processing, storing, or transmitting ePHI

Customers must record and retain activity related to use of and access to ePHI

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Why can this be hard to meet with Hadoop?

Secure Infrastructure

Data Protection

Access Controls

Monitoring

Relies on the traditional data-center model

Data at rest (HDFS-TDE)Data in-transit (Fragmented)

Authentication: MIT Kerberos !!!Authorization (In-consistent)

Multiple options (Ganglia, Yarn Logs, Ambari)

HIPAA shouldn’t mean giving up on ease of use or introducing complexity

McPherson, Steve
Should this say "Hard" to match the previous slide?
Rahul Bhatia
Fixed
McPherson, Steve
This seems to conflict with the intro slidePerhaps "Doesn't HAVE to mean"...
Page 13: HIPAA Compliance in the Cloud

Hadoop in the cloud…• Hadoop (and security) was designed for processing and assuming a

dedicated cluster and multi-user tenancy.

VS

• In the Cloud, resources are ephemeral and offers the most utilization on a service/use based model

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Encryption ComplianceSecurity

Fundamentals

• Private Subnets in VPC• EC2 Security Groups• Identity and Access

Management (IAM) policies • Bucket policies• Access Control Lists (ACLs)• Query string authentication

• SSL endpoints• Server Side Encryption

(SSE-S3)• Server Side Encryption with

provided keys (SSE-C, SSE-KMS)

• Client-side Encryption

• S3 bucket access logs• Lifecycle management

policies• Access Control Lists (ACLs)• Versioning & MFA deletes• Certifications – HIPAA, PCI,

SOC 1/2/3 etc.

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Data Encryption

Amazon S3 Local FSHDFS

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Data Encryption At-Rest – Amazon S3 and EMRFS

Server-Side Encryption- S3 managed keys (SSE-S3), AWS Key

Management Service keys (SSE-KMS), or customer managed key (SSE-C)

- S3 Client with extra metadata

Client-Side Encryption- Customer managed keys or AWS Key

Management Service- Use a custom Encryption Materials

Provider with the S3 Encryption Client

S3 uses AES-256 with envelope encryption. EMRFS makes S3 encryption transparent for applications on your cluster.

Amazon S3

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Data Encryption At-Rest – On Cluster

Local FS- Need to encrypt scratch directories- LUKS using random key or AWS Key

Management Service key

HDFS- Need to encrypt intermediates or data

stored in HDFS- HDFS transparent data encryption (HDFS-

6134)- Use Hadoop KMS or Ranger KMS

Local FSHDFS

Page 18: HIPAA Compliance in the Cloud

Data at Rest– HDFS TDE

• HDFS encryption zones - encryption zone key (EZK)

• Each File - unique data encryption key (DEK), which is encrypted (EDEK)

• End-to-end (at-rest and in-transit) when data is written to an encryption zone

• Uses Hadoop KMS with the Java Cryptography Extension KeyStore (JCEKS)

EZK

DEK

EDEK

Page 19: HIPAA Compliance in the Cloud

Data Encryption In-Flight

MapReduce Shuffle (Shuffle Service)- Encrypted shuffle using SSL

Spark Shuffle (BlockTransferService)- SASL encryption (digest-MD5)- SSL for Akka and HTTP (for broadcast and fileServer)

HDFS Data Transfer- Use HDFS TDE (encrypts client side)- Or encrypt RPC (hadoop.rpc.protection) and Data

Transfer (dfs.encrypt.data.transfer)

Web UIs and clients- HTTPS (if supported)- Use SSH tunnels and port forwarding

SSL

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Access Control

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Different permissions in a cloud environment

• Who can launch a cluster?

• What other cloud services can a cluster access?

• What permissions do multiple users on a cluster have?

• How can permissions be stateless when clusters can be transient?

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• You get to control who can do what in your AWS environment when and from where

• Limit permissions using IAM users and account federation with IAM roles

• Fine-grained control of your AWS cloud with multi-factor authentication

• Integrate with your existing Active Directory using federation and single sign-on

AWS account owner

Network management

Security management

Server management

Storage management

Control access and segregate duties everywhere

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VPC private subnets to isolate network

• Use Amazon S3 Endpoints for connectivity to S3

• Use Managed NAT for connectivity to other services or the Internet

• Control the traffic using Security Groups• ElasticMapReduce-Master-Private• ElasticMapReduce-Slave-Private• ElasticMapReduce-ServiceAccess

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IAM roles limit service and cluster permissions

Service Role Cloud Resources

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Kerberos for general on-cluster authentication

Automated scripts in Apache Bigtop to enable Kerberos and create trust with AWS Directory Service or Active Directory (AWS Big Data Blog post coming soon).

Page 26: HIPAA Compliance in the Cloud

LDAP authentication for secure entry points

https://blogs.aws.amazon.com/bigdata/post/Tx3J2RL8V6N72G7/Using-LDAP-via-AWS-Directory-Service-to-Access-and-Administer-Your-Hadoop-Enviro

- Direct integration with: HiveServer2, Presto, Hue, Zeppelin (coming soon), Phoenix, and other tools

- Easier to set up than Kerberos, but more limited

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Fine-Grained Access Controls / AuthorizationHiveServer2- SQL-standards based authorization on Hive tables and views

HBase- Cell level access control

Ranger / Sentry + RecordService- Plug-ins for a variety of Hadoop ecosystem projects- Column level control for Hive tables- Ranger bootstrap action for EMR available (AWS Big Data

Blog coming soon!)

3rd Party Solutions for access control and data masking- BlueTalon, DataGuise, and more!

Page 28: HIPAA Compliance in the Cloud

Monitoring and Auditing

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Monitoring and auditingInteraction with AWS environment- AWS CloudTrail will record access to API calls and save logs in

your S3 buckets, no matter how those API calls were made

Access to objects in S3- EMR can log user-defined information in S3 audit logs to track

which application accessed object

Hadoop ecosystem audit logging- Access to logs generated by each application- Ranger and Sentry also generate audit logs from activity

Ganglia and AWS CloudWatch for general monitoring

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ConclusionsSecurity is critical

AWS has tools to make it easier

You can move fast and stay safe

Get started in minutes with EMR 4.7Spark 1.6.1, Hadoop 2.7.2, Hive 1.0, Presto 0.147, HBase 1.2.1, Tez 0.8.3, Phoenix 4.7.0, Oozie 4.2.0, Zeppelin 0.5.6, Pig 0.14.0, Hue 3.7.1, Mahout 0.12.0, Sqoop 1.4.6, Hcatalog 1.0.0, ZooKeeper 3.4.8

Jon Fritz - [email protected] Product Manageraws.amazon.com/emr