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- <silence> Welcome to the
Becker's Healthcare Podcast, made

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for the people who power US healthcare.

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I'm Molly Gamble, Becker's,

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and today I am sitting down with Muk

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and Cherry Chief Information Security

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and Privacy Officer with
University of Illinois Chicago.

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Shafai, welcome to the podcast.

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Thank you so much for being
my guest. How are you today?

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And where does the podcast find you?

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- Thank you for first of all, having me,

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and I'm looking forward
to a great conversation.

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And right now I am here
in the suburbs of Chicago

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and with some snow, so, uh,

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looking forward to Spring <laugh>.

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- Likewise. Yeah.

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For listeners, we're enduring
our second winter here in

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Chicago after a full spring,

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so Sha will hope the next spring sticks.

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Um, but for for listeners
who want to be more familiar

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with University of Illinois, Chicago,

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can you share a few key
facts about the organization

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and then also your role within it

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as Chief Information Security

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and privacy Officer, just

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to help us better acquaint ourselves?

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- Oh, absolutely. So, you know,
the University of Illinois,

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Chicago is part of a larger, uh, system,

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higher education system.

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So it's the University of Illinois system,

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and then there's three campuses.

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So I represent the,
uh, Chicago campus, uh,

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so University of Illinois, Chicago,

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and it is located right in
the city of Chicago, one

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of the largest, uh, universities
within the state as well.

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And it has about 34,000
students, about 20 plus,

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uh, thousand employees.

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And, you know, we are made
up of 16 colleges where,

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you know, we have healthcare
components such as the College

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of Medicine, college of Dentistry,

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and College of Pharmacy as well.

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And so we have a mixed bag
of, you know, when folks think

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of University of Illinois,
uh, Chicago, you know, we do,

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uh, a lot of research.

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We're an R one, um,
research entity as well,

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which means we do a very high volume

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of research about over
half a billion dollars

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worth of research revenue.

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And we do have a hospital UI health, uh,

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which is the hospital system

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that is here in the Chicago campus.

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And so we work very closely,
uh, with our partners there.

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And, you know, we have
about close to, you know,

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80 plus bachelor degrees.

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We have over a hundred master
degrees, over 60, uh, plus

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doctoral degrees all
through our 16 colleges.

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And, you know, we do now also
have the John Marshall Law

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School, and it's been
renamed to, uh, you know,

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the UIC law school, uh, and recently.

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And so, you know, we honor
all sorts of students

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and employees and, you know,

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we work very hard on
our diversity, equity,

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and inclusion efforts as well.

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So, um, you know, it's
a great place to be.

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And, and, you know, I
welcome any questions.

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- Yeah, well, I, that's good

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because I have many Ali about
your, your role, <laugh>.

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I mean, what an interesting time

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to be talking about information security,

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especially in the realm of healthcare,

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and you're also at the university level.

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Um, do you feel as though
our social consciousness

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or our national attention
at a high level 30,000 feet,

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do you feel like we
are paying attention to

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and talking about the
right things when it comes

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to cybersecurity?

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Let me start there.

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- Yeah. So I think it just
depends on the context

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of cybersecurity that folks
are paying attention to.

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You know, almost every day,

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every other hour we hear
about some organization

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that has been compromised or
is reporting a breach, right?

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And so it's kind of become
part of our day-to-day life.

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Um, you know, because we
are more technology savvy,

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we have a lot of innovation
going on, you know,

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put artificial intelligence
in the middle of all that.

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Uh, we have a lot of controversy.

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We have, you know, federal
regulations that come down, um,

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and more so from, uh, the, uh,

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federal level than we ever have before.

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And that really tells us our
cybersecurity landscape is

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changing, and it's becoming
more of a business focus

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for many organizations, uh, more so than

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before, I would say,

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because it is more about how
do we safeguard revenues?

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How do we prevent harm?

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How do we, you know, prevent,
uh, data leakage, uh,

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and how do we keep our
organizations, you know, continuing

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to provide the services that
adhere to our mission, right?

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And, and doing it without having some type

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of cybersecurity attack or,
or breach of information.

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And it gets harder and
harder to do that as much

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as we talk about
technological advances, uh,

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for cybersecurity.

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The malicious attackers are
probably two steps ahead

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of everybody else that's
trying to find funding

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to really do cybersecurity practice

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and put in protocols

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to do what's needed for an organization.

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Sometimes funding is an issue.

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- Mm-Hmm, <affirmative>. Mm-Hmm.

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<affirmative>, let me ask you there too.

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I mean, when we talk about
these malicious attackers,

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I remember at, at Becker's,
we first reported on,

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at at least the first
hospital ransomware incident.

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I, I was aware of 2016.

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It was a really small
hospital in rural Kentucky.

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And since then, over
those past several years,

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we've seen the nature of these malicious,

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it's the right word for it,

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because these attacks,
sometimes there's just damage

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or inflicted, and it's
not even tied to the goal

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of obtaining a ransom payment.

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It's just seemingly to wreak havoc, um,

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in invade patient's
privacy, employee's privacy.

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What, what have you seen
about the nature of some

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of these attackers, uh, when these, uh,

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attacks were orchestrated
in the past near decade?

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Any, any thoughts or observations there?

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- Yeah, you know, there's,
there's a lot there

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that's happening lately.

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And, you know, some folks may
think of it as ransomware,

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as a service, right?

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Um, you know, there are ethical hackers

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and then there are non-ethical hackers,

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and that are really in it for a business.

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You know, there's a lot
of money to be made, uh,

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unfortunately from the
demise of organizations.

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And what is that demise is
based on, um, you know, harm

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or whether it's based on making money

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or if it's to, you know,
damage an organization's brand.

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Um, there's just a multitude
of reasons as to why, you know,

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we see ransomware more
prevalent than we ever have.

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And, you know, every year
I look at different sources

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and I continue to see
from one year to the next

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that we continue to say, we'll see more,

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we'll see more, we'll see more.

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We don't see, oh, we've seen
a decrease in, you know,

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compromises or cyber attacks or breaches.

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We just continue to see it

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escalate from one year to the next.

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And I think the evolution

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that we are seeing here is
it's ransomware right now,

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but what about it turning
into something called

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kill ware, right?

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Where, um, you know, it's an
evolution of hacking where,

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you know, there might be
competition between hacking groups.

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Uh, you know, we know so
many ransomware groups

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that are out there that want credit.

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Some don't take credit,

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but there's different purposes as

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to why they all do what they do.

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So I believe that there is a
reason that's critical enough

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to warrant it as a business, right?

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And, and so now for folks
that are not in the business

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of ransomware as a
service, um, majority of us

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that are looking to
protect our environments

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and our organizations is
that, you know, we try

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to get better educated on
these ransomware groups,

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but at the same time, I
think, you know, we're just

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as vulnerable to understand
why they're doing it.

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And, you know, trying to
put in security measures,

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security controls, policies,
practices, uh, you name it, uh,

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trying to make sure that, you know,

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we don't all fall victim, right?

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- Mm-Hmm, <affirmative>.
Mm-Hmm, <affirmative>

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and sha that, that ransomware
as a service, you know, it's,

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I, I've seen that term

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and I, I guess I haven't
been as curious about that,

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but that is, is that a,
basically a, a ransomware vendor

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where if you were interested
in carrying on an attack,

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you would hire this
group to execute it and,

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and perform it for you.

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- You know, there's all sorts of models

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that could be out there as
ransomware as a service.

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And I do believe that it just
depends on, um, you know,

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where you have these ransomware
developers that could lease

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or sell, uh, some of their
ransomware code to other hackers.

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Um, you know, there are different types

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of ransomware customization
tools, um, malicious programs,

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um, infrastructure control
panels, uh, technical support

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and instructions that can I kind of go

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with these types of services.

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So, you know, when I think
of that, I'm thinking, okay,

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these developers are creating this code,

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and, you know, if they get in, then

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what else can they exploit?

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Right? Mm-Hmm, what more can
I get now that I'm in there?

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You know, where am I going
to make the biggest bang

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to understand how this organization works?

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What are its vulnerabilities?

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And then what's the impact
of what I'm about to do

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as a hacker to that organization?

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And sometimes, you know, it's,
it's a business model, right?

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So, um, you know, there are
different kits you can buy,

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you know, on the dark web

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and anywhere else that, you
know, if you wanted to look at

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how do I, you know, hack into
X organization depends on,

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you know, what type of
kit, ransomware kit you buy

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and what it can do for you, and

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how much you're willing
to pay for it, right?

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So it is a business.

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- And al, if we can't,

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and let's move in closer to your role,

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specifically C-I-S-P-O.

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I'm curious if there are any
common misconceptions you run

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into about your role and your work,

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and if so, what those are,

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and if you can clarify them
for us, if you don't mind.

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- Absolutely. So when folks think

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of a chief information security officer,

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or even a Chief privacy officer, uh,

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or a combination of a
chief information security

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and privacy officer, there's
different, you know, flavors of

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what the roles are these days.

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And sometimes there's a
blurring line between privacy

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and security, uh, roles.

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And so, you know, I wear
both hats, you know,

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and I like to think of the
privacy role as to the, you know,

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the why of what's happening
with that information.

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And then security is how I
protect that information, right?

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And so looking at the why

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and the how, then the,
the what, when, where, why

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that all comes into play, right?

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And so in my role, I look
at things very differently

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because of the university environment.

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You know, I have academics
with the students,

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I have research, and then, you
know, looking at the hospital

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and the UI health system
partnership that we have, uh,

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you know, what the impact there
is from the university side

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to the hospital side,

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because we do have within
the university, you know,

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healthcare covered components
that are part of the,

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you know, college of Medicine,
college of Dentistry,

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college of Pharmacy.

245
00:11:27,265 --> 00:11:29,085
So we have medical
clinics, dental clinics,

246
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and then the pharmacy.

247
00:11:30,665 --> 00:11:34,565
So, you know, the role that I
play is, is a critical role,

248
00:11:34,625 --> 00:11:37,365
but there's an evolution
happening about what a CISO is

249
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as a, as an example.

250
00:11:39,105 --> 00:11:41,085
Um, you know, I think the
misconception there is

251
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you are solely responsible for security.

252
00:11:44,985 --> 00:11:48,325
As a ciso the concept really is,

253
00:11:48,585 --> 00:11:53,005
and this is what I try to
advocate, is I am trying to sell

254
00:11:54,525 --> 00:11:57,245
security to the organization

255
00:11:57,245 --> 00:11:59,525
because it's a concern for everyone,

256
00:12:00,075 --> 00:12:02,045
whether you are an employee

257
00:12:02,465 --> 00:12:05,765
or a business partner, you
know, third party, fourth party,

258
00:12:06,315 --> 00:12:07,645
it's everyone's concern

259
00:12:07,645 --> 00:12:08,685
because there's an impact

260
00:12:08,685 --> 00:12:11,445
to everyone if something goes wrong, uh,

261
00:12:11,585 --> 00:12:13,845
or something is leaked out, right?

262
00:12:14,025 --> 00:12:17,925
And so it's not just for me as a employee

263
00:12:18,065 --> 00:12:22,045
of an organization, but
if I'm also a user of

264
00:12:22,515 --> 00:12:24,005
that organization's data

265
00:12:24,145 --> 00:12:28,525
or resources, then, you know,
as a user, it's important also

266
00:12:28,525 --> 00:12:31,605
that I understand, you know,
what the role of a CISO is.

267
00:12:32,065 --> 00:12:34,165
Uh, a lot of times CISOs get kind

268
00:12:34,165 --> 00:12:37,685
of pigeonholed into it's
your issue, you handle it,

269
00:12:37,785 --> 00:12:39,685
you know, you're the
person that's responsible.

270
00:12:39,825 --> 00:12:41,285
But I do feel

271
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that I can only be responsible
if I've been given the proper

272
00:12:45,055 --> 00:12:49,085
tools and the funding
to support what I need

273
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to do to get the job done.

274
00:12:51,105 --> 00:12:54,525
Now, you know, along with that
comes support from leadership

275
00:12:54,865 --> 00:12:57,045
and the board sometimes, depending on

276
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how an organization is, is
structured from the top down.

277
00:13:00,745 --> 00:13:03,845
Um, some CISOs will report to
a board, some CISOs will not.

278
00:13:04,025 --> 00:13:06,165
It just depends. Um, and,

279
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and when you say a ciso,
you know, we all come

280
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with varied background
in experience, skillset,

281
00:13:13,125 --> 00:13:16,565
certifications, and our
own personal abilities.

282
00:13:17,325 --> 00:13:18,765
I think that is a key there.

283
00:13:18,765 --> 00:13:21,165
And so, um, you know, I do see a lot

284
00:13:21,165 --> 00:13:22,805
of CISO positions open right now,

285
00:13:23,265 --> 00:13:27,605
and I think that, um, there is
a really big focus nationally

286
00:13:27,605 --> 00:13:31,325
and internationally to be
frank, of the attention

287
00:13:31,325 --> 00:13:33,125
that cybersecurity is getting now,

288
00:13:33,125 --> 00:13:36,405
because people do recognize
there's a lot of money to lose

289
00:13:36,405 --> 00:13:37,605
and a lot of money to be made,

290
00:13:37,625 --> 00:13:40,165
and a lot of money to
be safeguarded. Mm-Hmm.

291
00:13:40,205 --> 00:13:41,805
- <affirmative>, I think

292
00:13:41,805 --> 00:13:43,565
that's such an important distinction.

293
00:13:43,565 --> 00:13:46,365
Like you said, not it, it's not a matter

294
00:13:46,365 --> 00:13:49,165
of being solely responsible for
security at the organization

295
00:13:49,785 --> 00:13:51,085
and risk mitigation,

296
00:13:51,225 --> 00:13:54,485
but being a, a cultural
leader in many ways,

297
00:13:54,745 --> 00:13:58,885
and a, a, a real champion
of security being baked into

298
00:13:59,025 --> 00:14:01,885
and factored into decisions
made at a very high level,

299
00:14:02,065 --> 00:14:03,925
the board and executive team level.

300
00:14:04,585 --> 00:14:06,205
And, you know, Shefa, I'd be curious too.

301
00:14:06,205 --> 00:14:08,165
You know, the other thing
I was gonna ask you about

302
00:14:08,265 --> 00:14:09,485
is the CSO role.

303
00:14:09,645 --> 00:14:12,205
I feel like so often those
efforts can go under sung,

304
00:14:12,585 --> 00:14:15,685
and it's not until something
goes wrong or breach occurs

305
00:14:15,785 --> 00:14:17,525
or some sort of cyber attack,

306
00:14:17,905 --> 00:14:19,925
and then ultimately the CISO is held up

307
00:14:19,925 --> 00:14:23,485
to greater visibility at
times or held accountable.

308
00:14:23,945 --> 00:14:27,805
Um, I'm curious if you felt
that way as though from day

309
00:14:27,805 --> 00:14:30,805
to day, if things are going
well, security is intact,

310
00:14:30,835 --> 00:14:34,765
privacy is being honored,
um, this is a role that if

311
00:14:35,435 --> 00:14:37,445
careful can diminished.

312
00:14:39,035 --> 00:14:42,045
- Yeah, you know, it, it is
an interesting perspective of

313
00:14:42,045 --> 00:14:44,405
what a CISO is and what
they're responsible for.

314
00:14:44,505 --> 00:14:46,925
And I think everyone, you know,

315
00:14:46,995 --> 00:14:49,845
they're in a CISO position
is, you know, dependent on

316
00:14:49,845 --> 00:14:52,565
what the expectations of that
organization are of them.

317
00:14:53,105 --> 00:14:55,965
Uh, and so, you know, for
myself personally speaking,

318
00:14:56,505 --> 00:14:58,925
you know, I've been in
CSO roles where, you know,

319
00:14:59,155 --> 00:15:02,885
I've taken them only based
on a question I will ask

320
00:15:02,885 --> 00:15:04,725
leadership saying, you
know, will you be there

321
00:15:05,065 --> 00:15:07,885
to support me when any
decisions need to be made?

322
00:15:07,905 --> 00:15:09,845
And if there's some hard
decisions, you know,

323
00:15:09,845 --> 00:15:11,845
that we both would need to be in sync.

324
00:15:12,265 --> 00:15:16,205
Um, and so if I have the support
of my leadership, um, then,

325
00:15:16,225 --> 00:15:18,165
you know, those are the
positions that I have taken.

326
00:15:18,745 --> 00:15:22,005
Um, and likewise, you
know, if you're a CISO

327
00:15:22,005 --> 00:15:23,965
that's in a position where
you're not really getting

328
00:15:24,545 --> 00:15:27,205
any support from your
leadership, then you know,

329
00:15:27,205 --> 00:15:30,165
there's different tactics to
take to report out on metrics,

330
00:15:30,425 --> 00:15:34,605
to think through, you know,
an innovative way to explain,

331
00:15:35,225 --> 00:15:38,405
uh, how you might be able
to get more funding or,

332
00:15:38,545 --> 00:15:41,925
or, uh, understand what kind
of resources you need to get

333
00:15:41,925 --> 00:15:44,085
to a better maturity for cybersecurity.

334
00:15:44,765 --> 00:15:49,045
I think the, the other
misconception for CISOs is that, um,

335
00:15:49,105 --> 00:15:51,565
you know, some CISOs
feel like they're alone.

336
00:15:51,565 --> 00:15:53,965
They're the only technical
person that, you know,

337
00:15:53,965 --> 00:15:55,005
everybody relies on.

338
00:15:55,425 --> 00:15:58,565
And I think the key here is,
you know, being an advocate

339
00:15:58,585 --> 00:16:02,005
for security and getting out
there within the organization

340
00:16:02,005 --> 00:16:05,805
and making relationships
with folks, um, building

341
00:16:05,835 --> 00:16:08,565
that relationship and
trust is very important

342
00:16:08,565 --> 00:16:10,245
to being successful as a ciso.

343
00:16:10,805 --> 00:16:12,565
I think the other piece here is,

344
00:16:12,565 --> 00:16:16,685
besides gaining trust,
is really reaching out to

345
00:16:17,545 --> 00:16:20,165
the leadership and the unofficial leaders.

346
00:16:20,485 --> 00:16:21,885
I can't tell you how
many people I have met

347
00:16:21,885 --> 00:16:25,005
that I have run a policy across, just

348
00:16:25,205 --> 00:16:29,245
'cause I know that they will
have influence over an, uh,

349
00:16:29,305 --> 00:16:32,005
you know, an official leader, uh, per se.

350
00:16:32,465 --> 00:16:35,645
Um, but I think this is the
nuance of the job, right?

351
00:16:35,675 --> 00:16:37,685
That we are held
responsible for many things

352
00:16:37,685 --> 00:16:39,845
that could be out of our own control.

353
00:16:40,345 --> 00:16:44,885
And so when I think of what
type of control do I need, well,

354
00:16:44,885 --> 00:16:47,285
it starts with the leadership
from the top down, right?

355
00:16:47,285 --> 00:16:49,645
Because all the technical
tools are in place.

356
00:16:49,995 --> 00:16:52,645
I've got, you know, people
in place to do the things.

357
00:16:52,745 --> 00:16:56,965
But you know, if we do know,
uh, various things are at risk,

358
00:16:57,075 --> 00:17:01,365
then my risk-based approach
with evidence is an approach

359
00:17:01,365 --> 00:17:02,685
that I'll, I would wanna take

360
00:17:02,745 --> 00:17:05,205
and make sure that, you know, I

361
00:17:06,315 --> 00:17:09,405
provide a general update
at the highest level,

362
00:17:09,625 --> 00:17:12,045
but then if I need to get technical enough

363
00:17:12,045 --> 00:17:14,525
that I can provide that documentation at

364
00:17:14,525 --> 00:17:15,645
the technical levels, right?

365
00:17:15,705 --> 00:17:18,365
So you, as a ciso, you have
to be flexible in order

366
00:17:18,365 --> 00:17:21,805
to understand that gauge
where, you know, you have

367
00:17:21,805 --> 00:17:24,685
to be high level and where
you have to be, you know,

368
00:17:25,035 --> 00:17:26,765
deep down into the, the weeds.

369
00:17:28,725 --> 00:17:30,255
- Well, Chappelle, this has been such a

370
00:17:30,815 --> 00:17:32,015
interesting and dynamic conversation.

371
00:17:32,015 --> 00:17:34,055
I've learned a lot from you
in our time together today.

372
00:17:34,075 --> 00:17:35,695
Is there anything I wasn't able to ask you

373
00:17:35,715 --> 00:17:37,735
or that you wanna make
sure our listeners hear

374
00:17:37,735 --> 00:17:38,935
from you as we wind down?

375
00:17:41,245 --> 00:17:44,445
- Yeah, I think the thing that
we all know as CISOs is that,

376
00:17:44,445 --> 00:17:46,325
you know, security is
everyone's concerned,

377
00:17:46,385 --> 00:17:49,285
but I would just say that,
you know, you have to lead

378
00:17:49,315 --> 00:17:53,125
with your head, your
heart, and your hands.

379
00:17:54,025 --> 00:17:56,725
And you know, the way it
works is, you know, leading

380
00:17:56,725 --> 00:18:00,525
with your head is, you know,
we all all come with knowledge.

381
00:18:00,785 --> 00:18:03,485
And in order to be able to
share that knowledge, you know,

382
00:18:03,485 --> 00:18:05,565
look at your heart and say,
okay, who do I need to get

383
00:18:05,625 --> 00:18:08,045
to know to make my job easier?

384
00:18:08,265 --> 00:18:10,445
And to make sure that the
organization is securely,

385
00:18:10,825 --> 00:18:11,925
you know, safeguarded.

386
00:18:11,985 --> 00:18:13,685
And then with the hands
is where, you know,

387
00:18:13,685 --> 00:18:14,685
you start working through your

388
00:18:15,005 --> 00:18:16,285
policies, building relationships.

389
00:18:16,785 --> 00:18:18,885
And so look at your head,
your heart, and your hands

390
00:18:18,985 --> 00:18:20,045
and see what you can do.

391
00:18:20,725 --> 00:18:21,725
Anything is possible.

392
00:18:23,595 --> 00:18:26,125
- Paul Muhar, chief Information Security

393
00:18:26,225 --> 00:18:28,885
and Privacy Officer with
University of Illinois, Chicago,

394
00:18:28,935 --> 00:18:30,645
thank you so much for
being my guest today.

395
00:18:31,125 --> 00:18:33,285
I hope we can catch up
with you again soon.

396
00:18:33,855 --> 00:18:34,285
- Thank you.

