Case Organization: Chesapeake HealthConnect (CHC)
(Fictional Organization)
1. Organization Overview
Organization Name: Chesapeake HealthConnect (CHC)
Industry: Healthcare Services & Digital Health
Headquarters: Maryland, USA
Employees: ~650
Annual Revenue: ~$180 Million
Service Area: Mid-Atlantic Region
Chesapeake HealthConnect (CHC) is a mid-sized healthcare provider operating six outpatient clinics, two specialty care centers, and a growing telehealth platform.
2. Mission and Business Objectives
Mission: To provide accessible, high-quality, technology-enabled healthcare services while protecting patient privacy and maintaining regulatory compliance.
Strategic Objectives:
Expand telehealth services by 30% within two years
Improve patient experience
Maintain HIPAA compliance
Reduce operational costs
Strengthen cybersecurity governance
3. Core Systems and Technology Environment
Major Systems:
Electronic Health Record (Cloud)
Patient Portal (Cloud)
Billing System (On-Prem)
Telehealth Platform (SaaS)
HR System (Cloud)
Network Infrastructure (On-Prem)
Characteristics:
Microsoft 365
VPN
Partial MFA
Legacy Servers
Limited Logging
4. Data Classification and Information Assets
Primary Data Types:
PHI (High)
PII (High)
Financial Data (High)
HR Records (Moderate)
Research Data (Moderate)
5. Regulatory and Compliance Environment
Applicable Regulations:
HIPAA Privacy Rule
HIPAA Security Rule
HITECH Act
Maryland Health Information Exchange Regulations
FTC Safeguards Rule (for financial data)
6. Organizational Structure and Governance
CHCs leadership structure includes a Chief Executive Officer (CEO), Chief Medical Officer (CMO), Chief Information Officer (CIO), Director of Compliance, and an IT Manager. The organization does not employ a full-time Chief Information Security Officer, and cybersecurity responsibilities are divided between the CIO and IT Manager. This distributed model has resulted in limited centralized governance, informal risk reporting processes, and reduced visibility of cybersecurity risks at the executive and board levels. Competing clinical priorities and budget constraints further limit strategic security planning.
7. Business Operations and Dependencies
The organizations core business operations include patient care delivery, appointment scheduling, prescription management, insurance billing, and telehealth services. These operations are highly dependent on the availability and reliability of digital systems. CHC relies heavily on third-party cloud service providers, Internet service providers, payment processors, medical device vendors, and a managed IT service provider. Disruption to any of these dependencies could significantly affect patient safety, service delivery, and organizational revenue.
8. Threat Landscape
CHC faces a dynamic and evolving cyber threat landscape that reflects trends across the healthcare sector. Primary threats include phishing and social engineering attacks, ransomware campaigns, insider threats, credential theft, and third-party supply chain breaches. The increased use of telehealth platforms and remote access technologies has expanded the organizations attack surface. Recent ransomware incidents affecting regional healthcare providers have heightened executive concern regarding cybersecurity preparedness.
9. Current Security Posture
The organization has implemented several baseline security controls, including antivirus and endpoint protection, perimeter firewalls, partial multi-factor authentication, annual HIPAA training, and weekly system backups. However, security maturity remains limited. CHC lacks a formal Zero Trust architecture, maintains an incomplete asset inventory, conducts vulnerability assessments infrequently, and has not fully developed its incident response and recovery plans. Penetration testing is performed only on an ad hoc basis.
10. Business Impact Considerations
A significant cybersecurity incident could have severe consequences for CHCs operations and reputation. Potential impacts include disruptions to patient care, compromise of protected health information, regulatory investigations, financial penalties, civil litigation, and loss of public trust. Prolonged system outages could affect revenue collection and clinical services. Industry benchmarking suggests that a major breach could result in direct and indirect costs ranging from four to seven million dollars. Estimated Impact: $47 million
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Lab Assignment #1: Organizational Risk Foundations & CIA Analysis
Title: Enterprise Risk Baseline & CIA Impact Assessment
Course Alignment: Weeks 13 (Risk Management + Managing Risk + Compliance)
Purpose
This lab builds students ability to:
- Summary of the organizations risk environment. Students should be able to provide a synopsis of cyber hygiene based on the information provided.
- Apply the CIA Triad
- Identify threats and vulnerabilities
- Connect risk to business impact
Scenario
Students act as a Risk Analyst for a mid-sized organization
They must assess the organizations baseline cyber risk posture.
Student Tasks
Part 1: Organizational Profile
Students describe:
- Organization type
- Core systems
- Sensitive data handled
- Regulatory exposure
- Business priorities
Part 2: CIA Risk Analysis
For three critical systems, students evaluate:
System
Confidentiality Risk
Integrity Risk
Availability Risk
Impact
They must explain:
- How each CIA element could be compromised
- Operational consequences
- Legal/compliance risks
Part 3: ThreatVulnerability Mapping
Students identify:
- 5 major threats
- Related vulnerabilities
- Likely exploitation paths
Example:
Phishing > Weak training > Credential theft > Data breach
Part 4: Executive Summary
Students translate findings into business language:
- Top 3 risks
- Business impact
- High-level mitigation priorities
Deliverables
One document containing:
- Organizational profile
- CIA analysis
- Threat mapping
- Executive summary with action plan.
Length: 46 pages (APA format)
Grading Criteria
Area
Points
Risk Identification
4
CIA Analysis
4
Business Translation
3
Organization & Writing
2
Sources & Citations
2
Total: 15 points

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