Breadcrumb

Follow-Up Information Security Inspection at the Southwest Consolidated Mail Order Pharmacy in Tucson, Arizona

Report Information

Issue Date
Closure Date
Report Number
23-03721-180
VA Office
Information and Technology (OIT)
Veterans Health Administration (VHA)
Report Author
Office of Audits and Evaluations
Report Type
Information Security Inspection
Report Topic
Information Technology and Security
Major Management Challenges
Information Systems and Innovation
Recommendations
5
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary

The OIG conducted this follow-up inspection to determine whether information systems at the Southwest Consolidated Mail Order Pharmacy in Tucson, Arizona, were meeting federal security guidance. The OIG inspected the facility in 2021 and made six recommendations to correct security weaknesses.

During this inspection, the team identified continuing deficiencies related to configuration management, security management, and access controls designed to protect systems from unauthorized access, alteration, and destruction. Regarding configuration management, the OIG found that the facility did not create plans for remediating vulnerabilities that had not been resolved within established time frames, and that network devices were running software that no longer met security requirements. Security management controls were deficient in that an administrator account was still active five months after the user’s employment was terminated, contrary to policy. Access controls were deficient in two respects: they did not isolate special-purpose system segments from the rest of the network, giving any user access to systems that run 50 potentially vulnerable special-purpose devices; and database audit logs used to assess the effectiveness of other security controls, recognize an attack, and investigate during or after an attack were not properly retained.

Unless the facility takes corrective actions, it risks unauthorized access to critical network resources, loss of personally identifiable information, and inability to respond effectively to incidents. To correct the deficiencies, the OIG made five new recommendations.

Although the findings and recommendations in this report are specific to the Southwest Consolidated Mail Order Pharmacy, the OIG noted that other VA facilities could benefit from reviewing this information and considering these recommendations.
 

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 1/14/2025

Improve vulnerability management processes to ensure plans of action and milestones are created for vulnerabilities that cannot be mitigated within OIT timelines.

No. 2
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 9/5/2024

Implement a more effective system life-cycle process to ensure network devices are running operating systems that are configured to approved baselines and free of vulnerabilities.

No. 3
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 9/5/2024

Implement a process to verify that when employees are terminated, all their accounts are disabled.

No. 4
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 4/3/2025

Ensure network segmentation controls are applied to all network segments with special-purpose systems.

No. 5
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT),Veterans Health Administration (VHA)
Closure Date: 9/5/2024

Implement a process to retain database logs for a period consistent with VA’s record retention policy.