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Inspection of Information Security at the St. Cloud VA Medical Center in Minnesota

Report Information

Issue Date
Report Number
22-02961-71
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
Recommendations
10
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
The VA Office of Inspector General (OIG) conducts information security inspections to assess whether VA facilities are meeting federal security requirements. They are typically conducted at selected facilities that have not been assessed in the sample for the annual audit required by the Federal Information Security Modernization Act of 2014 (FISMA) or at facilities that previously performed poorly. The OIG selected the St. Cloud VA Medical Center in Minnesota because it had not been previously visited as part of the annual FISMA audit. The OIG’s information security inspections focus on four security control areas that apply to local facilities and have been selected based on their levels of risk: configuration management, contingency planning, security management, and access controls. During this inspection, the OIG found deficiencies with configuration management, contingency planning, and access controls. Deficiencies in configuration management included critical-risk vulnerabilities that VA’s Office of Information and Technology did not identify, uninstalled patches, an inaccurate inventory, and unauthorized software, which deprive users of reliable information access and could risk unauthorized access to, or alteration or destruction of, critical systems. The team identified a contingency planning weakness concerning an untested emergency power shutoff in the data center. Weak access controls included missing logs and visitor access records, communication rooms with insufficient climate controls, and nonworking video surveillance in the data center. These deficiencies compromised the security and maintenance of the information system. The OIG made eight recommendations to the assistant secretary for information and technology and chief information officer to improve controls at the facility because they are related to enterprise-wide information security issues similar to those identified on previous FISMA audits and information security inspections. The OIG also made two recommendations to the St. Cloud VA Medical Center director.

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Open Recommendation Image, Square
to Information and Technology (OIT)
The assistant secretary for information and technology and chief information officer implement a more effective vulnerability management program to identify all critical security deficiencies on the network and to remediate vulnerabilities within policy timelines.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
The assistant secretary for information and technology and chief information officer implement a more effective inventory process to identify network devices.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)

The assistant secretary for information and technology and chief information officer implement processes to prevent the use of prohibited software on agency devices.

No. 4
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
The assistant secretary for information and technology and chief information officer test the emergency power bypass during annual uninterruptible power supply testing and document results.
No. 5
Open Recommendation Image, Square
to Information and Technology (OIT)
The assistant secretary for information and technology and chief information officer ensure network segmentation controls are applied to all network segments with medical devices and special-purpose systems.
No. 6
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
The assistant secretary for information and technology and chief information officer ensure access authorization memorandums are present in all communication rooms.
No. 7
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
The assistant secretary for information and technology and chief information officer ensure that physical access for the data center and communication rooms are reviewed on a quarterly basis.
No. 8
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
The assistant secretary for information and technology and chief information officer ensure visitor access records are available and reviewed on a quarterly basis.
No. 9
Open Recommendation Image, Square
to Veterans Health Administration (VHA)
The St. Cloud VA Medical Center director ensure video surveillance systems are operational and monitored for the data center.
No. 10
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)

The St. Cloud VA Medical Center director ensure communication rooms with infrastructure equipment have adequate environmental controls.