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Inspection of Information Security at the VA Saginaw Healthcare System in Michigan

Report Information

Issue Date
Report Number
25-02113-77
VISN
State
Michigan
District
VA Office
Information and Technology (OIT)
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
10
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary

The VA OIG’s information security inspection program assesses whether VA facilities are meeting federal security requirements related to three high-risk control areas: configuration management, security management, and access. For this inspection, the OIG selected the VA Saginaw Healthcare System in Michigan and found deficiencies in all three areas.

Configuration management controls, which identify and manage security features for all hardware and software components of an information system, were deficient in system baseline configurations and vulnerability scanning and remediation and had unauthorized software hosted on the network.

Security management controls had one deficiency. Although a physical security issue had been previously identified, OIT staff had not developed a plan of action to address it.

Access controls had five deficiencies. The OIG found that the healthcare system staff did not implement required controls for privileged accounts, did not maintain audit logs for local databases, did not consistently verify and document identity of vendors or contractors before granting them access to systems, and did not ensure all networked medical devices were protected by access control lists for their virtual local area networks. The team also identified fire hazards in two telecommunications rooms. As a result, the facility risks unauthorized access, disruption, and destruction of critical information technology resources.

In response to the OIG’s findings, healthcare system staff eliminated the identified fire hazards. To address the other deficiencies, the OIG made 10 recommendations to VA, all of which VA concurred with. Based on evidence the healthcare system provided, the OIG considers recommendations 3 through 7, as well as 9 and 10, closed.

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)

Remediate servers that are not compliant with configuration standards and ensure periodic compliance scanning of servers.

No. 2
Open Recommendation Image, Square
to Information and Technology (OIT)

Remediate databases that are not compliant with configuration standards and ensure quarterly compliance and vulnerability scanning of databases.

No. 3
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 5/28/2026

Remediate vulnerabilities within VA-defined timeframes and document mitigations for vulnerabilities that cannot be remediated on time.

No. 4
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 5/28/2026

Comprehensively scan all the facility’s local area network segments for vulnerabilities.

No. 5
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 5/28/2026

Prepare plans of action and milestones for unapproved software still in use. 

No. 6
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 5/28/2026

Remediate or document mitigations for physical security deficiencies that can affect IT operations and resources. 

No. 7
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 5/28/2026

Implement required controls on certain privileged accounts and ensure limited access to these account usernames and passwords.

No. 8
Open Recommendation Image, Square
to Information and Technology (OIT)

Define intervals for review of database audit logs and vulnerability scan results and ensure regular collection and review of database audit logs in accordance with policy.

No. 9
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 5/28/2026

Verify and document the identity of vendors or contractors consistently before granting them access to IT resources.

No. 10
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Closure Date: 5/28/2026

Provide access control list protection for all networked medical devices hosted on the VA Saginaw Healthcare System virtual local area networks.