Was ist das eigentlich? Cyberrisiken verständlich erklärt
Es wird viel über Cyberrisiken gesprochen. Oftmals fehlt aber das grundsätzliche Verständnis, was Cyberrisiken überhaupt sind. Ohne diese zu verstehen, lässt sich aber auch kein Versicherungsschutz gestalten.
Beinahe alle Aktivitäten des täglichen Lebens können heute über das Internet abgewickelt werden. Online-Shopping und Online-Banking sind im Alltag angekommen. Diese Entwicklung trifft längst nicht nur auf Privatleute, sondern auch auf Firmen zu. Das Schlagwort Industrie 4.0 verheißt bereits eine zunehmende Vernetzung diverser geschäftlicher Vorgänge über das Internet.
Anbieter von Cyberversicherungen für kleinere und mittelständische Unternehmen (KMU) haben Versicherungen die Erfahrung gemacht, dass trotz dieser eindeutigen Entwicklung Cyberrisiken immer noch unterschätzt werden, da sie als etwas Abstraktes wahrgenommen werden. Für KMU kann dies ein gefährlicher Trugschluss sein, da gerade hier Cyberattacken existenzbedrohende Ausmaße annehmen können. So wird noch häufig gefragt, was Cyberrisiken eigentlich sind. Diese Frage ist mehr als verständlich, denn ohne (Cyber-)Risiken bestünde auch kein Bedarf für eine (Cyber-)Versicherung.
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Exam Number : AMB-BC
Exam Name : Ambulatory Care Nursing Board Certified
Vendor Name : ANCC
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AMB-BC exam Format | AMB-BC Course Contents | AMB-BC Course Outline | AMB-BC exam Syllabus | AMB-BC exam Objectives
Exam Code: AMB-BC
Certification Name: Ambulatory Care Nursing Board Certified
Administered by: American Nurses Credentialing Center (ANCC)
Number of Questions: 150 (including 25 unscored pretest questions)
Scored Questions: 125
Question Format: Multiple-choice (single best answer)
Time Allotted: 3 hours (180 minutes)
Passing Standard: Scaled score of 350 (on a scale of 0-500)
Exam Delivery: Computer-based testing (Pearson VUE test centers or online proctored)
- Disease Process (e.g., acute, chronic)
- Medications
- Preventative care/health promotion
- Expected outcomes (e.g., optimal health indicators)
- Treatment evaluation
- Triage (e.g., in-person, virtual, telehealth)
- Physical and psychosocial exam
- Clinical data interpretation (e.g., documentation and chart review)
- Care coordination (e.g., patient resources, population management)
- Disease-specific interventions
- Clinical tasks (e.g., procedures, point of care testing, wound care)
- Scope and Standards of Practice (i.e., ANA, AAACN, legal and regulatory bodies)
- Professional development
- Fiscal health (i.e., reimbursement, resource allocation, billable services)
- Patient, family, and staff advocacy
- Leadership (e.g., risk management, process improvement)
- Safety and security (e.g., incident reporting, disaster training, safety rounds, root cause analysis)
- Modes of educational delivery
- Diverse populations
- Communication barriers (e.g., language, technology, cognitive/sensory disabilities, health literacy)
- Professional communication (e.g., building trust, therapeutic communication, conflict resolution)
- Chronic Disease Management: Diabetes, hypertension, COPD, heart failure
- Acute Care in Ambulatory Settings: Minor injuries, infections, asthma exacerbations
- Health Promotion & Disease Prevention: Immunizations, screenings (mammograms, colonoscopies), smoking cessation
- Medication Management: Polypharmacy, adherence, reconciliation
- Telehealth & Remote Monitoring: Virtual visits, RPM (Remote Patient Monitoring), mHealth
- Wound Care: Basic wound exam, sterile techniques, diabetic foot care
- Pain Management: Non-opioid strategies, NSAIDs, referral to pain specialists
- Care Transitions: Hospital-to-home, SNF (Skilled Nursing Facility) coordination
- Interprofessional Collaboration: Roles of PCPs, specialists, social workers, pharmacists
- Patient Navigation: Helping patients access resources, overcoming barriers
- Discharge Planning: Follow-up appointments, medication education
- Referral Management: Timely specialist referrals, tracking consults
- Health Literacy: Teach-back method, plain language
- Self-Management Education: Diabetes self-care, inhaler techniques
- Cultural Competency: Addressing disparities, language interpreters
- Motivational Interviewing: OARS (Open-ended questions, Affirmations, Reflections, Summaries)
- Advocacy: Ensuring patient rights, ethical decision-making
- Evidence-Based Practice (EBP): Implementing clinical guidelines
- Quality Metrics: HEDIS (Healthcare Effectiveness Data and Information Set), CAHPS (Consumer Assessment of Healthcare Providers and Systems)
- Patient Safety: Fall prevention, medication errors, infection control
- Root Cause Analysis (RCA): Identifying system failures
- Regulatory Compliance: HIPAA, OSHA, Joint Commission standards
- Scope of Practice: State nursing regulations, delegation to LPNs/MA
- Ethical Issues: Informed consent, patient autonomy
- Leadership Skills: Conflict resolution, team communication
- Professional Development: Certification maintenance, continuing education (CE)
- Healthcare Economics: Value-based care, bundled payments
- Ambulatory Care: Outpatient clinics, urgent care, telehealth
- Population Health: Risk stratification, preventive care
- SBAR (Situation-Background-Assessment-Recommendation): Communication tool
- ACO (Accountable Care Organization): Value-based care model
- EHR (Electronic Health Record): Documentation, interoperability
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AMB-BC Exam
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Warum sind Cyberrisiken so schwer greifbar?
Als mehr oder weniger neuartiges Phänomen stellen Cyberrisiken Unternehmen und Versicherer vor besondere Herausforderungen. Nicht nur die neuen Schadenszenarien sind abstrakter oder noch nicht bekannt. Häufig sind immaterielle Werte durch Cyberrisiken in Gefahr. Diese wertvollen Vermögensgegenstände sind schwer bewertbar.
Obwohl die Gefahr durchaus wahrgenommen wird, unterschätzen viele Firmen ihr eigenes Risiko. Dies liegt unter anderem auch an den Veröffentlichungen zu Cyberrisiken. In der Presse finden sich unzählige Berichte von Cyberattacken auf namhafte und große Unternehmen. Den Weg in die Presse finden eben nur die spektakulären Fälle. Die dort genannten Schadenszenarien werden dann für das eigene Unternehmen als unrealistisch eingestuft. Die für die KMU nicht minder gefährlichen Cyberattacken werden nur selten publiziert.
Aufgrund der fehlenden öffentlichen Meldungen von Sicherheitsvorfällen an Sicherheitsbehörden und wegen der fehlenden Presseberichte fällt es schwer, Fakten und Zahlen zur Risikolage zu erheben. Aber ohne diese Grundlage fällt es schwer, in entsprechende Sicherheitsmaßnahmen zu investieren.
Erklärungsleitfaden anhand eines Ursache-Wirkungs-Modells
Häufig nähert man sich dem Thema Cyberrisiko anlass- oder eventbezogen, also wenn sich neue Schadenszenarien wie die weltweite WannaCry-Attacke entwickeln. Häufig wird auch akteursgebunden beleuchtet, wer Angreifer oder Opfer sein kann. Dadurch begrenzt man sich bei dem Thema häufig zu sehr nur auf die Cyberkriminalität. Um dem Thema Cyberrisiko jedoch gerecht zu werden, müssen auch weitere Ursachen hinzugezogen werden.
Mit einer Kategorisierung kann das Thema ganzheitlich und nachvollziehbar strukturiert werden. Ebenso hilft eine solche Kategorisierung dabei, eine Abgrenzung vorzunehmen, für welche Gefahren Versicherungsschutz über eine etwaige Cyberversicherung besteht und für welche nicht.
Die Ursachen sind dabei die Risiken, während finanzielle bzw. nicht finanzielle Verluste die Wirkungen sind. Cyberrisiken werden demnach in zwei Hauptursachen eingeteilt. Auf der einen Seite sind die nicht kriminellen Ursachen und auf der anderen Seite die kriminellen Ursachen zu nennen. Beide Ursachen können dabei in drei Untergruppen unterteilt werden.
Nicht kriminelle Ursachen
Höhere Gewalt
Häufig hat man bei dem Thema Cyberrisiko nur die kriminellen Ursachen vor Augen. Aber auch höhere Gewalt kann zu einem empfindlichen Datenverlust führen oder zumindest die Verfügbarkeit von Daten einschränken, indem Rechenzentren durch Naturkatastrophen wie beispielsweise Überschwemmungen oder Erdbeben zerstört werden. Ebenso sind Stromausfälle denkbar.
Menschliches Versagen/Fehlverhalten
Als Cyberrisiken sind auch unbeabsichtigtes und menschliches Fehlverhalten denkbar. Hierunter könnte das versehentliche Veröffentlichen von sensiblen Informationen fallen. Möglich sind eine falsche Adressierung, Wahl einer falschen Faxnummer oder das Hochladen sensibler Daten auf einen öffentlichen Bereich der Homepage.
Technisches Versagen
Auch Hardwaredefekte können zu einem herben Datenverlust führen. Neben einem Überhitzen von Rechnern sind Kurzschlüsse in Systemtechnik oder sogenannte Headcrashes von Festplatten denkbare Szenarien.
Kriminelle Ursachen
Hackerangriffe
Hackerangriffe oder Cyberattacken sind in der Regel die Szenarien, die die Presse dominieren. Häufig wird von spektakulären Datendiebstählen auf große Firmen oder von weltweiten Angriffen mit sogenannten Kryptotrojanern berichtet. Opfer kann am Ende aber jeder werden. Ziele, Methoden und auch das Interesse sind vielfältig. Neben dem finanziellen Interesse können Hackerangriffe auch zur Spionage oder Sabotage eingesetzt werden. Mögliche Hackermethoden sind unter anderem: Social Engineering, Trojaner, DoS-Attacken oder Viren.
Physischer Angriff
Die Zielsetzung eines physischen Angriffs ist ähnlich dem eines Hackerangriffs. Dabei wird nicht auf die Tools eines Hackerangriffs zurückgegriffen, sondern durch das physische Eindringen in Unternehmensgebäude das Ziel erreicht. Häufig sind es Mitarbeiter, die vertrauliche Informationen stehlen, da sie bereits den notwendigen Zugang zu den Daten besitzen.
Erpressung
Obwohl die Erpressung aufgrund der eingesetzten Methoden auch als Hackerangriff gewertet werden könnte, ergibt eine Differenzierung Sinn. Erpressungsfälle durch Kryptotrojaner sind eines der häufigsten Schadenszenarien für kleinere und mittelständische Unternehmen. Außerdem sind auch Erpressungsfälle denkbar, bei denen sensible Daten gestohlen wurden und ein Lösegeld gefordert wird, damit sie nicht veröffentlicht oder weiterverkauft werden.
Ihre Cyberversicherung sollte zumindet folgende Schäden abdecken:
Cyber-Kosten:
- Soforthilfe und Forensik-Kosten (Kosten der Ursachenermittlung, Benachrichtigungskosten und Callcenter-Leistung)
- Krisenkommunikation / PR-Maßnahmen
- Systemverbesserungen nach einer Cyber-Attacke
- Aufwendungen vor Eintritt des Versicherungsfalls
Cyber-Drittschäden (Haftpflicht):
- Befriedigung oder Abwehr von Ansprüchen Dritter
- Rechtswidrige elektronische Kommunikation
- Ansprüche der E-Payment-Serviceprovider
- Vertragsstrafe wegen der Verletzung von Geheimhaltungspflichten und Datenschutzvereinbarungen
- Vertragliche Schadenersatzansprüche
- Vertragliche Haftpflicht bei Datenverarbeitung durch Dritte
- Rechtsverteidigungskosten
Cyber-Eigenschäden:
- Betriebsunterbrechung
- Betriebsunterbrechung durch Ausfall von Dienstleister (optional)
- Mehrkosten
- Wiederherstellung von Daten (auch Entfernen der Schadsoftware)
- Cyber-Diebstahl: elektronischer Zahlungsverkehr, fehlerhafter Versand von Waren, Telefon-Mehrkosten/erhöhte Nutzungsentgelte
- Cyber-Erpressung
- Entschädigung mit Strafcharakter/Bußgeld
- Ersatz-IT-Hardware
- Cyber-Betrug
