"Phishing attempts, malware and data breaches that lead to the need to take down systems and force organizations to go backwards and revert to antiquated ways (downtime procedures) not only affect clinical care but affect the financial health of an organization," said Shelly Nash, DO, senior vice president and CMIO of Fresenius Medical Care. "We went through the Change Healthcare incident and then had more down-time from the CrowdStrike incident. Every healthcare organization needs to be diligent in the security of their own systems and training their users to be diligent, and also really understanding what measures every vendor or organization we connect to or work with is doing to ensure our systems are safe, secure and functional." Balaji Raman, director of financial IT systems at Catholic Health Services of Long Island in New York, said the Change Healthcare outage delayed billing and revenue processes as well as threatened patient care because the flow of essential information about the patient halted. He cautioned against over-reliance on digital solutions to avoid big losses when patient data is compromised.