Table of contents exchange of letters with the minister executive summary



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Report of the COI into the Cyber Attack on SingHealth 10 Jan 2019

COI Report – Part V
Page 198 of 425

into SingHealth’s system as having been dispensed on a later date than the date of the patient's visit, for various reasons such as amendments to medication or charging.
633. SingHealth thus took the view that it was important to also include those patients who visited between January and May 2015 so as to reassure them that their data had not been accessed. In total, SingHealth intended to contact 2.16 million patients.
33.2.2
Modes and content of communications
634. SingHealth decided to use the following modes of communication in their patient outreach and communications a) Sending SMS messages to all patients, reassuring those whose data were not affected, and informing those whose data were affected and what data had been accessed b) Sending letters to patients for whom SingHealth were unable to contact via SMS messages c)
Setting-up telephone hotlines in addition to SingHealth institutions general call centres, and informing the patients whose medication data had been accessed of the hotline numbers d) Creating a dedicated email account for public queries and e) Allowing the public to perform checks themselves on whether their data was accessed, by using the channels provided on the Health Buddy mobile application and SingHealth’s websites.
635. SingHealth had, further to a suggestion by Prof. Ivy on 16 July 2018, decided to use SMS messages as the primary mode of communication with patients in view of the need for quick dissemination of information on a large scale. SingHealth engaged a third-party vendor, which was able to send the SMS



COI Report – Part V
Page 199 of 425

messages more quickly, better regulate the time the messages were sent, and to track in real-time the number or messages that were delivered or undeliverable.
636. The multiple channels of communications were designed to allow
SingHealth to reach out to patients (via SMS and letters, and also for patients to reach out to SingHealth for further information (via the Health Buddy mobile application, SingHealth websites, telephone hotlines, and emails.
637. SingHealth also sought to anticipate the concerns and needs of the affected patients. Across all modes of SingHealth’s communications with their patients,
SingHealth apologised unreservedly for any anxiety or inconvenience caused by the attack. Patients received personalised communications where they were addressed by name, and were informed of the extent of their data that was accessed. SingHealth also sought to reassure patients of the following through their communications a) Their care delivery was not affected. b) Their medical records were intact and had not been tampered with. c) Information on their diagnosis, medical conditions and investigations/test results had not been accessed. d) Their telephone numbers and financial details (e.g. credit card number) had not been accessed.
638. For patients who approached SingHealth’s staff directly, SingHealth also prepared information leaflets in the four official languages, and made these available at all SingHealth outpatient clinics and polyclinics. These served to answer some FAQs for patients who enquired about the Cyber Attack or the status of their data.



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