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Inspection of Information Technology Security at the Consolidated Mail Outpatient Pharmacy in Dallas, Texas

Report Information

Issue Date
Report Number
21-03305-139
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
Leadership and Governance
Recommendations
10
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
The VA Office of Inspector General (OIG) conducts information technology (IT) 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 Dallas Consolidated Mail Outpatient Pharmacy (CMOP) because it had not been previously visited as part of the annual FISMA audit. The OIG inspections are focused on four security control areas that apply to local facilities and have been selected based on their level of risk: configuration management controls, contingency planning controls, security management controls, and access controls. The OIG found deficiencies in configuration management and access controls at the Dallas CMOP, but none in contingency planning or security management controls. Without effective configuration management, users do not have adequate assurance that the system and network will perform as intended and to the extent needed to support the CMOP’s missions. The access control deficiencies create risks of unauthorized access to critical network resources, inability to respond effectively to incidents, loss of personally identifiable information, or loss of life. The OIG made 10 recommendations to the Dallas CMOP director aimed at fixing the control deficiencies. The assistant secretary for information and technology provided comments for the Dallas CMOP. The assistant secretary concurred with nine recommendations and did not concur with one recommendation. The OIG disagrees with the nonconcurrence.

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Implement an effective inventory management system for all network segments.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Implement an effective vulnerability and flaw remediation program that can accurately identify vulnerabilities and enforce flaw remediation
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Develop and implement methods to ensure delivery, receipt, and understanding of assigned roles and responsibilities for local activities to ensure full implementation of approved policy.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Implement effective configuration control processes that ensure network devices maintain standards mandated by the VA Office of Information and Technology Configuration Control Board.
No. 5
Open Recommendation Image, Square
to Information and Technology (OIT)
Remove or disable group accounts to comply with established requirements and criteria.
No. 6
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Ensure employees lock devices when they are unattended.
No. 7
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Implement database authentication processes that comply with National Institute of Standards and Technology standards and VA security requirements.
No. 8
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Implement a process to retain database logs for a period consistent with VA’s record retention policy.
No. 9
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Establish a process for validating and logging the sanitization of hard drives.
No. 10
Closed and Implemented Recommendation Image, Checkmark
to Information and Technology (OIT)
Implement parking barriers that meet VA Physical Security & Resiliency Design Manual requirements.