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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Hybrid Exercising for Cyber-Resilient Healthcare and Cross-Sector Crisis Response Operability</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Georgi Koykov</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Georgi Zahariev</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Cybersecurity Laboratory at Sofia Tech Park</institution>
          ,
          <addr-line>Sofia</addr-line>
          ,
          <country country="BG">Bulgaria</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>European Software Institute - Center Eastern Europe</institution>
          ,
          <addr-line>Sofia</addr-line>
          ,
          <country country="BG">Bulgaria</country>
        </aff>
      </contrib-group>
      <fpage>329</fpage>
      <lpage>351</lpage>
      <abstract>
        <p>Achieving a rigorous and resilient cybersecurity posture at a national level nowadays translates to ensuring not only the robustness of critical infrastructures but also that of supporting businesses, academic, and government structures, and their cooperation and readiness to provide a network of support in times of crisis. Approaching resilience maturity is quite the compound subject matter in itself; however, one of the main components on the roadmap to ensuring operational and technical resilience is exercising. Hybrid type of exercises are the intersection between the technical and the managerial-tabletop exercising and are used as a mechanism to maintain a common baseline of readiness for cyber incidents, to increase cross-sector cooperation, and to target specific issues and weaknesses, identified otherwise or from previous exercises. In this paper, we present our approach for the creation of a complex generic cyber range containing a variety of exercise polygons simulating and propagating vertical escalations related to the healthcare sector, its logistics, and supply chains within the context of COVID-19. We further share organizational aspects for the creation of a complex intersection of technical, tabletop, communications, and operational exercise environment and experience. The application of AI/ML methods and tools for exercise facilitation is overviewed. Lessons learned from three types of pilot exercises in critical infrastructures are discussed.</p>
      </abstract>
      <kwd-group>
        <kwd>Cybersecurity</kwd>
        <kwd>Resilience</kwd>
        <kwd>Cyber Range</kwd>
        <kwd>Cyber Polygons</kwd>
        <kwd>Hybrid Exercise</kwd>
        <kwd>Crisis Response</kwd>
        <kwd>Standard Operating Procedures</kwd>
        <kwd>AI/Machine Learning</kwd>
        <kwd>Telemedicine</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Background</title>
      <p>The ever-increasing sophistication of the cybersecurity landscape at a global
level, combined with the steadily expanding cybersecurity attack surface,
implies a need for targeted efforts for establishing a collaborative network of
support across businesses, industries, countries, regions, and beyond. Thus,
maintaining and improving the collaboration and trust between representatives
from interdependent sectors, business, and academia, as well as between
government structures is therefore essential for safeguarding fundamental rights,
ensuring security and safety both at the physical and in cyberspace.</p>
      <p>
        The highlighted importance of cybersecurity in the light of the global efforts
to limit the spread of the coronavirus and the shift to increasingly remote work
settings within the past year has resulted in an unprecedented growth in
investments in cybersecurity and refocusing on IT risk and resilience [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. It has been
revealed, however, that not the innovation in the field is what is the most needed. It
is the maintenance of sustainable cooperation and readiness to provide a network
of support in times of crisis, along with cyber awareness and hygiene, as well as
continuous education, that underpin the digital transformation of society and that
lead the way to secure information space, including in sectors, such as healthcare,
and especially in the context of the imposed by pandemic “work from home” [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ].
      </p>
      <p>
        A 2020 INTERPOL assessment of the impact of COVID-19 on cybercrime
[
        <xref ref-type="bibr" rid="ref3">3</xref>
        ] has shown a significant target shift from individuals and small businesses
to major corporations, governments, and critical infrastructure. Examples of
common attacks aiming to disrupt the operation of various organizations and
critical services, according to the same report, include ransomware or DDoS
attacks. With cybercriminals increasingly using disruptive malware against
critical infrastructure and healthcare institutions, due to the potential for
high impact and financial benefit, the healthcare sector, among other
sectors of critical importance has become a target for exploitation in 2020,
revealing blind spots and an overall failure in cybersecurity baseline
maintenance failure.
      </p>
      <p>
        Sectors of critical importance, such as healthcare and education, have been
among the most attacked in the recent year, nevertheless, they continue to
maintain a basic cybersecurity baseline, which is not up to par with the increasing
numbers of attack against them, not with the sophistication of attacks and the
expansion of the attack surface [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. In addition, in healthcare, in particular,
cybersecurity-related vulnerabilities could jeopardize the safety of the patients, not
only in terms of their data and privacy, but also to their lives. With the COVID-19
pandemic putting healthcare in center-stage, chronic cybersecurity
vulnerabilities in the sector, such as ill-maintained networks, systems, and software, have
become apparent, and combined with the smart devices and medical equipment
used in modern healthcare, with its cybersecurity weaknesses, the lack of holistic
approach to cyber-resilience has become apparent [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
      <p>Against this backdrop, the development of cybersecurity solutions and
innovation in cybersecurity is often not applicable to sectors of critical importance,
such as healthcare. A vast majority of both the scientific and the commercial
advances in cybersecurity are focused on developing complex solutions for either
large enterprises or specific infrastructures, which makes them inaccessible for
organizations with small IT and cybersecurity teams and capacities to be able to
afford, administrate, manage or even maintain.</p>
      <p>
        Hospitals and schools, especially in the Bulgarian context, often only
maintain a small team of IT professionals, who are responsible for the maintenance of
networks, websites, web platforms, and existing infrastructures of their
organization, and who have little to no time or capacity for the implementation of new
security solutions. Likewise, state-run hospitals likely have a limited budget for
IT and cybersecurity, which further needs to be prioritized for the maintenance of
existing equipment [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ].
      </p>
      <p>By the same token, the IT staff in healthcare is not necessarily familiar with
information security as a discipline, which often results in the ill-maintenance
of software and networks in hospitals. Finally yet importantly, due to time
constraints, resulting from the limited number of IT professionals in such
organizations, combined with the multitude of tasks they need to perform as part of their
daily jobs, the cybersecurity posture of this sector of critical importance has been
suffering from chronic cybersecurity neglect, which has only recently become
apparent.</p>
      <sec id="sec-1-1">
        <title>Therefore, to ensure that people are safe and secure in the digital world,</title>
        <p>and to have confidence in the digital transformation, critical infrastructures
need to ensure and regularly exercise and improve their cyber-resilience,
operational readiness, and crisis response capabilities to match the
unprecedented sophistication of cyber threats and cyber-attacks.</p>
        <p>
          Exercises are an integral part of the emergency planning process and the
training of the staff involved in emergency planning and response is
fundamental to an organization’s ability to handle any type of emergency [
          <xref ref-type="bibr" rid="ref6">6</xref>
          ]. Similarly,
organizations must exercise their continuity plans regular and sufficient basis to
ensure they remain viable according to the full cycle of protect-sustain-recover
resiliency processes, as defined by CERT-RMM [
          <xref ref-type="bibr" rid="ref7">7</xref>
          ], which makes exercising a
vital part of organizational resilience and flexibility.
        </p>
        <p>
          From the implementation perspective, we can distinguish three main types
of cybersecurity-related exercises, namely technical, tabletop and hybrid. This
might be viewed as a technical interpretation of the more general classification,
introduced by MITRE in their [
          <xref ref-type="bibr" rid="ref8">8</xref>
          ], where three main types of exercises are listed,
namely: Tabletop (scripted events, usually performed on paper), Hybrid (scripted
injects with real probes/scans) and Full Live (real and scripted events). Another,
more detailed view on the types of exercises is given in [
          <xref ref-type="bibr" rid="ref9">9</xref>
          ], where the six type of
exercises are defined as: Tabletop (Suitable for cyber incident management,
leadership, and reviewing and evaluating processes); Root cause exercises (Suitable
for anticipating problems and targeting risk management actions); Functional
(Suitable for exercises focusing on crisis leadership, crisis communications and
cooperation), Technical (Suitable for improving technical preparedness,
familiarization with systems and recovery tests); the classical CTFs, Capture-the-flag
(Suitable for improving technical skills and familiarizing the participants with
systems), and a combined larger-scale Major joint exercises.
        </p>
        <p>As seen in Figure 1, we define hybrid type of exercises at the intersection
between technical and tabletop-managerial exercises. With hybrid type of
exercises, we aim at combining in one experience the “managerial” and
“technical” aspects of dealing with cyber-enabled complex hybrid nature of
incidents and crises, through realistic practical simulations and scenarios, using
specific infrastructure (cyber range).</p>
        <p>
          With this paper, we aim to share ESI CEE’s experience with organizing hybrid
type of exercises to maintain a common baseline of readiness for cyber incidents
and increase cross-sector cooperation to target specific issues, weaknesses, and
blind spots at a national and regional level. Three different meanings or use of
“hybrid” are addressed – the observable growing malicious impact of cyber-enabled
hybrid crises (frequently addressed as a “modern hybrid warfare” [
          <xref ref-type="bibr" rid="ref10">10</xref>
          ]) which we
address commonly as “cyber/hybrid scenario”, then the “hybrid type” of exercises
as described above. And the third, more design and development aspect – the types
of cyber ranges used for such exercises, providing simulation, emulation, overlay
or mixed (“hybrid”) type of technical setup and infrastructure [
          <xref ref-type="bibr" rid="ref11">11</xref>
          ].
        </p>
      </sec>
    </sec>
    <sec id="sec-2">
      <title>GB-BG cyber shockwave series of cyber/hybrid exercises</title>
      <p>To contribute to the improvement of the Bulgarian cybersecurity system and for
the creation of a common capacity between state, business, and academia for the
handling of large-scale cybersecurity crises with a possible cyber-enabled hybrid
impact on society and the economy, ESI CEE and the British Embassy in Sofia,
in strategic partnership with the Ministry of Defense, Security Council and other
Bulgarian government structures set out to create the GB-BG Cyber Shockwave
Exercise series.</p>
      <p>This collaboration and the project are a practical step towards the
implementation of the Bulgarian cybersecurity strategy “Cyber-Resilient Bulgaria
2020”1 (adopted in July 2016, updated and extended until 2023 in February
2021). It is implemented within the context of the adopted in 2018
Cybersecurity Act, Strategies Regulations, and Plans for the development of capabilities
for the protection of the cyberspace and the digital economy and society in the
EU and NATO.</p>
      <p>Unlike most common cyber exercises, which cover either the “managerial” or
“technical” side, through the GB-BG Cyber Shockwave Exercise series, we aim to:
1. Combine in one exercise the “managerial” and “technical” aspects of
dealing with cyber/hybrid nature of incidents and crises, i.e. we aim
at combining tabletop exercises with technical-operations exercises
through realistic practical simulations, using specific infrastructure
(Cyber Range), built with the help of experts from the NCSC (National
Cyber Security Center, UK), international consultants and instructors,
ESI CEE (European Software Institute – Center Eastern Europe),
CySecResLab, the cybersecurity and resilience lab of ESI CEE
2. Base our exercises on realistic tasks and possible threats related to the
critical infrastructure and control systems, transport, and logistics,
including the impediment to military exercises and, more generally, to
collective defense capabilities and operations (NATO). The simulated
disruptions would have a hybrid nature and a multifaceted cascading
effect both in terms of defense capabilities and on society as a whole, as
well as on the national and the collective security (including a regional
and cross-border impact).
3. Test the procedures and mechanisms for interaction between the
“industry/services” and the state bodies (including joint coordination with
member states from the regions, such as Romania, and NATO
structures), following and testing the natural and realistic “vertical” of
escalation and identifying areas for improvement and creating inputs for
further action.</p>
      <p>As implicit goals, the GB-BG Cyber Shockwave initiative aims to bring
together representatives from different government structures and establish trust, as
well as cross-sector collaboration and engagement. To achieve that, the partners
aim at engaging the private sector to improve the overall situational awareness
and achieve an accurate picture of the current state of affairs on different levels
of granulation.</p>
      <p>Last but not least, and especially with the latest editions of the GB-BG Cyber
Shockwave series of exercises, we aim at testing and identifying areas of
im1
https://cyberbg.eu/
provement in the strategic and crisis communications capabilities in government
structures.</p>
      <p>The onset of the GB-BG Cyber Shockwave initiative began in 2019 with the
0ctane exercise, which simulated a cyber/hybrid crisis related to the supply of
gas and the national fiscal system with massive effects related to the disruption
of the 2019 local elections in Bulgaria. Following the successful completion of
this exercise, the initiative was continued in 2020 with the Embarg0 exercise,
organized in two phases, where we simulated a hybrid crisis escalation related
to disruption of military maritime supply chain and logistics and jeopardizing a
simulated military exercise.</p>
      <p>The latest edition of the GB-BG Cyber Shockwave series of exercises was
carried out in April 2021 with the PANACEA exercise, which became a regional
exercise, including players from Romania as well. The main scenario and specific
context of the PANACEA exercise were related to potential cybersecurity-related
disruptions affecting the supply chain (logistics, transportation) of medical
equipment and medication, and the new type of logistics related to the supply of the
COVID-19 vaccine and the implementation of the related vaccination plans.</p>
      <sec id="sec-2-1">
        <title>2.1 Exercise scope and audience</title>
        <p>The GB-BG Cyber Shockwave exercise series are usually set up in a two-day
active play distributed exercise, and a preparation phase, with an approximate
duration of four days before the active exercise days. However, the exercise life
cycle usually covers between 3-4 months of planning before the active days of
play, as well as between 1-2 months for evaluation and follow-up after the end of
the active exercise days.</p>
        <p>The life cycle of a standard GB-BG Cyber Shockwave exercise is illustrated
in Figure 2 below and further elaborated upon below.</p>
        <p>Although the exercise life cycle follows a mostly process-oriented model, it
is in its nature somewhat iterative at the beginning phases, which could also be
performed simultaneously in some cases, especially within the context of existing
time constraints.</p>
        <p>1. Identification of needs. The first step of the exercise life cycle. It
represents the initial impulse for the exercise implementation, as well as the
identification of the target audience, exercise scope and objectives, and
main scenario topics. This phase begins with the identification and
prioritization of needs and areas to be targeted by the exercise. During this phase,
desired exercise outcomes are formulated, as well as a plan on the required
human and financial resources for the execution of such an exercise.</p>
        <p>Approximate duration: 2-4 weeks.
2. Consultations: Although the onset of this phase is at the formulation
of desired exercise outcomes, activities, which logically belong to this
phase, could overlap with the design and development phase.
Consultations with external stakeholders and potential participants are vital,
especially to target challenges and skills specific to a given critical
infrastructure, as well as for the formulation of a realistic scenario.</p>
        <p>Approximate duration: 2-4 weeks
3. Design and Development: This is the longest phase of the exercise life
cycle, as it contains high-intensity tasks. Within this phase are the
development of the exercise scenario and storylines, the design and
development of specific exercise ranges and polygons, including the virtual
environment and its content, the content design for the other polygons.
The phase includes a mix of creative work, software development,
scenario and storyline development, material preparation, content
development, and much more, depending on the specific exercise context. This
phase includes an execution plan, containing not only an exercise plan
but also supporting logistics and organization plans (i.e., catering, food,
accommodation for participants, transportation to the exercise venue,
etc., if applicable)</p>
        <p>Approximate duration: 1-3 months
4. Execution: Begins with 3-5 days of a preparation phase. The first
days of the preparation phase are dedicated to the configuration, and
the validation of the connection to the cyber polygons, the
configuration of user accounts, etc. Following that, participants start
receiving emails with preliminary events, information, and injects.
Participants are required to monitor all incoming information about the
exercise through their email accounts in the exercise environment.
The execution phase culminates with the two active exercise days when
participants should be prepared for technical activities remotely (via
VPN access) or on-site.</p>
        <p>Approximate duration: 1 week
5. Evaluation and Debrief: Includes feedback collection from all exercise
roles, including the organizers, the players, and the planners, and the
creation of an exercise report and after-action reports with lessons learned
recommendations, and best practices to distribute to participants. The
exercise evaluation is conducted against the desired exercise outcomes,
formulated within the identification of needs phase, and deviations are
analyzed and consolidated.</p>
        <p>Approximate duration: 1-2 months
6. Improvement Planning: Includes inputs generated for future exercises,
and policymaking, as well as bug reports, exercise environment
improvements, software maintenance, back-ups, etc.</p>
        <p>Approximate duration: 2-4 weeks</p>
        <p>The GB-BG Cyber Shockwave exercise series envisages the participation
of both remote and in-place physical participation, facilitated by dedicated VPN
connections for each team, individual, or participant. The players who play
remote, usually are expected to gather with their teams at their normal place of
employment or in incident cells or facilitate a hotline connection between
themselves.</p>
        <p>The geographic scope of the GB-BG Cyber Shockwave exercise series has
evolved to include participants and an audience at a regional level for an
operations-based exercise involving larger numbers of organizations and individuals.
Choosing the participants follows the decision about the specific context of the
exercise, as well as the capabilities which are aimed to be tested and exercised.</p>
        <p>
          There are different roles that people and organizations may play in an
exercise. The lifecycle of a hybrid exercise envisages various roles, whilst in many
cases in practice, an organization or individual holds multiple roles. Following
ENISA’s Good Practice Guide on National Exercises [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ], among the major roles
adopted in the GB-BG Cyber Shockwave series of exercises are:
1. Exercise organizers. Those include the organization(s) that drives the
process of exercise organization.
2. Exercise planners. Those include the organization(s) or individual(s)
that participate in the planning of the exercise.
3. Participant. An organization or individual that will play during the
execution of the exercise.
4. EXCON (Exercise Control). The team that directs the exercise.
5. Facilitator. A person or organization, whose role is to observe and
record the actions and decisions of the participants during the exercise,
checking performance of the tested measures, noting effectiveness and
weaknesses, communicating with the moderator, and providing much of
the material that will be required for evaluating the exercise.
6. Observer. Individuals or organizations that are invited to observe the
exercise, without participating nor monitoring performance. They may
include stakeholders who are not otherwise participating, such as
additional organizations outside the scope of the exercise.
7. Evaluator. Individuals involved in the process of evaluating the
exercise and coming up with follow-up actions and lessons learned.
        </p>
        <p>The exercise planners are the ones, responsible for the exercise scenario.</p>
        <p>The exercise scenario is first outlined at a very high level during the
identification of needs phase and the consultations phase; however, it is detailed within
the design and development phase of the exercise life cycle.</p>
        <p>
          The first considerations of the scenario at a high level are made when the
specific needs and scope of the exercise are elaborated and prioritized, with its
main goal to test the specific capabilities identified, through realistic simulations.
A realistic scenario is critical to the success of the exercise [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ].
        </p>
        <p>A scenario includes several storylines, based on which the main events and
exercise inject will follow the exact storylines within the same scenario.
Depending on the specific context of the scenario, as well as the teams participating
and their profile, one team of participants can either work on single or multiple
storylines.</p>
      </sec>
      <sec id="sec-2-2">
        <title>2.2 Exercise instrumentation</title>
        <p>To achieve the exercise goals, the exercise planners implement the exercise
scenario as a simulated cyber/hybrid crisis through a dedicated technical
orchestration platform and simulation polygons (Cyber Range). The Cyber Range
provides servers with different types of software, simulations of “official” and
“attacked” or compromised web platforms, and a communication environment,
specifically developed tools and instruments to help the blue teams, JEMM
platform, and many more (including red team live interventions), which are
deployed according to the scenario. The polygons include simulated security
operations and monitoring centers, dashboards for visualization of various types
of incidents.</p>
        <p>For the GB-BG Cyber Shockwave Exercises, a dedicated Cyber Range and
supporting infrastructure are developed by ESI CEE and CySecResLab and
include the following polygons:
• Polygon 1: Servers with different types of software, simulations of
official and “attacked” web platforms, and a communication environment.
• Polygon 2: SOC (Security Operations Center) – a simulation of security
operations and monitoring center.
• Polygon 3: Cyber Picture – dashboard providing visualization of
information for various types of incidents, including cyber incidents, but also
kinetic and hybrid incidents on a sectoral, organizational, and national
levels.
• Polygon 4: Cyber Map – a visualization of the public internet
infrastructure (Bulgarian servers and online services per location, divided into
economic sectors and other indicators). The servers and services simulated in
the training ground have been added to the Cyber Map.
• Polygon 5: MonSys – a service availability monitoring web-based
platform, limited to the systems, simulated within the environment,
complemented by an additional platform for visualization (Grafana).
• Polygon 6: Crisis Communications Dashboard – a dedicated dashboard,
aimed at facilitating crisis communication management between various
players, teams, departments, and countries. Divided into public
communications and sensitive communications sections, this dashboard provides
the space for integrated interdepartmental information and
communications exchange.</p>
        <p>The exercise cyber range also includes:
• JEMM-platform: a tabletop platform based on Polygon 3, with a
dedicated environment for the players, including monitoring of reaction groups,
center for crisis management, situational center, as well as a complete
virtual platform for exercise management (a dedicated private cloud).
• A virtual environment: “internal internet” environment with secure
access, simulations of 6 news agencies websites (websites, video, and blog),
social network, and a specialized protected file server with materials,
documents, and files.
• Status page: an exercise landing page with a two-fold purpose, namely
1) for the participants to verify the status of their connection to the
exercise infrastructure and its assets, links to all resources, and 2) to provide
a library of all exercise materials, most recent information, updates, and
links to the other platforms.</p>
        <p>All exercise roles (institutions, teams, or individuals) are provided with an
account and an associated official exercise-only email address. Further technical
details about the exercise cyber range are available below.</p>
      </sec>
      <sec id="sec-2-3">
        <title>2.3 Technical realization of the exercise environment</title>
        <p>The deployment of ESI CEE’s cyber range follows a three-phase model, as
illustrated in Fig. 3 below. This deployment model aims to provide a maximum
level of automation and flexibility of configuration, making the creation and
setup of services needed for a particular exercise scenario easier and quicker for
the designers of the respective cyber range instance, or even multiple instances.</p>
        <p>The first phase is the creation of virtual machines. It is within those virtual
machines that the exercise email servers, the media websites, as well as any
supporting infrastructure, are hosted.</p>
        <p>The second phase requires the population of the virtual machines created in
Phase 1 with appliances, for example, Zimbra2 email server, WordPress3
opensource content management system for the exercise media websites, FreeIPA4
open-source identity management system, and NodeBB5 forum software for the
Crisis Communications Dashboard.</p>
        <p>The third phase considers the post-creation configuration, which includes
creating users and DNS entries in FreeIPA, restoring WordPress backups, setting
email headers for the Zimbra email, and setting the authentication and user
provisioning to use the FreeIPA directory manager.</p>
        <p>This process is performed automatically, with a dedicated builder machine
as shown in Fig. 3 below.</p>
        <p>The builder machine uses a combination of Terraform and Ansible to deploy
the exercise infrastructure.</p>
        <p>Terraform6 is an open-source tool for infrastructure as code, which in the
case of the exercise cyber range is used to manage the three environment
deployment phases described above. As Terraform works with most cloud computing
services as well as private cloud solutions, its implementation for on the exercise
private vSphere7 server is rendered easy and seamless.</p>
        <p>The cyber range implementation team has developed Terraform modules,
which are responsible for the creation of those the pieces of infrastructure that
make up the range, such as Zimbra. Those pieces of infrastructure are in a
modular structure with dedicated modules for each service. Terraform is used in this
process also to invoke various Ansible recipes at various stages.</p>
        <p>Ansible8 is yet another open-source provisioning tool, used to create a state
in SSH accessible machines. Within the cyber/hybrid exercise context, we are
using it to perform the task of provisioning, for which Terraform on its own is
unsuited. In both Phase 2 and Phase 3 of the exercise deployment process,
Terraform calls on Ansible, following which Ansible connects to the virtual machine
and provisions a given appliance, and applies the post-installation configuration.</p>
        <p>In conclusion, phase one and phase two are automatically performed when
a module is invoked and the final product is an appliance hosted on a virtual
machine. What configuration is passed on the Terraform module that can
trigger Phase 3 depends on the specific module. For FreeIPA, this could be the list
of exercise participants, LDAP9 service users that other systems will use, and
DNS entries. Conversely, for Zimbra, the Phase 3 configuration can consist of an
email header configuration, that will appear in all emails and configuration for a
directory server, such as FreeIPA, that can be used to provision and authenticate
accounts.</p>
        <p>If a Phase 3 configuration is present, Terraform will invoke the appropriate
Ansible recipes to create the users, add the DNS entries, and change the
configuration. Additionally, the implementation team has established Ansible recipes
that are responsible for the destruction of those resources, so should a Terraform
configuration change and is re-applied, users can be removed, DNS entries can be
wiped and email headers can be reset in future emails</p>
      </sec>
      <sec id="sec-2-4">
        <title>3.4 Architecture of the exercise environment</title>
        <p>As mentioned above, to deploy the exercise infrastructure, we need to identify
what elements of the cyber range we wish to deploy for the specific context. A
minimum configuration must include information about the polygons that we will
deploy, as well as a participants list, used within the configuration of a directory
server, such as FreeIPA, to provision and authenticate accounts.</p>
        <p>A brief architecture of a standard exercise cyber range is shown below in
Figure 5, and a short technical overview of the different polygons follows below.</p>
        <p>Status Page. To begin with, we have a standard exercise Status page, which
is a basic landing page with a two-fold purpose, namely 1) for the participants to
verify the status of their connection to the exercise infra-structure and its assets,
links to all resources, and 2) to provide a library of all exercise materials, most
recent information, updates, and links to the other platforms. The status page
contains a brief description of the cyber range, as well as links to the different
polygons, and useful information for the players, such as a contact book,
containing in-exercise contact details for other teams, information about the exercise, the
8
9
https://www.ansible.com/
https://ldap.com/
scenario, and the main storylines, useful resources, such as exercise playbook,
presentations, technical and installation guides, and links to virtual exercise
conference rooms. It is powered by NuxtJS10 and implements specific checks for the
exercise infrastructure, such as DNS, HTTP, HTTPS, etc., to display
infrastructure status.</p>
        <p>ExOrch (Exercise Orchestrator). ExOrch is an internally developed
software for executing events that take place during the exercise. The internal broker
queue is responsible that all the events are executed at the right time. An event
could be – “send an email”, “post a news article”, “enable a technical challenge”,
“update exercise status” and more. ExOrch is written in Python3 and offers an
Excel interface for injects so that organizers can use excel files to feed
automatically deployed injects. It is a fully scalable software product (tested
simultaneously with 9 machines), which further offers a MongoDB11 database interface for
injects. Through the ExOrch dashboard, the exercise administrators could easily
pause, delay or stop completely an incoming event from executing if necessary.
The dashboard is also written in Python3, using the Pyramid12 framework and
offering REST API access.</p>
        <p>Crisis Communications Dashboard. The Crisis Communications
Dashboard is a dedicated dashboard, aimed at facilitating crisis communication
management between various players, teams, departments, and countries. Divided
into public communications and sensitive communications sections, this
dashboard provides the space for integrated interdepartmental information and
communications exchange. The Crisis Communications Dashboard is implemented
through an instance of NodeBB13 forum software running as a Docker 14container
with LDAP Integration for single sign-on.</p>
        <p>Cyber Picture. The Cyber Picture is another internally developed dashboard
for the status display of the government sector. Through the Cyber Picture,
participants can monitor the current global situation, which is changing during the
exercise because of their action or inaction, allowing them to address the current
situation accordingly.</p>
        <p>It is an internally developed software, written in Python 3 leveraging the
Pyramid framework and further providing an interface for REST API access.</p>
        <p>SOC (Security Operations Center) / Exercise Situation Dashboard. This
is also internally developed simulation of a security operations and a monitoring
center, where simulated events and developments are displayed on a world map
10
11
12
13
14
https://nuxtjs.org/
https://www.mongodb.com/
https://trypyramid.com/
https://nodebb.org/
https://www.docker.com/
with appropriate icons and descriptions. It is written in Python 3 leveraging the
Pyramid framework and further providing an interface for REST API access,
integrated with OpenStreet Map.</p>
        <p>VPN Server. A dedicated exercise OpenVPN 15 server, allowing remote
access to the exercise cyber range. Before the exercise execution phase displayed
in Figure 2 above, each team or individual participants (if needed) receives a
dedicated VPN Configuration, separating participants from each other.</p>
        <p>A virtual environment. An “internal” internet environment with secure
access, simulations of 6 news agencies’ websites (websites, video, and blog), social
network, and a specialized protected file server with materials, documents, and
files.</p>
        <p>It also provides some “emulated” real-life websites by “cloning” those static
HTML pages to support the realistic organizations emulation and the scenario
development.</p>
        <p>The virtual environment also contains several simulated standard types of
media websites powered by WordPress content management software and
improved with customized backups and restore capabilities.</p>
        <p>15 https://openvpn.net/</p>
        <p>Investigation Machines. A set of dedicated Kali Linux virtual machines for
every team to assist the forensics teams in the investigations. The virtual
machines are distributed among players with pre-installed tools, to limit the network
traffic during the exercise.</p>
        <p>The Investigation machines support an LDAP integration so that participants
can use their credentials to log in and use the services on the machines.</p>
        <p>The cyber range also includes several storyline-specific virtual machines
that contain technical challenges. A challenge is developed and bundled into an
image. The virtual machines are mostly CentOS, however, depending on the
challenge another Linux distribution or a Windows operating system could be
used. Every challenge can be restored to its original state, to ensure that if a team
manages to destroy the challenge itself, there is a restoring mechanism ready to
be implemented.</p>
        <p>FreeIPA Directory Server. For every cyber range, we implement a directory
server that is responsible for the DNS queries and user directories.</p>
        <p>File Sharing Server. A simple NextCloud file server to assists in file-sharing
during the exercise. Large files such as images, virtual machines, videos, and
others are uploaded there. The NextCloud file server also offers LDAP Integration.</p>
        <p>Mail Server. A Zimbra Mail Server and WebMail to facilitate official
communication between participants. Every participant has a mailbox that they use
to communicate with other participants or EXCON. Also powered with LDAP
integration to facilitate access.</p>
        <p>The exercise cyber range also includes a Rogue Mail Server, using the same
technology as the regular exercise mail server, but used for phishing attack
simulations in certain exercises.
3</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>Main outcomes and lessons learned</title>
      <p>For outlining the main outcomes related to the application of the current exercise
methodology for improving the cyber-resilience in the healthcare sector, further
details will be provided about the scenario storylines and the specific findings and
outcomes from the 2021 GB-BG Cyber Shockwave Exercise PANACEA.</p>
      <p>The goal of the PANACEA Exercise scenario was to test and simulate the
technical and organizational means and methods for handling an escalating
cybersecurity crisis with a strong hybrid impact. Furthermore, we aimed at testing
the standard operating procedures, the collaboration between hospitals and
business, government, security institutions, and industry-specific actors.</p>
      <p>
        The scenario was based on currently known weaknesses and vulnerabilities
of a technical and organizational nature, combined with unexpected vectors of
hybrid nature to illustrate the possible cascade effect with cyber-physical
manifestation and an overall kinetic effect. To address the vulnerabilities and
attackvectors landscape, a generic model referring to tactics and techniques described
in the ATT&amp;CK framework by MITRE was followed [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ].
      </p>
      <p>The exercise scenario developed interactively and dynamically, based on the
decisions and actions of the participants – both technical and organizational, as
well as their ability to cooperate and collaborate. To achieve the gamification and
stimulate the interactivity, an AI/ML engine is deployed for the semi-automatic
red-teaming injects, based on the players (and the “blue-team”) activities and
the success in resolving the challenges. A “success-rate” and
“difficulty/severitylevel” parameters are monitored and dynamically generate with the orchestrator
ExOrch the technical and simulated challenges.</p>
      <p>The main scenario and specific context were related to potential
cybersecurity-related disruptions affecting the supply chain (logistics, transportation) of
medical equipment and medication, and the new type of logistics related to the
supply of the COVID-19 vaccine and the implementation of the related
vaccination plans.</p>
      <p>The purpose was to exercise the “vertical” escalation and crisis handling
process, engaging private and public authorities, starting with identified realistic
supply chain and logistics issues. The main targets will be in the area of dedicated
transportation, storage companies, and services involved, shipping, and relevant
logistics. Attacks and malicious activities may apply to different chains, services, or
equipment, in a seemingly unrelated manner, however leading to a complex impact
and equipment or systems failures, compromising the vaccine storage, distribution,
and vaccination plans. Other possible areas that were indirectly affected are the
customs and border control services, communications, and energy supply.</p>
      <p>To address the pandemic-related boom in telemedicine and IoT usage for
remote healthcare and patients monitoring, and associated cybersecurity risks and new
possible attack vectors, a telepresence robot VGo16 was incorporated in the scenario.</p>
      <p>Based on all the above, six main storylines have been developed:</p>
      <sec id="sec-3-1">
        <title>SL100: Supply Chain, Medicine and Medical Equipment Distribution</title>
      </sec>
      <sec id="sec-3-2">
        <title>Disruptions</title>
        <p>Delay, obstruction, confusion of deliveries through simulated technical
attacks and attacks against specific systems.</p>
        <p>• SL110 – Vaccines’ handling conditions corruption. Suspected
manipulation of temperature registrations, such as data loggers, thermometers,
and/or sensors for refrigerators, containing vaccines, and/or
transportation conditions.
• SL120 – Disruption of distribution and transportation plans.
Manipulation and attacks against systems, causing vaccine shipping, dispatch, and
storage disorganization.
16
http://www.vgocom.com/</p>
      </sec>
      <sec id="sec-3-3">
        <title>SL200: Critical Healthcare Services Disruption</title>
        <p>Hybrid Impact Healthcare Services and Systems.
• SL210 – Leaked patients’ data. Ransomware and related investigations.
• SL220 – Leaked credentials for access to medical facilitation systems.
• SL230 – Telepresence robot (VGo) in a medical facility is hacked and
remote control by adversaries was obtained.</p>
      </sec>
      <sec id="sec-3-4">
        <title>SL300: Data and National Statistics Manipulations</title>
        <p>• A series of attacks against core information channels.
• SL310 – Manipulated data and information channels investigation.
• SL320 – Crisis communication and response to misinformation.</p>
      </sec>
      <sec id="sec-3-5">
        <title>SL400: Escalations in the Context of the Upcoming Parliamentary Elections</title>
        <p>•</p>
        <p>SL410 – Escalation to a national crisis (in the context of pre-election
days)</p>
      </sec>
      <sec id="sec-3-6">
        <title>SL500: Strategic Communications</title>
        <p>Simulation of events depending on the proper identification and handling of
internal and external communication processes.</p>
        <p>• SL510 – Simulated news about events
• SL520 – Simulated fake news
• SL530 – Misinformation and disinformation identification and response
• SL540 – Social media monitoring
• SL550 – Crisis communications and response</p>
      </sec>
      <sec id="sec-3-7">
        <title>SL600: Cybersecurity-Specific</title>
        <p>Technical instruments and injections related to the hybrid scenario.
• SL610 – compromised, exploited, defaced, and manipulated websites
• SL620 – ransomware/cryptolocker
• SL630 – phishing</p>
        <p>Among the most important action items in the creation of the
healthcarespecific storylines were the study, research, and expert consultations. Especially
regarding the logistic details, related to the supply of the coronavirus vaccines,
there are many unknown to the public details. An in-depth analysis of the entire
supply chain process, including many consultations with experts from state and
private organizations, was needed to customize the scenario as much as possible
and make it realistic for the participating organizations.</p>
        <p>Among the other aspects, what was most appreciated by healthcare
professionals participating in the exercise was the ability to reflect as much as possible
the latest trends, events, and incidents. Such was the introduction of a
telepresence robot as part of the exercise challenges, which is a technology that finds vast
application since the onset of the coronavirus pandemic, as it allows physical
contact-free visitations in COVID-19 facilities.</p>
        <p>Another realistic aspect, appreciated by medical professionals, was the
inclusion of the actual thermo-registrars, used for the logistics of the coronavirus
vaccines.</p>
        <p>By the same token, something implied with the use of various storylines, is
the modularity of the exercise. Creating a modular experience allows hospital IT
staff to find a place in the investigation of the challenges, where they find most
useful. A downside to this approach is that this somewhat discourages teams to
work on challenges, involving aspects, that they are previously unfamiliar with.
However, on the flip side, it encourages teams to seek cross-sector collaboration
and support, to solve or even report on the challenges.</p>
        <p>On the topic of challenge reporting, a lesson learned from this exercise is
to invite more communication teams, including the medical teams. A few action
items that could be used to encourage communication teams to participate more
actively are:
• Emphasize the consequences of participant actions, and especially of the
communications team’s actions for the development of the crisis.
• Provide opportunities prior to the exercise, for the exercise teams and
participants to meet each other and exchange information about their core
capacities. This proved to be especially important for teams from
organizations, that would be expected to communicate in real life, should a
crisis occur. A chronic vulnerability in this regard is that technical teams
from hospitals do not seem to have generally contacts with technical
teams from other organizations that could be able to help and support
them during a crisis in real life.
• Support the communication teams with sample pieces of public
communications items. As part of the exercise orientation session or as part of
the resources distributed among partners, sample press releases, holding
lines, or social media status updates should be provided.
• Provide a separate workshop for communication teams, to make sure they
can access and use the communications dashboards and tools.
• Provide additional resources, such as stakeholder impact assessment
matrix, risk assessment matrix, vulnerability reports, etc., that
communication teams can keep using in their daily practice, to improve the
usefulness of the exercise for the participants.</p>
        <p>Another important lesson from the exercise implementation is to use
technical artifacts as part of the challenges for strategic and communication teams, to
ensure collaboration between technical and non-technical teams and empower
cross-sectoral information exchange.</p>
        <p>A core positive outcome from this exercise is the finding that this was the
first hybrid exercise that our healthcare representatives participated in, and
additionally, obtaining their commitment and readiness to participate in further
editions of the exercise.</p>
        <p>This exercise was not without its specific challenges. Among them, the core
was:
• Unwillingness or inability of healthcare organizations to participate. As
this exercise was organized in times of an actual crisis, the resources that
healthcare organizations could dedicate to participate in the exercise were
very limited.
• Inviting only technical teams from hospitals, without discussing with
management of organizations the importance of inviting people,
responsible for public and crisis communications.
• Communication channels are discussed but not used.
• Earlier identification and invitation of exercise participants. product.
• Ensure media coverage – emphasize the exercise and its training.
4</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>Ongoing research and conclusions</title>
      <p>
        Hybrid type of cybersecurity exercises allow an effective simulation of
largescale cyber incidents and crises with potential huge impacts on the economy and
society. They provide a realistic play for hybrid nature scenarios and the imposed
need for cross-sector collaboration, as well as coordination between technical,
managerial, and strategic teams. This coordination allows for the opportunity to
analyze chronic vulnerabilities and blind spots in the collaborative cyber defense
at a national and regional level and to prepare for the “hybrid warfare” [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ].
      </p>
      <p>The application of this exercise model was examined in this paper, through
the lens of the healthcare sector and its need for cyber resilience and cross-sector
support in the face of a crisis. Among the main benefits identified was the
opportunity of hospital IT teams, which are not directly specialized in cybersecurity and
defense, to engage in a dialogue with a supportive cross-sector network of trust
and exercise a desired collaboration. This establishment of collaboration habits
with competent national authorities, as well as stakeholders from the academia
and the private sectors, has been identified to positively influence the chances for
rapid reaction response to cyber/hybrid crisis.</p>
      <p>Furthermore, hybrid exercises provide hospital IT teams with hands-on
experience in dealing with realistic cybersecurity-specific challenges, thus
exercising the preparedness and capabilities of the teams to deal with such events, as
well as exposing areas for improvement and development of capacity.</p>
      <p>This paper also provided an outline of this innovative for Bulgaria approach
and overviewed the cyber range used for the exercise, its components, and the
methodological approach for the implementation and organization of such
exercises, which combines good practices from the UK and the US alike.</p>
      <p>The ongoing research of the implementation team focuses on the
exploration of AI/ML methods for the creation of a dynamic scenario, which branches
automatically based on participants’ decisions. This research direction has been
motivated by the need to reduce the number of human resources for the scenario
branching, during the actual exercise, and leave room for better evaluation of the
participants’ experience.</p>
      <p>We hope that with this research, we can motivate more organizations from
the public and private sectors to seek opportunities for integration of cyber/hybrid
exercises as part of their organizational resilience processes and encourage
crosssector cooperation between organizations from critical infrastructures,
government entities, academia, and industry.
5</p>
    </sec>
    <sec id="sec-5">
      <title>Acknowledgements</title>
      <p>The three editions of the GB-BG Cyber Shockwave exercises and the
implementation of the Cyber Range pilot have been supported by a
longerterm project with the UK Embassy in Sofia. The pilot version of the MonSys
incorporated in the Cyber Range is a result of a project, financed under agreement
№ D-094 / 27.09.2019 by the Research and Development and Innovation
Consortium (Sofia Tech Park JSC) and Nemetschek Bulgaria. The technical base
and maintenance of the Cyber Range and technical polygons are provided by the
Cybersecurity Lab under an annual grant by the “Bulgaria National Roadmap for
Research Infrastructure 2017-2023”.</p>
    </sec>
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          <lpage>463</lpage>
          , https://doi.org/10.1007/978-3-
          <fpage>030</fpage>
          -65722-2_
          <fpage>29</fpage>
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  </back>
</article>