Health & Medical Care
“Information Technology (IT) and Operational Technology (OT) security require varying approaches, but both are crucial to maintaining a safe and secure healthcare environment. As a result, organizations should not forget to prioritize OT security alongside IT security efforts.”
Healthcare Security Challenges
Modern healthcare facilities are blending IT and OT to streamline workflows—linking EHR systems, imaging devices, infusion pumps and building controls. While this convergence improves efficiency, it expands the attack surface. IT teams defend data confidentiality under the CIA triad; OT teams must guarantee device availability and data integrity. Without a unified cyber program, regulatory compliance, patient safety and operational continuity are all at risk.
Faced with stricter regulations, complex interconnected systems and evolving threats, healthcare organizations need a centralized cyber-risk framework that covers both domains end-to-end.
Situational Awareness
Perception (What’s happening?)
- Nation-state actors and cybercriminals increasingly target healthcare for geopolitical leverage and high-value data exfiltration.
- IoT/OT convergence, geographic dispersion and organizational complexity are rapidly inflating the attack surface.
Comprehension (Why does it matter?)
- Hospitals and clinics hold vast quantities of PII and medical IP—OT endpoints (e.g. infusion pumps, imaging systems) create additional ingress paths.
- As adversaries evolve, healthcare must combine robust technical controls with rigorous processes—identifying exposures early, preventing harm, and aligning to industry regulations.
Health & Medical Risk Management
For organizations with limited OT risk management, we recommend a two-phase program:
Phase 1 – Risk Identification & Prioritization
Map critical OT functions (e.g. life-safety systems, lab controls), assess potential impact of cyber events, and leverage staff expertise (system architects, engineers, operators) to uncover realistic attack paths. Use real-world scenarios to prioritize high-consequence risks and determine if exposure falls within risk appetite.
Phase 2 – OT Cybersecurity Framework (OT-CSF)
Establish a formal OT-CSF with policies, procedures and playbooks aligned to:
- ISA/IEC 62443
- NIST Cybersecurity Framework (CSF)
- NERC-CIP
- ISO/IEC 27001/27002/27019
Keep your framework realistic—include governance roles, end-to-end operating model, compliance mapping, asset inventory, network diagrams, incident response plans and workforce training. As your maturity grows, integrate:
- Self-assessments and external audits
- Third-party assurance clauses
- Network & asset monitoring solutions
- Privileged Access Management (PAM)
This outcome-focused approach ensures tangible risk reduction, justifies investment, and embeds cyber-resilience into everyday healthcare operations.