IT Security in Healthcare

Cybersecurity directly affects continuity of care

Hospitals, clinics and laboratories rely on systems that need to remain available around the clock. Electronic medical records, systems supporting hospital operations, diagnostic imaging and laboratories, patient portals, and medical devices all form a complex environment. A disruption can affect patient registration, diagnostics, access to test results, and medical history.

In 2025, CSIRT CeZ handled 1,441 cybersecurity incidents in the healthcare sector. There were 1,028 incidents a year earlier and 435 in 2023. The most frequently reported categories included computer fraud, vulnerable services, credential leaks, and malware infections.

The scale of these threats shows that protecting healthcare organizations should be one of the priorities in managing business continuity and patient safety. Effective protection requires technologies that secure users, devices, networks, data, and applications, as well as processes that make it possible to detect attacks quickly and limit their impact.

At 4Prime, we help hospitals, clinics and laboratories assess risk, implement security controls, monitor their environments around the clock, and respond to incidents.

Key Cyber Threats in Healthcare

Ransomware and disruption of healthcare operations

A ransomware attack can restrict access to electronic medical records and systems supporting appointment scheduling, hospital operations, diagnostic imaging, and laboratories. File servers and backups may also be affected.

The organization may then have to switch to emergency procedures, often without access to information required by medical staff. This can slow down patient service, disrupt diagnostics, and increase the risk of errors. An attack may also involve data theft, which means its consequences do not end once systems have been restored.

Phishing and compromised employee accounts

Medical and administrative staff use email, cloud services, and numerous specialist systems. They also work under constant time pressure, which makes effective phishing campaigns easier to carry out.

A compromised account can be used to access medical records, send further malicious messages, install malware, or launch a ransomware attack. Administrator accounts, medical staff accounts, and accounts with access to large volumes of patient records require particular protection.

Leakage or modification of medical data

Medical records contain information whose disclosure may have long-term consequences for patients. Healthcare organizations must protect this data against unauthorized access, copying, and transfer outside the organization.

In laboratories, data integrity is equally important. A test result must remain correctly linked to the patient or sample at every stage: from the analyzer, through the laboratory information system, to the healthcare provider’s system and the final recipient.

Attacks on applications, patient portals, and integrations

Online registration, test result portals, mobile applications, and connections to e-health systems increase the number of services exposed to the Internet. Application flaws, poorly secured data exchange interfaces, or incorrect configuration can lead to data leaks or service outages.

The security of applications and integrations should always be verified before deployment, after major changes, and as part of regular security testing.

Vulnerable services and unsupported systems

Healthcare organizations often operate modern applications and cloud services alongside older systems that have been in use for many years. Some of these systems no longer receive updates or cannot be upgraded quickly because of technological dependencies or vendor requirements.

Internet-facing services, configuration errors, and outdated application components create additional risk. In 2025, vulnerable services were the second most common category of incidents recorded by CSIRT CeZ.

Network-connected medical devices

CT scanners, laboratory analyzers, patient monitors, infusion pumps, and other network-connected medical devices require a different approach from standard workstations. Their lifecycle is long, while the ability to update them may depend on the manufacturer and the conditions under which the device is approved for use.

On some devices, standard monitoring software such as EDR cannot be installed. Their protection should therefore rely on understanding network communication, segmentation, traffic monitoring, and restricting connections to only those systems that are necessary.

Lack of segmentation and network visibility

If administrative workstations, medical systems, diagnostic devices, guest networks, and server infrastructure operate in the same environment, an incident can spread more easily to other systems.

Segmentation limits communication between individual zones. Network monitoring, in turn, makes it possible to detect unusual connections and attempts by an attacker to move laterally through the environment, including on devices where standard endpoint security tools cannot be deployed.

Suppliers and remote service access

Healthcare organizations rely on software vendors, medical device service providers, integrators, and infrastructure maintenance companies. Some of them require remote access to the organization’s systems.

Permanent access with no time restrictions, shared accounts, or access that does not require additional authentication may become an entry point into the environment. Service sessions should be granted for a defined period, restricted to the required resources, and recorded.

Key Technologies and Processes Supporting IT Security in Healthcare

technologies
technologies

Endpoint Detection and Response (EDR) solutions monitor activity on staff computers, servers, and other endpoints, detecting malware, privilege escalation attempts, and unusual process behavior.

Advanced platforms extend EDR capabilities with XDR (Extended Detection and Response), combining endpoint data with information from sources such as identity, email, network traffic, and cloud services. This provides a broader view of an incident, helps reconstruct the attack path, and supports faster response.

Network Detection and Response (NDR) analyzes communication between devices and systems, helping detect anomalies, suspicious connections, and attempts by attackers to move laterally through the infrastructure.

NDR is particularly important in healthcare environments because it provides visibility even where an EDR agent cannot be installed, for example on certain diagnostic devices and medical equipment.

Dividing the infrastructure into separate zones helps limit the spread of threats between systems. Different communication policies can be applied to administrative networks, medical and laboratory systems, medical devices, guest networks, and service access.

Next-generation firewalls make it possible to control traffic between these zones and restrict connections to those that are necessary for systems to operate correctly.

Multi-factor authentication (MFA) reduces the risk of compromised passwords being used to gain access, while Privileged Access Management (PAM) solutions help manage administrator accounts and other users with elevated privileges.

PAM can be used to grant access for a limited period, control credentials, and record sessions. This is particularly important for external administrators and service engineers who require access to the organization’s systems or devices.

Email security solutions help detect phishing, impersonation attempts, malicious links, and infected attachments.

They reduce the risk of staff accounts being compromised and email being used as an initial entry point for a broader attack on the healthcare environment.

Data Loss Prevention (DLP) solutions help identify sensitive information and control how it is copied, transferred, and shared. In healthcare organizations, this applies primarily to patient data and medical records.

Database security solutions make it possible to monitor access to stored information, record user activity, and detect unusual behavior that may indicate an attempt to steal or modify data without authorization.

Backups make it possible to restore data and systems after a failure, human error, or cyberattack. In the case of ransomware, backup repositories need to be protected so that attackers cannot encrypt or delete copies together with production data.

Backup solutions should cover the organization’s most important systems and data and support efficient restoration according to a defined recovery order and required recovery time.

A Web Application Firewall (WAF) protects web applications against attempts to exploit vulnerabilities, while API Security solutions help secure the interfaces through which systems exchange data.

Internet-facing services should also be protected against DDoS attacks, which attempt to overwhelm services with malicious traffic. In healthcare, these technologies can protect patient portals, online registration, test result services, and other externally accessible applications and integrations.

processes
processes

Healthcare organizations operate around the clock, which means their IT environments also require continuous supervision. A SOC service provides 24/7 monitoring and response to threats that may affect system availability, data security, or continuity of care.

The process includes:

  • detecting and analyzing security incidents,
  • classifying threats and assessing their potential impact,
  • isolating affected devices and limiting the impact of an attack,
  • supporting system recovery,
  • incident reporting and analysis.

Regular identification and assessment of vulnerabilities helps reduce the risk of known weaknesses being exploited in the organization’s systems, applications, and devices.

The process includes:

  • identifying assets and vulnerabilities,
  • analyzing and prioritizing risk,
  • planning remediation activities,
  • deploying updates where possible,
  • applying compensating controls to systems and devices that cannot be easily updated.

Continuous collection and analysis of information about emerging threats helps healthcare organizations prepare for changing attack techniques.

Threat Intelligence supports:

  • identifying new phishing campaigns and malware,
  • tracking vulnerabilities and techniques used by attackers,
  • adapting detection mechanisms to the current threat landscape,
  • providing analysts with the context required to assess suspicious activity.

Threat Hunting involves actively searching for signs of threats that may have bypassed automated security controls.

Analysts:

  • develop hypotheses based on Threat Intelligence and events observed in the environment,
  • analyze telemetry from devices, networks, and other security systems,
  • look for unusual user and system behavior,
  • verify whether techniques detected in one environment are also present in other protected organizations.

Detection Engineering focuses on creating and improving rules that complement the detection mechanisms available by default in security systems.

The process includes:

  • analyzing new attack techniques,
  • creating and testing detection rules,
  • adapting them to the architecture and operating model of the protected environment,
  • reducing false positives,
  • improving detection based on findings from Threat Intelligence, Threat Hunting, and real incidents.

Healthcare organizations rely on medical and laboratory system vendors, medical device service providers, cloud operators, and infrastructure maintenance companies. A vulnerability or excessive level of access at one of these partners may affect the security of the entire organization.

The process includes:

  • assessing the security of suppliers and partners,
  • determining which systems and data they can access,
  • controlling remote and service access,
  • assessing the security of integrations with external systems,
  • monitoring risk associated with third-party services.

A cyberattack on a healthcare organization can restrict access to systems used for registration, diagnostics, medical records, or test result distribution. A business continuity plan should define how the organization will continue to operate even when part of its infrastructure is unavailable.

The process includes:

  • creating and testing backups,
  • defining the recovery order for critical systems,
  • preparing Disaster Recovery plans,
  • developing emergency operating procedures,
  • regularly testing recovery scenarios after an incident.

Diagnostic and medical devices often have long lifecycles, while the ability to update them or install additional security controls may be limited. Their security therefore requires continuous management throughout the entire period of use.

The process should include:

  • maintaining an up-to-date inventory of devices and their software,
  • assessing device vulnerabilities and criticality,
  • reviewing available updates and vendor recommendations,
  • applying compensating controls where updates are not possible,
  • controlling remote access for service engineers,
  • monitoring device communication across the network.

In healthcare, protecting confidentiality is not enough. Organizations must also ensure that information has not been modified without authorization. This is particularly important for medical records, orders, test results, and information exchanged between devices and systems.

The process includes:

  • controlling permissions to enter and modify data,
  • recording user operations,
  • monitoring changes in databases,
  • controlling information flows between systems,
  • ensuring that patients, orders, samples, and test results remain correctly linked.

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SOC360 analysts

SOC360 is a team of forty highly qualified experts who analyze threats at their source, leveraging telemetry data from advanced EDR and NDR systems as well as other cybersecurity monitoring platforms. Our SOC service, enhanced with Managed Detection and Response (MDR), is based on a single-line model*, ensuring fast and effective incident response.

24/7 infrastructure monitoring based on proactive security systems (EDR, NDR) and SIEM analysis,

Effective alert analysis and real-time incident mitigation,

Threat Intelligence, Threat Hunting, Detection Engineering,

Detailed incident reports compliant with NIS2 requirements,

Vulnerability management,

Operational support during and after a security incident.

*A model that transforms traditional, multi-tiered and hierarchical security teams into a single, efficiently operating team in which all analysts have comparable high-level competencies, uniform training, and access to the same tools.

4Prime engineers

We offer comprehensive solutions by designing, integrating, and maintaining modern security systems. Our engineers have many years of experience implementing tools from over 40 leading vendors, supported by relevant certifications.

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FAQs

The healthcare sector is covered by the Polish Act on the National Cybersecurity System. The categories of organizations covered include healthcare providers, European Union reference laboratories, and selected entities providing healthcare services as subcontractors to essential or important entities.

However, this does not mean that every healthcare organization automatically receives the same status. A healthcare provider that is not an enterprise and employs between 50 and 249 people is classified as an important entity, while one employing at least 250 people is classified as an essential entity. For enterprises, additional size criteria and rules concerning partner and linked enterprises also apply. Each organization should therefore assess its status individually.

The first step should be to assess the current level of security. The organization should identify which systems and processes are essential to delivering healthcare services, which threats could disrupt them, and whether the existing safeguards are appropriate to the level of risk.

On this basis, it can plan improvements to monitoring, vulnerability management, access control, supplier security, business continuity, and incident response procedures. The objective should not be limited to preparing documentation, but to putting mechanisms in place that will work during a real incident.

Such devices should first be identified and assigned to the appropriate network zone. Their communication should be restricted to the systems and addresses required for normal operation.

Network monitoring with NDR makes it possible to observe device activity without installing additional software on the device. Segmentation, firewall rules, service access controls, and monitoring of changes in network communication provide additional protection.

Yes, particularly when the organization does not have its own security team operating around the clock. Maintaining such a team requires specialists, tools, shift coverage, and continuous development of detection capabilities.

SOC360 can complement the work of an internal IT department, analyze data from existing security tools, and respond to incidents outside the organization’s standard working hours.

Suppliers should not use shared accounts or permanent, uncontrolled access to the healthcare organization’s network. Access should be assigned to a specific individual, for a defined period, and only to the resources required to perform the task.

Multi-factor authentication and Privileged Access Management can provide additional protection for credentials, enable connection approval, record sessions, and quickly revoke access once the work has been completed.

The entire information flow should be controlled: from the analyzer, through the laboratory information system, to the healthcare organization’s system and the portal where results are made available.

This requires unique user identification, separation of privileges, activity logging, integration monitoring, and control over database changes. Backups should make it possible to restore not only files, but also the correct relationships between the patient, sample, and test result.

The organization should activate its prepared incident response procedure, restrict communication from infected devices, and preserve available logs. Unplanned shutdowns or modifications to systems may destroy information required to reconstruct the attack.

At the same time, the organization should switch to emergency operating procedures and involve a Digital Forensics and Incident Response (DFIR) team. 4Prime can begin remote response activities and mobilize a three-person expert team within four hours of the incident being reported.

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