New Guidelines: Cybersecurity Resilience in the Healthcare Industry
Lou Morentin, VP of Compliance & Privacy

There are a number of significant changes coming to Healthcare Cybersecurity requirements. While not all are finalized, they point the way towards Health and Human Services tightening the controls and requirements.
Healthcare Cybersecurity: A Shift Towards Resilience
The healthcare industry is facing an evolving threat landscape, with cyberattacks becoming increasingly sophisticated and frequent. Because of the nature of the healthcare industry, these digital threats are only anticipated to grow in volume and scale. In response, regulators are proposing significant changes to healthcare cybersecurity regulations, aiming to strengthen defenses and improve resilience against cyberattacks.
Shifting From a Prevention Mindset
One of the most notable shifts is a move away from solely focusing on preventing cyberattacks, but to build resilience against them instead. This means healthcare organizations must implement robust preventative measures, but additionally be prepared to respond effectively and minimize the impact when attacks ultimately occur.
A Risk-Based Approach
The proposed changes emphasize a risk-based approach to cybersecurity. Instead of a one-size-fits-all approach, organizations must now prioritize and address the most critical risks based on their specific circumstances and vulnerabilities,. This allows for a more tailored and efficient allocation of resources.
Addressing the Legacy Device Challenge
A significant challenge for the healthcare industry is the prevalence of legacy medical devices with outdated security features. The proposed updates acknowledge this and aim to encourage the replacement of vulnerable devices and improve the security of existing ones.
Enhanced Incident Response
Recognizing the criticality of effective incident response, the proposed rules strengthen requirements for incident response planning and testing. Healthcare organizations must be prepared to quickly and effectively respond to cyberattacks to minimize damage and protect patient data.
Increased Accountability
To ensure compliance, the proposed updates aim to increase accountability. This includes stricter enforcement of regulations and potentially harsher penalties for non-compliance.
Focus on Supply Chain Security
The proposed rules recognize the growing importance of supply chain security. Healthcare organizations must assess, and address risks associated with third-party vendors and business associates, ensuring that their own security posture is not compromised by vulnerabilities in their supply chain.
Key Proposed Changes
- Elimination of “Addressable” Safeguards: Most security measures will become mandatory for all covered entities, eliminating the previous distinction between “required” and “addressable” safeguards.
- Enhanced Documentation Requirements: Healthcare organizations will need to maintain detailed records of their security policies, procedures, and risk assessments.
- Focus on Network Segmentation: Network segmentation, which involves dividing networks into smaller, isolated zones, is emphasized to limit the impact of a successful attack.
- Increased Focus on Risk Management: Organizations must conduct more comprehensive risk assessments and implement safeguards tailored to their specific risks.
These proposed changes underscore the critical need for healthcare organizations to prioritize cybersecurity and invest in robust security programs. By adapting to these evolving regulations and implementing a strong cybersecurity posture, healthcare organizations can better protect patient data, maintain operational continuity, and build trust with their patients and the public.