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Cybersecurity for Hospitals

The mainstream Coalition focus groups are organised per cyber security domain ranging from technical domains (e.g., crypto, cloud, OT/ICS Security) to more governance-oriented focus groups (e.g., GRC, Privacy & Data Protection, EU Regulations & Standardizations).

In 2021, many hospitals expressed the need for a dedicated transversal focus group dedicated to their sector given their specific needs and the sense of urgency. End 2021, the Coalition board approved the creation of this new “Cyber security for Hospitals” Focus Group.

The hospital sector is increasingly affected by cyber incidents. Hospitals are making significant efforts to increase cyber security but face limited resources. Cooperation is vital in this regard and must go beyond sharing information among themselves to make the best use of limited resources.

This Focus Group encourages such cooperation and provides a forum for exploring collective actions such as joint affiliation to a SOC/SIEM or agreements with the insurance industry on the long-term insurability of hospitals. Such an approach is not only more cost-effective but also addresses the scarcity of required expertise.

This Focus Group encompasses three sub-groups:

Cyber security architecture & operations

The objective of the group is to deep dive into the practical aspects of hospital information (cyber) security. A major issue in hospitals is the lack of detection and response capabilities. The goal is understanding the path to defence, and developing a roadmap fitting the organization. Topics on the agenda are crown jewels identification, risk & vulnerabilities analysis, architecture/capabilities (AS IS/TO BE) mapping resulting in a gap analysis. The members also explore the services and technologies available in the market and share best practices on how to defend a budget to a hospital board. The sub-group aims to elaborate general guidelines for a practical roll-out of a security operations programme. On top of this, another goal of this sub-group is the creation of a common rule-based reference architecture or template with clear and precise definitions. It provides security assurance to other hospitals and third parties. It is a guide for hospitals, for their partners and their suppliers to provide clarity about what a supported solution should look like.

Governance

This sub-group aims at developing a prioritized body of knowledge consisting of open (RFC-like) and continually maintained set of documents, where each document

  • Describes one or a variety of possible reference architectures and matching implementation examples
  • Provides additional non-technical guidance (budget, caveats, …)
  • References covered control objectives and tactics/techniques (2-way index)
  • Serves as a reference base for vendors/integrators for healthcare specific implementations
  • Serves as a practical manifestation of existing frameworks.

This sub-group also concentrates on the actions to be taken to achieve NIS2 compliance.

Supply Chain Management

This sub-group wants to make sure that every IT & IOMT (internet of medical things) purchase is secure & compliant by providing basic rules on cybersecurity to procurement.

The goal is to help every hospital stand equally strong and help suppliers understand the rules of procurement. This sub-group also examines how frame agreements can be scaled up.

During past plenary sessions the Centre of Cybersecurity Belgium (CCB) presented its services for hospitals as well as its Cyberfundamentals framework, a set of guidelines structured in four maturity levels to ensure and continuously improve cyber security both within the public and private sectors. Members are also exposed to the publications and tools developed by the European Union Agency for Cybersecurity (ENISA). The CCB also presented the results of the 2022 ENISA cybersecurity exercise to test the response to attacks on EU healthcare infrastructures and services.

There are two plenary in-person meetings a year.

The sub-groups operate autonomously, gather at their own pace but at least once per quarter. These meetings can be either in-person or virtual. However, there are interdependencies among the various sub-groups. Therefore, each sub-group is assigned a segment of the plenary meeting to present their activities and achievements of the previous period.

Cybersecurity for Hospitals

How to join the group

All health care institutions are eligible to join this Focus Group provided they have a Coalition membership. Health care institutions are exonerated from membership fee payment.

Members providing IT and security solutions to the hospital are also welcome to join the Focus Group. They can provide insights into the latest threats and vulnerabilities, as well as the best practices for securing IT systems in hospitals.

Permanent Chair

Dirk Buysse

Dirk Buysse

Senior Account Manager Jarviss
Kurt Gielen

Kurt Gielen

IT Manager at Ziekenhuis Oost-Limburg (ZOL)
Wouter Avondstondt

Wouter Avondstondt

Founder, Business Development & Account Manager at Toreon

Operations Office

Guy Hofmans

Guy Hofmans

Senior Project Manager
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