IoT and Medical Device Safety for Healthcare

Healthcare networks and devices are becoming significantly more complex, presenting a growing challenge for the IT staff supporting them. Rather than thinking solely in terms of device counts and bandwidth, organizations must now reassess their approach to medical device support and rethink how best to apply business intelligence to the network.

For some IT departments, medical device support is new territory. Best practices formerly included placing all medical devices on a single VLAN protected by a firewall. However, this process is outdated due to a number of factors including:

  • Failure to restrict and track internal access by employees, contractors and manufacturer maintenance personnel
  • Risk of misconfiguration of one medical device type impacting others

With the rapid adoption of Wi-Fi by medical device manufacturers many hospital IT departments are finding themselves now supporting Wi-Fi enabled IV pumps, blood gas analyzers, telemetry systems, mobile X-ray machines, ultrasound units, hemodialysis devices and glucose meters on their wireless local area networks. As more medical devices are added, the strategy that organizations used during initial rollouts five years ago is no longer adequate. For example, a common approach was to make all medical devices part of a dedicated network, physical or virtual. The theory at the time was that these devices were being protected from outside performance and security risks, but that hasn’t always been the case. Over the years, hospitals have experienced challenges supporting wireless medical devices from multiple manufacturers of a single medical device on their virtual network because of:

  • Inability of legacy wireless medical devices to support latest authentication and encryption systems
  • Unique network configurations to accommodate the devices such as network quality of service parameters or security settings
  • Medical Devices and FDA Compliance
  • As more medical devices are added, it will no longer be acceptable to simply make all medical devices part of a dedicated network change without notice
  • Limiting access to a shared wireless password

With the challenge of supporting a growing variety of medical devices on the same network the U.S. Food and Drug Administration recently released an advisory highlighting the current risks of medical devices on hospital networks along with the following basic recommendations for hospitals:

  • Restrict unauthorized access to networks and medical devices, and track network activity
  • Update antivirus, firewall efforts, and security patches
  • Create and evaluate strategies for maintaining functionality during an adverse event

Critical Technology Issues for IoT and Medical Devices in Hospitals

INSUFFICIENT WI-FI COVERAGE FOR MEDICAL DEVICES

As more medical device manufactures move away from legacy Wireless Medical Telemetry Service (WMTS) bands to Wi-Fi, hospitals require more than just a Wi-Fi coverage model. Whether its connecting workstations on wheels, barcode scanners, IV infusion pumps, or phones, the network must be capable of connecting all Wi-Fi enabled devices that hospital’s and medical facilities leverage today for real time clinical care. To operate smoothly, there can be no bottlenecks from the Wi-Fi access points, back through the wired infrastructure, and all the way to the broadband Internet connection and the data center. These connections must be highly available or fault tolerant to insure uninterrupted service.

LACKING MEDICAL DEVICE CONTROLS

Medical device adoption really means the growth of Machineto-Machine (M2M) and Machine-to-People (M2P) automations. With this evolution of clinical workflow, IT operations needs to focus beyond connectivity and to proactive monitoring and management of systems such as nursecall, IV pumps, and telemetry systems that require constant communications with core applications and clinical staff. For every new medical device on the network there is an application data flow between it and a larger system.

Visibility into medical device communications, locations, performance, and patterns of activity are important for optimizing clinical care. This is also vital for optimizing the infrastructure and for both short- and long-term planning for medical device automation and support.

Network analytics equips IT with the capability to understand how well new systems or devices are being adopted, what the baseline is for each application regardless if its hosted onsite or in the cloud, and even when the slowest work times are by department for scheduling change control windows. Network based analytics brings meaningful big data understanding to the health and usage of a hospital’s infrastructure.

UNKNOWN SECURITY AND COMPLIANCE RISKS

A constant risk to the network, and ultimately the hospitals are unapproved applications and rogue devices that may operate on the network that either permit unauthorized access or interfere with other devices. It is not uncommon for one medical device system to incorrectly be configured for DHCP services which can disable an entire medical device VLAN. A means to monitor all devices and applications that operate across the network is vital. ExtremeControl automates onboarding of devices and applies rule-based policies across the hospital’s entire wired and wireless infrastructure.

24/7 OPERATIONAL SUPPORT

Hospitals never close and neither does Extreme Networks’ 100% in-sourced Global Technical Access Center (GTAC.) 24/7 support ensures that all questions can be answered promptly to keep the network functioning at all times.

Extreme is the only company in the industry that takes an architectural approach to bringing products to market from R&D to product release. As a result, all of our network products from wireless to wired are managed by a single network management screen for easy management by constrained healthcare IT teams.

To learn more visit Extreme Networks Healthcare solutions site: http://extremenetworks.com/healthcare

Required CapabilitiesRecommended SolutionHow We Do It Better
Stabilization of Existing Wired and Wireless Infrastructure to Support Growth of Medical DevicesExtremeSwitching
Extreme Control Center
• Single pane of glass management system provides centralized visibility and endto-end granular control of the unified network
Pervasive Wi-Fi Connectivity and Bandwidth for Clinician Workflow and CommunicationsExtremeWireless
ExtremeSwitching
• Hybrid deployment architectures (Bridged at AP or Controller), single sign-on to simplify management. Application and device based policy controls. Embedded flow-based ASIC flow sensor technology per port, 3M flows/sec collection capability
Automation of Device Onboarding with Audit ControlsExtreme Identity and Access Manager• Automated and secure provisioning and control of medical devices on the wired/ wireless network
Critical Device and Agentless ApplicationExtremeAnalytics• Agentless performance and security monitoring of medical device communications
Staff Supporting and Consulting to Provide Best in Breed IT Service DeliveryProfessional Services
Customer Training
• Extreme services including onsite customer consulting, design, and implementation services as well as comprehensive training curriculum
24/7 Operational SupportMaintenance• Support Center (GTAC) provides technical support 24 hours a day, 365 days a year
• Extreme Networks SupportNet offerings let you choose the exact level of service ideal for your organization

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