The healthcare sector generates highly sensitive data, demanding rigorous protection to ensure its confidentiality, integrity, and accessibility. This protection is vital for continuous progress and innovation within the field. However, with the increasing need for speed and scalability, alongside the proliferation of virtualized environments and cloud computing, manually implementing security best practices has become impractical. In this context, a Decentralized Healthcare Platform that utilizes blockchain technology offers a robust solution for information security. It guarantees data immutability and provides a reliable, transparent record, which is essential for the integrity of decentralized health systems. This project addresses the critical underlying fabric that supports decentralized healthcare platforms by proposing an architectural approach to evaluate and automate system hardening. Recognizing that robust infrastructure foundations are essential for secure healthcare operations, this work aims to systematically identify and mitigate vulnerabilities within the platform’s core infrastructure layer. The approach leverages OpenSCAP, Ansible, and adherence to Center for Internet Security (CIS) Benchmarks to establish comprehensive security requirements for the foundational infrastructure. The proposed architecture comprises Clinical Nodes—machines that integrate blockchain nodes within hospital institutions—and distributed Control Nodes, where each Control Node manages a subset of the network infrastructure corresponding to their organizational domain. For instance, a government healthcare entity may operate a Control Node managing public hospitals, while private healthcare providers and research institutions maintain their own Control Nodes for their respective clinical networks. Each Control Node handles initial configuration management, service deployment, vulnerability analysis, and mitigation processes for its designated Clinical Nodes. Essential healthcare services and management tools are securely deployed across this hardened infrastructure foundation. This automated methodology significantly enhances both the cybersecurity posture and operational efficiency of the underlying fabric supporting decentralized healthcare infrastructures.
Oliveira et al. (Thu,) studied this question.