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Keeping Clinical Systems Online: Why Packet-Level Network Visibility Matters in Hospital IT 

January 15, 2026

blog-01.14.26-Healthcare
  • Modern hospitals rely on complex digital ecosystems, making network reliability critical for uninterrupted patient care.
  • Packet-level network visibility is essential for proactive troubleshooting, reducing downtime, and ensuring compliance.
  • Visibility architecture in hospitals typically uses passive TAPs, network packet brokers, and hardware data diodes to monitor traffic safely and securely without interfering with clinical systems.
  • Implementation is incremental and low-risk, starting with critical device links and aggregation points, then expanding coverage to improve visibility across the network.


Introduction
 

Modern hospitals are no longer defined solely by physical infrastructure. Clinical care today depends on a complex digital ecosystem that includes telehealth platforms, bedside monitoring systems, diagnostic imaging, cloud-hosted electronic health records (EHRs), and thousands of connected medical and IoT devices. 

For large hospital systems operating with 1,000 beds or more this digital apparatus delivers clear benefits in access, speed, and outcomes. But it also places unprecedented pressure on networks that must function as the clinical backbone of 24x7x365 without failure. 

For IT network engineers and cybersecurity architects, the mandate is clear: keep clinical systems available, performing, and compliant without disrupting patient care. The challenge is that many outages, performance degradations, and clinical interruptions are still diagnosed with partial data, inferred telemetry, or reactive troubleshooting. 

The missing piece is not another dashboard. It is guaranteed, packet-level network visibility delivered safely, passively, and at scale. 


Why Network Visibility Matters in Healthcare
 

Network visibility is often discussed in the context of cybersecurity, and rightly so. Hospitals are high-value targets, and packet-level data is essential for threat detection and forensic analysis. 

But for large hospital environments, the productivity gains from visibility often appear long before any security incident occurs. 

Packet-level insight enables IT teams to: 

Faster fault isolation 

When a picture archiving and communication system (PACS) fails to load, an EHR session stalls, or a telemetry feed drops, packet captures immediately reveal whether the root cause is network congestion, quality of service (QoS) misconfiguration, storage latency, packet loss, or application behavior. This clarity can reduce mean-time-to-repair from hours to minutes, often without involving vendors. 

Reduced clinical downtime 

Downtime in imaging suites, infusion systems, or bedside monitoring does not just affect IT metrics, it directly impacts patient flow, clinical decision-making, and safety. Continuous visibility allows teams to verify device connectivity, detect degradation early, and resolve issues before they escalate into clinical interruptions. 

More accurate capacity planning 

Large hospital networks evolve organically. Packet-level visibility exposes actual traffic patterns, not assumed ones. This enables architects to right-size WAN links, refine VLAN segmentation, and tune QoS policies to ensure that life-critical traffic consistently takes priority over non-clinical workloads. 

Optimized telehealth and remote care 

Telehealth, virtual consults, and remote patient monitoring depend on deterministic network performance. Packet telemetry makes it possible to identify jitter, latency, and packet loss contributors and to fine-tune QoS so clinicians experience consistent audio, video, and real-time data delivery. 

Operational assurance for legacy devices 

Many clinical devices operate on legacy or proprietary protocols and cannot be easily upgraded, instrumented, or reconfigured. Passive packet capture provides deep forensic context without touching the device itself, preserving vendor certifications and avoiding risk to patient safety. 

In short, visibility replaces guesswork with evidence. That directly reduces repeat incidents, shortens repair cycles, and frees clinicians and IT staff from the hidden productivity tax of avoidable outages. 

Free Whitepaper A Guide to Avoiding Network Downtime Download Now


What Network Visibility Looks Like in a Hospital Environment 

A practical visibility architecture for healthcare is built to observe without interfering. It typically includes three core components: 

  1. Passive TAPs (Test Access Points) 
    TAPs mirror traffic at critical network links or segments without introducing latency or creating single points of failure, which is an essential requirement when monitoring life-critical systems. 
  1. Network Packet Brokers 
    Packet brokers aggregate, filter, deduplicate, and timestamp traffic from multiple sources so monitoring, performance, and security tools receive only the data they need. This prevents tool overload and reduces storage and licensing costs. 
  1. Hardware Data Diodes 
    Hardware data diodes provide one-way data transfer, adding a strong security boundary for sensitive clinical environments. They help reduce the risk of malevolent actors accessing the network while maintaining continuous visibility. 

Together, these elements deliver the granular context modern analytics require, without destabilizing clinical networks or sensitive medical devices. 

 

Practical Implementation in Large Hospital Systems 

Visibility does not require a disruptive, system-wide overhaul. Large hospitals achieve the fastest returns by instrumenting visibility at the edge of the network first and expanding incrementally. 

A proven approach includes: 

  • TAP critical device links 
    Deploy passive TAPs at interfaces connecting imaging modalities, ICU monitoring concentrators, and telehealth gateways to ensure the most critical workflows are fully observable. 
  • Focus on aggregation points 
    Feed traffic from core routers, data-center uplinks, PACS storage networks, and EHR access points into the visibility fabric. These locations capture a large percentage of clinical traffic and quickly improve imaging and EHR availability. 
  • Feed tools with packet brokers 
    Apply filtering, deduplication, and precision timestamping so analytics platforms receive clean, relevant data to out-of-band monitoring tools. 
  • Iterate across environments 
    Deploy in phases. Establish baselines, validate alerts, and expand coverage to additional wards, outpatient facilities, and remote clinics using repeatable, low-risk procedures. 

This incremental model aligns well with the operational realities of large, always-on hospital systems. 


Visibility as a Force Multiplier for Digital Care 

For modern health services, network visibility is not a luxury or a niche technical capability. It is a force multiplier for every digital investment already in place. 

By designing non-disruptive, packet-level visibility into hospital networks, IT teams enable faster troubleshooting, stronger clinical governance, more reliable telehealth, and higher clinician productivity. Just as importantly, they strengthen the operational resilience required in highly regulated, always-on care environments. 

Hospitals that treat visibility as foundational infrastructure will realize faster returns from digital transformation while delivering safer, more consistent patient care at scale. 

Looking to add visibility to your hospital network, but not sure where to start? Join us for a brief network Design-IT evaluation or demo. No obligation - it’s what we love to do.

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Heartbeats Packets Inside the Bypass TAP

If the inline security tool goes off-line, the TAP will bypass the tool and automatically keep the link flowing. The Bypass TAP does this by sending heartbeat packets to the inline security tool. As long as the inline security tool is on-line, the heartbeat packets will be returned to the TAP, and the link traffic will continue to flow through the inline security tool.

If the heartbeat packets are not returned to the TAP (indicating that the inline security tool has gone off-line), the TAP will automatically 'bypass' the inline security tool and keep the link traffic flowing. The TAP also removes the heartbeat packets before sending the network traffic back onto the critical link.

While the TAP is in bypass mode, it continues to send heartbeat packets out to the inline security tool so that once the tool is back on-line, it will begin returning the heartbeat packets back to the TAP indicating that the tool is ready to go back to work. The TAP will then direct the network traffic back through the inline security tool along with the heartbeat packets placing the tool back inline.

Some of you may have noticed a flaw in the logic behind this solution!  You say, “What if the TAP should fail because it is also in-line? Then the link will also fail!” The TAP would now be considered a point of failure. That is a good catch – but in our blog on Bypass vs. Failsafe, I explained that if a TAP were to fail or lose power, it must provide failsafe protection to the link it is attached to. So our network TAP will go into Failsafe mode keeping the link flowing.

Glossary

  1. Single point of failure: a risk to an IT network if one part of the system brings down a larger part of the entire system.

  2. Heartbeat packet: a soft detection technology that monitors the health of inline appliances. Read the heartbeat packet blog here.

  3. Critical link: the connection between two or more network devices or appliances that if the connection fails then the network is disrupted.

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