Imagine the LED lights are on, clinicians are ready, and every screen goes dark. That’s the moment when governance—not gadgets—keeps care moving. We sit down with healthcare IT leader and board veteran Richard Helppie to chart a practical path for hospital boards to own cybersecurity as a top strategic risk, not a backend tech chore.

We start by separating governance from operations and translating cyber into the risk language directors already use. Rich shares how to make cybersecurity a standing board item, recruit at least one cyber-comfortable director, and ask the questions that matter: what are our biggest threats, how are we mitigating them, how will we know when we’re breached, and how fast can we recover? Dan adds a simple framing that works: present cyber with the same dashboards and cadence as finance and patient safety so leaders can weigh tradeoffs with clarity.

Then we get real about downtime. Many clinicians have never practiced on paper, and backups are now a prime target. We cover ransomware pressures, insurance posture, recovery objectives, and third-party risk—from supply chains to physician groups and patient portals. Human factors dominate the breach path, with phishing and help desk vishing exploiting speed-focused KPIs. The fix is cultural and operational: slow down where it counts, verify identities, harden processes, and measure cyber like hospital-acquired infections.

AI threads through the conversation as both opportunity and attack surface. Waiting to “see what happens” is not a strategy. We outline the early governance questions boards should ask about data leakage, model access, and monitoring, and how to pair innovation with guardrails. To win investment and attention, Rich offers a three-point board briefing—why cyber matters, what program is in place, and what’s needed to close gaps—and explains why tabletop exercises with executives, vendors, and select directors consistently shift mindsets from denial to readiness.

If you care about resilient care delivery, boardroom clarity, and practical defenses that work when systems fail, you’ll find a usable playbook here. Subscribe, share with a colleague who presents to boards, and leave a review with the one question you want every hospital board to ask about cybersecurity.