Legacy systems create a fundamental tension between operational necessity and security innovation, often leading to stagnant environments where "if it works, don't change it" becomes the default mindset. Healthcare organizations must bridge the gap between aging infrastructure and modern capabilities while maintaining patient safety and operational continuity. The challenge lies not just in replacing old technology, but in developing a cultural evolution that embraces incremental improvement through atomic habits. Success requires consistent dialogue across operational technology, procurement and clinical teams to create sustainable pathways from legacy to innovation.

This session, led by Matt Cerny, director of cyber security at Integra LifeSciences, will cover:

• Atomic habits framework for incremental legacy system modernization and protocol updates;
• Cultural evolution strategies through gamification and competitive scoring systems;
• Phased modernization approaches balancing enterprise-grade solutions with operational requirements.