Baptist’s Case Says CISO Role is About Balancing Security Controls & Clinical Workflow Needs

HealthsystemCIO.com November 4, 2025
Anthony Guerra

James Case, VP/CISO, Baptist Health, frames his program around a single theme: balance. Case seeks to harden the enterprise against modern threats while protecting the speed and reliability clinicians require to deliver care. He argues that the test of any control is whether it reduces material risk without creating unnecessary friction at the bedside, in the OR, or across back-office operations.

Identity sits at the center of that balancing act, as credentials have become the preferred path for attackers. He emphasizes automation across the joiner-mover-leaver lifecycle to prevent permission creep and to react instantly when HR records change. “The bad actors are not breaking in as much as they are logging in,” he said.

Case explained that standards are tuned...

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