This fall, Microsoft is ending support for the 2015-released Windows 10 operating system. While Windows 11 has been available since 2021, an estimated one-third of U.S.-based computer users are still using Windows 10 as of February 2025.
To help healthcare organizations understand the implications of using Windows 10 beyond “end of life,” and plan for the Windows 11 upgrade, Bill Borton, IT Services Manager of Pixel Health, shared his insights in an interview.
What are the security risks of running Windows 10 after support ends?
“Windows 10 will no longer receive critical security updates after October 14, 2025, exposing systems to emerging threats like malware, ransomware, and zero-day exploits. Unsupported operating systems are a prime target for attackers, and even one vulnerable device can compromise an entire network,” said Bill.
While Microsoft will offer an Extended Security Updates (ESU) program—an annual subscription that provides critical patches but no new features or general support—it’s important to recognize that ESUs are not a long-term solution. Security updates through this program will only be available for up to three years.
Continuing to run Windows 10 past its end-of-life can also lead to compliance risks, incompatibility with modern security tools, and added strain on IT teams. Over time, vendors will phase out support, forcing organizations to rely on outdated solutions or risky workarounds. Upgrading to Windows 11 isn’t just about staying current—it’s about staying secure, compliant, and future-ready.
What are the financial implications of staying with Windows 10 as long as possible?
“While some organizations may resist upgrading, it eventually becomes too cumbersome to support legacy infrastructure,” explained Bill. “To offer our customers cost-effective results, provide timely technical support, and ensure compliance with HIPAA, we need to work with hardware that meets the minimum requirements for Windows 11. As part of this upgrade, we can also help organizations modernize their systems.”
What are the key steps for upgrading to Windows 11?
1. Performing a PC Health Check to assess compatibility
“The PC Health Check is an easy scan to determine if a PC meets the minimum hardware and software system requirements before upgrading to Windows 11. This process will tell us if the system is ready for an upgrade. If a PC doesn’t currently meet Windows 11 system requirements, the PC Health Check will display the areas where a device is not compatible, such as the processor, storage, or system firmware.”
2. Finding the least disruptive times to upgrade
“In the healthcare setting, we understand the time-sensitive nature of addressing patients’ needs. Once we’ve identified PCs to upgrade and worked with vendors to get the latest versions of any applications, we create a master plan to roll out the change. As part of this, we work to schedule times that are least disruptive to practitioners and clinicians so they can keep serving patients.”
3. Providing user training and education
“With a similar Start Menu, taskbar, and File Explorer, Windows 11 has many similar features to Windows 10. Users should get accustomed to a new operating system in a few days. If needed, Pixel Health can provide training to help users navigate the new technology.”
What should users expect with Windows 11?
“Windows 11 highlights its streamlined user experience, a ‘Widgets’ feature to personalize information displays, and new capabilities for multitasking,” said Bill. “The operating system also boasts faster boot times and improved performance. From a healthcare perspective, the new security features also provide another layer of protection.”
Key takeaways:
- Don’t become a target for cyberattacks: Running unsupported versions of Windows 10 makes your organization an easy target for cyberattacks. Microsoft’s Extended Security Updates (ESU) program offers short-term protection, but it’s a stopgap—not a strategic or lasting solution.
- Upgrade your security: Windows 11 integrates better with modern security frameworks, including device isolation features, encryption, and advanced identity protection. In addition, the requirements for TPM 2.0 and Secure Boot are default in Windows 11, significantly raising the security baseline.
- Optimize your operating system: Windows 11 offers improved virtualization and cloud integration. It’s also optimized for Windows 365, Azure Virtual Desktop, and other cloud-native tools.
- Understand the urgency: Transitioning from Windows 10 can be more complex with legacy systems in a healthcare setting. IT teams need time to test critical apps, train users, and roll out the upgrade in manageable phases. Therefore, organizations need to make plans to upgrade well before the October 14, 2025 deadline.
Get in touch with Pixel Health to learn how our health-centric managed service provider (MSP) can fully support your Windows 11 upgrade:
