Software Solutions for
Parenteral Nutrition

Product Overview

For Care Providers

For Administrators

For IT

All management information and audit data pertaining to each order in a secure Microsoft SQL Server database that is unique for each customer. Both the Infusion Studio application and database reside in a remote data center outside of the hospital and are accessed over the Internet from existing hospital workstations using a secure connection. In addition, existing hospital printers and in-house compounders can be used with Infusion Studio.

The Infusion Studio system encompasses equipment and software that is outside of the hospital in conjunction with existing equipment within the hospital:

Outside of the Hospital:

	Microsoft Windows 2003 Terminal Server that hosts the Infusion Studio application in the Monterey Medical Solution’s remote data center.
	Microsoft SQL 2005 Database Server that stores the custom and secure Infusion Studio management and ordering data.

Inside of the Hospital:

	Microsoft Windows 2000 Professional/Windows XP Professional workstations for accessing the Infusion Studio application.
	Laser printers used for printing orders and other general printing.
	Label printer, such as the Datamax label printer, for label printing (Optional).
	HL7 v2.x ADT messages can be transmitted directly to the Monterey Medical Solutions’ data center and the patient information will be stored in the customer's database. (Optional)

Compounding:

	If you are using an in-pharmacy BAXA compounder, Monterey Medical Solutions provides SFTP server software that is used to receive the BAXA compounder mixing instructions from the remote the remote data center.
	If CAPS is used as the compounding facility, the Infusion Studio application is configured to communicate orders directly to the appropriate CAPS formulary.
	Manual compounding requires no additional hardware or system configuration.

Since the Infusion Studio application and database reside outside of the hospital, the hospital workstations access the Infusion Studio application using the Microsoft Remote Desktop Connection client software that comes built-in to Windows XP Professional and can be downloaded for free from Microsoft for Windows 2000 Professional. The Remote Desktop connection to the Terminal Server is an encrypted, 128-bit secure connection. The Microsoft High Encryption Pack is required for 128-bit security for Windows 2000 Professional and can be downloaded for free from Microsoft.

The following diagram provides an overview of the Infusion Studio network solution:

Client Workstation System Requirements

Each client workstation that will access the Infusion Studio application must have the Microsoft Remote Desktop Connection client software that is built-in to Windows XP Professional and can be installed at no cost for Windows 2000 Professional. The following table lists the minimum system requirements for a Client Workstation.

Network and Firewall Configuration

The following network firewall tasks need to be performed to configure access to the Monterey Medical Solutions’ remote data center:

1. Remote Desktop Connection. Enable the hospital’s firewall to allow outbound communication with the Monterey Medical Solutions’ Terminal Server on port 3389. This enables a workstation within the hospital to access the Infusion Studio application in the remote data center and to print to laser and label printers in the hospital. The connection uses 128-bit high encryption.
2. (Optional) SFTP Server Computer. If your institution has a BAXA compounder, Monterey Medical Solutions will provide SFTP Server software for secure communication for the BAXA compounder files. Mixing instructions for the BAXA compounder, in the form of PAT files, are sent from the remote Monterey Medical Solutions’ data center to this computer. Your institutions firewall must be configured to allow inbound SFTP traffic.

Client Workstation Configuration

The following steps must be performed on each client workstation that will use the Infusion Studio application:

1. Install and configure the Remote Desktop Connection client software.
2. Install and configure the triCerat ScrewDrivers client software if printing is required from the workstation. The triCererat ScrewDrivers client software enables users to print to any workstation-accessible printer on the hospital’s network.

Security Overview

The following sections describe the Infusion Studio application security configuration policies for:

	Passwords. Custom password policies can be designed for the customer.
	Audit Trail. An audit trail of critical Infusion Studio functions is logged and can be provided to the customer.
	Session Security. Microsoft Terminal Server session timeouts and Infusion Studio application timeouts are used to enforce session security.

Database Backup

The Infusion Studio application uses Microsoft SQL Server to store application and clinical data. The database is backed-up daily and all backup files are encrypted using 128-bit AES encryption. The encrypted backup is stored in the remote data center and in an off-site, geographically diverse location.