From its humble beginnings in 1911, the Moses Cone Health System (MCHS) has established a reputation as one
of the finest health care networks in the southeastern U.S. Comprised of four multi-disciplinary
hospitals— The Moses H. Cone Memorial Hospital, Wesley Long Community Hospital, The Women’s Hospital of
Greensboro, and the Moses Cone Behavioral Health Center—plus a health care center, two nursing homes, and
numerous outpatient centers, Greensboro NC-based MCHS has become a center of medical learning and
service employing more than 700 physicians and 6,200 health care professionals system-wide.
In many ways, Moses Cone Health System’s medical capabilities stack up with the best in the country.
Yet on May 4, 2000, the System faced an infection it was helpless to battle, as the “I Love You” virus
struck the network’s email infrastructure. Within minutes over 100,000 bogus email messages flooded
through MCHS’ servers, shutting down essential communication channels to over 2,100 users and compromising
the System’s ability to provide critical services.
Front-line responsibility for coping with the crisis fell on the shoulders of Tom Cheek, Technical Analyst
in MCHS’ Information Systems division. Tom and nearly forty of his colleagues battled for more than 24
hours to “clean out” email servers and restore individual desktop computers at facilities across the System.
“The ‘I Love You’ virus was this organization’s worst technological nightmare,” said Cheek. “Our
director of IT ordered us to find a solution that would prevent anything like it from happening in the future.”
Cheek subsequently began looking for a robust, comprehensive firewall solution that would not only stop
viruses like “I Love You,” but would filter all kinds of objectionable or destructive email from entering
the MCHS Internet network. He quickly found that there are problems associated with many
so-called “fixes.”
“We use Microsoft Exchange as our email platform. Unfortunately, many anti-virus solutions are not
optimized for Exchange. In fact, Microsoft warns against using some of the best-known solutions because
they put a serious drag on the flow of incoming email.”
Cheek also learned that many solutions are expensive and difficult to configure. One email filtering
application however, named Praetor, from Computer Mail Services, Inc. (CMS) in Southfield MI, proved
to be the exception.
“Praetor is designed specifically for Microsoft Exchange Server. It’s affordable, easy to install, and
includes twenty pre-set rules that enable enterprises to effectively quarantine email suspected of
carrying viruses or unwanted spam,” Cheek said.
CMS’ Praetor goes far beyond the resident security capabilities of MS Exchange to block transmission of
all kinds of commercial advertisements, viruses, even sensitive or confidential company information.
It installs as a Windows NT service, either on the organization’s Exchange Server or on a separate Windows
NT workstation depending on message volume.
After gaining approval from management, Cheek downloaded Praetor for a free 21-day evaluation. From
the first, he was struck by the simplicity and effectiveness of the solution.
“I was surprised at the comprehensive rules that were pre-set in Praetor. Even though I had the capability
to change, add, or delete rules for myself, the application covered everything I wanted to filter,” he
said. “Once Praetor was up and running, I was shocked at the number of email messages it quarantined.
It’s amazing to see the volume of potentially harmful material coming into a network such as ours.”
While Praetor can filter both incoming and outgoing messages, Cheek and his associates chose to monitor only
inbound traffic. The firewall is set to detain any message containing an attachment with an .exe,
.vba, or .vbs extension; work-related executable files are scanned and then sent on to recipients.
MS Word or Excel files are typically delivered without delay, as they are unlikely to carry any code that
would be destructive to the system.
In surveying the advantages of the Praetor filtering solution, Cheek is perhaps most impressed by the speed
at which the software operates. “We see virtually no slowdown in transmission rates through our
servers. I’m sure that no one within MCHS even knows we have this level of protection installed,”
he noted.
Since implementing Praetor in mid-2000, the Moses Cone Health System has not had a single occurrence of
virus-related interruptions in service brought on by external email. What’s more, Cheek says the
level of technical support has been exceptional, especially during the one Praetor upgrade MCHS undertook.
“Whenever I’ve needed it, CMS support personnel have been there for me. The service has been
great,” he said.
Cheek is convinced that his organization has found the proper solution against virus attacks. “When ‘I Love
You’ hit, it was like a fire had engulfed us and there was no fire department. It was an ‘all hands’
kind of emergency,” Cheek concluded. “Today, the situation is totally different. Our servers
have the fortification they need to stay up and running. I’m sure as I can be that we’re protected, because
Praetor is that good.”
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