Tiger Institute for Health Innovation
Tiger Institute System Status
Update - The vendor is still working on a long-term solution and a JIRA is being logged.

Please follow these workaround steps in the short term to be able to view Guarantor Address Verification results:
1. Go to Preferences
2. Select "General" and then select "Non-Patient Perspective"
3. Set Non-Patient Perspective to "My Workflow"
4. Click "Apply and Close"
5. Close and re-open Cerner Rev Cycle

Apr 25, 2024 - 10:37 CDT
Investigating - S Situation
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Users are seeing an error when attempting to view guarantor Address Verification results

B Background
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The issue is affecting the ability to view the results of the Address Verification request for the patient's guarantor, regardless of when the request was sent.

A Assessment
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Technical teams are currently investigating the issue.

R Recommendation
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Updates will be sent out as additional information is received.

Please communicate this to staff.

Apr 25, 2024 - 09:47 CDT
Investigating - S Situation
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The Immunization Registry Import is currently down.

B Background
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This import button is used to query immunization histories within ShowMeVax and add them to patients' charts.

A Assessment
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After hitting import, an error message appears stating "Unable to connect to Missouri Imm Registry ShowMeVax. You may retry or contact your system administrator."

R Recommendation
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Resources are actively engaged to resolve this issue.

Apr 24, 2024 - 11:08 CDT
Investigating - We are currently investigating an issue with Microsoft Teams causing reduced speeds for users or not allowing users to login to Teams intermittingly. We are continuing to investigate this issues and will provide updates as they become available.
Apr 24, 2024 - 09:18 CDT
Identified - S Situation
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Amtelco has released an update to the Apple version of the MiSecure app.

B Background
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Please update your MiSecure app on your Apple devices, including iPhones, iPads, and Apple Watches, as soon as possible. If there are any questions or concerns regarding this update, please contact the Hospital Help Desk at 573-884-HELP.

A Assessment
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On Tuesday, April 9th, 2024, Amtelco released an update to the Apple version of the MiSecure app to address performance issues. The app update is published to the Apple App Store and is available for all users download to their devices at this time.

R Recommendation
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Please update your MiSecure app on your Apple devices, including iPhones, iPads, and Apple Watches, as soon as possible. If there are any questions or concerns regarding this update, please contact the Hospital Help Desk at 573-884-HELP.

Please communicate this update to staff.

Apr 16, 2024 - 09:07 CDT
Update - Experian Health is aware of Change Healthcare’s (Optum’s) announcement on February 21 about a cybersecurity incident affecting its systems. Experian’s Cyber Incident Response team and Cyber Threat Intelligence teams have been engaged and are closely monitoring the situation. We have not seen evidence of a threat to Experian. Out of an abundance of caution and consistent with Experian’s security practices, Experian has temporarily severed connectivity to Change Healthcare. During the period of this severed connectively, there will be an impact to batch and EDI authorizations, claims and remits, claim status, eligibility, and notice of care transactions Experian Health sends to Change Healthcare. Experian will resume connectivity to Change when it receives assurances from Change Healthcare that it has adequately contained the threat.

Action to take:
• Claims processing: Continue importing claims as usual. We will hold claims in batch status until we're able to route them.
• Notice of Care (278N): You may be experiencing a "Payer Down" response for transactions that we weren't able to route through an alternative connection. To ensure timely submission of any Notice of Care/Notice of Admission transactions, you may need to reach the payer directly using other means (phone, portal, fax).
• Authorizations (278), Claim Status (276/277) and Eligibility (270/271): You may be receiving a "Payer Down" response for transactions that we weren't able to route through an alternative connection. To ensure timely information, you may need to reach the payer directly using other means (phone, portal, fax).
• To see the status of real-time payer connections check this dashboard.
https://www.passportsystemstatus.com/

We will provide an update when more information is available.

Feb 22, 2024 - 12:20 CST
Update - Status update (6:55 p.m. CT): Optum/Change Healthcare is addressing a network interruption related to a cyber security issue. As a result, the following transaction types through this trading partner are currently unavailable:

• Notice of Care (278N)
• Authorizations (278)
• Eligibility (270/271)
• Claims Status (276/277)
• Claims Submission (837)
• Remits (835)
• Attachments (275)

We will provide an update when more information is available. To see the status of real-time payer connections check this dashboard:
https://www.passportsystemstatus.com/

Feb 22, 2024 - 08:14 CST
Investigating - S Situation
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A third-party vendor is experiencing a service disruption, causing many payer connections to be unavailable.

B Background
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You may experience a service disruption for certain payers when running Eligibility.

A Assessment
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Technical teams are engaged with the vendor and working towards resolution.

R Recommendation
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Additional information will be sent as it is received.

The status of payer connections are being kept up-to-date here: https://www.passportsystemstatus.com/

Please communicate this to staff.

Feb 21, 2024 - 15:08 CST
Investigating - S Situation
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Users may receive incorrect responses back from Experian when running eligibility at the patient level.

B Background
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It appears that patient level eligibility is not always using the current/specified date when checking the patient’s insurance eligibility at the person level.

A Assessment
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The Cerner EDI team is currently investigating the eligibility date issue.

R Recommendation
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Workaround: Run eligibility at the encounter level to ensure that the correct eligibility response is received.

Updates will be sent as additional information is received. Please communicate this message out to staff.

Aug 29, 2022 - 16:00 CDT

About This Site

Welcome to the System Status page for Tiger Institute. This page notifies users of outages or degraded service for a number of the Tiger Institute IT Systems at MU HealthCare. Sign up if you would like to receive email notifications on particular systems.

Cerner applications (PowerChart, RevCycle, FirstNet, SurgiNet, Cerner Retail Pharmacy, RXStation, etc) ? Operational
Athena IDX ? Operational
Nurse Call/ASCOM ? Operational
Paging/MiSecure ? Operational
Interface Engine Gateway ? Operational
Network/Phone Services ? Operational
PACS ? Operational
Teletracking ? Operational
Spacelabs ? Operational
Virtual Desktops ? Operational
Exchange/Email ? Operational
Active Directory ? Operational
Other Tiger Institute IT solution Major Outage
Health Information Exchange (HIE) Operational
HealtheIntent Operational
Laptop/Desktop Computers Operational
Staff Duress and Temperature Monitoring Solutions Operational
Microsoft Office Apps Operational
Operational
Degraded Performance
Partial Outage
Major Outage
Maintenance
Past Incidents
Apr 25, 2024

Unresolved incident: Cerner Rev Cycle - Users seeing error when attempting to view guarantor Address Verification results.

Apr 24, 2024
Completed - The scheduled maintenance has been completed.
Apr 24, 15:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Apr 24, 09:00 CDT
Scheduled - S Situation

MUHC Desktop and Laptop computer Security patches/updates will be applied this week. Patches will be made available on Monday, April 22nd, at 1:00 AM and can be downloaded and installed at your convenience. If the patches/updates have not been applied by Wednesday, April 24th, at 9am, they will be forced to install on all desktop and laptop computers throughout the health system at that time. There will be a six-hour grace period to reboot all desktop and laptop computers before a forced reboot will occur at 3:00pm to ensure the patches/updates are applied.
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B Background

Microsoft releases security patches and software updates monthly and these updates are required the ensure our systems are secure and protected from security exploits. Patches are made available for all desktop and laptop PCs on the 4th Monday of the month at 1:00am and are required to be installed/applied by 9:00am on Wednesday of that same week. At 3:00pm on that Wednesday, all desktop and laptop computers will reboot to fully install the required patches/updates if they have not been applied to date. _________________________________________________________________________________

A Assessment

To ensure the security of our systems, security updates are deployed monthly, and we require that they be installed in a timely manner. For this reason, we have set a deadline for the installation of the updates on Wednesday at 9am. __________________________________________________________________________________

R Recommendation

Please download and install the updates Monday or Tuesday and reboot at a time that works for you. If you have any questions or concerns, please contact the Hospital Help Desk at 573-884-4357.
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Any issues following this work, please report to the help desk. Please communicate this change to staff.

Apr 22, 07:43 CDT
Apr 23, 2024

No incidents reported.

Apr 22, 2024

No incidents reported.

Apr 21, 2024

No incidents reported.

Apr 20, 2024
Completed - The scheduled maintenance has been completed.
Apr 20, 01:36 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Apr 19, 18:00 CDT
Scheduled - S Situation
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Athena IDX Application upgrading backend servers to RHEL8. No changes are being made to the IDX application or functionality during this server upgrade.


B Background
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The IDX Application will be unavailable during the scheduled downtime window


A Assessment
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Downtime scheduled for Friday, 04/19/2024 6:00 PM to Saturday, 04/20/2024 at 6:00 AM
IDX application will be down for scheduled server upgrade to RHEL8. This will have no impact on clinical workflows.


R Recommendation
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Any issues following this work, please report to the help desk.

Apr 10, 11:02 CDT
Apr 19, 2024
Apr 18, 2024

No incidents reported.

Apr 17, 2024
Completed - The scheduled maintenance has been completed. Please resume normal workflows.
Apr 17, 22:48 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Apr 17, 22:00 CDT
Scheduled - S Situation

The CRMC and MU interface servers have been running low on free memory. If the servers become too full, the engine will shut itself down as a precautionary measure thus preventing interface transactions from flowing to disparate systems.
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B Background

The increase in MU visit number use has caused an increase strain on Cloverleaf Interface Engine file systems resulting in less free memory.
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A Assessment

Downtime maintenance to the Cloverleaf Engine server is required on 4/17/24 from 2200 to 2359 to add additional memory. During this time, 3
rd
party interfaces will not be able to send or receive data to/from the EMR. Some examples are: Teletracking, IDX, Experian, MagView, McKesson PACS, etc.
__________________________________________________________________________________


R Recommendation

- Use downtime procedures during this maintenance.
- Cerner solutions will remain functional.
- Queued transactions during this downtime will flow once connectivity is restored.

___________________________________________________________________________________

Any issues following this work, please report to the help desk.

Please communicate this change to staff.

Apr 16, 09:17 CDT
Apr 16, 2024

Unresolved incident: MISECURE UPDATE FOR APPLE DEVICES - MUHC and CRMC.

Apr 15, 2024

No incidents reported.

Apr 14, 2024
Resolved - Resovled 4/13/2024 11:00 am
Apr 14, 11:35 CDT
Identified - Vendor believes this is being caused by the work that is being done to get ready for the upgrade next week.
Apr 13, 09:52 CDT
Update - We are continuing to investigate this issue.
Apr 13, 09:31 CDT
Investigating - Users getting blank screen when trying to access Athena IDX. Vendor is engaged.
Apr 13, 09:23 CDT
Apr 13, 2024
Apr 12, 2024

No incidents reported.

Apr 11, 2024

No incidents reported.