Tiger Institute for Health Innovation
Tiger Institute System Status
Update - S Situation
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Some US Cellular & T-Mobile customers may be experiencing issues connecting to MU Health Care phone lines. If a call isn’t going through, patients are being asked to please call (573) 882-4141 for assistance and connection to the proper clinic. US Cellular & T-Mobile are aware of this issue affecting some customers, and engineers are working to resolve the issue.

B Background
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Some US Cellular & T-Mobile customers are unable to make keypad selections when calling into MUHC and MU call centers. If a call center asks for a number/prompt to be entered, these cellular customers are unable to enter a number/prompt to properly route the call.

A Assessment
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US Cellular & T-Mobile have acknowledged this problem and they are working to resolve. Patients affected should call (573) 882-4141 for assistance to bypass the keypad selection issue.

R Recommendation
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Follow this Statuspage for further updates.

Mar 19, 2026 - 16:09 CDT
Update - The MU Telecom team is continuing to work with US Cellular & T-Mobile to address this widespread issue.
Mar 06, 2026 - 15:52 CST
Identified - S Situation
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US Cellular & T-Mobile customers calling in to MU Health Care and MU Campus call centers are currently unable to make keypad selections when prompted. US Cellular & T-Mobile are aware of this widespread issue affecting more than just MUHC, and engineers are working to resolve. Other cellular providers have not acknowledged this issue, but there have been sporadic reports today of similar issues for AT&T customers.

B Background
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US Cellular & T-Mobile customers are unable to make keypad selections when calling into MUHC and MU call centers. If a call center asks for a number/prompt to be entered, these cellular customers are unable to enter a number/prompt to properly route the call.

A Assessment
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US Cellular & T-Mobile have acknowledged this problem and they are working to resolve. At this time, this failure is at the cellular carrier level and not the MUHC and MU Campus level.

R Recommendation
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Follow this Statuspage for further updates.

Mar 05, 2026 - 16:15 CST
Investigating - S Situation
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Rev Cycle Eligibility is operational however it has been identified that Medicaid Missouri is processing slower than normal or is experiencing an interruption for real-time eligibility transactions.

B Background
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Medicaid of Missouri is processing eligibility requests slower than normal or is experiencing an interruption for real-time eligibility transactions.

A Assessment
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Technical teams have been engaged.

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

Mar 17, 2026 - 08:30 CDT
Investigating - S Situation
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Images are not always accessible when trying to view them via PowerChart.

B Background
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Due to a backlog of archiving studies, users may not be able to view images within the PowerChart application.

A Assessment
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Several teams are implementing strategies to reduce the archival backlog and improve image readiness for display within the PowerChart application.

R Recommendation
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If your image is not viewable with the PowerChart application, you can use one of the following solutions to view the image:

Radiology Station Lite
Change Healthcare Radiology

Please note, if you are unable to login to either of these alternative solutions, please call the Help Desk (573 884 HELP) requesting access to Change Healthcare Radiology PACS (McKesson).

Feb 24, 2026 - 16:08 CST
Investigating - S Situation

Multiple reports of HealthCatalyst tool not loading in PowerChart.
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B Background

The HealthCatalyst tool embeds refill protocols in the PowerChart medication refill process. This expedites refill requests generated from pharmacies.
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A Assessment

Users from various clinics reported the HealthCatalyst tool is not loading this morning. Issue submitted to the Helpdesk and the HealthCatalyst vendor portal.
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R Recommendation

Refer to Navex medication refill protocols to process medication refill requests. Stay tuned for updates.
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Nov 12, 2025 - 08:55 CST
Investigating - S Situation

Users are experiencing an issue when entering the patient's date of birth.
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B Background

While in a patient level registration conversation, the patient's date of birth is defaulting to 2025 as soon as the user enters the 2.
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A Assessment

Resources have been engaged and are actively troubleshooting the issue.
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R Recommendation

If they encounter this issue, users need to go to the Encounter Perspective and update the date of birth there. Additional help desk tickets are not needed.
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Please communicate this to staff.

Aug 01, 2025 - 09:31 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, etc) Operational
Athena IDX Operational
Nurse Call/ASCOM Operational
Paging/TigerConnect 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 Operational
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

Scheduled Maintenance

Tiger Connect Infrastructure Maintenance Mar 22, 2026 00:00-06:00 CDT

TigerConnect will be performing scheduled Clinical Collaboration Platform (CCP) infrastructure maintenance. Changes applied will update TigerConnect backend infrastructure to enhance platform resiliency, scalability, and reduce operational risk. Should unexpected or additional service degradation occur, TigerConnect will provide notification and updates until resolved via https://status.tigerconnect.com/.

TigerConnect Support is available for questions or issue handling through the following channels:
• Phone: 605-564-4722 (or Premium Support Toll-Free Number)
• Email: support@tigerconnect.com
• TigerConnect App: direct message to TigerConnect Admin

Posted on Mar 20, 2026 - 08:53 CDT

Tiger Connect Infrastructure Maintenance Mar 23, 2026 00:00-06:00 CDT

TigerConnect will be performing scheduled Clinical Collaboration Platform (CCP) infrastructure maintenance. Changes applied will update TigerConnect backend infrastructure to enhance platform resiliency, scalability, and reduce operational risk. Should unexpected or additional service degradation occur, TigerConnect will provide notification and updates until resolved via https://status.tigerconnect.com/.

TigerConnect Support is available for questions or issue handling through the following channels:
• Phone: 605-564-4722 (or Premium Support Toll-Free Number)
• Email: support@tigerconnect.com
• TigerConnect App: direct message to TigerConnect Admin

Posted on Mar 20, 2026 - 08:54 CDT

CRMC Interface Engine Server Migration Mar 25, 2026 05:45-08:00 CDT

S Situation

The interface engine is migrating to a new server on 3/25/26 at 0545->0800 for CRMC specific interfaces.
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B Background

The Interface Engine is MUHC’s integration engine allowing real-time communication between the EHR and third party systems.
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A Assessment

- At 0600 internal systems will begin migration. This will be quick and a brief interruption in real-time data flow for most systems.

- VPN specific connections will migrate after but take a little more time.

- All connections expected to be completed and migrated by 0800.

- Systems Impact List:

Radimet
PowerScribe
MUSE
Fuji Synapse
Fuji CV
MagView
LungView
VRAD (VPN)
Pyxis
Amtelco
PACSGEAR
FormFast
CBORD
Aria
Breeze
XLTEK
Telcor
ScottCare
UDS (VPN)
MedKeeper (VPN)
CleveMed (VPN)

This work is an effort to move these systems to a more stable integration environment.

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R Recommendation

If normal workflow is impacted for these systems, plan to use downtime procedures during this outage.
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Any issues following this work, please report to the help desk.

Please communicate this change to staff.

Posted on Mar 10, 2026 - 16:03 CDT

NurseCall 2026 Test-N-Inspect Schedule Apr 6, 2026 08:00 - Apr 24, 2026 08:00 CDT

S Situation

Nurse Call Test-N-Inspect is scheduled April 6-April 24. This event is a requirement to maintain the ‘life safety’ status of the system. Every known nurse call annunciation device will be tested and documented during this time.
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B Background

Nurse call is a primary alerting source for MUHC System for patient call, patient emergency, code blue, and staff assist. As a life safety alerting system, formal inspection is required.
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A Assessment

Please familiarize yourself with the schedule below. During dates of impact, please prep patients and staff for disruption from alerting. Ideally, having an escort for the vendor as they go room-to-room would be appreciated.

Date Goal Stretch
Monday, April 6th MOI Start CCA Tower
Tuesday, April 7th CCA Tower Start UMH
Wednesday, April 8th. UMH
Thursday, April 9th UMH
Friday, April 10th UMH
Saturday, April 11th UMH/MOI/Keene Street Med Center OR's Go Home
Sunday, April 12th No Testing No Testing
Monday, April 13th PCT Start MUPC
Tuesday, April 14th MUPC
Wednesday, April 15th. MU Children's Hospital & Birthing Center
Thursday, April 16th. UPMB/Next Gen/Hitt Street Med Bldg
Friday, April 17th SPMB/Woodrail/MU Urgent Care
Saturday, April 18th. No Testing No Testing
Sunday, April 19th No Testing No Testing
Monday, April 20th Keene Med Bldg/ENT Center/Battle Avenue
Tuesday, April 21st Keene Street Med Center
Wednesday, April 22nd Clinics*
Thursday, April 23rd Clinics* - Ashland/Jackson Rd/Jeff City
Friday, April 24th

*Clinics Include:
Berrywood Medical Center
Broadway Urgent Care
Discovery Park Clinic
Ashland Family Medicine - Ashland
Jackson Road Medical Bldg - Boonville
Jefferson City Urgent Care - Jeff City

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R Recommendation

Please alert staff of this schedule and upcoming certification testing.

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Posted on Mar 19, 2026 - 13:58 CDT
Mar 21, 2026
Completed - The scheduled maintenance has been completed.
Mar 21, 06:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Mar 21, 00:00 CDT
Scheduled - TigerConnect will be performing scheduled Clinical Collaboration Platform (CCP) infrastructure maintenance. Changes applied will update TigerConnect backend infrastructure to enhance platform resiliency, scalability, and reduce operational risk. Should unexpected or additional service degradation occur, TigerConnect will provide notification and updates until resolved via https://status.tigerconnect.com/.

TigerConnect Support is available for questions or issue handling through the following channels:
• Phone: 605-564-4722 (or Premium Support Toll-Free Number)
• Email: support@tigerconnect.com
• TigerConnect App: direct message to TigerConnect Admin

Mar 20, 08:52 CDT
Mar 20, 2026

No incidents reported.

Mar 19, 2026

Unresolved incident: US Cellular & T-Mobile Customers Unable to Enter Call Prompts.

Mar 18, 2026

No incidents reported.

Mar 17, 2026
Resolved - This incident has been resolved.
Mar 17, 08:34 CDT
Monitoring - A fix has been implemented and IT teams are monitoring systems for performance.

If new access issues arise, please call the Help Desk at 882-4357.

Feb 24, 13:46 CST
Investigating - S Situation

An issue has been reported that users are unable to access various applications
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B Background

Applications currently impacted (this may not be an all inclusive list):
Qualtrics
Cipher
Solventum
Micromedex
Polysmith
UKG
Tiger Connect
MFA
VDI issues
Citrix Cloud issues
MUHEALTHCARE intranet
PowerShare
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A Assessment

IT Teams are engaged and actively working on a resolution.
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R Recommendation

Please follow downtime procedures for these applications at this time.
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Please communicate this to staff.

Feb 24, 12:41 CST
Resolved - This incident has been resolved.
Mar 17, 08:29 CDT
Update - Rev Cycle Eligibility is now experiencing slower processing than normal or is experiencing an interruption for real-time eligibility transactions for all payers. Users may have to check eligibility via payer websites until this issue is resolved.
Mar 16, 15:34 CDT
Update - Rev Cycle Eligibility is now experiencing slower processing than normal or is experiencing an interruption for real-time eligibility transactions for all payers. Users may have to check eligibility via payer websites until this issue is resolved.
Mar 16, 13:37 CDT
Update - We are continuing to investigate this issue.
Mar 16, 13:37 CDT
Investigating - S Situation
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Rev Cycle Eligibility is now experiencing slower processing than normal or is experiencing an interruption for real-time eligibility transactions for all payers.

B Background
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Users are unable to process eligibility transactions

A Assessment
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Technical teams have been engaged.

R Recommendation
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Updates will be sent as additional information is received. Users may have to check eligibility via payer websites until this issue is resolved.

Please communicate this to staff.

Mar 16, 13:10 CDT
Mar 16, 2026
Mar 15, 2026
Completed - The scheduled maintenance has been completed.
Mar 15, 07:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Mar 15, 00:00 CDT
Scheduled - S Situation
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• Athena IDX has scheduled monthly preventative maintenance during the maintenance window

B Background
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• Test servers are patched with the released Microsoft patches for the current month
• Production servers are patched with the Microsoft patches that were released the previous month

A Assessment
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• Sunday, March 15, 2026 12:00 AM - 7:00 AM Central Time
• During the PM window all sites have the potential to be impacted by infrastructure/networking changes,
patches and maintenance

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

Please communicate this change to staff.

Mar 10, 09:13 CDT
Mar 14, 2026

No incidents reported.

Mar 13, 2026

No incidents reported.

Mar 12, 2026

No incidents reported.

Mar 11, 2026
Resolved - This issue has been resolved.
Mar 11, 14:37 CDT
Investigating - S Situation

When scheduling Medicare Patients for specific exams, test, and/or procedure, there is a Medical Necessity check that is completed at the time of order entry. Currently, it has been discovered that there is an issue with the Medical Necessity check in PowerChart "failing", which then prompts the Advance Beneficiary Notice to be generated for the patient to sign. In some of these cases, the Advance Beneficiary Notice is not necessarily needed for an approved diagnosis code according to CMS's regulations.
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B Background

CMS requires that Medicare patients must have a Medical Necessity check completed before services are rendered. The Medical Necessity check is reviewing for an approved diagnosis code and/or frequency of the appointment. If this does not happen before the patient has services, the organization runs the risk of absorbing that cost. Medicare Patients are presented an Advance Beneficiary Notice at the time of arrival that includes price transparency about the appointment. The patient is able to make a better-informed decision about their care when this form is presented.
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A Assessment

It has been identified that there is an issue within the Medical Necessity check causing some appointments to "fail" for specific diagnosis codes. At the time of order entry, the physician/clinical has the opportunity to update to the correct diagnosis code for the specific procedure/test an Advance Beneficiary Notice will not populate for the patient to sign. However, it has been determined that there are some diagnosis codes that still "fail". Vendor resources have been engaged and are actively working on the issue.
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R Recommendation

The ordering clinician should review the CMS website to ensure the diagnosis code is correct. Once this has been reviewed a comment can be placed in the order comments. If the diagnosis code on the order is not correct according to the CMS website a new code should be selected and updated on the order. An encounter comment can then be placed by scheduling team of approval per CMS in which the CCI team will bypass the ABN. ABN’s will still be presented to patients for those still failing without an approval comment.

Here is the link for the CMS’s website:
https://www.cms.gov/medicare-coverage-database/search.aspx


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Please communicate this to staff.

Feb 27, 14:26 CST
Resolved - Internet service in Audrain County appears to have been restored around 9:30pm last night. Please report any further connectivity issues to Help Desk at 573.884.4357.
Mar 11, 08:01 CDT
Identified - The issue has been identified and a fix is being implemented.
Mar 10, 13:38 CDT
Investigating - S Situation

MUHC facilities in Audrain County have been offline since approximately 10:30am.

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B Background

AT&T's outage site reflected Internet and cellular outages in the area around the time staff at the affected locations reported issues.
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A Assessment

Networking resources have confirmed total disruption to Audrain Family Medicine and Urgent Care facilities. AT&T's site currently projects an ETA of 3/11/2026 1:27AM for service restoration.
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R Recommendation

Cellular failover is not an option since the outage appears to be affecting both cellular and terrestrial Internet services. Clinics will need to continue operating offline until one or both services are restored. For most current status on restoration timeline, refer to https://www.att.com/outages.
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Please communicate this to staff.

Mar 10, 13:37 CDT
Mar 10, 2026
Mar 9, 2026

No incidents reported.

Mar 8, 2026

No incidents reported.

Mar 7, 2026

No incidents reported.