Tiger Institute for Health Innovation
Tiger Institute System Status
Identified - S Situation
________________________________________________________________________________
Amtelco has released an update to the Apple version of the MiSecure app.

B Background
_________________________________________________________________________________
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
__________________________________________________________________________________
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
___________________________________________________________________________________
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
________________________________________________________________________________
A third-party vendor is experiencing a service disruption, causing many payer connections to be unavailable.

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

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

R Recommendation
__________________________________________________________________________________
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

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 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
S Situation
________________________________________________________________________________
AthenaIDX will be completing maintenance on Sunday, May 19, 2024 from midnight to 6 AM central time.

B Background
_________________________________________________________________________________
Some customers may experience intermittent connectivity during the scheduled maintenance time. Interfaces sending data from Cerner Rev Cycle to IDX will also be down during this time.

A Assessment
__________________________________________________________________________________
During the maintenance window, connectivity to AthenaIDX may be interrupted. Interfaces will also be down during this maintenance window, so updates will not flow from Cerner Rev Cycle to IDX until maintenance is completed.

R Recommendation
___________________________________________________________________________________

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

Please communicate this change to staff.

Posted on May 13, 2024 - 10:45 CDT
CRMC - Network Maintenance May 23, 2024 01:00-03:00 CDT
S Situation
________________________________________________________________________________
Maintenance is required on the CRMC network to further integrate into MU Health Care. Starting at 0100 on 5/23/24, the CRMC network will be in a degraded state for approximately one hour while undergoing maintenance.

B Background
_________________________________________________________________________________
Maintenance is required on the CRMC network firewall, VPN, and wireless network to further integrate into MU Health Care support and standards.

A Assessment
__________________________________________________________________________________
Starting at 0100 on 5/23, the following network services at CRMC will be impacted for maintenance:
-Internet access - Access to the internet will be lost. Internal network access and access to Cerner will remain in place.
-Access to the MU Health Care Citrix environment.
-Access to VPN's for remote access will be down.
-A brief interruption to Wi-Fi will be observed - devices are expected to automatically reconnect.

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

Please communicate this change to staff.

Posted on May 16, 2024 - 16:02 CDT
MUHC - VOIP Phone Maintenance May 24, 2024 22:00 - May 25, 2024 02:00 CDT
S Situation
________________________________________________________________________________
The Campus Telecom Team has scheduled maintenance for the MUHC VOIP phones on Friday, May 24rd from 2200 – Saturday, May 25th 0200.

B Background
_________________________________________________________________________________
Campus Telecom will be upgrading the firmware on all MUHC VOIP phones throughout the health system.

A Assessment
__________________________________________________________________________________
Campus Telecom will be upgrading the firmware running on the MUHC VOIP phones on Friday, 5/24/24 from 2200 – Saturday, 5/25/24 0200. During this change window, all VOIP phones throughout MUHC will need to reboot which will cause a 30 second – 1 minute downtime per phone as the phone restarts. All live calls will not be impacted as those phones will reboot once no longer connected to a live call.

R Recommendation
___________________________________________________________________________________
Please share this information with members of your team so they are aware. If there are issues either during or post the planned change window, please contact the Campus Help Desk at 573-882-5000.

Posted on May 15, 2024 - 12:20 CDT
Past Incidents
May 18, 2024

No incidents reported today.

May 17, 2024
Resolved - After rebooting the Citrix Servers with the updated DMO version, users have reported application slowness has resolved. Users are now able to access Cerner Applications without issue. Please report any new issues after 2pm today to the helpdesk.
May 17, 14:03 CDT
Update - The team has updated the DMO version and users will be required to log out of Cerner Applications starting at 1230. Users will get notices starting 15 minutes prior to the forced reboot of the applications.
May 17, 12:12 CDT
Update - Update for CRMC users who cannot access Cerner Applications through the Citrix Icons.

Please utilize this link: https://univmo.cernerworks.com/Citrix/Supportweb/

May 17, 10:23 CDT
Update - We are continuing to investigate multiple reported issues. Update regarding CareView: Team has identified root cause and resolved. Onsite teams working to address individual CareView boards at this time.
May 17, 09:38 CDT
Investigating - S Situation

Multiple application issues reported this morning related to Cerner Solutions after Citrix 2019 server upgrade. Impacted, but not limited to the following applications: Dragon Medical One, CareView, DiscernAnalytics2, Workspace, Powerchart/Firstnet/Surginet Slowness.
________________________________________________________________________________


B Background

Citrix Servers were upgraded overnight from 2012 to 2019 versions.
_________________________________________________________________________________


A Assessment

Resources are engaged to investigate and resolve reported issues.
__________________________________________________________________________________


R Recommendation

Updates will be sent via status page periodically as issues are identified and resolved.
__________________________________________________________________________________



Please communicate this to staff.

May 17, 09:02 CDT
May 16, 2024

No incidents reported.

May 15, 2024

No incidents reported.

May 14, 2024
Resolved - The issue has been resolved.
May 14, 08:07 CDT
Identified - The issue has been identified and the fix is being implemented.
May 10, 11:36 CDT
Investigating - S Situation
________________________________________________________________________________
Users are seeing an error stating that users can not be authenticated to RX Stations using the fingerprint scanner.

B Background
_________________________________________________________________________________
This issue is affecting the users ability to sign in using the fingerprint scanner and forcing them to sign in manually to the application.

A Assessment
__________________________________________________________________________________
IT is currently investigating the issue.

R Recommendation
___________________________________________________________________________________
To manually sign into the RX Station, Click cancel on the TWO Imprivata popups. One will be on the fingerprint OneSign screen and one will be on the MU Health Care login Screen. After canceling the two screens, a RX Station Login screen will appear allowing users to sign into the RX Station using their username and password.

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

May 9, 17:08 CDT
May 13, 2024

No incidents reported.

May 12, 2024

No incidents reported.

May 11, 2024

No incidents reported.

May 10, 2024
May 9, 2024
Resolved - This incident has been resolved.
May 9, 11:14 CDT
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, 10:37 CDT
Investigating - S Situation
________________________________________________________________________________
Users are seeing an error when attempting to view guarantor Address Verification results

B Background
_________________________________________________________________________________
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
__________________________________________________________________________________
Technical teams are currently investigating the issue.

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

Please communicate this to staff.

Apr 25, 09:47 CDT
Resolved - This incident has been resolved.
May 9, 10:27 CDT
Investigating - S Situation
________________________________________________________________________________
Users may receive incorrect responses back from Experian when running eligibility at the patient level.

B Background
_________________________________________________________________________________
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
__________________________________________________________________________________
The Cerner EDI team is currently investigating the eligibility date issue.

R Recommendation
__________________________________________________________________________________
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, 16:00 CDT
Resolved - This issue was resolved 5/3, and we have been monitoring it since to ensure its resolution. Please report any new issues to the help desk.
May 9, 10:17 CDT
Investigating - S Situation
________________________________________________________________________________
The Immunization Registry Import is currently down.

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

A Assessment
__________________________________________________________________________________
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
___________________________________________________________________________________
Resources are actively engaged to resolve this issue.

Apr 24, 11:08 CDT
May 8, 2024
Completed - The scheduled maintenance has been completed.
May 8, 22:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
May 8, 20:00 CDT
Update - We will be undergoing scheduled maintenance during this time.
May 7, 15:51 CDT
Scheduled - S Situation
________________________________________________________________________________
On May 8th, 2024 Citrix and iPortal will be upgraded starting at 8PM. This upgrade will change the look of Citrix Workspace and iPortal icons, as well as remove the ability to rearrange icons.

B Background
_________________________________________________________________________________
An upgrade is required for the Citrix environment to stay up to date. With this upgrade, Citrix removed some features that MU Health Care staff use today.

A Assessment
__________________________________________________________________________________
After the upgrade on May 8th, icons in Citrix Workspace and iPortal.umh.edu will have a new look that is more condensed. Additionally, the functionality to rearrange icons is going away as this feature is no longer available from Citrix.

After the upgrade, favorited Citrix icons will remain in the same order they were in prior to the upgrade. Any new Citrix icons favorited after the upgrade will be placed at the bottom/end of your favorited icons list.


R Recommendation
___________________________________________________________________________________

Any issues following this work, please report to the help desk at 884-HELP.

Please communicate this change to staff.

May 7, 15:51 CDT
May 7, 2024
Resolved - This incident has been resolved.
May 7, 15:49 CDT
Investigating - S Situation
________________________________________________________________________________
On May 8th, 2024 Citrix and iPortal will be upgraded starting at 8PM. This upgrade will change the look of Citrix Workspace and iPortal icons, as well as remove the ability to rearrange icons.

B Background
_________________________________________________________________________________
An upgrade is required for the Citrix environment to stay up to date. With this upgrade, Citrix removed some features that MU Health Care staff use today.

A Assessment
__________________________________________________________________________________
After the upgrade on May 8th, icons in Citrix Workspace and iPortal.umh.edu will have a new look that is more condensed. Additionally, the functionality to rearrange icons is going away as this feature is no longer available from Citrix.

After the upgrade, favorited Citrix icons will remain in the same order they were in prior to the upgrade. Any new Citrix icons favorited after the upgrade will be placed at the bottom/end of your favorited icons list.


R Recommendation
___________________________________________________________________________________

Any issues following this work, please report to the help desk at 884-HELP.

Please communicate this change to staff.

May 1, 08:43 CDT
May 6, 2024

No incidents reported.

May 5, 2024

No incidents reported.

May 4, 2024

No incidents reported.