Tiger Institute for Health Innovation
Tiger Institute System Status
Monitoring - The issue of note generation slowness has been identified and mitigated. Notes that have already been submitted should complete successfully, but there will be a delay before the note is available within the clinician's workflow. If the clinician received an error through the mobile app during note generation, the Oracle Health CAA team will resubmit those notes for regeneration. The Oracle Health CAA team is monitoring the improvement in latency when notes are submitted for generation. Please call the Help Desk if you have any new issues with note generation.
Feb 25, 2026 - 09:46 CST
Investigating - S Situation

Multiple Oracle Health clients/healthcare systems are reporting extreme slowness this morning (Feb. 25, 2026) when sending CAA recording for note generation.
________________________________________________________________________________


B Background

Clinical AI Agent (CAA) is the mobile app used by clinicians as an assistive tool for note generation, the CAA generated content populates the clinician's workflow with HPI, ROS, PE, and Assessment & Plan for review and consumption for note creation.
_________________________________________________________________________________


A Assessment

The Oracle Health CAA team is investigating an issue being experienced by clients when submitting a note for generation.
__________________________________________________________________________________


R Recommendation

Recording may be done, but alternative methods of capturing the clinical contented needed for clinician's notes will be more timely and reliable at this time.
__________________________________________________________________________________



Please communicate this to clinical staff who utilize CAA (Clinical AI Agent) mobile app.

Feb 25, 2026 - 09:14 CST
Identified - Oracle Health CAA engineering team was able to identify the underlying issue that is causing quotations and apostrophe to be replaced with odd symbols. This engineering team is actively working on a fix and targeting a resolution to this issue within the next 24 hours.
Feb 24, 2026 - 16:56 CST
Investigating - S Situation

Special characters are displaying instead of expected quotation marks when CAA generated text displays in workflow or clinical note.
________________________________________________________________________________


B Background

Oracle Health CAA Operations team is investigating this issue of special characters disrupting the generated text across multiple healthcare systems utilizing CAA.
_________________________________________________________________________________


A Assessment

Oracle Health CAA Operations team has identified that quotation marks used by CAA are being converted into these disruptive special characters. The CAA Operations team is actively investing thing issue.
__________________________________________________________________________________


R Recommendation

As always, carefully review CAA text prior to committing the text to clinical documentation, edit/modify text as appropriate prior to signing the note.
__________________________________________________________________________________



Please communicate this to clinical staff who utilize CAA to assist with clinical documentation.

Feb 24, 2026 - 12:51 CST
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, 2026 - 13:46 CST
Investigating - S Situation

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


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
_________________________________________________________________________________


A Assessment

IT Teams are engaged and actively working on a resolution.
__________________________________________________________________________________


R Recommendation

Please follow downtime procedures for these applications at this time.
__________________________________________________________________________________



Please communicate this to staff.

Feb 24, 2026 - 12:41 CST
Investigating - S Situation
________________________________________________________________________________
Images are not always accessible when trying to view them via PowerChart.

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

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

R Recommendation
___________________________________________________________________________________

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
Update - S Situation
We will be upgrading the current MobileView version from 5.6 to 5.8. Per the vendor’s recommendation, this maintenance is scheduled for February 25, 2026, from 9:00 AM to 3:00 PM.
________________________________________________________________________________

B Background
MobileView is UHC's enterprise system for real time location services for asset tracking, staff safety, infant protection system, and temperature monitoring.
_________________________________________________________________________________

A Assessment
We should expect up to 6 hours of downtime during the change window. During this time:
• Staff Duress may not show correct location of duress event.
• Temp Monitoring may not show correct location of monitor placement for excursions.
• Asset Tracking may not show correct location of assets.
• Hugs tracking may not show the correct location or appear to be in 'downtime mode'
__________________________________________________________________________________

R Recommendation
During the downtime:
• For Staff Duress: Use unit procedures for alternative alerting for duress events.
• For Temp Monitoring: Use name of asset to help locate device
• Asset Tracking: Wait until after downtime or use previous known location.
• For Hugs: Doors will still alarm and patients can be admitted / discharged. Do not use HUGS for patient location tracking.
___________________________________________________________________________________

Please reach out to Cody Schwartz (schwartzcm@umsystem.edu) if there are any concerns surrounding this work and/or the planned downtime.
Any issues following this work, please report to the help desk.
Please communicate this change to staff.

Feb 24, 2026 - 12:49 CST
Investigating - S Situation
We will be upgrading the current MobileView version from 5.6 to 5.8. Per the vendor’s recommendation, this maintenance is scheduled for February 25, 2026, from 9:00 AM to 3:00 PM.
________________________________________________________________________________

B Background
MobileView is UHC's enterprise system for real time location services for asset tracking, staff safety, infant protection system, and temperature monitoring.
_________________________________________________________________________________

A Assessment
We should expect up to 6 hours of downtime during the change window. During this time:
• Staff Duress may not show correct location of duress event.
• Temp Monitoring may not show correct location of monitor placement for excursions.
• Asset Tracking may not show correct location of assets.
• Hugs tracking may not show the correct location or appear to be in 'downtime mode'
__________________________________________________________________________________

R Recommendation
During the downtime:
• For Staff Duress: Use unit procedures for alternative alerting for duress events.
• For Temp Monitoring: Use name of asset to help locate device
• Asset Tracking: Wait until after downtime or use previous known location.
• For Hugs: Doors will still alarm and patients can be admitted / discharged. Do not use HUGS for patient location tracking.
___________________________________________________________________________________

Please reach out to Cody Schwartz (schwartzcm@umsystem.edu) if there are any concerns surrounding this work and/or the planned downtime.
Any issues following this work, please report to the help desk.
Please communicate this change to staff.

Feb 19, 2026 - 10:59 CST
Investigating - S Situation

Multiple reports of HealthCatalyst tool not loading in PowerChart.
________________________________________________________________________________


B Background

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


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.
__________________________________________________________________________________


R Recommendation

Refer to Navex medication refill protocols to process medication refill requests. Stay tuned for updates.
___________________________________________________________________________________

Nov 12, 2025 - 08:55 CST
Investigating - S Situation

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


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.
_________________________________________________________________________________


A Assessment

Resources have been engaged and are actively troubleshooting the issue.
__________________________________________________________________________________


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.
__________________________________________________________________________________



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
Feb 25, 2026
Completed - The scheduled maintenance has been completed.
Feb 25, 15:00 CST
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Feb 25, 09:00 CST
Scheduled - S Situation

MUHC Desktop and Laptop computer Security patches/updates will be applied this week. Patches will be made available on Monday, February 23rd at 1:00am and can be downloaded and installed at your convenience. If the patches/updates have not been applied by Wednesday, February 25th at 9:00am, 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.
________________________________________________________________________________

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 Monday preceding the 4th Wednesday 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 9:00am.
__________________________________________________________________________________

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.

Feb 23, 07:30 CST
Completed - The scheduled maintenance has been completed.
Feb 25, 12:25 CST
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Feb 25, 11:45 CST
Scheduled - S Situation

The interface engine is currently experiencing real-time processing latency. Emergency maintenance is scheduled for 11:45 AM – 12:30 PM today to resolve these delays.
________________________________________________________________________________


B Background

The interface engine serves as the primary integration hub for MUHC and CRMC, facilitating real-time data exchange between the EHR and third-party applications.
_________________________________________________________________________________


A Assessment

Downtime is estimated at 30–45 minutes. Impact is limited to Patient Movement (registration, bed transfers, etc.), Patient Scheduling, and Charges. These transactions will queue during the maintenance window and automatically process once the system is restored.
__________________________________________________________________________________


R Recommendation

Treat this window as a scheduled downtime for all third-party systems integrated with the Cloverleaf Engine. Please follow standard downtime procedures if you encounter operational impact.
__________________________________________________________________________________



Please communicate this to staff.

Feb 25, 11:27 CST
Resolved - This issue has been resolved.
Feb 25, 09:39 CST
Investigating - S Situation
________________________________________________________________________________
You may be experiencing processing delays or errors when using the following products:

• Eligibility Verification
• Identity Verification
• Patient Estimates
• Patient Financial Clearance
• Authorizations
• Notice of Care (Notice of Admission)
• Enhanced Claim Status
• Claim Status
• Coverage Discovery
• PaymentSafe
• Order Manager
• Registration Quality Assurance
• Medical Necessity
• Registration Accelerator
• Patient Financial Advisor
• Patient Access Curator

B Background
_________________________________________________________________________________
Users are experiencing processing delays and errors with multiple Experian products.

A Assessment
__________________________________________________________________________________
Technical teams are engaged

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

Please communicate this to staff.

Feb 25, 08:40 CST
Resolved - The Clairvia upgrade is complete and users can now access the system.
Feb 25, 07:12 CST
Investigating - The Clairvia upgrade is still in progress and Clairvia is still unavailable.
Feb 25, 05:45 CST
Completed - The scheduled maintenance has been completed.
Feb 25, 04:30 CST
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Feb 24, 23:30 CST
Update - We will be undergoing scheduled maintenance during this time.
Feb 17, 09:14 CST
Scheduled - Clairvia will be unavailable on February 24-25 between 2330-0430 for upgrade. Please use your downtime procedures during this time.
Feb 17, 09:13 CST
Feb 24, 2026
Resolved - This incident has been resolved.
Feb 24, 10:13 CST
Identified - The issue has been identified and a fix is being implemented.
Feb 24, 10:01 CST
Update - Update:

Real-time Power BI reports are currently experiencing a data delay and are not reflecting the most recent information. Until the issue is resolved, reports such as Situational Awareness, Patient Care Dashboard and other real-time reporting will not display current data. We will provide an update as soon as the issue is resolved, or further information becomes available.
__________________________________________________________________________________

Please communicate this to staff.

Feb 24, 08:01 CST
Update - We are continuing to investigate this issue.
Feb 24, 07:58 CST
Investigating - S Situation
Some reports available via PowerBI that utilize PowerChart data are not working or data is stale.
________________________________________________________________________________
B Background
The daily refresh of the extracted Millennium data tables in the Databricks warehouse (EDW) tables experienced an issue. Tables are stale and the data should not be relied upon.
_________________________________________________________________________________
A Assessment
Issue has been identified and we are investigating.
__________________________________________________________________________________
R Recommendation
Please use alternative methods or wait for status updates.
Other Tiger Institute IT solution

Feb 24, 07:46 CST
Resolved - Please refer to PowerBI SBAR for stale data updates. Issues logging into UKG, TigerConnect, PowerBI and MFA have been resolved.
Feb 24, 09:43 CST
Update - We are continuing to monitor for any further issues.
Feb 24, 09:40 CST
Monitoring - A fix has been implemented and we are monitoring the results.
Feb 24, 09:38 CST
Investigating - We are currently investigating this issue.
Feb 24, 07:37 CST
Feb 23, 2026
Resolved - This incident has been resolved.
Feb 23, 16:24 CST
Monitoring - A fix has been implemented and we are monitoring the results.
Feb 23, 16:00 CST
Identified - The issue has been identified and a fix is being implemented.
Feb 23, 11:23 CST
Investigating - S Situation
Real-time Power BI reports are currently experiencing a data delay and are not reflecting the most recent information.
________________________________________________________________________________

B Background
These reports rely on streaming data sourced from Azure, which supports our real-time reporting infrastructure. There are widespread Azure issues affecting multiple workflows including MoveIT, Power BI and Streaming dashboards.
_________________________________________________________________________________

A Assessment
Streaming has been down since approximately 9:00AM on 2-23-26. The issue is actively being investigated.
__________________________________________________________________________________

R Recommendation
Until the issue is resolved, reports such as Situational Awareness, Patient Care Dashboard and other real-time reporting will not display current data. We will provide an update as soon as the issue is resolved, or further information becomes available.
__________________________________________________________________________________

Please communicate this to staff.

Feb 23, 10:12 CST
Feb 22, 2026
Resolved - This incident has been resolved.
Feb 22, 12:44 CST
Monitoring - A fix has been implemented and we are monitoring the results.
Feb 22, 06:58 CST
Investigating - Glucometer and ABG results are not flowing to PowerChart. IT resources are investigating.
Feb 22, 06:34 CST
Feb 21, 2026

No incidents reported.

Feb 20, 2026

No incidents reported.

Feb 19, 2026
Resolved - This incident has been resolved.
Feb 19, 12:40 CST
Update - Due to this ongoing incident, PowerChart Touch and Patient Portal users are affected and cannot pull up any documents. Please follow this SBAR for more updates.
Feb 19, 08:46 CST
Update - We are continuing to investigate this issue.
Feb 18, 09:50 CST
Investigating - S Situation
Users are reporting slowness across Cerner applications; including but not limited to MPages, Discern Synchronous and Provenance/External Records.
________________________________________________________________________________
B Background
We are actively investigating.
_________________________________________________________________________________
A Assessment
Users have been reporting continued impact to EHR experience.
__________________________________________________________________________________
R Recommendation
As troubleshooting progresses updates will be provided.
__________________________________________________________________________________
Please communicate this change to staff.

Feb 18, 09:48 CST
Postmortem - Read details
Feb 19, 11:21 CST
Resolved - Root issue has been resolved (Millennium Standby database is again synching with Millennium Production) and downstream (Databricks) data has been refreshed.
Feb 19, 11:18 CST
Monitoring - Resolution has been identified and implemented. We are now refreshing data loads to catch it back up. This is expected to take quite a while but expected to complete today. Further notification will be sent out when data updates are complete.
Feb 18, 10:29 CST
Identified - Issue has been identified and we continue working towards resolution. Multiple vendors have been pulled in to assist and the combined team continue to give our full attention to resolution.
Feb 17, 19:29 CST
Investigating - S Situation
Some reports available via PowerBI that utilize PowerChart data are not working or data is stale.
________________________________________________________________________________
B Background
The daily refresh of the extracted Millennium data tables in the Databricks warehouse (EDW) tables experienced an issue. Tables are stale and the data should not be relied upon.
_________________________________________________________________________________
A Assessment
Issue has been identified and we are investigating.
__________________________________________________________________________________
R Recommendation
Please use alternative methods or wait for status updates.

Feb 17, 07:43 CST
Feb 18, 2026
Completed - The scheduled maintenance has been completed.
Feb 18, 01:30 CST
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Feb 17, 23:30 CST
Scheduled - The Bridge system will be unavailable on February 17- February 18 between 2330-0130 for upgrade. Use downtime procedures during this time.
Feb 17, 08:21 CST
Feb 17, 2026
Resolved - This issue has been resolved.
Feb 17, 09:28 CST
Investigating - S Situation

Users are unable to select options in the drop down menu when attempting to schedule or modify a patient appointment. This is also impacting the cancel reason in the portal.
________________________________________________________________________________


B Background

This cancelation option drop down is part of the appointment cancelation/modification workflow.
_________________________________________________________________________________


A Assessment

All resources are engaged and investigating.
__________________________________________________________________________________


R Recommendation

Please share this information with your staff.

Feb 17, 09:13 CST
Feb 16, 2026

No incidents reported.

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

B Background
_________________________________________________________________________________
• 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
__________________________________________________________________________________
• Sunday, February 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
___________________________________________________________________________________
Any issues following this work, please report to the help desk.

Please communicate this change to staff.

Feb 10, 08:19 CST
Feb 14, 2026

No incidents reported.

Feb 13, 2026

No incidents reported.

Feb 12, 2026

No incidents reported.

Feb 11, 2026
Completed - The scheduled maintenance has been completed.
Feb 11, 05:15 CST
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Feb 11, 00:00 CST
Scheduled - S Situation
________________________________________________________________________________
The Hospital Network team is performing maintenance on the network infrastructure serving UH, CCA, CS&E, MUPC, McHaney Hall, and Hitt Street Medical Building on February 11th, 2026, from 12am until 5am. This maintenance will result in a brief 1–2-minute network interruption for each location listed below.

B Background
_________________________________________________________________________________
An upgrade to the network infrastructure is required to replace end of life equipment. Each location listed below will be migrated floor by floor to the updated equipment, which will result in a brief 1–2-minute interruption.

A Assessment
__________________________________________________________________________________
The following locations will be migrated floor by floor to the updated equipment, resulting in a brief 1–2-minute network interruption as components are moved. Systems and devices are expected to reconnect on their own without any user intervention. Only one floor will be moved at a time during the 12am-5am change window.

UH
-Ground floor through 7th floor (East and West for each floor)
-Tiger Avenue Parking Structure (MAG)
-1st floor Lobby
-2nd floor Lab

CCA
-Ground floor through 7th floor

CS&E
-Ground floor through 7th floor

MUPC
-Ground floor through 3rd floor

McHaney Hall
-Ground floor through 5th floor

Hitt St. Medical Building
-1st floor through 4th floor

R Recommendation
___________________________________________________________________________________
Please communicate this change to staff working during this time.

Contact the Help Desk at 573-884-HELP following this work to report any issues.

Feb 4, 12:04 CST