Nurse Call Alerts not going to ASCOM/TigerConnect
Update - The vendor is being engaged to restore functionality. Continue to watch the staff consoles and terminals for secondary patient alerting until notification of resolution. TigerConnect secondary patient alerts are also impacted by this loss in functionality.
Nov 11, 2026 - 01:31 CST
Identified - S. Nurse Call Alerts are not going to ASCOM phones or TigerConnect currently.

B. Engaged with our nurse call vendor working thru re-licensing the software to re-enable nurse call events. The temporary re-licensing was issued for one-week.

A. The temporary re-licensing expired this evening that was allowing the nurse call events to alert ASCOM phones. The teams are engaged for re-licensing for temporary and long-term re-licensing.

R. Please make sure staff are watching the staff consoles and staff terminals for the time being while we work to resolve the software issues impacting secondary alerting to ASCOM phones and TigerConnect.
Nov 10, 2026 - 23:25 CST
Windows Update to Cause Delays in Document Processing
Investigating - S Situation

On November 17, 2026 between 12am and 6am, Windows OS 2022 will be pushed to the two document processing batch servers, which are currently utilizing Windows 2016. This upgrade may cause document processing via automated batching to be delayed (i.e. documents via Experian and Tonic). This may also cause delays for Advanced Capture and Kofax, utilized by Medical Records. The documents will be queued for processing once the servers are back up.
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B Background


Windows Operating System 2016 will no longer be supported soon, so an upgrade to Windows OS 2022 is required.
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A Assessment

Outside of the maintenance window, if images are not processing as expected, please enter a ticket with examples so we can confirm receipt of the document and queuing as anticipated.

Note: This upgrade should not impact manual document imaging and scanning during the maintenance window.
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R Recommendation

Please share this information with your staff.
Nov 09, 2026 - 09:17 CST
Scheduled Interface Downtime – MQ Upgrade
Investigating - S Situation

The interfaces will be temporarily unavailable on November 3, 2026, from 2300–2359 (11:00 PM–11:59 PM) due to a scheduled MQ upgrade.


B Background

The MQ upgrade is a planned maintenance activity required to support system infrastructure and ensure continued interface functionality and performance.

All Cerner applications (PowerChart, Revenue Cycle, FirstNet, SurgiNet, etc.) will be available during this event.


A Assessment

During the maintenance window, interface communication with Cerner will be interrupted. Systems and applications dependent on these interfaces may experience delays or temporary disruptions in sending and receiving data.
Patients can still be registered in the Cerner system.
No other non-Cerner downstream systems will be updated during this event.


R Recommendation

Utilize downtime procedures for non-Cerner downstream systems. Contact the HELP desk (573-884-4357) for any issues during the downtime.

Please plan accordingly and communicate this scheduled downtime to all impacted departments and stakeholders

Normal interface operations are expected to resume following completion of the upgrade.
Oct 30, 2026 - 16:39 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 Partial Outage
Paging/TigerConnect Partial Outage
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 Under Maintenance
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

Nov 11, 2026

Unresolved incident: Nurse Call Alerts not going to ASCOM/TigerConnect.

Nov 10, 2026

Nov 9, 2026

Unresolved incident: Windows Update to Cause Delays in Document Processing.

Nov 8, 2026

No incidents reported.

Nov 7, 2026

No incidents reported.

Nov 6, 2026

No incidents reported.

Nov 5, 2026

No incidents reported.

Nov 4, 2026

No incidents reported.

Nov 3, 2026

No incidents reported.

Nov 2, 2026

Time Change - Sunday November 1 2026 - Athena/IDX
Resolved - This incident has been resolved.
Nov 2, 10:51 CST
Investigating - Situation

As part of the fall time change, MU Health Care’s Athena/IDX computer system will be updated on Sunday, November 1, 2026


B

Background

The downtime will affect GE/IDX from 1:00am CDT to 8:00am CST (7 hour downtime). Users will be unable to access the Athena/IDX system.


A

Assessment

All Cerner applications (PowerChart, FirstNet, SurgiNet, etc.) will be available during the time change event.

R

Recommendation


Contact the HELP desk (573-884-4357) with any issues during the downtime.
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Oct 22, 15:03 CDT
Fall Time Change - Interfaces Downtime
Completed - The scheduled maintenance has been completed.
Nov 2, 10:51 CST
Update - Interface maintenance is underway. Systems will resume at 0200 CST.
Nov 1, 01:26 CST
Update - We will be undergoing scheduled maintenance during this time (Nov 1st 01:55 CDT - 02:00 CST).
Nov 1, 01:55 CST
Scheduled - S Situation
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As part of the fall time change, all interfaces flowing into and out of the Cerner system (data flowing between computer systems) will be down on Sunday, November 01, 2026.

B Background
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As part of the fall time change, all interfaces flowing into and out of the Cerner system (data flowing between computer systems) will be down on Sunday, November 01, 2026 from 0155 CDT to 0200 CST (total downtime one hour and five min).

All Cerner applications (PowerChart, Revenue Cycle, FirstNet, SurgiNet, etc.) will be available during the time change event.


A Assessment
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Please note the following key points for activity during the downtime:
Patients can still be registered in the Cerner system.
No other non-Cerner downstream systems will be updated during the time change.


R Recommendation
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Utilize downtime procedures for non-Cerner downstream systems. Contact the HELP desk (573-884-4357) for any issues during the downtime.

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

Please communicate this change to staff.
Oct 26, 16:27 CDT

Nov 1, 2026

No incidents reported.

Oct 31, 2026

No incidents reported.

Oct 30, 2026

Unresolved incident: Scheduled Interface Downtime – MQ Upgrade.

Oct 29, 2026

Nurse Call notifications not going to ASCOM / TigerConnect
Resolved - We have been monitoring for >24 hours and are confident the nurse call alerting to ASCOM / TigerConnect issue is resolved.
Oct 29, 13:59 CDT
Update - The virtualization software was restored around 1145 and we have been monitoring nurse call alerts going to ASCOM phones. TigerConnect should also be receiving messages as we show them connected on our side, but no code blue notifications have went off at our Columbia campus to validate TigerConnect functionality at this time.
Oct 28, 13:15 CDT
Update - Update, we have engaged our nurse call vendor as well as the virtualization software company to work thru re-licensing the software and ultimately re-enable nurse call events from nurse call to ASCOM / TigerConnect.
Oct 28, 09:01 CDT
Investigating - S. Nurse call notifications are not going to ASCOM phones or TigerConnect currently.

B. We use serial cable virtualization software to transmit nurse call events from a nurse call server to both the CareAware iBus and TigerConnect for secondary notifications. Primary notifications for the nurse call system occur at the console phones and staff terminals (where applicable) installed in each unit.

A. Windows patches applied to the nurse call servers has broken the virtualization software and we are reaching out to the vendor to resolve the current issue.

R. Please make sure staff are watching the staff consoles and staff terminals for the time being while we work to resolve the software issues impacting secondary alerting to ASCOM phones and TigerConnect.
Oct 28, 07:23 CDT

Oct 28, 2026

MUHC Microsoft Patch Deployment
Completed - The scheduled maintenance has been completed.
Oct 28, 15:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Oct 28, 09:00 CDT
Update - The dates were not updated in the previous email, apologies:

S Situation

MUHC Desktop and Laptop computer Security patches/updates will be applied this week. Patches will be made available on Monday, October 26th at 1:00am and can be downloaded and installed at your convenience. If the patches/updates have not been applied by Wednesday, October 28th 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.
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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 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.
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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.
Oct 26, 13:40 CDT
Scheduled - S Situation

MUHC Desktop and Laptop computer Security patches/updates will be applied this week. Patches will be made available on Monday, September 21st at 1:00am and can be downloaded and installed at your convenience. If the patches/updates have not been applied by Wednesday, September 23rd 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.
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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 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.
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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.
Oct 26, 08:21 CDT
Interface Engine Monthly Patching
Completed - The scheduled maintenance has been completed.
Oct 28, 05:30 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Oct 28, 05:00 CDT
Scheduled - S Situation
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The interface engine server operating system will be patched on October 28 @ 0500->0530.

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

A Assessment
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At 0500 interface system patching will begin. Patching will be completed, and all connections are expected to be back up by roughly 0530.

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

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

Please communicate this change to staff.
Oct 27, 08:38 CDT
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