Tiger Institute for Health Innovation
Tiger Institute System Status
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Apr 06, 2026 - 08:00 CDT
Scheduled - 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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Apr 6, 2026 08:00 - Apr 24, 2026 08:00 CDT
Investigating - S Situation

Revenue Cycle is currently experiencing an issue that is causing non-displaced patients to fall to the displaced queue.
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B Background

Patients are being identified on the displaced queue that are not in a displaced status.
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A Assessment

Technical resources are engaged.
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R Recommendation

Staff should not open any additional tickets with the help desk. Updates will be sent as more information is received.
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Please communicate this to staff.

Mar 31, 2026 - 16:15 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) Degraded Performance
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

IRMA (Interactive Request Management Application) Redesign Apr 6, 2026 17:00-18:00 CDT

S Situation
The current design of the interactive request management application, also known as IRMA, can lead to confusion when seeking to submit a request for a new project.

B Background
The current application was designed to manage IT requests. Over the years, the use case has expanded to include many additional request types; however, the IRMA landing page has not been updated to reflect the various uses.

A Assessment
Multiple request routes for project and operational requests across IT Project Management, Business Planning, and Health System Project Management requires users to understand organizational structures rather than simply selecting the type of work they need. This has resulted in inconsistent submissions, manual rerouting, and delays in initial review. By consolidating the three groups into a single intake path, IRMA can provide a streamlined and unified experience. A single request route removes guesswork for end users, ensures all submissions follow a standardized evaluation approach, and supports efficient collaboration among the review teams. This centralization also strengthens visibility into enterprise demand and reduces variations in how requests are assessed and assigned.

R Recommendation
Integrate IT Project Management, Business Planning, and Health System Project Management into one unified project request route within IRMA. All requests to these teams will enter through a single intake option, where the combined review group will assess project scope, strategic alignment, resource needs, and routing requirements. This consolidated approach will simplify the user experience, eliminate duplicate intake workflows, and ensure consistent criteria are applied across all major initiatives. Through this unified routing process, the organization can accelerate request triage, improve cross-functional coordination, and provide a clearer, more predictable path for request evaluation and next steps.
The redesign of IRMA will go live on April 6th, 2026.

Posted on Mar 23, 2026 - 12:06 CDT

athenaIDX Hosting /Private Cloud Planned Outage : Critical MySQL Security Update - NextGate Enterprise Index (EI) -Tuesday, April 7, 2026 Apr 7, 2026 22:00-22:30 CDT

S Situation
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The Enterprise Index (duplicate checker) application within IDX will be unavailable during the upgrade window.

B Background
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The vendor will be installing a MySQL update for the NextGate Enterprise Index (EI) application to remediate a critical security vulnerability. This update is necessary to maintain the security and integrity of the platform.

A Assessment
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This will not affect the core IDX application. Users will still be able to access and work within athenaIDX during the maintenance window.

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

Please communicate this change to staff.

Posted on Apr 03, 2026 - 11:46 CDT
Apr 6, 2026

Unresolved incident: NurseCall 2026 Test-N-Inspect Schedule.

Apr 5, 2026

No incidents reported.

Apr 4, 2026

No incidents reported.

Apr 3, 2026

No incidents reported.

Apr 2, 2026

No incidents reported.

Apr 1, 2026
Resolved - This incident has been resolved.
Apr 1, 12:03 CDT
Investigating - S

Situation

Not all alarms are flowing correctly due to issues between CCTA and Clairvia.


B

Background

Clairvia is the staff assignment and acuity manager for MUHC. CCTA is the device assignment system for MUHC.


A

Assessment

Issues presented earlier this morning, prior to the 0700 shift change. Issues have persisted past shift change. IT is actively investigating with Oracle Health resources.


R

Recommendation

Monitor primary alerting sources during this time (Nurse Call Console Phones, SpaceLabs Centrals, etc.)

Apr 1, 08:52 CDT
Mar 31, 2026
Resolved - This incident has been resolved.
Mar 31, 11:28 CDT
Investigating - S Situation
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You may be experiencing intermittent timeouts when attempting to process eligibility and claim status transactions for Anthem, Wellpoint, Amerigroup and Blue Cross Blue Shield payers.

B Background
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Multiple payers are experiencing intermittent timeouts when processing eligibility and claim status transactions.

A Assessment
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Status update (1:40 p.m. CT): We have contacted our vendor, and their teams are engaged.

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

Please communicate this to staff.

Mar 30, 13:58 CDT
Mar 30, 2026
Mar 29, 2026
Resolved - The incident has been resolved. If any issues return, please submit a ticket with the help desk.
Mar 29, 18:44 CDT
Monitoring - A fix has been implemented and Teletracking is monitoring the results. Please put in a help desk ticket (573-884-4357) if you are continuing to see issues in Teletracking.
Mar 29, 11:18 CDT
Investigating - Teletracking is currently having an issue with application views that aid in patient movement, admissions/discharges, and environmental services needs. This is an impacting all clients and Teletracking resources are engaged and working on the issue with no ETA. Please use TigerConnect to reach out to Transport and Environmental Services until Teletracking issues have been resolved. Please Call Logistic Center for any patient Admissions, Transfers, and notifications of discharges to aid in bed placement.
Mar 29, 07:21 CDT
Mar 28, 2026

No incidents reported.

Mar 27, 2026
Resolved - This incident has been resolved.
Mar 27, 08:42 CDT
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, 16:09 CDT
Update - The MU Telecom team is continuing to work with US Cellular & T-Mobile to address this widespread issue.
Mar 6, 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 5, 16:15 CST
Mar 26, 2026

No incidents reported.

Mar 25, 2026
Completed - The scheduled maintenance has been completed.
Mar 25, 15:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Mar 25, 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, March 23rd at 1:00am and can be downloaded and installed at your convenience. If the patches/updates have not been applied by Wednesday, March 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.
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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

Mar 23, 07:47 CDT
Completed - The scheduled maintenance has been completed.
Mar 25, 12:30 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Mar 25, 12:00 CDT
Update - There was a mistake in this SBAR regarding connecting devices to UMHBYOD. New registrations are no longer accepted for that network and users should use MU Health Care network with their MU credentials. The updated SBAR is as follows:

S Situation
There will be maintenance performed on the MUHC Cellular DAS (Distributed Antenna System) Wednesday, 03/25/26 from 1200 – 1230 for maintenance and hardware optimization.


B Background
Investigation and troubleshooting on the Cellular DAS has uncovered an issue with the AT&T configuration on the hospital system. Connectivity Wireless will perform maintenance on the Cellular DAS to make corrections to the AT&T signal set.


A Assessment
On Wednesday, 03/25/26, from 1200 – 1230 we will experience a Cellular DAS outage on all cellular carriers throughout all MUHC DAS covered buildings while engineers work on updating AT&T’s configuration.


R Recommendation
All MUHC staff members and departments should be aware of a planned DAS Cellular Outage for Wednesday, March 25, 2026. from 1200 – 1230. The Telecom Department will be paging overhead during this change window due to an outage of all cellular coverage throughout MUHC. Please ensure all MUHC and BYOD devices are connected to the MU Health Care wireless network. Managed iPhones and iPads will be connected to UMHWirelessII.

Mar 24, 09:50 CDT
Scheduled - S Situation
There will be maintenance performed on the MUHC Cellular DAS (Distributed Antenna System) Wednesday, 03/25/26 from 1200 – 1230 for maintenance and hardware optimization.


B Background
Investigation and troubleshooting on the Cellular DAS has uncovered an issue with the AT&T configuration on the hospital system. Connectivity Wireless will perform maintenance on the Cellular DAS to make corrections to the AT&T signal set.


A Assessment
On Wednesday, 03/25/26, from 1200 – 1230 we will experience a Cellular DAS outage on all cellular carriers throughout all MUHC DAS covered buildings while engineers work on updating AT&T’s configuration.


R Recommendation
All MUHC staff members and departments should be aware of a planned DAS Cellular Outage for Wednesday, March 25, 2026. from 1200 – 1230. The Telecom Department will be paging overhead during this change window due to an outage of all cellular coverage throughout MUHC. Please ensure all MUHC and BYOD devices are registered and added to the UMHBYOD network to avoid loss of connectivity. Registration for the UMHBYOD network is located on MYMUHEALTH.

Mar 23, 15:41 CDT
Completed - There are a few vendors left to migrate but all have been specifically scheduled. We are stable and considering this migration completed. Please reach out to the help desk with any issues.
Mar 25, 09:28 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Mar 25, 05:45 CDT
Update - Just a reminder that the migration is still scheduled as planned and will start at 0545 tomorrow, 3/25/26.
Mar 24, 15:38 CDT
Scheduled - 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.

Mar 10, 16:03 CDT
Mar 24, 2026

No incidents reported.

Mar 23, 2026
Resolved - IT has identified the root cause and has implemented a fix. Results should now be flowing from the Glucometers to PowerChart. If any other issues occur, please contact the Helpdesk at 573-884-HELP.
Mar 23, 10:44 CDT
Investigating - S Situation

Glucometer results are not flowing into PowerChart
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B Background

Glucometer results began failing to transfer into PowerChart last night, occurring just after midnight on Monday March 23rd.
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A Assessment

IT is currently investigating this issue and will provide updates as they are made available.
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R Recommendation

Please follow downtime procedures at this time.
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Please communicate this to staff.

Mar 23, 10:20 CDT
Resolved - This incident has been resolved.
Mar 23, 09:56 CDT
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, 08:30 CDT
Completed - The scheduled maintenance has been completed.
Mar 23, 06:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Mar 23, 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, 08:54 CDT