Nurse Call notifications not going to ASCOM / TigerConnect
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, 2026 - 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, 2026 - 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, 2026 - 07:23 CDT
Time Change - Sunday November 1 2026 - Athena/IDX
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.
______________________________________________
Oct 22, 2026 - 15:03 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 Under Maintenance
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

Fall Time Change - Interfaces Downtime Nov 1, 2026 01:55-03:00 CST

Update - We will be undergoing scheduled maintenance during this time (Nov 1st 01:55 CDT - 02:00 CST).
Nov 01, 2026 - 01:55 CST
Scheduled - S Situation
________________________________________________________________________________
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
_________________________________________________________________________________
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
__________________________________________________________________________________
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
___________________________________________________________________________________
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, 2026 - 16:27 CDT

Oct 29, 2026

No incidents reported today.

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.
________________________________________________________________________________

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.
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.
________________________________________________________________________________

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.
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
________________________________________________________________________________
The interface engine server operating system will be patched on October 28 @ 0500->0530.

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

A Assessment
__________________________________________________________________________________
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
___________________________________________________________________________________
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

Oct 27, 2026

No incidents reported.

Oct 26, 2026

No incidents reported.

Oct 25, 2026

No incidents reported.

Oct 24, 2026

No incidents reported.

Oct 23, 2026

No incidents reported.

Oct 22, 2026

Unresolved incident: Time Change - Sunday November 1 2026 - Athena/IDX.

Oct 21, 2026

No incidents reported.

Oct 20, 2026

No incidents reported.

Oct 19, 2026

Microsoft Office 365 Errors on Tap&Go/VDI
Resolved - This incident has been resolved and licenses are working properly. Please close and reopen any Microsoft Office apps displaying licensing errors to resolve the error.
Oct 19, 21:55 CDT
Update - We are continuing to work towards a resolution with Microsoft and other support teams. Please use the workaround below to access Microsoft Office apps on Tap&Go/VDI until this licensing issue is resolved.

Workaround:
If a Microsoft Office application is unavailable due to this licensing issue, search for the affected app within Citrix Workspace to use the Citrix hosted app. Additionally, Microsoft Office apps can be accessed from office.com using your username@umsystem.edu login. Note that using the office.com website will not be compatible with files/data on MU Health Care local storage such as MyDocs or Departmental Data.
Oct 19, 15:06 CDT
Investigating - S Situation
________________________________________________________________________________
We are currently investigating the errors seen in Office 365 apps on Tap&Go/VDI devices. Laptop and Desktop computers are not impacted at this time. All necessary teams are engaged and working with vendors and partners to identify a potential licensing issue.

B Background
_________________________________________________________________________________
Microsoft licensing isn't working properly on Tap&Go/VDI at this time. All necessary resources are engaged and working to resolve.

A Assessment
__________________________________________________________________________________
Apps like Teams, Outlook, SharePoint, OneDrive, Excel, Word, etc. aren't working for some users due to a Microsoft licensing error. As a workaround, staff can temporarily use Citrix hosted Microsoft Office apps by searching for the app name in Citrix Workspace.

R Recommendation
___________________________________________________________________________________
Use the workaround in the Assessment portion of this SBAR, and follow this Statuspage for more updates.
Oct 19, 10:34 CDT
TigerConnect Maintenance
Completed - The scheduled maintenance has been completed.
Oct 19, 08:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Oct 16, 08:00 CDT
Scheduled - S Situation

TigerConnect will be performing scheduled maintenance overnight this coming weekend, Friday, October 16th – Sunday, October 18th 2026.
________________________________________________________________________________


B Background

Maintenance Schedule Detail
•Date: Friday, Saturday, and Sunday October 16-18
•Time: 11pm - 5am CST (each night/early morning) 
_________________________________________________________________________________


A Assessment

Possible Impact 

During the hours of 11 pm to 5 am, you may experience slowness related to the upgrade:
 
-Searching for staff, roles, and teams
-Looking up patients
-Message delivery
__________________________________________________________________________________


R Recommendation

Downtime is not expected.
If delays start to impact patient care, call the help desk at 573-884-4357. Telecom leadership will decide if downtime process should be used. As a reminder, the downtime process for Tiger Connect outage is utilizing overhead paging. Contact the hospital operator to communicate with other clinicians. They will help facilitate that communication.
___________________________________________________________________________________

Please communicate this change to staff.
Oct 14, 09:46 CDT

Oct 18, 2026

athenaIDX Hosting / Private Cloud Monthly Preventative Maintenance Sunday, October 18, 2026
Completed - The scheduled maintenance has been completed.
Oct 18, 07:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Oct 18, 00:00 CDT
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, October 18, 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.
Oct 12, 13:27 CDT

Oct 17, 2026

Citrix Maintenance: Favorite Reset
Completed - The scheduled maintenance has been completed.
Oct 17, 18:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Oct 17, 17:00 CDT
Update - Announce to: CH | Clinics | CRMC | KSMC | MOI | MUPC | UH

S Situation
________________________________________________________________________________
After 5 pm on Saturday, October 17, 2026, updates will be applied to the MU Health Care Citrix iPortal and Workspace platform. Your Favorites list will reset to a default list of commonly used apps. You will need to add your preferred apps to Favorites again following this update, and some users may need to select the Refresh Apps icon in the top right corner under the settings gear.

B Background
_________________________________________________________________________________
An update to a Citrix database is required for maintenance to keep the platform healthy and supported. As a result of this update, all customizations will be reset. Customizations including favorited apps which display on the main screen of iPortal or Workspace will be reset, as well as the order in which applications are displayed will be reset.

A Assessment
__________________________________________________________________________________
All apps will still be available after the update; however, your Favorites list and the order of your apps will change. If an app prompts an error following this maintenance, select the Refresh Apps icon under the settings gear in the top right corner.

An app may appear to be missing if it is no longer in your Favorites following this update. See below for methods to add apps back to the Favorites window.

R Recommendation
___________________________________________________________________________________
After the update, select the Refresh Apps icon under the settings gear in the top right corner.

To add preferred apps to Favorites, use either option below:
-Browse: Select Apps at the top of the Citrix window. Find your app and select the star in the top-left corner.
-Search: Select the magnifying glass in the top-right corner. Search for your app by name and select the star in its top-left corner.

NOTE that apps will display on the Favorites window in the order they are favorited – apps cannot be rearranged due to a limitation in features from Citrix.
Oct 16, 14:05 CDT
Scheduled - Announce to: CH | Clinics | CRMC | KSMC | MOI | MUPC | UH

S Situation
________________________________________________________________________________
After 5 pm on Saturday, October 17, 2026, updates will be applied to the MU Health Care Citrix iPortal and Workspace platform. Your Favorites list will reset to a default list of commonly used apps. You will need to add your preferred apps to Favorites again following this update.

B Background
_________________________________________________________________________________
An update to a Citrix database is required for maintenance to keep the platform healthy and supported. As a result of this update, all customizations will be reset. Customizations including favorited apps which display on the main screen of iPortal or Workspace will be reset, as well as the order in which applications are displayed will be reset.

A Assessment
__________________________________________________________________________________
All apps will still be available after the update; however, your Favorites list and the order of your apps will change.

An app may appear to be missing if it is no longer in your Favorites following this update. See below for methods to add apps back to the Favorites window.

R Recommendation
___________________________________________________________________________________
After the update, add your preferred apps to Favorites using either option:

•Browse: Select Apps at the top of the Citrix window. Find your app and select the star in the top-left corner.

•Search: Select the magnifying glass in the top-right corner. Search for your app by name and select the star in its top-left corner.

NOTE that apps will display on the Favorites window in the order they are favorited – apps cannot be rearranged due to a limitation in features from Citrix.
Oct 9, 11:08 CDT
Navex PolicyTech Maintenance
Completed - The scheduled maintenance has been completed.
Oct 17, 02:00 CDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Oct 16, 22:00 CDT
Scheduled - S Situation

Navex PolicyTech will undergo planned vendor maintenance Friday, October 16th from 2200 through Saturday, October 17th 0200. The Navex system will be down/unavailable for 15 minutes during the start of this maintenance window starting at 2200.
________________________________________________________________________________


B Background

Navex PolicyTech is the application used to review, update, and access all MU Health Care policies.
_________________________________________________________________________________


A Assessment

The Navex PolicyTech vendor will perform planned maintenance Friday, October 16th from 2200 through Saturday, October 17th 0200.
The Navex PolicyTech application will be unavailable for 15 minutes starting at 2200 and will be in View-Only Mode through the reminder of the maintenance window. Any changes made will not be saved, but documents may still be accessed in View-Only Mode once it becomes available again.
__________________________________________________________________________________


R Recommendation


Please share this information with your teams so they are aware of the planned maintenance and potential impacts. If Navex is unavailable during this time, please access policies via the downtime 724 PCs throughout the Health System. If you experience issues after the maintenance window, please contact the Hospital Help Desk at 573-884-4357.
___________________________________________________________________________________


Please communicate this change to staff.
Oct 15, 07:59 CDT

Oct 16, 2026

Oct 15, 2026

No incidents reported.

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