NEW Epic and non-Epic critical application downtimes

To ensure Microsoft Patches are deployed less than 30 days from receipt and to maximize our data security, the Epic production and non-Epic critical application monthly maintenance windows are moving to the third Sunday of each month, beginning on Sunday, Jan. 17.

Important information regarding maintenance window activities:
On Sunday, Jan. 17, Information Technology (IT) will perform monthly maintenance on Epic, resulting in planned downtimes from Sunday, Jan. 17, at 11:30 p.m. (2330 MT) until Monday, Jan. 18, at 1 a.m. (0100 MT), lasting approximately one and a half hours. Epic will be down and unavailable during this planned downtime.

IT will also perform maintenance on the following non-Epic critical applications and services, which will be unavailable from Sunday, Jan. 17, from 11:30 p.m. (2330 MT) until Monday, Jan. 18, at 2 a.m. (0200 MT), lasting approximately two and a half hours. Please view the list of impacted applications or services and their related workarounds.

Impacted non-Epic critical applications or services and workarounds
Non-Epic Critical Applications	Workaround
3M 360 Encompass	There is no workaround for this application.
Alaris Interoperability	Use the Alaris IV Pump Integration Downtime Recovery Checklist.
Ascom Vital Sign Alerts (St. Francis NICU)	Ascom will not provide vital sign alerts to Cisco phones and requires the downtime procedures to be initiated. Additional staffing may be needed.
Avasure Virtual Telesitters	Avasure Virtual Telesitters will be unavailable. Initiate downtime procedures including in-person sitting coverage.
HUGS	HUGS Infant security system will be unavailable. Onsite security should be notified of downtime and unit doors monitored.
Myla Software/Virtuo Blood Culture Instruments	Culture orders will not interface with Epic from Myla during this time. Please follow downtime and manual procedures, as necessary.
Natus Neuroworks	Please initiate downtime procedures.
Nurse Call Systems (All)	Nurse Call systems will not send alerts to phones. Nurse Call alerts will alarm at the main console. Downtime procedures should be in place and the nurse call console should be monitored while the system is down.
OBIX	OBIX will be unavailable. Downtime procedures including in-person monitoring should be initiated which may require increased staff.
Point of Care lab tests uploading to Epic	Point of Care lab results will not upload to Epic during the full maintenance window. POC tests completed during the downtime will upload to Epic once the downtime is complete.
Pyxis	Pyxis stations will automatically be placed on critical override in order to pull medications.
WellSky Transfusion – Blood Bank	WellSky Transfusion (Blood Bank) will not be available. The labs should initiate downtime procedures if the application is needed during the downtime.
Computer workstation security updates	Following the installation of workstation updates, you will see a 15-minute countdown and then the workstation will automatically restart.

When this will occur:

Epic: Sunday, Jan. 17, at 11:30 p.m. (2330 MT) until Monday, Jan. 18, at 1 a.m. (0100 MT) (0030 until 0200 CT)
Non-Epic critical applications: Sunday, Jan. 17, at 11:30 p.m. (2330 MT) until Monday, Jan. 18, at 2 a.m. (0200 MT) (0030 until 0300 CT)

Offline workstations will automatically be updated and rebooted once connected to the Centura Health network.

What do you need to do?
Downtime procedures should be implemented during this maintenance window. Please reference the workarounds listed in the table above.

Additional staffing or implementation of downtime procedures:
The following applications may require additional staffing or implementation of downtime procedures:

Ascom Vital Sign Alerts (St. Francis NICU): Additional staffing may be needed.
Avasure Virtual Telesitters: Initiate downtime procedures including in-person sitting coverage.
HUGS: Onsite security should be notified of downtime and unit doors monitored.
Nurse Call Systems (All): Downtime procedures should be in place and the nurse call console should be monitored while the system is down.
OBIX: Downtime procedures including in-person monitoring should be initiated which may require increased staff.

Epic:

Use the Epic SRO icon during the planned Epic downtimes.
For Alaris Interoperability recovery, use the Alaris IV Pump Integration Downtime Recovery Checklist.
If Epic SRO becomes unavailable during the downtime windows, use the Epic Down 2 BCA Web option (for Middle Park and Craig Hospital end-users, use the Epic Downtime 3 BCA Web option).

We appreciate your patience as we conduct these maintenance activities, to keep our incredible people equipped with the latest tools and to ensure you can provide the highest quality, whole person care.

Questions?
If you have any questions regarding this Monthly Maintenance Window, please contact your Clinical Informaticists by facility.

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