EHR Server Support

CernerSupport Services

Optimize your Cerner system with expert support.

Cerner environments run nonstop, so support has to stay steady. MediSure delivers cerner support services that help your teams keep clinical workflows stable, secure, and responsive. You get structured triage, clear ownership, and dependable coverage for day-to-day operations and urgent incidents.

Overview

MediSure Solution provides Cerner support services that keep Cerner workflows reliable across clinical and operational teams. We support stability, access, monitoring, change control, and clear escalation paths so issues don’t drag on. This approach supports consistent performance while keeping documentation and compliance expectations aligned.

What We Support

Comprehensive support across all critical Cerner components and workflows

Clinical Workflows

Charting, orders & results, documentation, messaging

  • Order entry and routing optimization
  • Clinical documentation templates
  • Results delivery and acknowledgment
  • Provider-to-provider messaging

Ancillary Systems

Lab/radiology device feeds, ADT, charge capture touchpoints

  • Laboratory information system interfaces
  • Radiology PACS integration
  • Admission/discharge/transfer workflows
  • Revenue cycle touchpoint monitoring

Access & Identity

SSO/IdP alignment, AD policies (through open agents/logs)

  • Single sign-on configuration
  • Identity provider integration
  • Active Directory policy management
  • Access control and audit logging

Environment Health

App/DB endpoints, interface engines, queues

  • Application server monitoring
  • Database performance optimization
  • Interface engine health checks
  • Message queue management

Interoperability

HL7 v2, FHIR, flat-file/API exchanges (where available)

  • HL7 v2 message processing
  • FHIR endpoint management
  • API integration support
  • Data exchange validation

Cerner EHR Support Coverage

Our Cerner EHR support services focus on what staff use every day, not just what shows up in a dashboard. We support clinical teams, operations teams, and IT teams with fixes that hold up under real usage.

User access and role-related issues

Performance slowdowns that affect charting and order workflows

Printing, device paths, and workstation dependencies

Downtime workflow support and recovery validation

Vendor coordination when platform-side issues appear

Multi-location consistency for configurations and support response

Cerner EHR Support Coverage

Our Services

Comprehensive Cerner support using open-source tools and standard methodologies

Application Support (L1–L3)

  • Triage user issues and incident response
  • Template and knowledge management updates
  • Post-mortem analysis and documentation
  • Trend analysis and proactive monitoring

Interface Care & Interop

  • HL7 v2 messaging maps and validation
  • FHIR endpoints where available
  • Message validation and replay policies
  • Interface engine optimization

Release & Change Assistance

  • Non-production validation testing
  • Cutover plans and execution support
  • Backout steps and rollback procedures
  • Change calendar coordination

Data Quality & Reconciliation

  • Field mapping checks and validation
  • Code set alignment for orders and results
  • Error queue monitoring and resolution
  • Data integrity verification

Observability & Evidence

  • Metrics collection with Prometheus
  • Dashboard visualization with Grafana
  • Log aggregation using Loki/OpenSearch
  • SIEM/EDR monitoring with Wazuh

Open-Source Tooling

We use proven open-source tools that require no vendor certifications or special clearances

Ticketing/SLAs
Zammad/GLPI/osTicket
CMDB
NetBox
Network/SNMP
LibreNMS/pmacct/nfdump
Metrics
Prometheus
Dashboards
Grafana
Logs
Loki/OpenSearch

SLA Snapshot

Response times and resolution targets aligned to clinical impact

PriorityExampleMTTAMTTRUpdatesEvidence
P1
P1
Orders not posting≤15m≤60m15–30mGrafana/Loki + Ticket
P2
P2
Intermittent results≤30m≤4h30–60mDashboards + Ticket
P3
P3
Single user/template≤4h≤1–2dDailyTicket
P4
P4
Request/housekeeping≤1d≤3–5dAs neededTicket

SLA Definitions

MTTA:Mean Time to Acknowledge (first response)
MTTR:Mean Time to Resolution (issue closed)

Trusted Performance Across Healthcare

We keep your systems steady across teams and locations, so care workflows stay on track when it matters most.

24/7/365
Monitoring & Support
99.9%
System Uptime
1 min
Avg Response Time
HIPAA
Compliant Infrastructure

Monitoring Matrix

Comprehensive monitoring across all Cerner system components using open-source tools

Interfaces (HL7 v2)

MetricThresholdMonitoring Tool
ACK/NAK rates>95% ACK ratePrometheus + Grafana
Queue depth<100 messagesCustom exporter
Retry counts<3 retries/messageLog aggregation
Message age<5 minutesTimestamp analysis

Open-Source Monitoring Stack

Prometheus + Grafana
Metrics collection and visualization
Loki/OpenSearch
Log aggregation and analysis
Wazuh
Security monitoring and SIEM

Interfaces and Data Flow Support

When interfaces break, teams feel it as missing results, delayed messages, or data that does not match expectations. Our Cerner IT support approach includes structured interface triage so the right owner gets the right evidence fast. This keeps troubleshooting focused and reduces repeat incidents.

Messages Fail or Queue Grows

Message Delivery

  • Interface health
  • Error patterns
  • Routing configuration

Results Do Not Appear

Result Processing

  • Mapping behavior
  • Acknowledgements
  • Timing validation

Data Mismatch Across Systems

Data Integrity

  • Field mapping
  • Source values
  • Transform rules

Intermittent Drops

Connection Stability

  • Network paths
  • Firewall rules
  • Service restarts

Runbook Library

Standardized procedures for common Cerner issues with step-by-step resolution guidance

Order Feed Backlog (P1)

P1

Critical procedure for resolving order processing delays

Result Routing Delay (P2)

P2

Procedure for addressing delayed lab/radiology results

Auth/SSO Issues (P1)

P1

Critical authentication and single sign-on troubleshooting

Template Fix (P3/P4)

P3

Standard procedure for Cerner template updates

Runbook Management

All runbooks are maintained in version control with regular updates based on incident learnings and system changes

Version Controlled
Regularly Updated
Team Validated

Change Management

Structured approach to Cerner system changes with clinical freeze windows and validation procedures

Standard

Pre-approved, low-risk changes with documented procedures

Approval:Automated approval
Timeline:Same day

Examples:

  • Template updates
  • User account changes
  • Routine maintenance

Normal

Planned changes requiring CAB review and approval

Approval:Change Advisory Board
Timeline:3-5 business days

Examples:

  • Interface modifications
  • System updates
  • Configuration changes

Emergency

Urgent changes to restore service or address security issues

Approval:Emergency CAB
Timeline:Immediate

Examples:

  • Security patches
  • Service restoration
  • Critical fixes

Change Process Flow

Planning

Change request submission with impact assessment

Approval

CAB review and authorization based on change type

Testing

Pre-production validation and backout plan verification

Implementation

Scheduled deployment with monitoring and validation

Review

Post-implementation review within 48 hours

Clinical Freeze Windows

Changes are restricted during critical clinical periods to ensure patient care continuity

Peak clinical hours (7 AM - 7 PM)
Emergency department shift changes
Month-end financial close periods
Regulatory audit periods

Reporting & Improvement

Comprehensive reporting framework with continuous improvement focus for Cerner environments

Weekly

Operations Snapshot

Audience:Technical Teams
  • Incidents by severity and root cause
  • Queue performance and backlogs
  • Top recurring issues and trends
  • SLA performance metrics
Monthly/QBR

Executive Summary

Audience:Leadership & Stakeholders
  • SLA attainment and trend analysis
  • CAPA (Corrective Action) burndown
  • System reliability improvements
  • Strategic roadmap updates
Real-time

Executive Dashboard

Audience:C-Suite & Operations
  • Current system availability status
  • Active P1/P2 incidents
  • MTTR performance indicators
  • At-risk service alerts

Key Performance Indicators

Availability

System UptimeTarget: 99.9%
99.95%
Interface AvailabilityTarget: 99.5%
99.8%
Authentication SuccessTarget: 99.9%
99.97%

Performance

Mean Time to AcknowledgeTarget: <15m
12m
Mean Time to ResolutionTarget: <60m
45m
First Contact ResolutionTarget: >80%
85%

Quality

Change Success RateTarget: >95%
97%
Incident Reopen RateTarget: <5%
3%
Customer SatisfactionTarget: >4.5/5
4.7/5

Continuous Improvement Process

Regular analysis of trends and patterns drives proactive improvements to Cerner system reliability

Identify Patterns
Develop Solutions
Implement Changes
Measure Results

Security & Compliance

Comprehensive security measures and compliance frameworks protecting Cerner environments and patient data

HIPAA-Aware Logging

Automated redaction of PHI/PII in logs and monitoring data

  • Real-time PHI detection and masking
  • Audit trail preservation without sensitive data
  • Configurable redaction policies
  • Compliance validation reporting

Encryption Standards

End-to-end encryption for data in transit and at rest

  • TLS 1.3 for all network communications
  • AES-256 encryption for stored data
  • Key rotation and management
  • Certificate lifecycle management

Access Controls

Role-based access with multi-factor authentication

  • RBAC with principle of least privilege
  • Multi-factor authentication required
  • Regular access reviews and audits
  • Session management and timeout controls

Evidence Retention

Long-term storage of compliance and audit evidence

  • Minimum 12-month retention policy
  • Immutable audit logs
  • Searchable evidence repository
  • Automated compliance reporting

24/7 Security Monitoring

Continuous monitoring and threat detection using open-source SIEM and security tools

Threat Detection
Incident Response
Vulnerability Management
Forensic Analysis

Data Protection & Privacy

All patient health information (PHI) and personally identifiable information (PII) is automatically detected and redacted from logs, monitoring data, and support communications. Our systems maintain full audit trails while ensuring compliance with HIPAA privacy requirements and state data protection laws.

Frequently Asked
Questions

Get answers to common questions about our 24/7 healthcare IT support services, staffing, processes, and service capabilities.

Yes. Cerner support is often tied to nonstop operations, so we align coverage to urgent needs through 24x7 managed IT services.

We use structured triage, clear ownership, and escalation rules. When you want stricter routing and accountability, ticket escalation services support that process.

Yes. Remote access problems often involve VPN policy, firewall rules, or routing paths. We align fixes with secure access expectations through services like network management.

Yes. These issues often involve device paths, permissions, and connectivity. We troubleshoot the dependency chain and confirm output works where staff actually use it.

We use documented change steps, validation checks, and post-change monitoring. If you want formal targets and reporting around service levels, SLA management supports that structure.

Yes. We keep ownership of coordination, track timelines, and document outcomes so tickets do not stall.

Ready to Get Started?

Contact our team to learn how our Cerner Support Services can support your needs and improve your efficiency.

Call us now: +1 (951) 622-8126