24x7 Clinical Deployment Monitoring
Around-the-clock human and machine surveillance of your clinical deployment (application health, integration heartbeats, and infrastructure) paired with regulator-aware incident response runbooks.
Overview
Clinical deployments fail at 3 AM, on holidays, during shift changes, never in business hours. Our NOC runs three follow-the-sun shifts staffed by engineers who have read your DHF, know your reportable thresholds, and have a runbook for every alarm.
We don't just notice the outage: we own it through resolution, preserve the evidence, and produce the documentation that downstream quality and regulatory teams need.
What We Monitor
Application
Uptime, latency, error rates, queue depth, background job health, user session anomalies.
Integrations
HL7 v2 / FHIR feeds, DICOM routing, EHR connections, lab interfaces, payer transactions.
Infrastructure
Compute saturation, storage I/O, network reachability, TLS/cert expiry, cloud spend anomalies.
Clinical KPIs
Workflow-specific metrics: time-to-result, study throughput, alert fatigue, prediction drift.
Security posture
Authentication failures, privilege escalations, anomalous PHI access patterns, IDS alerts.
Regulatory triggers
Conditions that may meet MDR / vigilance reporting thresholds are flagged for QA review within SLA.
Incident Response Process
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1
Detect
Alert from synthetic checks, log anomaly model, or threshold breach. P1/P2/P3 auto-classified.
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2
Triage
NOC engineer acknowledges (P1: 15 min, P2: 1 hr), opens an incident record, executes the relevant runbook.
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3
Escalate
If runbook does not resolve, T2 specialist engages. Customer comms cadence per contract.
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4
Resolve & preserve evidence
Fix applied, logs/snapshots preserved with hash signatures for Part 11 audit trails.
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5
Post-incident review
Blameless PIR within 5 business days. CAPA opened where appropriate. Runbook updated.
Frequently Asked Questions
What does the monitoring cover?
Application uptime, latency, error rates, integration health (HL7, FHIR, DICOM), infrastructure (compute, storage, network), security posture, and clinical workflow KPIs defined per customer.
How fast is your incident response?
P1: 15-minute acknowledgement, 1-hour engineer engagement. P2: 1-hour acknowledgement, 4-hour engagement. P3/P4 per contract.
Do you provide regulator-ready reports?
Yes. Every P1/P2 incident produces a Part 11-compliant record with timestamps, e-signatures, and remediation actions, ready for MDR or vigilance filing if the event is reportable.
What tooling do you use?
We are tool-agnostic. Common stacks: Datadog or New Relic for APM, Grafana + Prometheus for infra, PagerDuty or Opsgenie for paging, ServiceNow or Jira Service Management for incident records. We bring our runbooks; we use yours where you have them.
Can you cover air-gapped on-prem deployments?
Yes, with an agreed escalation channel (VPN, jump host, or customer-provided portal) and on-prem agents. Common in hospital deployments behind strict network controls.
Hand off the pager.
Tell us your deployment footprint and SLA targets. We'll come back with a coverage proposal and onboarding plan within a week.
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