Monitoring and Alerting Services
Real-time monitoring with proactive alerts.
MediSure remote monitoring and alerting services detect issues early and notify the right team fast, helping you prevent downtime and keep clinical operations steady.
Overview
Healthcare systems can’t wait for problems to show up during peak hours. You need visibility before issues interrupt care and operations. With MediSure, you get early detection, clear alerts, and structured response workflows across critical systems, networks, and applications through remote monitoring and alerting services.
Infrastructure Monitoring Scope & Targets
Comprehensive coverage across your entire technology stack using proven open-source tools. No vendor lock-in, no certification requirements—just reliable monitoring that works.
| Domain | Components | Key Signals | Collector/Tool |
|---|---|---|---|
Servers & VMs | Linux/Windows servers, virtual machines, containers | CPU, RAM, disk I/O, filesystem %, network interfaces, services | node_exporter, Windows exporter, Promtail |
Virtualization | Proxmox VE, KVM/libvirt, VMware (via open collectors) | Host resources, VM performance, storage, cluster health | Proxmox exporter, libvirt exporter, SNMP/telegraf |
Network Infrastructure | Firewalls, routers, switches, WLAN controllers, load balancers | Interface counters, errors/discards, QoS, PoE, STP, BGP/OSPF | LibreNMS, Observium, pmacct/nfdump |
WAN & SD-WAN | WAN links, SD-WAN overlays, VPN tunnels, circuits | Bandwidth utilization, latency, packet loss, tunnel status | LibreNMS SNMP, pmacct NetFlow/sFlow |
Active Directory | Domain controllers, DNS, DHCP, Group Policy | Auth failures, lockouts, elevation events, replication health | Wazuh agent, Winlog events, WMI |
Security & IDS | Network intrusion detection, threat hunting, anomaly detection | IDS alerts, network metadata, suspicious connections, malware | Suricata, Zeek, Security Onion |
Cloud Basics | AWS CloudWatch, Azure Monitor, GCP metrics endpoints | Instance health, service metrics, billing, resource utilization | Prometheus cloud exporters, API collectors |
Reference Architectures (All Open Source)
Proven monitoring architectures using only open-source tools. Scale from lean deployments to enterprise-grade monitoring without vendor dependencies.
Lean
Essential monitoring for small to medium environments
Core Components
- Prometheus + node_exporter
- Grafana dashboards
- Loki/Promtail for logs
- LibreNMS for network
- Uptime Kuma for services
- Oxidized for config backup
- Wazuh (optional security)
Up to 100 nodes, basic alerting, single-site deployment
Single server or small cluster
Balanced
Production-ready monitoring with security and automation
Core Components
- kube-prometheus-stack (K8s)
- Grafana + Alertmanager
- Loki clustered logging
- LibreNMS + pmacct NetFlow
- Security Onion (Suricata + Zeek)
- Oxidized config management
- NetBox IPAM/DCIM
- Wazuh SIEM
100-1000 nodes, multi-site, compliance requirements
Kubernetes cluster with HA components
Enterprise-Open
Highly available, multi-tenant, enterprise-scale monitoring
Core Components
- Prometheus HA + Thanos/VictoriaMetrics
- Grafana multi-tenant + Alertmanager
- Loki clustered with object storage
- LibreNMS + nfdump flow analysis
- Security Onion distributed
- Wazuh clustered SIEM
- NetBox as source-of-truth
- Ansible automation + GitOps
1000+ nodes, global deployment, advanced analytics
Multi-cluster with geographic distribution
Architecture Selection Guide
Start Lean
Begin with essential monitoring and grow as your infrastructure scales
Scale Gradually
Add components as needed without architectural rewrites
Enterprise Ready
Full-featured monitoring for global, mission-critical environments
Monitoring Matrix
Detailed breakdown of metrics, signals, and data points collected across your healthcare IT infrastructure
Servers/VMs
- CPU utilization (per core and aggregate)
- Memory usage (physical, virtual, available)
- Disk I/O (IOPS, latency, queue depth)
- Filesystem usage (% full, inodes)
- Network interface errors and utilization
- Service and process monitoring
- Windows Event IDs (system, application, security)
- Syslog collection and parsing
Firewalls
- High Availability state and failover events
- Session count and connection rate
- CPU and dataplane utilization
- Packet drops and interface errors
- BGP/OSPF neighbor status and route counts
- VPN tunnel status and user connections
- Threat prevention and content update status
- Policy rule hit counts and performance
Switches/WAN
- Interface status (up/down) and link utilization
- Error rates, discards, and CRC errors
- Quality of Service (QoS) queue statistics
- Power over Ethernet (PoE) budget and consumption
- Spanning Tree Protocol (STP) topology changes
- NetFlow/sFlow traffic analysis
- SD-WAN jitter, latency, and packet loss
- VLAN membership and trunk port status
AD/Identity
- Domain Controller health and replication status
- Authentication anomalies and failed logons
- Lateral movement patterns and suspicious activity
- Privileged account usage and risky administrators
- Group policy application and errors
- Certificate Services health and expiration
- LDAP query performance and response times
- Kerberos ticket anomalies and delegation issues
Collection Frequency
- • Critical metrics: 30-60 seconds
- • Standard metrics: 1-5 minutes
- • Capacity metrics: 15 minutes
- • Log collection: Real-time
Data Retention
- • High-resolution: 7 days
- • Standard resolution: 90 days
- • Aggregated data: 13 months
- • Compliance logs: 7 years
Alert Thresholds
- • Dynamic baselines
- • Machine learning anomalies
- • Static thresholds
- • Composite conditions
Data Quality Assurance
Our monitoring platform ensures data accuracy and reliability through multiple validation layers, redundant collection methods, and automated quality checks.
Telemetry, Retention & Privacy
Supporting HIPAA Compliance data collection, storage, and access controls designed specifically for healthcare environments
Metrics
Performance counters, resource utilization, and health indicators
Logs
System events, application logs, and security audit trails
Traces
Application performance traces and distributed transaction data
NetFlow/PCAP
Network traffic metadata and selective packet capture
Privacy & Security Controls
PHI-Aware Redaction
Automatic detection and redaction of Protected Health Information in logs and traces
Pattern matching, ML-based detection, configurable redaction rules
Encryption in Transit
All telemetry data encrypted during transmission using TLS 1.3
Certificate-based authentication, perfect forward secrecy
Encryption at Rest
Data encrypted in storage using AES-256 with customer-managed keys
Azure Key Vault, AWS KMS, or on-premises HSM integration
Access Control
Role-based access control with multi-factor authentication
RBAC policies, MFA enforcement, audit logging of all access
Data Residency & Sovereignty
Your monitoring data stays within your specified geographic boundaries, ensuring compliance with local data protection regulations and organizational policies.
Alerting Policy & Escalation (Alertmanager)
Intelligent alerting with priority-based escalation using Alertmanager. Label-based routing ensures the right people are notified at the right time.
P1 - Critical
Examples
- • Domain Controller offline >3 minutes
- • Kubernetes API server not ready >2 minutes
- • Core network uplink down
- • Firewall cluster failover event
- • Application 5xx errors >5% for 5 minutes
P2 - High
Examples
- • CPU utilization >90% for 15 minutes
- • Disk space >85% on critical volumes
- • BGP neighbor flapping ≥3 times in 10 minutes
- • Packet loss >2% for 10 minutes
- • Memory utilization >95% sustained
P3 - Medium
Examples
- • Non-critical service degradation
- • Backup job failures
- • Certificate expiration warnings (30 days)
- • Performance threshold breaches
- • Capacity planning alerts
P4 - Low
Examples
- • Informational events
- • Maintenance notifications
- • Trend analysis alerts
- • Compliance reporting
- • Scheduled task completions
Alert Processing & Escalation Flow
Alert Generation
Prometheus/LibreNMS detects threshold breach or anomaly
Alertmanager Routing
Alertmanager processes rules and routes to appropriate channels
NOC Notification
24/7 NOC team receives alert via SMS, email, and Grafana dashboard
Initial Triage
NOC engineer acknowledges and performs initial assessment
Runbook Execution
Automated or manual execution of predefined response procedures
Escalation Decision
Escalate to specialist teams if runbook doesn't resolve issue
Alertmanager Routing Configuration
NOC On-Call
severity=critical|warning, team=infrastructureSecOps Team
alertname=SecurityEvent, source=suricata|zeek|wazuhApplication Owners
service=app-*, severity=warning|criticalInfrastructure Team
job=node-exporter, alertname=DiskSpace|MemoryHighAdvanced Alertmanager Features
Runbook Library
Comprehensive incident response procedures with step-by-step guidance for consistent and effective resolution
Firewall HA Failover
Network Security
Preconditions
- Primary firewall becomes unresponsive
- HA heartbeat failure detected
- Automatic failover to secondary unit
Response Steps
- 1Verify secondary firewall is active and passing traffic
- 2Check interface status and routing table
- 3Validate VPN tunnels and security policies
- 4Monitor traffic flow and connection counts
- ... and 2 more steps
Active Directory DC Restore
Identity & Directory
Preconditions
- Domain Controller offline or corrupted
- Authentication services impacted
- SYSVOL or NTDS database issues
Response Steps
- 1Assess scope of DC failure and impact
- 2Verify other DCs are healthy and replicating
- 3Boot failed DC into Directory Services Restore Mode
- 4Restore NTDS database from backup
- ... and 3 more steps
Switch Uplink CRC Storm Triage
Network Infrastructure
Preconditions
- High CRC error rates on uplink interfaces
- Network performance degradation
- Possible cable or transceiver issues
Response Steps
- 1Identify affected interfaces and error patterns
- 2Check physical cable connections and transceivers
- 3Review interface statistics and error counters
- 4Test with known good cables and optics
- ... and 3 more steps
Ransomware Containment (NDR+SIEM)
Security Incident
Preconditions
- NDR system detects lateral movement
- SIEM correlates multiple security events
- Potential ransomware indicators identified
Response Steps
- 1Immediately isolate affected systems from network
- 2Preserve forensic evidence and memory dumps
- 3Identify patient zero and attack timeline
- 4Block malicious IPs and domains at firewall
- ... and 4 more steps
Runbook Management Features
Version Control
All runbooks stored in Git with change tracking and approval workflows
Automation Integration
Runbooks can trigger automated scripts and orchestration workflows
Real-time Updates
Runbooks updated based on incident outcomes and lessons learned
Role-based Access
Different runbook access levels based on team roles and expertise
Continuous Improvement Process
Our runbooks evolve based on real-world incident outcomes, new threat patterns, and technology changes. Every incident provides learning opportunities to enhance our response procedures.
Dashboards by Persona
Role-specific dashboards providing the right information at the right level of detail for each team member
Executive
C-Level, IT Directors
Key Widgets
- Overall system uptime percentage
- SLA compliance metrics
- Mean Time to Resolution (MTTR) trends
- Incidents by severity and business impact
- Cost optimization opportunities
- Compliance status dashboard
Special Features
NOC
Network Operations Center
Key Widgets
- Real-time event feed and alerts
- Network topology with status overlay
- Top talkers and bandwidth utilization
- Infrastructure saturation metrics
- Active incident queue and assignments
- System health heat maps
Special Features
SecOps
Security Operations Team
Key Widgets
- Darktrace security incidents
- Active Directory risky users
- Failed authentication attempts
- Network anomaly detection
- Threat intelligence feeds
- Security compliance status
Special Features
App/SRE
Application & Site Reliability
Key Widgets
- Service Level Objectives (SLOs)
- Golden signals (latency, errors, saturation)
- Error budget consumption
- Application performance metrics
- Deployment success rates
- Capacity planning forecasts
Special Features
Dashboard Features
Customizable Layouts
Drag-and-drop dashboard builder with personalized widget arrangements
Real-time Updates
Live data streaming with configurable refresh intervals
Mobile Responsive
Optimized viewing experience across desktop, tablet, and mobile devices
Export & Sharing
PDF reports, scheduled emails, and dashboard sharing capabilities
Dark/Light Themes
Multiple theme options for different viewing preferences and environments
Role-based Access
Granular permissions controlling dashboard and data visibility
Interactive Dashboard Experience
Experience our monitoring dashboards with live demos tailored to your role and responsibilities. See how real-time data visualization can transform your operational awareness.
Config & Change Management
Controlled, auditable configuration management with automated workflows and compliance controls
Firewalls
Palo Alto Panorama
Management Processes
- Centralized policy management via Panorama
- No direct firewall edits - all changes through templates
- Staged commits with validation and rollback
- Role-based access control (RBAC) for administrators
- Scheduled maintenance windows for policy deployment
Key Features
Switches
Cisco DNA/Aruba Central
Management Processes
- Template-driven switch configurations
- Standardized VLAN and QoS policies
- Zero-touch provisioning for new devices
- Automated compliance checking
- Centralized firmware management
Key Features
Change Management Workflow
Change Request
Submit change request through ITSM system with business justification
Impact Assessment
Automated analysis of change impact and dependency mapping
Approval Workflow
Multi-level approval based on change risk and business impact
Testing & Validation
Pre-deployment testing in staging environment
Scheduled Deployment
Automated deployment during approved maintenance windows
Verification & Rollback
Post-deployment validation with automatic rollback if issues detected
Compliance & Governance Controls
Change Documentation
Complete audit trail of all configuration changes with timestamps and approvers
Segregation of Duties
Separation between change requesters, approvers, and implementers
Emergency Procedures
Expedited change process for critical security or operational issues
Configuration Baselines
Approved configuration standards and deviation monitoring
Infrastructure as Code Benefits
Modern infrastructure management using GitOps principles ensures consistency, repeatability, and compliance across all environments.
Compliance & Evidence
Comprehensive compliance controls and audit-ready documentation for healthcare regulatory requirements
Audit Packages
SLI/SLO Reports
Service Level Indicator and Objective compliance reporting
Monthly- Monthly uptime and availability reports
- Response time and resolution metrics
- SLA compliance percentage calculations
- Trend analysis and performance improvements
Change Management Logs
Complete audit trail of all infrastructure and configuration changes
Real-time- Change request documentation and approvals
- Implementation timestamps and personnel
- Pre and post-change validation results
- Rollback procedures and emergency changes
Access Review Reports
Quarterly access reviews and privilege management documentation
Quarterly- User access matrices and role assignments
- Privileged account usage and monitoring
- Access certification and recertification
- Terminated user access removal verification
Security Incident Reports
Comprehensive security incident documentation and response
As Needed- Incident detection and classification
- Response timeline and actions taken
- Root cause analysis and lessons learned
- Remediation steps and preventive measures
Business Associate Agreements
Supporting HIPAA Compliance agreements with all monitoring and security vendors
- Datadog - Infrastructure and application monitoring
- SolarWinds - Network performance monitoring
- Microsoft - Sentinel SIEM and Defender for Identity
- Darktrace - Network detection and response
- Palo Alto Networks - Firewall management platform
Standard Operating Procedures
Documented procedures for all monitoring and incident response activities
- Incident response and escalation procedures
- Change management and approval workflows
- Access provisioning and deprovisioning
- Data backup and recovery procedures
- Security monitoring and threat response
Compliance Assurance
Our monitoring platform is designed from the ground up to meet healthcare compliance requirements. We provide audit-ready documentation and evidence packages to support your regulatory obligations.
Healthcare IT Monitoring Performance Metrics & ROI
Proven results from our 24/7 healthcare infrastructure monitoring services. Measurable improvements in system uptime, incident response times, and operational efficiency for hospitals and medical practices.
Healthcare System Uptime
Supporting HIPAA Compliance infrastructure monitoring ensures critical EHR systems, patient databases, and medical devices maintain maximum availability
Critical Alert Response Time
Rapid response to Priority 1 incidents affecting patient care systems, EHR downtime, and clinical workflow disruptions
Healthcare IT Issue Resolution
Mean time to restore critical healthcare infrastructure including servers, networks, firewalls, and medical device connectivity
Healthcare SLA Compliance
Service Level Agreement adherence for hospital IT infrastructure, clinic networks, and medical practice technology systems
IT Change Management Success
Successful implementation rate for healthcare IT changes including EHR updates, security patches, and infrastructure upgrades
Automated Healthcare IT Remediation
Healthcare infrastructure incidents resolved automatically through intelligent monitoring and self-healing systems
Healthcare IT Monitoring KPI Definitions
MTTA (Mean Time to Acknowledge)
Average response time from healthcare IT alert generation to NOC engineer acknowledgment and initial triage for hospital systems
MTTR (Mean Time to Resolution)
Average time from healthcare incident detection to full service restoration and validation for EHR systems and medical devices
Healthcare SLA Compliance
Percentage of healthcare IT incidents resolved within contracted service level timeframes for hospitals and medical practices
Healthcare IT Change Success Rate
Percentage of planned healthcare technology changes completed successfully without rollback or patient care disruption
Healthcare Auto-Remediation Rate
Percentage of healthcare IT alerts resolved through automated runbooks and self-healing systems without manual intervention
Critical Healthcare System Availability
Uptime percentage for systems classified as business-critical or patient-safety related including EHR, PACS, and medical devices
Healthcare IT Monitoring Performance Guarantee
We guarantee our healthcare IT monitoring services with contractual SLAs and performance commitments. If we don't meet our committed response times for your hospital or medical practice, you receive service credits and remediation plans.
Who We Support
MediSure Solution offers specialized healthcare IT services and support for a variety of industries, ensuring each sector’s unique needs are met with secure, efficient, and compliant technology. Here’s how we help:
Hospitals
Secure IT systems ensuring uptime, data safety, and smooth healthcare operations.
Medical Centers
Modernizing IT systems for flexibility and reliability in patient care.
Medical Laboratories
Faster, more reliable results with IT systems ensuring accuracy and compliance.
Pharmaceutical and Biotech Companies
Intelligent IT systems for secure data, compliance, and global collaboration.
Healthcare Product Companies
Enhancing security, improving workflows, and ensuring smooth operations.
Healthcare Startups
Empowering startups with secure, efficient IT infrastructure.
Pharmacy Chains & Specialty Pharmacies
Managing and securing critical IT systems for enhanced performance.
Orthopedic Centers
Optimizing IT systems to improve patient care and reliability.
Digital Health & Wearable-Tech Startups
Providing secure IT systems that drive innovation and support scalable growth.
Frequently Asked
Questions
Get answers to common questions about our 24/7 healthcare IT support services, staffing, processes, and service capabilities.
You can use either approach. MediSure helps you pick the monitoring model that fits your infrastructure and operational needs.
It depends on how many systems you want monitored and how alerts should route. MediSure usually starts with critical systems first, then expands coverage over time.
That depends on the deployment model you choose. MediSure aligns data handling with practices designed for supporting HIPAA compliance.
Yes. When required for healthcare environments, MediSure can provide a Business Associate Agreement to support compliance expectations.
We use fallback steps and escalation paths so critical issues don’t get missed. If an event needs urgent action, response can be routed through incident response.
We tune thresholds, group related alerts, and prioritize by impact so teams don’t get flooded. If alert noise is tied to infrastructure issues, network & infrastructure management can help reduce repeat triggers.
Ready to Get Started?
Contact our team to learn how our Monitoring and Alerting Services can support your needs and improve your efficiency.
Call us now: +1 (951) 622-8126