"Kaiser has expanded its user base very quickly over the last year, and as such, Citrix is working with them, as well as other IT vendors, to make sure that their IT infrastructure is 100% ready for that expansion," he said. "Kaiser's IT infrastructure is robust with many applications, server farms and data centers running 24/7. As it is complex, we are confident in working with them to address any pain points so that their needs are being met and that they can consistently meet their customer and business demands."

The problems detailed in the Kaiser report include:

- On March 26, for 3 hours and 51 minutes, users in multiple locations were "intermittently unable to access [HealthConnect] -- receiving Citrix error message and therefore unable to access any patient info or update patient info in a timely manner," said the report.

On April 10, for 1 hour and 23 minutes, users in the Baldwin Park Medical Office were unable to place new orders for in-patients. "Drug Database information is not populating for pharmacist and technicians," the report said. "New orders will have to be manually done. In the manual process, the nurses cannot see patient updates for new orders for new medications or changes in meds, such as stopping orders. The manual process will create significant delays in patient care."

- On May 10, a power outage that lasted for 37 hours and 9 minutes affected multiple facilities. "Pharmacists must handle medication orders on these patients manually because one cannot enter medication orders into the system on patients that have not been admitted," the report said. "Also, if a patient were transferred during this time, they would need to track their location manually. In addition, the [users] are reporting that multiple patients are showing in the wrong beds. Patient Care Impact: The [users] reported that the potential for patients to not get the treatments they need and the possibility of patients receiving the incorrect medications."