Different Geographic locations : No
Regional Facility Pollers : No
We monitor our own network and do not have any customers outside our institution, that we monitor. For our remote sites we monitor each aspect of the connections on both sides. The Circuit's themselves we rely on our carrier; but with our monitoring at both ends, we know when there is a problem and can rule our equipment out pretty quick. We almost have a full redundancy when it comes to the network connections, even our remote sites. Our availability and service up time reporting comes with granularity built in.
As for us an outage is not always an outage. #1 is if our Patient Care is affected (even in the slightest); OR an area that affects users either in excess of 100 users or an excess of 1 hour that prevents business performance (or both).
Anything after than, less than 100, less than 50 or less than 25 is a lower level that we track for our own scope in upgrades or fixes that need to take place. But it is the main group of our level 1 outages that we calculate and graph against our 3 and 4 9's effort and report that to the CIO's office. We also track a main Service and Secondary (or just more granular info) Service that is interrupted. This is Wired Network Services, Wireless Network Services, Internet Access, Mobile Services (Different Carrier's DAS Equipment), Digital Dial tone, Analog Dial tone, and the list goes on. A lot of politics went into our breakdown.. and of course as they always are inhibiting in ways, i added the secondary impacted service, or more details drop down, that includes Different Carriers Circuits (remote sites, and main circuits breakdown sort of), DHCP Services, DNS Services, FW, B2B VPN, User VPN (which one as well), Unintended Power Related Issues, Cisco Device (Module/PS Faulire or Config Issue)... just to name a few.
After than the graphs start flying and our CIO's office gets excited if the numbers are good. I only know this because I created a tracking system and the auto updating graphs that feeds from our SharePoint site.