Issue: Beckley's VAMC's travel clerk cannot locate six completed employee travel packets. Each individual packet contains a completed SF 182 as well as either Attachment A or C to the SF 182, the employees travel itinerary and a completed employee expense…

Outcome: The employee responsible has received training. Additionally, this incident has certainly heightened her awareness of how easy it is to accidentally shred documents that do not require shredding. Some of the routine office procedures have also been changed, in that…

Issue: Patient A received Patient B's medication. Both patients have the same last name. Their medications were not the same, however both were controlled substances. Update: 01/03/11:As soon as Patient A was able to do so, he called into Pharmacy and…

Outcome: Notification letter was sent.

Issue: Patient A received a Medline Industries medical supply intended for Patient B. Patient Bs name and type of medical supply was compromised. Patient A reported the incident to the medical center and a replacement has been requested for Patient B.…

Outcome: The packing error has been reported to Medline for investigation and corrective action.

Issue: Veteran complained that his girlfriend a VA employee inappropriately accessed his medical record. Ran a sensitive record report and confirmed she did access the record. Need to meet with her supervisor to investigate whether or not it was accessed as…

Outcome: Employee received reprimandEmployee required to retake privacy training.

Issue: An Arecibo CBOC Dietitian reported to VA Police that he was a victim of a burglary at his home during the early morning hours. His vehicle was stolen which contained a clipboard with notes from approximately 10 patients. Update: 01/10/11:Ten…

Outcome: The binder was recovered from the stolen car within 2 days and no PHI was lost. All documents from 5 patients were recovered. No credit monitoring notification letters should be sent to Veterans.…

Issue: A Veteran called to complain that his Medline medical supply package was delivered with the internal prescription label on the outside of the package so USPS could see the name of the medical supply and directions for use. Great Lakes…

Outcome: The error has been reported to Medline for investigation and corrective action.

Issue: VA employee reported that she suspected a co-worker had accessed her record to retrieve her date of birth. Privacy Officer ran a Record Audit report and it confirmed that the suspected co-worker had accessed the employee's record. Update: 01/04/11:Employee will…

Outcome: After investigation the individual is found in violation, further investigation determined that another individual accessed the employee's record with no legitimate need to know. Administrative action is pending regarding these individuals with supervisor and Human Resources. Credit Monitoring letter approved,…

Issue: Patient A received prescription for Patient B. Patient B notified the LVAMC and sent back the prescription VIA UPS. LVAMC is received the package and destroyed the meds. Update: 01/04/11:Patient will receive a letter of notification.…

Outcome: Notification Letter sent to Veteran on 1/6/2011

Issue: Patient went to see a Dermatologist and stated there was absolutely no privacy or confidentiality during the entire visit, particularly pertaining to the examination and information exchange. Update: 01/04/11:No data breach occurred.01/10/11:Upon further investigation, this was a privacy breach. The…

Outcome: Corrective action taken, retraining.

Issue: Dr. provided Veteran A with consult note for Veteran B. Veteran B's wife telephoned clinic to inform of error. Veteran B's wife concerned if their PHI/PII was given to Veteran A, it was not given to Veteran A. Doctor acknowleged…

Outcome: Education will be proviided to staff. Credit monitoring letter has been mailed to Veteran.…