Captain James A. Lovell Federal Health Care Center

Issue: A VA provider handed the daily appointment list of all patients for that day, which included his, to one of her patients upon leaving his appointment. The appointment list included 7 more patients. The information of each patient included full…

Outcome: 06/24/15: The Incident Resolution Service Team has determined that 7 Veterans will be sent letters offering credit protection services.…

Issue: The disposition note written for active duty Patient A contained the personal information of active duty Patient B. The information contained Patient B's full name and full Social Security Number. Patient A turned the document into the Navy Liaison who…

Outcome: 06/09/15: The Incident Resolution Service Team has determined that Patient B will be sent a letter offering credit protection services due to full SSN being disclosed.…

Issue: Patient A was handed bag of Patient B's medication at main Outpatient Pharmacy. Patient A left the premises with the medication and returned the medication the next day to the Emergency Department.

Outcome: 05/12/15: The Incident Resolution Service Team has determined that Patient B will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: Patient A was handed bag of Patient Bs medication at main Outpatient Pharmacy. Patient A left the premises with the medication and returned medications the next day.

Outcome: 04/24/15: The Incident Resolution Service Team has determined that Patient B will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: A local reporter stated in phone conversation to Public Affairs Officer (PAO) that he had an unredacted Office of Public and Intergovernmental Affairs (OPIA) fact-finding report and unredacted Emergency Medical Services (EMS) report. The Federal Health Care Center (FHCC) does…

Outcome: 04/20/15: The editor acknowledged they are in possession of the documents. A copy of a redacted fact-finding report was sent to the reporter in response to a Freedom of Information Act request but it is unknown how the media obtained…

Issue: A controlled substance was lost in a Consolidated Mail Outpatient Pharmacy (CMOP) mismailing. A new temporary address was entered into VistA on that date by Pharmacy personnel; however, per the patient, it was the incorrect address. Pharmacy Management was notified…

Outcome: 04/06/15: The Incident Resolution Service Team has determined that the patient will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: Employee A sent an email of a Veteran who is also a VA employee to the Veteran/VA employee's supervisor with his last 4 digits of the SSN and the protected health information (PHI) of triage results.

Outcome: 03/12/15: PO update -- the employee sent email to Veteran/employee's supervisor to tell her about her conduct while in ER. The Veteran/employee was on duty that night when went to ED. However, none of the PHI should have been in…

Issue: Veteran A received medical record documents of Veteran B.

Outcome: 11/18/14: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: The record of an active duty member was mismailed to an incorrect address.

Outcome: 11/17/14: The Incident Resolution Service Team has determined that Veteran A will be sent a letter offering credit protection services.…

Issue: Veteran A was given paperwork with PII belonging to Veteran B, including diagnosis.

Outcome: 09/10/14: The Incident Resolution Service Team has determined that Veteran B will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…