Chillicothe VA Medical Center

Issue: Pharmacy mailed Veteran A's medications to Veteran B with the same last name. When the error was discovered, the Pharmacy called Veteran B and asked that the medication be disposed of.

Outcome: 03/20/14: The Incident Resolution Team has determined that Veteran B will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: VA Pharmacy employee called PO to report that he accidentally mailed a veteran's insulin to another veteran with the same first and last name (middle initial was different). Error was discovered immediately and veteran who received medication in error was…

Outcome: 03/19/14: The Incident Resolution Team has determined that Veteran B will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: Veteran A called the Pharmacy and stated that his medication was sent via UPS to an address where he did not reside.

Outcome: 02/28/14: The Incident Resolution Team has determined that Veteran A will be sent a notification letter, as his name, address, and medication information were disclosed.…

Issue: A Veteran was provided wrong appointment letters.

Outcome: 02/27/14: The Incident Resolution Team has determined that Veteran A will be sent a letter offering credit protection services.…

Issue: Pharmacy mailed medications to a Veteran. Included in this mailing was the medication of another Veteran. Along with the medication, this mailing included the other Veteran's PHI.…

Outcome: 02/13/14: According to the Privacy Officer, One Veteran's name, full SSN and medications were disclosed. Based on the VA Data Breach Criteria, this Veteran will be sent a letter offering credit protection services.…

Issue: A NC Consolidated Patient Account Center (CPAC) clerk mailed documents to Veteran A. One form (authorizaion form VA 10-5345) belonged to Veteran B and contained his name and address. The form was returend to NCCPAC clerk who notified the Privacy…

Outcome: 01/31/14: Veteran B will be sent a notification letter..…

Issue: A Release of Information clerk prepared and mailed a CD to Veteran A, containing a copy of his medical records. There was one document on the CD that belonged to Veteran B. The document was a FAX cover sheet that…

Outcome: 01/17/14: Veteran B will be sent a letter offering credit protection services.…

Issue: The Canteen Manager found an Omnicell audit that an unknown employee left in the Retail Store. The audit contained the full names of 10 Veterans, all of whom were prescribed the same medication. The Canteen Manager locked the report in…

Outcome: 11/13/13: The 10 Veterans will receive a HIPAA letter of notification.…

Issue: Prosthetics Dept. mailed a TENS Unit to a CBOC and included a copy of the patient's consultation in the package. The CBOC clerk handed the package to the veteran. The veteran brought the package to the VA and the staff…

Outcome: 10/30/13: Due to full SSN and medical information being disclosed, Veteran B will be sent a letter offering credit protection services.…

Issue: A Veteran called the hospital and said that he received a paper containing another patient's name. He received the paper either at the main hospital or at a CBOC. Veteran said that he would not mail the paper back to…

Outcome: 11/05/13: The Patient called the Privacy Officer and informed her of name of the Veteran and the PHI which was included in the mailing. The paper included the Veterans full name, full SSN and medications list. A letter offering credit…