KAISER FOUNDATION HOSPITAL - SACRAMENTO

Issue: Based on staff interview and document review the hospital failed to prevent an unauthorized disclosure (Breach) of patient medical information (PHI) for 31 of 31 sampled residents (Patients 1-31).Findings:1. On 11/12/14 the hospital reported to the Department that on 9/22/14…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on staff interview and document review the facility failed to prevent an unauthorized disclosure of PHI for 2 of 2 patients reviewed (1, 2).Findings:1. On 7/10/14 the facility reported a breach of PHI for Patient 1 and Patient 2.…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on document review and staff interview the facility failed to prevent unauthorized disclosure of patients health information (PHI) for 6 of 6 patients (1-6). Findings:1. On 6/11/13 the facility reported that on 6/6/13 Patient 1's (MRN: XXXXXXX) discharge instructions…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on observation, interviews and document and Policy & Procedure review, the facility failed to prevent unauthorized access to Patient B & C's Protected Health Information (PHI) when it was given to Patient A upon discharge from the facility. This…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Data not available.

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Facility determined the Breach of PHI was reportable on 2/13/10.Facility reported the Breach of PHI to the Department on 3/3/10.Facility notified Patient 1 of the Breach of PHI on 3/2/10.Based on staff interview and facility document reviews, the facility failed…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Data not available.

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Data not available.

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: The CDPH verified that the facility failed to inform the affected patient(s) or the patient's representative(s) of the unlawful or unauthorized access, use or disclosure of the patient's medical information.

Outcome: Deficiency cited by the California Department of Public Health: Medical Breach

Issue: The CDPH verified that the facility failed to inform the affected patient(s) or the patient's representative(s) of the unlawful or unauthorized access, use or disclosure of the patient's medical information. Based on staff interview and facility document reviews, the facility…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280