Martinez Outpatient Clinic and Community Living Center

Issue: A Veteran reported that when he received a packet in the mail from our mental health department it included a list of other Veteran's names and SSN (have not confirmed if full or partial).

Outcome: 10/01/14: The Incident Resolution Service Team has determined that three Veterans will be sent a notification letter. The SSNs were partial.…

Issue: Veteran A reported that he received a home nocturnal oximetry reader machine that had a label on the outside the contained the name, full SSN and date of birth for Veteran B.

Outcome: 07/28/14: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: Veteran A reported that he received Veterans B's "Department of Motor Vehicles Driver Medical Evaluation" and his VA form 10-5345 "Request for and Authorization to Release Medical Information or Health Information" that contained Veteran B's full name, full SSN, DOB,…

Outcome: 07/17/14: The Incident Resolution Service Team determined that Veteran B will receive a letter offering credit protection services.…

Issue: It was reported by the VA police that an employee in Martinez reported that her locked file cabinet was broken into sometime between when she left work on 06/30/14 and returned in the morning on 07/01/14. The file cabinet contains…

Outcome: 07/02/14: The incident was reported to OIG. 07/03/14: The Privacy Officer has completed the inventory of the files that were stored inside of the filing cabinet and was able to determine that the amount of files containing information is 80.…

Issue: A Release of Information employee mailed medical records of Veteran A to Veteran B. Name, home address, DOB and medical information…

Outcome: 06/30/14: The Incident Resolution Service Team has determined that Veteran A will be sent a letter offering credit protection services.…

Issue: The Laboratory Supervisor was notified by Employee A that Patient A submitted a stool sample container with the full name, full social security number and date of birth of Patient B. Laboratory Supervisor reported that Employee B provided the stool…

Outcome: 06/22/14: The Incident Resolution Service Team determined that Patient B will receive a letter offering credit protection services.…

Issue: A Resident's log sheet with patients' full name, last 4 of SSN, medical information, procedure type, past medical history, room number and ward location was found in a high traffic area of the hospital on a handrail.

Outcome: 04/17/14: There were five patients' information on the log sheet. The Incident Resolution Team determined that the five patients will receive a letter offering credit protection services.…

Issue: Employee A reported to her supervisor that Employee B accessed Employee C's medical records and shared Employee C's medical information that included 7332 information to her (Employee A).

Outcome: 02/11/14: Employee C will be sent a notification letter.…

Issue: Employee accessed the medical record of two employees and printed the form 10-2319 Prosthetics Records without a need to know. Neither employee seeks care at our facility

Outcome: 02/04/14: Two Employees will be sent a notification letter.…

Issue: A VA Employee requested a Sensitive Patient Access Report (SPAR) and reports that 19 employees accessed her medical record without a need to know.

Outcome: 11/05/13: Employee A will be sent a notification letter.…