North Florida/South Georgia Veterans Health System

Issue: Veteran A received Veteran B's lab results in the mail.

Outcome: 06/09/15: 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.…

Issue: A VA employee from the Lecanto Community Based Outpatient Clinic (CBOC) emailed and stated he spoke to Veteran A by phone who called in and stated he received two additional results notification letters in his mail that belonged to Veterans…

Outcome: 06/04/15: The Incident Resolution Service Team has determined that two Veterans will be sent a notification letter.…

Issue: Pathology staff reported to VA Police that a camera was missing from the morgue. The camera in question contained several photos of an autopsy being conducted on a deceased Veteran. Staff noticed this camera missing on 05/05/15 but didn't report…

Outcome: 05/22/15: The Incident Resolution Service Team has determined that the Veteran's Next of Kin will be sent a notification letter, as his full name and SSN were stored on an image on the camera.…

Issue: Veteran A received the Provation report (gastrointestinal procedure) for Veteran B on 04/29/15. Veteran A returned the report on 04/30/15.…

Outcome: 05/13/15: The Incident Resolution Service Team has determined that Veteran B will be sent a notification letter.…

Issue: The wife of Veteran A received Veteran B's appointment reminder in the mail with her husband's reminder letter. The wife of Veteran A mailed Veteran B's appointment reminder letter to Veteran B. Veteran B brought in envelope and appointment reminder…

Outcome: 05/11/15: 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.…

Issue: A Human Resources (HR) employee inappropriately emailed the complainants entire Equal Employment Opportunity (EEO) allegations to four employees identified within the allegations instead of sending only the specific allegations to each employee separately.

Outcome: 05/08/15: The Incident Resolution Service Team has determined that the complainant will be sent a general notification letter.…

Issue: A VHA employee had a Human Resources (HR) letter misfiled in another VHA employees (ex-wife) HR file and the information was subsequently disclosed to his ex-wife.

Outcome: 05/08/15: The Incident Resolution Service Team has determined that employee whose information was improperly disclosed will be sent a general notification letter.…

Issue: Veteran A's medication, but not the paperwork, was placed in Veteran B's bag at the Pharmacy pick up window before they were verified. The Pharmacy Technician called Veteran B and confirmed that Veteran A's medications were in his bag. Veteran…

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

Issue: Employee A is complaining that her eOPF was accessed by VA Employees B and C.

Outcome: 06/18/15: The Incident Resolution Service Team has determined that employee A will be sent a general notification letter.…

Issue: A Release of Information (ROI) clerk inadvertently mismailed a Veteran's medical records. The law firm that received the records in error returned the records to the VA. Privacy will investigate.…

Outcome: 04/14/15: The Incident Resolution Service Team has determined that the Veteran will be sent a letter offering credit protection services due to full SSN being disclosed.…