North Florida/South Georgia Veterans Health System

Issue: A Case Manager entered the wrong Veterans address in a Progress Note. The note was disclosed to the Veteran on a first party Release of Information (ROI) request dated 10/23/14. The only identifiable information disclosed was the address of another…

Outcome: 12/08/14: The Incident Resolution Service Team has determined that there was a policy violation. While there was an unauthorized access/disclosure of data Address only, it has been determined that the incident has a low probability of a risk of compromise.…

Issue: Veteran A received Veteran B's medication and medication paperwork. The prescription was filled and dispensed on 10/30/14. The error was discovered on the same day. The dispensing Pharmacist realized the error and immediately called Veteran A to explain the situation…

Outcome: 11/04/14: 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.…

Issue: Veteran A received medication paperwork for Veteran B. The paperwork contained drug information and mailing address for Veteran B but the medication was never filled. Veteran A returned the medication paperwork to VA. Privacy will further investigate.…

Outcome: 10/16/14: 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.…

Issue: Veteran A received his appointment letter and inside the envelope was also an appointment letter for Veteran B. Veteran B's name, address, last 4 digits of the SSN and diagnosis were compromised. Privacy will investigate.…

Outcome: 10/15/14: 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.…

Issue: The son of a deceased Veteran made a written request for his fathers medical records and included a copy of the death certificate. Also, included with the request from the son, who is also a Veteran, was his personal information;…

Outcome: 10/16/14: The Service Chief has reported that after an exhaustive search, the son's documents cannot be found. The facility believes they would have been shredded but cannot determine that for sure. The Incident Resolution Team has determined that the son…

Issue: The Medical Support Assistant (MSA) at Lecanto Community Based Outpatient Clinic (CBOC) unintentionally provided a copy of lab and EKG results to the wrong Veteran. The information was returned to the VA. Privacy will investigate.…

Outcome: 09/24/14: The Incident Resolution Service Team has determined that Veteran A will be sent a letter offering credit protection services, since the full SSN was compromised.…

Issue: Patient's wife called Lake City pharmacy upon noticing she had received a syringe instead of a pen and was unsure how to use the syringe. Patient's wife stated she did not realize that a syringe had been sent to her…

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

Issue: There has been a medication error and privacy breach in pharmacy. On Friday 8/29/14, Veteran A received Veteran Bs medication and medication information sheet. Veteran A noticed the error and returned the medication and medication information sheet to the pharmacy…

Outcome: 09/04/14: 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.…

Issue: Veteran A called to report he was mailed Veteran's B appointment letter along with his appointment letter. Privacy will further investigate.…

Outcome: 08/27/14: The Incident Resolution service team determined that Veteran B will receive a HIPAA letter of notification, since his name, diagnosis, partial SSN and appointment information was disclosed.…

Issue: Veteran A was mailed Veteran B's results notification letter. Veteran A contacted the VA of the error and agreed to mail back the letter to the VA. Privacy will investigate.…

Outcome: 08/27/14: The Incident Resolution Service Team determined that Veteran B will receive a HIPAA letter of notification.…