Orlando VA Medical Center

Issue: A Release of Information (ROI) request was submitted to the Orlando VAMC outpatient clinic for processing. The clerk accidentally pulled Veteran B's medical records and mailed to the requester. Upon receipt of the records, the requester noted it belongs to…

Outcome: 01/30/15: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: A Veteran received his non-VA care prescription from the VA Clinical Pharmacist and noted it contained prescription information pertaining to another Veteran. He reported the incident to the VA Outpatient Pharmacy. Upon review of the incident, Outpatient Pharmacy requested the…

Outcome: 12/31/14: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: Prescription labelled for a Veteran was mailed to another Veteran's address. When the receiving Veteran reviewed the prescription, he noted that it has someone else's name with his address. He came to the VA Outpatient Pharmacy and presented the prescription…

Outcome: 12/08/14: The Incident Resolution Service Team has determined that the Veteran whose information was disclosed will be sent a letter offering credit protection services.…

Issue: Outpatient Pharmacy staff mistakenly dispensed prescription and paperwork to wrong Veteran. Veteran took prescription home and later on pharmacy staff called to verify from him if prescription was his. He reviewed and noted it belonged to another Veteran. Prescription paperwork…

Outcome: 12/08/14: The Incident Resolution Service Team has determined that the Veteran whose information was disclosed will be sent a letter offering credit protection services.…

Issue: Two boxes of medication prepared by Outpatient Pharmacy for Veteran A were mistakenly mailed to Veteran B's address. The wife of Veteran B that received the medication in error called to notify TeleCare Department at Orlando VAMC. The medication boxes…

Outcome: 12/05/14: 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: An appointment list was inadvertently handed over to Veteran A along with some other informational documents at the time of clinic check-out. The employee who handed over the appointment list realized her mistake and immediately contacted Veteran A to return…

Outcome: 12/01/14: The Incident Resolution Service Team has determined that there was a policy violation. While there was an unauthorized access/disclosure of data, it has been determined that the incident has a low probability of a risk of compromise.…

Issue: A Veteran's name and medical information was inadvertently included in Orlando VAMC bi-monthly Veterans Health Education newsletter. The information identified on the newsletter (Vet Gazette) was the Veteran's full name, medication and UPS shipping tracking number for the medication mailed…

Outcome: 11/17/14: The Incident Resolution Service Team has determined that the Veteran will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: A Prescription was processed by Pharmacy for a Veteran via UPS. Pharmacy had Veteran's P. O. Box on label that was affixed on medication. During mail processing, an old physical address (different than the P.O. Box) was placed on the…

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

Issue: Outpatient Pharmacy staff mistakenly dispensed medication to a wrong Patient. Medication contained full name, last 4 of SSN and date of birth of the patient to whom the medication belongs. The med was given to the Veteran at the pharmacy…

Outcome: 09/25/14: 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: A VA dermatologist reported to the Privacy Officer on September 22nd that on September 10, 2014, at the end of her tour of duty she discovered that a sony digital camera the Service has been using to take pictures for…

Outcome: 09/22/14: The Incident Resolution Service Team has determined that Patient A and B will be sent a letter offering credit protection services.…