Orlando VA Medical Center

Issue: Health history for Veteran A was mis-faxed to an incorrect phone number, unable to determine the recipient. The recipient was notified via another fax of the error and to return/and or destroy the information received. The appropriate VA Fax Cover…

Outcome: 08/20/14: The Incident Resolution Service Team has determined that Veteran A will be sent a letter offering credit protection services.…

Issue: Veteran A prescription bag was given to Veteran B. Discovery was made when Veteran A came to pick-up his prescription. Veteran B was notified of the error and stated he would return the prescription bag the next day.…

Outcome: 08/20/14: The Incident Resolution Service Team has determined that Veteran A will be sent a notification letter.…

Issue: Information containing Personal Identity Verification (PIV) data of a former employee was inadvertently sent to a wrong address by Human Resources (HR). The address it was sent to is one of a current employee who notified our office that she…

Outcome: 08/13/14: The Incident Resolution Service Team determined that the former employee will receive a HIPAA letter of notification.…

Issue: Enrollment staff entered the wrong demographic information on a patient causing a change of address in Veterans A medical record. Another VA Medical Center forwarded a reminder appointment letter to the address listed for Veteran A. Veteran B received the…

Outcome: 07/16/14: 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: Veteran A received his appointment letter dated 07/03/14 in the mail along with Veteran B's appointment letter dated 07/02/14. Veteran A brought the appointment letter belonging to Veteran B back to Clinic on 07/07/14, the date/time for his clinic, and…

Outcome: 07/09/14: The Incident Resolution Service Team determined that Veteran B will receive a HIPAA letter of notification.…

Issue: Case Management clinic notes were inadvertently faxed to the wrong vendor on July 1, 2014. The error was discovered when the wrong vendor contacted the sender for additional information. The VA Employee instructed the wrong vendor to shred the mis-faxed…

Outcome: 07/02/14: 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, as this…

Issue: A Veteran's care packet was inadvertently faxed to the wrong vendor on April 8. The error was discovered within 10 minutes and the vendor was instructed to shred the packet. Next morning the Veteran's care packet was faxed to the…

Outcome: 04/22/14: The Incident Resolution Team has determined that no data breach has occurred. The document was seen only by a HIPAA covered entity.…

Issue: Veteran A received two medication bags via UPS on 4/15/14. Second bag had Veteran B's name, but Veteran A's address on the shipping label. Veteran A opened the second bag before discovering it was not meant for him. The contents…

Outcome: 04/18/14: The Incident Resolution Team has determined that Veteran B will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: A pharmacist placed Morphine in the wrong prescription bag when completing the filling process. Pharmacy was notified of the error on 3/31/14 and patient was called in to discuss the error. Patient stated he had taken all of the morphine,…

Outcome: 04/18/14: The Incident Resolution Team has determined that the Veteran whose name and medication type were disclosed will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: Veteran A presented as a walk-in patient to a provider covering for his regular provider. The provider handed Veteran A transfer paperwork that belonged to Veteran B. Both patient A and B have the same last name, but different last…

Outcome: 03/26/14: The Incident Resolution Team determined that Veteran A will receive a letter offering credit protection services since his full SSN was compromised.…