South Central VA Health Care Network (VISN 16)

Issue: Veteran A received an appointment letter intended for Veteran B that contained Veteran B's full name, partial SSN and home address. Veteran A did not realize he had Veteran B's letter until he returned for the follow-up appointment today and…

Outcome: Employee is aware of Privacy issues. Training and awareness issues addressed.…

Issue: A Human Resources employee confused envelopes and mailed a CA-1 form that belonged to Employee A to Employee B. Update: 09/22/11:Emplee A will be sent a letter offering credit protection services due to full SSN being disclosed.…

Outcome: The appropriate administrative action was taken and employee was educated.

Issue: One Pharmacy Tech mailed a prescription to the wrong Veteran and 1 PSA clerk changed an address which led Pharmacy to mail another presc ription to the wrong Veteran. The Veterans' names, addresses and medication information were disclosed. The date…

Outcome: Staff have been educated regarding changing addresses and mailing out prescriptions.

Issue: During an appointment with a Veteran, the provider laid the appointment list for her clinic on the desk. When the Veteran left, she noticed the list was gone. She attempted to locate the Veteran before he left but failed to…

Outcome: Provider is aware of Privacy issues.

Issue: A consultation sheet on Veteran A was mailed to Veteran B. Update: 09/16/11:Veteran A will be sent a letter offering credit protection services due to full name and full SSN being disclosed.…

Outcome: Please remove SPE000000066810 it is a duplicte of SPE000000066416Still waiting for this ticket to be closed as a duplacate

Issue: An Employee sent a CA-1 form (Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation) to Employee A containing information belonging to Employee B. Update: 09/16/11:Employee B will be sent a letter offering credit protection services due…

Outcome: Employee was educated regarding mailing information and the appropriate administrative action was taken.

Issue: Veteran committed suicide on VA grounds. Numerous employees have accessed this Veteran's record since this event. Letters questioning the reason for access were sent to supervisors of all who accessed this record. To date, inquiries regarding 43 employees have been…

Outcome: Administrative action will be initiated to those individuals who inappropriately accessed the medical records.

Issue: A Veteran brought a Voucher For Cash Reimbursement of Beneficiary Travel Expenses to the travel office that he received . It was for another Veteran and not him. Update: 09/08/11:One Veteran will be sent a letter offering credit protection services…

Outcome: Event discussed with staff member and importance of double checking mail outs reinforced.

Issue: A form Letter for Veteran A in CPRS was generated and mailed to Veteran B. The letter included Veteran A's: lab results, diagnosis, medication and instructions. Update: 09/06/11:Veteran A will be sent a letter offering credit protection services due to…

Outcome: The employee was counseled regarding privacy issue and will be more aware of privacay when mailing correspondence.

Issue: Veteran A received medical information pertaining to Veteran B. There was no DOB or SSN was involved. Update: 09/02/11:Veteran B will receive a letter of notification.…

Outcome: The Clerk was counseled on being more careful when handling Veterans PII.