St. Cloud VA Health Care System

Issue: Veteran A received Veteran B's medications in the mail. Veteran B is Veteran A's niece/nephew. The error occurred when the prescription was received in the Pharmacy intake due to they have same first and last name so the wrong Veteran…

Outcome: 06/30/15: 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: Veteran A received Veteran B's medication. It was mailed by our facility, The medications and information were placed in the wrong envelope and mailed out. Veteran A is being sent an envelope to return it to the facility. A new…

Outcome: 06/22/15: 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: Veteran A's spouse called in stating "Veteran A received two other Veterans' documentation with his prep kit." The staff member who took the call did not get the caller's name or number and also asked the spouse to shred the…

Outcome: 05/22/15: The Incident Resolution Service Team has determined that two Veterans whose information were disclosed will be sent a notification letter.…

Issue: Veteran A received Veterans B's lab result in the mail. Veteran A will be returning the letter to the facility.

Outcome: 05/18/15: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: Veteran A's Imaging report and CD were mailed to Veteran B and Veterans B's CD was mailed to Veteran A. The CD only contains full name and DOB.

Outcome: 05/05/15: The Incident Resolution Service Team has determined that both Veterans will be sent letters offering credit protection services due to full name and DoB being disclosed. 05/22/15: Update: Just one CD was mismailed. Only one Veteran will be sent…

Issue: A Human Resource (HR) representative shared an Employee/Veteran's/work comp case medical document on from an outside provider (work comp provider)with the their VA provider without the patients consent. This was an inappropriate disclosure.…

Outcome: 04/29/15: The Incident Resolution Service Team has determined that the Employee/Veteran will be sent a general notification letter.…

Issue: Veteran A received a package in the mail with the letter addressed to Veteran A but the information did not pertain to him. Also in the package was Veteran B's CPAP clip and paper documents.

Outcome: 04/08/15: 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: Veteran/Employee A received a notification on their pathology result and included in the envelope was Veteran B's consultation request (5 page document). Veteran/Employee A turned the information in to the privacy Officer (PO).

Outcome: 04/08/15: 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. 04/10/15 Update: The information also contained full SSN, therefore the Veteran will be sent…

Issue: Veteran A's information was placed face up on his bed on the ward, Veteran A did have a roommate and the door was open so others could have viewed the information.…

Outcome: 04/16/15: The Incident Resolution Service Team has determined that the Veteran will be sent a letter offering credit protection services, as his paperwork was left on a bed for an unknown amount of time with another person in the room.…

Issue: Veteran A's Beneficiary Travel Voucher was mailed to Veteran B.

Outcome: 03/10/15: The Incident Resolution Service Team has determined that Veteran A will be sent a letter offering credit protection services.…