Tennessee Valley Healthcare System

Issue: The Provider, ED, Murfreesboro Campus, was given peer review documents to review. The Provider put the documents in a red folder and placed the folder on his desk which is located behind the nurses station. The Provider became distracted and…

Outcome: 09/24/14: The Incident Resolution Service Team has determined that four Veterans will be sent a notification letter. 10/01/14: One of the Veterans is deceased so their next of kin will be sent a letter of notification.…

Issue: Veteran A, while meeting with the Facility Director, and while discussing a variety of issues, also brought up the issue of him receiving a copy of a Hospital Inquiry (HINQ) belonging to Veteran B. Veteran A provided the document to…

Outcome: 09/16/14: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: Veteran A contacted the Privacy Officer, Nashville Campus, regarding the following concern: While viewing her records in MyHealteVet, Veteran A found a document belonging to Veteran B; specifically, a Cardiac Catheterization Lab Hemodynamics note dated August 22, 2014. Veteran A…

Outcome: 09/01/14: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: On August 19, 2014, during a scheduled Town Hall Meeting held by the Director for Veterans, a Veteran announced that when he requested copies of his medical record, he also received about 250 pages of another Veteran's medical records. Media…

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

Issue: Today, the Privacy Officer (PO), Nashville Campus, was notified of the following incident: Veteran A received a fee basis authorization in the mail which also contained an authorization belonging to Veteran B. Veteran Bs personal identifiable information includes: full name,…

Outcome: 08/21/14: The Incident Resolution Service Team has determined that Veteran A will be sent a notification letter.…

Issue: Employee A (who is an RN on 2N) submitted the following privacy concern via email: A Nurse, 2N, found copies of Employee As personal information in a time-book located at the nurses station on 2N. The Nurse, 2N, brought the…

Outcome: 08/27/14: Employee A stated the emails contained her name, medical diagnoses, and medical appointments. The Nurse Manager had printed the emails with this information and placed them in the time book at the nurses station which was accessible to all…

Issue: On 08/18/14, Veteran A called and contacted the Fee Basis Section to report that when he received a letter in the mail from the Fee Basis Section, he found the paperwork in the envelope that belonged to Veteran B. It…

Outcome: 08/18/14: The Incident Resolution Service Team has determined that Veteran B will be sent a general notification letter.…

Issue: The Privacy Officer (PO) was notified of this incident by a Fee Basis employee: Veteran A telephonically contacted the VA Fee Basis Section to report that when he received a letter in the mail from the Fee Basis Department and…

Outcome: 08/19/14: 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: On August 12, 2014, the Supervisor, Release of Information (ROI), was contacted by an Employee, Chattanooga State Community College, who stated the Chattanooga Community Based Outpatient Clinic (COPC) inadvertently sent her a Veteran's information. The Employee agreed to fax the…

Outcome: 08/19/14: PO update -- PO received the paperwork back from the Community College where the faxed too. It was found that the paperwork contained the Full name, Last four of the SSN, Date of Birth, address and a diagnosis. 08/19/14:…

Issue: On August 8, 2014, an employee, Fee Service, was notified by an individual he inadvertently received a fax on three Veterans which was intended for another recipient. The individual stated the faxes were received as electronic faxes via email but…

Outcome: 08/11/14: The Incident Resolution Service Team has determined that three Veterans will be sent letters offering credit protection services.…