Tennessee Valley Healthcare System

Issue: On March 17, 2014, Veteran A was treated in the Emergency Department, Murfreesboro Campus. Upon return to home, Veteran A noticed he had been given discharge instructions which belonged to Veteran B. Veteran Bs information includes: full name, address, age,…

Outcome: 03/18/14: 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: An RN at the VA Charlotte Women's Clinic received a telephone call from Veteran A, who reported that when she received her Patient Notification Test Results Letter in the mail this week, in the envelope was also the Patient Notification…

Outcome: 03/18/14: The Incident Resolution Team has determined that Patient B will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: On 02/26/14, Veteran A contacted the Privacy Officer (PO), Nashville Campus, regarding the following concern: On 01/29/14, Veteran A was seen in Orthopedic Clinic, Nashville Campus. At check-out, Veteran A was given a future appointment letter by the Clerk. Today,…

Outcome: 02/27/14: The Incident Resolution Team (IRT) determined that Veteran B will receive a HIPAA letter of notification since protected health information (PHI)was exposed.…

Issue: Pharmacy Service was contacted by telephone by Veteran A, who was reporting non-receipt of his medication which was sent on 02/18/14. Upon Pharmacy Service initiating a UPS tracking search, it was found that receipt signature was that of Veteran B…

Outcome: 02/26/14: The Incident resolution team (IRT) determined that Veteran A will receive a HIPAA letter of notification.…

Issue: On February 20, 2014, an employee at the Nashville Campus found an EKG in the mens restroom on the 2nd Floor by the MICU/Medical Service area. The EKG is dated February 20, 2014 and contains the Veterans full name, full…

Outcome: 02/25/14: The Incident Resolution Team has determined that Veteran A will be sent a letter offering credit protection services.…

Issue: Veteran A contacted the Clinic Administrator of the VA Maury County CBOC, to notify them that when he received a Patient Notification Letter in the mail, he also received a Patient Notification Letter belonging to Veteran B. The Patient Notification…

Outcome: 02/19/14: 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: Today, February 6, 2014, the Privacy Officer, Nashville Campus, was contacted by a Physicians Office, Vanderbilt University Medical Center (VUMC), regarding the following incident: A Physician, VUMC, found two compact discs in a VUMC multi-purpose conference room (Conference Room C,…

Outcome: 02/27/14: One Veteran will be sent a letter offering credit protection services.…

Issue: Pharmacy Service reported the following incident: On January 13, 2014, Veteran A received a medication information sheet in the mail which belonged to Veteran B. No incorrect medications were sent. The incident was detected and reported to Pharmacy on January…

Outcome: 01/28/14: Veteran B will be sent a notification letter.…

Issue: Pharmacy Service was preparing the medications for Veteran A, and mistakenly placed a medication bottle belonging to Veteran B in the same medication bag. When Veteran A got home, he noticed he received medication for another Veteran and immediately contacted…

Outcome: 01/28/14: Veteran B will be sent a notification letter.…

Issue: Veteran A received records in the mail which belonged to Veteran B. The compact disc was labeled with Veteran As name but contained the records of Veteran B. Veteran Bs personal identifiable information includes: name, social security number, DOD, medical…

Outcome: 01/27/14: Veteran B will be sent a letter offering credit protection services.…