Tomah VA Medical Center

Issue: The Wife of a Veteran called to report that included in her husband's lab letter was a no show letter for another Veteran. No address was on the no-show letter.

Outcome: 06/26/15: 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.…

Issue: Two appointment letters were attached to another Veteran's letter.

Outcome: 04/28/15: The Incident Resolution Service Team has determined that two Veterans will be sent HIPAA notification letters due to Protected Health Information (PHI) being disclosed.…

Issue: Veteran A received a document attached to his letter that contained Veteran B's and C's name and SSN.

Outcome: 04/06/15: The Incident Resolution Service Team has determined that Veterans B and C will be sent letters offering credit protection services.…

Issue: On 03/09/15, a package was sent to the incorrect Veteran. Veteran A received protected health information (PHI) and medication relating to Veteran B via UPS shipment. The medication is being returned to the pharmacy via UPS.…

Outcome: 03/13/15: The Incident Resolution Service Team has determined that Patient B will be sent a letter offering credit protection services.…

Issue: A VA employee released a sensitive Police Report that had 3 other VA employees' information on it to a non-VA employee who then posted the Police Report on an open Facebook page to be seen by the general public.

Outcome: 03/09/15: The Incident Resolution Service Team has determined that Employee A, B, and C will be sent a letter offering credit protection services.…

Issue: Pharmacy mis-mailed a prescription to Veteran A that was meant for Veteran B.

Outcome: 01/16/15: 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: Pharmacy mis-mailed a prescription. The two Veterans have very similar names. UPS is returning package to us.…

Outcome: 01/14/15: The Incident Resolution Service Team has determined that one Veteran will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: A non-VA Care Pharmacy Benefits form was mis-mailed to another Veteran.

Outcome: 01/13/15: The Incident Resolution Service Team has determined that one Veteran will be sent a letter offering credit protection services.…

Issue: Two non-VA care Pharmacy Benefits letters were mis-mailed.

Outcome: 01/13/15: The Incident Resolution Service Team has determined that Individuals B and C will be sent a letter offering credit protection services.…

Issue: Pharmacy mismailed a prescription for 4x dressings a day to the wrong Veteran. The Veteran who received the prescription order returned the form to the clinic.

Outcome: 12/29/14: 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.…