Tomah VA Medical Center

Issue: Veteran A went to Release of Information to get lab results and Veteran B's lab letter was provided to him.

Outcome: 07/31/14: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services, as his date of birth and lab results were disclosed.…

Issue: Veteran A reported that he received Veteran B's discharge paperwork.

Outcome: 06/13/14: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: A lab letter was mismailed to another Veteran.

Outcome: 06/05/14: The Incident Resolution Team has determined that Veteran A will be sent a notification letter.…

Issue: A VA Employee/Veteran was mailed (within the facility, red bag) information pertaining to programs for spouse that are offered to Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans. The red bag was opened but not by Employee/Veteran, who it was addressed…

Outcome: 06/05/14: The Incident Resolution Team determined that the Veteran will receive a HIPAA letter of notification.…

Issue: A medication bag was inadvertently given to the wrong Veteran.

Outcome: 05/28/14: The Incident Resolution Team has determined that one Veteran will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: A VA employee who works on telehealth equipment logged into the system while a therapy session was taking place. Unable to determine exactly what was disclosed. But Social Worker and Veteran along with Veteran Spouse saw screen activate.

Outcome: 05/23/14: The Incident Resolution 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: A provider gave Veteran A's aftercare sheet to the roommate (Veteran B) without Veteran A's permission/knowledge. Veteran A's name and protected health information (PHI) was compromised.…

Outcome: 03/20/14: The Incident resolution Team (IRT) determined that Veteran A will receive a HIPAA letter of notification.…

Issue: Pharmacy reported that three letters were mismailed to Veterans. Letters included name, address INR reference, Dosage of medication and next appointment info.

Outcome: 03/11/14: The Incident Resolution Team has determined that three (3) Veterans will be sent a notification letter.…

Issue: Employee accessed her husband's medical record without authorization. The offender's access to computer systems has been disabled pending investigation.…

Outcome: 01/02/13: The Veteran will be sent a HIPAA notification letter.…

Issue: Pharmacy mismailed Veteran A's prescription paperwork to Veteran B. The prescription paperwork contained Veteran A's name and medication information.

Outcome: 12/05/13: Veteran A will receive a HIPAA letter of notification.…