VA Sierra Nevada Health Care System

Issue: A Clerk mailed radiology reports to the wrong Veteran. Veteran contacted facility to return documents.

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

Issue: Veteran called to notify facility he is in receipt of another Veteran's documents provided during an appointment. PO has contacted the first Veteran to verify exactly what information he has in his possession.

Outcome: 07/30/14: The Incident Resolution Service Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: Veteran A's spouse called to say that she received the emergency room discharge note of Veteran B with the same last name. The spouse states that she will mail discharge note today.

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

Issue: Service Chief called to report a clinic patient list was mailed to Veteran. Veteran was contacted and has stated he will return list today. PO unable to verify information on list until it has been returned.

Outcome: 05/23/14: The Incident Resolution Team has determined that ten Veterans will be sent letters offering credit protection services.…

Issue: Veteran A received Veteran Bs appointment list in the mail, which contained full name and SSN. Veteran A, found Veteran Bs home address, went to Veterans home. Veteran A when asked by Veteran B to give it to him, Veteran…

Outcome: 05/02/14: The Incident Resolution Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: Veteran A received lab specimen kit belonging to Veteran B.

Outcome: 04/07/14: The Incident Resolution Team has determined that Veteran B will be sent a letter offering credit protection services.…

Issue: Veteran's Wife notified the Privacy Officer (PO) that VA employee had posted on Facebook that spouse had passed away. Information contained Veteran's first and last name and location. the information at risk included the Veteran's name, date of death and…

Outcome: 04/08/14: The next of kin (NOK) will receive a NOK letter of notification.…

Issue: VHA Veteran/employee requested copy of Sensitive Patient Access Report (SPAR). From the list, the employee identified a VBA employee as having accessed his medical records. Veteran/employee states information obtained from medical records was used in court proceedings.…

Outcome: 10/28/13: A Veteran emailed the Privacy Officer stating that they had become friends with a VBA employee when seperating from the Army. The VBA employee became harassing and the Veteran tried to keep their distance. The Veteran had a sensative…

Issue: Nurse sent a CODE 8 report, containing personally identifiable information (PII) and protected health information (PHI) through MyHealtheVet to unintended recipients. The email contained full name and last four digits of the SSN, with diagnosis and diagnostic report of eighty…

Outcome: 08/07/13: The 2 Veterans whose full SSN was compromised will receive letters offering credit protection services and the 88 other Veterans will receive HIPAA letters of notification.…