This database was last updated in December 2015 ago and should only be used as a historical snapshot. More recent data on breaches affecting 500 or more people is available at the U.S. Department of Health and Human Services’ Breach Portal.

VA Great Lakes Health Care System (VISN 12)

VISN 12 Milwaukee, WI

Mentioned in a privacy incident report created by the U.S. Department of Veterans Affairs on August 14, 2012. Also cited in 130 other reports.


Report ID: SPE000000079162, U.S. Department of Veterans Affairs

Reported Entity: VISN 12 Milwaukee, WI

Issue:

Veteran A received VA Form 10-5345 ( Request For and Authorization To Release Medical Records) in the mail from the VAMC. Included on the form was Veteran B's full name and the last four digits of Veteran B's Social Security Number. Veteran A then promptly brought the form into the closest Community Based Outpatient Clinic (CBOC) so that Veteran A could fill out a new Form 10-5345. Update: 08/15/12:Veteran B will be sent a notification letter.

Outcome:

Supervisor was made aware of situation and will provide additional training/awareness to staff on importance of checking documents mailed out from the VAMC.

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