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Mercy Medical Center »
Apr 23, 2012

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Mercy Medical Center

333 MERCY AVENUE MERCED,CA 95340

Cited by the California Department of Public Health for a violation of California’s Health and Safety Code relating to medical privacy during an inspection that began on April 23, 2012. Also cited in 34 other reports.


Report ID: CFNF11, California Department of Public Health

Reported Entity: MERCY MEDICAL CENTER

Issue:

Based on staff interview and administrative document review the facility failed to keep Protected Health Information (PHI) confidential when:1. Patient 1's electrocardiogram (EKG) report was mistakenly given to Patient 2.2. A label containing Patient 3's PHI was mistakenly given to Patient 4.This failure placed Patient 1 and Patient 3 ' s PHI at a potential risk for unauthorized use.Findings;Refer to CA003040151. On 4/26/12 at 12:15 p.m., Staff 1 (Privacy Officer) stated on 3/19/12 the facility became aware of a possible privacy breach. The facility's internal investigation revealed on 3/16/12 Staff 2 (Registered Nurse) mistakenly gave Patient 1's EKG report to Patient 2. Staff 1 stated it was Staff 2's responsibility to check the patients identification band to ensure the right patient received the right information.On 4/27/12 at 2:15 p.m., the EKG report was reviewed and contained Patient 1's name, date of birth, date of service, account number, medical record number, attending physician and diagnostic findings.On 3/6/12 at 4:40 p.m., the facility policy and procedure number IM-312 titled "Safeguarding of Protected Health Information and Sensitive Information" contained the following documentation: "It is the policy of [Hospital] to comply with state and federal regulations regarding the safeguarding of physical and electronic form of Protected Health Information (PHI). Staff shall provide appropriate access to its information based on a need-to-know basis while preserving its confidentiality and integrity."Refer to CA003063502. On 4/26/12 at 12:15 p.m., Staff 1 stated on 4/5/12 the facility became aware of a possible privacy breach. The facility's internal investigation revealed on 3/29/12 a label containing Patient 3's PHI was mistakenly given to Patient 4. Staff 1 stated it was Staffs responsibility to checked the patients identification band to ensure the right patient received the right information.On 4/26/12 at 12:28 p.m., Staff 1 stated the label contained Patient 3's name, date of birth, date of service, attending physician, account number and medical record number.On 3/6/12 at 4:40 p.m., the facility policy and procedure number IM-312 titled "Safeguarding of Protected Health Information and Sensitive Information" contained the following documentation: "It is the policy of [Hospital] to comply with state and federal regulations regarding the safeguarding of physical and electronic form of Protected Health Information (PHI). Staff shall provide appropriate access to its information based on a need-to-know basis while preserving its confidentiality and integrity."

Outcome:

Deficiency cited by the California Department of Public Health: Patients' Rights

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