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.

CONTRA COSTA REGIONAL MEDICAL CENTER

2500 ALHAMBRA AVE MARTINEZ,CA 94553

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 September 6, 2013. Also cited in 103 other reports.


Report ID: UOJH11, California Department of Public Health

Reported Entity: CONTRA COSTA REGIONAL MEDICAL CENTER

Issue:

Based on interview and record review, the facility failed to prevent unauthorized access and disclosure of a patient's (Patient 1) protected health information, when some of Patient 1's medical information was faxed to another facility. This failure allowed the unlawful or unauthorized access to Patient 1's information.Findings:The California Department of Public Health was notified on 9/3/13 that a, "Breach of Protected Health Information (PHI)", occurred on 8/27/13.During an interview on 9/6/13 at 10:15 a.m., Administrative Staff A stated that, on 8/29/13 she was notified by Administrative Staff D, that Patient 1's PHI was faxed to another facility. The fax included Patient 1's name, medical record number, patient encounter, date of encounter, care provider, emergency contact, and insurance provider.Administrative Staff A also stated that it was an error on the part of Licensed Staff B in that she had not double checked her information before faxing Patient 1's PHI to another facility. Administrative Staff A further stated that Unlicensed Staff C from the other facility called and notified Administrative Staff D that she had received Patient 1's PHI in error on 8/27/13.A review of the facility Policy and Procedure for, "PATIENT IDENTIFICATION PROCESS", (9/11), reveals the following: "III POLICY Ambulatory Care staff at all facility health centers will will protect and accurately identify each patient that we serve. Staff must reliably identify the individual as the person for whom the service or treatment is intended, must match the service or treatment to that individual, and must secure their protected health information and medical record accuracy at all encounters...V PROCEDURE B. For patients presenting for services 18 years and over, Registration Clerk will: 1. Request to see a government issued photographic proof of identity...2. Compare the identification presented with the patient information in the registration system and the appointment documentation...F. Clinical and ancillary services staff will be responsible for verifying the patients' identity prior to rendering care, performing diagnostic studies, giving medications and treatments".A review of the facility Policy and Procedure for, "RELEASE OF INFORMATION", (9/10), reveals the following: "IV. PROCEDURE A. Sending PHI by Fax...3. A Fax Cover Sheet must be fully completed and used for every fax transmission...5. Carefully enter the fax number. After the fax number has been entered, check it against the fax number you have for the recipient before pressing send".

Outcome:

Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

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