Issue: Employee accessed her husband's Vista record and changed his next of kin. Update: 01/21/11:Veteran will receive a letter of notification.…

Outcome: No privacy violation was found, because the employee was working within her job duties. She performed a function she would on a regular basis. I provided education to the employee and told them in the future they should ask another…

Issue: Veteran A received Veteran Bs CD labeled with full name, full SSN and X-ray images. Veteran A returned CD to Privacy Office at this facility. Privacy Office will further investigate and confirm if Veteran B received Veteran As CD. Update:…

Outcome: Radiology file room staff retook privacy training.Established a new policy for retrieving a CD from the file room window. Radiology staff and the patient will verify that the information on the CD is correct and that they are receiving the…

Issue: Possible mail room error- 2 veteran's medical records were put in mailing envelopes and then taped together. They were addressed properly, but the UPS tracking label showed 1 veteran's address- this is where both packets were mailed. Update: 01/21/11:Veteran will…

Outcome: The file room staff was briefed of the incident and educated on the need to slow down. The Mail Policy was updated to include further instruction to staff when mailing patient information.…

Issue: Pharmacy mailed prescription for Patient A to Patient B. Both patients were notified within 12 hours of mailing. Information was recovered. Update: 01/21/11:Patient A will receive a letter offering credit protection services since his full SSN was exposed.…

Outcome: Staff were educated on accuracy of information. Veteran notified. Ticket can be closed.…

Issue: On 1/19/11, an HBPC NP, PharmD and a pharmacy student were making joint visits to HBPC patient homes. The PharmD brought paperwork for two patients with the intention of having the student review notes during the car ride so specific…

Outcome: Manager has taken immediate action and has reviewed policies and procedures with staff involved.

Issue: On 1/20/11, Patient A was seen in the Nashville VA ER secondary to a motor vehicle accident.On Sunday, 1/23/11, an EMS employee approached a CWT worker (who is Patient A's former roommate) and reported Patient A was treated in ER…

Outcome: CWT worker was counseled regarding the importance of protecting PHI. 3/3/11 - Sent email to VA IRCT with redacted ltr. PO requests closure.…

Issue: A patient received another patient's account statement in the envelope along with his own. Update: 01/24/11:The patient will be sent a letter of notification.…

Outcome: Not caused by our staff

Issue: Employee was given a notice of termination that included a veterans name and social security number Update: 01/25/11:Veteran will receive a letter offering credit protection services since his full SSN was exposed and the employee had received their notice of…

Outcome: Credit Monitoring letter uploaded.

Issue: Wife of deceased Veteran A requested all 7 volumes of veterans medical records. Upon receipt of the first 6 months of medical records, Wife of Veteran A discovered the package also included medical records for Veteran B. The wife is…

Outcome: Supervisor conducted a counseling in terms ensuring in the future that every single page (copied) is reviewed prior to release; the ROI Clerk apologized for the error. The employee was also informed of the impact of the error, e.g. costs…

Issue: A non vet reported that he received a package which was copies of a veteran's record. The letter inside was from UPS, it said that the package torn open, and they repackaged it, but it was not to the veteran…

Outcome: Credit monitoring letter sent