Observations
Based on a review of the incident report, witness statement and telephone interviews with facility staff, it was verified that a member of the facility's clinical staff took a video image of a group of clients. The findings include:A telephone interview with facility staff occurred on 10/20/2016. Additionally, an incident report dated 08/30/2016, a witness statement dated 08/19/2016 and an email dated 11/07/2016 were reviewed. It was determined that the facility failed to maintain the confidentiality of the client's identity.
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Plan of Correction
1. Clinical director, director of safety/risk interviewed staff regarding the incident reported.
2. Clinical director, director of safety/risk, QI reviewed the security cameras to confirm concern re: confidentiality violation.
3. Clinical director gave employee improvement plan to staff who were aware of the incident.
4. Staff whom violated confidentiality via video image of patients was terminated.
5. Added refresher to annual mandatory staff training re: importance of patient confidentiality and electronic devices (scheduled 12/14/16 and 12/15/16).
6. HR facilitated a social media training, highlighting the use of electronic devices, what is/is not appropriate and all staff in attendance signed acknowledgement form (10/2016).
7. HR added social media training section to new hire orientation to improve training new staff on confidentiality (10/24/16).
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