WASHINGTONMisuseHealthcareHealthcarePrivilege AbuseCustomer Data InvolvedTargetedPHIHealth (basic)Identity (basic)MediumResolved

CHI Franciscan Health

bd_2c9fcce61671ea35 · schema v1 · pii pii-v1

Severity

Medium

Discovered

Jul 22, 2016

Filed

Sep 16, 2016

To disclose

8 weeks

Affected

2,818

Confidence

66%

Full breach record for CHI Franciscan Health →

CHI Franciscan Health reported to HHS on 2016-09-16 an Unauthorized Access/Disclosure affecting 2818 individuals. Breached information located on Electronic Medical Record. An employee-physician impermissibly accessed patient information since July 1, 2015.

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HIPAA clock✓ HHS report on time8 weeks discovery → filing

⚠ unattributedNo provenance was recorded for this discovery date and it matches no other date on the record. It may be correct, but it is not independently grounded.

Incident timeline

undetected · 387 days

discovery → filing · 8 weeks / 56 days

Jul 1, 2015

Begins

Jul 22, 2016

Discovered

Sep 16, 2016

Filed

vs. sector median

3 wks faster

Tracked as a single-filing incident — the only disclosure on record for this event so far.Confirmed2,818 affectedView incident

Name: CHI Franciscan Health
norm: chi franciscan health
Industry: Health Care Services

Name: CHI Franciscan Health
norm: chi franciscan health
Industry: Healthcaresource default

Discovered: Jul 22, 2016
Breach occurred: Jul 1, 2015
Undetected for: 387 daysoccurrence → discovery
Materiality determined: —
Notification sent: —
Affected individuals: 2,818nationwide
Data types: PHIHealth (basic)Identity (basic)
HHS breach type: Unauthorized access or disclosure
Where the data lived: Electronic medical record
Covered-entity type: Healthcare provider
Attack vector: Unauthorized Access
MITRE ATT&CK: T1078 Valid AccountsT1119 Automated Collection
Threat actor: InternalFinancial
Regulator citations: Notified HHSOCR obtained assurances that the CE implemented the corrective actions
Initial access: insider_action

During the incident: Provided breach notification to affected individuals, the media and HHS
Posted information about the breach on its website
Created a call center for patients and other concerned individuals
Sanctioned the responsible physician in accordance with its HIPAA sanctions policy
Retrained its workforce members on HIPAA
Changes made: Retrained its workforce members on HIPAA, which included a session on “Acceptable Uses and Disclosures of PHI for Physicians”
Source: Quoted from the filing itself, not independently verified.

Time to disclose: 8 weeks(56 days from discovery to filing)
Compliance flags: HHS report on timeHHS notified
Discovery-date grounding: unattributedNo provenance was recorded for this discovery date and it matches no other date on the record. It may be correct, but it is not independently grounded.
Clock breakdown: Statute Window Elapsed Threshold Status
HIPAA
Discovered: Jul 22, 2016
→ Notified: not extracted
— 60 days HHS report on time
HIPAA
Discovered: Jul 22, 2016
→ Notified: not extracted
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: Jul 22, 2016 → Notified: not extracted	—	60 days	HHS report on time
HIPAA	Discovered: Jul 22, 2016 → Notified: not extracted	—	regulatory submission	HHS notified

Status: No extraction artifact recorded for this disclosure.

Evidence ladder

Leak-site claim

Attacker assertion only. Establishes: claim date, group, alleged victim.

Press / market report

Unlocks: incident narrative, operational impact. Still no compliance clock.

State AG / regulator filingThis record

Unlocks: discovery date, data types, affected count, compliance clock.

SEC 8-K / victim statement

Unlocks: materiality, stated response, full audit trail. Ceiling removed.

Source URL: https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf
DisclosureLens renders the full SEC/HHS filing inline below from the originating regulator’s public record (§4.5 fair report privilege).
Filed at: Sep 16, 2016
Raw hash: eafb2340e152162e39fecadb16c1ab4a4a44e57aa1c33b17bde37600d06e5399

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Reporting entityCHI Franciscan Health

Victim entityCHI Franciscan Health

Incidentdiscovered Jul 22, 2016

Stated responseProvided breach notification to affected individuals, the media and HHS

ComplianceHHS report on time

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing