TENNESSEEMisuseHealthcareHealthcarePrivilege AbuseBusiness Associate (HIPAA)Customer Data InvolvedPHIHealth (basic)Identity (basic)Government IDHighResolved

Vanderbilt University Medical Center

bd_b5e7eacb00d77d07 · schema v1 · pii pii-v1

Severity

High

Discovered

Dec 27, 2016

Filed

Feb 24, 2017

To disclose

8 weeks

Affected

3,247

Confidence

68%

Full breach record for Vanderbilt University Medical Center →4 incidents on file

Vanderbilt University Medical Center reported to HHS on 2017-02-24 a Unauthorized Access/Disclosure affecting 3247 individuals. Breached information located on Electronic Medical Record. An employee accessed patient records without authorization.

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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

discovery → filing · 8 weeks / 59 days

Dec 27, 2016

Discovered

Feb 24, 2017

Filed

vs. sector median

1 wks faster

Tracked as a single-filing incident — the only disclosure on record for this event so far.Confirmed3,247 affectedView incident

Name: Vanderbilt University Medical Center
norm: vanderbilt university medical center
Domain: vumc.org
Industry: Health Care Services

Name: Vanderbilt University Medical Center
norm: vanderbilt university medical center
Domain: vumc.org
Industry: Health Care Services
Industry: Healthcaresource default

Discovered: Dec 27, 2016
Materiality determined: —
Notification sent: —
Affected individuals: 3,247nationwide
Data types: PHIHealth (basic)Identity (basic)Government ID
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 Accounts
Threat actor: Internal
Regulator citations: provided breach notification to HHSOCR obtained assurances that the CE implemented the corrective actions listed above
Initial access: insider_action

During the incident: Sanctioned the involved employee (including termination in this case)
Reviewed its record audit procedures
Removed EMR access for PED transporters
Implemented an alternative process for PED transporters
Reviewed and edited its security policies
Provided retraining to departments utilizing a patient transport role
Provided breach notification to HHS, affected individuals, the media
Changes made: Reviewed its record audit procedures
Removed EMR access for PED transporters
Implemented an alternative process for PED transporters
Reviewed and edited its security policies
Provided retraining to departments utilizing a patient transport role
Source: Quoted from the filing itself, not independently verified.

Time to disclose: 8 weeks(59 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: Dec 27, 2016
→ Notified: not extracted
— 60 days HHS report on time
HIPAA
Discovered: Dec 27, 2016
→ Notified: not extracted
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: Dec 27, 2016 → Notified: not extracted	—	60 days	HHS report on time
HIPAA	Discovered: Dec 27, 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: Feb 24, 2017
Raw hash: 7ad1525fa045caf759b1e299aae73782dff0698c2e249d1eb6314b2749f44dbd

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Reporting entityVanderbilt University Medical Center

Victim entityVanderbilt University Medical Center

Incidentdiscovered Dec 27, 2016

Stated responseSanctioned the involved employee (including termination in this case)

ComplianceHHS report on time

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing