Pharmacy Diversion Monitor

Pharmacy Diversion Monitor brings together automated dispensing cabinet transactions, medication administration records, waste documentation and schedules, and compares each clinician's controlled substance handling with peers in similar roles and units. Unusual patterns are raised for your diversion team to review with the evidence behind them, and every review, interview and outcome is recorded. A flag is a reason to look, not a finding: your team decides what happened and what is reported.

The problem it solves

Most hospitals review controlled substance activity through reports exported from dispensing cabinets, compared by hand with administration records and waste witness logs. The work is slow, depends on a few experienced pharmacists, and tends to find problems late. Discrepancies are resolved on the unit without a central record, reviews of the same clinician are spread across email and spreadsheets, and when a theft or significant loss has to be reported, assembling the evidence takes days.

Who it’s for

• Controlled substance diversion program managers and specialists
• Pharmacy directors and pharmacists responsible for controlled substances
• Nurse managers and nursing leadership
• Diversion committees with pharmacy, nursing, compliance, security and human resources members
• Compliance officers responsible for DEA registration obligations

1. CollectTransactions from your automated dispensing cabinets, administration and waste records from the EHR, and staff schedules arrive on your schedule and are linked by patient, clinician, medication and time.
2. AnalyzeEach clinician's handling is compared with peers in the same role, unit and shift, and patterns your team has chosen to watch are scored with the reasons shown.
3. ReviewA diversion specialist or pharmacist reviews each flag, looks at the underlying transactions and decides whether it has an explanation, needs follow-up with the unit, or should become a case.
4. InvestigateCases keep the evidence, interviews, actions and outcome in one record, with decisions taken by the people your policy names and reportable losses prepared for your registrant to submit.

Linked transaction view

Each removal from a dispensing cabinet shown with its administration, waste or return, and the time between them.

Peer comparison

A clinician's handling compared with peers in the same role, unit and shift pattern, so differences in patient mix are taken into account.

Explained flags

Every flag lists the measures and transactions that produced it, in words a reviewer can check, alongside any statistical score.

Single-transaction rules

Rules for removals without administration, waste without a witness, removals while off shift and overrides, set and tuned by your team.

Discrepancy tracking

Cabinet count discrepancies followed from the unit to resolution, with unresolved ones raised to pharmacy.

Waste and witness review

Waste documentation, witness patterns and wastes recorded long after removal, compared across clinicians and units.

Restricted case records

Investigations visible only to the people named on the case, with interviews, evidence and outcomes in one place.

Loss reporting preparation

Theft or significant loss information gathered from the case for your DEA registrant to review and submit on DEA Form 106.

Unit and medication views

Patterns by unit, medication and shift, to find process problems that are not about any one person.

Rule and threshold history

Every change to a rule, measure or threshold, with who proposed and approved it and when.

Monitoring plans

Follow-up monitoring for a clinician returning to practice or under agreement, with reviews scheduled and recorded.

Committee packs

Summaries of flags, cases, outcomes and trends for the diversion committee, without names unless the committee's role allows.

Diversion specialist

Reviews flags, runs investigations and prepares reports for the committee

Pharmacist reviewer

Reviews flags and discrepancies for medications and units they cover

Nurse manager

Follows up documentation issues and discrepancies on their units

Diversion committee member

Decides case outcomes and approves rule changes

Human resources partner

Takes part in cases where employment action may follow

Auditor (read-only)

Views flags, cases, reports and the audit trail without changing them

Automated dispensing cabinets

Removals, returns, wastes, overrides, counts and discrepancies from the dispensing cabinet system you use, by interface or scheduled file.

EHR medication administration

Orders, administrations and waste documentation from the medication administration record.

Anesthesia records

Where used, anesthesia medication records so procedural areas are compared on their own terms.

Pharmacy inventory

Vault and pharmacy inventory movements for controlled substances, to compare with cabinet activity.

Scheduling and time systems

Shifts and clock times, so removals while off shift can be identified.

Single sign-on

Staff sign in through your identity provider (SAML or OpenID Connect).

Work API

Aggregate flag, case and program data available to your data warehouse through the Moraph Work API, with restricted case detail excluded by default.

Single sign-on

Staff sign in through your identity provider, so your password and multi-factor policies apply.

Restricted investigations

Case records are visible only to the people named on them, and the existence of a case is hidden from everyone else.

Business associate agreement

Moraph signs a business associate agreement with your organization, because the product processes protected health information.

Encryption and keys

Data is encrypted in transit and at rest, with keys Moraph staff cannot use without explicit, time-bound authorization.

Complete audit trail

Every view of a flag or case, every decision and every export is logged with the person and time, and cannot be edited.

US hosting

Data is hosted in Moraph's United States region; every release passes security testing gates and ships with a software bill of materials.

Moraph cloud

Hosted and operated by Moraph in the United States region, with interfaces to your cabinet, EHR and scheduling systems.

Dedicated environment

A single-tenant environment for health systems whose policies require isolation, scoped in the proposal.

Health system deployment

One deployment across several hospitals, so clinicians who work at more than one site are seen in full, with each site's team seeing its own work.

Data connections

We connect your dispensing cabinet, EHR, inventory and scheduling data and check that removals link to administrations. We need contacts from pharmacy informatics and each system's team.

Unit and peer groups

Units, cabinets and peer groups are mapped so clinicians are compared with peers who do similar work.

Rules and measures

Rules, measures and thresholds are configured from your diversion policy and approved by your diversion committee.

Historical review

Rules are run against historical data and results reviewed with your diversion team before go-live, so thresholds fit your units.

Case workflow and access

Case stages, who may be named on cases, committee approvals and human resources involvement are set to match your policies.

Training and go-live

Diversion specialists, pharmacists, nurse managers and committee members are trained on their own workflows, including how to treat a flag fairly.

• A flag is a statistical or rule-based signal, not evidence of diversion. Your team reviews each flag and decides what it means.
• Analysis depends on complete and timely data from dispensing cabinets, the EHR and scheduling systems. Gaps in any of them reduce what can be detected.
• It does not submit DEA Form 106 or any other report. Your DEA registrant reviews, approves and submits reports through the DEA's own channels.
• It does not make employment, licensing board or law enforcement decisions or referrals; those follow your policies and are made by your staff.
• It is not a dispensing cabinet system or an inventory system, and it does not control access to medications.
• Diversion that leaves no trace in the connected data, such as tampering with a vial after a documented administration, may not be detected.
• Drug testing, security camera review and other investigation steps are recorded in the case but carried out with your own processes and systems.
• It is designed for US controlled substance requirements; rules in other countries are not included.

• Load a sample of your own de-identified cabinet and administration data and check how many removals link correctly
• Review a past case your team investigated and see whether the pattern would have been flagged, and when
• Ask a pharmacist reviewer whether each flag's reasons are clear enough to act on
• Confirm that nurse managers cannot see flags or cases
• Walk through a case from flag to committee decision and review what is recorded
• Test a threshold change against historical data and review the approval record it produces