Pharmacy Diversion Monitor

Principal workflows

• Collect: Transactions 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.
• Analyze: Each 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.
• Review: A 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.
• Investigate: Cases 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.

Who uses it

• 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

Reporting

• Open flags and unresolved discrepancies
• Documentation follow-ups by unit
• Flag outcomes by rule, for tuning and committee reporting
• Unit and medication patterns without individual names
• Loss reporting log for your DEA registrant
• Rule and threshold change history for auditors

Features

• 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.

Integrations

• 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.

Deployment

• 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.

Security and privacy

• 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.

Limitations

• 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.

Next steps

Book a demonstration or a technical briefing at www.moraph.com/solutions/pharmacy-diversion-monitor. Purchasing routes and company information: www.moraph.com/how-to-buy.