FREE SELF-ASSESSMENT · CDC & CSTE ALIGNED
Diversion Prevention Program Assessment
Evaluate, strengthen, and document your controlled substance diversion prevention program — from checklist assessments to investigation guides.
Free · No signup · Auto-save + PDF export
- Governance
- Lifecycle controls
- Surveillance
- Waste documentation
- 2 gaps to review
WHY IT MATTERS
What Is Drug Diversion & Why It Matters
Patient Safety
Diverted injectable drugs have caused hepatitis B/C and HIV outbreaks in healthcare settings. Impaired providers endanger patients and erode care quality (CDC).
Documented Outbreaks
CDC recorded outbreaks from 1983–2018: 45 HCV infections (NH/KS/MD, 2012), 45 cases (TX, 1992), 25 cases (MN, 2011), 18 HCV (CO, 2009).
Substantially Underreported
Diversion is substantially underestimated and underreported across U.S. healthcare facilities — most incidents never surface through formal channels.
WHAT TO WATCH FOR
Early Warning Signs (CSTE Behavioral Patterns)
- Unscheduled absences or arriving and leaving at unusual hours
- Frequent unexplained disappearances from the worksite
- Insisting on personally administering injectable medications
- Abnormal waste patterns — excessive, incomplete, or unwitnessed waste documentation
- Volunteering for overtime, particularly near shift-end when oversight is reduced
START HERE
Choose Your Assessment
CAPABILITIES
What You Can Do
Hospital, community, or multi-system with per-site scoring
Real-time scoring with auto-save and CSV export
Download checklist results as PDF for reporting
Use the playbook, interview guide, and filing guide
HOW IT WORKS
Five stages, and the control that stops each one
Diversion rarely fails at one dramatic moment. It is a sequence — legitimate access, small removals over time, a count that stops reconciling, an internal investigation, a consequence — and each stage has a control that either holds or does not.
The controls listed are the ones the registry's own case records describe. Where those records show the control failed, that is the finding worth acting on.
Investigation playbook →LATEST CASE STORY
Latest Case Study: What Diversion Looks Like Now
Edmond hospital employee charged with stealing fentanyl waste from OU Health
An Edmond hospital employee was charged with larceny of controlled drugs after police said he stole fentanyl waste from OU Health, according to court documents. A hospital report flagged more than 15 transactions involving fentanyl waste, including fifteen 'override cancel' or 'remove cancel' entries for fentanyl 100 mcg/2ml. Surveillance video was reported to show the employee blocking the camera's view, removing vials from a drawer and pocketing them, and using a syringe and needle to take leftover waste from drip bags for personal use. Police said he later admitted to the theft, which totaled about $430 in fentanyl waste.
More Recent Cases
GUIDES & TOOLS
Guides & Resources
FOR TEAMS EVALUATING TOOLING
Comparing drug diversion monitoring software?
Before you sit through a vendor demo, read our plain-language breakdown of what ADC analytics, EHR transaction surveillance, reconciliation, and anomaly-detection tools actually do — the mechanism behind each, what the data can and can't prove, and the questions worth asking before you sign.
TOOLS & COMMUNITY
Compliance Tools & Calculators
DEA 106 deadline, discrepancy, waste %, fentanyl reconciliation, biennial inventory.
Community & Directory
Discussion forum, events & conferences, vendor & association directory.
NEWS & GUIDES
Latest from the Blog
FAQ
Frequently Asked Questions
About the Author
Alex Rodriguez, MHIIM, CPhT, is a drug diversion prevention program manager with more than 10 years of pharmacy experience spanning retail, hospice, compounding, home-health, and hospital settings. He has collaborated with hospitals, health systems, community pharmacies, and academic medical centers to design and strengthen controlled substance diversion surveillance programs. DivertGuard grew out of that hands-on work and the gaps he found in freely available guidance.
- Published author — Pharmacy Purchasing & Products Magazine
- Faculty — ASHP Drug Diversion Certificate program, 21 contact hours of CE
- Speaker — Health Care Compliance Association
- MHIIM · CPhT · 10+ years in pharmacy across retail, hospice, compounding, home-health, and hospital settings
Contact & Suggest Changes
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