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Hospital Checklist

8-section, 63-item assessment for acute care, inpatient, and surgical settings

Community Pharmacy Checklist

7-section, 45-item assessment for retail pharmacy and outpatient dispensing settings

Multi-Hospital System Checklist

Per-site checklists with consolidated scoring across multiple facilities

Guides & Resources

Diversion Settlements & Fines

Settlements, civil penalties and criminal fines paid by hospitals and pharmacies in documented drug diversion cases, with the amount, year and primary source for each

Penalty Outcomes in the Case Records

Counts of the outcomes the registry records state: prison, probation, fines, licence actions and restitution, with stated sentence lengths by band and by drug class

Registry Insights: Sentences, Fines, States and Outcomes

Sentence lengths, fines and restitution, cases per 100,000 pharmacists by state, and plea and licence outcomes, each counted from the case records with its n, plus charts of cases by year, state and drug class

Drug Diversion Statistics

Charts and data tables from 931 documented federal and state cases — drugs, settings, outcomes, and cases by year

Prevention Value Deck — Free Slides

A free PDF making the case for a diversion prevention program — documented penalties, deaths and how to evidence your own value, every figure cited

Investigation Playbook

Step-by-step guide from initial report through resolution and corrective action

Policy Templates

Ready-to-adapt diversion prevention, waste witnessing, POM, and camera policies

Training Materials

New hire awareness, annual competency, red flag recognition, and waste documentation

Regulatory Guide

DEA requirements, state board obligations, PDMP mandates, and Joint Commission standards

Recordkeeping Requirements Checklist

Every controlled substance record a pharmacy or hospital must keep under 21 CFR Parts 1304, 1305 and 1317, with the section each comes from and what to have ready for an inspection

Manual vs. Automated Diversion Detection

What people-driven counts and reconciliations catch, what cabinet analytics and peer scoring catch, where each is blind, and how to combine them by setting

Risk Assessment by Unit

Risk profiles for ED, ICU, OR, Med-Surg, Oncology, and Pharmacy departments

Interview Guide

Preparation, questioning techniques, documentation standards, and legal considerations

DEA 106 Filing Guide

When to file, step-by-step form completion, common mistakes, and sample scenarios

Analytics Dashboard

KPIs, benchmarks, sample SQL, and Power BI/Tableau layout blueprint for surveillance

Drug Diversion Monitoring Software: A Buyer's Guide

What monitoring, detection, surveillance, and auditing software actually do, the real categories of tooling, what the data can and can't prove, and how to evaluate a vendor

Power BI for Diversion Prevention

ETL, data model, DAX measures, and dashboard design for controlled substance surveillance

Communication Tips

Tailored messaging for anesthesia, nursing, pharmacy, and executive leadership

15 Red Flags of Drug Diversion

Behavioral, documentation, and inventory warning signs your staff should know

Employee Screening & Fitness for Duty

Pre-employment vetting, DEA screening requirements, and ongoing fitness-for-duty monitoring for staff with controlled substance access

Patient Notification After Drug Diversion

When and how to notify patients potentially exposed through drug diversion, with bloodborne pathogen testing guidance

AI Prompting for Drug Diversion: A Prompt Library

Copy-paste AI prompts for ChatGPT, Claude, Gemini, and Copilot to detect waste, overrides, discrepancies, and off-hours access

Using AI to Build Diversion Reports

Where a clinician starts: what to ask IT, what to do when IT says no, which data you already have, which AI capabilities matter, realistic timelines, and how to validate without exposing PHI

Diversion Prevention Insights

Daily practical insights for pharmacy diversion prevention programs — controls to check, patterns to watch, and compliance questions to ask.

Most Commonly Diverted Drugs

Which controlled substances appear most often in federal cases, with audit red flags and linked case examples for each drug

Diversion Trends

What's trending up in healthcare drug diversion, tracked from recent DEA/DOJ enforcement news

Drug Diversion Prevention Program

What a hospital drug diversion prevention program needs — oversight, surveillance, waste controls, investigation — and the questions to ask about each.

DEA Audit Readiness

Prepare for a DEA inspection: inventory, Form 222 and CSOS orders, Form 106 loss reports, Form 41 destruction and renewals.

Pharmacy Diversion Monitoring

What a community pharmacy should review to catch controlled substance diversion: staff access, counts, returns and prescriptions.

Compounding and USP 795/797/800

Where controlled substance diversion hides in sterile, nonsterile and hazardous-drug compounding, and the access, waste and logging controls that close it.

Drug Diversion Audit

How to audit a controlled substance program for diversion: what to test from ordering to waste, how often, and who should do it.

Controlled Substance Count Requirements

What DEA actually requires (an inventory every two years, accurate records, no perpetual inventory) and where shift and daily count intervals really come from.

Reporting Employee Diversion

Reports owed when an employee diverts controlled substances: fixed federal DEA deadlines, plus board and state duties that vary by state and profession.

Diversion Program Requirements

What federal rules require of a hospital or pharmacy to guard against diversion, what is left to state and accreditor, and when a written program is required.

Red Flags by Drug Class

Diversion warning signs for opioids, benzodiazepines, stimulants, propofol and ketamine, and controlled drugs in long-term care, with the rules for each.

Tools & References

Tough Issues

High-risk scenarios with annotated SQL: PCA, multidose vials, overrides, waste lag

Camera Setup

Placement guides, retention requirements, OR strategy, and maintenance schedule

Resources

A checked directory of federal guidance, state board and PMP contacts, professional societies, policy materials and monitoring references

Programs That Worked

Diversion prevention programs at real hospitals and health systems with a measured result, each linked to its source

Useful Items

Curated tools, templates, and reference materials for diversion prevention programs

About DivertGuard

Purpose, scope, and methodology behind the DivertGuard assessment tool

Alex Rodriguez, MHIIM, CPhT

Author of DivertGuard — IHFDA Annual Conference presenter, ASHP Drug Diversion Certificate faculty, and HCCA speaker

Content Review Policy

How DivertGuard content is researched, reviewed, and kept current

Vendor & Association Directory

Reference listing of diversion prevention technology vendors and professional associations by category

Diversion Case Studies

Real-world drug diversion events with analysis and prevention lessons

Diversion Stories (Composites)

Short illustrative narratives of how diversion is discovered in a pharmacy or hospital: the first signal, the confirmation, and the control that would have caught it sooner. Composites, not real events

Case Database

Filter all documented diversion cases by year, state, setting, drug, and prosecution status

Case Registry Dataset (CSV / JSON)

Download every documented diversion case as CSV or JSON, with field definitions, sourcing and a citation

Compliance Tools & Calculators

DEA 106 deadline calculator, controlled substance discrepancy calculator, and waste percentage calculator

Community

Discussion Forum

Ask questions and share lessons learned on diversion prevention with peers

Events & Conferences

Conferences, training, and webinars for diversion prevention, pharmacy compliance, and regulatory professionals

Free Diversion Prevention Toolkit

Free assessments, case data, and playbooks for IHFDA members and attendees, from a 3-time IHFDA presenter

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