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Mitigating Diversion

Rxpert Solutions > Blogs > Mitigating Diversion

I recently read a blog  by Dennis Tribble, a fellow pharmacist and IHFDA member, posted in ASHP titled Why do we talk about preventing diversion? I agree with his “rant” (his word not mine!). We use the word prevention when we talk about mitigating the risks for diversion, but we must be mindful of the fact that no matter how much education there is, no matter how good our policies and procedures are, no matter how tight our chain of custody is, those with a substance abuse problem will find a way to divert the medications. Their need for that substance drives everything they do, and they are constantly thinking of how to get it done.

We, the diversion monitoring specialists, devote a few hours a day or week to discovering their methods while they devote every waking hour to formulating a plan. Along with formulating the how to of diversion, they spend hours on plausible excuses they can use when questioned. The best diversion methods will be invisible, meaning they mimic every day practice. Those of us looking take several factors into consideration when monitoring for the anomalies. Drug diversion monitoring takes years of honing the skill set. Even if a facility has a great diversion specialist, if the leadership team does not understand diversion, they will dismiss the diversion specialist’s concerns as sloppy practice, educate the diverter on how they just got caught, and place them back to work! There are so many things that go into a comprehensive program, and if any of the components are lacking, the program will catch some, but it will miss many.

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Terri is absolutely phenomenal. She is an incredibly knowledgeable pharmacy resource. As the medication safety officer, the quality initiatives she implemented not only impacted the patients at our medical center but also reached into the community. Terri is a genuine professional who upholds accountability while creating community among her team members. She is a great listener to identify friction points and has actionable ideas to implement improvements.

T. Eagle. MBA, MLS(ASCP), CLS Lab Operations Manager

Terri is an expert at prospective risk identification -Failure, Mode and Effects Analysis (FMEA). Terri participated in CHPSO Patient Safety Safe Tables and was part of the Hospital Quality Institute’s Regional Quality and Patient Safety Leader Network.
She is an excellent public speaker and communicates well with public and professional audiences. I look forward to her continued work in medication safety.

Regional Quality Network at HQI

Terri has done a tremendous job with the controlled substance diversion program. She has had such a positive impact and has really made the hospital a safer place.

Tri-City Medical Center
Nurse Manager

We would not be where we are with the improvements we have made with opioid prescribing if it were not for Terri driving the process.

Tri-City Emergency Medical Group
Chief Physician

In addition to understanding the ins and outs of the [controlled substance use] process completely, she is very proactive in coming to me with provider issues that she detects. She truly balances the administrative duties and the regulatory components demand with a keen sense of what my practitioners do and what their needs are on the ground. Terri is instrumental in working with my department, balancing patient care, cooperation, ability, and integrity to get the job done.

UCSD Medical Center
Chief Anesthesiologist

Terri is knowledgeable and effective in pharmacy leadership. She has the ability to be able to anticipate and prepare for the future. Her ability to utilize resources effectively in this changing environment is a strong asset. She can adapt, evolve, mentor and still never say “no” when asked to assist. She exhibits great abilities to be flexible and is a “self starter”. She has a pleasant yet effective demeanor that commands results.

Candace Fong, Pharm D
System Director of Pharmacy and Medication Safety Common Spirit Health

Terri has always impressed me as being very smart. resourceful, creative, and easy to work with. Terri’s commitment to medication safety permeated our organization, raising the awareness of this important issue throughout all levels of the institution. Terri has always been engaged, cooperative, and generous with her time.

Cary Mells, MD
Chairman of the Department of Emergency Medicine Tri-City Medical Center

Terri has done more for the Pharmacy in her few months as Interim Pharmacy Director than any other Director has done during my 12 years here.

Anita Kennedy, MBA
VP of Ancillary Services Methodist Hospital

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Address: 950 Boardwalk Suite 305, San Marcos, CA 92078

  • 760.705.4078
  • tvidals@rxpert.solutions