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Using Drug Diversion Detection Software for Charge Capture

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Using Drug Diversion Detection Software for Charge Capture

Drug Diversion

In previous blogs I have reviewed the various drug diversion detection software products. We have talked about how those products can assist a facility in monitoring for possible drug diversion. Drug diversion is the act of diverting a prescription drug from its originally intended path. This diversion can take place anywhere along the medication pathway from manufacturer to patient. When referring to drug diversion, we most likely think about controlled substances, which usually goes hand in hand with an addicted healthcare worker. While this type of drug diversion can ultimately lead to the greatest safety risk, a facility can experience a large financial risk when it comes to drug diversion involving high cost medications. Some medications have high street value, so theft of these meds could/should be added to the list of medications monitored with the aid of software.

Financial loss to the facility either due to intentional diversion of high cost meds or due to repeated loss of charge capture can add up quickly. Diversion monitoring software programs can assist a facility in monitoring for lost charges. Lost charges may be a result of poor processes or poor charting compliance. Keep an eye on inventory and close the loop on removals and charting of administration if the charging is based on administration. Does your facility employ any manual charting in the OR or procedural rooms?  How complete are those manual charges?

If you are a Pharmacy Director who wants a drug diversion monitoring software product but you are not having success in getting approval for the product to monitor diversion, consider a return on investment if the product was used to monitor for lost charges or theft of high cost meds. Perhaps your leadership would be more inclined to approve the purchase for what they may consider a more tangible charge capture issue.

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Our References

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