Trusted by healthcare since 1988

Drug Diversion Is Happening in Your Health System Right Now

Most programs never catch it. DetectRx does.

DetectRx is AI-powered drug diversion detection and monitoring software that continuously watches every controlled substance transaction across your health system — surfacing real risks, automating investigations, and giving your team the evidence to act.

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95%

of drug diversion cases are never investigated

80–93%

of diversion incidents go completely undetected

$70B

lost to drug diversion in U.S. healthcare every year

Source: iatricSystems / industry research

35+

Years in healthcare IT

1,300+

Health systems served

800+

Vendor integrations

The Problem Your Current Program Cannot Solve

Drug diversion — the theft or misuse of controlled substances by healthcare employees — is one of the most underreported crises in American healthcare. A nurse replaces fentanyl with saline. A pharmacist shorts a patient's dose. A technician administers a medication to themselves instead of the patient.

Patients suffer. Staff are harmed. And in the vast majority of cases, no one finds out for months — or ever.

The problem is not a lack of concern. It's a lack of visibility. Most health systems still rely on manual monthly audit pulls, EHR spot checks, and ADC reports reviewed in isolation. These approaches were never designed to catch what modern drug diversion actually looks like.

“Drug diversion monitoring relied entirely on manual processes and monthly pulled data reports. We had no consolidated view of controlled substance data across the health system.”
— Renown Health, prior to implementing DetectRx

The gaps in a manual approach:

Disconnected data sources tell only part of the story.
EHR reports, ADC logs, and timekeeping data each capture a fraction of the picture. Without correlating all three simultaneously, high-risk patterns go unconnected.
Spot checks are not surveillance.
Between review cycles, diversion can continue for weeks — accumulating patient harm and destroying evidence before anyone looks.
Monthly cadence means 30+ days of undetected risk.
Active diversion can run unchecked for an entire billing cycle before a manual review even begins.
Manual workflows drain your compliance team.
Staff spend hours pulling and reconciling reports instead of conducting meaningful investigations.

Your monitoring program has blind spots. DetectRx closes them.

Introducing DetectRx: Drug Diversion Monitoring Software Built for Modern Healthcare

A cloud-based platform that continuously ingests data from your EMRs, automated dispensing cabinets, and timekeeping systems — then applies artificial intelligence, machine learning, and expert-written analytics to surface real diversion risks. Unlike periodic audits or single-source reports, DetectRx watches every transaction, every shift, every provider — 24 hours a day, 7 days a week.

Purpose-built for:

Pharmacy Directors & Diversion Managers

Get signal, not noise. A prioritized risk queue means your team focuses on what matters most — not a flood of unscored alerts.

Compliance & Patient Safety Officers

Audit-ready documentation, full investigation trails, and PDF exports make regulatory submissions and HR proceedings faster and cleaner.

Nurse Managers

Respond fast when a risk is flagged on your unit. AVA alerts notify you immediately so you can act before the situation escalates.

Health System Executives

Get organizational risk visibility and trend data for board-level reporting, DEA readiness, and ongoing program management.

How DetectRx Controlled Substance Monitoring Works

Four interconnected layers working together around the clock — so no diversion event falls through the cracks.

Connects Every Data Source That Matters

Most monitoring tools analyze one or two data sources. DetectRx integrates all three systems involved in every medication event simultaneously — detecting patterns no single-source system can.

Electronic Medical Records (EMRs): Orders, administration documentation, pain scores, patient status
Automated Dispensing Cabinets (ADCs): Dispense, waste, return, and access activity
Timekeeping Systems: Shift schedules and staffing assignments to flag off-shift or off-location activity

Applies AI and Expert Analytics to Every Transaction

A dual-layer analytical approach interrogates every data point continuously.

Machine Learning learns your organization's normal patterns and flags statistical deviations a rules engine alone would miss.
Expert-Written Rules codify known diversion indicators with clinical precision — from reconciliation discrepancies to complex multi-patient dispensing patterns.

80+High Risk

60–79Medium Risk

<60Low Risk

Delivers a Prioritized, Actionable Dashboard

DetectRx surfaces risks in an intuitive dashboard built for action — not endless data exploration.

Risk Review screen: All flagged events in priority order with a clear narrative summary of what was detected and why — no detective work required.
Activity Timeline: A full chronological view of all related medication events — dispenses, administrations, wastes, returns, shift data, pain scores, patient status, and lab results.

Monitors 28+ Drug Diversion Risk Types — Continuously

An extensive risk library runs around the clock — orders of magnitude beyond what any manual review program can sustain.

Risk Category	Examples
Dispensing Irregularities	Dispense without administration, max-dose dispense, multiple patients in short window
Administration Irregularities	Admin without dispense, different dispense and admin users, missing pain score
Reconciliation Failures	Balance discrepancies, whole-dose waste or return
Off-Shift / Off-Location Activity	Activity by a user not on shift or in a different location
Witness Irregularities	Witness off-shift or in the wrong location at time of activity
Patient Status Anomalies	Activity on a discharged or expired patient
Insulin-Specific Risks	Dispense or administration without a corresponding glucose test

Meet AVA: Your Always-On Virtual Investigator

When a risk event crosses the High Risk threshold, DetectRx's Advanced Virtual Assistant (AVA) takes action automatically — so your team never has to chase down a follow-up again.

How AVA works

Sends an alert immediately

Email or SMS notification to the designated manager or supervisor the moment a high-risk event is flagged.

Delivers a structured questionnaire

The manager reviews a concise risk summary and answers targeted questions to determine if further investigation is needed.

Documents the response automatically

If investigation is warranted, AVA opens and assigns it. If not, AVA closes it cleanly with a full audit trail.

Escalates if there is no response

If the designated recipient does not respond within your configured window, AVA escalates to the next contact in your chain automatically.

Why AVA changes everything

In most health systems, the process of flagging a risk, notifying a supervisor, collecting their initial assessment, and opening a formal investigation involves manual emails, phone calls, and documentation that can take hours or days — and often never happens at all.

AVA compresses that entire process to minutes and ensures it executes every time, for every high-risk event, without exception.

“AVA triggers alerts, requests information, and tracks responses based on predefined parameters, helping you provide necessary documentation for HR and regulatory agencies.”

AVA is fully configurable — you define which risk types trigger it, who receives questionnaires, escalation timing, and the escalation chain.

From Alert to Resolution — and Beyond

DetectRx is not just a detection tool. It's a complete controlled substance compliance workflow platform.

Complete Investigation Management

When a risk event requires deeper investigation, DetectRx provides a structured collaborative workspace so your entire team works from a single source of truth.

Status tracking — New, Open, Pending, In Progress, Closed
Linked risks — all flagged events connected to the same individual or incident
Multi-investigator collaboration with role-based access controls
Notes and document attachments for supporting evidence
Full audit trail — every action timestamped and logged
PDF export formatted for regulatory submissions and HR proceedings

Organizational Intelligence for Leadership

DetectRx's Insights dashboard gives executives and program managers the data to understand risk posture across your entire system — without manual data assembly.

Risks by Issue Type — most prevalent risk categories system-wide
Activity by Location — facilities or units with elevated risk density
Risk Trends Over Time — measure program effectiveness across quarters
Risk Ratio by User — normalized against hours worked to identify true outliers
Investigations Dashboard — status at a glance across locations and investigators
Questionnaire Status — AVA completion rates and escalation patterns

Everything you need for board-level reporting, DEA and Joint Commission readiness, and ongoing program management.

What Health Systems Are Achieving with DetectRx

Real outcomes from real customers — because no feature description beats proven results.

Renown Health

Large Regional Health System — Northern Nevada

Renown Health serves over 1 million people across 100,000 square miles, including the region's only Level II Trauma Center. Before DetectRx, their drug diversion program ran entirely on manual monthly data pulls with visibility into just 5 risk factors.

Metric	Before	After
Risk factors monitored	5	24
Review frequency	Monthly (manual)	Continuous (automated)
Data view	Fragmented by system	Unified across health system

“DetectRx impressed us and gave us insight on technology that can make it easier for us to continue to meet our goals of patient safety and provide quality care.”
— Tammy Oliver, Director of Accreditation and Regulation, Renown Health

“The iatricSystems team learned our barriers and helped us troubleshoot the configurations necessary for us to implement DetectRx. They have been flexible and truly understand the individual needs of our health system.”
— Jen Walker, VP of Quality and Patient Safety, Renown Health

Peterson Health

Nonprofit Community Hospital — Texas Hill Country

Peterson Health relied on standard EHR and ADC reports that could not capture the full picture. Manual audits left significant gaps and there was no automated way to surface unknown problematic practices — including workflow habits their team did not even know existed.

“DetectRx has made it possible to review every transaction that may appear as an outlier, as opposed to what we were doing before, which was spot-checking.”
— Annie Raymond, Director of Pharmacy, Peterson Health

“DetectRx did not just help look for potential diversion. It found practices that may have needed to be improved or practices that we did not know existed.”
— Annie Raymond, Director of Pharmacy, Peterson Health

“Not only are we providing more complete charting and better information on the medical record, we're keeping the patient safe.”
— Annie Raymond, Director of Pharmacy, Peterson Health

Works with Your Existing Systems. Secured for Healthcare.

DetectRx integrates with the technology stack you already have — augmenting, not replacing it.

EHR & System Integration

EHR Systems: Epic, Cerner, MEDITECH, athenahealth, Allscripts, and more
ADC Platforms: Major automated dispensing cabinet providers
Timekeeping: Existing scheduling and staffing solutions
Protocols: HL7, FHIR, REST APIs, SMART on FHIR, CDS Hooks

Enterprise Security & Compliance

HIPAA-compliant deployment with BAA support
Encrypted data transport and storage
Role-based access controls and comprehensive audit logging
Multi-factor authentication (email or Microsoft Authenticator)
Configurable data retention policies

Scales to Your Organization

Cloud-hosted architecture — no on-premise infrastructure
Faster implementation, lower maintenance burden
Scales from community hospitals to multi-site regional systems
Unlimited scalability with no performance trade-offs

DetectRx by the Numbers

95%

of diversion cases are never investigated

80–93%

of diversion incidents go completely undetected

$70B

average annual cost of drug diversion in U.S. healthcare

28+

drug diversion and non-compliance risk types monitored

5 → 24

risk factors Renown Health gained after implementing DetectRx

24/7

continuous monitoring — every medication event, no gaps

1,300+

healthcare systems that trust iatricSystems

35+

years of healthcare IT experience from iatricSystems

Backed by 35 Years of Healthcare IT Partnership

DetectRx is a product of iatricSystems, a healthcare IT company with over three decades of experience building solutions for the operational realities of real clinical teams. With 1,300+ health systems and 800+ vendor integrations, iatricSystems brings proven scale and deep domain expertise to every engagement.

When you implement DetectRx, you are not deploying software and figuring it out alone. The iatricSystems implementation team works alongside your organization to configure the platform to your specific environment, policies, and priorities.

“Our collaboration with Renown Health demonstrates the vital role drug diversion monitoring plays in protecting patient safety.”
— Rob Rhodes, Executive Vice President, iatricSystems

Healthcare IT solutions since 1988

35+ Years1,300+ Health Systems800+ IntegrationsHIPAA Compliant

Talk to a DetectRx Specialist

Schedule a free 15-minute discovery call. We'll discuss your current controlled substance monitoring program and help you determine whether DetectRx is the right fit for your health system — no commitment required.

What to expect on the call

A 15-minute conversation with a DetectRx specialist — not a sales pitch

We'll ask about your current controlled substance monitoring program, existing data sources, and compliance goals

You'll get an honest assessment of whether DetectRx is a strong fit for your environment

If there's a mutual fit, we'll follow up with a full product walkthrough at a time that works for you

Trusted by 1,300+ health systems | 35+ years in healthcare IT