Drug Diversion Prevention
Hospitals, health care providers, state government and law
enforcement have joined together to create a set of best practices that
hospitals and health care facilities can use to enhance security for controlled
substances, including narcotics and other powerful prescription medications.
Substance Diversion Coalition, convened by the Minnesota Department of Health
and the Minnesota Hospital Association, came together in May 2011 to prevent
theft of prescription drugs by health care workers, patients, families, and
visitors, and to raise awareness about the issue within health care settings.
The coalition is an effort of a broad-based stakeholder group, including
hospitals, long-term care facilities, home care and hospice.
Enforcement Agency requires hospitals and other health care facilities to
report the theft or loss of controlled substances. In Minnesota from 2005 to
2011, there were 250 reports of theft or loss of controlled substances. Reports
increased from 16 in 2006 to 52 in 2010, a 325 percent increase. (Retail
pharmacy thefts are not included in these numbers.)
Controlled Substance Diversion (CSD) Learning Network
MHA hosts quarterly webinars to share learnings and best practices around controlled substance diversion. To join the CSD learning network, contact Joy Benn, quality and process improvement specialist, MHA.
Drug Diversion Prevention Resources
The coalition has created a road map and toolkit that will
improve health care providers’ controlled substance storage and security,
procurement, prescribing, preparation and dispensing. The road map includes
training materials, sample policies and procedures, and a flow chart of
reporting guidelines and requirements that providers can use when they suspect
a drug diversion has occurred.
The road map is a
collection of best practices for preventing and responding to
controlled substance diversions. Some examples include camera surveillance in
high-risk areas, keeping prescription notepads in locked locations, implementing a
clearly defined process for controlling and accounting for keys, rules against
sharing pass codes, utilizing bar codes for tracking, deploying secure and
locked delivery carts, and using tamper resistant packaging.
Download the Controlled Substance Diversion Prevention road map.