Continuous drug diversion monitoring software for modern health systems
95% of diversion cases are never investigated. DetectRx reviews every medication event across EMR, automated dispensing cabinets, and timekeeping data, then scores and routes the risks that matter. 24/7, without gaps.
Most diversion programs still run on EHR reports, ADC logs, and monthly manual audits. Diverters know exactly where the gaps are.
Fragmented data hides the pattern
EHR reports, ADC logs, and timekeeping each tell part of the story. A nurse dispensing off-shift, or waste totals that never reconcile, only become visible when all three are correlated.
Monthly reviews leave multi-week blind spots
When risk data is pulled once a month, diversion that begins in week one may not surface until week five. Patients absorb the harm in between.
Manual audits consume the team
Pharmacy and compliance teams spend their hours pulling reports and chasing context instead of investigating. Renown Health could monitor only 5 risk factors this way.
How it works
How DetectRx works
Four capabilities that turn fragmented medication data into prioritized, audit-ready action.
01
Assembles a complete picture
DetectRx integrates the three systems involved in every medication event: EMR administration and order data, ADC dispense, waste, and return activity, and timekeeping shifts and assignments.
02
Applies dual-layer analytics
Machine learning flags behavioral anomalies while expert-written rules codify known diversion indicators. Every flagged event gets a Risk Score: High at 80+, Medium 60-79, Low below 60.
03
Surfaces prioritized risk
The Risk Review screen presents events in priority order with a narrative summary of what was detected and why. The Activity Timeline shows every related dispense, administration, waste, shift, and pain score.
04
Automates with AVA
On high-risk events, AVA notifies the responsible manager, delivers a questionnaire, files the response, opens or auto-closes the investigation, and escalates if nobody responds.
Capabilities
Built for the whole diversion program
From first flag to board report, every workflow lives in one platform.
EMR + ADC + timekeeping
Correlates the three data sources every medication event touches, so single-source blind spots disappear.
ML plus expert rules
Behavioral anomaly detection layered with clinically precise, expert-written diversion rules.
Risk Score triage
Every flagged event scored and weighted by risk type, drug involved, and user history.
28+ risk types
Dispensing, administration, reconciliation, off-shift, witness, patient status, and insulin-specific risks.
AVA automation
Notifies managers, sends questionnaires, files responses, and escalates on no response, every time.
Investigations module
Status tracking, linked risks, multi-investigator collaboration, attachments, and PDF export.
Insights dashboard
Risks by issue type, location, user, and trend, plus investigation and questionnaire status.
Activity Timeline
A chronological view of every medication event related to a flagged risk, with full clinical context.
Enterprise security
HIPAA-compliant cloud deployment with BAA support, encryption, MFA, and role-based access.
Deep EHR integration
Epic, Cerner, MEDITECH, athenahealth, and Allscripts via HL7, FHIR, REST, and SMART on FHIR.
Configured to your policies
Risk types, scoring weights, AVA thresholds, and escalation chains configured with your team.
Audit-ready exports
Formatted PDF investigation records for HR proceedings, legal review, and regulatory submissions.
Real-world results
Measured by the systems that run it
Outcomes below come directly from the product whitepapers, with named organizations.
Renown Health
From 5 monitored risk factors to 24
A national healthcare leader in northern Nevada serving over 1 million people, including the region's only Level II Trauma Center.
Renown's diversion program ran on manual processes and monthly data pulls, with monitoring limited to five risk factors and no consolidated view of controlled substance data. With DetectRx, coverage expanded nearly five times and monthly reviews became continuous automated monitoring.
Dimension
Before
After
Risk factors monitored
5
24
Review frequency
Monthly, manual
Continuous, automated
Data view
Fragmented
Unified across the system
monitored risk factors
5 to 24
continuous automated review
24/7
Peterson Health
Every outlier transaction, reviewed
A nonprofit, independent healthcare organization serving the Texas Hill Country.
Peterson Health relied on standard EHR and ADC reports and manual spot checks that left significant gaps. DetectRx moved the team to automatic review of every outlier transaction and surfaced workflow practices nobody knew existed, building cross-functional accountability between pharmacy and clinical teams.
of outlier transactions reviewed automatically
100%
continuous monitoring, no spotcheck gaps
24/7
In their words
"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 spotchecking."
Annie RaymondDirector of Pharmacy, Peterson Health
"DetectRx didn't just help look for potential diversion. It found practices that may have needed to be improved or practices that we didn't know existed."
Annie RaymondDirector of Pharmacy, Peterson Health
"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 OliverDirector of Accreditation and Regulation, Renown Health
"As a large health system, adopting new processes and systems takes time. The iatricSystems team learned our barriers and helped us troubleshoot the configurations that are necessary for us to implement DetectRx. They have been flexible and truly understand the individual needs of our health system."
Jen WalkerVP of Quality and Patient Safety, Renown Health
"Not only are we providing more complete charting and better information on the medical record, we're keeping the patient safe."
Annie RaymondDirector of Pharmacy, Peterson Health
Swipe for more
Integrations and security
Works with what you already run
DetectRx works with the EHR, dispensing cabinets, and timekeeping platforms you already run. Cloud-hosted, HIPAA-compliant, and configured to your policies by the iatricSystems implementation team.
Epic
Cerner
MEDITECH
athenahealth
Allscripts
HL7
FHIR
REST APIs
SMART on FHIR
HIPAA + BAA
MFA
Encryption at rest and in transit
Product questions
DetectRx FAQ
What are common signs of drug diversion in a hospital?
Patterns DetectRx monitors include dispenses without administration, administration without a documented dispense, waste totals that do not reconcile with dispensed amounts, medication activity by staff who are off shift or in the wrong location, witness irregularities, activity on discharged or expired patients, and insulin activity without a corresponding glucose result. DetectRx tracks 28+ risk types like these continuously.
How is continuous monitoring different from monthly audits or spotchecks?
Manual audits review a fraction of transactions, and the weeks between reviews give diverters room to operate. DetectRx evaluates every medication event as data arrives, assigns each flagged event a Risk Score, and routes high-risk events for review immediately. Peterson Health moved from spotchecking to reviewing every outlier transaction automatically.
What does AVA automate?
When an event scores above the high-risk threshold, AVA notifies the responsible manager by email or SMS, delivers a targeted questionnaire, files the response, opens an investigation when warranted, auto-closes it when not, and escalates to additional contacts if nobody responds within your configured window.
What data does DetectRx need from our systems?
Three feeds: EMR data (administrations, orders, patient status, pain scores), automated dispensing cabinet data (dispenses, wastes, returns), and timekeeping data (shifts and assignments). DetectRx integrates with Epic, Cerner, MEDITECH, athenahealth, and Allscripts via HL7, FHIR, REST APIs, and SMART on FHIR.
Does DetectRx support DEA and Joint Commission documentation needs?
Every investigation is timestamp-audited with status tracking, linked risks, notes, and attachments, and exports to a formatted PDF suitable for HR proceedings, legal review, and regulatory submissions. The Insights dashboard supports board-level and regulatory reporting without manual data assembly.
Is DetectRx HIPAA-compliant?
Yes. DetectRx deploys as a HIPAA-compliant cloud service with Business Associate Agreement support, encrypted data in transit and at rest, role-based access controls, comprehensive audit logging, and optional multi-factor authentication.