Controlled substance diversion detection systems and methods

A non-transitory machine-readable medium embodying instructions that, when executed by a machine, cause the machine to perform operations, comprising:

• configuring a plurality of dispensing devices to automatically monitor dispensing of a controlled medication from the plurality of dispensing devices;
• monitoring the dispensing of the controlled medication from the plurality of dispensing devices, wherein each dispensing device is configured to automatically, based on receiving an authorization credential at the dispensing device, capture and associate a time and a user identify of a respective user performing a dispensing transaction at the dispensing device;
• receiving, from each dispensing device, based on respective user identities captured at the dispensing device, one or more signals associated with each medication that was dispensed from the dispensing device and the respective user who dispensed the medication from the dispensing device;
• identifying, by one or more processors, a plurality of user activities performed by a plurality of users in connection at least one medication and a plurality of devices, the plurality of devices including the plurality of dispensing devices;
• determining first factor scores for the plurality of users based on the plurality of user activities, wherein the first factor scores comprise a score for waste activities and a usage score associated with an amount of medication usage;
• generating respective first diversion scores for the plurality of users based on an evaluation of the identified plurality of user activities and the first factor scores across caregivers associated with a patient population;
• identifying, by the one or more processors, from the plurality of users, a plurality of suspected diverters based on the generated first diversion scores for the plurality of users;
• after generating the respective diversion scores and identifying the plurality of suspected diverters based on the respective diversion scores, for each identified diverter of the plurality of suspected diverters:
• automatically determining one or more second factor scores for the identified diverter based on patient records for patients being cared for by the identified diverter or based on caregiver scheduling data associated with the identified diverter;
• generating and storing, by the one or more processors, respective total diversion scores for the plurality of suspected diverters based on the first diversion scores and the second factor scores determined after identifying the plurality of suspected diverters;
• and
• automatically selecting, by the one or more processors, based on the respective total diversion scores and the one or more second factor scores, a plurality of selected diverter suspects, from the suspected diverters;
• and
• generating a user interface that identifies the selected diverter suspects, together with, for each selected diverter suspect, a series of graphic indicators representative of the respective activities contributing to the total diversion score associated with the selected diverter suspect, wherein the user interface is configured to, when a user selects a respective graphical indicator of the series of graphic indicators, display dispensing transactions performed at one or more of the plurality of dispensing devices by the selected diverter suspect associated with the respective graphical indicator.

A system for identifying potential controlled medication diverters, the system comprising:

• one or more dispensing devices each configured to automatically monitor dispensing of a controlled medication and to automatically, based on receiving an authorization credential at the dispensing device, capture and associate a time and a user identify of a respective user performing a dispensing transaction at the dispensing device;
• one or more processors;
• and
• a memory including instructions that, when executed by the one or more processors, cause the one or more processors to:
• receive, from the one or more dispensing devices, based on respective user identities captured at the one or more dispensing devices, one or more signals associated with each medication that was dispensed from the one or more dispensing devices and the respective users who dispensed the medication from the one or more dispensing devices;
• identify a plurality of user activities performed by a plurality of users in connection at least one medication and a plurality of devices, the plurality of devices including the one or more dispensing devices;
• determine first factor scores for the plurality of users based on the plurality of user activities, wherein the first factor scores comprise a score for waste activities and a usage score associated with an amount of medication usage;
• generate respective first diversion scores for the plurality of users based on an evaluation of the identified plurality of user activities and the first factor scores across caregivers associated with a patient population;
• identify, from the plurality of users, a plurality of suspected diverters based on the generated first diversion scores for the plurality of users;
• after generating the respective diversion scores and identifying the plurality of suspected diverters based on the respective diversion scores, for each identified diverter of the plurality of suspected diverters:
• automatically determining one or more second factor scores for the identified diverter based on patient records for patients being cared for by the identified diverter or based on caregiver scheduling data associated with the identified diverter;
• generate and store respective total diversion scores for the plurality of suspected diverters based on the first diversion scores for the suspected diverters and the second factor scores determined after identifying the plurality of suspected diverters;
• and
• automatically select, based on the respective total diversion scores and the second factor scores a plurality of selected diverter suspects from the suspected diverters;
• and
• generate a user interface that identifies the selected diverter suspects, together with, for each selected diverter suspect, a series of graphic indicators representative of the respective activities contributing to the total diversion score associated with the selected diverter suspect, wherein the user interface is configured to, when a user selects a respective graphical indicator of the series of graphic indicators, display dispensing transactions performed at one or more of the plurality of dispensing devices by the selected diverter suspect associated with the respective graphical indicator.