Reducing Controlled Substances Diversion in Hospitals
California Hospital Association Medication Safety Committee

The attached road map is intended for acute care settings as a plan to help navigate controlled substance diversion prevention goals. The document provides a recommended framework to coordinate the needed resources and technology for an optimal diversion prevention program. Actions taken pursuant to this framework should be reflected in a standardized set of processes within the organization to ensure that they are maintained.

Some actions are required by law or regulation while some may be good recommendations to have in place. Ultimately, each organization is responsible for developing a diversion prevention plan that protects patients from impaired care providers (i.e., to the extent it affects a provider’s ability to practice the profession or occupation authorized by his or her license, or is discovered or known to have engaged in the theft, diversion, or self-use of controlled substances within the organization).