Drug Diversion Insights with Terri Vidals

Terri Vidals

For everyone in the healthcare industry looking to reduce substance abuse and drug diversion. The host, Terri Vidals, is a pharmacist with over 30 years of experience; fifteen of those years in medication safety and drug diversion prevention and monitoring. Listen to an interview each week with a healthcare professional involved in diversion detection. Learn about how to leverage artificial intelligence to detect diversion and get exposure to products or services designed to facilitate diversion detection.

  1. 4d ago

    Employee of the Year: A Pharmacist's Recovery Story | Nancy Hooper

    She was named Employee of the Year at the same job she would later lose to substance use disorder. In this episode of Drug Diversion Insights, host Terri Vidals welcomes Nancy Hooper, pharmacist and Director of the Tennessee Pharmacy Recovery Network (TPRN), for an honest conversation about addiction, professional consequences, and the journey toward lasting recovery. Nancy worked her way through pharmacy school, maintained strong grades, and met every expectation. But behind her success were panic attacks and a growing reliance on alcohol and benzodiazepines. Her first treatment admission came in 1998. What followed was a difficult journey involving multiple treatment experiences, returns to substance use, and consequences affecting her career, family, and freedom. Nancy has been sober since 2013. Today, she has regained her pharmacy license, practices part-time, and helps other pharmacists navigate substance use disorder and recovery. In this episode, we discuss: The hidden struggles behind professional success Anxiety, alcohol, and benzodiazepine use Multiple treatment experiences and the challenges of recovery Losing a pharmacy job after being named Employee of the Year Rebuilding a career and regaining a pharmacist license The importance of compassion and professional accountability How the Tennessee Pharmacy Recovery Network supports pharmacists Recovery resources and professional licensing considerations in Tennessee Nancy's story is a powerful reminder that recovery isn't always a straight line, and a difficult past doesn't have to define someone's future. This conversation is especially relevant for pharmacists, pharmacy leaders, healthcare professionals, and anyone supporting colleagues experiencing substance use disorder. Learn more about the Tennessee Pharmacy Recovery Network (TPRN) More from Rxpert Solutions

  2. Oct 14

    The Software Isn't Catching It—Their Coworkers Are

    What if coworkers are identifying drug diversion before the monitoring software does? In this episode of Drug Diversion Insights, Kim Harris, Manager of Controlled Substance Stewardship, and Morgan Gray, Supervisor of Drug Diversion Prevention at Mercy, share how their health system built a centralized drug diversion prevention program supporting more than 50 hospitals. Before 2019, individual Mercy hospitals managed diversion prevention independently. Today, an 11-person team supports controlled substance oversight across acute care and retail pharmacy operations. Kim and Morgan explain how they built the program, secured executive support, and developed practical workflows to strengthen diversion detection, investigations, and accountability. In this episode, we discuss: How Mercy built a system-wide drug diversion prevention program Why the team modeled its structure after the 340B program The important role pharmacy technicians play in diversion prevention Why coworkers may identify potential diversion before software does How Mercy manages daily unreconciled controlled substance transactions Using Epic secure chat to address missing documentation Why department leaders must take ownership of practice accountability When to address a discrepancy immediately versus monitor for patterns What a comprehensive drug diversion investigation involves Lessons from real investigations and opportunities to improve diversion prevention Where organizations with limited staffing and budgets should begin One of the biggest takeaways is that technology alone cannot prevent drug diversion. Effective programs combine diversion monitoring software, frontline awareness, trained professionals, consistent workflows, and leadership accountability. This conversation offers practical insights for pharmacy leaders, drug diversion specialists, pharmacy technicians, nursing leaders, compliance professionals, medication safety teams, and healthcare executives looking to strengthen controlled substance monitoring and patient safety. Whether you're starting a diversion prevention program or improving an established one, Mercy's experience provides valuable lessons in building a sustainable, organization-wide approach. More from Rxpert Solutions

  3. Oct 7

    Top 10 Things to Consider Before Drug Diversion Finds You

    When did your organization last proactively identify suspected controlled substance diversion—not hear about it, but actually find it? In this solo episode of Drug Diversion Insights, Terri Vidals shares her Top 10 considerations for healthcare executives, compliance leaders, and others responsible for controlled substance diversion prevention. The central message: drug diversion is an enterprise risk, not simply a pharmacy responsibility. Terri examines the leadership decisions that can determine whether a diversion program succeeds or fails—from staffing and ownership to technology, investigations, accountability, and organizational culture. In this episode: Why diversion prevention is an enterprise responsibilityWhy software can identify outliers but cannot replace an investigationWhat a quiet diversion program may actually be telling youWhy detection should be fast, but investigations should be deliberateHow clear SOPs create consistency and defensibilityWhy accountability must apply across disciplinesHow documentation and wasting practices can create riskWhy leadership, staffing, and reporting structures matterWhat healthcare executives should expect from their diversion programsWhy controlled substance diversion prevention should be viewed first as a patient safety programThis episode is designed especially for healthcare executives, compliance leaders, pharmacy and nursing leaders, risk professionals, medication safety teams, and diversion program leaders who want to evaluate whether their organization is truly prepared to identify and respond to controlled substance diversion. Because the question isn't whether your organization has policies, software, and reports. The question is whether your program can find the problem before the problem finds you. More from Rxpert Solutions

  4. Sep 30

    Disease and Accountability: A Pharmacist's Story

    If substance use disorder is a disease that affects the brain, where does personal accountability fit? In this episode of Drug Diversion Insights, Brad Schwartz, Director of Pharmacy Services at Avita Health System and President of the Board for the Pharmacists Rehabilitation Organization (PRO) in Ohio, returns to share his own story. Brad takes us from his early career in pharmacy to the point when his relationship with substances changed—when something he thought he was managing began managing him. He describes what substance use disorder felt like from the inside, including the experience of making decisions that conflicted with his values and professional identity. That opens a larger conversation about disease, choice, responsibility, and accountability. Brad also shares what happened when concerns finally surfaced at work: who noticed, what the intervention was like, what he remembers feeling in that room, and what came next. In this episode, we discuss: Brad’s personal experience with substance use disorderWhen substance use shifted from manageable to controllingWhat SUD felt like from his perspectiveDisease versus personal and professional accountabilityRecognizing warning signs in healthcare professionalsWhat happened when colleagues intervenedThe emotions surrounding a workplace interventionRecovery and professional identityAccountability, support, and second chances in healthcare In our previous episode, Brad explained how PRO supports pharmacy professionals navigating substance use disorder and recovery. This conversation provides the personal story behind why that work means so much to him today. A candid discussion about substance use disorder, intervention, accountability, recovery, and what it means to rebuild after everything changes. More from Rxpert Solutions

  5. Sep 23

    Inside a Pharmacist Recovery Network

    What happens when a pharmacist or pharmacy professional recognizes they need help with substance use disorder? Do they have to wait for an employer or licensing board to intervene—or can they seek support on their own terms? In this episode of Drug Diversion Insights, I’m joined by Brad Schwartz, Director of Pharmacy Services at Avita Health System and President of the board of the Pharmacists Rehabilitation Organization (PRO), Ohio’s peer recovery network for pharmacy professionals. Brad takes us inside the work of a pharmacist recovery network and explains how PRO supports pharmacy professionals facing substance use disorder and recovery. We explore what happens when someone reaches out for help, who PRO serves, and how peer recovery support can fit alongside professional accountability, patient safety, and formal regulatory processes. In this episode, we discuss: What the Pharmacists Rehabilitation Organization (PRO) is and who it servesHow peer recovery networks support pharmacists and pharmacy professionalsHow a pharmacist can begin seeking help for substance use disorderVoluntary help-seeking and early interventionThe relationship between recovery support and professional disciplineHow PRO operates alongside the Ohio Board of PharmacyWhy asking for help shouldn't have to begin with a crisisThe challenges of supporting healthcare professionals through recoveryThe realities of walking alongside someone who is strugglingThe moments that make recovery-support work worthwhileHow the pharmacy profession can create meaningful opportunities for recovery and second chancesBrad also shares how he first became involved with PRO and what the organization has meant to him personally. But that's only the beginning of his story. In an upcoming follow-up episode, Brad will share his own recovery journey in his own words, including the experiences that eventually brought him to the work he does today. This conversation raises an important question for pharmacy and healthcare leaders: Do professionals experiencing substance use disorder know where they can turn for help before the situation reaches a disciplinary or patient safety crisis? Recovery support and accountability don't have to be opposing ideas. Understanding the resources available to healthcare professionals can help create pathways that support recovery while recognizing the responsibilities that come with caring for patients. Whether you're a pharmacist, pharmacy technician, pharmacy leader, drug diversion specialist, medication safety professional, compliance professional, healthcare executive, colleague, or family member, this episode offers a practical and hopeful look at substance use disorder, peer support, and recovery within the pharmacy profession. More from Rxpert Solutions

  6. Sep 16

    Why Diversion Software Can't Do It Alone with Gordon Watkins, Wolters Kluwer

    Drug diversion software can help identify risk, analyze patterns, and prioritize potential concerns—but technology alone doesn't create an effective diversion prevention program. In this episode of Drug Diversion Insights, Gordon Watkins of Wolters Kluwer joins us to explore what actually makes a drug diversion program work and why people, process, and technology all need to be part of the strategy. Drug diversion often receives significant attention after a case is discovered. The harder challenge is building the systems, processes, and organizational culture needed to identify potential problems earlier. Gordon discusses what separates a comprehensive diversion program from one that simply exists on paper—and why purchasing sophisticated diversion software doesn't eliminate the need for experienced professionals to manage the program. In this episode, we discuss: Why diversion software cannot operate effectively on its ownThe importance of people, process, and technology working togetherWhat can happen when organizations implement software and then reduce diversion program staffingHow technology can help identify activity that warrants further investigationWhy every alert still requires appropriate review and follow-upHow organizations can govern their diversion technologyHow to confirm alerts are actually being workedWhat organizations should expect during the first month of implementation versus a mature programWhy data quality is critical to effective diversion analyticsHow incomplete or inconsistent data feeds can affect monitoringWhat diversion technology needs from the organization to perform effectivelyMachine learning versus generative artificial intelligenceHow Sentri7 uses machine learning in drug diversion monitoringWhy human judgment remains essential even as analytics become more sophisticatedWhat diversion program leaders should continually re-examine as their programs evolveWe also address an increasingly important topic in healthcare technology: machine learning and artificial intelligence. Gordon explains the distinction between the machine learning used within Sentri7 and the generative AI technologies that have become widely discussed in recent years. Understanding that difference can help healthcare leaders better evaluate what their diversion technology is actually doing—and what it still requires from the people using it. Another major theme is governance. Generating an alert is only the beginning. Someone still needs to review the information, understand the clinical and operational context, determine whether additional investigation is necessary, document the outcome, and ensure potential concerns don't disappear into a queue. The same applies to data. Even sophisticated analytics depend on the quality and completeness of the information being provided. Ultimately, this conversation reinforces an important principle for healthcare organizations: Buying diversion software is not the same as building a diversion program. Technology can make monitoring and investigations more efficient, but effective diversion prevention still depends on trained people, defined processes, reliable data, appropriate governance, and organizational support. Whether your organization already uses diversion monitoring software—from Wolters Kluwer or another vendor—or is evaluating whether to implement it, this episode offers practical questions to bring back to your diversion team. An important conversation for drug diversion specialists, pharmacists, pharmacy leaders, medication safety professionals, compliance teams, nursing leaders, risk management professionals, healthcare executives, controlled substance committees, and healthcare technology leaders responsible for strengthening medication oversight and protecting patients. More from Rxpert Solutions

  7. Sep 9

    More Than a Substitute: The Truth About Buprenorphine

    Buprenorphine saves lives, yet it remains surrounded by myths, stigma, and misunderstanding. Is it simply replacing one opioid with another? What happens when a patient taking buprenorphine needs surgery or treatment for acute pain? And should a positive test for another substance mean treatment has failed? In this episode of Drug Diversion Insights, Jef Bratberg, PharmD, FAPhA, Clinical Professor of Pharmacy Practice at the University of Rhode Island, joins us for an evidence-based conversation about buprenorphine, opioid use disorder (OUD), harm reduction, pain management, and recovery. Jef shares his journey from infectious disease and critical care pharmacy into advocacy and policy work, and how that path led him to become a nationally recognized voice in harm reduction, naloxone access, and the treatment of opioid use disorder. From there, we tackle some of the most persistent questions surrounding buprenorphine. In this episode, we discuss: What buprenorphine is and its role in treating opioid use disorderWhy the idea that buprenorphine simply “replaces one addiction with another” misses important clinical distinctionsDependence versus addictionWhy stigma continues to limit access to medications for opioid use disorder (MOUD)Buprenorphine's role in recovery and harm reductionWhy buprenorphine remains underused for pain managementManaging acute pain in patients stabilized on buprenorphineWhat clinicians should consider when a patient taking buprenorphine needs surgeryThe use of additional opioid analgesics when clinically necessaryWhether exposure to opioids for legitimate acute pain can affect recoveryWhat a positive test for another substance should mean during treatmentWhy continued substance use doesn't automatically mean treatment has failedNaloxone access and overdose preventionThe role pharmacists can play in improving access to evidence-based treatmentOne particularly important part of the conversation focuses on hospitalization and pain management. Patients receiving buprenorphine still experience surgery, injuries, and acute painful conditions. Clinicians therefore need a plan that addresses both adequate pain control and continuity of opioid use disorder treatment. We also examine what happens when someone receiving treatment tests positive for another substance. Rather than treating a test result as the entire clinical picture, the conversation explores what that result can tell the care team and why continued engagement in treatment matters. Ultimately, this episode is about moving beyond stigma and misconceptions toward a better understanding of a treatment that can play a critical role in reducing the harms associated with opioid use disorder. Whether you're a pharmacist, physician, nurse, addiction medicine professional, pain management clinician, healthcare leader, person in recovery, or family member, this conversation offers a practical and compassionate look at what buprenorphine actually does—and the barriers that still prevent people from receiving effective care. More from Rxpert Solutions

  8. Sep 2

    One Platform, Actionable Insight: A Comprehensive Approach to Diversion Management

    A strong drug diversion program shouldn't just help you investigate what already happened. It should help you identify risk earlier and give your team the information needed to act. In this episode of Drug Diversion Insights, Rick Couldry, Chief Pharmacy and Clinical Officer at Omnicell, and Jay Patel, Product Manager for Diversion Management, join us to explore how healthcare organizations can move from reactive diversion investigations toward a more proactive, connected approach to diversion management. Drug diversion programs generate enormous amounts of data, but data alone doesn't create visibility. The challenge is connecting information across medication workflows, identifying meaningful patterns, and turning those patterns into actionable insights. Rick and Jay discuss what changes when diversion management becomes part of a broader medication-management ecosystem rather than operating as another isolated point solution. In this episode, we discuss: Why healthcare drug diversion remains difficult to detect proactivelyHow connected medication data can strengthen diversion monitoringTurning diversion data into actionable insightsThe role of technology in supporting diversion investigations Why integration across medication-management workflows mattersOmnicell's approach to Diversion ManagementHow Diversion Management fits into Omnicell's broader medication-management strategyOmniSphere and the future of connected medication managementThe conversation also looks at OmniSphere, Omnicell's cloud-native platform, and what a more connected medication-management environment could mean for diversion teams. For healthcare organizations, the goal isn't simply to collect more data. It's to make that data more useful. Can connected systems provide the visibility needed to recognize potential diversion patterns sooner? Can analytics help teams focus limited investigative resources on the activity that matters most? And how can technology become part of a comprehensive diversion strategy that brings together people, processes, governance, and data? This episode is for pharmacy leaders, drug diversion specialists, medication safety professionals, compliance teams, nursing leaders, risk management professionals, healthcare executives, and health system technology leaders looking for ways to strengthen controlled substance oversight and move their diversion programs from reactive to proactive. Drug Diversion Insights is presented by Rxpert Solutions, bringing together healthcare leaders and industry experts to examine the challenges, strategies, and technologies shaping drug diversion prevention and medication safety.

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About

For everyone in the healthcare industry looking to reduce substance abuse and drug diversion. The host, Terri Vidals, is a pharmacist with over 30 years of experience; fifteen of those years in medication safety and drug diversion prevention and monitoring. Listen to an interview each week with a healthcare professional involved in diversion detection. Learn about how to leverage artificial intelligence to detect diversion and get exposure to products or services designed to facilitate diversion detection.