Skip Navigation

The 2025 HPOR

The 11th annual Hospital Pharmacy Operations Report (HPOR) provides insight into the operational complexities hospitals face and
strategies for resolution, offering a snapshot of the current challenges,
priorities, and trends shaping hospital pharmacies nationwide.

Hospitals Who Cite Drug Shortages as Top Issue

0

75% of hospital pharmacy leaders ranked drug shortages as one of their top three issues for the sixth year in a row.

Hospitals Who Experienced a Drug Diversion Event

0

66% of hospitals reported a diversion event in the past year, and nearly half of those incidents were first detected by diversion monitoring software.

Hospitals Now Using Purchasing Analytics Tools

0

44% of hospitals now use purchasing analytics software, a 76% increase from last year as health systems prioritize cost savings and efficiency.

95% of hospital pharmacies say streamlining purchasing to fight shortages is a top priority

Shortages have become an unavoidable reality, with nearly every hospital pharmacy making them a top operational concern. Leaders know they need smarter tools and streamlined workflows to respond faster and keep patients safe.

  • 10+ shortages at a time is the average a facility juggles double-digit disruptions on any given day
  • 11+ hours per week lost. Many pharmacy teams spend more than a full workday each week managing shortages
  • 25% of hospitals have already adopted shortage management software, making it one of the top five technology initiatives

42% of diversion events were first detected by monitoring software

Drug diversion is one of the most pressing compliance and patient safety risks for hospital pharmacies. The 2025 HPOR shows that technology is now the frontline defense, with software catching more diversion than any other method.

  • 72% of diversion teams prioritize better system-level reporting, highlighting demand for stronger compliance dashboards
  • Diversion monitoring software is the #1 prevention strategy hospitals plan to implement in the next 24 months
  • Diversion specialists look for EMR/ADC integration, proactive alerts, and intuitive workflows when evaluating new tools

77% of hospital pharmacies are tasked with reducing drug spend
in 2025

Drug costs remain a top concern, with pharmacy leaders under pressure to hit savings goals while navigating an unreliable supply chain. The 2025 HPOR shows hospitals leaning heavily on purchasing analytics to cut costs without compromising patient care.

  • Nearly half of hospitals now use purchasing analytics as leaders turn to data to control costs
  • 65% of hospitals have defined savings targets, making measurable cost reduction a clear mandate
  • Hospitals purchase from up to 9 different sources, highlighting the need for centralized insights and streamlined workflows

See Past HPORs Here

Browse previous reports to see historical trends and shifts.

HPOR 2023-2024

2023-2024 Hospital Purchasing Operations Report