Controlled-substance documentation + AI-assisted monitoring

Every controlled substance accounted for. Every provider in view.

Countra replaces the paper binder: document, track, and reconcile every controlled substance, while AI-assisted monitoring reviews activity across your providers and flags unusual patterns for a person to review, instead of leaving them buried in a binder.

Per-provider monitoring
Every provider in view
Real-Time Tracking
Always Up-to-Date
Supports DEA recordkeeping
Audit-ready records

Set up in under an hour

No new hardware

No long-term contracts

Developed with NIH/NIDA fundingFeatured in Politico ProBuilt to support HIPAA safeguardsTamper-evident records

Still stuck with paper logs?

The problem
What Countra is

A controlled-substance documentation and monitoring platform for multi-provider clinics and surgery centers that handle controlled substances in-house.

Countra replaces the paper binder. Your team logs each handling step as it happens, from delivery into inventory through witnessed waste, and Countra reconciles the running record against your perpetual inventory. Its AI-assisted monitoring then reviews activity across your providers and flags anything unusual, like a diligent assistant keeping an eye on the books. No dispensing cabinet, no staff pharmacist, no new hardware.

You're doing everything you can to stay compliant, but your current system is working against you.

Recordkeeping risks

Illegible handwriting and missing documentation make your records hard to trust.

Audit anxiety

You hold your breath during an audit, hoping your logs are legible, complete, and accurate.

You find out too late

You spend hours researching discrepancies that could have been flagged in real time, after the trail has gone cold.

No view across providers

A binder records what was written down. It cannot show you when one provider's usage or waste drifts away from the rest of the team, and there is no easy way to pull reports or track trends over time.

You deserve a simple, reliable way to track controlled substances, stay inspection-ready, and see across your whole team.

Recordkeeping first, then monitoring

Audit-ready records for every clinic. AI-assisted monitoring the moment you have more than one provider.

Level 1: Recordkeeping

Digital controlled-substance records

Every clinic, from a solo practitioner up

  • Structured, legible documentation of every handling step, from delivery into inventory through witnessed waste
  • Supports DEA and QUAD A recordkeeping, with reconciliation against your perpetual inventory
  • Full inventory visibility, from ordering to disposal, with patient-level detail and usage trends
  • Witness co-signatures captured digitally at the moment of waste
  • Entries lock once recorded, so the record stays tamper-evident
  • Supports multiple locations, with easy switching between facilities in one account
  • Inspection-ready PDF reports on demand
Level 2: AI-assisted monitoring The differentiator

Per-provider diversion monitoring

Switches on the moment you add a second provider

  • Compares usage, waste, and discrepancy patterns across your providers
  • Flags discrepancies in real time, while there is still time to act
  • Queues alerts for your administrator: informational for a deviation from peer patterns, actionable for a discrepancy waiting to be resolved
  • Gathers the relevant records for each flag and documents what was reviewed and how it was resolved

A flag is a prompt to look closer, not an accusation and not a conclusion. Countra surfaces the pattern with the documentation behind it. The review, and the judgment, stay with you.

AI-assisted monitoring
The more providers you have, the more a paper log can hide.

Monitoring works by comparison. A solo provider has no internal baseline; a group does. With more than one provider handling controlled substances, Countra puts each provider's activity next to their peers, and the one that drifts stands out. That is the one thing a paper log cannot do.

1
Comparison creates the baseline

One provider's numbers mean little on their own. Next to their peers, an outlier shows up.

2
Your administrator sees it first

An alert arrives with the record behind it, ready to open.

3
The review gets documented

Countra records what was reviewed and how it resolved, so you can show an inspector the follow-up, not just the flag.

Plain mechanics a compliance lead can vet
What it compares

Signals such as usage per case, waste ratio, and discrepancy patterns, put side by side across your providers by machine-learning analytics.

What it does with a signal

It flags the pattern for review, with the documentation behind each flag ready to produce.

What it does not do

It supports human oversight. It does not replace your judgment, and it does not conclude the case for you.

Who we serve

If you log controlled substances manually, Countra is for you.

Oral surgeons and pediatric dentists

Group and solo practices performing sedation procedures.

Ambulatory surgery centers

GI clinics, outpatient facilities, and other ASCs, including multi-location groups.

University veterinary and animal research programs

Principal investigators, veterinary staff, and labs handling controlled substances across a campus.

Multi-provider pain clinics

Interventional and procedural pain groups comparing controlled-substance activity across providers.

See why clinics are switching

From the clinics running Countra today.

West Coast Oral Surgery

“I caught a discrepancy in seconds—something I never would have noticed with our old paper system. With Countra, everything is faster, clearer, and I feel confident that nothing slips through the cracks anymore.”

Dr. Mehdi Matin
Oral Surgeon

You're in safe hands

Trust and compliance aren’t just features, they’re foundational.

Built to support HIPAA safeguards

Records protected by encryption and strict access controls to help keep patient data safe.

NIH-funded innovation

Developed with support from the National Institutes of Health and the National Institute on Drug Abuse.

Backed by clinical workflows

Our pilot clinics helped ensure Countra fits into existing routines, without disrupting care.

Three steps to faster, easier controlled-substance tracking.

Getting started

Book a demo

Get set up in under an hour

Run your count digitally

ABOUT US

We help busy clinics track controlled substances with ease.

We believe automation is key to making compliance simpler, safer, and more accurate for clinics of all sizes.

NIH funded

Backed by the National Institutes of Health and the National Institute on Drug Abuse, our work is rooted in rigorous research.

AI-assisted monitoring

Our team of engineers and scientists built Countra to review activity across providers and flag unusual patterns for a person to review.

Secure tracking

By digitizing each step of controlled-substance handling, we help healthcare teams work more efficiently, support their recordkeeping, and strengthen oversight of suspected diversion.

High-tech solutions

Countra is part of Autonomous Healthcare, a company developing intelligent systems for high-risk compliance challenges in healthcare.

REQUEST A DEMO

See how Countra can simplify controlled-substance compliance.

Streamline your logging, catch discrepancies in real time, and stay inspection-ready, all without the headaches of paper logs.

How Countra works across smartphones, tablets, and desktops
How your facility can go live in under an hour with zero new hardware
How to generate inspection-ready reports in seconds
How AI-assisted monitoring flags unusual patterns so your team can review suspected diversion sooner
Why busy clinics and surgical centers are switching from pen and paper

Get started with Countra

We’ll reach out to schedule a time that works for you.
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Pick a time that works for your team

We’ll work around your schedule so you and your staff can see Countra in action without disrupting patient care.

20 to 30 minute live demo with a compliance specialist

We’ll walk through how Countra fits into your existing workflow.

Answers tailored to your practice or facility

From onboarding to reporting, we’ll show you how to save hours tracking controlled substances.

FAQ

Everything you’ve wanted to ask, and a few things you haven’t thought of yet.

Can we see a demo of Countra?+
Absolutely. We offer live demos via Zoom or in person, depending on your location. You will also receive a short demo video you can share with your team to help them get familiar with the platform.
Is Countra hard to use?+
Not at all. Countra was designed to feel familiar, especially for teams used to pen and paper. Most clinics are up and running in under an hour, with minimal training. If you can fill out a form on a tablet, you can use Countra.
Do I need special hardware?+
No new hardware is required. Countra works with devices you already have. Clinics can use a smartphone, tablet, desktop or laptop for logging and a web-based dashboard for administrative access. There is no expensive hardware or complicated setup.
Does the AI-assisted monitoring work for a solo practice?+
Level 1 recordkeeping is built for every clinic, including a solo practitioner: digital records, reconciliation, witnessed waste, and inspection-ready reports. The per-provider monitoring works by comparing providers against one another, so it becomes useful the moment you have a second provider handling controlled substances. If you grow, it is already there.
We have more than one location. Does Countra support that?+
Yes. Countra supports multi-location facilities in one account, and switching from one facility to another takes a moment. Each location keeps its own controlled-substance records, so the site an inspector asks about is the site you pull up.
How do I transfer existing logbook info?+
We will walk you through it. During onboarding, your team will do a quick inventory count to establish a starting point. From there, everything is digital. No manual data entry, just a clean switch from paper to the Countra platform.
What happens if I lose the internet?+
Countra requires internet connectivity to function, just like many modern systems. If your Wi-Fi ever goes down, you can temporarily switch back to a paper log and update the system later. Internet outages are rare, and we are here to support you if they happen.
How does Countra handle HIPAA and data security?+
Countra is built to support HIPAA safeguards. Your records are protected by encryption and strict access controls to help keep patient data safe and secure.
How does Countra keep records tamper-evident?+
Countra locks each entry once it is recorded, so the record stays tamper-evident. If a correction is ever needed, it is captured as a new time-stamped entry, so the original is never erased and the full history stays intact. It works like a digital chain of custody: every action is traceable and time-stamped, so you can trust the record and stay ready for an audit.
Does Countra make my clinic DEA compliant?+
No. Compliance with the Controlled Substances Act and DEA recordkeeping rules is the registrant's own responsibility, and no software can take it over. Countra supports those obligations by helping you document, track, and reconcile controlled substances and keep audit-ready records, but it does not make a facility DEA compliant, does not file your DEA forms, and does not prevent or guarantee the detection of diversion.
What if my team has questions?+
You are never on your own. Every account includes onboarding support and training. Plus, our team is available if your staff ever needs help. We can walk you through whatever is required to keep your clinic running smoothly.