Managing controlled substances can be a daunting task, especially for organizations new to pharmacy operations and DEA regulatory compliance. When Hopewell Health Centers in southeastern Ohio opened their first pharmacy, the organization made the decision not to dispense controlled substances due to concerns around regulatory risk.
After stepping into the role of director of pharmacy, pharmacist Keith McKinniss recognized that something needed to change. With a second pharmacy location in development, he began searching for a solution that could support growth while addressing executive concerns around DEA regulatory compliance. That search led him to C2 Keep, a fully integrated, cloud-based controlled substance compliance solution.
Hopewell Health Centers Pharmacy Profile
Pharmacy Director
Location
PMS
Wholesaler
Number of Pharmacies
”I couldn't be more pleased. We've had some other vendors that claim integration with Pioneer, and there's always a hiccup here or there. There's been no issues from day one here.
Keith McKinnissPharmacy Director | Hopewell Health Centers
Challenge
Dedicated Support
Remote Transparency
Confidence Booster
Reflection
A Fear of the Unknown
The Stress of Managing Controlled Substances
For many healthcare organizations, hesitation around controlled substances is not unfounded. While these medications provide essential benefits to patients, they also introduce risks related to diversion, misuse, and regulatory scrutiny.
At Hopewell Health Centers, those risks initially outweighed the perceived benefits. However, Keith saw an opportunity to better serve patients by evolving into a full-service community pharmacy. As he explained, “When I convinced them to open a second location, I really wanted to be a full-fledged community pharmacy, which ultimately means there’s going to be controlled substances for those patients.”
Moving in that direction required more than just operational changes. It required a system that could bring clarity, structure, and confidence to DEA regulatory compliance while fitting seamlessly into existing workflows.
Seeking Relief
A Logbook Just Isn’t Going to Cut It
Keith’s past experience with paper logbooks made it clear that traditional methods would not support the level of efficiency or accuracy needed for growth. Manual documentation created unnecessary friction, especially during audits.
Reflecting on those challenges, he shared, “I came from previous retail and hospital experiences where everything was paper logs, and I knew I didn’t want to have this great big old binder that was going to fall apart every time I did an audit.”
At the same time, his responsibilities extended far beyond a single pharmacy. In addition to overseeing the primary location, Keith manages 31 health center dispensaries across the organization. With a second pharmacy on the way, visibility across multiple sites became a critical requirement.
That is why a cloud-based solution stood out immediately. As Keith put it, “Being on the cloud or web-based… was key to me, where I’m trying to manage multiple locations, I never know where I’m going to be.”
He needed a system that could centralize operations, reduce manual work, and strengthen DEA regulatory compliance without adding complexity.
An Immediate Impact
Keith’s Early Experiences with C2 Keep
While preparing for the launch of the second pharmacy, Keith discovered C2 Keep and quickly recognized its potential. After a demo with founder and pharmacist Roland Achenjang, he saw firsthand how the platform could simplify tracking, auditing, and reporting.
One of the biggest advantages was consolidation. Instead of juggling multiple logs and systems, everything lived in one place. As Keith described, “Having everything in one location instead of having multiple different paper logs and binders… was a big selling point.”
Combined with automated auditing capabilities, C2 Keep offered a streamlined path to achieving DEA regulatory compliance while reducing the administrative burden on his team.
The implementation was equally smooth. Both pharmacy locations were onboarded less than a week after creating their accounts, allowing operations to continue without disruption while immediately improving compliance processes.
Better for Everyone
Keith’s Pharmacists Embrace C2 Keep
The impact of C2 Keep extended well beyond leadership. The staff pharmacists quickly adapted to the system and began experiencing the benefits in their day-to-day responsibilities.
With order data and dispensing information automatically populating, the need for manual entry was significantly reduced. This not only saved time but also improved accuracy across the board. Features like back counting provided an additional layer of confidence, allowing pharmacists to verify inventory quickly and efficiently.
Keith noted the positive response from his team, saying, “I know the pharmacists love having the ability to check stocks immediately on demand.”
By centralizing information and simplifying routine tasks, C2 Keep made it easier for the entire team to maintain consistent DEA regulatory compliance without slowing down operations.
Flexible Accessibility
The Perfect Tool for a Busy Schedule
For Keith, flexibility is essential. Managing multiple locations means constantly moving between sites, making remote access a necessity rather than a convenience.
C2 Keep’s cloud-based platform allows him to monitor activity, review records, and stay connected no matter where he is. As he reiterated, “I’m trying to manage multiple locations, I never know where I’m going to be.”
In addition to accessibility, the platform provides role-based controls that allow Keith to manage permissions across his team. This ensures that the right people have access to the right information while maintaining strong internal controls.
The result is greater transparency, improved accountability, and increased confidence in maintaining DEA regulatory compliance at every level of the organization.
From Fear to Confidence
Audits Made Simple and Efficient
One of the most significant improvements has been in the audit process. Regulatory requirements, such as those outlined in Ohio Administrative Code 4729:6-2-01(C), demand accurate and timely inventory tracking, particularly during changes in responsible personnel.
When Keith recently needed to conduct an audit following a staffing change, C2 Keep allowed him to complete the process far more efficiently than traditional methods ever could.
Describing the experience, he said, “I had it done in no time flat because C2 Keep was right there. I just went down the list. I told it what I wanted to do and it really made that part of the experience so much better.”
What once took hours was reduced to less than an hour, demonstrating how the platform streamlines audits while reinforcing strong DEA regulatory compliance practices.
Dedicated Support
A Partner Who Understands Pharmacy
Another differentiator for C2 Keep is its level of support. Unlike many other pharmacy providers, the team behind C2 Keep brings real-world pharmacy experience to the table.
For Keith, having direct access to someone who understands the complexities of controlled substance management has been invaluable. As he shared, “Having access to the creator is awesome. He’s really dedicated to this and wants to see it succeed, which means he also wants to see our pharmacy succeed.”
This hands-on, knowledgeable support ensures that questions are addressed quickly and that the system continues to align with the evolving needs of the organization.
Conclusion
Since implementing C2 Keep, Keith and his team have transformed their approach to controlled substance management. What began as uncertainty has evolved into a confident, scalable operation grounded in strong DEA regulatory compliance.
C2 Keep integrates seamlessly into existing workflows, making adoption straightforward while delivering immediate value. Its comprehensive feature set allows Hopewell Health Centers to manage inventory, conduct audits, and maintain compliance with greater efficiency and accuracy.
Keith summed it up best: “To anyone that’s looking for a cloud-based service to monitor compliance with their controlled substances and to be able to keep an accurate inventory on hand, this is the solution that you’re looking for.”
Today, Hopewell Health Centers operates two full-service pharmacies with the infrastructure in place to continue growing. With C2 Keep as a trusted partner, the organization is well-equipped to expand access to care while maintaining the highest standards of DEA regulatory compliance.
Why Choose C2 Keep?
C2 Keep empowers pharmacies with a smarter approach to controlled substance compliance. Built by pharmacy professionals, the platform provides practical tools that integrate seamlessly into existing workflows.
Over 2,000 owners, pharmacists, and staff rely on C2 Keep daily because it delivers:
- Transformative Time Savings
- Real-Time Inventory Insights
- Enhanced Accountability and Security
- Streamlined Compliance Reporting
- Effortless Document Management
- Scalable Solutions for Every Pharmacy
Once pharmacies replace manual logbooks and spreadsheets with C2 Keep, they never look back.
To learn more about how C2 Keep can strengthen your pharmacy compliance strategy, schedule a free product demo today.