April 2014 Florida Pharmacy Journal by Florida Pharmacy Today

The Official Publication Of The Florida Pharmacy Association APR. 2014

HEALTHCARE, PHARMACY AND PROVIDER STATUS –

WE CAN DO BETTER

THE WALKWAY OF RECOGNITION

FPA OFFICE

YOUR NAME HERE

Have you been searching for just the right gift or thought of placing your name in perpetuity? If so, then consider purchasing an engraved brick for you or someone else. The main sidewalk at the Florida Pharmacy Association needs replacing. The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy. Engraved 4x8 bricks can be purchased for $250.00 each with the donor’s name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered. The monies earned from this project will be used to fulfill the goals and future of the Foundation. There are a limited number of bricks available – so, it is first come first served.

ORDER FORM

The Walkway of Recognition

❑ YES, I want to order _______ concrete brick/s at $250.00 each. (Please copy form for additional inscriptions). PL E A S E P R INT I NSC RIP TION

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line, three lines available, spaces and punctuation count as one character. Please find enclosed my check for $_________ for _________ bricks. PLEASE PRINT: Please charge my

❑ Master Card

CARD #

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes. Consult your CPA for complete details. Fed Emp. I.D. #59-2190074

❑ Visa EXP. DATE

AUTHORIZED SIGNATURE NAME ADDRESS CITY

STATE

PHONE (W)

(H)

Send to Florida Pharmacy Foundation, 610 N. Adams St., Tallahassee, FL 32301, or fax to (850) 561-6758.

ZIP

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.

florida PHARMACY TODAY

Features

Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 9 FPA New & Notes 14 FPA Time Capsule 22 Buyer’s Guide

VOL. 77 | NO. 4 APRIL 2014 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION

10 12 13 17

Pharmacists and the Medical Reserve Corps When a Small Reminder Makes a Big Difference Healthcare, Pharmacy and Provider Status – We Can Do Better FPA 124th Annual Meeting and Convention

DON’T WAIT…Call Before It’s Too Late

EMERGENCY B R E A K

G L A S S

Healthcare Consultants Pharmacy Staffing can extinguish workplace fires before they get out of control. Temporary, part-time and per diem pharmacists are available now! Don’t fan the flames by waiting, Call HCC today! pharmacy-staffing.com

(800) 642-1652

APRIL 2014

FPA Calendar 2014

MAY 2

Legislative Session ends

7-8

NCPA Legislative Conference Washington, DC

17-18 FPA Law and Clinical Conference Jacksonville 26

AUGUST 3-6

31st Southeastern Gatherin’ Destin

23-24 Council and Committee Meetings Orlando

Memorial Day, FPA Office Closed

31 - 1 FPA Leadership Retreat Orlando

Mission Statements: of the Florida Pharmacy Today Journal

The Florida Pharmacy Today Journal is a peer reviewed journal which serves as a medium through which the Florida Pharmacy Association can communicate with the profession on advances in the sciences of pharmacy, socio-economic issues bearing on pharmacy and newsworthy items of interest to the profession. As a self-supported journal, it solicits and accepts advertising congruent with its expressed mission.

JUNE 13

Convention Registration Deadline

Convention Hotel Registration Deadline JULY

9-13

124th Annual Meeting and Convention Ft. Lauderdale

Government Affairs Committee Orlando

For a complete calendar of events go to www.pharmview.com Events calendar subject to change CE CREDITS (CE cycle) The Florida Board of Pharmacy requires 10 hours LIVE Continuing Education as part of the required 30 hours general education needed every license renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2015 or prior to licensure renewal. Consultant pharmacists and technicians will need to review their licenses and registrations by December 31, 2014. For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact the FPA office. For More Information on CE Programs or Events: Contact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at www.pharmview.com

of the Florida Pharmacy Today Board of Directors

he mission of the Florida Pharmacy Today T Board of Directors is to serve in an advisory capacity to the managing editor and executive editor of the Florida Pharmacy Today Journal in the establishment and interpretation of the Journal’s policies and the management of the Journal’s fiscal responsibilities. The Board of Directors also serves to motivate the Florida Pharmacy Association members to secure appropriate advertising to assist the

Journal in its goal of self-support.

Advertisers EPC...................................................................... 16 HCC...................................................................... 3 KAHAN HEIMBERG, PLC............................. 16 PPSC.................................................................... 16

CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — (850) 906-9333 U/F — Dan Robinson (352) 273-6240 FAMU — Leola Cleveland (850) 599-3301 NSU — Carsten Evans (954) 262-1300 DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.

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FLORIDA PHARMACY TODAY

E-MAIL YOUR SUGGESTIONS/IDEAS TO dave@fiorecommunications.com

The President’s Viewpoint TERRY GUBBINS , FPA PRESIDENT

A Benefit of Uniting Pharmacy

n March 11, 2014, in Washington D.C., Representatives Brett Guthrie, G.K. Butterfield and Todd Young introduced H.R. 4190. This legislation would amend Title XVIII of the Social Security Act to provide for coverage under the Medicare program of pharmacist services. Pharmacists’ services would be covered and paid for under Medicare Part B if they are provided in medically underserved communities. These services provided by pharmacists would be consistent with the state scope of practice laws. Two days after the introduction of H.R. 4190, more than 400 pharmacists and students from 40 states participated in the NACDS RxImpact Day on Capitol Hill. Included in the 400 participants were eight members of the Florida Pharmacy Association: Rizwan Khaliq, Georgia Lehoczky, Wesley Rohn, Sandra Vazquez, Ziad Ghanem, Shawn Rice, Chris Christopoulos and myself. After just completing Legislative Days in Tallahassee, we packed our bags and head-

ed to Washington, D.C. It was an exciting time to be there, and it was great to see a united pharmacy coalition having success in the capital. All of our visits with our legislators consisted of us introducing H.R. 4190 to them, since it was just introduced in the House. The initial responses were all positive! Terry Gubbins How did H.R. 2013-2014 FPA President 4190 come about? It was the result of uniting pharmacy. Sound familiar? Our theme at FPA for this year is “Unite Pharmacy.”

Two days after the introduction of H.R. 4190, more than 400 pharmacists and students from 40 states participated in the NACDS RxImpact Day on Capitol Hill.

(From left to right): Chris Christopolous, Ziad Ghanem, Terry Gubbins and Shawn Rice.

The Patient Access to Pharmacists’ Care Coalition (PAPCC) is unified in support of achieving provider status for pharmacists. Currently, the list of 22 coalition members includes pharmacy associations, pharmacy chains and other stake holders. Members include the American Pharmacists Association (APhA), American Society of Health-System Pharmacists (ASHP), International Academy of Compounding Pharmacists (IACP), National Alliance of State Pharmacy Associations (NASPA), National Association of Chain Drug Stores (NACDS), National Community Pharmacists Association (NCPA), Amerisource Bergen, Cardinal Health, CVS Caremark, Rite Aid, Safeway, Winn-Dixie, Walgreens and others. APRIL 2014

2013 FPA Board of Directors The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work diligently all year long on behalf of our members.

Goar Alvarez............................................................................. Chairman of the Board Terry Gubbins...............................................................................................FPA President Suzanne Kelley......................................................................................... President Elect Alexander Pytlarz................................................................................................Treasurer Gary Koesten.............................................Speaker of the House of Delegates Bob Parrado....................................Vice Speaker of the House of Delegates Tim Rodgers, Director........................................................................................... Region 1 Michael Hebb, Director ......................................................................................Region 2 Stephen Grabowski, Director .......................................................................Region 3 Raul N. Correa, Director ...................................................................................Region 4 Jason Beattie, Director ....................................................................................Region 5 Scott Tomerlin, Director.....................................................................................Region 6 Kimberly Jones, Interim Director................................................................ Region 7 Raul Gallo, Director.................................................................................................Region 8 Nadine Sebest, Interim Director..................................................................Region 9 Richard Kessler...................................................................................... President FSHP Michael Jackson........................................Executive Vice President and CEO

As healthcare in America evolves, and the profession of pharmacy transforms, we can achieve desired results if we Unite Pharmacy! The PAPCC has shown us how to do it nationally. In Florida, we have had a better legislative session in Tallahassee this year by working together with other pharmacy organizations, just like PAPCC.

Florida Pharmacy Today Journal Board Chair......................................................Jennifer Pytlarz, jlc_rxdoc@hotmail.com Vice Chair......................................................... Don Bergemann, don@bceinfo.com Treasurer....................Stephen Grabowski, sgrabowski@seniormmc.com Secretary...................................................................Stuart Ulrich, Stuarx@aol.com Member.................................................Joseph Koptowsky, docjik1215@aol.com Member........................Rebecca Poston, rebecca_poston@doh.state.fl.us Member....................................................... Carol Motycka, motycka@cop.ufl.edu Member........................................................Cristina Medina, cmmedina@cvs.com Member................................................................Norman Tomaka, FLRX9@aol.com Member................... Verender Gail Brown, brownvgrx4304@hotmail.com Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com Journal Reviewer....................... Dr. Melissa Ruble, mruble@health.usf.edu Journal Reviewer....................................Dr. Angela Hill, ahill2@health.usf.edu

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FLORIDA PHARMACY TODAY

Terry Gubbins and Rizwan Khaliq

This summer, Dean Kevin Sneed of the University of South Florida, will be hosting a meeting of pharmacy leaders from across the state. FPA leadership will be there. Dean Sneed wants to discuss pharmacy topics of state-wide importance, and build unity in the profession so that when the next legislative session starts in Tallahassee in 2015, we will be united to advance healthcare and pharmacy practice. Sound familiar? Thatâ&#x20AC;&#x2122;s the FPA Mission Statement: United to Advance Healthcare and Pharmacy Practice. Can we build a coalition of 22 pharmacy organizations and stake holders in Florida like PAPCC? Can we Unite Pharmacy and advance pharmacy practice? Sound familiar? n

Executive Insight BY MICHAEL JACKSON, RPH MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA PHARMACY ASSOCIATION

How Effective are Political Contributions?

or some time now I have been sharing with you the importance of political advocacy. Strategic political giving can make a difference in public policymaking. The events of this legislative session clearly show how our support of political campaigns helps our cause. This year, with the guidance of our lobby team at Adams Street Advocates, we analyzed the key races that strategically make sense. We had to be very thoughtful about where the Florida Pharmacist Political Committee should allocate its resources and invest carefully with the few dollars available in the bank. First of all, where does the Florida Pharmacists Political Committee get its money from? Obviously, printing dollar bills is illegal and could create many downstream problems for the FPPC Board of Directors! We also don’t have the luxury of assessing our membership and simply demanding that they support the work of the FPPC. Instead, we rely upon the goodwill of our members who have become believers, as I have, and are compelled by duty to make a real difference. The Florida Pharmacist Political Committee campaign account is funded with voluntary contributions from our members who are true believers in what we are doing and our message.

Many make their commitment to support FPPC at the same time they pay their dues through the member contribution option. Others simply toss a check in an envelope, making their contribution payable to the Florida Pharmacist Political Committee, and become

The Florida Pharmacist Political Committee campaign account is funded with voluntary contributions from our members who are true believers in what we are doing and our message. a vital and important part of our policymaking process. Our political committee campaign account is not vast or well endowed, though it is growing. Consider the campaign fundraising efforts of similar health care organizations in the chart below.

POLITICAL COMMITTEE SUPPORT (from the Division of Elections website) Profession Physician Association Optometric Association Nurse Anesthetists Osteopathic Physicians Veterinarian Association Chiropractic Society FLORIDA PHARMACIST POLITICAL COMMITTEE

Fundraising Support $1,034,157 $320,000 $125,181 $101,450 $96,767 $72,048 $51,543

Michael Jackson, B.Pharm

What is interesting about this chart is that the health care provider groups listed above our profession all seem to be recognized as primary care providers and have a broad scope of practice authority. Even this is not the complete story, as many within these health care provider groups have stakeholders who not only support their state society campaign accounts, but give directly to candidates as well. So what are the benefits of political contributions? While supporting a po-

Fundraising Date Range 8/2/2013 – 4/3/2014 8/9/2013 – 4/3/2014 7/25/2013 – 2/28/2014 7/24/2013 – 3/31/2014 7/29/2013 – 3/31/2014 7/11/2013 – 2/28/2014 8/21/2013 – 2/28/2014 APRIL 2014 |

FPA STAFF Executive Vice President/CEO Michael Jackson (850) 222-2400, ext. 200

Director of Continuing Education Tian Merren-Owens, ext. 120 Controller Wanda Hall, ext. 211

Educational Services Office Assistant Stacey Brooks, ext. 210 Coordinator of Membership Christopher Heil, ext. 110

FLORIDA PHARMACY TODAY BOARD Chair............................................. Jennifer Pytlarz, Brandon Vice Chair...................Don Bergemann, Tarpon Springs Treasurer...............................Stephen Grabowski, Tampa Secretary.........................Stuart Ulrich, Boynton Beach Member..................................... Joseph Koptowsky, Miami Member..............................Rebecca Poston, Tallahassee Member.............................. Carol Motycka, St. Augustine Member....................................Cristina Medina, Hollywood Member................................. Norman Tomaka, Melbourne Member..............................Verender Gail Brown, Orlando Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee

This is a peer reviewed publication. ©2014, FLORIDA PHARMACY JOURNAL, INC. ARTICLE ACCEPTANCE: The Florida Pharmacy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy. All articles are subject to review by the Publication Review Committee, editors and other outside referees. Submitted articles are received with the understanding that they are not being considered by another publication. All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today. The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today. The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion, politics or any other subject the editors/ publishers deem unsuitable for the readership of this journal. In addition, The Journal does not accept advertising material from persons who are running for office in the association. The editors reserve the right to edit all materials submitted for publication. Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board. FLORIDA PHARMACY TODAY, Annual subscription - United States and foreign, Individual $36; Institution $70/year; $5.00 single copies. Florida residents add 7% sales tax. FLORIDA PHARMACY ASSOCIATION

610 N. Adams St. • Tallahassee, FL 32301 850/222-2400 • FAX 850/561-6758 Web 8 Address: | F L O Rhttp://www.pharmview.com IDA PHARMACY TODAY

litical candidate or an incumbent legislator is not always a guarantee that a senator or representative will always support all of our issues, it is a process that enables an opportunity for discussions on things of interest to the profession. What is truly exciting is when you sit in a committee hearing and observe the debate and vote by roll call on a piece of pharmacy legislation. If a pharmacy-supported bill is found favorable with no objections, it means that the process has worked. This month we facilitated a meeting on pain management at the Tampa Airport Marriott hotel. At that meeting, I shared with the audience my personal passion and support of the work of the FPPC and invited others attending to do the same. It was exciting to see so many stakeholders attending the meeting take an interest by joining with me in this effort. Some were quite shy and preferred not to be recognized for their contribution, but I would like to at least do a “shout out” of their first names and the names of other recent contributors to simply say thank you for being a believer. Those supporters are Angela, David, Francis, Jackie, James, Janice, John,

Joseph, Katherine, Linda, Lorraine, Nancy, Raul and Timothy. You and many others are soldiers on the political battlefield, and for that we are thankful for your service and sacrifice. Also, I wish to acknowledge the generous contribution by our friends at the Central Florida Pharmacy Association — for both inviting me to present at their recent meeting and for supporting the FPPC campaign. How can you make a contribution to the Florida Pharmacist Political Committee if not through your membership dues? We have a quick and easy tool on Pharmview.com. Find the “Donation” menu item on the left-hand side of the website. Select the “Florida Pharmacists Political Committee Additional Details” link or simply go directly to “Donate Online.” With a few clicks of your mouse you can call yourself a warrior advocate. n

JOIN TODAY! Florida Pharmacy Association

FPA News & Notes Message from E-FORCSE to Dispensing Pharmacies The Florida Prescription Drug Monitoring Program, known as E-FORCSE (Electronic-Florida Online Reporting of Controlled Substances), will conduct its first audit of dispensing records to evaluate compliance with section 893.055, Florida Statutes (F.S.). This section of law requires a pharmacy or dispensing practitioner to report dispensing information to E-FORCSE within seven days of dispensing a controlled substance in schedule II, III or IV as defined in section 893.03, F.S. Reporting is mandatory unless a dispenser meets one of the exemptions listed in section 893.055(5), F.S. Failure to comply with reporting requirements is considered a misdemeanor and may also result in administrative action against the licensee. Letters will be sent April 30, 2014 to pharmacies who have failed to create an upload account and report dispensing information, requesting that the pharmacy create an upload account and report any and all missing data. Pharmacies will have 30 days to submit the missing information or submit a Request for Waiver from Electronic Reporting or an Exemption from Reporting Form. Failure to comply with these requirements will result in referral to the Florida Department of Health for potential disciplinary action. For information about how to create an upload account to report dispensing information, please review the Dispenser’s Implementation Guide located at: http://www. hidinc.com/assets/files/flpdms/FL_RxSentry%20Dispensers%20Implementation%20Guide.pdf. If you do not dispense, have never dispensed controlled substances or meet one of the exemptions from reporting in section 893.055(5), F.S., you may request an exemption from reporting by completing and submitting a “Request for Waiver from Electronic Reporting or an Exemption from Reporting Form” located at: http://www. floridahealth.gov/reports-and-data/e-forcse/dispenserinfo/_documents/waiver.pdf. Florida Pharmacist Selected as APhA Speaker Elect The Florida Pharmacy Association has learned that FPA past President Theresa Wells-Tolle (pictured here with Georgia State Senator Buddy Carter) has been selected as Speak-

er Elect of the American Pharmacists Association House of Delegates. Theresa is the owner of Bay Street Pharmacy in Sebastian, Florida. Theresa will follow Dr. William Riffee, who is the current Speaker and former Dean at the University of Florida College of Pharmacy. Florida Pharmacy Stakeholders Recognized at APhA The Florida Pharmacy Association extends congratulations to the following Florida pharmacy stakeholders on their achievements at the American Pharmacists Association Annual meeting: ■■ Daniel Buffington – APhA Fellow ■■ Norman Tomaka – APhA Fellow ■■ Allen Nichol – Daniel B Smith Practice Excellence Award ■■ Kristin Weitzel – Academy of Pharmacy Practice and Management Distinguished Achievement Award ■■ Amy Kiskaddon – Student Leadership Award FPA Member Receives Fellow Status from IACP The Florida Pharmacy Association has learned that FPA member David Joseph has been awarded Fellow status with the International Academy of Compounding Pharmacists (IACP). The 2014 Fellows were honored in February during the ACA IACP ACVP Educational Conference held in Ft. Lauderdale, Florida. Pharmacy compounding is the long-established tradition in pharmacy practice that enables physicians to prescribe, and patients to take, medicines that are specially prepared by pharmacists to meet patients’ individual needs. IACP’s Fellowship Program was established in 1997 to distinguish pharmacists who are exemplary in their commitment and professionalism to the practice of pharmacy compounding. Board Announces Appointment of New Executive Director At their recent meeting in Tampa, the Board of Pharmacy announced the appointment of Mr. Patrick Kennedy of Tallahassee as the new Director of the Florida Board of Pharmacy. Mr. Kennedy was formerly on staff at the Agency for Health Care Administration and has transitioned into his new role at the Board.

APRIL 2014

Pharmacists and the Medical Reserve Corps Pharmacists are valuable professionals who are “remarkably underutilized in the U.S. healthcare delivery system given their level of education, training and access to the community” (Giberson et al, 2011). Not only can pharmacists contribute in traditional healthcare settings, but they can also be an important asset to public health entities. The Medical Reserve Corps (MRC) offers pharmacists opportunities to utilize their unique skill sets to support the health and safety of their communities. The Medical Reserve Corps is a network of over 200,000 volunteers, organized in almost 1,000 local units across the United States, with a mission to strengthen public health, improve emergency preparedness and response capabilities and build community resilience. MRC volunteers can contribute to a range of activities, such as providing flu vaccinations, promoting obesity prevention and healthy lifestyles, teaching neighbors how to prepare a disaster kit and assisting with emergency responses. MRC’s volunteer pharmacists have demonstrated their value to local communities on many occasions. For instance, MRC pharmacists have provided assistance and information at prescription drug take-back events, administered vaccinations in response to Hepatitis A outbreaks, joined healthcare teams to provide preventive healthcare and health education to vulnerable members of society, guided the proper identification and labeling of medicines in preparation for mass prophylaxis events, staffed functional needs shelters and vaccinated neighbors and other community members against influenza - including a large-scale response to the H1N1 influenza epidemic in 2009-10. The MRC can also connect pharmacist members to valuable training oftentimes with continuing-education credits. This training improves the pharmacists’ capacity to assist and increases their comfort in being involved. For instance, research has indicated that non-traditional vaccine providers, including pharmacists, have less experience adminis-

MRC Vaccination tables. 10

FLORIDA PHARMACY TODAY

The Medical Reserve Corps is a network of over 200,000 volunteers, organized in almost 1,000 local units across the United States, with a mission to strengthen public health, improve emergency preparedness and response capabilities and build community resilience. tering vaccines and have indicated that they are less confident in responding during an emergency. A study of 800 vaccine providers in California revealed that a lack of training for emergency response situations reduced their likelihood and comfort level with responding to emergencies. The study authors suggested that additional training opportunities would allow these non-traditional vaccine providers to feel more comfortable responding during a surge (Seiba et al, 2012). The MRC provides a way to train the volunteers, increase their ability to respond and reduce risks. The trainings may cover a variety of topics, including Point of Dispensing (POD) and Strategic National Stockpile procedures, Incident Command System, Psychological First Aid and responding to radiological events. To find out more about the Medical Reserve Corps, please visit http://1.usa.gov/1gYz5cz. The “Find MRC Units” page is a great place to start. You can also contact the MRC Program Office (Office of the Surgeon General/Division of the Civilian Volunteer Medical Reserve Corps) at MRCcontact@ hhs.gov for more information. References: Giberson, S., Yoder, S., & Lee, M. (2011). “Improving patient and health system outcomes through advanced pharmacy practice.” A report to the U.S. Surgeon General. Office of the Chief Pharmacist, U.S. Public Health Service. Retrieved from http://www.accp.com/docs/positions/misc/improving_ patient_and_health_system_outcomes.pdf. Seiba, K., Barnett, D., Weiss, P., Omer, S. “Vaccine-related standard of care and willingness to respond to public health emergencies: A cross-sectional survey of California vaccine providers.” 2012. Vaccine. 31: 196–201.

How to Spread the Word about the Medical Reserve Corps

If you want to encourage your colleagues to consider joining the MRC, here are a few suggested social media posts to help!

Posts for Facebook

POST 1 Over 200,000 Medical Reserve Corps (MRC) volunteers in nearly 1,000 local units across the nation help to strengthen public health, improve emergency preparedness and response capabilities and build resilience in their communities! As an MRC pharmacist volunteer, you can use your unique skill sets to support your community. Recent examples of MRC pharmacist efforts include vaccinating neighbors and other community members against influenza, supporting prescription drug takeback events, administering vaccine in response to a Hepatitis A outbreak, providing preventive healthcare and health education to low income communities and assisting health districts with vaccinations for school children. Visit http://1.usa.gov/1gYz5cz and find out about MRC volunteer opportunities in your area! POST 2 MRC pharmacist volunteers provide critical support to their community’s emergency and public health needs, and they can also benefit from the MRC-related training. MRC training and drills improve the pharmacists’ capacity to assist and increases their comfort in being involved. The MRC provides a way to train the volunteers, increase their ability to respond and reduce risks. The trainings may cover a variety of topics, including Point of Dispensing (POD) and Strategic National Stockpile

procedures, Incident Command System, Psychological First Aid and responding to radiological events. Visit http://1.usa. gov/1gYz5cz and find out about MRC volunteer opportunities in your community!

Posts for Twitter

Becoming a #MRCPharmacist member provides opportunities to use your unique skill sets to improve health and safety in your community! #MRCPharmacist members can benefit from training and other opportunities provided through MRC http://1.usa.gov/1gYz5cz. #MRCPharmacist members reach under-served communities and provide a variety of services that local public health couldn’t otherwise access. #MRCPharmacist members get valuable trainings that assist them in being able to help their community in an emergency. Recent #MRCPharmacist activities include administering vaccines for school children, seasonal flu and a Hepatitis A outbreak response. #MRCPharmacist members support prescription drug takeback events. For information on #MRCPharmacist opportunities in your area, visit http://1.usa.gov/1gYz5cz.

MRC Numbers by State STATE/TERRITORY

NUMBER OF NUMBER OF TOTAL # MRC

STATE/TERRITORY

NUMBER OF NUMBER OF TOTAL # MRC

STATE/TERRITORY

NUMBER OF NUMBER OF TOTAL # MRC

1092

3029

2564

5766

1208

5867

374

1412

750

1602

564

207

5495

16184

181

1528

5370

221

1391

4999

411

2887

570

2444

309

3343

10645

219

1063

450

1441

329

1351

117

2932

8587

342

918

843

2867

837

2660

400

1388

165

109

1525

19634

157

501

192

745

2157

15092

220

2864

9177

246

373

2048

756

2413

309

3775

13173

609

3415

590

1397

289

996

124

277

845

223

778

955

2905

316

893

116

1975

5061

542

953

2986

104

865

898

2121

115

2468

6736

175

589

225

1310

3143

338

4246

13973

263

1034

245

3511

11575

GRAND TOTAL

3750

56508 204729

APRIL 2014 |

When a Small Reminder Makes a Big Difference Source: The U.S. Pharmacopeial Convention (USP)

Have you ever had one of those little warning icons light up on your car’s dash and you don’t know what it means? You know that some signals require attention right away and others can wait. The thing is, most of the time you have to look up the icon to make that decision. When it comes to medicines and people’s lives, there is no substitute for being clear about a warning, and for injectable drugs the stakes are particularly high. Beginning December 1, manufacturers of injectable drugs will have to comply with new labeling standards that help ensure important warnings — warnings that can help prevent life-threatening situations — are obvious and clear. The standards were established by the U.S. Pharmacopeial Convention (USP). USP is a scientific nonprofit organization that sets standards for the identity, strength, quality and purity of medicines, food ingredients and dietary supplements manufactured, distributed and consumed worldwide. USP’s mission is to improve global health through public standards and related programs that help ensure the quality, safety and benefit of medicines and foods. In short, this USP standard states that warning messages –

FLORIDA PHARMACY TODAY

for example, “Warning – Paralyzing Agent” or “Dilute Before Using” – are the only markings that should appear on ferrules and cap overseals of injectable drugs. The ferrules and cap overseals must remain clear of any markings, including logos, except for markings intended to prevent an imminent life-threatening situation. The standard goes on to say that warnings must be printed in a contrasting color and clearly visible under ordinary conditions of use. Finally, products that do not require cautionary statements should be free of information, so that those with cautionary statements are immediately apparent. With the new USP labeling standard, if a healthcare provider sees a warning on a ferrule or cap overseal, he or she will know immediately that it is a vital, possibly life-saving piece of information that must be observed and acted upon before administering the drug to the patient. Warning messages on ferrules and cap overseals may go a very long way in helping practitioners protect their patients from harm.

Healthcare, Pharmacy and Provider Status – We Can Do Better By Kevin Sneed, PharmD Dr. Sneed is the founding Dean of the University of South Florida College of Pharmacy, and a tenured Professor in the USF Department of Family Medicine. “Hea lt h ca re harms patients too frequently and routinely fails to deliver its potential benefits. Indeed, between the health care that we now have and the health care that we could have lies not just a gap, but a chasm.” – “Crossing the Quality Chasm” A New Health System For the 21st Century – IOM Report, 2001 A decade later, we have improved, but is it enough to treat the 100 million people staring at us over the next two decades? Scenario: A patient has been in the hospital for (1 day; 1 week; 1 month), and has been discharged. While in the hospital, the patient receives multiple I.V. medications and several of their oral medications were changed. Upon discharge, they are told that there are four new medications to take. Medication Reconciliation procedures are implemented, the patient and their (careprovider/spouse/adult son/daughter) are counseled about the medications and provided instructions about the medications. The patient opts to have the medications electronically delivered to their neighborhood retail pharmacy. The pharmacy has received the prescriptions, which are reviewed by the pharmacist, and filled. The (patient/ careprovider/spouse/adult son/daughter) arrives at the pharmacy within 12 hours of discharge to pick up the medications. They are counseled about the medications and leave. The pharmacist, who has advanced clinical training, has no idea of why the patient was in the hospital, no clue of the medications administered by IV in the hospital

and has no knowledge of the laboratory values of the patient in the hospital, or upon discharge. The (patient/careprovider/spouse/adult son/daughter) is tired, and is a poor historian. No additional information is available. No matter how we look at it, that pharmacist is blind to the recent health status of that patient. This is a significant gap in care provided to the patient. We can do better. It is not the pharma-

cist’s fault, or the hospital’s or the physician’s in the hospital. However, it is the fault of the current healthcare system. We can do better. This is a serious chasm in care. This must stop. We can do better. This is just one of countless scenarios that exist. Many of you have your own stories. I know many will say that this does not happen in their system. Problem is, there are far more that cannot say that it does not happen in their region, city, town or system. We can do better. I have witnessed this scenario on the back end as a primary care clinical pharmacist in a Department of Family Medicine for many years. And I know

for a fact that there are current technologies that could prevent this scenario altogether. I have seen the technology. I know it exists. The healthcare system is too slow to change, as various interests put their needs in front of the patients’ needs. Scope of practice skirmishes (or fights) over “territory” prevent us from providing the best available care to patients. Entire health systems rely upon claims data to see if a medication was filled, but ignore if the medication made it into the patient’s body. Silos prevent the sharing of needed information. We can do better. I know many will challenge these thoughts. But I talk to my colleagues across America and I read the national reports. I listen to my current patients. I watch how health systems and third parties direct their money to their priorities. I know better. And I know we can all do better. I am proud that USF Health and the USF College of Pharmacy are having these conversations internally, and sincerely want to fix these problems and countless others. And there are answers; but USF Health cannot do it alone. Nobody can. Integrated healthcare must occur, and soon. Seventy five million Baby Boomers are either here, or on the way. They want better. They deserve better. It is time to include pharmacists as recognized health providers in the Social Security Act (http://www.amcp. org/Sec.aspx?id=15415). Nationally, not just at the state level. To not do this is the same as penalizing patients. We can do better! This is not the total answer, but it is a big part of the answer. It provides a pathway so that we will ALL do better. Patients are waiting! APRIL 2014

Pharmacy Time Capsule 2014 1989

1964

Twenty-five years ago ■■

■■

The Medicare Catastrophic Act of 1988 was resoundingly repealed after disclosures that insurance coverage could be bought on the open market for a fraction of the surtax imposed by the government. Epogen (Amgen) was the first recombinant human erythropoetin product approved by the FDA for marketing.

Fifty years ago ■■

Surgeon General Luther Terry made an announcement that cigarette smoking causes lung cancer and probably heart disease.

1939

1914

Seventy-five years ago

One hundred years ago

Joseph Lynch, a 1927 Fordham College of Pharmacy alumnus who became a police officer, was killed disarming a bomb set by Nazi saboteurs at the World’s Fair in Flushing Meadows. WWII began; Germany invaded Poland.

■■ ■■

West Virginia University established its College of Pharmacy. Franz Ferdinand, Archduke of Austria, and his wife were assassinated in Sarajevo by a Serbian nationalist: the justification of World War I.

By: Dennis B. Worthen, PhD, Cincinnati, OH One of a series contributed by the American Institute of the History of Pharmacy, a unique non-profit society dedicated to assuring that the contributions of your profession endure as a part of America’s history. Membership offers the satisfaction of helping continue this work on behalf of pharmacy, and brings five or more historical publications to your door each year. To learn more, check out: www.aihp.org

FLORIDA PHARMACY TODAY

CALL FOR ABSTRACTS FOR POSTER PRESENTATIONS For Florida Pharmacy Students

FLORIDA PHARMACY ASSOCIATION 124th ANNUAL MEETING AND CONVENTION

July 9-13, 2014 Marriott Harbor Beach Resort & Spa ♦ Ft. Lauderdale, Florida Poster Session: Friday, July 11, 2014 11:00AM-1:00PM

The FPA Poster Presentations are open to PHARMACY STUDENTS ONLY. Complete and submit this COVERSHEET for each abstract submission. Submissions must be received no later than Monday, May 5, 2014. Abstracts will NOT be accepted after this date. Mail or E-mail this application along with the abstract submission to: Tian Merren Owens, MS, PharmD, Director of Continuing Education Florida Pharmacy Association 610 N. Adams Street Tallahassee, FL 32301 tmerren@pharmview.com

PLEASE TYPE

Contact Information: Presenter's Name (MUST BE A STUDENT):________________________________________________________________

□Entry Level Pharm.D. □ Post B.S. Pharm.D. Address: ________________________________________________________________________________________

City, State, Zip: ___________________________________________________________________________________ Telephone No: _____________________E-Mail Address: _________________________________________________ Abstract Title: ____________________________________________________________________________________ Poster Type:

□Clinical Research □Basic Science Research □Translational Research (Basic Science and Clinical Research)

Primary Author: __________________________________________________________________________________ (Students must be listed first to be considered for the Award. Presenter will be notified by mail of acceptance). Co-Author(s): _________________________________________________________ Student

□YES □NO

Awards:

Posters will be eligible for 1st, 2nd, and 3rd place prizes to be presented at Convention. (Only one prize is given for each winning poster)

Free Registration:

Three entry level students from each Florida College of Pharmacy will be eligible for a complimentary Florida Pharmacy Association Convention Student registration. (Student Registration does not include CE or hotel accommodations) I am interested in being considered for this registration:

College:

□YES

□NO

_____________________________________________________________________________

ABSTRACT FORMAT The abstract form submitted should be the equivalent of one page. The abstract should include: Title (Include authors’ names and name of College of Pharmacy), Purpose, Methods, Results, and Conclusions. Abstracts will not be accepted if it is not in this format. Do not include figures or graphs.

Please direct all questions and concerns to:

Tian Merren Owens ♦ (850) 222-2400 ext. 120 ♦ tmerren@pharmview.com DEADLINE DATE: MONDAY, MAY 5, 2014 APRIL 2014

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Pharmacist Attorney Brian A. Kahan, R.Ph., J.D. Licensed Florida Pharmacist and Attorney

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Florida Pharmacy Association

2014 Summer Conferences

This year’s convention theme is UNITE PHARMACY! The profession of pharmacy is transforming and has grown from being dispensers of pills and capsules, to dispensers of knowledge and services. Pharmacists today do Medication Therapy Management, Chronic Disease Management, Diabetes Education, Prevention and Wellness Services, and other patient-education services. As a result, there has been better patient care! Continuing education courses will be offered for consultant and general licenses, as well as pharmacy technician registration. The convention will address current and emerging topics that will keep you abreast of the constant change in the practice of pharmacy. The following educational courses offered will

be offered: Immunology, Infectious Disease, Pulmonology, New Drugs, Med Errors, etc. In addition, there will be a preconvention program on Diabetes Management which will provide the most current information evolving in the world of diabetes. Let’s UNITE PHARMACY with your colleagues at the Marriott Harbor Beach Resort & Spa in Ft. Lauderdale for FPA’s 124th Annual Meeting & Convention. Get involved and become aware of the state and national issues facing the profession; expand your professional network; increase your knowledge from captivating speakers, especially the delivery of the keynote address by Dr. Daniel E. Buffington, PharmD, MBA. APRIL 2014

Florida Marriott Harbor Beach Resort & Spa Pharmacy Ft. Lauderdale, Florida Association July 9 – 13, 2014

124th Annual Meeting & Convention Room Rates

• $155 single/double occupancy for standard deluxe room. The room reservation deadline is Friday, June 20, 2014 or when room block is full. Thereafter, reservations may be taken on a space available or rate available basis. • Please be sure to ask for the Florida Pharmacy Association group rate. The check-in time is 4:00 PM and the checkout time is 11:00 AM. • Room reservations can be made by calling (888) 789-3090. • Guest self parking is $8 per day. Valet parking is $30 per day.

Dr. Daniel E. Buffington, PharmD, MBA

Keynote Speaker

Thursday thru Sunday

Originally from Clearwater, Florida, Dr. Buffington did his under graduate work in biochemistry at the University of South Florida in Tampa, Florida. He received his Doctor of Pharmacy (PharmD) and Masters of Business Administration (MBA) degrees from Mercer University in Atlanta, Georgia. He also completed his Clinical Pharmacy Practice Residency and Clinical Pharmacology Fellowship at Emory University Hospital in Atlanta, Georgia. Dr. Buffington is nationally recognized for the development of a private “Clinical Pharmacology” specialty practice model that provides Medication Therapy Management (MTM) consult services, a clinical research trial center, a national drug information center, and forensic pharmacology service. The practice also services as an active training site for pharmacists, physicians and nurses and is affiliated with several different colleges of pharmacy and medicine. His practice focuses on patients who take chronic or high-risk medication therapy and provides a common resource point between patients and their various prescribers to optimize therapy and reduce risks of adverse effects and drug interactions. He has served on many different state and national committees, task forces, and organization panels in both medicine and pharmacy organizations. He currently serves on the national collaborative called the Pharmacists Services Technical Advisory Coalition (PSTAC) and the represents all pharmacists on the American Medical Association (AMA) Current Procedural Terminology (CPT) Editorial Panel and helped to develop the national billing codes that describe pharmacists’ services.

GEnErAl EDucAtion trAck The general education track will offer courses designed to educate pharmacists on a wide variety of important topics pertaining to the profession of pharmacy practice. Specific courses being offered are Reducing Medication Errors, HIV/AIDS, and the always-popular offering of Florida Legislative Update. There will also be a New Drug Update course which focuses on the most recently FPA approved drugs introduced into the market.

FLORIDA PHARMACY TODAY

Thursday thru Saturday

conSultAnt EDucAtion trAck The consultant education track will provide pharmacists with the most current information available on various topics that pharmacists encounter in the profession of pharmacy. The specific topics being offered include Immunology, Infectious Disease, and Pulmonary Disorders. There are 15 hours available for consultant pharmacists.

StuDEnt AnD tEcHniciAn trAck Thursday thru Sunday

Students and Technicians will benefit from interacting with practicing pharmacists and attending student and technician focused continuing education programs. The technician track offers several hours of continuing education on a variety of topics, including the required courses for Florida registration and PTCB renewal: Medication Errors, Pharmacy Law and HIV/AIDS for initial renewal. The student track consists of several hours of fun and exciting continuing education, such as The Career Forum and the NASPA/NMA Game Show. Students will also have an opportunity to participate in the Patient Counseling Competition and showcase their Poster Presentations.

PrE-conVEntion EDucAtion Wednesday Only

Special Events

Our traditional Wednesday program will focus on Diabetes Management. Diabetes mellitus is a chronic disease associated with abnormally high levels of blood glucose. Pharmacists play a vital role in the management and patient education of diabetes. The program will focus on the most current information evolving in the world of diabetes. The diabetes program will offer 6 hours of live continuing education credit. Register for this outstanding program and walk away with valuable knowledge for you and your diabetic patients. A separate registration fee is required for the pre-convention program. Exhibits: Participate in our grand opening reception in the exhibit hall! Poster Presentations: Browse submissions from pharmacy students. Contact the FPA office for more information if you would like to submit a poster presentation. Awards ceremony reception: Honor outstanding practitioners during the awards presentation. President’s Breakfast: Attend the Sunday morning installation of new officers. receptions: Enjoy catching up with your colleagues as the Universities entertain their alumni and friends, and as the FPA Foundation hosts FAMILY NIGHT OUT. House of Delegates: Be a delegate or observer and see how important member participation is to the direction of the Association. Student Events: Participate in the Adopt-A-Student Mentor Social and Volleyball Tournament. Students will benefit from interacting with practicing pharmacists, attending student focused continuing education programs and learning first hand about the FPA and how involvement can improve their chosen profession. Call the FPA office and offer to mentor or sponsor a student. Florida Pharmacists Political committee (FPPc) luncheon: Purchase a ticket to this luncheon to support your Political Committee. FPA Golf Event: Join us Friday for the FPA Golf Event. Please register early to reserve your space.

FPA 124th ANNUAL MEETING & CONVENTION • JULY 9 – 13, 2014 • INFO (850) 222-2400 APRIL 2014

FPA Officer and Director Nominations Although we have just finished the election for a President-Elect and Directors for the even numbered regions to be installed at the 2014 annual meeting, it is time to start thinking about nominees for the 2015 election since the nomination deadline is September 1 of this year (9/1/14). As the form below indicates, this year we will need candidates for President-Elect, Treasurer and Directors for the odd numbered regions. Please note that you may nominate yourself. CALL FOR FPA OFFICER AND DIRECTOR NOMINATIONS for 2015 Elections The FPA By-Laws specify that any subdivision or any member in good standing may nominate one person for the office of President-Elect and one person for the office of Treasurer. A President-Elect shall be elected every year and shall assume the duties of the President on the last day of the annual meeting of the year following election as President-Elect. The Treasurer shall serve a two-year term and may succeed to one consecutive term of office in that capacity. Nominees must be Florida registered pharmacists in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. Nominees for President-Elect should have a good understanding of how the Association functions and should be current on the issues impacting pharmacy. Nominees for Treasurer should have good analytical skills and experience and ability in financial management and budget preparation. There are nine regional Board Directors who shall serve two year terms. Nominees must be a Florida registered pharmacist in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. Additionally, Board Directors must be a member of at least one the FPA Unit Associations within their region. Board Directors terms are staggered such that even numbered regions shall be elected in even numbered years and odd numbered regions shall be elected in odd numbered years. All newly elected Board of Directors Regional Directors shall take office on the last day of the annual meeting, and shall continue in office until the last day of annual meeting of the second ensuing year.

FPA CANDIDATE NOMINATION FORM I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION: NAME: ADDRESS:

FOR THE FOLLOWING OFFICE:

(Nomination Deadline September 1, 2014)

q q q

President-Elect Treasurer Board Director Region 1 Region 3 Region 5 Region 7 Region 9

NOMINATED BY: NAME: DATE SUBMITTED: SIGNATURE:

MAIL NOMINATIONS TO: Election Nominations, Florida Pharmacy Association, 610 N. Adams St., Tallahassee, FL 32301 (850) 222-2400 FAX (850) 561-6758 DEADLINE FOR NOMINATIONS IS SEPTEMBER 1, 2014

APRIL 2014

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FLORIDA PHARMACY TODAY

FREQUENTLY CALLED NUMBERS AHCA MEDICAID PHARMACY SERVICES 2727 Mahan Drive Tallahassee, FL 32308 (850) 412-4166 www.fdhc.state.fl.us/medicaid/ pharmacy AMERICAN PHARMACISTS ASSOCIATION (APhA) Washington, D.C. (800) 237-2742 www.pharmacist.com AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS Bethesda, MD (301) 657-3000 www.ashp.com/main.htm DRUG INFORMATION CENTER Palm Beach Atlantic University (561) 803-2728 druginfocenter@pba.edu FLORIDA BOARD OF PHARMACY 4052 Bald Cypress Way Bin #C04 Tallahassee, FL 32399-3254 (850) 245-4292 www.doh.state.fl.us/mqa FLORIDA POISON INFORMATION CENTER NETWORK (800) 222-1222 www.fpicn.org NATIONAL COMMUNITY PHARMACISTS ASSOCIATION 100 Daingerfield Road Alexandria, VA 22314 703.683.8200 703.683.3619 fax info@ncpanet.org RECOVERING PHARMACISTS NETWORK OF FLORIDA (407) 257-6606 “Pharmacists Helping Pharmacists”