Florida Pharmacy Today November 2018 by Florida Pharmacy Today

The Official Publication Of The Florida Pharmacy Association NOV. 2018

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florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint

7 Executive Insight

15 FPA News & Notes 20 FPA Region Updates 26 FPA Award Nominations 28 Buyer’s Guide

VOL. 81 | NO. 11 NOVEMBER 2018 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION

Features

10 16 18 19 21 22

Managed Care Pharmacy Balancing Quilaity and Cost to Reach Optimal Health Outcomes

Establishing Positive Patient-Provider Relationships Pharmacy Technician Education and Advancing Roles Professional Affairs Council Update Central Florida Pharmacy Association Update LECOM APhA Update

NOVEMBER 2018

FPA Calendar 2018-2019

DECEMBER 1 - 2

Regulatory and Law Conference Sarasota

Budget and Finance Committee Web Conference Call

FPA Board of Directors Web Conference Call

11 - 12 Florida Board of Pharmacy Meeting Orlando 24-25 Christmas Holiday FPA Office Closed JANUARY 1

New Years Day - FPA Office Closed

Alachua County Association Leadership Development Conference

Martin Luther King, Jr. Day FPA Office Closed

Florida Pharmacy Today Journal

26-27 FPA Clinical Conference Sandestin 31

FPA Election Ballots Due FEBRUARY

23-24 FPA Council and Committee meetings - TBD 28

FPA Awards Nominations Due MARCH

Mission Statements:

First Day of the Legislative Session

12-13 FPA Legislative Days and Health Fair Tallahassee 22-25 APhA Annual Meeting Seattle, Wash.

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. There is a new 2 hour CE requirement for pharmacists on the dispensing of controlled substances effective this biennial renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2019 or prior to licensure renewal. Consultant pharmacists and technicians will need to renew their licenses and registrations by December 31, 2018. For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact the FPA office. For more information on CE programs or events, please contact the Florida Pharmacy Association at (850) 222-2400 or visit our website at www.pharmview.com CONTACTS FPA — Michael Jackson (850) 222-2400

FSHP — Tamekia Bennett (850) 906-9333

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.

Florida Pharmacy Today Board of Directors The mission of the Florida Pharmacy Today 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 EPIC..................................................................... 14 PHARMACISTS MUTUAL.............................. 25 KAHAN & ASSOCIATES................................. 14 SHARP’S INC..................................................... 11 PQC........................................................................ 9 Rx OWNERSHIP.................................................. 2

UF — Kristin Weitzel (352) 273-5114

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 is 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 Presidentâ&#x20AC;&#x2122;s Viewpoint ANGELA S. GARCIA, PHARMD/MPH, CPH

The Challenges (and Opportunities) of Transformational Change

his year marks the first of our newest five-year strategic plan, and with that an incredible movement in our leadership team for change. But not change and in something new, but transformation change. We have our new FPA Vision, Mission and Values, which reflects that new direction. With almost six months under our belt, the new leadership team has embarked in multiple areas of transformational change and growth, of which we have seen bring us much needed conversations about who we are as an Association and where our journey will be over the next five years. When referring to transformational change, the definition most closely re-

lated to the theme for this presidency (The Power of WE) relates to a cultural shift and push for changes in our underlying strategies and processes compared to past approaches. These are intended to be organization-wide and in progressive stages or phases over time, as reflected in our newest strategic plan (see page 12). As we move away from transactional leadership and status quo attitudes, we step into and facilitate team building and interpersonal growth. One of the most rewarding things for me this year has been seeing our leadership team gain more latitude and freedom by doing things differently than before. With so many new faces within our leadership team, itâ&#x20AC;&#x2122;s evident this re-

Angela S. Garcia, PharmD, MPH, CPh

FPA MISSION STATEMENT

CORE VALUES: ADVOCATES

FPA VISION STATEMENT

Advancing pharmacy practice Diversity of member expertise Visionary practice models Optimizing patient care outcomes Collaborating with providers and public health Accountability to patients Timely legislation and advocacy partnerships Education for innovation and excellence in health care Sustainability of pharmacy as a cornerstone of health

Unifying and strengthening the voice of pharmacy while advancing pharmacy practice through education advocacy collaboration and relationships

The trusted resource in optimizing patient outcomes through unifying educating and guiding pharmacy practitioners in changing the health care landscape.

NOVEMBER 2018

2018-19 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.

Suzanne Wise.....................................................................................................Board Chair Angela Garcia...............................................................................................FPA President Ashley Huff.................................................................................................... FPA Treasurer David Mackarey.......................................................................................President-Elect Jeanette Connelly...................................................................Speaker of the House Gary Koesten..................................................................Vice Speaker of the House Sandy Estrada......................................................................................... FSHP President Joyanna Wright................................................................................... Region 1 Director Neil Barnett............................................................................................Region 2 Director Dean Pedalino.......................................................................................Region 3 Director Cheryl Rouse.........................................................................................Region 4 Director Melissa Ruble........................................................................................Region 5 Director Barbara Beadle...................................................................................Region 6 Director Paul Delisser.......................................................................................... Region 7 Director Ramy Gabriel.........................................................................................Region 8 Director Mitchell Fingerhut.............................................................................Region 9 Director Julie Burger........................................................................................Technician Member

Florida Pharmacy Today Journal Board Chair.............................................................. Carol Motycka, motycka@cop.ufl.edu Vice Chair....................................................Cristina Medina, cmmedina@cvs.com Treasurer.........................................................Eric Jakab, ericjakab@hotmail.com Secretary................................................................... Stuart Ulrich, stuarx@aol.com Member.................................................. Michael Finnick, michaelfinnick@ufl.edu Member.......................................................Matt Schneller, schnem18@gmail.com Member..........................................Teresa Tomerlin, teresapharmd@cfl.rr.com Member............................................Greta Pelegrin, gretapelegrin@yahoo.com Technician Member........................Julie Burger, julieburger133@gmail.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

flects the movement toward change as a strength and opportunity (and less of a threat or stressor) to bring about exponential growth in multiple layers - like scaffolding. You see a lot of construction happening which creates concern about losing who we are or were. However, as the dust settles, it’s more apparent that we have kept the great things from our foundation and legacy, while enhancing our capacity to serve the growing and dynamic needs of the members we serve, our patients and the profession. Transformational leaders attempt to rally teams toward a common vision and are characteristically very charismatic, push for innovative thinkers, inspire others through motivation and coaching (yet stay out of the way to allow freedom), and consider varying needs of each member of the team. What we do know is that change is often stressful, may be perceived as a threat rather than an opportunity, and may identify weaknesses among members of a team. However, what I love about transformational change is the ability it brings to highlight the amazing and often hidden talents and gifts that a team has by bringing new perspectives, approaches and growth to an organization or team. Without a doubt we are experiencing transformational change in the leadership from our staff, officers, regional directors, councils and committees, and it’s drawing a great deal of attention from our members. At the micro-level, we are seeing many new faces rising as part of our leadership team. The diversity of the councils, committees and regional directors is easy to see and has brought a wave of action toward our ability to achieve progress within our priorities, goals and objectives. At the macro-level, we are identifying the increased need for transparency, communication and collaboration to improve responses to our local units’ needs, actively engage the membership, support our leadership efforts and establish partnerships outside of pharmacy that will help us gain momentum in our legislative agenda and practice priorities. See President’s Viewpoint, continued on page 12

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FLORIDA PHARMACY TODAY

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

Getting Ready for the 2019 Advocacy Season

ou know that the Florida Pharmacy Association continues to fight hard for our profession, but there is a lot of work that needs to be done. You have heard me repeatedly say that our practice act in Florida has not kept pace with our training, skills and experience. Pharmacists need to be recognized for the benefits they can bring to the health care marketplace. During the 2018 legislative session, we advocated for pharmacists to test and treat patients for influenza and streptococcus. We also advocated for a change in F.S. 465 to recognize collaborative relationships between pharmacists and physicians in the management and care of patients’ prescription drug therapy. Fasten your seat belts because the FPA advocacy machine is getting refueled and ready for flight. Your leadership has already established an advocacy plan that builds from our work this year. In 2018, only 6 percent of all bills filed actually got to the governor’s desk. Three of the bills related to pharmacy included a requirement to register PBMs, changes to requirements for the prescribing and dispensing of controlled substances and a newly created institutional class III pharmacy permit. You can view information about these bills in the advocacy center on www. pharmview.com. The 2019 legislative session is set to begin on March 5 and will conclude on May 3 unless extended by the House and/or the Senate. The legislative day and health fair event in Tallahassee has been placed on the calendar for March 12 and 13. This gives an opportunity for all of our pharmacy stakeholders to become a part of the policymaking process.

So what issues are on the FPA menu this year? High Priority PBM – Network Adequacy Inclusion, Transparency Spread Pricing, Audit Protection – Florida is long overdue to evaluate and consider oversight of how PBMs are disrupting the pharmacy marketplace. Pharmacy business-

Fasten your seat belts because the FPA advocacy machine is getting refueled and ready for flight. Your leadership has already established an advocacy plan that builds from our work this year. es are being excluded from networks and forced to refer patients to their competitors. There are questionable practices going on with pharmacy pricing as discovered in other states. The auditing of pharmacies continues to be an issue with providers being heavily penalized financially.

Michael Jackson, B.Pharm

Telehealth/Telepharmacy/Remote Dispensing – During the 2018 session, legislation was introduced that created the concept of remotely supervising a pharmacy that is run by technicians. The debate was intense on this issue with many pharmacy stakeholders weighing in. This issue will return during the 2019 legislative session and the FPA will be there to provide feedback. Point of Care / Test and Treat – Pharmacists have the ability to evaluate and test patients who have influenza or streptococcus infections. Effective treatment for these conditions may work best if provided in a timely manner. Pharmacists are strategically located to deliver this care but the practice act needs to change to allow for this. Collaborative Practice Agreements – Physicians and pharmacist providers have worked together to provide patient care for many years. In many cases this collaboration has been happening NOVEMBER 2018 |

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

Director of Continuing Education Tian Merren-Owens, ext. 120

in a variety of practice settings, but again not recognized by our practice act. Patient Access for Pharmacy of Choice – In a free marketplace, a patient should have the ability to choose their pharmacy provider. The FPA does not support programs that create access barriers to a patient’s preferred pharmacy. If a pharmacy is willing to agree to the terms and conditions of a network contract, they should be allowed to provide and be paid for the services delivered. This includes the decision by a patient to opt out of a mandatory mail-order program. These are just a short list of the high-priority issues recommended by the

Educational Services Office Assistant Stacey Brooks, ext. 210 Coordinator of Membership Christopher Heil, ext. 110 Accounting Coordinator Ashley Gandy ext. 211

FLORIDA PHARMACY TODAY BOARD Chair..................................... Carol Motycka, St. Augustine Vice Chair................................Cristina Medina, Hollywood Treasurer...........................................Eric Jakab, Gainesville Secretary.........................Stuart Ulrich, Boynton Beach Member............................... Michael Finnick, Jacksonville Member...............................................Matt Schneller, Tampa Member...................................Teresa Tomerlin, Rockledge Member..............................................Greta Pelegrin, Hialeah Technician Member.................Julie Burger, Pensacola Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee

This is a peer-reviewed publication. ©2018 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 Address: http://www.pharmview.com 8 |

FLORIDA PHARMACY TODAY

The Florida Pharmacist Political Committee, under the leadership of Mark Hobbs and Theresa Tolle, has invested well over $70,000 supporting political campaigns and committees to help get pharmacy’s message out to those who make policy. Governmental Affairs Committee chaired by Eric Larson and approved by the FPA Board of Directors. There are a host of other issues that we will be monitoring and looking for opportunities to move forward for 2019. The Florida Pharmacist Political Committee, under the leadership of Mark Hobbs and Theresa Tolle, has invested well over $70,000 supporting political campaigns and committees to help get pharmacy’s message out to those who make policy. As members of the FPA, each of you has an opportunity to be a part of our advocacy campaign. The first step is to connect with your state senator and state representative. You may not know who they are, but for our campaign to be successful you should find out. We have the tools to help on Pharmview.com. The only thing you need is your home address. Look for “Your Elected Officials” and follow the steps. The next step is to talk to them about what pharmacists can do and how we can make a difference. In our FPA advocacy center on Pharmview.com is a resource on Florida Facts on Health Care that you can download and use as talking points. You can end your meeting with your state legislator by suggesting that you would like to follow up at some time in the future to talk about specific issues once bills are filed in the House and Senate. We plan to have talking points available in our advocacy center as issues become known. The 2019 legislative session is a little over three months from now. Our best work and effort should be put forth now while your state legislator is in the district where you live. Preparing them now for next year is the best use of your time and the best opportunity to get quality time. Once you make contact, let us know what they said. If they are confused on an issue, we will be happy to follow up and provide additional information. Remember that failure to get involved in public policy making empowers others to determine your future. n

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Call toll free (866) 365-7472 or visit www.pqc.net PQC IS BROUGHT TO YOU BY YOUR STATE PHARMACY ASSOCIATION

Managed Care Pharmacy – Balancing Quality and Cost to Reach Optimal Health Outcomes Britten Featherston, PharmD; Jeanette Connelly, PharmD; Regina Mears, PharmD What is managed care pharmacy practice? It isn’t a topic many pharmacists or student pharmacists are familiar with, and managed care pharmacists are all too often asked, “What is it that you do?” Managed care pharmacists may directly work for Managed Care Organizations (MCOs) which are large organizations that combine healthcare resources, or for a pharmacy benefit manager (PBM), which specifically manages the pharmacy benefit. Managed care pharmacists often hold roles with responsibilities including formulary design and management, medication management programs, drug information services, and data analytics. A major tenet of managed care pharmacy is balancing the dynamic duo – quality and cost – to achieve optimal health outcomes at both the patient and population level. Each program, service and product serves as a pillar to support the overarching goal of improving health care outcomes across the continuum of care. And, this is becoming an especially important focus in value based care models. A notable example of how quality and cost are balanced is embodied in the responsibilities of the Pharmacy and Therapeutics (P&T) Committee. The P&T committee is charged with delivering exhaustive research of all pertinent

literature, therapeutic guidelines, and studies to provide the most appropriate evidence-based formulary recommendations. Formulary management is a key function of managed care pharmacists. Through various formulary design strategies, pharmacists can create what is essentially a medication triage system using adjudication edits and the drug utilization review (DUR) process. If no concerns are identified the patient may “pass go” and collect their meds. On the other hand, many readers may relate all too well to those frustrating formulary rejects. While frustrating, these systematic edits serve a higher purpose, ideally founded in evidence-based medicine. Health care outcomes, inclusive of both pharmacy and medical, can be improved with appropriate utilization of evidence-based medications used in the right situations by the right patient candidates. Appropriate use of medication therapies can enhance a patient’s quality of life by providing effective treatment and reducing side effects. This enhanced quality of care is often coupled with reduced medical visits, reduced polypharmacy, and reduced cost to the patient and the healthcare system – a win-win scenario. Conversely, avoiding medications that are deemed inappropriate (e.g., a Beers

A MAJOR TENET OF MANAGED CARE PHARMACY IS BALANCING THE DYNAMIC DUO – QUALITY AND COST – TO ACHIEVE OPTIMAL HEALTH OUTCOMES AT BOTH THE PATIENT AND POPULATION LEVEL. EACH PROGRAM, SERVICE AND PRODUCT SERVES AS A PILLAR TO SUPPORT THE OVERARCHING GOAL OF IMPROVING HEALTH CARE OUTCOMES ACROSS THE CONTINUUM OF CARE. 10

FLORIDA PHARMACY TODAY

list drug) can also reduce adverse drug events thereby mitigating unnecessary medical spend on preventable medication mishaps. It is important to emphasize that cost is not the sole factor or primary focus when considering a drug for formulary inclusion. However, when cost is considered, it should be comprehensive taking in the whole picture. At times, a costlier medication might make sense for formulary inclusion because the total cost to the patient and health care system is reduced or may be acceptable in the context of the improved clinical outcomes. Perhaps the best recent example of this was seen with the release of the new specialty agents for the treatment of Hepatitis C. While these medications are associated with a hefty price tag, the total cost to the patient and the healthcare system is often reduced in the long run, while quality of life and outcomes may be significantly improved. This give-and-take between quality and cost is necessary in today’s health care system. With the rise of effective, yet expensive, specialty medicines on the horizon, Managed Care Organizations are putting an emphasis on financial synergy. How do we get more with less? The landscape is changing quickly in the world of costing models and it’s becoming increasing obvious that we may be better off merging, instead of just balancing, these two competing forces (quality and cost). Why should we sacrifice quality to save on cost, and why should we expect to pay extra for quality care? A newer buzzword that better describes these forces in harmony, is “value” and many health care systems have already embraced its use. As more and more entities move towards a value-based care model, deliv-

ering quality care is required for providers to receive reimbursement. This return to the roots of medicine re-incentivizes quality care, which is what health care should be. However, there are still many challenges to overcome before we can completely reconcile the quantity vs. quality conundrum of today’s reimbursement models. In an ideal value-based healthcare world, patients would receive improved care leading to better health and quality of life, and the health care system would be paying for quality instead of quantity. Managed care pharmacists are helping to move this forward by innovating new medication management programs that not only complement the formulary, but also improve health outcomes. Integrated claims systems and analytics programs can also help identify and reduce fraud, waste and abuse which work against a value-based system. Data is one of managed care’s greatest assets. Analyzing data at a population level can show what is and what isn’t working from an outcomes and

value perspective. Advanced analytics programs can predict trends which when identified early, allows a healthcare system to take preemptive measures to encourage prescribing behaviors towards more appropriate medication utilization. Looking at population trends from a bird’s-eye view provides a type of early warning system. While the most astute pharmacists on the front lines may notice a trend (good or bad), it’s typically well underway before they can confirm their intuition. Managed care pharmacists have the advantage of large amounts of data at their fingertips and can hone in on trends much earlier in the game, programmatically encouraging those positive trends while discouraging trends with poorer outcomes. When such course corrections are needed, the managed care pharmacists customize strategies and develop programs to affect change. For example, education programs may be created and tailored to prescribers (e.g., CEs, prescriber detailing) and patients

(e.g., MTM) to better understand their medications,mail-order enrollment or delivery assistance may be offered to help improve patient access and adherence, specialty medication programs may be created to support all phases of treatment,and the list goes on and is continuously evolving. At the end of the day, the roll of managed care pharmacists is to continuously monitor and sift through the matrix of data, affecting the change they can through formulary management and various other programs. Early identification and management of both promising and concerning trends, along with proactive action, is critical to adjust the sails towards optimal health outcomes.

NOVEMBER 2018 |

Presidentâ&#x20AC;&#x2122;s Viewpoint, continued from page 9

One of the most noted changes is the progress within the councils on priorities of the strategic plan and increased attendance at Board of Directors meetings. The desire for information and active participation has been apparent with the number of attendees on those calls and the outreach of the members of our standing councils and local units to their regional directors has been ef-

fective in closing the gaps. As we begin to shift toward our legislative outreach efforts and finalize deadlines for projects, itâ&#x20AC;&#x2122;s been fantastic to continue to receive outreach from the local units and members asking for projects they can work on, providing suggestions for processes that can be improved and to identify areas where our transparency must grow to be in-

clusive of our membership. Seeing more consistent communication from our regional directors to the local units and regional members has been one area that I believe will be pinnacle in the continued success of our Association. Prioritizing information exchange, increasing awareness and opportunities for small steps in the leadership pipeline and being able to readily

Florida Pharmacy Association Strategic Plan 2018 - 2023 Priority 1: Workforce Development

Priority 2: Infrastructure

Priority 3: Advocacy Policy & Legislation

Priority 4: Sustainability

Goal 1: Premier Education & Training

Gaol 1: Perception & Value of Mebership

Goal 1: Proactive Approaches

Goal 1: Benefits & Innovation

Goal 2: Enhanced Profitabily

Goal 2: Structural Assessment & Planning

Goal 2: Increased Visibility

Goal 2: Alternative Revenue Sources

Goal 3: Enhanced Programming

Goal 3: Enhanced Website Rebranding

Goal 3: Enhanced Grassroots Activity

Goal 4: Leadership Accountability

Goal 5: Leadership Continuity

FLORIDA PHARMACY TODAY

access resources is a necessity that our Association is embracing and improving. With the increased willingness and ability to listen to our members’ needs, we are serving as true leaders. Our decision to take proactive steps toward collaboration and innovation provides the momentum and direction that our Association must take to remain a viable, thriving entity in the pharmacy profession and throughout health care practice in Florida.

We are moving from reacting or defensive stances to leading with an incredible offense. Our partners with Adams Street Advocates, all our members of the Board of Directors, all our Council and Committee members and our staff have been using strengths and experience and pushing forward with passion and hard work.

When we stop listening and default to the way it’s always been, we set ourselves up for disillusioned and disengaged members. We are moving from reacting or defensive stances to leading with an incredible offense. Our partners with Adams Street Advocates, all our members of the Board of Directors, all our Council and Committee members and our staff have been using strengths and experience and pushing forward with passion and hard work. We can’t afford not to embrace transformational change and this incredible leadership team is on the right path to achieving outstanding accomplishments, strong legislative priorities and presence, and creating a pipeline for future leadership. Whenever confrontation or change or differences arise, I am drawn to one of my favorite quotes, “What you deny or ignore, you delay. What you accept and face, you conquer” (Robert Tew). Although change is difficult, it is my hope that our leadership team along with ambassadors of our previous leadership teams continue to collaborate with some of our strongest colleagues and members to keep moving forward despite setbacks, frustrations and unanticipated mistakes. We learn and grow by taking chances and I have always learned far more from my own personal and professional failures than pats on the back and seemingly easy successes. I am hopeful for what lies ahead for our leadership team and our Association. Your time and energy, and more time (and even more time) has helped us achieve some great markers and set us up for amazing things to come. Have a wonderful holiday season. n

JOIN TODAY! NOVEMBER 2018

In Memoriam: Everett A. Kelly

Everett A. Kelly, 92, of Lady Lake, Fla., passed away on Tuesday, Nov. 13, 2018. He was born in Foley, Ala. moving to Florida with his family at age three. Everett was a World War II veteran, having served in the United States Navy as a hospital corpsman. After serving in the military, Everett returned to Florida where he graduated from public school in 1947. He then received his Bachelor of Science in Zoology from Florida State University in 1951 and a Bachelor of Science in Pharmacy from the University of Florida in 1960. Everett was elected to the Executive Committee of the Florida Pharmacy Association and served for two years on the statewide Drug Utilization Review Committee. He was a former member of both the Florida Pharmacy Association and the American Pharmacy Association. Everett also served in the Florida House of Representatives for 22 years, serving on many committees, sub-committees and advisory councils. In 1978, Everett received the R.Q. Richards Award for outstanding public relations in the field of pharmacy. In 1978 he was named “Pharmacist of the year” for the State of Florida. In 1989 he received the “Distinguished Service Award” from the Southeastern College of “Osteopathic Medicine” in Miami. He was the 1998 recipient of the “Bowl of Hygeia” Award. Everett was a practicing pharmacist since 1960 in the fields of Retail, Hospital and Department of Correction Pharmacy. He served as the CEO of the Thomas Langley Medical Center in Summerfield, a position he held since May 2004. He is survived by his loving wife of 38 years: Tara Kelly, Lady Lake, Fla.; son: Steve Kelly, Crawfordville, Fla.; daughter: Connie Collins, Grand Island, Fla.; step-daughter: Connie (Douglas) Hecht, Ocala, Fla.; brothers: Russell (Juanita) Kelly, Pensacola, Fla., Larry (Phyllis) Kelly, Pensacola, Fla., and Michael (Joyce) Kelly, Pensacola, Fla; nine grandchildren; and six great grandchildren. Source: Villages-News.com

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FPA News & Notes Medicaid Managed Care Webinars Scheduled The Florida Agency for Health Care Administration (AHCA) contracts with Medicaid health and dental plans to provide services to health plan enrollees in the Statewide Medicaid Managed Care (SMMC) program. The Agency recently entered into new contracts with health and dental plans. Medicaid providers need to be aware of the pending changes from the new contracts. The Agency will be hosting public webinars over the course of the next few months to share information about updates to the SMMC program. Members serving Medicaid patients should consider participating one of these webinar sessions available on the following links: ■■ Wednesday, Nov. 21: 2 – 3:30 p.m. ■■ Wednesday, Dec. 5: 2 – 3:30 p.m. ■■ Wednesday, Dec. 19: 2 – 3:30 p.m. ■■ Wednesday, Jan. 2: 2 - 3:30 p.m. ■■ Wednesday, Jan. 16: 2 – 3:30 p.m. ■■ Wednesday, Jan. 30: 2 – 3:30 p.m. In addition to the webinar information above the rollout schedule by county for the SMMC plans are published on the AHCA web site and are available for downloading. Study Suggests that Pharmacists Can Free Up ER Visits A new study out of Canada found that patients with uncomplicated urinary tract infections can be “safely and quickly” treated by a pharmacist, and potentially unburden busy emergency rooms across the country. The study, “Outcomes of Urinary Tract Infection Management by Pharmacists: A study of pharmacist prescribing and care in patients with uncomplicated urinary tract infections in the community,” followed 750 patients seeking help at a pharmacy for symptoms of an uncomplicated UTI. At the two-week follow-up, the study found that the majority of patients’ symptoms were resolved, and patients were able to access a pharmacist one day sooner than a physician. Consumer Report Highlights Benefits of Visiting Your Local Pharmacist Consumer Reports recently highlighted four ways that visiting your local pharmacist can make you healthier. With their extensive training and accessibility, as well as their ability to manage chronic diseases, pharmacists are an important member of the health care team. To reap the benefits of pharmacist-provided services, patients should: ■■ Choose the Right Pharmacy: Visiting the same pharmacy not only makes it easier for your pharmacist to

■■

flag potential drug interactions, but it also offers personalized service as your pharmacist learns your health history. Have an Annual Medication Review: Pharmacists are often able to spend significantly more time with patients than physicians are, spotting potential drug side effects and drug-drug interactions. Get Vaccines and More: Pharmacies offer more than just medications — you can receive immunizations, and some pharmacies even offer blood pressure or blood sugar checks. Some pharmacies can even help you quit smoking. A recent CDC study found that 40% of smokers enrolled in a pharmacy-based tobacco cessation program quit smoking. Ask for Advice on OTC Meds: Your pharmacist can also help you select over the counter meds; which is especially important for older adults who may take from multiple medications and supplements.

Suicide Increasing Among American Workers The Center for Disease Control and Prevention released a report showing a growing and concerning trend related to suicide rates in certain occupations. According to the report the top three major occupational groups by suicide rate among males are: 1. Construction and Extraction 2. Arts, Design, Entertainment, Sports and Media 3. Installation, Maintenance and Repair The top 3 major occupational groups by suicide rate among females are: 1. Arts, Design, Entertainment, Sports and Media 2. Protective Service 3. Health Care Support Among both males and females, the lowest suicide rate in 2015 was observed in education, training and library occupations. Read more on this report at https://www.cdc.gov/media/releases/2018/p1115-Suicide-american-workers.html FDA Commissioner Proposes Steps to Protect Youth Access to Flavored Tobacco Products FDA Commissioner Scott Gottlieb is instituting action aimed at addressing the trends of nicotine use among kids. This includes the publishing of data in collaboration with the Centers for Disease Control and Prevention on middle and high school students’ use of e-cigarettes and other electronic nicotine delivery systems (ENDS). Click here to read more on the commissioner’s proposal.

NOVEMBER 2018

Establishing Positive Patient-Provider Relationships By Mitchell Snyder, Pharm.D.

Working as a clinical pharmacy specialist at a Veterans Affairs (VA) clinic can be a unique and rewarding experience. We have the opportunity to operate as a mid-level practitioner with prescribing privileges. This allows us to have a direct effect on patient health and wellbeing. One of the key components in succeeding in this practice is establishing a strong and positive relationship with patients. However, the VA’s recent history has provided an environment in which forming this connection has become more difficult. Numerous scandals and poor performance reports have plagued the nation’s largest integrated health care system, leading to veterans reporting a lower satisfaction rate with their care when compared to non-VA hospitals (despite VA hospitals having better health outcomes).1-4 As a provider in a Hepatitis C clinic, I cannot afford to have such fractious relations with my patients. Difficult and awkward topics, such as substance abuse, need to be discussed regularly during visits. Though, understandably so, patients are anxious and reluctant to talk about subjects of this nature. This is one example of why creating a positive patient-provider relationship is imperative. With this in mind, I believe it is worthwhile to examine the potential barriers to developing these relationships, provider behaviors that can overcome these barriers, and the benefits of forming said relationship. The aforementioned anxiety patients experience is one of the primary barriers, described by authors Judson et al. as “white-coat silence.”5 Analogous to the better known “white coat hypertension,” the anxiety of being in a medical environment and presence of a provider discourages patients from being honest or asking questions. Other reasons for not asking providers questions include a fear of being viewed as difficult, taking too much of the provider’s time and embarrassment of a lack of understanding discussions with providers. These barriers speak to the broader issue of an inherent imbalance of power in the patient-provider relationship. In the joint goal of achieving better health outcomes, the provider has the knowledge and training to reach said goal while the patient does not. This natural imbalance causes patients to behave more docile, often preventing them from taking ownership of their health. Conversely, providers have a few barriers of their own. 16

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They may view certain questions as challenges to their authority. A fear of litigation may cause providers to be less approachable. More importantly, however, is the issue of time. Providers are aware that, typically, the more time spent with their patient, the better. Increased visit length has been associated with higher physician satisfaction, fewer medication prescriptions, and lower risk of malpractice claims.6 Unfortunately, physicians have reported a decline in the amount of time allotted to spend with individual patients.7 So the question becomes, how do we make the most of our time with patients to both provide appropriate care and build a rapport?

NUMEROUS SCANDALS AND POOR PERFORMANCE REPORTS HAVE PLAGUED THE NATION’S LARGEST INTEGRATED HEALTH CARE SYSTEM, LEADING TO VETERANS REPORTING A LOWER SATISFACTION RATE WITH THEIR CARE WHEN COMPARED TO NONVA HOSPITALS (DESPITE VA HOSPITALS HAVING BETTER HEALTH OUTCOMES).1-4 In order to accomplish both, behaviors known to be helpful in aiding the formation of positive relationships with patients should be utilized. Judson et al. mention the teach-back method as a time-efficient tool in ensuring patients understand the pertinent issues discussed during an appointment. Furthermore, a study conducted by Dang et al. in an HIV clinic at the Michael E. DeBakey VA Medical Center in Houston, Texas found five actions providers can take to help establish a good rapport early with patients: allow for opportunities to ask questions, provide reassurance, show and explain lab results, avoid judgmental language and behaviors and determine their treatment goals and preferences.8 What you may notice to be common among these behaviors is that they lend themselves to be components of a conversation as opposed to a lecture or an interview. Dang et al. agree this is a patient-preferred approach, “[Patients] want to engage in a two-way dialogue with their provider, clarify expectations, voice their concerns and ask questions.”8

This may the most important concept in allowing a relationship to develop. Conversations allow ample opportunity for the patient to ask questions of their providers. However, in these situations, as we noted previously, patients may still be affected by “white coat silence.” A time-efficient method of overcoming this reluctance is to ask what questions the patient would like answered at the very beginning of the appointment. This not only gives explicit permission for the patient to ask questions (which they often feel is necessary8), but also helps the provider direct the conversation toward answering their questions appropriately while still discussing all pertinent information. Dang et al. also found that patients desired both affective and cognitive reassurance.8 In other words, providing empathy and clearly explaining their medical conditions and treatment plan alleviate patients’ anxiety regarding their health. One way to discuss their health status is by showing and explaining lab results, thus providing transparency between provider and patient. It should be noted here that said explanations should be conducted with patient-friendly terminology and the avoidance of “medical jargon,” which can be offputting for the patient. Providers should also use non-judgmental language during patient encounters. While this seems obvious, providers can often unknowingly provoke shame, particularly in HIV and mental health patients where a precedented stigma is highest.9-12 Dang et al. noted that perspective-taking exercises have been shown to increase awareness of unconscious bias and empathy.8 These exercises encourage providers to empathize with others through a series of analyses of patient cases from the perspective of the patient, provider and an objective point of view. This is one tool that may help providers approach their patients openly. Exhibiting more empathy can also be helpful for understanding and appreciating individual patient goals and preferences in regard to the course of their treatment. Most providers are keenly aware that not all patient cases fit neatly into guidelines, and not all patients want to be treated as such. Understanding patient desires can decrease the risk of these conversations turning into arguments. Utilizing these behaviors to form relationships with patients can lead to improved health outcomes. Patients were found to be more likely to take prescribed medications appropriately and return for follow-up when they felt positively about their provider after the initial appointment.13-14 Maintaining these positive relationships has been shown to have long-term benefits as well. Patients show an improvement in chronic disease management, increased involvement and satisfaction with their own care and relief of anxiety and distress.15-17 Given these benefits, we can see the behaviors described above are not just appropriate for the initial visit, but for all patient encounters. Forming positive patient-provider relationships gives patients a better chance for success with their goals and health. As such, it is recommended that providers take the time to acknowledge the presence of potential barri-

ers and to incorporate positive behaviors into their daily practice. References:

1. Slack D, Sallah, M. VA conceals shoddy care and health workers’ mistakes. USA Today. 2017 Oct 13. 2. Estes, A. VA hospitals flooded with complaints about care. Boston Globe. 2017 Sept. 16. 3. Lowery W, Hicks J. ‘Troubling’ report sparks new wave of calls for VA chief’s resignation. Washington Post. 2014 May 28. 4. Blay E, DeLancey JO, Hewitt DB, et al. Initial Public Reporting of Quality at Veterans Affairs vs Non–Veterans Affairs Hospitals. AMA Intern Med. 2017;177(6):882-885. doi:10.1001/ jamainternmed.2017.0605 5. Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome “white-coat silence” JAMA. 2013;309(22):2325–6. 6. Dugdale DC, Epstein R, Pantilat SZ. Time and the Patient– Physician Relationship. J Gen Intern Med. 1999 Jan; 14(Suppl 1): S34–S40. 7. Davidoff F. Time. Ann Intern Med. 1997;127:483–5. 8. Dang BN, Westbrook RA, Njue SM, Giordano TP. Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC Med Educ. 2017 Feb 2;17(1):32. doi: 10.1186/s12909-017-0868-5. 9. Puhl RM, Heuer CA. Obesity stigma: important considerations for public health. Am J Public Health. 2010;100(6):1019–28. 10. Katz IT, Ryu AE, Onuegbu AG, Psaros C, Weiser SD, Bangsberg DR, Tsa AC. Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis. J Int AIDS Soc. 2013;16:1–25 11. Corrigan PW, Mittal D, Reaves CM, Haynes TF, Han X, Morris S, Sullivan G. Mental health stigma and primary health care decisions. Psychiatry Res. 2014;218(1–2):35–8. 12. Stringer K, Turan B, McCormick L, Durojaiye M, Nyblade L, Kempf M, Lichtenstein B, Turan J. HIV-related stigma among healthcare providers in the deep South. AIDS Behav. 2016;20(1):115–25. 13. Dang BN, Westbrook RA, Hartman CM, Giordano TP. Retaining HIV patients in care: the role of initial patient care experiences. AIDS Behav. 2016;20(10):2477–87. doi: 10.1007/ s10461-016-1340-y. 14. VA Center for Innovation . The Public Policy Lab: Veteran access to mental health services: current experiences and future design opportunities to better serve veterans and frontline providers. 2016. 15. Murray B, McCrone S. An integrative review of promoting trust in the patient-primary care provider relationship. J Adv Nurs. 2015 Jan;71(1):3-23. 16. Dean M, Street RL. A 3-stage model of patient-centered communication for addressing cancer patients’ emotional distress. Patient Educ Couns. 2014;94(2):143–8. 17. Mattingly TJ 2nd, Tom SE, Stuart B, Onukwugha E. Examining patient-provider relationship (PPR) quality and patient activation in the Medicare population. Aging Clin Exp Res. 2017 Jun;29(3):543-548.

NOVEMBER 2018

Pharmacy Technician Education and Advancing Roles By Julie Burger December bri ngs about m a ny e xc it i ng things for pharmacy staff members. Namely, people filling prescriptions before holiday trips, stressed shoppers and holiday hustle and bustle. December is also when many in pharmacy embark on the pilgrimage to the American Society of Health-System Pharmacists (ASHP) Midyear meeting. While not everyone can make the trip, be sure not to overlook their new technician education accreditation standards announced in July of this year. The revised national education standard, set by both ASHP and Accreditation Council of Pharmacy Education (ACPE), is designed to readdress educational standards in response to industry needs, stakeholders and information from the 2017 Pharmacy Technician Stakeholder Consensus Conference. These new standards will take effect beginning Jan. 1, 2019 (new programs) and January 2020 (existing programs). The biggest change regarding the new educational accreditation standards is the designation between entrylevel and advanced-level training programs. Minimum hour requirements are one distinguishing factor between the levels of competency, as well as documented achievement in key competency areas. The number of standards for both technician categories increased drastically from six to 15. It will be important for pharmacists to understand these changes moving forward, as many pharmacists encounter technicians in training during the experiential learning portion of their education program. 18

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ACROSS THE COUNTRY, MANY STATES HAVE SEEN TECHNICIANS’ ROLES ADVANCE WITH THE PHARMACISTS’. IN 2016, THE IDAHO BOARD OF PHARMACY BEGAN ALLOWING CERTIFIED PHARMACY TECHNICIANS TO ADMINISTER IMMUNIZATIONS. Keeping pace with the state regulatory organizations requires constant attention. On a national level, pharmacist and technician roles are evolving quickly. As pharmacists strive to provide clinical services and other areas involving direct patient care, there is a growing need for technicians to support them in this role. Across the country, many states have seen technicians’ roles advance with the pharmacists’. In 2016, the Idaho Board of Pharmacy began allowing certified pharmacy technicians to administer immunizations. They have also made allowances for properly trained and nationally certified technicians to take verbal orders, clarify orders, and transfer prescriptions. This is a marked difference from the five states (CO, DE, HI, NY, WI) that do not require regulations on certification, licensure or registration for technicians. The variance of requirements by state can be confusing and ASHP/ACPE is working to ensure patient safety while meeting workforce needs on the national level. Late in 2010 the Board of Pharmacy finalized rulemaking requiring technicians to register with the Board. This registration also requires the completion of a board-approved techniciantraining program. Currently, this does not require a technician be certified to work in Florida. According to the Pharmacy Tech-

nician Certification Board (PTCB), as of January 2017, only 24 states made it a requirement to maintain an active PTCB certification to register with a State Board of Pharmacy. A competency-based certification would be a wise step for Florida to require of its pharmacy technicians. There are two exams available to technicians allowing them to earn the designation CPhT. The first, available since 1995, was the Pharmacy Technician Certification Exam (PTCE) and the second, beginning in 2008, was the Exam for the Certification of Pharmacy Technicians (ExCPT). Recognizing advancing roles, the PTCB began offering an advanced practice certificate in sterile compounding in 2018. In the first year, more than 300 Compounded Sterile Preparation TechnicianTM (CSPTTM) certifications were granted. Evolving roles are a key component of any health care field. The ever-changing medical landscape requires advanced practitioners and advanced support personnel. Improving education requirements and increasing qualifications can only improve patient health outcomes. As everyone reflects during this special time of year, we are reminded that everyone is someone’s loved one. Our patients are our most important priority. May the new year bring beneficial changes and advancement in your life.

Professional Affairs Council Update Luther Laite, PharmD, CPh

As defined by our Bylaws, "the Professional Affairs Council shall be formed to consider matters or issues of interest to the pharmacy profession and arising from or inherent in the interface of the pharmacy profession with other professions, or any other matters referred to it for consideration." This year we are striving to connect and collaborate outside of the pharmacy profession and in doing so, we are creating opportunities to reflect upon and update our leadership roles and expectations. We have several members of the current leadership team serving as liaisons or members on councils or committees outside of traditional pharmacy organizations, as well as previous leadership members and active Association members taking on roles to educate others about pharmacists, technicians, interns, and many areas within pharmacy practice. This is providing a new path for professional and Association diversity, member engagement and growth in areas of legislation, clinical practice and education, among others. One of the charges from President Garcia was to identify members of the Association who can help cultivate new partnerships that broaden awareness of the contributions of pharmacists in patient-care outcomes and communitybased initiatives. We often have a stereotypical identity in the media (the pill counter) which we must actively work against to be considered true members of the health care team and decision makers in health care outcomes. This challenge for members of leadership and active FPA members to engage in liaison roles expands FPA membersâ&#x20AC;&#x2122; awareness of what others think of us as pharmacists, as well as the FPA.

These liaison roles provide direct points of contact for educating non-pharmacists about our full capabilities as health care professionals and the diversity within pharmacy practice. Whether health-based or publichealth-based, we are bridging gaps and creating relationships that are strengthening our inclusion and participation in major decision-making legislation and policy affecting patients and communities across the state. Professional Affairs is identifying gaps in leadership development, gaps in Association processes and areas that we as members need to grow internal-

ly to strengthen our leadership pipeline, increase meaningful service opportunities and build sustainable workgroups to support the needs of the Association, our members, and achieve the goals and objectives of the strategic plan. Some of the focus areas of the Professional Affairs Council are to identify where the leadership can support and enhance the staff, especially in the face of a new five-year strategic plan. Ideas that we hope to see moving are the development of a Membership Outreach Team, exploring post-graduate training opportunities and hosting leadership development workshops with a focus on reviewing and discussing governance documents. Governmental Affairs and Public Affairs are working together with us to develop language to communicate what we, as

an Association, are focused on regarding legislation, social media and practice-based resources. One area we have gained momentum in is working with the local units to identify areas of the leadership in which they would like to see changes and enhancements, including transparency with the leadership, two-way communication with the regional directors and more visible roles for officers across the state. Some of our regional directors are doing an exceptional job providing information to the local units and bringing local unit concerns to the leadership. We are utilizing the experience of our regional directors and local units to establish best practices for this role. The speaker and vice-speaker are facilitating conversations with the local units to determine what the FPA can do to support them and how they can recruit more local unit members to become members of the FPA. We are working with the Organizational Affairs Council to enhance and update the roles of the members of leadership to reconcile governance documents, policies, procedures, functions of the councils and committees, as well as needs within our Association. We are working with Membership Affairs Council to develop surveys about perceptions and preferences from the membership. Our Professional Affairs Council has delegated assignments from the 2018 House of Delegates Resolutions, as charged by Speaker Jeanette Connelly, and will be presenting deliverables to the Board of Directors in the next several months. One of our challenges is figuring out what areas to prioritize for completing tasks in the rest of the time we have in this presidential term and what to begin as phase one for the next term. We look forward to achieving our presidential charges and priorities on the strategic plan for this first year and having a strong report for the annual meeting in 2019. NOVEMBER 2018

A Report From the Region 6 Director By Barbara Beadle, PharmD, Region 6 Director

My name is Barbara Beadle and I am your region 6 director. Region 6 covers 12 counties from Brevard, south to Martin and then west to Sarasota County. There is one active local unit in this region, Brevard County. I graduated from the University of Florida in 2013. During my time there, I established the NCPA student chapter at the Orlando campus. Since graduation, I have been serving as a delegate to FPA and playing an active role in my local unit association in Brevard County. I am currently the board chair for the Brevard County Pharmacy Association, the immediate past president of that association and a previous treasurer, as well. BCPA is a very strong and active association with about 250 members including pharmacists, technicians and students. BCPA is actively involved in FPA with members serving in multiple roles over the years. I am truly blessed to have five FPA past presidents guiding me along my path of advocacy: S. Mark Hobbs, Norman Tomaka, Theresa Tolle, Kathy Petsos and Scott Tomerlin. In Brevard County, we are active on several levels. We host meetings monthly; with the exception of July and December. We have live CE classes at each meeting. We have offered Med Errors and Validation of Controlled Substances each of the last few years for our members. We are also active with our elected officials and political candidates, having Rep. Bill Posey at one of our meetings and recently having a meet and greet with Tyler Sirois, another candidate in our area. We are eager to help educate our legislators about the important role that pharmacists play in the health of their constituents and our patients. We offer a scholarship to a pharmacy student from Brevard County each year. BCPA also participates in Making Strides Against Breast Cancer and Relay for Life every year. This year, we have raised more than $2,000 for Making Strides. As an FPA director, I make it a point to be available to members at each meeting to answer questions, encourage membership in FPA and to share any information that I have. BCPA is also active in Legislative Days each year. I had the pleasure of attending my first legislative days in January of this year. I truly felt that we made a difference and helped legislators to understand the bills we were discussing with them. I became a regional director because I believe that; in order to advocate, you must be willing to act and to be involved. I believe that too often, pharmacy is a second thought in the process of patient care and I want to help to change that way of thinking.

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FPA REGION 6

We are facing so many legislative and professional challenges right now and we need everyone to be involved to truly make a difference. I want to help others get involved and help them find their way to have an impact in advocacy for their profession. Because I believe that actions speak louder than words, I have joined the FHA Opioid Coalition and will be a strong voice for the ability of pharmacists to help end that crisis in our state. I will continue to serve in my local unit and I will continue to serve the FPA in whatever capacity I can. I am looking forward to a very productive two years with the FPA and am ready to make a difference for my profession.

I BECAME A REGIONAL DIRECTOR BECAUSE I BELIEVE THAT; IN ORDER TO ADVOCATE, YOU MUST BE WILLING TO ACT AND TO BE INVOLVED. I BELIEVE THAT TOO OFTEN, PHARMACY IS A SECOND THOUGHT IN THE PROCESS OF PATIENT CARE AND I WANT TO HELP TO CHANGE THAT WAY OF THINKING.

Central Florida Pharmacy Association Update By Raul Correa

The Central Florida Pharmacy Association (CFPHA) is a professional organization of licensed pharmacists, pharmacy students, pharmacy technicians, pharmacy technician students and friends of pharmacy, who mutually share in their desire to promote Pharmacist Care and related services to the patients of the Orlando area and throughout Florida. The mission of the Central Florida Pharmacy Association is to promote and enhance the profession of pharmacy and the practice standards of its practitioners. We provide live CE credits and timely information on legislation emanating from the state and national level that impacts the Pharmacy profession. The Association endeavors to heighten the publicâ&#x20AC;&#x2122;s perception of the profession of pharmacy, pharmacists and pharmacy technicians. In addition the association promotes the value of pharmacy services to the health and welfare of the patients we serve in the Orlando area. We presently hold our meetings on the third Tuesday of each month, nine months out of the year. The officers and the associationâ&#x20AC;&#x2122;s members participate in health fairs in the Central Florida area, providing blood pressure screenings and personal medication review to assist Central Florida patients in having a better understanding of their medicinal treatments and promote the proper use of their medications. We encourage pharmacy student membership by participating in student orientation, advising and registration engagements when invited and speaking to pharmacy technician candidates as a component of their early course work. Please visit our website at CFPhA for membership information and upcoming meetings. The leadership can be reached by voicemail at 407-365-3338 or in writing at Central Florida Pharmacy Association, P.O. Box 4506, Winter Park, Fla. 327934506.

THE MISSION OF THE CENTRAL FLORIDA PHARMACY ASSOCIATION IS TO PROMOTE AND ENHANCE THE PROFESSION OF PHARMACY AND THE PRACTICE STANDARDS OF ITS PRACTITIONERS.

NOVEMBER 2018

LECOM APhA Update Written by LECOM Bradenton student pharmacists: Isabel Sandoval, class of 2020 Demetrios Chagoya, class of 2021 Bradley Ellis, class of 2021 LECOM Bradenton’s APhA-ASP chapter has a commitment to service our local communities of Manatee and Sarasota Counties. Our members embrace our calling for service and strive to make a beneficent impact by engaging the community through six advocacy initiatives with a goal to serve and educate our friends, family and neighbors. Operation Heart works with Manatee Memorial Hospital to provide blood pressure screenings every month to members of their Healthy Hearts support group. Operation Diabetes offers free blood sugar screenings and counseling, recently servicing more than 60 participants at a health fair with employees of the City of Sarasota. Operation Immunization hosted a flu clinic in October for LECOM students and faculty and administered 48 inoculations. Our Operation Youth Empowerment educates children and adolescents in local schools about the safe and proper use of medications. Last year they taught children how to safely use asthma inhalers and to distinguish common candies from medication. Generation Rx is an educational program that increases public awareness of prescription medication abuse and advocates against illicit drug abuse to citizens of all ages in the community. We are extremely excited about our new Women’s Health initiative. We are collaborating with local Safe Place and Rape Crisis Center in Sarasota to organize a donation drive for nonperishable food donations and non-food donations, such as feminine hygiene products, blankets, clothing and more. We will also be educating women on HPV protection and immunization, advocating for women’s reproductive health and promoting the pharmacist’s role in providing women’s health care. Aside from offering health screenings and education, LECOM Bradenton is organized to promote global welfare efforts through our partnership with the International Pharmaceutical Students’ Federation (IPSF). IPSF champions global humanitarian efforts at a local level to advocate for issues affecting underserved populations worldwide. IPSF also promotes fellowship with student pharmacists abroad through

our Student Exchange Program (SEP). Last year we received our first exchange student from Taiwan. Our student was able to develop their professional skills and learn about the pharmacy profession in the U.S. by shadowing pharmacists in various clinical settings. We were able to provide an incredible experience, and this year we aim to reciprocate by sending one of our own LECOM students to experience the practice of pharmacy abroad. A vital goal of our chapter is to get our members involved in policy and advocacy within the pharmacy field. As students, it is imperative to begin learning how the profession develops, the progress being made and the work still yet to be done. One tactic we have begun to employ is our “Up to Date with APhA” section of our weekly newsletter. Here, we take the most pertinent news of the week and break it down so that our members can quickly and efficiently learn the most critical information from a visually appealing graphic. Responsible for creating these graphics is our Policy and Advocacy Committee, a group of motivated students who share an appreciation for advocating for the profession. This past month, our chapter has prepared for the APhA Midyear Regional Meeting (MRM) by educating our members on our policy proposal and on the importance of maintaining an eagerness to improve and advance the field of pharmacy. As student pharmacists we are at the forefront of educating and promoting the next generation of pharmacists. Last year we hosted more than 40 events, volunteered 82 hours, and served nearly 2,000 community members. Moving forward, we are eager to continue our advocacy efforts and strive to advance the pharmacy profession.

LECOM

FLORIDA PHARMACY TODAY

CALL FOR RESOLUTIONS TO THE 2019 HOUSE OF DELEGATES The House of Delegates Board of Directors will meet in May 2019 to review and approve resolutions for the Annual Meeting. The deadline for submitting resolutions is May 10, 2019! PLEASE NOTE THIS DEADLINE. The last day to submit items of new business is June 7, 2019. The following information will be needed when submitting resolutions: 1. Name of organization: The name of the organization submitting the resolutions(s); 2. Name and telephone number of individuals: A contact in the event clarification or further information is needed; 3. Problem: A statement of the problem addressed by the resolution; 4. Intent: A statement of what passage of the resolution will accomplish; 5. Resolution Format: Please type and use double spacing. TITLE OF RESOLUTION NAME OF ORGANIZATION WHEREAS , AND

WHEREAS :

THEREFORE BE IT RESOLVED (THAT THE FPA OR SUBDIVISION OF FPA)

CONTACT NAME AND PHONE #: PROBLEM: INTENT:

Return this form to: Membership Coordinator, Florida Pharmacy Association, 610 North Adams Street, Tallahassee, Florida 32301 or fax (850) 561-6758

NOVEMBER 2018

SAVE THE DATE July 11 - July 14, 2019

Please join us for the 129th Annual Meeting and Convention of the Florida Pharmacy Association Marriott Resort Harbor Beach Resort and Spa 3030 Holiday Drive Ft. Lauderdale, FL 33316

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NOVEMBER 2018

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APhA Foundation and NASPA Bowl of Hygeia Awarded to a pharmacist for outstanding community service above and beyond professional duties. The use of the following selection criteria is required: ■■ The recipient must be a Florida licensed pharmacist and a member of FPA. ■■           ■■ T recipient has not previously received the award. ■■               two  on its award committee or an officer of the association other than in an ex officio capacity. ■■   has compiled an outstanding record of community service, which, apart from his/her specific identification as a pharmacist, reflects well on the profession. James H. Beal Award Awarded to the “Pharmacist of the Year.” Criteria: ■■   must be a Florida registered pharmacist and a member of the FPA. ■■   has rendered outstanding service to pharmacy within the past five years. Technician of the Year Award Awarded annually to a Florida pharmacy technician who is recognized for his/her outstanding performance and achievement during his/her career. Criteria: ■■ Candidate must be a member of the Florida Pharmacy Association for at least two years. ■■ Candidate must have demonstrated contributions and dedication to the advancement of pharmacy technician practice. ■■ Candidate must have demonstrated contributions to the Florida Pharmacy Association and/or other pharmacy organizations. ■■ Candidate must have demonstrated

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■■ Candidate is not a past recipient of

this award.

R.Q. Richards Award This award is based on outstanding achievement in the field of pharmaceutical public relations in Florida. Criteria: ■■  recipient must be a Florida registered pharmacist and a member of the FPA. ■■   has displayed outstanding achievement in the field of pharmaceutical public relations in Florida. Frank Toback/AZO Consultant Pharmacist Award Criteria: ■■ Candidate must be an FPA member, registered with the Florida Board of Pharmacy as a consultant pharmacist in good standing. ■■ Candidate should be selected based on their outstanding achievements in the field of consultant pharmacy. DCPA Sidney Simkowitz Pharmacy Involvement Award Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profession of pharmacy in Florida. Criteria: ■■ A minimum of five years of active involvement in and contributions to the local association and FPA. ■■ Candidate must have held office at local level pharmacy association. ■■ Member in good standing for a period of at least five years in the FPA and must have served as a member or chairman of a committee of the association. ■■ Candidate must have been actively involved in a project that has or could potentially be of benefit to members of the profession.

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Pharmacists Mutual Companies Distinguished Young Pharmacist Award Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacy. Criteria: ■■ Licensed to practice for nine years or fewer. ■■ Licensed to practice in the state in which selected. ■■ Participation in national pharmacy association, professional programs, and/or community service. IPA Roman Maximo Corrons Inspiration & Motivation Award Interamerican Pharmacists Association created this award to honor the memory of Roman M. Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession. Roman was always there with guidance and support that motivated pharmacists and encouraged visionary leadership, approachable active membership and succession planning. This award recognizes the motivators among us who inspire others to continue to advance the profession. Criteria: ■■ The recipient must be a Florida Licensed Pharmacist and a member of the FPA. ■■ Candidate should motivate others to excel within the profession by encouraging them to be leaders. ■■ Candidate is not necessarily an association officer, but guides, supports and/or inspires others. A brief description on the candidate’s motivational/inspirational skills must accompany the nomination. The Jean Lamberti Mentorship Award The Jean Lamberti Mentorship Award was established in 1998 to honor those pharmacists who have taken time to share their knowledge and experience with pharmacist candidates. The award is named in honor of long time FPA member Jean Lamberti for her effort in working with pharmacy students.

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Criteria: ■■ The recipient must be an FPA member. ■■ The recipient must serve as a role model for the profession of pharmacy. Upsher Smith Excellence in Innovation Award Awarded to honor practicing pharmacists who have demonstrated innovation in pharmacy practice that has resulted in improved patient care. Criteria: ■■ The recipient has demonstrated innovative pharmacy practice resulting in improved patient care. ■■ The recipient should be a practicing pharmacist within the geographic area represented by the presenting Association.

Qualified Nominee: A pharmacist practicing within the geographic area represented by the presenting Association. Cardinal Generation Rx Award The Cardinal Health Generation Rx Champions Award recognizes a pharmacist who has demonstrated excellence in community-based prescription drug abuse prevention. The award is intended to recognize outstanding efforts within the pharmacy community to raise awareness of this serious public health problem. It is also intended to encourage educational prevention efforts aimed at patients, youth and other members of the community. The nominee must be a pharmacist who is a member of the state association. Self-nominations are allowed. Applica-

tions will be evaluated based upon the following criteria: ■■ Commitment to community-based educational prevention efforts aimed at prescription drug abuse ■■ Involvement of other community groups in the planning and implementation of prevention programs ■■ Innovation and creativity in the creation and implementation of prevention activities ■■ Scope/magnitude of prescription drug abuse efforts ■■ Demonstrated impact of prescription drug abuse prevention efforts

DEADLINE FOR NOMINATIONS: FEBRUARY 28, 2019 FPA AWARDS NOMINATION FORM I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION:

NOMINATED BY:

Name:

Address:

Date Submitted: Signature:

FOR THE FOLLOWING AWARD:  APhA Foundation and NASPA Bowl of Hygeia  James H. Beal Award  R.Q. Richards Award

Please describe briefly below the nominee's accomplishments, indicating why you feel he or she should receive this award. (Attach additional sheets if necessary.)

 Frank Toback/AZO Consultant Pharmacist Award  DCPA Sydney Simkowitz Award  Pharmacists Mutual Co. Distinguished Young Pharmacist Award  IPA Roman Maximo Corrons Inspiration & Motivation Award  The Jean Lamberti Mentorship Award  Upsher Smith Excellence in Innovation Award  Cardinal Generation Rx Award

MAIL NOMINATONS TO: Annual Awards, Florida Pharmacy Association, 610 N. Adams St., Tallahassee, FL 32301 (850) 222-2400 FAX (850) 561-6758 DEADLINE FOR NOMINATIONS IS FEBRUARY 28, 2019

NOVEMBER 2018

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LEGAL ASSISTANCE Kahan & Associates, PLLC Brian A. Kahan, R.Ph., Attorney at Law (561) 392-9000 The Health Law Firm George F. Indest III, J.D., M.P.A., LL.M. (407) 331-6620

PHARMACEUTICAL WHOLESALER McKesson Drug Company Jim Springer (800) 804-4590 FAX: (863) 616-2953

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

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