The Official Publication Of The Florida Pharmacy Association FEB. 2012
Students Take Over Capitol (for a Day!) 2012 Pharmacists' Health Fair a Success
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A Pharmacist And A Lawyer Board of Pharmacy Licensure Disciplinary Proceedings Chapter 499 Violations, Pharmacy Audit Disputes Mergers and Acquisitions Commercial, Civil and Criminal Proceedings
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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
florida PhArmACy TOdAy Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 25 Buyer’s Guide
VOL. 75 | NO. 2 FEBRUARY 2012 the official publication of the florida pharmacy association
Features
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2012 Vaccine Recommendations: What They Mean for Your Patients FPA 2012 Summer Conference
The Pulse of CMS
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FPA Calendar 2012
February 7-8
29
Florida Board of Pharmacy Meeting St. Augustine Awards nomination due
MAY 19
21-23 ASCP Spring Meeting Anaheim, California 28
March 9-12
APhA Meeting New Orleans, Louisiana
15
Deadline to submit Resolutions
24-25 FPA Council, Committee and Board meetings April 6
Good Friday, FPA Office Closed
FPA Leadership Retreat
21-22 FPA Clinical Consultant Conference Tampa 29-30, May 1 - NASPA Leadership Retreat
Memorial Day - FPA office closed JUNE
5 - 6
Florida Board of Pharmacy Meeting Boca Raton JULY
4 - 8
122nd Annual Meeting and Convention
28
Governmental Affairs Committee Meeting Orlando
10-11 Florida Board of Pharmacy Meeting Tampa 14
FPA Law and Regulatory Meeting
AUGUST 5-8
29th Annual Southeastern Gatherin
11-14 NABP District III and SE Officers Conference 14 - 15 Board of Pharmacy Meeting Orlando
For a complete calendar of events go to www.pharmview.com 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, 2011 or prior to licensure renewal. *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
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.
of the 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 EPC...................................................................... 10 Healthcare consultants........................ 3 Kahan ◆ SHIR, P.L............................................ 2 PPSC...................................................................... 2 Rx RElief.......................................................... 10
CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — Michael McQuone (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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E-mail your suggestions/ideas to dave@fiorecommunications.com
The President’s Viewpoint By GUEST COLUMNIST SUZANNE KELLEY,
H
2012 Health Fair at the Capitol was the “Best Ever”
ave you ever participated in a health fair? How about with over 200 pharmacy interns bustling around you with so much energy that you get exhausted just watching them? Well, let me tell you about my third Health Fair at the Capitol! I hope that my experience will encourage you to be a part of next year’s Florida Pharmacists’ Health Fair in Tallahassee. The 2012 Health Fair was my most exciting one, and you can say that I am hooked! I can’t begin this story without telling you about all the hard work that went on behind the scenes. NSU faculty member Angela Garcia and I found ourselves once again co-chairing the health fair. By now, we had all of our duties divvied up in such a way that things went pretty well as planned. Of course, little bumps occurred and provided opportunities for improvement. Each year’s health fair has been better than the previous one! I must thank Bert (past president Humberto Martinez) for his help in securing the needed supplies. Additionally, Hanson Medical Supplies proved to be a valuable asset to the FPA because they were able to keep our costs down. Angela was in charge of the training of pharmacy students and interested pharmacists on the various machines that we would be using during the health fair. She went to several of the colleges of pharmacy during the early part of January and trained the students. She worked through the two intern liaisons at each school to set up these trainings. The two intern liaisons served as the team leads during the health fair and legislative days, organizing the schedules and coverage at
the screening stations and APhA-ASP Operations Posters. The Operations Posters covered core outreach programs that students participate in throughout the academic year, and were divided among each College. The students were able to highlight activities they had participated in for attendees of the health fair, demonstrating what interns and pharmacists do every day to improve patient outcomes. Operations included:
The 2012 Health Fair was my most exciting one, and you can say that I am hooked! Immunization (NSU), Diabetes (PBA), Generation RX (UF), Heartburn Awareness (FAMU), Heart (LECOM) and EPA Safe Medication Disposal (USF). Their posters were outstanding and looked professional! I must complement each school because their displays made me proud to be a licensed Florida pharmacist. Fort Lauderdale pharmacist and FPA member Olga Wydner volunteered to design, develop and print the health fair journal. She did an AWESOME job! As advertisements came in, Olga placed them strategically in the journal. Since the health fair was two months earlier, time was of the essence! We sent letters and emails requesting monetary donations to help offset the
SUZANNE KELLEY
cost of the supplies needed for all the health screenings. As the deadline approached, Olga and I started contacting previous supporters for more donations. Let me take the time now to thank all of you who placed ads in the journal OR donated to our Health Fair. Remember that this health fair is free to those who attend. This was our opportunity to show our legislators and others how important pharmacists are to the health care of Floridians. The Thursday prior to the health fair, I placed the order with Hansen Medical and supplies were delivered to the FPA office on the very next day. Bert and I had our own lists of supplies to bring with us to Tallahassee on Monday, January 23. Students, faculty and pharmacists began arriving that afternoon. Some appeared frantic, but Angela and I assured all that the 2012 Health Fair at the Capitol Rotunda would be better than ever. Angela trained the last groups of students on FEBRUARY 2012
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the equipment on Tuesday night. We were ready to show Tallahassee the importance of pharmacists. I must say that I was amazed when I entered the Capitol through the metal detectors. There were white coats everywhere both inside and outside. Students and pharmacists could be seen outside walking up the hill toward the Capitol. A group came with our executive vice president and CEO Michael Jackson in a van bringing many of the supplies. Other equipment and supplies were toted in by others. Thanks to Angela and her liaisons, the students knew what their jobs were. Tables were set up for the different health screening stations. Our first attendees showed up at 9:00 a.m. and we were ready.
These students conducted 56 manual blood pressure readings, 73 bone density ultrasound screenings, 111 cholesterol panel tests, 159 skin assessments via the DermaView, 80 blood glucose screenings, and 83 body fat assessments. Angela and I were busier than ever as the hours ticked by. We made sure that there was adequate coverage for each station. Many thanks go to all attending faculty and to the several pharmacists who provided the necessary supervision of the students at the screenings. Without their assistance, this would not have been possible. We had 214 pharmacy students who were rotating through the screening stations, visiting with legislators and sitting in committee meetings. There were numerous pharmacists representing academia, community-based, health systems-based and industry-based areas, totaling more than 100 pharmacist participants. As I mentioned earlier, there were white coats everywhere! We certainly made a presence in Tallahassee that day. Our pharmacy students provided over 550 screenings in addition to the posters. These students conducted 56 manual blood pressure readings, 73 bone density ultrasound screenings, 111 cholesterol panel tests, 159 skin assessments via the DermaView, 80 blood glucose screenings, and 83 body fat assessments. We rotated the students through all of the stations throughout the day to increase exposure and provide opportunities to experience as many activities as possible. When they were not busy at the stations, we had the students greet attendees, lead them to the areas where lines were short and take them to the “Operations’ Tables.” During the hours of the health fair, I overheard many great discussions between the screeners and the attendees. When I wasn’t bustling about, I spent quite a bit of time at the “Consultation Table.” I had the honor of precepting two “working PharmD students” at the health fair. These two were busy advising on the proper taking of medications. They answered many questions with regard to drug side ef6 |
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fects and adverse reactions. I listened in as one of them explained plaque formation with the help of images displayed on the computer. I was encouraged to hear that one attendee would be calling her physician when she got home as a result of their conversation. It was obvious that we were impacting lives in Florida by being there in the Capitol Rotunda. It was hard to believe how quickly the day passed. The time had come to start taking down the tables and packing up everything. Angela and her school liaisons had the students divided such that the Association van was being loaded up before 3:30 p.m. Just a side note here, due to security at the Capitol, the FPA van was allowed to drive up to the loading docks after being searched. Earlier that morning, just prior to 8 a.m., all of the supplies in the van had to be unloaded, pass through the “detectors” and then carted up the elevator to the second floor of the Capitol. Now, the boxes of leftover supplies, power cords, posters, signs and other miscellaneous items were on their way back down the elevators to the waiting FPA van. As the last load of our stuff was being wheeled onto the elevator, I watched students and pharmacists bidding their goodbyes to one another. Even after such an exhausting day, energy was still apparent as these “future pharmacists” were climbing back on the buses. The two chartered buses drove away as I stood outside in the afternoon sun thinking about the great day we had all just experienced. During their ride back to the campuses, these students visited a bit more, studied for those inevitable tests, and nestled back into their seats for a few hours of much needed sleep. By the time I got back to the FPA office, the van had already been unloaded and the boxes of supplies lined the hallway. There was a reception for those of us who were still around and conversation could be overheard about the outstanding 2012 Health Fair that was now over. It had been a success, and yet Angela and I knew we had improvements to make. Believe it or not, we have already begun planning for the 2013 Health Fair. Students and pharmacists have made many great suggestions as to how we could overcome our challenges. We also have received constructive feedback as to how we can foster even more successes next year. Yes, the 2012 Florida Pharmacists’ Health Fair seemed to be the best ever, but look out Tallahassee, the “White Coats” will be back next year! Before you know it, Angela and I will be once again reaching out for donations and volunteers for the 2014 Health Fair. It is time for you to become active in all realms of our pharmacy profession. Join your local association and show your community how important pharmacists are to the health of Floridians. We ask you to be active in our state and national organizations. Angela and I need your help for next year’s health fair so be ready when you hear from us. Don’t forget that we are letting others define our profession if we don’t speak up and define it for ourselves. Join us in Tallahassee for the 2013 Health Fair because we need you! But let me close by telling you that you will never be the same once you volunteer, because I’m not. s@aol.com. n
Executive Insight By Michael Jackson, FPA Executive by michael jackson,Vice RPhPresident/CEO
I
Pharmacists and Pharmacy Students Catch Advocacy Fever
f you were in Tallahassee on January 24 and 25, you had an opportunity to see an amazing site. Over 350 volunteer pharmacists and pharmacy students came to the capital city of Florida to demonstrate to policymakers what pharmacists can do. According to FPA Public Affairs Council Chair Angela Garcia, students and faculty from all six Florida colleges of pharmacy participated in the event. We even had a student representative from the Pacific University College of Pharmacy in Oregon who happened to be in Florida on rotations. On Wednesday, January 25, a health fair was facilitated at the Florida Capitol by the volunteers. Over 562 separate health screenings were performed, including but not limited to blood pressure and bone-density screenings, cho-
lesterol panel assessments and body-fat analysis. Many thanks to both health fair volunteer leaders Angela Garcia and Suzanne Kelley for helping to make this program a success. I also would like to send a special “shout out” and thank you to our state’s pharmacy schools faculty, academic leadership and deans for their support of this program. That shout out simply is, “YOU ROCK!” Why conduct a health fair at the Florida Capitol? The answer is very simple. Members of the Florida Legislature review and write health care policy during the 60 days they meet in Tallahassee. During that time they will examine carefully a host of proposals designed to change, create or delete Florida laws. If you at-
Michael Jackson, B.Pharm
tended any of FPA’s regulatory update programs you may have heard me mention that the profession of pharmacy in this state exists primarily because the 120 members of the Florida House of Representatives and the 40 members of the Florida Senate continue to allow Florida Statute 465 to exist. That is the law that says absolutely no one can practice the profession of pharmacy in this state unless that individual meets minimum qualifications. That law is what gives each of us the “privilege” to practice our profession, serve our patients and also provide a living for our families. That privilege could be called into question if at any time the Florida Legislature commissions a review of the Pharmacy Act to see if what we do provides value or is necessary. Members need to be aware that the Florida Legislature has not had a pharmacist serving in that body since the year 2000. This means that very critical discussions about our industry will be FEBRUARY 2012 |
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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, Saint Augustine Member.................................Christina 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. ©2012, 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 lorhttp://www.pharmview.com i d a P h ar m a c y To d a Y
influenced by what the current members of the Florida House and Senate know or are told by health care advocates. It was 10 years ago that the leadership of the FPA became concerned about what these policymakers knew about pharmacy. In conversations that FPA staff and consultants had with members of the Florida House and Senate, the lack of knowledge and value for what we bring to the health care provider table was painfully evident. For example, we would share with a legislator the variety and value of consultation services that pharmacists provide to the public only to be told that such activity was never seen when visiting a pharmacy. Many legislators had no idea who their pharmacists were or did not have a clue what they did. To close that knowledge gap, the FPA leadership commissioned a group of volunteers and began a fund-raising campaign to help offset the costs of bringing a comprehensive health fair to Tallahassee. This event has become one of the more popular activities at the Florida Capitol during the legislative session.
After those sessions, which took place at the Leon County Civic Center near the Florida Capitol, a sea of white coats walked the three blocks to prepare to attend a committee hearing on health care issues. The view, to put it mildly, was “spectacular.” So what are “Pharmacists Legislative Days”? Coupled with the health fair event were policy review sessions to help prepare the hundreds of volunteers on how public policy is made. FPA President Bob Parrado and FSHP President Vanessa Price gave a thorough orientation on how laws are made and why it is necessary for you as a constituent to be involved. After those sessions, which took place at the Leon County Civic Center near the Florida Capitol, a sea of white coats walked the three blocks to prepare to attend a committee hearing on health care issues. The view, to put it mildly, was “spectacular.” The FPA facilitated a press conference with Representative Ana Rivas Logan on House Bill 509 permitting revisions of the Pharmacy Practice Act to allow for expansion of immunization services. On Wednesday, January 25, the Senate Health Regulations Committee meeting was packed with pharmacists and pharmacy students hearing testimony on the Senate version of a bill allowing pharmacists to immunize patients for pneumococcal as well as the shingles vaccine. That bill passed the committee on a 6 to 1 vote. The debate on the bill was spicy and quite an eye-opening experience, particularly for the students. In discussions after the meeting, many of the students committed to staying involved as they saw firsthand how conversations here in Tallahassee can influence what happens throughout Florida. If you missed this year’s health fair and legislative day’s activities, you can see highlights on the FPA Facebook page. Watch the FPA website for plans for next year’s event. You will not want to miss this one. Also at press time, the 2012 legislative session is still under way. A full report will be published in a future issue of Stat News and presented at the annual meeting at the Marriott Marco Island Resort and Golf Club. Maybe you too will catch the same fever that these legislative day volunteer advocates caught. n
CALL FOR ABSTRACTS FOR POSTER PRESENTATIONS For Florida Pharmacy Students
FLORIDA PHARMACY ASSOCIATION 122nd ANNUAL MEETING AND CONVENTION
July 4-8, 2012 The Marco Island Marriott Resort, Golf Club & Spa ♦ Marco Island, Florida Poster Session: Friday, July 6, 2012, 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 7, 2012. 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 st
nd
□YES □NO
rd
Awards:
Posters will be eligible for 1 , 2 , and 3 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 7, 2012 FEBRUARY 2012
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2012 Vaccine Recommendations: What They Mean for Your Patients Source: Centers for Disease Control and Prevention
As an adult, you can protect yourself and your loved ones by keeping your vaccinations up-to-date. This year, small changes give adults – and young children around them – better, longlasting protection. Each year the U.S. recommended immunization schedule for adults is reviewed by scientific and medical experts who examine research on effective control of vaccine-preventable diseases. Changes in the 2012 recommendations reflect research that shows the best way to protect you and young, vulnerable children around you. Watch a short, fun video that highlights the need for adults to get vaccinated against serious diseases. Take a look at the following updates; one or more may apply to you.
mavirus) vaccine. The HPV4 vaccine is also recommended for all boys at age 11 or 12 and catch-up vaccinations for males age 13 through 21 years.
Hepatitis B Vaccination Adults recently diagnosed with diabetes who are younger than 60 years old are now recommended to receive the hepatitis B vaccine as soon as possible.
Pneumoccocal Vaccine The U.S. Food and Drug Administration (FDA) recently announced the approval of Prevnar 13, a pneumococcal vaccine, for use in adults age 50 years and older. Although CDC recommends that those age 65 and older and those age 19 through 64 with certain health conditions get another pneumococcal vaccine called Pneumovax, CDC has not issued any formal recommendation concerning Prevnar 13. Talk with your doctor if you have questions.
HPV Vaccine Males 22 through 26 years of age whose immune systems are weakened, who have sex with men, or who test positive for HIV, are now recommended to receive the HPV (human papillo10
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Influenza Vaccine A yearly flu vaccination is still recommended for everyone six months of age and older, but especially for seniors over 65, pregnant women, and those with health conditions like diabetes, asthma or heart disease. These groups are at high risk for serious flu-related complications. Donating Blood Soon? If you’ve recently received a vaccine, you may be asked to wait to give blood. The waiting period varies, depending on the vaccine.
Tdap and Td Vaccine Know someone special who needs a vaccination update? Show them you care; send an eCard as a loving reminder. ■■ The Tdap (tetanus, diphtheria, and pertussis) vaccine is now recommended for women in the third or late second trimester (20th week or more) of their pregnancy. ■■ Tdap is recommended for all those who are close contacts of infants younger than 12 months of age – for example, parents, guardians, grandparents, babysitters, nannies, teachers, and those who have not previously received the Tdap vaccine. ■■ Other adults, who are not close contacts of children younger than 12 months of age, are still recommended to receive a one-time dose of the Tdap vaccine. After your initial dose of Tdap, you’ll need the Td booster every 10 years. But you don’t need to wait to get the Tdap vaccine if you have recently been vaccinated with the Td booster. Zoster (Shingles) Vaccine The FDA recently approved the use of zoster vaccine in those 50 years old; however, CDC continues to recommend that vaccination for shingles begin at age 60. Do You Need Other Vaccines? Throughout your adult life, you need immunizations to get and maintain protection against other vaccinepreventable diseases such as shingles, seasonal flu, pneumococcal disease, and human papillomavirus. See Adults Need Immunizations, Too.
HELP SUPPORT THE ADOPT-A-STUDENT PROGRAM Florida Pharmacy Association 122nd Annual Meeting & Convention July 4-8, 2012 The Marco Island Marriott Resort, Golf Club & Spa – Marco Island, Florida
Again this year, students from Florida Colleges of Pharmacy will be “Adopted” for the FPA Annual Meeting and Convention. Pharmacy students will benefit from the interaction with practicing pharmacists, learn first hand how FPA actually operates and how they can become involved in their chosen profession. As you remember, college students are on a tight budget and most of them cannot afford to attend convention. Here is how you can help! The cost to register/sponsor one student is $110.00. They also have travel, room and food expenses. Adopted students will receive complimentary registration, hotel accommodations and be able to attend special programs designed for them. If enough money is raised, FPA will also be able to include additional support for meals. Make a contribution yourself! Ask your local unit association or get together with friends to Adopt-AStudent. Remember…..these are the future leaders of pharmacy! Mentor Program. Each of the adopted students will be assigned a pharmacist who will invite them to attend meetings, CE programs, and share their knowledge and pharmacy experience with them. If you plan to attend the convention and would like to be a mentor, please contact the FPA office. Please fill out the form below and fax or mail with your check to: Florida Pharmacy Association 610 North Adams Street Tallahassee, FL 32301 Fax: (850)561-6758 Please make your check payable to the Florida Pharmacy Foundation Sponsor Name:_________________________________________________________________________ Address: ______________________________________________________________________________ City: _______________________________________ State: __________ Zip:_______________________ Phone: ________________________________ Amount of Contribution:___________________________ Charge to the following (please circle):
VISA
MASTERCARD
DISCOVER
AMEX
Account #:_____________________________________Security Code:________ Exp. Date: ____________ Signature: ________________________________________________________________________________ Yes, I would like to serve as a Mentor. Contact me with more information on Mentoring. Contributions to the Florida Pharmacy Association Foundation are tax deductible as a charitable contribution for federal income tax purposes. Consult your CPA for complete details.
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Vaccinations and Travel Source: Centers for Disease Control and Prevention
Simply looking for which vaccinations you need for your trip? Find the country or countries you plan to visit on the list of destinations. What You Need to Know About Vaccinations and Travel: A Checklist ■■ Have you scheduled a visit to your doctor or a travel medicine provider? ■■ Are you aware of which types of vaccinations you or those traveling with you may need? ■■ Do you have altered immunocompetence due to illnesses such as diabetes or HIV? ■■ Are you pregnant or breastfeeding? ■■ Are you traveling with infants or children? ■■ If you haven’t looked up our health information for destinations, do so now. Have you scheduled a visit to your doctor or a travel medicine provider? Ideally, set one up 4 to 6 weeks before your trip. Most vaccines take time to become effective in your body and some vaccines must be given in a series over a period of days or sometimes weeks. If it is less than 4 weeks before you leave, you should still see your doctor. You might still benefit from shots or medications and other information about how to protect yourself from illness and injury while traveling. Are you aware of which types of vaccinations you or those traveling with you may need? CDC divides vaccines for travel into three categories: routine, recommended, and required. While your doctor will tell you which ones you should have, it’s best to be aware of them ahead of time. Routine Vaccinations Be sure that you and your family are up to date on your routine vaccinations. These vaccines are necessary for protection from diseases that are still common in many parts of the world even though they rarely occur in the United States. If you are not sure which vaccinations are routine, look at the schedules below. ■■ Recommended Adult Immunization Schedule — United States ■■ Recommended Childhood and Adolescent Immunization Schedule — United States ■■ Vaccine Recommendations for Infants and Children The U.S. routine schedule for childhood immunizations may need to be adjusted if a child is traveling. See separate section below. 12
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Recommended Vaccinations These vaccines are recommended to protect travelers from illnesses present in other parts of the world and to prevent the importation of infectious diseases across international borders. Which vaccinations you need depends on a number of factors including your destination, whether you will be spending time in rural areas, the season of the year you are traveling, your age, health status, and previous immunizations. See our destinations page and look up the country or countries you will visit. Required Vaccinations The only vaccine required by International Health Regulations is yellow fever vaccination for travel to certain countries in sub-Saharan Africa and tropical South America. Meningococcal vaccination is required by the government of Saudi Arabia for annual travel during the Hajj. Yellow Fever
Use the Health Information for International Travel information below to determine if you will need a yellow fever certificate, and find a clinic that can give the vaccination and issue the certificate. ■■ Yellow Fever (disease, vaccination, and vaccination certificate information) ■■ Yellow fever vaccination recommendations by country ■■ Authorized U.S. yellow fever vaccination clinics Meningococcal Meningitis
See Saudi Arabia Hajj Requirements, and Meningococcal Disease in Health Information for International Travel. Do you have altered immunocompetence due to illnesses such as diabetes or HIV? Read Vaccine Recommendations for Travelers with Altered Immunocompetence, Including HIV in Health Information for International Travel or take a copy to your doctor. Are you pregnant or breastfeeding? Read the Immunizations section of Pregnancy, BreastFeeding, and Travel in Health Information for International Travel or take a copy to your doctor.
Are you traveling with infants or children? Read the Vaccine Recommendations for Infants and Children section in Health Information for International Travel or take a copy to your doctor. While many travel health issues for adults also apply to infants and children, they also have special needs that are to be considered when they travel. Don’t forget to read about general health information for travel with infants and young children. If you have not looked up our health information that applies to your specific travel destinations, do so now. Search by region at the top of this page or see our Destinations page to find the country or countries you will visit. There may be other health information you should know to help prepare you for your trip, such as food and water safety, avoiding insects, and more.
PHARMACY CONSULTING AND STAFFING SOLUTIONS
For Healthcare Providers Vaccination information from Health Information for International Travel: ■■ General Recommendations for Vaccination and Immunoprophylaxis ■■ Vaccine Recommendations for Infants and Children ■■ Yellow Fever (disease, vaccination, and vaccination certificate information) Routine vaccinations and how they can be modified before travel if necessary. ■■ General Recommendations for Vaccination and Immunoprophylaxis (from Health Information for International Travel) ■■ ACIP Recommendations for specific vaccines (from CDC National Immunization Program) ■■ Spacing of Immunobiologics (from Health Information for International Travel)
The Alternative To A Traditional Career In Pharmacy Career n.
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an occupation undertaken for a significant period of a person’s life, usually with opportunities for progress.
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CONT ROL YOUR AS S I GNME NT S , CONT ROL YOUR CARE E R
04480 Hensley/RX Relief FEBRUARY 2012 Florida Pharmacy Today—1/4 pg ad (3.5”x4.75”)
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ATE UPD
The Board of Trustees voted to honor Foundation Board member Al Tower with an award in his name -- the Florida Pharmacy Foundation Alton Tower Philanthropy Award. A cash award of $500 will be presented to the winner’s choice of charity/organization and a plaque will be presented to the winner annually at the Florida Pharmacy Association’s awards night, during convention. The word “philanthropy” means to give of oneself, which describes the life of Al Tower. Al has given so much to the profession of pharmacy and has reAL TOWER ceived the R.Q. Richards Award, James H. Beal Pharmacist of the Year Award, Sidney Simkowitz Pharmacist Involvement Award, Jean Lamberti Mentor Award, IPA Corrons Inspiration & Motivation Award, U.B. Willis Gregory Award, Abilities Guild in Community Serving Award and the Bowl of Hygeia Award. He has held leadership roles in many organizations including the Pinellas County Pharmacy Association, Florida Pharmacy Association, Christian Pharmacists Fellowship International and the American Pharmacists Association. Al is very active in his community, serving on the boards of many healthcare organizations such as the American Cancer Society, Future Scientists of America, and Florida Tobacco-Free Coalition. He also has been a career speaker in public schools. As the Chair of the Florida Pharmacy Foundation Fundraising Committee, Al set a goal for the Trustees to raise $300,000 for scholarships. The plan was that the interest earned on the endowment would fund new scholarships for pharmacy students. Congratulations, Al. If you wish to make contribution to the Award in honor of Al, please make your check payable to the Florida Pharmacy Foundation Alton Tower Philanthropy Award, 610 N Adams St. Tallahassee, FL 32301.
Criteria for FLORIDA PHARMACY FOUNDATION ALTON TOWER PHILANTHROPY AWARD The Florida Pharmacy Foundation is pleased to present this award in honor of Al Tower. Please follow all of the required criteria. The Selection Committee will review all applicants and make the final decision. Only the winner will be notified. There is a cash award of $500 presented to the winner’s choice of charity/ organization and a plaque presented to the winner at the Annual Meeting of the Florida Pharmacy Association Awards Night at The Marriott Resort, Marco Island on Saturday, July 7, 2012. I nominate___________________________ Philanthropist of the Year for his/her involvement in a ■■ charitable organization/s that meets the criteria below: ■■ Elaborate reason for nomination: motivation, enthusiasm ■■ Membership/ serving as an officer, committee chair ■■ Effort to inform community about organization ■■ Community service project/s participation ■■ Contributing factors of success with project/s ■■ Speaking engagements Please limit your typed submission to 3 pages. Send 4 copies to: Patsey J. Powers, Executive Vice President Florida Pharmacy Foundation 610 N. Adams Street Tallahassee, FL 32301 Deadline for submission is April 15, 2012
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Florida Pharmacy Foundation Announces the Alton Tower Philanthropy Award
Florida Pharmacy Association
2012 Summer Conference
122nd Annual Meeting and Convention July 4 - 8, 2012 Marco Island Marriott Resort, Golf Club & Spa
You
Today
e h t h c t Ca y c a c o v Ad Fever The Florida Pharmacy Association (FPA), established in 1887, is celebrating 125 years of service to the profession of pharmacy! FPA has a vision of pharmacists advocating for the profession in order to create stronger roles for pharmacists, improve medication use and advance patient care. Pharmacy rules, laws and regulations are constantly changing. The educational programs you will experience in Marco Island will provide the most up-to-date information for pharmacy professionals and teach you how to turn challenges into opportunities for the profession. FPA’s mission is to “serve, represent and assist pharmacists and pharmacy technicians to advance the profession and practice of pharmacy.” This year’s
convention will offer a variety of subjects that will be applicable to your practice setting. Continuing education credit will be offered for consultant and general licenses, as well as pharmacy technician registration. In addition, there will be a pre-convention program which focuses on Pharmacy Leadership. Be an active advocate for the profession of pharmacy! Join your colleagues in beautiful Marco Island for FPA’s 122nd Annual Meeting & Convention and become aware of the local and national issues facing the profession; expand your professional network; and increase your knowledge from captivating speakers by attending the various continuingF Eeducation courses! B R U A R Y 2 0 1 2 | 15
FPA 122nd Annual Meeting and Convention Schedule July 4 - 8, 2012 Schedule is subject to change.
Wednesday, July 4, 2012 5 hrs GCE/TECH
1:00pm - 2:00pm
Education: 1 hr GCE/TECH Medication Reconciliation/Transition of Care
2:00pm - 3:00pm
Education: 1 hr GCE/TECH/STC Keynote Address
10:00am
Registration/Check-in
10:30am
Welcome and Introductory Remarks
3:00pm - 5:00pm
House of Delegates Reconvenes
10:45am - 4:00pm
Pre-Convention Program Pharmacy Leadership Bootcamp
6:00pm - 7:00pm
Adopt-A-Student and Mentor Social
4:00pm - 5:00pm
HOD Board of Directors Meeting
7:00pm - 10:00pm
Foundation RED, WHITE and BLUE Fun Event
5:00pm - 6:00pm
Florida Pharmacy PACCE Meeting
6:00pm - 7:00pm
Budget & Finance Committee Meeting
7:30pm - 9:00pm
Officer’s Meeting
7:30pm
Florida Pharmacy Foundation Annual Meeting
Thursday, July 5, 2012 6 hrs of GCE/TECH or 4 hrs RC
Friday, July 6, 2012 6 hrs of GCE/TECH/ RC 7:00am
Registration Desk Open
7:00am - 8:00am
Christian Pharmacist Fellowship International Breakfast
7:45am - 9:15am
Education: 1.5 hrs GCE/TECH/RC Geriatric Disorders
7:00am
Registration Desk Open
9:00am - 10:30am
7:45am - 9:15am
Education: 1.5 hrs GCE/TECH/RC Disaster Planning
Education: 1.5 hrs GCE/TECH/STC NASPA/NMA Game Show
9:00am - 11:00am
Journal Board Meeting
8:00am - 10:00am
Delegate Registration
9:20am - 10:50am
9:00am - 10:30am
CE Provider Workshop
Education: 1.5 hrs GCE/TECH/RC Geriatric Disorders
9:20am - 10:50am
Education: 1.5 hrs GCE/TECH/RC Disaster Planning
10:50am - 11:00am Break 11:00am - 1:00pm
Exhibit Hall Grand Opening
10:50am - 11:00am Break
11:00am - 1:00pm
Student Poster Presentations
11:00am - 12:00pm Education: 1 hr GCE/TECH/RC Disaster Planning
12:00pm - 1:00pm
Lunch (Attendees on their own)
12:30pm - 2:30pm
Local Unit Leaders Meeting
1:00pm - 2:30pm
Education: 1.5 hrs GCE/TECH/RC Mental Health Disorders
1:15pm - 4:15pm
Student Patient Counseling Competition
11:00am - 1:00pm
FPA House of Delegates and Annual Business Meeting
12:00pm - 1:00pm
Lunch (Attendees on their own)
12:30pm - 1:30pm
Independent Pharmacist Luncheon (Invitation Only)
16 KEY: | F lor i d GCE a P ar m Continuing a c y ToEducation daY CODE =hGeneral
RC = Recertification Consultant
TECH = Technician
STC = Student Continuing Education
1:00pm - 2:30pm
Education: 1 hr STC The Real World After Pharmacy School
1:00pm - 2:30pm
Education 1.5 hrs GCE/TECH Pharmacy Management (Technology)
2:00pm
Golf Tournament Practice
2:35pm - 4:05pm
2:30pm
PACCE Golf Tournament
Education: 1.5 hrs GCE/TECH/RC Weight Management
2:35pm - 4:05pm
Education: 1.5 hrs GCE/TECH/RC Mental Health Disorders
2:35pm - 4:05pm
Education 1.5 hrs GCE/TECH/STC Pharmacy Management (Pharmacy Inspections)
2:35pm - 4:05pm
Education: 1.5 hrs TECH/STC Preparing Yourself for a Pharmacy Career: Focus on Interviewing Skills and Resume Development
5:00pm - 6:30pm
Past Presidents Reception (Invitation Only)
7:00pm - 10:00pm
Awards Ceremony Reception THEME: COOL CARIBBEAN NIGHTS Attire: Caribbean
5:00pm - 6:30pm
PACCE Reception
7:00pm - 8:30pm
University Alumni Receptions
Saturday, July 7, 2012 6 hrs of GCE/TECH/RC
Sunday, July 8, 2012 5 hrs of GCE/TECH 7:00am
Registration Desk Open
7:00am - 8:30am
President’s Breakfast and Installation of Officers
7:30am - 8:30am
Education: 1 hr GCE/TECH Registered Pharmacy Technicians and the Law: What You Need to Know to be Compliant? Education: 2 hrs GCE/TECH Reducing Medication Errors
6:30am
1 MILE FUN RUN/WALK ALONG THE BEACH
7:00am
Registration Desk Open
7:45am - 9:15am
Education: 1.5 hrs GCE/TECH/RC Tobacco Cessation
8:35am - 10:35am
7:45am - 9:15am
Education 1.5 hrs GCE/TECH Pharmacy Management (PBMs)
10:35am - 10:50am Break
9:00am - 11:00am
Education: 2 hrs GCE/TECH/STC Pharmacy Career Forum
10:50am - 11:50am Education: 1 hr GCE/TECH HIV/AIDS Update
9:20am - 10:50am
Education: 1.5 hrs GCE/TECH/RC Pulmonary Disorders
11:55am - 12:55pm Education: 1 hr GCE/TECH Legislative and Regulatory Update
9:20am - 10:50am
Education 1.5 hrs GCE/TECH Pharmacy Management (Audits)
10:50am - 11:00am Break 11:00am - 1:00pm
Exhibit Hall Golf Winners Announced in Exhibit Hall
12:00pm - 1:00pm
Lunch (Attendees on their own)
1:00pm - 2:30pm
Student Luncheon
1:00pm - 2:30pm
Education: 1.5 hrs GCE/TECH/RC Weight Management
CODE KEY:
GCE = General Continuing Education
RC = Recertification Consultant
Consultant Track The Florida Pharmacy Association is accredited by the Accreditation Council for Pharmacy Education as a provider of Continuing Pharmacy Education. Up to 28 contact hours are available upon successful completion of the program through attendance and submission of completed attendance forms. Statements of continuing pharmacy education will be mailed six weeks after the meeting. The Florida Pharmacy is also a Florida Department of Health approved provider of continuing education for pharmacists. This is an ACPE application based and knowledge based activity. TECH = Technician
STC = StudentF EContinuing B R U A Education RY 2012
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Marco Island Marriott Beach Resort Golf Club and Spa 400 South Collier Blvd. Marco Island, FL 34145 (800) 438-4373
W
elcome to Marco Island Marriott Beach Resort Golf Club and Spa. Come kick off your shoes and explore paradise found at this one-of-a-kind Florida resort, now celebrating the completion of a $225 million renovation and redesign that has infused every moment here with the spirit of Balinese beauty, hospitality and well-being - and added even more wondrous experiences to this already acclaimed destination. Nestled on three miles of pristine Southwest Florida beaches, the Marco Island Marriott Beach Resort Golf Club and Spa is the perfect destination for a family vacation, a romantic retreat, a memorable meeting or an unforgettable wedding. With several renowned restaurants, championship golf, a worldclass spa and a wide range of activities and amenities, Marco Island Marriott Beach Resort Golf Club and Spa now offers even more - including upscale shops for men and women, a free-form fantasy pool with views of the Florida Gulf, new dining options and completely redesigned and redecorated guest rooms. Room reservation deadline is June 15, 2012. Call (800) 438-4373 to make your reservations. For travel and transportation information, please visit www.marcoisland.org.
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General Information General Information Room Rates
$149 based upon single/double occupancy. The room reservation deadline is Friday, June 15, 2012, or until 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 after 4:00pm and the checkout time is before 11:00 am. Room reservations can be made by calling (800) 438-4373 or (239) 394-2511. Valet parking is $18 per car per day. Guest self parking is $10 per car per day.
Keynote Speaker
B. Douglas Hoey, RPh, MBA, is Chief Executive Officer of the National Community Pharmacists Association. NCPA represents the 23,000 community pharmacies and their pharmacists. He has spent 20+ years working in and representing community pharmacies. In 2005, Hoey was named COO and helped lead the NCPA team that scored legislative victories requiring prompt pay of Part D claims, winning a court injunction to delay AMP that saved community pharmacies over $2 billion dollars, and NCPA membership has increased by 20 percent over the past two years. He is a licensed pharmacist in Oklahoma, Virginia, and Texas and practiced for 5 years in community and Long Term Care settings contributing to the development of expansions into durable medical equipment and home infusion. For five years, Hoey also developed and taught pharmacology courses at George Washington University and Marymount Universities. He is also a member of the Board of Directors for SureScripts, Mirixa, Pharmacy e-Health Information Technology, the Pharmacy Compounding Accreditation Board, and the Community Pharmacy Financial. He is a graduate of the University of Oklahoma College of Pharmacy and the Oklahoma City University business graduate school.
General Education Track
Thursday - Sunday 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 Legislative Update. Also, there will be continuing educational courses on pharmacy business management.
Consultant Education Track
Thursday- Saturday The consultant education track will provide pharmacists with the most current information available on various topics. The specific topics being offered include Geriatric Medicine, Mental Health, Pulmonary Disorders, Weight Management and Disaster Planning. There are 16 hours available for consultant pharmacists.
Student and Technician Track
Thursday – 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 initial registration renewal: Medication Errors, HIV/AIDS, and Pharmacy Law. 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 Our traditional Wednesday program will focus on Pharmacy Leadership. The FPA Pharmacy Leadership Boot Camp workshop is a short course that will enhance the leadership skills of new and aspiring pharmacy leaders. Instructional presentations and team-based projects are used to learn leadership principles and how to apply them to practical situations. It is designed for new and aspiring pharmacy leaders, managers, directors and clinical pharmacy leaders who are interested in developing the skills necessary to lead people as well as advance new services and programs within their organizations. Leaders will also gain knowledge of essential management tools and techniques. A separate registration fee is required for the pre-convention program.
Special Events
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 entitled, Cool Caribbean Nights: Honor outstanding practitioners during the awards presentation. The attire is Caribbean style. 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 Florida Pharmacy Foundation hosts the RED, WHITE & BLUE Event. House of Delegates: Be a delegate or observer and see how important member participation is to the direction of the Association. Student Events: 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. PharmPACCE Reception: Purchase a ticket to this reception to support your Political Action Committee. PACCE Golf Tournament: Join us Friday for the PACCE Golf Tournament. Please register early to reserve your space.
FEBRUARY 2012
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WINTER 2011/12 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Atlanta Regional Office
The Pulse of CMS
“A quarterly regional publication for health care professionals”
Serving Alabama, North Carolina, South Carolina, Florida, Georgia, Kentucky, Mississippi and Tennessee.
Electronic Submission of Medical Documentation (esMD) Pilot Program
EHR Incentive Program Appeals Support
Each year, the Medicare fee-for-service program makes billions of dollars in estimated improper payments. CMS employs several types of review contractors (RCs) to measure, prevent, identify, and correct these improper payments. RCs find improper payments by selecting a small sample of claims, then requesting medical documentation from the provider who submitted the claims and manually reviewing the claims against the medical documentation to verify the providers' compliance with Medicare's rules.
The Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs Final Rule, 42 CFR , Parts 412, 413, 422 et al., provides guidance and requirements for a Medicaid appeals process, but does not provide an appeals process for the Medicare EHR Incentive Program. Thus, CMS is currently implementing an appeals process for the Medicare EHR Incentive Program.
Currently, RCs request medical documentation by sending request letters through the mail. Generally, providers have the option of submitting the requested records by standard mail or by fax. CMS has introduced a new mechanism for submitting documentation. This process is referred to as the Electronic Submission of Medical Documentation (esMD) Pilot Program. The program will be implemented in two phases. During phase one, providers will still receive medical documentation requests via paper mail but will have the option of electronically sending medical documentation to the requesting RC. This phase went live on September 15, 2011. During phase two,
Inside this Issue... HPSA Bonus Payment Policy..............................2 Proposed MU Timeline Changes ........................2 CY2012 Institutional Provider Enrollment Fee...2 ACA Home Demonstration...................................3 DMEPOS Competitive Bidding: Round 2 ..........3 MLN: Get Connected ............................................4 OESS HIPAA Compliance....................................4
providers will receive electronic documentation requests when their claims are selected for review. CMS plans to launch this phase during the month of October, 2012. Providers are required to complete two tasks in order to participate in the esMD pilot. First, providers must find out if their review contractors accept esMD transactions. Secondly if the RC is participating in the program, the provider must obtain access to an esMD gateway. Providers have two options of obtaining access to esMD gateways. One option available to providers is to build their own gateway. The other is to hire a Health Information Handler (HIH) to build the gateway. Information regarding HIHs who provide services for building gateways can be found on the esMD provider information website. CMS anticipates that many providers will choose to obtain gateway services by entering into a contract, or other arrangement with a HIH, which offers esMD gateway services. Providers should keep in mind that participation in esMD is completely voluntary. Providers may continue faxing or mailing documentation to their Medicare RC. However, providers who believe that it would be more efficient to respond to documentation requests electronically are encouraged to contact one or more of HIHs to determine if esMD services are available for a reasonable price. In addition to contacting the HIHs that have already built esMD gateways, providers are encouraged to contact HIHs with whom they already have relationships (e.g., claim clearinghouses, release of information vendors, and health information exchanges) to identify HIHs who are planning to build an esMD gateway in the near future.
CMS recently announced that the contract for the administrative review of certain EHR Incentive Program determinations has been awarded to Provider Resources, Inc. (PRI), located in Erie, Pennsylvania. As the appeals support contractor, PRI will be working with CMS’ Office of Clinical Standards and Quality (OCSQ) to provide customer service support and technical assistance to all users of the system, as well as to provide the tools necessary to support the EHR incentive program administrative appeals process. On November 1, 2011, PRI began collecting input regarding the appeals process. Since that time, OCSQ has developed further guidance regarding the EHR incentive program appeals process. As of December 1, 2011, PRI began accepting appeals for eligible professionals and eligible hospitals. Interested parties may reach the appeals support contractor or the OCSQ Appeals Support Center either by email at OCSQAppeals@providerresources.com or the toll free number at 1-855-7961515. The OCSQ Appeals Support Center is available between the hours of 9 a.m. and 5 p.m. Eastern Standard Time, Monday through Friday.
FEBRUARY 2012
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The Pulse of CMS
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Health Professional Shortage Area Bonus Payment Policy
Proposed Meaningful Use Timeline Changes Encouraging the Adoption of EHRs
Physicians who furnish services to Medicare beneficiaries in areas designated as primary care geographic HPSAs by the Health Resources and Services Administration (HRSA) are eligible to receive a 10 percent bonus payment for services furnished from January 1, 2012, to December 31, 2012. If an area does not have a geographic primary care HPSA designation, but does have a geographic mental health HPSA designation, then only psychiatrists furnishing services to Medicare beneficiaries in the designated area are eligible for the 10 percent bonus.
In response to significant input from multiple stakeholders, expert testimony, and countless hours of review, analysis and deliberation, HHS has announced its intention to delay the start of Stage 2 meaningful use (MU) for the Medicare and Medicaid EHR Incentive Programs for a period of one year for those first attesting to MU in 2011. CMS intends to propose such a delay for Stage 2 MU. The notice of proposed rulemaking is scheduled to be published in February, 2012.
The physician must determine whether a service is furnished in a geographic primary care (or mental health) HPSA. Eligibility is determined annually based on the status of the designation, as of December 31 of the prior year. That is, a physician who was eligible for the 10 percent bonus in 2011 may not be eligible for the bonus in 2012. A physician or provider that was not eligible for the 10 percent bonus in 2011 may be eligible for the bonus in 2012. CMS publishes an annual list of ZIP codes that automatically receive the HPSA bonus. Only areas where the entire ZIP code falls within the designated area at the time the list is developed are listed. Services provided in eligible areas that are not listed for automatic bonus payment must use the AQ modifier to receive the bonus. Complete information and HPSA area designations can be obtained by reading the Medicare Learning Network Matters Publication SE1202.This special edition is intended for Medicare providers who provide services to Medicare beneficiaries in HPSA designated areas. .
Provider Outreach Staff: Marcia Pryce Phone: (404) 562-3808 E-mail your questions and comments to us at: PartABInquiriesRO4@cms.hhs.gov
Additional free subscriptions to The Pulse can be obtained by registering on our list-serv at: http://list.nih.gov
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The decision was made based on input from the vendor community and provider community who made it clear that the current schedule for compliance with Stage 2 MU objectives in 2013 posed a challenge for those who attested to meaningful use in 2011. The current timetable would require EHR vendors to design, develop, and release new functionality, and for providers to upgrade, implement, and begin using the new functionality as early as October 2012. CMS believes that a proposed delay will be beneficial for the following reasons: 1.) The delay will give vendors added time to develop certified EHR technologies for Stage 2 as well as give providers additional time to implement new software and meet the new requirements of Stage2.
2.) CMS intends to propose maintaining the current expectation for those first attesting to MU use in 2012, so that all providers attesting to MU in 2011 or 2012 will begin Stage 2 in 2014. 3.) The delay provides an added incentive for providers to attest to MU in 2011 and rewards early participants. Under the Medicare and Medicaid EHR Incentive Programs, providers who attest early receive greater incentives. Providers who attested first in 2011 are now eligible for three payment years for meeting the Stage1 criteria, while those first attesting in 2012 can only have two payment years under Stage 1 criteria. Medicaid providers can receive an incentive payment for adopting, implementing, or upgrading to certified EHR technology in their first year of Medicaid EHR Incentive Program participation. Medicaid providers will still be able to attest to Stage 1 MU for the next two years (first for a 90-day period, then for a 365day period). Therefore, most Medicaid providers do not attest to Stage 2 requirements until 2014 at the earliest. Providers are encouraged to visit the EHR Incentive Programs website for the latest news and updates regarding EHR Incentive Programs.
CY 2012 Enrollment Application Fee for Institutional Providers In February 2011, CMS published a final rule, CMS6028-FC, with provisions related to the submission of application fees as part of the provider enrollment process.
location. The CY2012 fee of $523.00 is required with any Medicare enrollment application submitted on or after January 1, 2012 and on or before December 31, 2012.
An application fee and/or hardship exception must be submitted with any application received from institutional providers initially enrolling in Medicare, adding a practice location, or revalidating their enrollment on or after March 25, 2011.
For more information about how the fee was calculated, see the Federal Register Notice. See MLN Article SE1130 to learn how to pay the fee for Medicare enrollment actions.
Institutional providers (i.e., all providers except physicians, non-physicians practitioners, physician group practices, and non-physician practitioner group practices) must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment, or adding a new Medicare practice
The Pulse of CMS New Affordable Care Act Demonstration to Provide Care at Home for Medicare Created by the Affordable Care Act, the new Independence at Home Demonstration greatly expands the scope of in-home services Medicare beneficiaries can receive. The Independence at Home Demonstration will provide chronically ill patients with a complete range of primary care services. Participation in the Demonstration is voluntary for Medicare beneficiaries. CMS will join with medical practices to test the effectiveness of delivering primary care services in a home setting and improving care for Medicare beneficiaries with multiple chronic conditions. Medical practices led by physicians or nurse practitioners will provide primary care home visits tailored to the needs of beneficiaries with multiple chronic conditions and functional limitations. The demonstration will reward healthcare providers that show a reduction in Medicare expenditures through an incentive payment if they succeed in providing high quality care while reducing costs. CMS will use quality measures to ensure beneficiaries experience high quality care. Up to 50 practices will be selected and each must serve at least 200 Medicare fee-for-service beneficiaries with multiple chronic conditions and functional limitations. Practices in the demonstration will be responsible for coordinating patient care with other health and social service professionals. The program will be supported by the CMS Innovation Center, which was created to develop and test new models of healthcare delivery and payment and disperse best practices throughout the healthcare system. Additional information about this demonstration can be found on the CMS Home Demonstration webpage. Questions regarding the demonstration may be submitted to CMS to: IndependenceAtHomeDemo@cms.hhs.gov.
Atlanta Regional Office: Region IV Division of Financial Management & Fee-For-Service Operations Sam Nunn Atlanta Federal Center 61 Forsyth Street, S.W., Suite 4T20 Atlanta, Georgia 30303-8909
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National Mail-Order Competitions of the DMEPOS Competitive Bidding Program: Round 2 CMS is currently soliciting bids for the Round 2 and national mail-order competitions of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. All bids must be submitted in DBidS, the online bidding system, by 8:59:59 pm, Eastern Standard Time on March 30, 2012. All required hardcopy documents that must be included as part of the bid package must be received by the Competitive Bidding Implementation Contractor (CBIC) on or before March 30, 2012. The contract period for the Round 2 and national mail-order competitions is July 1, 2013 – June 30, 2016. All bidders must submit certain required hardcopy documents as specified in the Request for Bids (RFB) Instructions. CMS urges all bidders to take advantage of the covered document review process. Under this process, we will notify suppliers that submit their hardcopy financial documents by the covered document review date (CDRD) of any missing financial documents. The CDRD for the Round 2 and national mail-order competitions is February 29, 2012. Financial documents must be received on or before February 29, 2012 to qualify for the covered document review process. This process only determines if there are any missing financial documents. It does not indicate if the documents are acceptable, accurate, or meet applicable requirements. Suppliers that submit financial documents by the CDRD will be notified of any missing financial documents within 90 days of the CDRD. Suppliers will be required to submit the missing financial document(s) within 10 business days of the notification. Competitive bidding areas and product categories for the Round 2 and national mail order competitions, DBidS information, bid preparation worksheets, educational materials, and complete RFB instructions can be found on the CBIC website. Suppliers should review this information prior to submitting their bids. CMS will send important bidding updates via e-mail, so all suppliers interested in bidding are urged to sign up for e-mail updates on the CBIC website (at www.DMECompetitiveBid.com). If you have any questions about the bidding process, please contact the CBIC Customer Service Center at 1-877-577-5331.
The target registration dates for authorized officials (AOs) and backup authorized officials (BAOs) to register for a user ID and password in CMS’ Individuals Authorized Access to the CMS Computer Services (IACS) system have passed. End users (EUs), as well as any AOs and BAOs who have not yet registered, should now be registering. Only suppliers that have registered in IACS and received a user ID and password will be able to access the online bidding system and submit bids. If the AO for your company has not already registered, we cannot guarantee that he or she will be able to complete the registration process before registration closes. If your AO does not register, you cannot bid and will not be eligible for a contract. In addition, suppliers whose AOs have not registered are at risk of experiencing delays in accessing the online bidding system to get a bidder number and thereby missing the opportunity to submit financial documents by the CDRD. Registration closed on February 9, 2012. No AOs, BAOs, or EUs can register after registration closes. Suppliers that do not register cannot bid and are not eligible for contracts. Registration is typically a quick and easy process if you follow the step-by-step instructions in the “IACS Reference Guide” posted on the CBIC website. To register, visit the CBIC website and click on “REGISTRATION IS OPEN” above the Registration Clock on the homepage. You will also find a registration checklist and Quick Step guides on the CBIC website. Please note that suppliers with multiple locations typically must register only one Provider Transaction Access Number that will submit the bid for all locations. If you have any questions about the registration process, please contact the CBIC Customer Service Center. To bid, visit the CBIC website and click on “BIDDING IS OPEN” above the clocks on the homepage. Please note that the RFB instructions initially posted on the CBIC website contained target bid submission deadlines. CMS is in the process of updating these instructions to reflect the actual bid submission deadlines, which are shown in this announcement.
Phone: 404-562-7347 e-Fax: 443-380-5824 Email: marcia.pryce@cms.hhs.gov
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The Pulse of CMS
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The Medicare Learning Network: Get Connected!
CMS OESS 90-Day Period of Enforcement Discretion for Compliance with New HIPAA Transaction Standards
CMS is committed to partnering with the Medicare physician, provider, and supplier communities to ensure that Medicare beneficiaries receive all of the health care services to which they are entitled. CMS helps the Medicare fee-for-service (FFS) community provide the best services to Medicare beneficiaries by ensuring that healthcare professionals have ready access to Medicare coverage and reimbursement rules in a brief, accurate, and easy-to-understand format. To help meet this goal, CMS has developed Medicare Learning Network (MLN) Matters® articles.
On November 17, 2011, CMS’ Office of E-Health Standards and Services (OESS) announced that it would not initiate enforcement actions until March 31, 2012, with respect to any HIPAA covered entity that is not in compliance with the ASC X12 Version 5010 (Version 5010), NCPDP Telecom D.0 (NCPDP D.0) and NCPDP Medicaid Subrogation 3.0 (NCPDP 3.0) standards. Notwithstanding OESS’ discretionary application of its enforcement authority, the compliance date for use of these new standards remains January 1, 2012 (small health plans have until January 1, 2013 to comply with NCPDP 3.0).
MLN Matters® are national articles designed to inform Medicare FFS providers about the latest changes to the Medicare program. Articles are prepared in consultation with clinicians, billing experts, and CMS subject matter experts. They are tailored, by content and language, to specific provider type(s) who are affected by complex Medicare changes. MLN Matters® articles help explain critical provider information in an effort to reduce the amount of time providers need to incorporate these changes into their Medicarerelated business functions. Since 2004, CMS has issued over 3,500 articles. The MLN Matters webpage contains additional information such as current year articles, past year articles, MLN products, and the MLN product ordering webpage.
OESS is the U.S. Department of Health and Human Services’ component that enforces compliance with HIPAA transaction and code set standards. OESS encourages all covered entities to continue working with their trading partners to become compliant with the new HIPAA standards and to determine their readiness to accept the new standards as of January 1, 2012. While enforcement action will not be taken, OESS will continue to accept complaints associated with compliance with Version 5010, NCPDP D.0 and NCPDP 3.0 transaction standards during the 90-day period beginning January 1, 2012. If requested by OESS, covered entities that are the subject of complaints (known as “filed-against entities”) must produce evidence of either compliance or a good faith effort to become compliant with the new HIPAA standards during the 90-day period.
partners has not yet reached a threshold whereby a majority of covered entities would be able to be in compliance by January 1. Feedback indicates that the number of submitters, the volume of transactions, and other testing data used as indicators of the industry’s readiness to comply with the new standards have been low across some industry sectors. OESS has also received reports that many covered entities are still awaiting software upgrades. Version 5010, NCPDP Telecom D.0 and NCPDP Medicaid Subrogation 3.0 standards represent significant improvement over the current standard versions. NCPDP Telecom D.0 addresses certain pharmacy industry needs. NCPDP Medicaid Subrogation 3.0 allows state Medicaid programs to recoup payments for pharmacy services in cases where a third party payer has primary financial responsibility. Version 5010 in particular provides more functionality for transactions such as eligibility requests and health care claims status. The implementation of version 5010 also is a prerequisite for using the updated ICD-10 CM diagnosis and ICD-10-PCS inpatient procedure code set in electronic health care transactions effective October 1, 2013. Links to additional information on Version 5010, NCPDP D.0 and NCPDP 3.0 are available on CMS’ ICD10 webpage.
OESS made the decision for a discretionary enforcement period based on industry feedback revealing that, with only about 45 days remaining before the January 1, 2012 compliance date, testing between some covered entities and their trading
Information Disclaimer: The information provided in this newsletter is intended only to be general summary information to the Region III provider community. It is not intended to take the place of either the written law or regulations. Links to Other Resources: Our newsletter may link to other federal agencies. You are subject to those sites’ privacy policies. Reference in this newsletter to any specific commercial products, process, service, manufacturer, or company does not constitute its endorsement or recommendation by the U.S. government, HHS or CMS. HHS or CMS is not responsible for the contents of any “off-site” resource identified.
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F lor i d a P h ar m a c y To d a Y
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FREQUENTLY CALLED NUMBERS AHCA MEDICAID PHARMACY SERVICES 2727 Mahan Drive Tallahassee, FL 32308 (850) 487-4441 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 Pharmacy Technician Certification Board 2215 Constitution Avenue NW Washington, DC 20037 (800) 363-8012 www.ptcb.org contact@ptcb.org Recovering Pharmacists Network of Florida (407) 257-6606 “Pharmacists Helping Pharmacists” FEBRUARY 2012
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