Celebrating 30 years of service to the Pharmacists of Georgia!
2011 OPEN ENROLLMENT! Join us in celebrating 30 years of serving the members of the Georgia Pharmacy Association. To learn more visit www.gpha.org. Call or e-mail TODAY to schedule a time to discuss your health insurance needs.
Trevor Miller – Director of Insurance Services 404.419.8107 or email at tmiller@gpha.org Georgia Pharmacy Association Members Take Advantage of Premium Discounts Up to 30% on Individual Disability Insurance Have you protected your most valuable asset? Many people realize the need to insure personal belongings like cars and homes, but often they neglect to insure what provides their lifestyle and financial well-being - their income! The risk of disability exists and the financial impact of a long-term disability (90 days or more) can have a devastating impact on individuals, families and businesses. During the course of your career, you are 3½ times more likely to be injured and need disability coverage than you are to die. (Health Insurance Association of America, 2000) As a member of the Georgia Pharmacy Association, you can help protect your most valuable asset and receive premium discounts up to 30% on high-quality Individual Disability Income Insurance from Principal Life Insurance Company.
For more information visit www.gpha.org. * Association Program subject to state approval. Policy forms HH 750, HH 702, HH 703. This is a general summary only. Additional guidelines apply. Disability insurance has limitations and exclusions. For costs and details of coverage, contact your Principal Life financial representative.
The Georgia Pharmacy Journal
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December 2010
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Departments
VIP Day Save the Date February 23, 2011 FEATURE ARTICLES
8 11 12 16 19
Pharm PAC 2010-2011 Peer Reviewers Needed GPhA New Members GPhFAnnual Fund New Practitioner Leadership Conference Nomination Form 31 GPhA Board of Directors
Advertisers
15 21
New Pharmacy School Ribbin Cutting Held November 12 Continuing Education for Pharmacists: Understanding Medication Therapy Management Services
2 2 5 5 6 9 9 9 10 12 13 14 15 17 18 20 30
The Insurance Trust Principal Financial Group PharmAssist Recovery Network Display Options, Inc. GPhA Career Center Logix, Inc. Michael T. Tarrant Toliver & Gainer Pharmacists Mutual Companies Melvin Goldstein, P.C. Sparkfly GoToMeeting/GoToWebinar IPA EVP & CEO Ad Carribean CPE Cruise GPhA Workers Compensation AIP Southeastern Girls of Pharamcy Leadership Weekend 32 The Insurance Trust
COLUMNS
4 7
President’s Message Editorial
For an up-to-date calendar of events, log onto
www.gpha.org. The Georgia Pharmacy Journal
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December 2010
PRESIDENT’S MESSAGE Dale M. Coker, R.Ph., FIACP GPhA President
Taking Stock ecember is typically the time of year many of us take a physical inventory at our practices, which helps us prepare better for the year ahead. The end of the year is also an opportune time to take stock of where we are in our own lives. It is a good time to ask some challenging questions, such as, “What am I doing that brings purpose and fulfillment to my life, both personally and professionally?”
of Health and Human Services, Donna Shalala, spoke about the role of pharmacists in the future. In essence, she implored pharmacists to step up to the plate and accept the challenges that will be presented as healthcare reform is unfurled. She warned that we must be proactive in exploring opportunities in the new realities of medical homes and accountable care organizations and expand on the present reality of medication therapy management. If we don’t, other health care providers will seize the day.
D
One of my favorite lines came from Rick Warren’s book, The Purpose Driven Life. The first line in the book simply says, “It’s not about you.” Now that four word statement made me stop and think. If it is not about me, then what is IT about? The point Warren was making in his book is that it is about relationships and serving others that brings meaning in life. In our professional lives, we serve the needs of people each and every day. In my way of thinking, that makes us a service profession. But are we viewed as such, by our patients/customers or by other health care providers? If we were viewed as order takers and counters of pills in the past, what are we doing, individually and collectively, to change that image?
It is not only time to step up to the plate, but also to practice what we preach. If we are managing diabetes patients and preaching the importance of diet and exercise, are we going home after work and sitting in front of the TV snacking on moon pies and RC Cola? If we think it is important to promote and advance the profession of pharmacy, as per our mission statement, are we giving of our time and our resources to our professional associations, both on the state and national level? What brings purpose and fulfillment is very individual, but there do seem to be common denominators. In my inaugural address, I quoted Albert Schweitzer, who said, “I don’t know what your destiny will be, but one thing I know: the only ones among you who will be really happy are those who will have sought and found how to serve.” The staff and volunteers of GPhA will strive hard to serve
It takes a change in mindset to move toward a service oriented profession, just as it does to adhere to a New Year’s resolution. A major obstacle to change is that we get too comfortable with the ways things are. At the NCPA national convention in October, former Secretary
I don’t know what your destiny will be, but one thing I know: the only ones among you who will be really happy are those who will have sought and found how to serve. The Georgia Pharmacy Journal
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December 2010
our membership in meeting the challenges of our five year strategic plan, emphasizing membership and advocacy. The question is, what are you willing to do? Will you find new ways to serve your patients and your profession? Will you be an advocate for your profession instead of complaining about the problems? Will you be active in helping to define the role of pharmacy in health care reform? Will you invest your time and resources to help ensure the future of our profession? One of the lessons I have learned in life is that service is not always glamorous, nor does it always bring instant gratification, but it does bring about lasting reward. Isn’t that what IT is all about?
PharmAssist Recovery Network The PharmAssist Network continues to provide advocacy, intervention and assistance to the impaired practitioners, students and technicians in the state. If you or anyone you know needs assistance, please call the hotline number: PharmAssist Hotline Number (24 hours / 7 days a week) 404-362-8185 (All calls are confidential)
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EXECUTIVE VICE PRESIDENT’S EDITORIAL Jim Bracewell Executive Vice President / CEO
“Friend, Can You Spare a Dime”
downtown Atlanta panhandler asks each person he meets, “Friend, can you spare a dime?” I think that today we sadly find most of pharmacy is saying to every payer and PBM, “Can you spare a dime?”
and accuracy while at the same time facing reductions in the dispensing fee, dime by dime. Does pharmacy have time to access all the new found wealth in the profession through the delivery of immunizations, medication therapy management, chronic disease management of diabetes, asthma, and COPD and many other opportunities?
A
I am told about the same panhandler who had a very wealthy uncle pass away and left the penniless panhandler a million dollars in a personal trust fund. The estate and will provided him with a checkbook to write a check for as much money as he needed whenever he needed it. The great irony was the panhandler had never learned to read and write and though he was a millionaire, he was still penniless with a checkbook in his pocket with checks he could not write and could not cash.
Any pharmacist or every pharmacy owner today can reach out to the new found financial rewards for managing the outcomes of patient’s prescriptions. Pharmacists can learn to write their own check. The Georgia Pharmacy Association is a great resource for teaching proficiency in those areas of practice; however pharmacists have to come to those classes and learn to read and write their future or choose to go to work next week seeking a friend to spare a dime.
Each of us knows the panhandler needs to take time to learn to read and write so he access and manage his new found wealth that at the moment seems so far out of his reach.
Today’s and tomorrow’s health care holds increasing opportunities for new and improved reimbursement for pharmacists — we just need to learn how to write the check on the future.
Why didn’t the panhandler take time to learn to read and write and access his new found wealth? The reason was he was too busy chasing another dime from the same people he always had asked.
Happy Holiday from myself and the GPhA Staff.
Pharmacy’s old dispensing process of “lick, stick, count and pour” has been greatly improved today in efficiency The Georgia Pharmacy Journal
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December 2010
Pharm PAC Enrollment Pledge Year 2010-2011
Titanium Level ($2400 minimum pledge)
Patrick Dunham, R.Ph. Michael E. Farmer, R.Ph. David Graves, R.Ph. Ann Hansford, R.Ph. Jeffrey L. Lurey, R.Ph. Robert A. Ledbetter, R.Ph. Marvin O. McCord, III, R.Ph. Judson L. Mullican, R.Ph. W.A. (Bill) Murray, R.Ph. Mark L. Parris, Pharm.D. Fred F. Sharpe, R.Ph. Jeff Sikes, R.Ph.
Platinum Level ($1200 minimum pledge) Robert Bowles, Jr., R.Ph., CDM, Cfts
T.M. Bridges, R.Ph. Bruce L. Broadrick, Sr., R.Ph. Thomas E. Bryan, Jr., B.S. William G. Cagle, Jr., R.Ph. Keith Chapman, R.Ph. Hugh M. Chancy, R.Ph. Dale M. Coker, R.Ph., FIACP Billy Conley J. Ashley Dukes, R.Ph. Stewart Flanagin, Jr., R.Ph. Robert M. Hatton, Pharm.D. Alan M. Jones, R.Ph. Ira Katz, R.Ph. Harold M. Kemp, Pharm.D. Brandall S. Lovvorn, Pharm.D. Eddie M. Madden, R.Ph.
Jonathan Marquess, Pharm.D., CDE, CPT
Pam S. Marquess, Pharm.D. Kenneth A McCarthy, R.Ph. Scott Meeks, R.Ph. Drew Miller, R.Ph., CDM Laird Miller, R.Ph. Jay Mosley, R.Ph. Wallace Allen Partridge, Jr. Tim Short, R.Ph.
Gold Level ($600 minimum pledge) James Bartling, Pharm.D., ADA, CAC II Robert Cecil Liza G. Chapman, Pharm.D. Patrick M. Cook, Pharm.D. Mahlon Davidson, R.Ph., CDM Jim Elrod, R.Ph. Kevin Florence H. Neal Florence, R.Ph. David Gamadanis Marsha C. Kapiloff, R.Ph. J.Thomas Lindsey, R.Ph. Robert B. Moody, III, R.Ph. Sherri S. Moody, Pharm.D. sharon M. Sherrer, Pharm.D. Michael T. Tarrant Jeffrey Richardson, R.Ph. Robert Anderson Rogers, R.Ph. Dean Stone, R.Ph., CDM Thomas H. Whitworth, R.Ph., CDM
Silver Level ($300 minimum pledge) Renee D. Adamson, Pharm.D. Larry Batten, R.Ph. John L. Colvard, J. R.Ph. F. Al Dixon, R.Ph. Jack Dunn, R.Ph. Marshall L. Frost, Pharm.D. Amy S. Galloway, R.Ph. Michael O. Iteogu, Pharm.D. Willie O. Latch, R.Ph. Kenneth A. McCarthy, R.Ph. Kalen Beauchamp Porter, Pharm.D. Edward Franklin Reynolds, R.Ph. Houston L. Rogers, Jr., Pharm.D., CDM
Brandon Ullrich Alan M. Voges, Sr., R.Ph. Flynn W. Warren, M.S., R.Ph. Oliver C. Whipple, R.Ph. Walter Alan White, R.Ph.
Bronze Level ($150 minimum pledge) Mark C. Cooper, R.Ph. Monica M. Ali-Warren, R.Ph. Lance P. Boles, R.Ph., MBA James R. Brown, R.Ph. Michael A. Crooks, Pharm.D. Charles Alan Earnest, R.Ph. Amanda R. Gaddy, R.Ph. Martin T. Grizzard, R.Ph. Fadeke Jafojo Allison Layne William E. Lee, R.Ph. William J. McLeer, Sr., R.Ph. Richard Brian Smith, R.Ph. Wallace Whiten Sharon B. Zerillo, R.Ph.
If you made a gift or pledge to Pharm PAC and your name does not appear above please, contact Kelly J. McLendon at kmclendon@gpha.org or 404-419-8116.. Donations made Pharm PAC are not considered charitable donations and are not tax deductible. The Georgia Pharmacy Journal
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December 2010
Pharm PAC Contributors’ List Continued Members (no minimum pledge) Jill Augustine Claude W. Bates, B.S. Chad J. Brown, R.Ph. Max C. Brown, R.Ph. Lucinda F. Burroughs, R.Ph. Waymon M. Cannon, R.Ph. Walter A. Clark, Jr., R.Ph. Jean N. Courson, R.Ph.
Carleton C. Crabill, R.Ph. Alton D. Greenway, R.Ph. J. Clarence Jackson, Jr., R.Ph. Gina Ryan Johnson, Pharm.D., BCPS, CDE Ashley S. London Tracie D. Lunde, Pharm.D. Ralph K. Marett, M.S. Whitney B. Pickett, Pharm.D. Rose Ann Pinkstaff, R.Ph. Michael Reagan, R.Ph. Leonard Franklin
Reynolds, III, R.Ph. James Riggs, R.Ph. Victor Serafy, R.Ph. Harry A. Shurley, Jr., R.Ph. James. E. Stowe, Jr., R.Ph. William D. Whitaker, R.Ph. Jonathon A. Williams, Pharm.D. Michael R. Williams, R.Ph.
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The Georgia Pharmacy Journal
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December 2010
Trust T rust Leader tthe he L eader For the past ce century, entury, Pharmacists Mutual M Insurance Company ompany has been committed c to providing qua lity products and ser rvice with this mission: n: To help our customers mers attain quality service ÀQDQFLDO SHDF FH RI PLQG 2XU true mutual spirit RI SXWWL LQJ SROLF\RZQHUV ÀUV W UHPDLQV ÀQDQFLDO SHDFH RI PLQG 2XU true spirit RI SXWWLQJ SROLF\RZQHUV ÀUVW UHPDLQV VWHDGIDVW W GI W 3 KD U PDFL V WV 0X W X DO L V G HG L FDW HG W R VX S S RU WL Q J W K H S KD U PDF\ S U RIHV VL RQ , Q W K H 3KDUPDFLVWV 0XWXDO LV GHGLFDWHG WR VXSSRUWLQJ WKH SKDUPDF\ SURIHVVLRQ ,Q WKH llast ast d ecade, w eh ave c on tr i b u te d over over $1 $1 million mi l li o n toward t owar d pharmacy p ha r macy initiatives initiatives decade, we have contributed D Q G VX S S RU W 2X U NQ RZO H GJ H RI W KH L QG X V WU \ D QG RX U FRP PL W PHQ W W R W KH DQG VXSSRUW 2XU NQRZOHGJH RI WKH LQGXVWU\ DQG RXU FRPPLWPHQW WR WKH SKDUPDF\ SURIHVVLRQ KDV HDUQHG XV WKH HQGRUVHPHQW RI PDQ\ VWDWH DQG QDWLRQDO S KD UP DF\ S URI HV VL RQ KD V HD U QHG X V W KH H QG RU V HPHQ W RI PD Q\ V WD WH DQG Q DW LR Q DO D VVRFLDWLRQV * DVVRFLDWLRQV -RLQ WKH WKRXVD -RLQ WKH WKRXVDQGV RI SROLF\KROGHUV ZKR WUXVW 3KDUPDFLVWV 0XWXDO the DQGV RI SROLF\KROGH UV ZKR WUXVW 3KDUPDF FLVWV 0XWXDO the lea leader der in SURYLGLQJ LQVXUDQFH DQG ÀQDQFLDO VHUYLFHV GHVLJQHG VSHFLÀFDOO\ IRU WKH SKDUPDF\ SURYLGLQJ LQVXU UDQFH DQG ÀQDQFLDO VHUYLFHV GHVLJQHG V SHFLÀFDOO\ IRU WKH SK KDUPDF\ SURIHVVLRQ
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Professional Opportunity & Earn FREE CPE Credit!!! ATTENTION GPHA PHARMACISTS – WE NEED YOUR HELP!!! As you may know, GPhA publishes a self-study article in The Journal each month for CPE credit. In order to stay in compliance with ACPE, we are required to have each article reviewed by at least 2 registered pharmacists. Peer Reviewer(s) are asked to consider and respond to questions concerning each article. The following are examples of the questions asked: • Is the content up-to-date and relevant to the practice of medicine • Is the activity appropriate to the stated audience (i.e pharmacists) • Is the activity scientifically rigorous and presented in a manner generally accepted in the medical profession • Does the activity present balanced information, leaving out trade names and including both benefits and limitation of drugs. Recommendations are to include entire classes of drugs instead of one product • Amount of time to complete the activity Once you have completed a peer review, you will receive FREE CPE credit for the article you reviewed. If you would like to be considered as a volunteer peer reviewer, please contact Maggie Patterson at mpatterson@gpha.org or 404-419-8120. As pharmacists of all practice settings, we need to continually challenge ourselves and sharpen our skills. PLUS it is a nice addition to your professional bio! The Georgia Pharmacy Journal
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December 2010
GPHA MEMBER NEWS
Welcome to GPhA! The following is a list of new members who have joined Georgia’s premier professional pharmacy association! Pharmacy School Student Members
Individual Pharmacist Member
Deslyn Adams, Savannah Gbolahan Adebowale, Savannah Lindsay Carter, Wrightsville Christiana DiPlotti, Lawrenceville Edjona Ehe, Savannah Takang Etta, Lithonia Amber Fowler, Guyton Haley Gay, Quitman Kate Hamil, Kennesaw Tiffany Hammons, Savannah Sarah Hardie, Rincon Zachary Hobby, Athens Lauren Howell, Townsend Eun Pyung Im, Athens Laura Inendino, Savannah Aquila Ingram, Pooler April Jones, Pelham Kylie Jones, Unadilla Jennifer Lee Rebecca Lee, Roswell Roger Lee, Atlanta Danny Libin, Pensacola, FL Kathryn McCarthy, Savannah Laura McEachren, Savannah Mary Ngo, Jonesboro Vian Nguyen, Atlanta Anoop Patel, Lawrenceville Swayaprabha Patel, Dothan, AL Brian Peifer, Atlanta Charles Robertson, Savannah Brandon Rutstein, Atlanta Amanda Stankiewicz, Savannah Sonali Tejani, Savannah David Trinh, Savannah Shannon Walraven, Calhoun
Ted Adam Green, B.S., Macon Amber Laurel Rains-Vines, Pharm.D., Trion
New Graduate Member - First Year Johnathan Wyndell Hamrick, Atlanta
Pharmacy Technician Member Ashley Victoria Skipper, Sandersville
Associate Member Daniel Philip Van Deventer, MS, Birmingham, AL
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The Georgia Pharmacy Journal
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December 2010
The Georgia Pharmacy Journal
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December 2010
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PHARMACY SCHOOL NEWS
New Pharmacy School Ribbon Cutting Held in Nov. fficials at Georgia’s newest pharmacy school cut the ribbon Friday, November 12, commemorating the launch of the new four-year PharmD degree program
experiences continue throughout the first three years of the program, while the fourth academic year sends students to eight, five-week rotations in hospital practice, community practice, ambulatory care and medicine rotations along with four elective rotations in a variety of settings including pediatrics, cardiology, infectious diseases, nuclear pharmacy, psychiatry, and managed care, to name a few.
O Aug. 16.
The noon-time ribbon cutting ceremony came one day before the 79 inaugural students received their white coats signifying the start of their journey into the field of pharmacy.
Most of the students have a baccalaureate degree and some have graduate degrees, but some of the students are able to fulfill the prerequisite requirements in less time. Many of the charter class come from working professional backgrounds as pharmacy technicians. The centralized Pharmacy College Application Service (PharmCAS, www.pharmacas.org) began accepting applications on June 14, 2010, for the class enrolling in August 2011. Applicant interviews began Oct. 27 on the GAPCOM Campus and will continue until April 1. “No stone will be left unturned to provide them with a first-rate pharmacy school experience and equip them with the education and understanding they need to take leadership roles in an everchanging healthcare environment,” said to PCOM School of Pharmacy Dean Mark Okamoto. “We are grateful for the foresight of the PCOM Trustees and senior administration and the support we have received from pharmacy leaders and practitioners across the state. Our faculty brings diverse backgrounds to the School, with experience in pharmacy education, pharmaceutical and clinical research, clinical practice, and administrative management,” he added. “Our students will be the beneficiaries of all they have to offer.”
Among those participating in the program will be PCOM President and Chief Executive Officer Matthew Schure; Trustee Chairman Paul McGloin; PCOM School of Pharmacy Dean Mark Okamoto; Chair of Pharmacy Practice Timothy Poole, Pharm.D. and Georgia Campus Executive Officer John Fleischmann. Assisting were First-Year Student Pharmacists Marco Ragins, a U.S. Army veteran who led the Pledge of Allegiance; and Tina Kazmark, the Class Chair. The opening of the new school attracted a large number of students for the 79 available seats, and over 300 applicants were invited to the Georgia campus for interviews. According to Dr. Okamoto, “The admissions team worked diligently to recruit and admit students who are talented, who have expressed passion for the profession and who we expect to excel, both academically and professionally.”
The Iowa Pharmacy Association is accepting applications for the position of Executive Vice President & CEO
PURPOSE OF POSITION As chief executive officer, the EVP&CEO provides leadership and vision for the profession of pharmacy in Iowa and nationally.
QUALIFICATIONS, KNOWLEDGE AND SKILLS The EVP&CEO must have a professional degree in pharmacy, be licensed or eligible to be licensed as a pharmacist, have prior or current demonstration of effective leadership, and have effective verbal and written communication skills.
APPLICATION PROCESS For confidential consideration, interested applicants should submit a resume or curriculum vitae; names and contact information of three professional references*; and a cover letter addressing how you are qualified to fulfill the position description, including a personal perspective on how a state pharmacy association executive can advance the profession of pharmacy. *references will not be contacted without your prior consent
Students in the four-year Doctor of Pharmacy program are involved in classroom, lab and pharmacy experiences beginning in year one. Classroom and lab
The Georgia Pharmacy Journal
Review of applications will begin February 15, 2011 and continue until the position is filled. Compensation package will be commensurate with background and qualifications. Position description and further information can be obtained at www.iarx.org. Applications will be accepted electronically at ipasearch@wdwm.net. Questions can be directed to the same email or to Fred Dorr with Wasker, Dorr, Wimmer, & Marcouiller, P.C. at (515) 283-1801.
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December 2010
GEORGIA PHARMACY FOUNDATION ANNUAL GIVING CAMPAIGN The Georgia Pharmacy Foundation began its 9th Annual Giving Campaign on September 1st. Since 2002, the Foundation’s Annual Giving Campaigns have raised more than $102,000. Thank you to everyone who has made a difference with their gift. Each year, these resources make it possible for the Foundation to: • • • •
Provide financial aid through scholarships to deserving Georgia student pharmacists Provide training for future pharmacy leaders through our New Practitioner Leadership Conference Help with the funding of the Southeastern PRN Program Provide continuing education programs for pharmacists and pharmacy technicians
By giving to the Annual Campaign you are contributing to the continuity of the pharmacy profession, in turn strengthening the future of pharmacy. These gifts are vitally important to the continued success of the Foundation because they offer the flexibility to support emerging opportunities and unmet needs when often no other source of funding is available. Acknowledging the difference that pharmacy has made in your life will ensure that the profession remains the place where thinkers become leaders. If you have not yet made your tax-deductible* gift for the current campaign, please do so today. Your support, at any level, is important. It will have an impact! Remember, many companies will match your contribution, doubling or even tripling the value of your gift! The success of our fundraising depends on donations and grants from foundations, government, corporations, and many generous individuals. Contributions are acknowledged with a Charitable Donation receipt for tax purposes, names will appear on our website and will be listed in the GPhA Journal. Checks should be made payable to the Georgia Pharmacy Foundation. We also welcome Visa, MasterCard, American Express and Discover. Donations can also be made via our website at www.gpha.org. (*As provided by law)
Giving back is the best way to keep our profession going forward! Yes! I want to help support the good work of the Georgia Pharmacy Foundation by contributing to the 9 t h Annual Giving Campaign with my pledge of: [ ] President’s Circle = $5,000 or more [ ] Gold Partner = $500 - $999 [ ] Partner = $____ - $99
[ ] Eagle = $2,500 - $4,999 [ ] Silver Partner = $250 - $499
[ ] Centurion = $1,000 - $2,499 [ ] Bronze Partner = $100 - $249
Name (Please Print): ____________________________________________________________________________________________________ Company (if applicable): ______________________________________________________________________________________ Address: _____________________________________________________________________________________________________________ City: ______________________________________________________________________ ST _________ Zip _________________ Telephone: (_____) ___________________ Email: __________________________________________________________ [ ] Please check here if you prefer to be listed as an Anonymous contributor.
Please specify if you would like to make your donation a gift. If so, please provide name and address of where you would like the In Memory/Honor gift card to be sent: (Please Print) [ ] In Memory of _______________________________________________________________________________ [ ] In Honor of _________________________________________________________________________________ Send notification to: __________________________________________________________________________________________ Address: __________________________________________________________________________________________ __________________________________________________________________________________________
* * * * * * * * * * DON’T FORGET, you can make your gift online at WWW.GPHA.ORG - click on the Georgia Pharmacy Foundation logo on the front page. [ ] Enclosed is my check payable to Georgia Pharmacy Foundation for $__________ OR [ ] Bill my credit card for $____________ (If you prefer to pay by installments, please indicate which one: [ ] Monthly or [ ] Quarterly. A separate form will be sent to you for completion.) (Please circle one: AmEx Visa M/C Disc.) Card #:_____________________________________________ Security (If name on credit card and the billing address are different from above, please provide that information too)
#: _____
Exp.Date: _____
Signature: _______________________________________________________________________ Today’s Date: __________________
n a e b b Cari OASIS of the SEAS
September 17 - 24, 2011 12 Hours of Continuing Education
Day
Port
Arrive
Depart
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Ft Lauderdale
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April 8-10, 2011 Legacy Lodge & Conference Center Lake Lanier Islands Resort Lake Lanier Islands, GA !
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I would like to nominate the following individual to attend the 2011 New Practitioner Leadership Conference: (Please Print) Nominee’s Name: __________________________________________________________ Designation: __________________ (R.Ph., Pharm.D., etc.)
Works For:
______________________________________________________________________________________
Preferred Mailing Address: ______________________________________________________________________________
_______________________________________________________________________________
This address is [ ] Home [ ] Work
_______________________________________________ State: ______ ZIP: ______________
Telephone: (Work) (____) __________________ (Home) (____) ___________________ (Cell) (____) ______________________ (Fax) (____) _______________
E-mail: __________________________________________________________
NOMINATED BY: _________________________________________________________________ Designation: _________________ Company: ____________________________________________________________________________________________ Address:
[ ] Home or [ ] Work?________________________________________________________________________________
_________________________________________________________ State: _______ Zip: ___________________ Tel. (____) __________________ E-mail: ___________________________________________________________
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Please return this Nomination Form to: Georgia Pharmacy Foundation Attn: Regena Banks 50 Lenox Pointe, NE Atlanta, GA 30324
Please return by January 24, 2011
Or, you may FAX this Nomination Form to: 404.237.8435 Or, submit online at WWW.GPHA.ORG, If you have questions, please contact Regena Banks at GPhF: Direct # 404.419.8121 • Email: rbanks@gpha.org
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Continuing Education for Pharmacists Understanding Medication Therapy Management Services Michell Redding, Pharm.D., Clinical Assistant Professor (Mercer University College of Pharmacy and Health Sciences); Amanda McCall, Pharm.D., Community Practice Resident (Mercer COPHS/East Marietta Drugs); Mina Yun, Pharm.D., Community Practice Resident (Mercer COPHS/Rite Aid Corporation).
Goals: The goals of this article are to provide an overview on Medication Therapy Management (MTM) services and to review some of the barriers involved in implementing these services. Objectives: At the conclusion of this article, successful participants should be able to: 1) Define medication therapy management. 2) Describe the APhA/NACDS core elements of a MTM service. 3) Understand perceived barriers from physicians and patients to the implementation of MTM services.
Introduction In 2003, the Medicare Prescription Drug Improvement and Modernization Act (MMA) officially recognized the need for medication therapy management (MTM) services.1 The act was first initiated to enable Medicare beneficiaries the ability to afford the increasing costs of prescription drug therapy by subsidizing drug costs through stand alone drug plans and Medicare Advantage drug plans.2 Additionally, with the implementation of MMA, the Centers for Medicare and Medicaid Services (CMS) established the requirement that all Medicare Part D plans institute MTM programs as part of the eligible beneficiaries’ benefits.1
Mcgivney MS, et al. Medication Therapy Management: Its Relationship to patient counseling, disease management, and pharmaceutical care. JAPhA. 2007;47:622 The Georgia Pharmacy Journal
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One of the key benefits for establishing MTM programs was the ability to manage increasing medication costs by employing pharmacists or other qualified health care professionals to help ensure appropriate and cost-effective drug use among their members.2 While the MMA did not define nor create basic elements to the MTM services, the act did give prescription drug plans and Medicare Advantage drug plans the creative ability to develop and implement these services.3 It is important to distinguish MTM services under MMA and services defined in the Omnibus Budget Reconciliation Act of 1990 (OBRA90). Prior to the establishment of MTM services, OBRA-90 brought recognition to the pharmaceutical care model of the pharmacy practice, in which pharmacists promoted the ability to produce good therapeutic outcomes and improve a patient’s quality of life, and made it into a national policy.4 OBRA-90 defined the drug use review process which included both patient counseling and disease state management. MTM services are much more comprehensive and broader in scope than patient counseling and disease state management in that MTM services occur independently from medication dispensing. MTM services are not required by law, as is patient counseling. MTM services encompass all medications and disease states, whereas disease state management programs focus on a particular
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condition and the factors surrounding that condition. Figure 1 shows the correlation between MTM services to patient counseling and disease state management as they relate to pharmaceutical care provided in the pharmacy practice. Definitions of Medication Therapy Management Three key benefits of MTM programs, established by the CMS in the MMA, were to promote better understanding of medication therapies, increase medication compliance, and reduce the incidence of adverse drug reactions, including drug-drug interactions.1, 3, 4 However, MMA did not clearly define all the activities and/or services required for the MTM programs.4 This was primarily left for prescription drug plans and Medicare Advantage plans to design and implement. While there is no clear definition to what constitutes MTM services, 11 national pharmacy organizations have developed a consensus definition for MTM services.4 In this definition, MTM services were defined as a distinct service or group of services that optimize therapeutic outcomes for individual patients that are independent of, but can occur in conjunction with the provision of a drug product.4 A general consensus has been developed for the definition of MTM services; however, the framework for providing these services still varies among organizations. For example, the American Pharmacists Association (APhA) and the National Association of Chain Drug Stores (NACDS) have developed five core elements for providing MTM services.4, 5
The Georgia Pharmacy Journal
Table 1: Core Elements
Core Elements Medication Therapy Review Personal Medication Record Patient Medication-Related Action Plan Intervention/ Referral Documentation/ Follow-Up These core elements were designed based on the community pharmacy’s perspective of how MTM services should be delivered.4 In contrast, the Academy of Managed Care Pharmacy (AMCP) developed seven core elements for providing MTM services based on the insurer’s perspective. These core elements of MTM services may differ among professional organizations; however, these services have been implemented within the pharmacy profession through pharmaceutical care services for many years.4 Pharmaceutical care enables the pharmacist to work with patients and other healthcare professionals in order to enhance the results obtained from medication therapies.1 The distinction between MTM services and pharmaceutical care services is that pharmaceutical care services are provided to anyone, whereas MTM services are limited to specified plans and primarily Medicare Part D beneficiaries.1 Eligibility criteria for MTM services includes chronic diseases, resulting in multiple medication therapies and increased annual medication costs.1, 2 Implementation of Medication Therapy Management Service As the profession of pharmacy moves forward from strictly dispensing roles
22
to the management of patientcentered therapy, implementation of MTM services are key to incorporating clinical services into daily routine. CMS provided very limited guidelines on both patient selection for and implementation of MTM services. This led to the development of guidelines. As mentioned previously above, there are still no universally accepted parameters to define MTM services and how they should be facilitated. In the following section, the core elements as defined by APhA and NACDS, along with other opinions published by differing sources are summarized to establish a basis for implementing a MTM service. Medication Therapy Management Operational Aspects Patient Identification and Enrollment MTM Programs should identify both the process and accountability for identification of patients at risk for adverse events and those likely to suffer poor outcomes.4 In Table 2, APhA and NACDS defined the core elements service model and identified patients who may benefit from MTM services.7 Pause and Reflect: Of your current patients, who would benefit most from MTM? The Academy of Managed Care Pharmacy recognized patients at risk to include those who are over- or under-utilizers of medications, followed by multiple prescribers, routinely non-adherent with medication regimens, do not understand or demonstrate proper use of medications, have financial barriers to obtaining prescriptions, and need multiple medications to treat co-morbidities.8 The Medicare
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Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) allowed individual Medicare Part D plans to set their own eligibility criteria for MTM services, which is to include patients with multiple chronic conditions, multiple prescription medications, and projected medication costs greater than $4,000 annually.9 Patients may be recruited several ways including identification by MTM providers, health plan, physician referral, or patient selfreferral. Many MTM providers rely solely on national pharmacy service networks such as Outcomes, Mirixa, and CCRx to recruit patients and do not do any additional marketing of their own.6 Other MTM service providers may only provide in-house programs to their own employees. Delivery of MTM Services There remains a discrepancy on which mode of MTM delivery is most effective between different organizations. CMS does not specify their preferred, mode of delivery however APhA and NACDS
published core elements stating that face-to-face interactions are preferred but other interactions such as telephone are acceptable under certain circumstances.4 A personal face-to-face interaction is optimal to observe signs and visual clues of a patient’s overall health and to enhance the patient-pharmacist relationship however, alternative methods of interactions like telephone are necessary for patient convenience or for MTM models that have consultative pharmacists working in call centers.7 For face-to-face interactions, MTM services should be delivered in a private or semi-private area, as required by HIPAA laws. The pharmacist must set aside time devoted to the patient during the service and minimize distractions as much as possible; therefore services should typically be offered by appointment unless there is flexibility in staffing and time allotment to allow for walk-in patients.7 APhA and NACDS Core Elements APhA and NACDS core elements
service model advocates that a patient receive an annual comprehensive medication therapy review and additional follow-up according to the patient’s individual need.7 However, plan benefits and other limitations may hinder the ability for an ideal follow-up schedule. A MTM session should include all or some of the points of care outlined in table 3. The Medication Therapy Review (MTR) is a systematic process of collecting patient information in order to assess medication therapies, identify medication-related problems, and create a plan to resolve them.7 The objectives are to provide patient education, address any problems or concerns, and to empower patients to have the knowledge and ability to selfmanage their medications and health conditions. These objectives may be comprehensive or targeted toward an identified actual or potential medication-related problem. Ideally the pharmacist would work in collaboration with the physician or other healthcare professional to
Table 2: Patients who would benefit from MTM services7 Patients experiencing a transition of care Receiving care from more than one prescriber Taking five or more chronic medications including nonprescription, herbal, and dietary supplements Having at least one chronic disease or health condition Having laboratory values outside normal range Demonstrating non-adherence Having limited health literacy Experiencing financial burden Recently experienced adverse event Taking high-risk medications with narrow therapeutic index Self-identifies with a perceived need for MTM services The Georgia Pharmacy Journal
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determine appropriate actions to resolve any identified problems. For targeted MTRs, the pharmacist will address an actual or potential medication-related problem and intervene in the proper manner either by referring or consulting with a physician or providing patient education. Assessing medicationrelated problems include determining the clinical appropriateness of medications (benefit vs. risk), correct dosing regimen, identifying therapeutic duplications, assessing the adherence to therapy, identifying untreated conditions, and factoring in cost considerations.7 A plan should be developed for each identified problem; education and training should be provided on the appropriate administration of medications and any monitoring necessary. Everything discovered during the MTR should be communicated to the patient’s physician including any suggestions or recommendations to medication regimen or follow-up care.
The Personal Medication Record (PMR) is a comprehensive record of the patient’s medications including prescription and nonprescription medications, herbal products, and dietary supplements.7 A written copy of the PMR should be supplied to the patient at a literacy level appropriate for the patient’s understanding. For each medication, the PMR should include: medication name (brand and generic), dose/dosage form, indications, instruction for use, special instructions, and ordering prescriber. This should help aid the patients self management of medications. Patients should be encouraged to maintain an updated copy of this form and provide it at all health care visits. A Medication-Related Action Plan (MAP) is a patient-centric document containing the action plan for patients to use in tracking progress for selfmanagement.6 This includes specific goals set collaboratively with the patient and pharmacist. MAP reinforces a patient-centered approach to MTM and encourages self-empowerment for patients to
actively participate in their health management. This document is useful during follow-up appointments to track progress of set goals. For any medication-related problems that were identified, the pharmacist would provide consultative services to address those problems or refer the patient to their physician or other healthcare professional. Interventions would include collaborating with physicians and other healthcare professionals in order to resolve the problems or addressing issues with patients themselves by providing counseling and education that are within the scope of pharmacist practice.7 Examples of circumstances requiring referral include necessity for evaluation and diagnosis of health condition, lab monitoring for highrisk medications, and extended disease state management for chronic and complex health conditions such as diabetes. These services should be tailored to meet the individual needs of a patient, taking note of literacy level, cultural sensitivity, and socio-economic
Table 3: MTM Care Points7 Assessment of patient’s general health status and conditions Comprehensive medication review to identify and resolve any medication-related problems and adverse drug events
MTM session care points
Formulating medication treatment plan; initiating or modifying appropriate medication therapy Monitoring for safety and effectiveness Documentation of care and communication with primary care provider Provide verbal or written education and training to patient
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factors.8 An emphasis should be placed on a concerted effort to provide coordination of care instead of fragmented care to improve patient outcomes. Procedures should be in place to allow the appropriate communication and sharing of information among healthcare providers. Documentation and Billing The proper documentation of all services rendered is important for communication with interdisciplinary health care teams, continuation of care for patients, professional liability, and also for billing and reimbursement.4, 7-9 Documentations include a SOAP note assessment, provided to primary care physicians following an MTM encounter and any recommendations or interventions that are deemed appropriate. Documentation should be performed in a consistent manner and be clear and coherent to allow continuation of service during follow-up appointments. Records should be maintained in compliance with all laws and regulations.7, 8 Current Procedural Terminology (CPT) codes have been developed to provide a standard means of payment for MTM services. The CPT codes for MTM services are considered to be category III codes, indicating they are in a “test and trial� period.5, 10 A petition to change to a category I
status to increase the use for payment of services is currently pending.10 The level of complexity and time spent may influence compensation rates. Fee-for-service models for billing have shown fees ranged from $1-3 per minute or $60-180 per hour.11 In an effort to improve outcomes, the Pharmacy Quality Alliance (PQA) was formed; its mission is to improve healthcare quality of patient safety through a collaborative process that collects data in the least burdensome way and reports meaningful information found.4 The intent of PQA is to improve outcomes and stimulate development of new payment models. Eventually pay-forperformance programs may be developed using performance measures outlined by the PQA. Barriers to Implementation Provider Perceived Barriers In a survey performed by Schommer et. al., MTM providers were asked to assess the value of MTM services.11 The results showed that the most important criteria were increased professional satisfaction, increased quality of care, and increased patient satisfaction. Less important criteria included revenue generated from MTM services, increased patient traffic, increased prescription volume, and increased prescription sales. The most important factors influencing the decision of organizations that offer MTM services were patient needs,
responsibility as a health provider, recognized need to improve health care quality, contribution to health care team, and professional satisfaction. Other factors that were chosen to be of lesser importance were reducing health care costs, primary business mission, reducing insurer costs, provider needs, and need for other revenue sources.11 However, the ratings between independent and small chain pharmacies compared to large chain community pharmacies were quite different.11 The large chain providers rated increased prescription sales and revenue as the most important barriers, while stating the reasons for implementing MTM services were decreased prescription volume and competition.11 Some of the provider perceived barriers to implementing MTM services included pharmacists having inadequate time, insufficient staffing, dispensing activitiesw were too heavy, and difficulty of billing for MTM.11 Most of the comments written by potential providers who have not implemented MTM services revealed the fact that pharmacists would like to be more engaged and involved with patient care services, but feel their current work environment does not support providing the services. Respondents from large chain settings reported inadequate training/experience and inadequate
Table 4: Current Procedural Terminology (CPT) codes for claims processing10-12 CPT Code
Service Covered
99605
Initial 15 minutes of MTM services – including assessment and intervention for a new patient
99606
Initial 15 minutes of MTM services for established patient
99607
Each additional 15 minutes
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space available as significant variables preventing them from providing MTM services.11 Pause and Reflect: What are your greatest challenges to having physcians accept the outcomes of your MTM sessions? Payer Perceived Barriers Payer respondents to an online survey reported that the cost to provide MTM services was between $0 to $300 for a member per month.12 Most of the respondents measured the following outcomes for MTM services: drug interactions identified/resolved, improved medication adherence, medication over/underuse, identification/ resolution of therapeutic duplications, and overall medication costs.12 Financial return to costs ratio ranged from 2:1 to 12:1 with the median being 3:1.12 Payers noted that the primary perceived barrier to providing a MTM service was a lack of a perceived need by patients.4, 12 During recruitment, patients mistook MTM calls for sales calls. Payers also worried that patients may become confused if the pharmacist and physician provided conflicting information and recommendations. The next most frequently reported barrier was the lack of acceptance by physicians. The respondents commented that they felt physicians were skeptical to the tangible value of MTM services. Most organizations were still in the developmental stages; however, those offering MTM services vary largely on implementation, process of billing, and how reimbursement rates are being set. Patient and Physician Survey Results An analysis of the literature was performed by Panvelkar et al, to
The Georgia Pharmacy Journal
measure patient satisfaction with pharmacy services performed by community pharmacists. Results showed a noticeable trend of higher levels of satisfaction with pharmaceutical care services over time. Patient satisfaction levels ranged from “somewhat” to “pretty satisfied” with pharmacist provided services, but with a suboptimal level of counseling in a survey performed by Liu et al., in asthmatic patients in 1999.13 More recently in 2007, Tinelli et al., mailed questionnaires to patients with coronary heart disease who showed high levels of satisfaction with pharmacy services and the patients were more likely to recommend service to others. One issue discovered was the lack of consistent instruments to measure satisfaction; most instruments were developed for specific services, making it difficult to extrapolate outcomes information into the practice as a whole. When asked to identify the most beneficial service community pharmacists provided to patients, the majority of surveyed physicians indictated general drug education.13 Other services that were ranked included anticoagulation services, smoking cessation counseling, financial assistance, and nutrition. In a survey conducted in a 300-bed, community health system institution, more than half of the physicians surveyed believed pharmacists should provide medication-related education as a part of the professions’ role as medication experts.13 A majority of the physicians (60%) were comfortable with pharmacists adjusting therapy, but not with selecting initial drug therapy.13 A limited amount of outcomes data is available on physician satisfaction or physician perception of MTM services provided
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by community pharmacists. As more guidelines are implemented, measurement of patient and physician satisfaction may be an important outcome to be assessed. Pause and Reflect: What are your greatest challenges to having patients accept the outcomes of your MTM sessions? Pause and Reflect: What can you do to help overcome the reluctance of the physcians and patients? Future of Medication Therapy Management Services Over the last decade, with the implementation of both pharmaceutical care and MTM services, we have seen a continuous shift within the profession of pharmacy from a primary dispensary role into a more patient-centered practice. With the new healthcare laws taking effect, pharmacists will see changes taking place specifically with regard to Medication Therapy Management. The Department of Health and Human Services (HHS) will begin providing grants for the implementation of pharmacist driven MTM services.14 These services will target patient populations on four or more medications or any high risk medications, those who suffer from two or more chronic diseases, or those who have undergone a transition of care which could likely create a high risk or medication-related problems.14 Along with MTM grants, Medicare Part D will have required components regarding MTM services, such as: requiring patients to receive an annual comprehensive medication review and any follow up or interventions that may be necessary.14
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References 1. Ramalho de Oliveira D, Brummel AR, Miller DB. Medication therapy management: 10 years of experience in a large integrated health care system. J Manag Care Pharm [Internet]. 2010 Apr;16(3):185-95. 2. Gonzalez J NM. Medication therapy management. J Manag Care Pharm [Internet]. 2008 [cited September 10,2010];14 (4)(S):s8. 3. Spooner JJ. Medication therapy management programs: When will the outcomes come out? J Manag Care Pharm [Internet]. 2007 Apr;13(3):276-7. 4. Pellegrino AN, Martin MT, Tilton JJ, Touchette DR. Medication therapy management services: Definitions and outcomes. Drugs [Internet]. 2009;69(4):393-406. 5. American Pharmacists Association. Medication Therapy Management Digest: Perspectives on the Value of MTM Services and Their Impact on Health Care. [Internet]American Pharmacists Association; 2009 [cited September 5, 2010]. 6. American Pharmacists Association. Medication Therapy Management Digest: Perspectives on the Value of MTM Services and Their Impact on Health Care. [Internet]. Washington, DC: American Pharmacists Association September 30, 2010; [25]. Available from: www.pharmacist.com /AM/Template.cfm?Section=MTM&CONTENTID=15640&TEMPLATE=/CM/ContentDisplay.cfm 7. American Pharmacists Association, National Association of Chain Drug Stores Foundation. Medication therapy management in pharmacy practice: Core elements of an MTM service model (version 2.0). J Am Pharm Assoc (2003) [Internet]. 2008 May-Jun;48(3):341-53. 8. Academy of Managed Care Pharmacy. Sound medication therapy management programs, version 2.0 with validation study. J Manag Care Pharm [Internet]. 2008 Jan;14(1 Suppl B):S2-44. 9. MacIntosh C, Weiser C, Wassimi A, Reddick J, Scovis N, Guy M, Boesen K. Attitudes toward and factors affecting implementation of medication therapy management services by community pharmacists. J Am Pharm Assoc (2003) [Internet]. 2009 Jan-Feb;49(1):26-30. 10. McGivney MS, Meyer SM, Duncan-Hewitt W, Hall DL, Goode JV, Smith RB. Medication therapy management: Its relationship to patient counseling, disease management, and pharmaceutical care. J Am Pharm Assoc (2003) [Internet]. 2007 Sep-Oct;47(5):620-8. 11. Schommer JC, Planas LG, Johnson KA, Doucette WR. Pharmacist-provided medication therapy management (part 1): Provider perspectives in 2007. J Am Pharm Assoc (2003) [Internet]. 2008 May-Jun;48(3):354-63. 12. Schommer JC, Planas LG, Johnson KA, Doucette WR. Pharmacist-provided medication therapy management (part 2): Payer perspectives in 2007. J Am Pharm Assoc (2003) [Internet]. 2008 Jul-Aug;48(4):478-86. 13. Naik Panvelkar P, Saini B, Armour C. Measurement of patient satisfaction with community pharmacy services: A review. Pharm World Sci [Internet]. 2009 Oct;31(5):525-37. 14. Thompson CA. New health care laws will bring changes for pharmacists. Am J Health Syst Pharm [Internet]. 2010 May 1;67(9):690-5.
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Continuing Education for Pharmacists Quiz and Evaluation Understanding Medication Therapy Management Services 1. Medication Therapy Management (MTM) was introduced by which law? a. OBRA-90 b. CMS c. MMA d. HHS
6. Which of the following are MTM session points? a. assessment of patient’s general health status and condition: b. comprehensive medication review c. verbal or written education and training d. all of the above
2. A benefit of MTM services includes which of the following? a. increase medication compliance b. promote better understanding of medication therapies c. reduce the incident of adverse drug reactions d. all of the above
7. A medication therapy review is a systematic process of collecting patient information to assess: a. compliance b. medication related problems c. b only d. both a and b 8. A medication related problem would include which of the following: a. therapeutic duplications b. identifying untreated indications c. adherence to therapy d. all of the above
3. Which of the following is not a core element of a MTM service? a. disease state management b. personal medication record c. documentation or follow up d. intervention or referral 4. Which of the following are types of patients who would benefit from a MTM service? a. a patient on one medication b. a patient with multiple chronic diseases c. a patient with normal lab values d. all of the above
9. A Personal Medication Record (PMR) form should include all but: a. a comprehensive list of medications the patient is taking (prescription and nonprescription) b. language tailored to the patient literacy level c. special instructions d. pharmacist evaluations
5. In what mode should MTM services be delivered: a. face-to-face b. telephone c. a only d. both a and b
10. Payment for MTM services are billed according to: a. CPT codes b. MTM codes c. PQA codes d. DSM codes
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Journal CPE Answer Sheet The Georgia Pharmacy Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. No financial support was received for this activity.
Understanding Medication Therapy Management Services This lesson is a knowledge-based CPE activity and is targeted to pharmacists. GPhA code: J10-12 ACPE#: 0142-0000-10-011-H01-P Contact Hours: 1.0 (0.10 CEU) Release Date: 12/01/2010 Expiration Date: 12/01/2012 1. Select one correct answer per question and circle the appropriate letter below using blue or black ink (no red ink or pencil.) 2. Members submit $4.00, Non-members must include $10.00 to cover the cost of grading and issuing statements of credit/ Please send check or money order only. Note: GPhA members will receive priority in processing CE. Statements of credit for GPhA members will be emailed or mailed within four weeks of receipt of the course quiz.
1. 2. 3. 4. 5.
A A A A A
B B B B B
C C C C C
D D D D D
6. A B C D 7. A B C D 8. A B C D 9. A B C D 10. A B C D
Activity Evaluation: must be completed for credit Please rate the following items on a scale from 1 (poor) to 5 (excellent)as to how well the activity: 1. Relates to pharmacy practice: 1 2 3 4 2. Met my educational needs: 1 2 3 4 3. Achieves the stated learning objectives: 1 2 3 4 4. Faculty presented the information: 1 2 3 4 5. Made use of the educational material (article): 1 2 3 4 6. Teaching methods conveyed information (tables, figures, boxes): 1 2 3 4 7. Post-test aided in assessing my grasp of the information: 1 2 3 4 8. Met my expectations: 1 2 3 4 7. Avoided any bias: 1 2 3 4 8. How long did it take to complete this activity? _______________________
5 5 5 5 5 5 5 5 5
A passing grade of 70% is required for each examination. A person who fails the exam may resubmit the quiz only once at no additional charge. Please check here if you are indicating a change of address ___ Phone #: _______________________________ Name: ____________________________________________________________________________ License Number(s) and State(s): ___________________ Email Address: ___________________________ Address: __________________________________________________________________________ City: _________________ State: __________ Zip: __________ Remove this page from the Journal and mail this completed quiz and evaluation to: GPhA, 50 Lenox Pointe NE, Atlanta, GA 30324. The Georgia Pharmacy Journal
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Gi lsl off Pharmac G Girls Ph Pharmacy P cy SSoutheastern South th h t heastern
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-DQXDU\ Ĺ‚ *URYH 3DUN ,QQ $VKHYLOOH 1& -DQXDU\ Ĺ‚ *URY YH 3DUN ,QQ $VK KHYLOOH 1& Gather your girlfrie girlfriends ends for a weekend of fun fun, n, facts, and facials! Register ster today to ensure your spot at the 201 2011 1 Southe Southeastern eastern “Girls of Pharmac Pharmacyâ€? cyâ€? Leadership W Weekend. eekend. Full registration includes: CE programming eve programming, event ent materials, materials two breakfas breakfasts, sts and one dinner reception sts, reception with included drink dr ticket. tickets separately. You Extra reception tic ckets can be purchased se eparately. (Men - Don’t be e shy! Y ou can attend atten too!) Rooms are availab available ble at the Grove Park Inn for $140 per night. Call (800) 800) 438-5800 to book your room today today.. You Spa appointments s are available for reservation tion through the Grove Park ark Inn. Y ou must be registered make SCPhA’s appointment for the event to ma ake reservations through SCPhA ’s reserved appoin ntment times. New this year! Attendees are ent entitled itled to a 15% treatment discount d on services booked ked before noon on Friday Friday, Sunday,, Ja January discountt is not valid on manicures or January 14th and after noon on Sunday nuary 16th. This discoun cannot packages. directly at pedicures and can nnot be combined with any y other discounts or packa ages. Call the spa d today. 828-253-0299 to make m your reservations to day. For questions, ple please ase call 803.354.9977. South Carolina Pharmac Pharmacy cy Association is accredited by the Accreditation A Council for Pharmacy Education as a provider of continuing SKDUPDF\ HGXFDWLRQ 7KLV DFWLYLW\ LV HOLJLEOH IRU $&3( FUHGLW VHH ÂżQDO &3( DFWLYLW\ DQQRXQFHPHQW IRU VSHFLÂżF GHWDLOV SKDUPDF\ HGXFDWLRQ 7K KLV DFWLYLW\ LV HOLJLEOH IRU $&3( FUHGL W VHH ÂżQDO &3( DFWLYLW\ DQQRXQFHP PHQW IRU VSHFLÂżF GHWDLOV
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Return to S SCPhA CPhA A at 1350 Browning g Road, Columbia, SC 29210 2 or via fax to 803. 803.354.9207. 354.9207. You You can also alsso register online at www.scrx.org. www w.scrx.org.
2010 - 2011 GPhA BOARD OF DIRECTORS
The Georgia Pharmacy Journal Editor:
Jim Bracewell jbracewell@gpha.org
Managing Editor & Designer:
Kelly McLendon kmclendon@gpha.org
The Georgia Pharmacy Journal® (GPJ) is the official publication of the Georgia Pharmacy Association, Inc. (GPhA). Copyright © 2010, Georgia Pharmacy Association, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical including by photocopy, recording or information storage retrieval systems, without prior written permission from the publisher and managing editor. All views expressed in bylined articles are the opinions of the author and do not necessarily express the views or policies of the editors, officers or members of the Georgia Pharmacy Association.
ARTICLES AND ARTWORK Those who are interested in writing for this publication are encouraged to request the official GPJ Guidelines for Writers. Artists or photographers wishing to submit artwork for use on the cover should call, write or e-mail the editorial offices as listed above.
SUBSCRIPTIONS AND CHANGE OF ADDRESS The Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is distributed as a regular membership service, paid for through allocation of membership dues. Subscription rate for non-members is $50.00 per year domestic and $10.00 per single copy; international rates $65.00 per year and $20.00 single copy. Subscriptions are not available for non-GPhA member pharmacists licensed and practicing in Georgia. The Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is published monthly by the GPhA, 50 Lenox Pointe NE, Atlanta, GA 30324. Periodicals postage paid at Atlanta, GA and additional offices. POSTMASTER: Send address changes to The Georgia Pharmacy Journal®, 50 Lenox Pointe, NE, Atlanta, GA 30324.
ADVERTISING Advertising copy deadline and rates are available at www.gpha.org upon request. All advertising and production orders should be sent to the GPhA headquarters as listed above.
GPhA HEADQUARTERS 50 Lenox Pointe, NE Atlanta, Georgia 30324 Office: 404.231.5074 Fax: 404.237.8435
Position
Eddie Madden Dale Coker Jack Dunn Robert Hatton Pamala Marquess Jim Bracewell Hugh Chancy Robert Bowles Keith Herist Jonathan Marquess Sharon Sherrer Liza Chapman Mary Meredith Heather DeBellis Fred Sharpe John Drew Amanda Gaddy Shobhna Butler Ashley Faulk Mike Crooks Larry Batten David Gamadanis Chris Thurmond Marshall Frost Ken Eiland Renee Adamson Josh Kinsey Don Davis Ira Katz DeAnna Flores Lance Faglie John T. Sherrer Michael Farmer Steve Wilson
Chairman of the Board President President-Elect First Vice President Second Vice President Executive Vice President/CEO State-at-Large State-at-Large State-at-Large State-at-Large State-at-Large State-at-Large State-at-Large Region One President Region Two President Region Three President Region Four President Region Five President Region Six President Region Seven President Region Eight President Region Nine President Region Ten President Region Eleven President Region Twelve President ACP Chairman AEP Chairman AHP Chairman AIP Chairman APT Chairman ASA Chairman Foundation Chairman Insurance Trust Chairman Ex Officio - President, GA Board of Pharmacy Ex Officio - Chairman, GSHP Ex Officio Mercer Ex Officio Mercer ASP Ex Officio South Ex Officio South ASP Ex Officio UGA Ex Officio UGA ASP
Sonny Rader Gina Ryan Johnson Jill Augustine Rusty Fetterman Olivia Santoso Sukh Sarao David Bray
www.gpha.org
Print: Star Printing - 770.974.6195
The Georgia Pharmacy Journal
Name
31
December 2010
The The GPhA GPhA Journal Journal 50 Lenox Lenox Pointe, Pointe, N.E. N.E. Atlanta, Atlanta, Georgia Georgia 30324
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