IPA Journal Jul/Aug/Sep 2021 by Iowa Pharmacy Association

A Peer-Reviewed Journal | Vol. LXXVI, No. 3 | JUL.AUG.SEP. 2021

THE YEAR OF THE PHARMACIST INSIDE:

Congratulations Class of 2021 Governor Reynolds Signs SF 296 Executive Fellowship Reflection

TABLE OF CONTENTS 8515 Douglas Avenue, Suite 16, Des Moines, IA 50322 Phone: 515.270.0713 Fax: 515.270.2979 Email: ipa@iarx.org | www.iarx.org

PUBLICATION STAFF Allison Hale, Managing Editor Kate Gainer, PharmD Emmeline Paintsil, PharmD, MSLD, BCPS Casey Ficek, JD Elizabeth Orput, PharmD

COVER STORY The Year of the Pharmacist pg. 6

OFFICERS CHAIRMAN Connie Connolly, RPh, BCACP – DeWitt PRESIDENT Diane Reist, PharmD, RPh – Cedar Rapids PRESIDENT-ELECT Christopher Clayton, PharmD, MBA – Manchester TREASURER CoraLynn Trewet, PharmD – Des Moines SPEAKER OF THE HOUSE Kristin Meyer, PharmD, CGP, CACP, FASCP – Marshalltown VICE SPEAKER OF THE HOUSE Deanna McDanel, PharmD, BCPS, BCACP – Coralville

TRUSTEES REGION #1 Wes Pilkington, PharmD – Waterloo REGION #2 Shane Madsen, PharmD, BCPS – North Liberty REGION #3 Candace Jordan, PharmD, BCPS, MBA – Winterset REGION #4 Gary Maly, PharmD – Sioux City AT LARGE Emily Beckett, PharmD, BCPS – Johnston Nancy Bell, PharmD – West Des Moines Bill Doucette, PhD, RPh – Iowa City John Hamiel, PharmD – Waterloo HONORARY PRESIDENT Dan Murphy, RPh – Davenport PHARMACY TECHNICIAN Tammy Sharp-Becker, CPhT, CSPT – Des Moines STUDENT PHARMACISTS Courtney Temple – Drake University Alexis Clouse – University of Iowa The Journal of the Iowa Pharmacy Association is a peer reviewed publication. Authors are encouraged to submit manuscripts to be considered for publication in the Journal. For author guidelines, see www.iarx.org/journal. “The Journal of the Iowa Pharmacy Association” (ISSN 1525-7894) publishes 4 issues per year: January/February/March issue; April/ May/June issue; July/August/September issue; and October/November/December issue by the Iowa Pharmacy Association, 8515 Douglas Avenue, Suite 16, Des Moines, Iowa 50322. Periodicals postage paid at Des Moines, Iowa and additional mailing offices. POSTMASTER: Send address changes to: The Journal of the Iowa Pharmacy Association, 8515 Douglas Ave., Suite 16, Des Moines, IA 50322. Published quarterly, The Journal is distributed to members as a regular membership service paid for through allocation of membership dues. Subscription rates are $100 per year, single copies are $30. Printed by ColorFx; Graphic design done by the Iowa Pharmacy Association.

Class of 2021 pg. 14

Governor Signs SF 296 pg. 23

FEATURES

IPA Annual Meeting Goes Virtual . . . . . . . . . . . . . . . . . . . . . . . 11 Peer Review: Student Diabetes Knowledge . . . . . . . . . . . . . . . 16 STEP, CYCLE, SWING Recap . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Outcomes Grant Final Report . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Executive Fellowship Reflection . . . . . . . . . . . . . . . . . . . . . . . . . 37 IPA Member Forums . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

IN EVERY ISSUE

President’s Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Student Column . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Health Care Hot Topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Practice Advancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Public Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Technician Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 IPA Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Members Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 IPA in Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Calendar of Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Pharmacy Time Capsule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Mission Statement The Iowa Pharmacy Association empowers the pharmacy profession to improve the health of our communities. JUL.AUG.SEP. |

PRESIDENT’S PAGE

W.O.W. FINAL WORDS OF WISDOM FROM PRESIDENT REIST Over the last couple of months, the word “wow” has popped into my pathway multiple times.

WOW, I am so happy to see your face without a mask!

WOW, we have had some fantastic new faces join the IPA office!

WOW, I can’t believe it hasn’t rained all summer! (And still my garden keeps producing more to can!) Diane Reist, PharmD, RPh IPA President Cedar Rapids

WOW, what an amazing group of leaders we had at Decker-Temple Leadership Pharmacy!

WOW, we have made some major positive progress on updating our state Pharmacy Practice Act!

WOW, being part of the ASHP state affiliate leadership calls has helped us to see we are all struggling with the same issues and can share solutions! WOW, what a great bunch of new residents we have in this state. They are going to do great things!

WOW, APhA’s CEO, Scott Knoer, showed us a lot of energy on the Pharmacy Unity Tour!

WOW, I can’t believe the hospital is so full again!

WOW, is it time to head back to school already??

WOW, I can’t believe we are still battling COVID-19! (This is 2021, isn’t it?)

WOW, I am really tired! WOW, I feel truly honored to have served my pharmacy family even if it has been a REALLY WEIRD year!

| The Journal of the Iowa Pharmacy Association

PRESIDENT’S PAGE Wow. Merriam Webster says this word is used to express strong feeling, such as pleasure or surprise. WOW is the name of one of the most popular video games out there (World of Warcraft, which I had to consult with my future son-in-law to find out more about). WOW is also an internet provider. What really wowed me in the last few weeks was the W.O.W. statements that officers of both IPA and PSW (Pharmacy Society of Wisconsin) shared with participants of the Leadership Pharmacy Conference and at the Ready, Set, Go Residency Night. W.O.W. = Words of Wisdom that each officer shared with these marvelous young pharmacists. Some W.O.W.'s were short and powerful: “Just Keep Moving.” Some were smelly: “FISH” – Catch the energy and release the potential – just like Seattle Fish Market workers who work in a stinky and repetitive job they seem to enjoy because they 1) Choose their attitude; 2) Have fun; 3) Be there; 4) Celebrate the Successes. Others were curious and lifelong learners: Stay curious, make a difference and share your reading list. Always be mindful of the energy you bring to a room. (Is it positive or is it negative? – You will reap what you sow.) We must be mindful of how we deliver our message. One shared their belief in authentic leadership and work-life integration: When you show up authentic, it creates space for others to do the same. Yet another wowed with a Brene Brown quote, “Leaders must either invest a reasonable amount of time attending to fears and feelings, or squander an unreasonable amount of time trying to manage ineffective and unproductive behavior.” Another was insightful in realizing that often we put too much emphasis on the success that shows up on a CV and not enough time nurturing the whole person that we are. Lastly, another shared: As leaders in pharmacy, we must be the drivers of the change we want to see, “Speak Up.” We already have everything that we need inside of us to be successful, to do the right thing for our patients – We just need to pull it out. I’ve left my own W.O.W. to last, which I share with you here in my last presidential column. W.O.W. from my grandmother: Be nice to EVERYONE, no matter how hard it may seem. W.O.W. from my mother: It takes fewer muscles to smile than it does to frown (Even if we have now proven this scientifically to be the opposite...It is still important to smile).

and I have incorporated these values into my own W.O.W. From my early employee experiences: Start Small, Think Big, Keep Moving. Don’t take no for an answer without a valid reason why. Never give up on a good idea just because it is hard or someone around you tries to squash it or steal it. From my management experiences: Never complain without offering a viable solution. If you give someone a responsibility, make sure you also give them the authority and tools to succeed at that responsibility. From my teaching experiences: Every experience is a good experience, even if it is a bad experience, as long as you learn something from it. This past year has given us all a lot of WOW’s – Those expressions of strong feelings. We have struggled trying to figure out what was making people deathly sick, how we would care for them, how we should care for ourselves, what we should treat them with, what works, what doesn’t, who we should listen to, how to keep from spinning out of control when the answers are changing faster than we can keep up, and oh yes…why is there no TOILET PAPER on the shelves?! I am confident, however, that the past year has also given us a lot of Words of Wisdom, W.O.W.’s. We have learned to “keep moving” and deal (most of the time) with fast changing protocols and information. We have learned to rely on each other to work through the tough decisions and to “be authentic” in those relations. We are emboldened to “invest a reasonable amount of time” to take on the PBMs and their “smelly” “unreasonable ineffective behaviors” by “choosing our attitude and being there” to inform our legislators on the issues. By completely revamping our Pharmacy Practice Act, we are “driving the change we want to see.” We have “stayed curious” and “used what was within us already” by diving in headfirst, front and center to the solution, providing vaccines and antibody therapies and dispelling incorrect information; we are doing this to protect our patients rather than “building our CV.” Start Small, Think Big, Keep Moving. Don’t take no for an answer, and never give up on a good idea. Stop complaining if you don’t have an answer, work together with a smile, and keep learning. Wow, I am proud to be part of this Iowa Pharmacy Family and to have you all as my colleagues! ■

W.O.W. from my father: You catch more flies with honey than vinegar. I do my best to utilize each of these sayings every single day no matter how I feel or how difficult the situation,

JUL.AUG.SEP. |

SUNDAY, AUGUST 1, 2021

YEAR OF THE PHARMACIST

■

DES MOINES, IOWA

YEAR OF THE PHARMACY TECHNICIAN

■

YEAR OF THE STUDENT PHARMACIST

The past 18 months have been, undoubtably, history in the making. Since the state’s first confirmed case of COVID-19 on March 8, 2020, Iowa pharmacists, pharmacy technicians and student pharmacists, as well as pharmacy staff and volunteers have demonstrated unyielding commitment to reaching the end of the COVID-19 pandemic. From providing accessible testing to serving as sources of factual information to administering vaccinations, pharmacies across the state of Iowa have been part of the solution in each of their communities since the pandemic’s start. With earned recognition of being essential health care providers, the pharmacy profession has seen greater media coverage than ever before.

APRIL 2020

DECEMBER 2020

“Ensuring continuous function of pharmacies during the COVID-19 pandemic is important,” said Kate Gainer, CEO of the Iowa Pharmacy Association.

JUNE 2020

“We’re standing at the precipice of change with the pandemic…It’s a balance of excitement, and continued perseverance, resiliency, and let’s keep boosting each other up,” said Mike Brownlee, Chief Pharmacy Officer at the University of Iowa Hospitals and Clinics.

“Pharmacies simply would not function without technicians. This goes for community pharmacies, hospital pharmacies, long term care pharmacies, and every other pharmacy setting,” said Tony Beraldi, pharmacist at Oard Ross Drug.

NOVEMBER 2020

“When we have two viruses that could impact the hospital system, if we can mitigate at least one of them…it minimizes our potential patients,” said Candace Jordan, Market Director of Pharmacy at MercyOne.

| The Journal of the Iowa Pharmacy Association

“They are going into the pharmacy profession because pharmacists like to make a difference in patient’s lives, and they are in it for this reason,” said Renae Chesnut, Dean of Drake University College of Pharmacy and Health Sciences.

08/01/2021

VOLUME 19/EST. 2020

STATE NEWS

COVID-19

JANUARY 2021 “As the vaccine rollout continues across the country and the state and vaccine increases, local community pharmacies will serve as important access points for Iowans to receive that COVID vaccine,” said Lindsey Ludwig, Executive Director of CPESN-IA.

FEBRUARY 2021 “We are so excited to and we are ready for this…we are just trying to balance the small vaccine supply we have and the small amount of time we have to make sure we are getting the most vulnerable patients,” said Brooke Weber, Director of Clinical Services at Main at Locust Pharmacy.

“I’m watching for possible anaphylactic shock [after administering the COVID vaccine]. That is very rare cases, less than 1%, and we are welltrained and ready to respond if something like that were to happen,” said Elizabeth Webb, pharmacist at Drilling Pharmacy.

“I feel super fortunate to be able to give this shot of hope to these people in this community that we’ve served and known for a long time,” said Pamela Goode, pharmacist at Medicap Pharmacy in Carlisle.

“It’s absolutely an all hands-on-deck approach. We need pharmacists, we need local public health, we need physicians’ clinics, even students in the medical/healthcare fields are stepping up to help administer these vaccines and get shots in arms,” said Kate Gainer, CEO of the Iowa Pharmacy Association.

“I think we’re all ready to get to normalcy as fast we possibly can. To know that we’re playing a part in that is a tremendous feeling,” said Randy McDonough, co-owner of Towncrest Pharmacy.

JUL.AUG.SEP. |

FEBRUARY 2021 “To get that Johnson & Johnson vaccine in the first week that it came out is just a surreal feeling…to be able to get that to the community into arms,” said Ashley Brehme, Owner of Brehme Drug.

“The community uptake I’ve been really impressed with. Most of our patients are receiving the vaccine, and I think that this is going to be the quickest way that we can get back to normal,” said Mylo Wells, owner of Wells Hometown Drug.

MARCH 2021

"It's a huge effort on our part, but compared to what they can do at the county, it's a drop in the bucket. But we're hoping to help make a difference," said Sheryl Pfeiler, Director of Operations at Union Pharmacy.

“Pharmacy has always been involved in public health, but this is our time to really partner with public health,” said Stevie Veach, Clinical Assistant Professor at the University of Iowa College of Pharmacy.

"I'm more than happy to see them get the vaccine...This is definitely a county effort and a crisis. I don't really care where they find it as long as they are finding it," said David Scott, co-owner of Scott Pharmacy.

“It really is historic to see what we can do for our community. I went to pharmacy school about four decades ago and have been immunizing for the last four decades but we have never taken on something like this,” said Matt Osterhaus, President of Osterhaus Pharmacy.

“This is kind of a well-oiled machine. It’s going really smooth because of the hard work...(of) the people who have participated to make this event successful,” said Josh Borer, President of Rex Pharmacy.

| The Journal of the Iowa Pharmacy Association

“I like to say that the most efficient and robust vaccine delivery system in the world is sitting at the American corner drug store,” said Brett Barker, Vice President of Operations for NuCara Pharmacies.

APRIL 2021

“I mean, this is my livelihood. This is what I love to do. This is who I am. As pharmacists we just go out and help people in any way we can,” said Robert Nichols, pharmacist at Greenwood Pharmacy.

“We've also had just overwhelming supportive people wanting to volunteer. Living in a small community, and in our county is just kind of the way we are,” said Brent Bovy, pharmacist at Reinbeck Pharmacy.

“So far, we haven’t wasted a single dose…It’s not tough, but it’s very busy,” said Craig Clark, owner of Clark’s Pharmacy.

“Our staff has graciously taken on the stuff at the pharmacy and taking care of patients...it allows us to be freed up…if we need to run a clinic or if we get extra doses, we can add more people into a clinic or we can go on public health calls,” said Michelle Garvin, co-owner of Wester Drug.

“We refuse to waste any doses. We don't want to waste any of them because it's like liquid gold,” said Cheri Schmit, Director of Clinical Pharmacy at Medicap.

“Not only has the pandemic changed a lot of things as far as cleaning… but we also got certified to do vaccinations…We’re billing the COVID shots, we’re drawing them up for our nurses,” said Kristen Lund, pharmacy technician at Hy-Vee.

MAY 2021

“We're trying to protect people with poor immune systems, trying to protect people under 12 that aren't eligible for the vaccine," said Michael Schweitzer, owner of Bedford Drug. JUL.AUG.SEP. |

STUDENT COLUMN

A TERM FROM AFAR: 2020-2021 BOARD OF TRUSTEES

hen I ran for this position, I didn’t expect my one-year term on the IPA Board of Trustees to be completely virtual. My term started at the President’s Reception & Annual Banquet in September, and everyone was hopeful that we would be able to return to in-person events sometime in the spring. However, as we know, this did not happen.

Courtney Temple

PharmD Candidate 2022 Drake University IPA Board of Trustees

My decision to run for this position would not have changed even if I had known that things would have gone the way that they had. I ran for this position to become more involved in IPA and the profession of pharmacy. Although my entire term was virtual, the staff at IPA and everyone else on the Board made sure that connections were still being made and that everything was still carried out in a somewhat normal manner as any other year would have been. I always looked forward to meetings because I would leave each one having learned something new, whether that was an interesting fact about a Board member, a new pharmacy career pathway, or a tip or trick on how to effectively run virtual meetings. One thing that I was surprised by was how discussions were handled throughout each meeting. No matter the degree of difference between any two Board members or the IPA staff, the discussion always remained respectful even when someone’s comment or idea was being challenged. I could tell that when something was being challenged, it was to initiate deeper reflection or understanding in what was being discussed. It was encouraging to see that everyone could voice their opinion and thoughts without being criticized or judged.

COVID-19 vaccine clinic

| The Journal of the Iowa Pharmacy Association

2020 IPA Legislative Day

Even though COVID-19 and social distancing made things difficult at times, the IPA staff always encouraged everyone to think outside the box to come up with solutions around organizing and carrying out virtual events. Each year, the colleges of pharmacy at the University of Iowa and Drake University come together to raise monetary and food donations for Pharm to Tables in a Pharm Phood Phight event. Since social distancing guidelines and safety had to be taken into consideration for each event, there was some concern that food donations would be difficult to collect this year. To keep everyone safe, the decision was made to encourage monetary donations to be made online. With losing the food donation aspect, there was some concern that this event would not be as successful as in past years. Nonetheless, between the two colleges, we were able to raise $1,730 for Pharm to Tables. This was more than what had been raised the previous year at the Midwest Pharmacy Expo before the start of COVID-19. Serving on the Board of Trustees has definitely been a highlight of my year regardless of the circumstances. I first attended IPA Legislative Day last year, and I have enjoyed attending and meeting new pharmacists and student pharmacists from across the state at IPA events ever since. I wish that I would have become more involved with IPA sooner! Although my term is coming to an end in a few months, I plan on staying involved within IPA and am looking forward to attending IPA events in-person again. ■

Kappa Psi Pharmaceutical Fraternity recruitment

ANNUAL MEETING

#IPAANNUALMEETING21

2021 IPA ANNUAL MEETING Virtual Event

TUESDAY, SEPT. 14 6:00 PM

House of Delegates – Session I

THURSDAY, SEPT. 23 8:00 AM 9:00 AM 10:00 AM 12 NOON 1:30 PM 5:00 PM

Industry Symposium: Economic and Clinical Burden of IDA Keynote: Purposeful Resilience = Balance + Wholeness, Mary McCarthy House of Delegates – Session II Virtual Awards Lunch Hour Iowa Pharmacy Practice Act Modernization Town Hall President’s Reception & Annual Banquet

FRIDAY, SEPT. 24 6:30 AM 7:30 AM 8:30 AM 10:00 AM

Sunrise Stretch (Gentle Yoga) Virtual Coffee Hour Keynote: COVID-19: Reflecting Back and Looking Ahead, Dr. Pedati Conclusion of IPA Annual Meeting

www.iarx.org/ipaannualmtg JUL.AUG.SEP. |

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HEALTHCARE HOT TOPICS

FDA APPROVES GENE THERAPY FOR TREATMENT OF MULTIPLE MYELOMA

PHARMACISTS CAN BILL AS PROVIDERS THROUGH IOWA MEDICAID

ELIZABETH MATNEY APPROVED AS NEW IOWA MEDICAID DIRECTOR

FDA APPROVES ALZHEIMER’S DRUG

At the end of March, the FDA approved idecabtagene vicleucel (Abecma) for the treatment of relapsed or refractory multiple myeloma in adult patients. Abecma is a chimeric antigen receptor (CAR) T cell therapy that uses a patient’s reprogrammed T cells to find and destroy specific target cells. Abecma is the first FDA approved cell-based gene therapy for the treatment of multiple myeloma.

In April, the Iowa Department of Human Services announced Elizabeth Matney as the new director for Iowa Medicaid. Elizabeth served as the health policy advisor for Governor Reynolds prior to this role. Her new role as the state’s new Medicaid director began on June 1.

FDA APPROVES FIRST DUAL THERAPY FOR TREATMENT OF MIGRAINES

In May, Rimegepant 75 mg (Nurtec ODT) was approved by the FDA for dual therapy of acute migraines and preventative treatment of migraines in adults. Nurtec ODT is the first medication to be approved for both treatment and prevention of migraines. At this time, it is the only medication on the market approved for both uses.

SENATOR GRASSLEY REINTRODUCES PBM LEGISLATION

On June 1, pharmacists could begin billing all vaccinations, with the exception of COVID-19, through Iowa Medicaid. As of July 1, it is now mandatory for all pharmacists to be enrolled as a provider under Iowa Medicaid (IME) to bill for these services. With this provider status, pharmacists will bill the medical benefit under their individual NPI for covered vaccines. Pharmacists will also have the ability to order and dispense nicotine replacement therapies and naloxone when enrolled as a provider through IME.

The FDA approved aducanumab (Aduhelm), an amyloid beta-directed antibody, to treat patients with Alzheimer’s disease. Aduhelm is the first drug to be approved for Alzheimer’s disease since 2003. It is also the first treatment for Alzheimer’s that targets the underlying pathophysiology of the disease.

NOVAVAX COVID-19 VACCINE SHOWS PROMISE IN EFFICACY

The experimental Novavax COVID-19 vaccine shows to be 90.4% effective at preventing symptomatic disease in adults. The efficacy of the vaccine extends to the COVID-19 variants, specifically the Alpha variant. The results suggest that the Novavax vaccine could become the fourth COVID-19 vaccine in the United States.

Senators Chuck Grassley and Maria Cantwell reintroduced legislation regarding PBMs. This legislation would require the Federal Trade Commission to investigate the role of PBMs as well as their current activity. The Prescription Pricing for the People Act (S. 1388) addresses high drug costs and brings forth issues pharmacies face with PBMs.

JUL.AUG.SEP. |

CLASS OF 2021

CONGRATULATIONS DRAKE UNIVERSITY COLLEGE OF PHARMACY & HEALTH SCIENCES Drake University’s College of Pharmacy and Health Sciences (CPHS) held an in-person, sociallydistant Hooding and Commencement Ceremony for professional program students on Friday, May 14th, 2021. Ninety-four Doctor of Pharmacy students received their degrees and doctoral hoods during the ceremony. Many students also received additional master’s degrees, minors, or other designations. Also joining the ceremony were four of the graduates from the 2020 graduating PharmD class due to the absence of an in-person ceremony in 2020. Student government representative for the PharmD class of 2021 Areeb Nagamiyan gave remarks and reflected on the class’ experiences at Drake. Additional comments were provided by former IPA Vice President of Public Affairs and 2007 Drake CPHS graduate Anthonly Pudlo, who led the class in the Oath of Pharmacist. CoraLynn Trewet, a 2003 Drake CPHS grad and current chair of the College’s National Advisory Council, welcomed the 2021 graduates into the alumni network. The College reached an 81.13 percent match rate in the 2021 American Society of Health-System Pharmacists Residency Match that far exceeds the national average of 64.95 percent, placing Drake University 1st among all Midwest private programs and 3rd among all pharmacy programs in the Midwest. These graduates will be spread out across 18 states in the country. Outside of residencies, several graduates are pursuing fellowships at companies including the Iowa Pharmacy Association, Eli Lilly and Company, Novartis, and the American Pharmacists Association Foundation. One graduate is attending podiatric medical school.

CLASS OF 2021

Credit: Drake University College of Pharmacy & Health Sciences

Natalie Ake

Emma Fervoy

Dinka Miljkovic

Kayla Reuter

Ali Altaie

Noah Fletcher

John Mills

Morgan Ridout

Jason Anderson

Emily Freier

Claire Monzel

Renee Rivera

Rachel Arkema

Hanna Friedrich

Carolyn Morrissey

Robert Schroeder

William Augspurger

Abby Frommelt

Katelyn Mouser

Kristine Schwietz

Alexandrea Bennett

Rita Hammer

Areeb Nagamiyan

Jacob Sepka

Erika Bethhauser

Sedie Harms

Phuong Ngo

Emily Skjeveland

Andrew Bjorlin

Sean Harnois

Sonia Ngo

Rachel Soppe

Leah Blader

Morgan Hawkins

Monica Nikseresht

Steven Strong

Danielle Boone

Rebecca Heinert

Thomas Noll

Kimberly Tang

Taylor Boorn

Lindsay Hillmer

Alix Noteboom

Erica Thacker

Tessa Buehrer

Katarina Hockey

Andrew Olson

Courtney Toth

Matthew Burton

Sydney Holte

Elizabeth Orput

Brittany Traut

Viviana Cao

Brooke Huegli

Austin Park

Jesse Upton

Nicholas Cao

Aldin Karic

Vidhi Patel

Taylor Volesky

Jillian Chambers

Riley Karpen

Rachel Paulmann

Kathryn Vollmer

Miranda Christenson

Joshua Kim

McKenzie Pfeffer

Rachel Wedemeyer

Kevin Clough

Justin Klein

Tuong Vy Pham

Abigail Wedoff

Lydia Code

Celyna Koopmann

Michaela Phelps

Olivia Welter

Michael Coleman

Jane Laubengayer

Katelyn Phillips

David Wood

Layne Davis

Paige Mall

David Poidomani

William Wright

Brayden Dawson

Husein Mehmedovic

Nevin Radechel

Hakyung Yeo

Maia Determan

Nicole Melby

Andrew Ramdhani

Jacob Drettwan

Kennedy Merical

Jacey Redman

| The Journal of the Iowa Pharmacy Association

CLASS OF 2021

CONGRATULATIONS THE UNIVERSITY OF IOWA COLLEGE OF PHARMACY The University of Iowa College of Pharmacy and Graduate College proudly hosted commencement ceremonies for 112 Doctor of Pharmacy (PharmD) graduates and seven Doctoral Degree (PhD) graduates with a concentration in Pharmacy. The Doctor of Pharmacy Commencement was held in a virtual ceremony on Thursday, May 13, 2021. PharmD graduates were hooded in a private ceremony in the new College of Pharmacy building with Dean Letendre personally hooding each graduate. Three separate hooding ceremonies took place in one day to ensure ample distancing. A Class of 2021 Recognition Event took place the evening before commencement. The celebration included an explanation of graduation cords and dual degree recipients, ‘Welcome to the Profession’ remarks by Iowa Pharmacy Association Executive Vice President and CEO Kate Gainer, and the announcing of collegiate and class awards. It was noted by Associate Dean Susan Vos during the event that the Class of 2021 participated in over 16,000 hours of activities in leadership, service and community engagement in the last four years.

CLASS OF 2021 Mohamed Abbas

Melissa Griggs

Melissa Matcha

Sneha Ramprasad

Michael Allenback

Brandi Hageman

Rebecca McCaughey

Alyssa Riniker

Zachary Anderson

Stephanie Hay

Paul McClimon

Lucas Roach

Payton Augustine

Brandon Hefel

Aaron McDonough

Mitchell Robak

Brian Autry

Holly Henschel

Crystal McElhose

Andrew Sabers

Emily Barmore

Lauren Hetzler

Patrick McFadden

Eihsan Salih

Whitney Blasen

Boi Hong

Amanda Merck

Jessica Satterfield

Kori Bohlken

Lyvia Hosch

Tatum Meyer

Logan Schmalfeldt

Tyler Brakke

Nicole Hulsebus

Holly Miller

Matthew Schoenberger

Julie Breuer

Colette Hussey

Adrian Montero

Abbey Schwery

Austin Calahan

Andrew Jatis

Haley Morrison

Karlie Seiler

Megan Castellano

Katlynn Johnson

Tyler Morrison

Claire Slattery

Guadalupe Chavez

Anna Kane

Logan Mougin

Marissa Snider

Raemi Chavez

Nathan Karlan

Han Nguyen

Jiyun So

Katherine Cheng

Maksim Kazlouski

Julie Nguyen

Claire Sons

Reghan Coyle

Hyunjin Ko

Loc Nguyen

Shelby Stafford

Alec Darrow

Helena Kobuzi

Allison Norris

Matthew Stahl

Drake Dauber

Claire Kosek

Shannon O'Leary

Colton Staudt

Ishaya David

Catherine Kruse

Ellen Overholtzer-Strait

Evan Streck

Noah Doll

Steven Landa

Michael Mercado

Cassandra Streeter

Alaina Feltes

Christine Lawson

Ruju Patel

Sarah Tappe

Taylor Frey

Bowen Li

Rutu Patel

Louis Tiberi IV

Shushanna Galstyan

Meredith Lumberg

Kaitlyn Pegump

Courtney Tigges

Amber Garthwaite

Kyle Maere

Kassi Pham

Daniel VanDuyne

Lauren Goeser

Jovana Majstorovic

Elijah Porter

Diana Wenke

Alexander Goodwin

Jaycee Mandernach

Jaelyn Pulkrabek

Rachel Whitesitt

Bibiana Granado

Jacquelyn Mareau

Jasmine Purpura

Amber Williams

Sarah Greiner

Maureen Martin

George Qi

Matthew Yeates

Credit: UI College of Pharmacy

JUL.AUG.SEP. |

PEER REVIEW

ANALYSIS OF DIABETES BUSTERS PROGRAM IMPACT ON 4TH GRADE STUDENTS' DIABETES KNOWLEDGE AUTHORS Rachel Wedemeyer, PharmD Candidate 2021, Drake University College of Pharmacy and Health Sciences Tessa Buehrer, PharmD Candidate 2021, Drake University College of Pharmacy and Health Sciences Jamie M. Pitlick, PharmD, BCPS, BC-ADM, Associate Professor, Pharmacy Practice, Drake University College of Pharmacy and Health Sciences (Corresponding author) Conflict of interest: All of the authors have no conflict of interest to report. Previously presented at Iowa Pharmacy Association Annual Meeting 2020 as a virtual poster and ASHP Midyear Meeting 2020 as a virtual poster.

ABSTRACT Background: The incidence of type 2 diabetes in youth has significantly increased over the last 20 years. The local American Diabetes Association (ADA) created a diabetes and health education course called Diabetes Busters to help educate 4th grade students about diabetes, healthy eating, and exercise, and combat youth onset type 2 diabetes. This study intends to assess the difference in diabetes, nutrition, and activity knowledge 4th grade students had before and after completing the ADA Diabetes Busters Program. Methods: A retrospective cohort study using 4th grade pre- and post-test data obtained from the ADA Iowa Chapter Diabetes Busters Program was conducted. The primary outcome measured was percent difference of correct answers between the pre- and post-tests analyzed by Student’s T-test. The secondary outcome was the percent correct difference between pre- and post-tests for each question analyzed by Fisher’s exact analysis. Results: Pre-test (n=619) and post-tests (n=584) were collected from 9 different sites across the Midwest region from participating 4th grade students. A knowledge increase of 9.21% (95% CI 4.3 to 14.12; p=0.03) was found between the pre- and post-test results. Eight of the ten questions saw a significant improvement in performance in the post-test. Conclusions: There was significant improvement overall in the students’ knowledge of diabetes, nutrition, and activity. Educational programs, such as Diabetes Busters, have the potential to curb the rise of type 2 diabetes among both youth and adult populations but will need to be expanded to increase the impact. Furthermore, combining public health initiatives with the educational programs could lead to more positive long-term health outcomes for individuals.

BACKGROUND Type 2 Diabetes in Youth: Type 2 diabetes differs from type 1 diabetes in youth.1 It resembles the pathophysiology in adults as insulin resistance and non-autoimmune β-cell failure is most commonly seen.1 Youth-onset type 2 diabetes also displays unique aspects, such as “rapidly progressive β-cell decline

| The Journal of the Iowa Pharmacy Association

and accelerated development of diabetes complications.”1 While the number of medications used to treat type 2 diabetes is ever expanding, treatment beyond promotion of a healthy lifestyle for youth-onset type 2 diabetes is limited. As of 2021, there are only three FDA approved medications recommended to use by the American Diabetes Association; metformin, liraglutide, and insulin.2 The incidence of type 2 diabetes in youth has significantly increased over the past 20 years.3 While Iowa does not specifically have data on prevalence in those under the age of 18, the overall estimates have shown that 8.8-9.7% of the adult population has diabetes.4 In 2017, 1.6% of these adults were age 18-24 and the percentage is projected to continue to increase.4 In the United States, prevalence of type 2 diabetes in youth increases with age, nearly tripling from 10–14 years to 15–18 years.1 Adolescent girls, for reasons that remain unclear, have a 60% higher prevalence rate than boys in developing this disease.1 What this data shows is that in order to slow the diabetes epidemic in the youth, a targeted educational program may be beneficial prior to when the rates triple. There are limited studies on programs to help reduce youth-onset type 2 diabetes in the literature. A School and Community-Based Intervention to Promote Healthy Lifestyle and Prevent Type 2 Diabetes in Vulnerable Families Across Europe: Design and Implementation of the Feel4Diabetes-Study3 was the only relevant literature found. This study looks at two separate groups. One group is the ‘all families’ group who attended interventional education classes which took place in schools and community areas, and were available to the children and their families.3 The second group is the ‘high-risk families’ group that were determined via the FINDRISC questionnaire and attended the same interventional education classes but were conducted in the families’ home.3 This study remains ongoing and is continuing to evaluate the results of this study with the outcomes of the families involved, impact on the families, and cost-effectiveness to the families and the health care system.3 The local American Diabetes Association (ADA) chapter created the educational Diabetes Busters program for 4th graders to use in Iowa, South Dakota, and Nebraska with the assistance of and collaboration with local health care professionals, including dietitians and pharmacists. The motivation for starting this program was a concern for the growing prevalence of type 2 diabetes not only in the general population but also for youth in particular. The free Diabetes Busters program put on by healthcare volunteers to educate 4th graders on what diabetes is, principles of healthy nutrition, and the importance of exercise. The design of the program and all of the materials were developed and coordinated by the local ADA chapter and volunteers. Overall phar-

PEER REVIEW macists and other health professionals worked to educate students and create a fun, memorable program for kids 10–11 years of age that not only taught the basics of diabetes, but also showed that healthy eating and living could be fun and exciting. This study intends to assess how much knowledge the student participants gain from participating in the ADA Diabetes Busters program in order to show positive impact and successful education from this program.

METHODS Design and Setting: The study was a retrospective cohort study using data obtained from the ADA Iowa Chapter Diabetes Busters Program. The study was approved by the Institutional Review Boards at Drake University in Des Moines, Iowa. Data was provided from participants' pre- and post-diabetes knowledge tests. De-identified tests were completed in the 4th grade classroom before completing the Diabetes Busters Program and subsequently after its completion. These tests were provided to the researchers. Inclusion criteria was participants of the Diabetes Busters program who completed at least one pre or post assessment. Exclusion criteria included individual blank questions or the inability of researchers to determine an answer on a particular question. In either case, the individual response was not used in the final analysis. American Diabetes Association Diabetes Busters Program: Participants individually completed an anonymous 10-question true/ false pre-test of their diabetes knowledge and then rotated through three educational stations: Diabetes 101, Nutrition, and an Exercise session. Each station was 15-minutes long and had a standardized script and list of activities to complete so that objectives of the program can be met even if a different person administers the program. Healthcare volunteers were used to deliver the content; dietitians worked with students during the nutition session, pharmacists worked with students during the Diabetes 101 session, and they, along with local school teachers, helped to conduct the exercise session. At the end of the program, students were given a packet with a pedometer to track their steps, a wristband to remind them to choose a healthy snack, a letter to parents, and additional informational materials to take home. Teachers administer an anonymous 10-question post-test identical to the pretest on the following day in their classroom. Outcome Measures: The primary outcome measured was the percent difference of correct answers between the pre- and post-test assessments. The secondary outcome was the percent correct difference between pre- and posttest assessments for each individual question on the assessment. The primary outcome was analyzed using Student’s T-test and secondary outcome was analyzed using Fisher’s exact analysis. Significant P values were considered <0.05.

RESULTS

Through the course of the Diabetes Buster’s program 619 pre-tests and 584 post-tests were collected from 9 different sites across the region from participating 4th graders. A knowledge increase of 9.21% (95% CI 4.3 to 14.12; p=0.03) was found between the pre- and post-test. All questions with the exception of question 3 and question 6 saw a significant improvement in performance (Figure 1). Question 5 saw the biggest difference in performance with an increase in 19.7% preto post-test. Refer to Table 1 for full analysis of individual question knowledge improvement.

Table 1: Percent Correct Difference in Knowledge Between Pre- and Post-Test per Individual Question Question Number

Percent Correct Difference

P-Value

10.24%

0.0001

18.21%

0.0001

0.27%

0.9069

5.59%

0.0002

19.70%

0.0001

-1.54%

0.5775

8.70%

0.0001

4.37%

0.0137

16.08%

0.0001

9.17%

0.0001

DISCUSSION

Historically, type 2 diabetes has been has been most commonly found in the adult population. Recently, the prevalence of type 2 diabetes has also been increasing within the youth population.1 The ADA Diabetes Busters Program allowed for early diabetes education within the school system. They were able to travel to 4th grade classrooms in South Dakota, Iowa, and Nebraska to assess knowledge of diabetes, provide education about diabetes, exercise, and nutrition, and then assess their knowledge again after completing the educational activities. There was improvement within each of the of the true/false statements presented (Figure 2), with the exception of one; “Eating foods with lots of carbohydrates may make you overweight.” It is important to note that this statement followed the statement that reflected the most improvement; “A carbohydrate is something in our food that gives us energy.” The two statements that had the most and least amount of improvement were regarding the same topic, nutrition, but framing it in two different ways. When looking at these responses we can infer that the students gained knowledge about carbohydrates giving our bodies energy, and viewed this as a predominantly positive trait. They did not consider consuming more of these carbohydrates to be unfavorable in any way, but rather that the person consuming them would have more energy. In the future, it may be important for the educators conducting the activities to attempt to make more connections between the three educational activities. For example, explaining that carbohydrates provide energy, but it is important to remain active to use the energy created or it will turn into fat stores which can lead to being overweight. This data supplies us with a snapshot in time of diabetes knowledge gained by the students. The pre- and post-tests were only administered a few days apart from one other. This limits the known amount of

JUL.AUG.SEP. |

PEER REVIEW knowledge retained over time. However, in an effort to combat possible lost knowledge, the students were sent home with educational information for their families to view as well. This was done in hopes for the family to also be involved in this education and to spread knowledge in order to possibly help families to make changes within their homes. Due to the home educational packets, there is potential that this early educational program could possibly curb the rise of type 2 diabetes in both the youth and adult populations. Another limitation to the program is that it is run by numerous volunteers and although the program is scripted there could be a difference in how the different sessions are run and how closely the volunteers stick to the script. This could lead to unintentional biases in the results or difference in the schools or dates depending on who was teaching the program. Despite this limitation, it speaks the real-world effect of the program and how the program was still able to see a difference in the short-term knowledge of these 4th grade students while using scripted volunteers.

nutrition and exercise. Additionally, this program has shown areas that can be enhanced in the future for better student understanding. When looking towards the future combining programs such as Diabetes Busters with public health programs could prove to be very beneficial for the health of the public, not to mention curbing the rise of type 2 diabetes among all age groups. Acknowledgement: The authors would like to acknowledge Dr. June Johnson and the ADA Iowa chapter for their assistance in this study. References:

1. Nadeau KJ, Anderson BJ, Berg EG, et al. Youth-Onset type 2 diabetes consensus report: current status, challenges, and priorities. Diabetes Care. 2016; 39: 1635-42. 2. American Diabetes Association. 13. Children and adolescents: Standards of Medical Care in Diabetes – 2021. Diabetes Care 2021;44(Suppl. 1): S180-99. 3. Manios Y, Androutsos O, Lambrinou CP, et al. A school- and community based intervention to promote healthy lifestyle and prevent type 2 diabetes in vulnerable families across Europe: design and implementation of Feel4Diabetes-study. Public Health Nutr. 2018;21:3281-90. Doi: 10.1017/S1368980018002136. 4. Diabetes Data. Iowa Department of Public Health. https://tracking.idph.iowa.gov/ Health/Diabetes/Diabetes-Data. Published 2020. Accessed October 9, 2020.

CONCLUSION

Overall, the Diabetes Busters program has proven to be very informative and had a positive impact on the students' knowledge of diabetes,

HIV PROJECT UPDATE

Since 2019, IPA has been managing a multi-year project, in collaboration with the Iowa Department of Public Health’s Bureau of HIV, STD and Hepatitis, implementing HIV screenings in community pharmacies. Eleven community pharmacies from across the state have been offering free HIV screenings for their communities. In the fall of 2020, a pilot site was identified to offer free HCV screenings.

In July of 2021, two additional pharmacies joined the project in offering both HIV and HCV screenings. These two pharmacies attended a virtual training delivered by the Bureau. Objectives of this comprehensive training were to understand the CDC testing recommendations and transmission risks, as well as counseling patients on reactive and non-reactive test results. This third cohort of pharmacies will begin offering screenings in their communities this fall. With the goal of 40 sites providing HIV screenings, IPA is looking to gain more interest in the following counties: Palo Alto, Pocahontas, Calhoun, Webster, Humboldt, Kossuth, Clarke, Decatur, Lucas, Monroe, and Wapello. These are areas of the state that the Iowa Department of Public Health considers focus areas, based on their epidemiology reporting. To participate in the project or to learn more, please contact Kellie Staiert, IPA’s Lead Project Manager, at kstaiert@iarx.org.

| The Journal of the Iowa Pharmacy Association

CONGRATULATIONS on your selection to the 2020–2021 Leadership Pharmacy Conference!

Katherine Waack, PharmD

Thank you to all of our hard working team members for your dedication to the communities we serve.

www.sinfoniarx.com mtminfo@trhc.com 1-520-499-3388

PRACTICE ADVANCEMENT

AVOID FEDERAL LAW VIOLATIONS ON NEWLY EXPANDED ACCESS: BUPRENORPHINE PRESCRIPTIONS From our partner Pharmacy Audit Assistance Service (PAAS) National Prescriptions for buprenorphine-containing medications continue to be an audit target by PBMs. Due to the nature of this medication, patients are filling these prescriptions frequently, and it can be an easy trap for a pharmacy to miss state and federal requirements. Unfortunately, this can lead to law violations resulting in full recoupment of the claim. Pharmacies must ensure that all state and federal requirements for controlled substances are included on any buprenorphine prescription, as well as the prescriber’s XDEA number, if prescribed for opioid dependency. This additional requirement was set forth in the Drug Addiction Treatment Act of 2000 (DATA 2000)1. PAAS National® continues to see audit recoupments where pharmacies are missing both DEA and XDEA numbers on buprenorphine prescriptions. Due to the discrepancy being a federal law violation, these are difficult to appeal. There have been a few recent events that have created confusion surrounding prescriber requirements that PAAS wants to touch on in the event that you get questions from patients or prescribers. In January 2021, HHS announced2 that it was planning to eliminate the requirement for prescribers to obtain an XDEA number to prescribe buprenorphine, however this action was withdrawn with the incoming Biden Administration. Additionally, on April 28, 2021, HHS issued a notice3, effective immediately, that it will allow eligible prescribers to obtain an XDEA number without having to complete the mandatory 8-24 hours of training. These prescribers will be limited to treating no more than 30 patients and are still required to obtain an XDEA number and include on subsequent prescriptions.

• Patient labels should instruct to use “sublingually,” “under the tongue,” or “in the cheek.” • Recommend running weekly reports to check hard copies for all requirements. PAAS National® is committed to serving community pharmacies and helping keep hard-earned money where it belongs. Contact us today at (608) 873-1342 or info@paasnational.com to see why membership might be right for you. By Trenton Thiede, PharmD, MBA, President at PAAS National®, expert third party audit assistance and FWA/HIPAA compliance. ©2021 PAAS National® LLC All Rights Reserved

REFERENCES:

1. https://www.congress.gov/106/plaws/publ310/PLAW-106publ310.pdf 2. https://www.hhs.gov/about/news/2021/01/14/hhs-expands-access-to-treatment-foropioid-use-disorder.html 3. https://www.federalregister.gov/documents/2021/04/28/2021-08961/practice-guidelines-for-the-administration-of-buprenorphine-for-treating-opioid-use-disorder

PAAS TIPS:

• Educate all staff on controlled substance requirements: patient address, prescriber address, prescriber DEA number should all be on the front of the prescription. • Any buprenorphine-containing prescription for treatment of opioid dependency requires both DEA and XDEA numbers on the prescription. • Buprenorphine prescribed for pain should be clearly indicated on the prescription, and only the DEA number is required. • Dosage forms should be specified tablets or films. • Tablets and films are not indicated to be cut, chewed or swallowed per manufacturer.

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PUBLIC AFFAIRS

FEDERAL UPDATE

The Pharmacy and Medically Underserved Areas Enhancement Act, H.R. 2759/S. 1362 , was introduced in the U.S. House of Representatives on April 22, 2021 and the U.S. Senate on April 26, 2021. The legislation, introduced in the Senate by Senator Chuck Grassley, will recognize pharmacists as providers under Medicare in medically underserved areas. IPA has worked closely with Senator Grassley and his office on this important legislation, including joining a letter of support with over 130 other pharmacy stakeholders, hosting Grassley’s senior Health Policy Advisor Nic Pottebaum as a keynote for the 2021 Research and Innovation Conference, and meeting with Senator Ernst’s office to encourage her to join as a co-sponsor. Both the U.S. House of Representatives and Senate introduced the bipartisan Pharmacy DIR Reform to Reduce Senior Drug Costs Act, aimed at preventing drug benefit plans and pharmacy benefit managers (PBMs) from “clawing back” fees from pharmacies while raising price transparency. IPA joined with numerous other pharmacy stakeholders in a letter expressing support for the legislation. IPA also joined an amicus brief in support of the state of North Dakota in PCMA v Wilke, which is being reconsidered in the Eight Circuit Court of Appeals.

PHARMACY VISITS

IPA hosted Senator Joni Ernst at Pexton Pharmacy in Harlan on May 6 to discuss the COVID-19 vaccine rollout, the need for federal PBM reform, and ensuring protection of the 340B program.

2021 WEBINAR SERIES

Pharmacy Law CE Available On-Demand! www.iarx.org/i2a_webinars

| The Journal of the Iowa Pharmacy Association

PUBLIC AFFAIRS

BOARD OF PHARMACY: REGULATORY UPDATE The Iowa Board of Pharmacy convened for virtual open session on May 12 to discuss multiple requests, reports, and several proposed rules.

ADOPTED REGULATIONS Pharmacy Technicians

The Board voted to adopt a proposed rule-making that amends Chapter 2, “Pharmacist Licenses,” adopts a new Chapter 31, “Criminal Convictions,” and amends Chapter 33, “Military Service and Veteran Reciprocity,” and Chapter 36, “Discipline,” Iowa Administrative Code. The amendments implement the provisions of 2020 Iowa Acts, House File 2627, enacted during the 2020 Legislative Session. The proposed amendments provide: • Issuance of a temporary pharmacist license for license transfercandidates who have met all other licensing requirements while the applicant schedules the jurisprudence examination, • Addition of a new Chapter 31 to identify the use of a criminal conviction in determining an individual’s eligibility to apply for licensure or registration or in denying, revoking, or suspending a license or registration,

Tune in to IPA’s BOP: What, Why & How podcast following each Iowa Board of Pharmacy meeting to recap the board’s actions and earn Pharmacy Law CE! Each episode will focus on WHAT actions were taken by the Board of Pharmacy, WHY the BOP took the actions it did, and HOW BOP action will impact practice in Iowa.

• Allowance of a pharmacist license transfer candidate to license transfer based on a current and active license in another state that is not required to be the original license by examination, and • Requirement that a pharmacist who is seeking reactivation of a pharmacist license must complete a criminal history background check.

STATEWIDE PROTOCOLS

The Board also discussed the existing statewide protocols for naloxone, nicotine replacement therapy, and immunizations and whether any changes were needed moving forward. The immunization protocol will be updated to reflect the sunsetting of the local protocol immunization law in July.

IARX.ORG/BOP_PODCAST

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STRENGTHEN ADVOCACY. STRENGTHEN PHARMACY.

Impacting Advocacy Through the IPPAC & Legislative Defense Fund The Iowa Pharmacy Association’s commitment to legislative involvement is critical to the future of the profession of pharmacy. It is important for pharmacists to make sure that key legislators understand the important role that today’s pharmacists play in enhancing the health care of Iowans, and this interaction remains an important way to allow for positive changes in pharmacy practice. An important way that the IPA can impact legislative issues is by using their political action funds carefully and wisely to provide support to legislators and candidates who are supportive of pharmacy’s role in delivering patient care. The Legislative Defense Fund and Political Action Committee play an important role in enhancing the legislative mission of the profession of pharmacy in Iowa. While both funds are necessary in promoting pharmacy to legislators, there are some major differences between them. IPA encourages every pharmacist, or pharmacy, to make a contribution to one of these funds, at any level, to assure that our voice is heard!

The Iowa Pharmacy Political Action Committee (IPPAC) is a fund used to strategically strengthen relationships with legislators that are supportive of pharmacy interests. The IPPAC is funded by contributions from individual pharmacists, pharmacy technicians, or student pharmacists, as well as member PACs of other organizations. Your contributions to the IPPAC aid in advocating for practice advancement, PBM regulation and other important issues facing our profession.

IPA’s Legislative Defense Fund (LDF) consists of donations from corporate sponsors. Since corporations are prohibited from contributing to candidates (and therefore, the IPPAC), these funds are used to pay for advocacy activities, which include IPA’s Legislative Day and Capitol Screenings, contracted lobbyists and external consultants, and IPPAC administration and fundraising costs.

Learn more or donate online at www.iarx.org/IPPAC IOWA PHARMACY ASSOCIATION 8515 Douglas Ave., Suite 16, Des Moines, IA 50322 515-270-0713 | www.iarx.org | IPA@iarx.org

PUBLIC AFFAIRS

GOVERNOR REYNOLDS SIGNS SF 296 On April 19, 2021, Governor Reynolds signed SF 296 during a bill signing ceremony in the Governor's formal office. SF 296 helps expand patient access to vital services through ‘test and treat' (point of care testing and treatment) and collaborative pharmacy practice.

WHY IS THIS IMPORTANT?

Both rural and urban areas in Iowa face healthcare deserts, leaving some towns and counties with little to no immediate access to certain healthcare services. With 90 percent of Americans living within five miles of a community pharmacy, pharmacists represent a readily accessible healthcare professional. Under the newly signed legislation, patients six years and older will be able to enter their local pharmacy and receive not only a rapid test to determine whether they may have flu, strep, or COVID-19, but then also immediately receive treatment following a positive test. ‘Test and treat' allows for the screening and treatment process to be completed during a single encounter with a pharmacist, thereby improving access to care and patient outcomes.

practice agreements (CPAs). CPAs can benefit collaborative care delivery by identifying what functions, in addition to the pharmacist's typical scope of practice, are delegated to the pharmacist by the collaborating practitioner under negotiated conditions outlined in the agreement. Often, this allows the prescriber to utilize the pharmacy as an extension of their practice to help monitor patients, their drug therapy, and whether their dosage may need to be adjusted. Kate Gainer, Executive Vice President & CEO of the Iowa Pharmacy Association, stated, “Iowa's pharmacists continually step up to meet the needs of their community and provide access to important health care services. COVID-19 vaccinations and local access to care throughout the pandemic has increased the public's awareness of pharmacists' role in healthcare today.” Although the law is effective July 1, patients can expect to see pharmacies offering these services beginning in the fall of 2021 when the Iowa Board of Pharmacy is expected to finalize rules implementing the legislation.

SF 296 also broadens the ability of pharmacists and other healthcare providers to enter into collaborative

JUL.AUG.SEP. |

Patient safety. Professional practice. Community impact.

PTCB’s Certified Pharmacy Technician (CPhT) Program is fundamental across pharmacy practice and is the foundation for all PTCB specialty and advanced credentials.

Assessment-Based Certificates

State pharmacy associations like ours work with PTCB because PTCB chooses excellence. Advanced Certifications

Build your team with confidence. Employers who rely on PTCB consistently report improved employee performance, greater efficiency, lower turnover, and reduced time and expense to train and advance pharmacy technicians.

Choose PTCB. Choose Excellence. View PTCB’s full suite at ptcb.org/credentials

Compounded Sterile Preparation Technician® (CSPT®) Certification

Advanced Certified Pharmacy Technician (CPhT-Adv) Certification

TECHNICIAN CORNER

TECHNICIAN SPOTLIGHT: MACEY CALDERWOOD, CPHT

he role of a certified pharmacy technician has evolved over the years, and IPA member Macey Calderwood’s role is no different. Wanting to try something new after college, Macey began her job at NuCara Pharmacy in Traer, Iowa. Her 27-year career has come with many rewards, and some challenges, as the landscape of community pharmacy changes to meet the needs of patients. Her pharmacy was one of the original pilot sites for technician product verification, and has since integrated TPV into their practice. NuCara in Traer also became a hybrid model location for TelePharm in 2019. This model allows for a pharmacy to operate without a pharmacist on-site and connects them to the telepharmacy for verification and counseling. Her store utilizes this model two days per week. Macey has earned the trust of her patients throughout her time at NuCara. She says the most rewarding part of her job is getting to serve the people of her community and the friendships she has developed with patients. “I like to treat every patient the same way that I hope others treat my family. It puts things into perspective and makes the interactions that much better,” she said. Supportive co-workers have also contributed to Macey’s success over the years. Change is the most challenging part of her position. As a creature of habit, Macey finds it has been difficult to adapt to the many changes facing her pharmacy. She stated, “I have learned not to fight it and to remember that change is important if we want to continue to grow, both personally and professionally.” As she and her husband have been empty-nesters for four years, Macey is adjusting to the changes in her home life as well. She has plenty of hobbies on her to-do list and enjoys walking their dog every day. She is also very involved in her community and stresses the impor-

tance of doing so. Macey serves on the Christian Hands Across Traer (CHAT) board, which assists people in getting access to resources for their immediate needs. In the past, she has served as a Cub and Boy Scout leader, on the Traer Chamber of Commerce, her local festival committee, and has volunteered on the local Scholastic Action Shooting Program (SASP) squad. In addition to her community involvement, Macey is heavily involved in IPA and other pharmacy organizations. She currently serves on IPA’s Technician Advisory Committee and previously served on the Legislative Advisory Committee. In 2020, Macey received the Pharmacy Technician of the Year award, created in 1999 to recognize a pharmacy technician in Iowa who has demonstrated outstanding involvement in the Iowa Pharmacy Association and enthusiasm for the pharmacy profession in Iowa. Macey also held several roles with the Pharmacy Technician Advisory Board (PTAB) as an item writer and a task force member for the TPV Exam and an exam developer/item writer for the national Pharmacy Technician Certification Exam. Currently, Macey serves on the Technician Conduct Review Committee.

Macey Calderwood, CPhT Pharmacy Technician NuCara Pharmacy

Left: Calderwood being recognized for her 2020 IPA Award during an Annual Meeting virtual lunch hour.

Macey advises new pharmacy technicians to remember the basics: work hard and be nice. She encourages everyone to join IPA, as the organization has numerous resources to help pharmacy professionals assist their patients achieve optimal health. The future of pharmacy will always be changing; Macey thinks pharmacy technicians will continue to see more responsibility and sustain a strong work ethic. “Embrace the change!” she emphasizes. Thank you, Macey, for your dedication to our profession and to your patients! ■

JUL.AUG.SEP. |

TECHNICIAN CORNER

MENTAL HEALTH & SELF-CARE From IPA’s April 2021 Tech Tidbits newsletter

Over the years, the role of pharmacy technicians has evolved significantly. While the job may have started with answering phones and working the register in a pharmacy, it continues to advance with limitless opportunities, including advanced sterile compounding, product verification, and medication reconciliation. Whereas these opportunities are an exciting achievement for the profession, it can also be stressful for individuals taking on these roles. A significant amount of stress has been added due to COVID-19 and its effect on pharmacies and hospitals. A study conducted in North Carolina found that 69.1% of pharmacy technicians experienced signs and symptoms of burnout. While stress, emotional exhaustion and burnout are concerns in the pharmacy, there are steps individuals can take to minimize or prevent them. For example, having the ability to monitor one’s stress level and identify signs of burnout are important. Signs and symptoms of burnout may include alienation from work-related activities, emotional exhaustion, and worsening job performance. Practicing self-care is another necessity to help better manage the stress of the job. Some ways to improve self-care include writing in a journal, maintaining a good sleep regimen, exercising, having a healthy diet, and practicing breathing exercises. Additionally, joining community groups, attending events and experiences, and finding mentors can allow for breaks from your day-to-day environment and better connect you to technicians who face similar issues, allowing the sharing of strategies for managing burnout. Having an open conversation with your supervisor or manager on your mental health needs may allow for incorporating de-stressing and burnout reduction tactics throughout your workplace.

| The Journal of the Iowa Pharmacy Association

IPA is dedicated to improving the well-being of its members and continues to recognize the importance of self-care, good mental health, and an individual’s well-being. IPA offers great resources for pharmacy technician members on our website with tools to help measure burnout and promote resiliency. As technicians continue to take on a larger role in the pharmacy profession, it remains crucial for individuals to have awareness of their mental health needs and know what resources are available. For more information, visit www.iarx.org/burnout. If needed, you can also access free virtual counseling and assistance through COVID Recovery Iowa. Visit covidrecoveryiowa.org or call 1-844-775-9276. SOURCES:

1. Burnout & Resiliency, Iowa Pharmacy Association. https://www.iarx.org/burnout. 2. Expanding role of technicians gives pharmacists more time with patients, Pharmacy Times, 28 August 2018. https://www.pharmacytimes.com/view/expanding-role-of-technicians-gives-pharmacists-more-time-with-patients. 3. Kai Kang, PharmD, MS, BCPS, Randy Absher, PharmD, BCPS, Robert P Granko, PharmD, MBA, FASHP, Evaluation of burnout among hospital and health-system pharmacy technicians in North Carolina, American Journal of Health-System Pharmacy, Volume 77, Issue 24, 15 December 2020.

TECHNICIAN CORNER

DIVERSITY, EQUITY, INCLUSION From IPA’s May 2021 Tech Tidbits newsletter American society is becoming increasingly culturally diverse. Historically, racial and ethnic minority groups receive lower quality health care regardless of medical conditions, insurance coverage, income or age. As pharmacies remain the highest access points for patients to receive care, pharmacy technicians have a unique role and ability to address health disparities. When patients come into the pharmacy, the first person they interact with is often a technician. In addition, the role of pharmacy technicians continues to expand. They now provide more services and have more patient interaction than ever before. This expanded role gives technicians the ability to help improve equity and inclusion, as well as educate others on embracing diversity in health care. Diversity in the pharmacy presents itself in a variety of ways, such as ethnic and cultural diversity. Patients are also very diverse in religious beliefs, economic status, sexual orientation, and health literacy. Thus, communication with patients should be inclusive to all and respectful of their background and any disparities that may be present. As a pharmacy technician, it is important to acknowledge the differences and inequities that exist amongst the community’s patient populations and actively work to address any disparities that may be present. A few great ways to improve patient care in this area can involve completing a self-assessment of one’s cultural competency level and identifying strengths and weaknesses of patient communication methods as well as becoming cognisant of one’s own biases and their impact on patients’

cultural attributes. Integrating CLAS (culturally and linguistically appropriate services), is a way to help limit health disparities and achieve health equity. This could include having resources that help cater to the language that patients are most comfortable with, such as language assistance services or prescription labels with the patients’ native language. This is just one example of how pharmacy technicians can play an integral role in creating a safe environment and a trusting relationship between the technician and patient. Awareness of diversity can help reduce health disparities, advance patient outcomes, and improve cultural competence in the pharmacy. IPA is dedicated to fostering diversity in order to improve the health of our communities. Because pharmacy technicians spend a significant amount of time with patients, they have the opportunity to be a leader in creating a more inclusive environment, therefore providing patient-centered care for all individuals in the communities they serve. SOURCES:

1. Hardy, Yolanda. “Culturally Competent Pharmacy Practice For Pharmacy Technicians.” Illinois Council of Health System-Pharmacists, 21 Sept. 2013. 2. Hardy, Yolanda. “Health Literacy and Diversity.” Pharmacy Tech Topics, Oct. 2016. https://www.pharmacytimes.com/view/expanding-role-of-technicians-gives-pharmacists-more-time-with-patients. 3. MinorityHealth. “What Is CLAS?” Think Cultural Health, thinkculturalhealth.hhs. gov/clas/what-is-clas.

NEWLY CERTIFIED IOWA TECHNICIANS APRIL 1, 2021 – JUNE 30, 2021 Congratulations to the following pharmacy technicians on becoming PTCB-certified! Shahad Abbood Kevin Alexander Sharlett Allen Benjamin Allington` Kaylee Awtry Tyler Bailey Tiffany Bartenhagen Lily Bejarno Christine Benson Rachael Black Devin Blish Hanna Blumhoff Brandy Bouch Jean Bowen Kieler Brown Jackson Burgess Gabriele Burke Adrianna Camp Jill Cartano Kailey Casper Courtney Chandler

Leslie Cooper Heather Darling Parker Davis Lauren Davis Abigail Davison Vy Dinh Ashley Duncan Jenny Durst Natalie Ecklund Brian Gallentine Beca Gengler Zakkary Getz Christina Goemaat Kellie Gourley Melissa Graham Destiny Grandgenett Kathryn Green Molly Guinn Annie Ha Jaylynn Hall Aubrey Hansen

Molly Hansen Esmira Harbas Jenna Harris Jonathan Haugen Anne Hennagir Abby Hlavacek Meagan Hoenig Sydney Iedema Kendra Johnson Jamey Jones Samantha King Noah Knosp Jeremy Knudson Mohammed Koraishi Tyler Kortmeyer Hailey Koteski Jessica Lamb Simeon Lantzer Brittany Larson Alison Laubenthal

Linda Lienhard Krista Littleton Brianna Low Rebecca Luckett Emily Macias Madisyn Martin Erik Mathre Crystal May Kayla McCain-Kinney Korea Medley Janelle Menzel Luke Meyer Courtney Meyer Ashley Meyer Linda Molyneux Maleena Moretti Cody Murray Ida Nady Nicholas Nielsen Samantha Ohlson

Emily Pajazetovic Daniela Palacios Raegan Parham Sydney Paris Abigail Perkins Kristina Pfantz Madison Phillips Peggy Radloff Kathleen Rasmussen Elise Reinke Lindsey Ricklefs Denise Roberts Monica Rosiak Brock Schmelzer Ashley Schmidt Natalie Segebart Rachel Senica Robert Shortt Rachel Shouse Sherita Simmons

Autumn Smith Alexander Staver Kristin Stonehocker Sarah Sudduth Cherie Swan Neethu Thomas Cecilia Thomas Kaitlyn Tooley Tori Tranbarger Khrystyna Treanor Lily Twaddle Nicole Valles Eric Vo Anna Vymetal Michelle Walsh Abrienna Weyeneth Mari White Noah Wolf Margaret Wood Christopher Young JUL.AUG.SEP. |

You Need a CQI Program Mistakes happen. Risky processes become normalized and your operations can shift slightly with staffing changes, new products, and new procedures. The APMS Patient Safety Organization (PSO) provides Pharmacy Quality Commitment+ (PQC+) Compounding, a confidential, highly secure, continuous quality improvement program. Track and analyze how, when, and where the risk in your workflow occurs so you can reduce Rx corrections and operational costs. Our program includes: 1

Pharmacy Quality Commitment+ A web-based reporting portal to collect patient safety events Tools to chart, graph, and analyze data Expert advice, tips, and safe practices Resources to help you meet accreditation and quality improvement requirements Support to build a just culture of safety QA Continuing Education and training opportunities

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IPA FOUNDATION

STEP, CYCLE, SWING FOR STUDENT SCHOLARSHIPS FUNDRAISER August 1-31, 2021 This summer, the IPA Foundation hosted its second successful STEP, CYCLE, SWING fundraiser! August 1-31, IPA members were encouraged to get active however they enjoy – whether running, biking, golfing, or performing any other activity – to raise money for student scholarships. 60 members participated in this year’s event, raising nearly $7,000 for scholarships of student pharmacists at Drake University and the University of Iowa. Craig Logemann, PharmD, BCACP, was the winner of our hashtag drawing for a $100 Visa gift card. In addition, IPA hosted Step Up for Students, an additional one-day fundraising event, on Saturday, August 21. Pharmacists were paired with a student pharmacist and pledged to donate $0.01 for each step taken by their sponsored student pharmacist during the 24hour period. Students logged an impressive 225,245 steps and an additional $2,252.45 for student scholarships! Student pharmacist Isabelle Tharp and pharmacist sponsors Sharon Cashman and Lisa Ploehn were the winners of this year’s competition.

JUL.AUG.SEP. |

OUTCOMES GRANT

INITIATION OF PHARMACY SERVICES IN A RURAL HEALTH CLINIC Naomi Graves, PharmD

Hawarden Regional Healthcare Clinic Award: $6,000 SUMMARY

In May 2019, pharmacist Naomi Graves of Hawarden Regional Healthcare began a project, funded by the Iowa Pharmacy Association Foundation Outcomes Innovative Pharmacy Grant, to determine the impact of pharmacy services in a rural health clinic from a pharmacist based out of the affiliate hospital. Advantages to working with the clinic from the hospital included continuity of care following hospitalization, pharmacist availability at short notice, and an established relationship with clinic's providers. Over 18 months, 13 patients were seen in the clinic. Interventions included medication administration technique training, diabetic diet advice, patient assistance program paperwork assistance, and recommendations to augment or modify medication therapy. The majority of pharmacist treatment recommendations were accepted. There was a small average decrease in A1c in project participants (average of 8.5 to an average of 7.9). A challenge encountered in this project was a lack of patient referrals. Referrals were primarily from nurses or the pharmacist's review of the schedule of upcoming appointments. A more formal referral process would be beneficial. Another challenge was difficulty contacting patients for follow-up. For any pharmacist desiring to get involved in MTM services parttime, a referral process is helpful. Pharmacists in hospital settings can improve patient care by following up with patients in an affiliated clinic. Continuity of pharmacist-provider relationships between the hospital and a clinic can also contribute to quality patient care.

FINAL REPORT

The project's original objectives were to enroll 25 patients to receive pharmaceutical care in addition to standard care. The primary goal was an improvement in A1C before intervention vs. after intervention. Secondary outcomes were attaining blood pressure goals, improving patient knowledge of medications, and improving patient satisfaction with medical care. Thirteen patients were enrolled. The average A1C before services was 8.5; after intervention the average A1C was 7.9; these numbers exclude the 3 patients who did not have an A1C draw after intervention. This decrease may be insignificant, given the small sample size and other concurrent changes in healthcare. Changes in blood pressure were variable and generally not significant. It was noted that the patients whose A1C's improved were those with more follow-up phone calls and visits with the pharmacist.

| The Journal of the Iowa Pharmacy Association

A summary of A1C values before and after intervention, and changes in blood pressures (if applicable) are summarized below:

Patient

A1C before intervention

A1C after intervention

Blood pressure change

1 (OV)

7.2

6.5

Not significant

1 (MS)

7.2

7.8

Not significant

3 (CJ)

11.4

6.2

Increase

4 (SP)

6.9

6.4

Decrease

5 (TS)

9.3

8.8

Decrease

6 (PR)

7.9

n/a

Not significant

7 (PM)

12.3

>14

Not significant

8 (FM)

7.1

7.3

Not significant

9 (JB)

8.7

7.3

Decrease

10 (ME)

>14

n/a

11 (WV)

6.7

6.8

Not significant

12 (KN)

6.2

n/a

Not significant

13 (SJ)

>14

Increase

Patient satisfaction surveys generally indicated a high satisfaction rate with the clinic prior to pharmacist intervention, so repeat surveys were not done after interventions. The impact on patients was considerable. Many, if not all, patients learned something about their medications via medication reviews. The majority of education and therapy interventions were accepted, and in many cases improved those patients' diabetes control and knowledge of medications. Education interventions performed were: • Explained insulin dosing from a vial • Explained insulin stability at room temperature • Training on Ozempic administration • Training on Trulicity administration • Explained adding air to a vial before drawing out insulin dose • Novolog sliding scale education • Hypoglycemia education • Advised patient to use bronchodilator nebulizer treatment prior to using Trelegy

• • • •

Diet tips, including avoiding pop Advised less grapefruit because taking amlodipine Diet tips, advised breakfast to include protein or fiber Training on diet, using caffeine (for example, Excedrin) instead of Mountain Dew

Medication therapy interventions performed were: • Patient assistance program application assistance, three patients • Identified a need for Lantus samples • Recommended a Janumet dose decrease due to renal impairment, recommendation accepted • Recommended rx for smaller insulin needles for patient, recommendation accepted • Recommended patient start on Ozempic instead of Victoza for desired weight loss, recommendation accepted • Suggested a patient resume aspirin, recommendation accepted • Recommended Soliqua and metformin to replace Janumet and Levemir, recommendation not accepted • Recommended a patient with CHF switch from amlodipine to carvedilol; recommendation accepted • When 2 patients did not follow-up with PCP as instructed, I asked the clinic to contact them • Identified patient's poor adherence and need for new rx's to be sent to her pharmacy • Recommended Ozempic start, recommendation accepted • Recommended Ozempic dose increase, recommendation accepted • Identified non-adherence to prescribed Basaglar dose for patient afraid of hypoglycemia • Recommended switch from Novolin N to Novolin 70/30, recommendation accepted

• Recommended addition of Jardiance, recommendation accepted • Recommended a switch from metoprolol to carvedilol and addition of pioglitazone, recommendation not accepted The project goal of enrolling 25 patients was not achieved due to lack of patient referrals. The small number of patients made it challenging to identify whether the project made a significant difference in patient health. However, given the number of interventions performed, I believe this project did successfully identify a role for a hospital pharmacist to perform medication reviews with clinic patients and to positively impact patients' knowledge of their disease states and medications. In the future, I plan to research the possibility of providing services to clinic patients through Outcomes MTM. Outcomes MTM services would be reproducible by other pharmacists who work in small hospitals such as ours. Providing MTM services through the outpatient specialty area of the hospital may also be a possibility. This project may impact pharmacy in Iowa by showing hospital pharmacists the value of one-on-one patient medication reviews held in the clinic affiliated with the hospital, especially as opportunities for reimbursement are identified.

MEMBERS SECTION

PHARMACIST SPOTLIGHT: MICHAELA MAEYAERT, PHARMD, BCGP

hange is inevitable. Over the past year, the COVID-19 pandemic has brought many changes that have given us all a new perspective. For Michaela Maeyaert, this new perspective is one of optimism and hope for a bright future ahead.

Michaela Maeyaert, PharmD, BCGP Director of Pharmacy Spencer Hospital

Michaela’s interest in the pharmacy profession began in high school with a chemistry teacher who laid out the possibility to combine her passions for chemistry and mathematics as a pharmacist. With a desire to gain a closer look into pharmacy, Michaela shadowed her great uncle who owned his own pharmacy. In addition, she obtained a job as a pharmacy technician with Kmart in high school. While pursuing her Doctor of Pharmacy at North Dakota State University, Michaela had the opportunity to complete an APPE rotation with IPA during her P4 year. “It was a great introduction to Iowa. I got to know Kate, Anthony and the whole team at IPA, and the networking opportunities that were provided were awesome,” Michaela shared. After graduating with her PharmD in 2014, Michaela moved to Spirit Lake, Iowa with her husband, Mark, and began her career as a pharmacist at Thrifty White Pharmacy in Spencer, Iowa. It was in this position where she discovered a passion for long-term care and became a Board Certified Geriatric Pharmacist (BCGP). As she continued in her role at Thrifty White, Michaela was connected with the then-Director of Pharmacy at Spencer Hospital. Soon enough, she began working at the hospital as needed. When a position opened, she made the leap from her community practice site to the hospital full-time.

Today, Michaela serves as the Director of Pharmacy at Spencer Hospital, a locally-owned, independent hospital. Michaela enjoys the opportunities she has as Director to support a variety of pharmacy practices, including the inpatient hospital pharmacy, a satellite pharmacy with Abben Cancer Center, seven local clinics, and two dialysis centers. She loves to watch her team grow and supports them in meeting their goals. Michaela takes pride in the outcomes the pharmacy department has made, not only on the patient-level, but hospital-wide. When she is not at the hospital, Michaela enjoys spending time on the lake boating and wake surfing with her husband and two sons, Jase (3) and Aiden (7 months). Spending quality time with family is a priority, and her favorite way to do so is getting active outdoors. Looking to the future, Michaela sees great opportunity for the pharmacy profession as the pandemic has created a spotlight for pharmacists to showcase their skillset. “We are meeting the challenges and exceeding expectations,” said Maeyaert. She hopes that the profession will continue to move in the right direction one step at a time, creating a model that will be sustainable for generations to come. “Every challenge isn’t without opportunity,” Michaela shared. Banding together as a team, pharmacies have been able to face and overcome even the most daunting challenges the past year has provided. Michaela would like to encourage everyone, pharmacists, technicians and students alike, to get involved, continue learning and make a change that will help propel the profession forward. Thank you, Michaela, for enacting positive change and your ongoing efforts for the profession! ■

MEMBER TIP: Get Involved A benefit of your IPA membership is the opportunity to engage with your profession. If you want to be more involved, IPA will help you find fulfilling opportunities outside your everyday practice. Scan the QR code to fill out our survey and get started!

| The Journal of the Iowa Pharmacy Association

MEMBERS SECTION

WELCOME NEW IPA MEMBERS! APRIL 1, 2021 – JUNE 30, 2021 Cindy Anderson

Brian Farris

Jodi Lynne Levenhagen

Candace Quaites

Ginny Anderson

Amy Feldmann

Traci Lindsey

Amy Robbe

Edina Avdic

Chaunice Figueiredo

Fata Ljutic

Sara Robbins

Teresa Bash

Thursday Fomsi

Ashley Lopez

Jessica Roovaart

David Bass

Haley Fox

Rene Lucha

Rebecca Rotherham

Amber Beener

Emiko Freund

McKenzie Magee

Kathryn Roum

Clark Bishop

Jessica Gingerich

Brenda Mahecha

Sara Rousseau

Melissa Blum

Timothy Goodhall

Chane Mairs

Karina Salazar

Susan Bocken

Kimberly Graham

Kelsey Manuel

Elizabeth Schares

Sarah Boehm

Lisa Gray

Alan Martinez

Ron Secrest

Lauren Brabeck

Rosemary Grover

Edward Masters

Thomas Selander

Jeffery Brock

Gabriel Guot

Dale Matheson

Kaitlyn Serbin

Jean Brommel

Katie Hall

Kevin McClimon

Allison Servellon

Jennifer Cameron

Chenchen Hardi

Bethany McKinney

Lisa Shaw

Lillian Camp

Otavio Hegouet

Kevin McVey

Sonja Sherping

Eric Carlson

Christina Heumiller

Jamie Melton

Morganne Sindelar

Angela Carroll

Emily Hoefing

Lynn Messina

Heather Snell

Sandeep Chandakavate

Malinda Hook

Christa Michelson

Eferonia Soliman

Geraldine Clark

Katie Howe

Katherine Middleswart

Amanda Sorensen

Andi Clayton

Andrea Hoyt

Emily Moen

Kim Spurlock

Angela Coe

Matthew Hubble

Ashley Moore

Emily Stecklein

Ashley Cook

Jan Hulling

Vlasta Mujanovic

Dawn Stodola

Sara Cowles

Brent Jambor

Hanna Mullen

Julie Suiter

Michael Cuesta

Stacey Johnson

Amanda Mundel

Andrew Tenpas

Crystal Daugherty

Brian Jones

Mary Murrane

Susan Tetzlaff

Mary Decker

Tammie Jordan

Caleb Neff

Victoria Thulaing-Taw

Amy Demeulenaere

Sanja Josipovic

Julie Nichols

Hannah Van Wyk

Angela DeVries

Danielle Karch

Tammy O'Konek

Cassandra Vega

Carolyn DeWilde

Sarah Kathman

Jason Olson

Logan Villhauer

Courtney Dimit

Samantha Katzman

Cassandra Owens

Ryan Wagner

Brady Diveley

Linda Kazane

Troy Padellford

Michelle Welsh

Lisa Donahue

Chen Kelly

Renee Pagel

Ronald White

Katelynn Doran

Andrea Ketcham

Emmeline Paintsil

Stephanie Witt

Malcolm Earle

Jessy Khanthaphengxay

Tracy Patterson

Jessica Wonderlich

Charles Ellithorpe

Alexandra Klise

Elizabeth Pedersen

Choua Xiong

Maria Estayo

Andrew Kosharek

Rigoberto Perez

Lori Yanacheak

Lynne Evans

Laura Krogh

Shane Perry

Maria Zenti

Irina Fadeeva

Catherine Leaders

Sirena Petersen

Mackenzie Zuercher

Muhammad Faisal

Olivia Lehman

Tung Phan

Sandra Falcon

Taylor Lenz

Kristi Porter

JUL.AUG.SEP. |

MEMBERS SECTION

STUDENT SPOTLIGHTS:

sabelle Tharp is a fourth-year student pharmacist at Drake University College of Pharmacy & Health Sciences (CPHS). Originally from Dubuque, Iowa, Isabelle has been greatly involved in IPA, serving as the 2020 Max W. Eggleston Executive Summer Intern, co-leading the Policy Review Committee, serving on the Student Pharmacist Advisory Committee, and participating in the 2019 House of Delegates.

Isabelle Tharp

PharmD Candidate 2022 Drake University College of Pharmacy & Health Sciences

At Drake, Isabelle has also been involved in the American Pharmacists Association – Academy of Student Pharmacists (APhA-ASP), where she previously served as president, president-elect, and social media chair. Through her involvement in APhA-ASP, Isabelle competed as a top ten finalist of 125 students in the National Patient Counseling Competition, attended several annual and regional meetings, received an APhA Foundation Scholarship, and was the recipient of the 2021 American Pharmacists Association (APhA) Good Government Student Pharmacist-of-the-Year Award. In 2020, Isabelle was selected to serve as a Legislative Intern for Iowa State Representative John Forbes. Here, she developed a passion for policy work. In addition to her work at the Iowa State Capitol, Isabelle worked as a pharmacy intern at Methodist West Hospital in West Des Moines, Iowa, as well as Hy-Vee Pharmacy and MercyOne Pharmacy in her hometown of Dubuque. ■

mily Gajda, a P3 at the University of Iowa College of Pharmacy, is originally from the suburbs of Chicago. Emily tells the story of her immigrant grandparents who took root there in the 1960s after coming to America from Greece. When asked about her hometown of Tinley Park, Emily notes the great school districts and phenomenal deep-dish pizza. Emily says her competitive nature and determined work ethic sparked from playing sports here with her sister and classmates as a child.

Emily Gajda

PharmD Candidate 2023 University of Iowa College of Pharmacy

Emily is a proud first-generation college student and proud Hawkeye. She says attending football and basketball games have been some of her most unforgettable memories on campus. The Hawkeye community – she says – is truly something special. At the University of Iowa, Emily is involved in several student organizations, including serving as president of the Phi Lambda Sigma: Pharmacy Leadership Society chapter and vice president of the Pharmacy Student Ambassador Network. As she enters her third year of pharmacy school, she is excited to continue exploring the profession and serving others along the way. Outside of pharmacy, Emily enjoys serving and bartending at an Iowa City barbeque restaurant and forming relationships with community members while doing so. She says she has learned about many “Iowa things” since moving from Illinois, including detasseling corn, 4-H, and small high school graduating classes. That being said, Emily says she’s happy to call Iowa home. ■

UPGRADE YOUR MEMBERSHIP Wanting more out of your IPA Pharmacist membership? Upgrade today! To upgrade your membership to ENGAGED, login to your IPA account at www.iarx.org, click on ‘Account Details’, and select the ‘Mid-Year Membership Upgrade’ option. Call IPA at 515-270-0713 for assistance.

| The Journal of the Iowa Pharmacy Association

2022

COMMUNITY PHARMACY

SCHOLARSHIP

APPLY NOW!

APPLY OCTOBER 1 - DECEMBER 1, 2021 Recipients selected will each be awarded $3,000. Up to $60,000 in scholarships may be awarded for this academic year. TO BE ELIGIBLE TO APPLY for the Pharmacists Mutual Community Pharmacy Scholarship, students must meet the following criteria: • Current students must be a P3 or P4 pharmacy student in the 2022-2023 academic year • Eligible students must plan to practice in one of the following settings: • an independent or small chain community pharmacy, or • an underserved geographic or cultural community, preferably in an independent or small chain community pharmacy

Pharmacists Mutual Insurance Company Algona, Iowa

phmic.com

FOR ELIGIBILITY REQUIREMENTS AND TO APPLY: phmic.com/scholarship

MEMBERS SECTION

MEMBER MILESTONES Best of luck to DeeAnn Wedemeyer-Oleson, PharmD, MHA, in her new role as Director of Scientific Projects at the American Society of Health-System Pharmacists (ASHP)! She previously practiced at Guthrie County Hospital for 21 years.

Best of luck to Ben Jagow, PharmD, BCCCP, in his new role as a Clinical Services Advisor with OutcomesMTM! Ben graduated from the Decker-Temple Leadership Program in August.

Congratulations to Diane Reist, PharmD, RPh, for receiving the 2021 Carver College of Medicine Ben Pardini Interdisciplinary Teaching Award for her leadership and mentorship in the Upstream Clinic! This award is nominated and voted on by the College of Medicine student government.

Congratulations to Sharmi Patel, PharmD, MBA, and Anthony Pudlo, PharmD, MBA, for completing the Iowa Society of Association Executives (ISAE) Leadership Program this spring! The program consisted of six one-day sessions over a six-month period covering a wide range of association management principles.

IPA MEMBER BENEFIT Have You Accessed Your FREE Continuing Education Beneﬁts Yet? WWW.IARX.ORG/ACCESSCPE IPA ENGAGED Pharmacist and Pharmacy Technician members receive a FREE subscription to CEimpact’s Pharmacist or Pharmacy Technician Course Catalog, which includes all required CPE for pharmacist relicensure and pharmacy technician recertification for FREE.

EXECUTIVE FELLOW

2020-2021 FELLOWSHIP REFLECTION: OWNING IT

ike many others, I had formulated a career plan that did not include working at a pharmacy association. However, after many months of rejection, I received an offer for IPA’s Executive Fellowship in Association Management. Instead of being happy and proud of myself, anxiety and doubt for if I was the right person for this position clouded me from envisioning the multitude of opportunities that this fellowship would end up providing for me over the next year. One of the first actions I took when starting the fellowship was completing the DiSC personality assessment, which revealed that I was the only individual on our team to have a CD (conscientiousness, dominance)-type personality style. Although this only added to my self-doubt, Kate taught me an important lesson that I carried with me for the rest of the year: owning it! I was the right person for this fellowship, I was capable, and I was equipped with the tools and team to be a successful fellow. Looking back now, days of gratitude and appreciation for being part of a team that works tirelessly to transform the practice of pharmacy far outweighed those worrisome days. Every day showed new perspective on the relevance of an association, and I was fortunate enough to get a glimpse of that through strategically problem-solving pertinent issues for members, supporting and visiting pharmacies, advocating for pharmacy to lawmakers and healthcare agencies, and many more. The pandemic presented its fair share of obstacles throughout the year, but I quickly welcomed those as opportunities to learn how to lead during times of uncertainty.

IPA opened my eyes to not only the hard work put in by each member of our small and mighty team, but also proved to me that there are countless pharmacists, students, and technicians across the state that go above and beyond each day to positively shape the pharmacy environment around them. It became evident to me early on that optimism for the profession is vital and is deeply rooted within those that propel forward as state and national leaders. The skills that Kate and Anthony have instilled in me will resonate with me for a lifetime, and I cannot thank them enough for showing me the power of relationships and a unified voice. The motivation they have for guiding the profession forward and the optimism they exude is unmatched. To the rest of the IPA staff: thank you for teaching me many intangible lessons like teamwork and patience, not to mention the average length of newborns and remembering to smile more often! To the IPA Board of Trustees, leaders, and members: you have reminded me why being a part of an association is crucial to advancing the practice of pharmacy. Your passion and dedication inspires me to remain involved and committed.

Sharmi Patel, PharmD, MBA 2020-2021 IPA Executive Fellow

While I’m excited to move to Seattle, Washington and begin a Regulatory Affairs Fellowship at Seagen, I will always have a special place in my heart for IPA as the foundation of my career in healthcare. Because of this fellowship, I am working every day to own my successes and my failures, but most importantly, I am welcoming every possibility that life has in store for me. ■

JUL.AUG.SEP. |

CALENDAR OF EVENTS

UPCOMING IPA EVENTS Find additional details to these events and more at www.iarx.org. Click on “Calendar of Events” under the Events tab.

SEPTEMBER 2021 14

2/2/2: Medicaid Provider Enrollment and Medical Billing

IPA House of Delegates: Session 1

IPA House of Delegates: Session 2

IPA MEMBER FORUMS

On June 16, IPA hosted its latest Member Forum on independent and community pharmacy practice. After opening remarks from Kate Gainer and Diane Reist, Anthony Pudlo and Sharmi Patel, IPA’s 2020-2021 Executive Fellow, presented on enrolling as a provider through Iowa Medicaid. Participants took part in short networking sessions via Zoom breakout rooms before diving into the main sessions on providing test and treat services, technician product verification, and technician-administered immunizations. To close formal programming, Jared Kirby of the Iowa Insurance Division spoke on the process for filing a PBM complaint in Iowa.

HEALTH-SYSTEM LEADERSHIP FORUM October 26, 2021

PHARMACY TECHNICIAN FORUM November 10, 2021

Additional IPA Annual Meeting Programming

OCTOBER 2021 7

Iowa Pharmacy Practice Act Modernization Town Hall

2/2/2: Caring For You – Provider Burnout/COVID Recovery & Resilience

SAVE THE DATE

IPA Health-System Leadership Forum

NOVEMBER 2021 9 2/2/2: TBD

9-10 Iowa Board of Pharmacy Meeting 10

IPA Pharmacy Technician Forum

Currently scheduled events are subject to change. Please continue to watch IPA communications regarding any updates.

| The Journal of the Iowa Pharmacy Association

February 4-6, 2022 Des Moines, IA

www.pharmaceexpo.com

PHARMACY TIME CAPSULE

19 69

Issues & events that have shaped Iowa pharmacy (or are fun to remember!)

JANUARY:

William W. Tester, Associate Professor and Director of Pharmaceutical Services, University of Iowa College of Pharmacy and University General Hospitals, was named the recipient of the first Annual Mead Johnson Award of the American Society of Hospital Pharmacists.

FEBRUARY:

Gale Stapp, President Elect of the Iowa Pharmacists Association (IPhA) from Oskaloosa, Iowa, was elected President of the Midwest Pharmaceutical Conference in Kansas City, MO.

MARCH:

On March 17, Governor Robert D. Ray signed the proclamation of Poison Prevention Week established by President Richard Nixon. School visitations were arranged to reach 600 students in 1969. Kappa Psi Fraternity members from Drake University visited classes and showed students what a prescription form looked like and explained the various parts and purposes for each blank. They also brought potentially hazardous household items to discuss their possible danger.

APRIL:

IPhA hosted its 90th Convention at the Fort Des Moines Hotel April 12-14. The keynote address titled “The Future of Pharmacy” was delivered by Max Eggleston, President of the American Pharmaceutical Association and past president of IPhA.

Kappa Psi Fraternity members talking to an elementary school class during National Poison Prevention Week

JULY:

On July 1, Dwight Fry of Fry’s Rexall Drug in Greenfield, Iowa was appointed to serve a three-year term on the Board of Pharmacy by Governor Robert Ray.

OCTOBER:

Regulatory taxes on narcotic drugs by the Department of Justice Bureau of Narcotics and Dangerous Drugs took effect October 10. Class “X” products can only be sold at retail without a prescription by a registered pharmacist to a person at least 18 years of age.

NOVEMBER:

The Iowa Pharmacy Foundation awarded ten student pharmacists (five from Drake University, five from the University of Iowa) scholarships for the 19691970 academic year. Each recipient received $300 to be applied toward their tuition.

Photographs taken at IPhA’s 90th Convention at the Fort Des Moines Hotel in April of 1969

The Iowa Pharmacy Association Foundation is committed to the preservation of the rich heritage of pharmacy practice in Iowa. By honoring and remembering the past, we are reminded of the strong tradition we have to build upon for a prosperous future for the profession.

JUL.AUG.SEP. |