The Journal of the Iowa Pharmacy Association | A Peer-Reviewed Journal
Bob Greenwood, RPh IPA’s 136th President
Also Inside: PCMA v. State of Iowa – Case DISMISSED! p. 37
JUL.AUG.SEP 2015
2015 Annual Meeting Recap Feature: Introduction to Pay for Performance 2015 Legislative Session Recap
JUL.AUG.SEP 2015 | Vol. LXXI, No. 3
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 David Schaaf, Managing Editor dschaaf@iarx.org Kate Gainer, PharmD kgainer@iarx.org Anthony Pudlo, PharmD, MBA, BCACP apudlo@iarx.org Laura Miller lmiller@iarx.org
OFFICERS
CHAIRMAN John Swegle, PharmD, BCPS, Mason City 641.428.7182, john-swegle@uiowa.edu PRESIDENT Bob Greenwood, RPh, Waterloo 319.234.1589, bob@greenwoodpharmacy.com PRESIDENT-ELECT Rick Knudson, PharmD, BCPS, MS, MBA, Clear Lake 515.707.1174, raknudson@hotmail.com TREASURER Steve Firman, RPh, Cedar Falls 319.277.7540, steve@pmgrx.com SPEAKER OF THE HOUSE CoraLynn Trewet, MS, PharmD, BCPS, CDE, Ankeny 515.360.0065, coralynn.trewet@sanofi.com VICE SPEAKER OF THE HOUSE Susan Vos, PharmD, BCPS, FAPhA, Iowa City 319.335.8837, susan-vos@uiowa.edu
FEATURES
President’s Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 CEO Editorial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 2015 Annual Meeting Recap . . . . . . . . . . . . . . . . . . . . . . . . . 8 2015 IPA Award Winners . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 An Introduction to Pay for Performace . . . . . . . . . . . . . . . . . 20 Court Dismisses PCMA Lawsuit . . . . . . . . . . . . . . . . . . . . . . 37
IN EVERY ISSUE
Health Care Hot Topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Iowa Pharmacy News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Practice Advancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IPA Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Public Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Member Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Technician’s Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . College of Pharmacy News . . . . . . . . . . . . . . . . . . . . . . . . . . Student Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Calendar of Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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ONLINE FEATURES!
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TRUSTEES REGION 1 Kristin Meyer, PharmD, CGP, CACP, FASCP, Marshalltown 641.753.4580, kristin.meyer@drake.edu REGION 2 Ryan Jacobsen, PharmD, BCPS, Iowa City 319.321.4436, ryan-jacobsen@uiowa.edu REGION 3 Erik Maki, PharmD, BCPS, Johnston 515.326.0171, erik.maki@drake.edu REGION 4 Jerod Work, PharmD, Sioux Center 712.722.0845, jerodwork@gmail.com AT LARGE David Weetman, RPh, Iowa City 319.356.2577, david-weetman@uiowa.edu Laura Knockel, PharmD, North Liberty 319.354.7121, lauraknockel@gmail.com Brett Barker, PharmD, Nevada 515.382.4179, brett-barker@uiowa.edu Stevie Veach PharmD, BCACP, Tiffin 563.580.9662, stevie-veach@uiowa.edu HONORARY PRESIDENT Dennis Jorgensen, RPh, Panora 641.755.2520, dkjorgensen@netins.net PHARMACY TECHNICIAN G. Jean Gallogly, CPhT, Vincent crittersandstuff@yahoo.com STUDENT PHARMACISTS Christina Bravos, Drake University christina.bravos@drake.edu Robert Nichols, University of Iowa robert-nichols@uiowa.edu
ADVERTISERS
PharmServ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inside Cover IPRN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Pharmacists Mutual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Hansen, McClintock & Riley . . . . . . . . . . . . . . . . . . . . . . . . . 21 Onnen Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 OutcomesMTM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 McKesson/RxOwnership . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 PTCB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Buy-Sellapharmacy.com . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Career Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 PACE Alliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 PQC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Back Cover
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. “The Journal of the Iowa Pharmacy Association” (ISSN 1525-7894) is published 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 Iowa Pharmacy Association.
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President’s Page
The time for Iowa Pharmacists is NOW Bob Greenwood RPh IPA President
Inaugural Address Delivered at IPA’s Annual Meeting on June 12, 2015 in Coralville, Iowa
G
ood evening, and thank you, it is truly an honor for me to stand before the members of the Iowa Pharmacy Association and be introduced as your 136th President, it seems like yesterday, however it was 37 years ago, as a newly licensed Iowa pharmacist, that I joined this great organization, and it has been a big part of our professional success through the years. I applaud the men and women who have led this organization before me, many who are with us this evening. IPA is truly a respected, recognized and somewhat envied pharmacy association. Our members have served the profession in national leadership positions, have been recognized, and awarded for their innovative practice ideas and programs, many which are emulated by pharmacists across the United States. A thanks goes out to these Iowa pharmacists, and leaders. Welcome back to Kate, and congratulations to you and Bob on the addition of twins to your family, I also want to welcome back and thank any former IPA staff that are with us, and give a warm recognition to current IPA staff that are here, Anthony, Joan, Mindy, Laura, David, and Marla we thank you for your dedication and service to the pharmacists of Iowa. As said many times in the past by former IPA CEO Tom Temple, this evening is not an occasion for long ideological speeches, however it is an evening of celebration, camaraderie, meeting new friends, catching up with old friends, and a chance to get acquainted with the many student members that are here. We have a fun evening planned; with an opportunity to help the IPA Foundation raise money for our student initiatives after this program is finished, in the adjacent room.
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In my talk I will outline the initiatives that we as a Board will address throughout the year, however before I do that I want to thank some very special people in my life that have supported me through the years and have helped cover my obligations as I have worked for our profession. My wife of 32 years Chery, our children Joe and his wife Torie, Tim and his friend Liz, our daughter Abby, our granddaughter Amelia, and we are anxiously awaiting the arrival of our second grandchild in September. I want to share a quote that I heard during Beau Biden’s funeral services about children. Joe Biden was quoted as saying a father knows he’s a success when he turns and looks at his sons and daughter and knows they turned out better than he did, well I can honestly say our children did, and Chery and I are very proud of them. I have had the good fortune and experience of being an Iowa pharmacist since graduating from Creighton in 1977; I have been blessed to have been surrounded by great pharmacists and staff, some of who are with us this evening. My business partner and pharmacist at Reinbeck Pharmacy Brent Bovy and his bride Val, Wes Pilkington a pharmacist from our Waterloo store, and two of my business partners at Martin Health Service, pharmacist Leslie Tierney and Tina Moeller. Our whole pharmacy staff has been very understanding and flexible allowing me to be away from the pharmacy and to engage in molding a better future for our profession. I also want to acknowledge and thank the leadership of the two national pharmacy associations that I have had the good fortune to be an active member in, that of NCPA, their Board of Directors and CEO Doug Hoey, and APhA, their Board of Trustees and CEO Tom Meinigan.
President’s Page
“In all my years of being an active leader in professional pharmacy organizations, I have never seen all the associations rally behind one piece of legislation that will have such a huge impact on all of pharmacy and pharmacists!”
coordinating care in the transition of care process, medication errors on admission and discharge are trending down, mainly because involvement of the pharmacist on the team. We also need to be focusing on medication compliance and adherence programs to decrease hospital readmissions and improve overall quality of care. I believe IPA can be the conduit to gather and share best practice solutions, and the corresponding challenges.
The time for Iowa Pharmacists is NOW; we are closing in on the provider status recognition that we have advocated for – for over 40 years. I believe we have framed the issue well; we have the right sponsor for the legislation (thank you Senator Grassley), the right vehicle, and the right message. Now we need to provide the grassroots support that will get this legislation passed and signed into law. I can feel the groundswell. In all my years of being an active leader in professional pharmacy organizations, I have never seen all the associations rally behind one piece of legislation that will have such a huge impact on all of pharmacy and pharmacists!
We will continue to advocate for the profession in the Statehouse, on Capitol Hill in Washington and in the regulatory agencies, where your input is welcomed and appreciated. We have had a couple wins the past two years in the state legislature; we thank our resident pharmacist John Forbes for his help in educating other members of the Iowa House of Representatives and Senate in understanding our issues with the PBMs.
engaged in solving. We have a great Board, we thank the members who have served their term and welcome the new members. I am looking forward to our retreat next month. I’m sure we will have a full agenda.
We also thank the many Iowa pharmacists who have contributed to both our Iowa Pharmacy PAC and Legislative Defense Fund; this support is so important and needed in keeping pharmacy viable and sustainable in the future. We will continue to have challenges ahead of us that we will be
We had great input this morning in the 1st session of the House of Delegates; agenda items that were discussed are duly noted and will be addressed at future Board of Trustees meetings. Thank you all so much for your dedication to the profession, and for attending our Annual Meeting. ■
There are increasing opportunities for pharmacists to be involved in and to demonstrate their professional skills
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IOWA PHARMACY RECOVERY NETWORK
Assisting Impaired Pharmacists, Student Pharmacists, and Pharmacy Technicians
Where do you turn when you, a co-worker or someone you care about needs help with an addiction, physical illness or psychiatric disorder?
Providing support . . . through caring volunteers
HOPE FOR RECOVERY 1-877-890-IPRN
http://www.iowarecovery.org/
ceo editorial
Strength in Numbers
T
he transition between administrative years is an opportunity to reflect on the events of the past year in preparation for the opportunities and challenges of the next. The Iowa Pharmacy Association had a remarkable year. Legislative victories. The launch of new IPA Foundation programs. Expansion of continuing education opportunities. Progress towards provider status. While the year wasn’t without its challenges, our success is rooted in one of IPA’s strengths – our numbers. What continues to make IPA strong is the number of pharmacists from different practice sites, career stages and backgrounds coming together to form the vision for pharmacy practice in the state of Iowa. As I talk to colleagues in other states, it’s rare to find the depth of bench strength that we have in Iowa to lead our profession. In fact, as the IPA Nominations Committee developed a list of candidates to run for office in 2016, not a single member that was asked to run said “No.” That speaks volumes to the level of leadership we are fortunate to have, and that leaders want to continue to be a part of the progressive practice of pharmacy in Iowa. Going into the 2015 legislative session, we saw a mountain ahead of us in overcoming the efforts of PBMs following passage of Iowa’s PBM bill in 2014. However, a large number of pharmacists and student pharmacists spoke up and got legislators’ attention. The result was passing a 2nd PBM bill UNANIMOUSLY in both chambers the Iowa Legislature. This is no small feat, and we need to recognize the impact that our voice – individually and collectively – can have to influence policy and legislation.
Your passion and effort as members must be matched in stewardship by the association so that our mission can continue. As CEO, I’m proud to report that over the past 2 years, IPA has finished the year with balanced and positive net revenue budgets.
Kate Gainer PharmD IPA Executive Vice President & CEO
What I’m most proud to report to the membership is that during our annual review, our CPA firm specifically pointed out the high efficiency of our operations. Only 15% of IPA’s income is spent on operations and administration with over 85% directly funding the association’s programs and initiatives to advance our mission.
“Success as an association and profession will depend on an important number – the number ONE.” Looking forward to the coming year, I believe our continued success as an association and profession will depend on an important number – the number ONE. All of us, with our diversity of experience, skill and passion, working together as ONE profession to achieve provider status and advance practice. All of us, advocating as one for fair compensation and a level playing field. All of us, speaking in ONE voice to explain the valuable role of the pharmacist on the healthcare team to our provider colleagues, patients, policy makers and communities. Thank you all for a successful year. 2015-2016 will bring the next wave of opportunities and challenges for our profession, but I am confident that a large number of Iowa’s pharmacists, technicians and student pharmacists will be standing by ready to advocate for and advance our profession. ■ JUL.AUG.SEP 2015 |
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2015 ANNUAL MEETING
2015 ANNUAL MEETING JUNE 12–13, 2015 • CORALVILLE, IA Over 190 pharmacists, technicians and student pharmacists from across the state gathered at the Coralville Marriott to discuss and set policy, recognize achievement and celebrate the year in pharmacy. The “Partners in Practice” theme was seen throughout the policy discussions, presentations and the new “Breaking Down the Silos” interactive roundtable discussions. In the following pages, you will experience the sights and sounds of the 2015 IPA Annual Meeting including the winners of IPA prestigious awards, adopted policies of the House of Delegates, the inauguration of Bob Greenwood as IPA 136th president and more!
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2015 ANNUAL MEETING
SEE MORE ANNUAL MEETING PHOTOS ON OUR FACEBOOK PAGE!
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2015 ANNUAL MEETING
Get Hooked
I Connie Connolly
RPh, BCACP IPA Speaker of the House Speaker of the House Address Delivered at IPA’s Annual Meeting on June 12, 2015 in Coralville, Iowa
have enjoyed my term as your Speaker of this House. My term of office has been a rewarding and challenging experience and I recommend it to anyone who wants to truly have a front seat observing and participating in the practice of pharmacy in Iowa. On a rainy Father’s Day weekend in 1990, I attended my first House of Delegates as a student and, as some of you may remember from my speech two years ago, I was hooked on the idea of working to support the profession of pharmacy. Watching Jim, Jay, Steve, Jerry, Mary, Lisa, Matt ,Bob and others approach the microphone and give their impassioned and engaged statements and opinions had me fascinated. This process we will be using today is an amazing way to collaborate and utilize our collective intelligence and experience for the good of the profession.
“I was hooked on the idea of working to support the profession of pharmacy.” As mentioned before, our goal today is to formulate policy. This policy then communicates to the public and other professions what it is that we hope to accomplish. Many of you participated in our 2/2/2 session held in May and I thank you for the valuable input that has put us in a position to put the final polish on these policy statements today and tomorrow. My mentors over the years have voiced to me the common theme of “do what’s right for the patient and you can never go wrong.” Let us keep this in mind today as we debate and craft our house policy.
“...we realize that we must be more and more vocal about what services we provide to our patients, or we will lose the opportunity to perform them.”
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Practicing what is right for the patient is great, but we have often done this quietly out of the spotlight and have simply been satisfied with having helped the patient. Today, we realize that we must be more and more vocal about what services we provide to our patients, or we will lose the opportunity to perform them. It has become imperative that we show data from the results of our work with patients in order to continue that work. In today’s economy, the healthcare arena is ruled by the payer. Now that the payer is no longer our patients, we need to get the attention of the new person in charge, which is managed care. As pharmacists, we need to be more visible in marketing our services and asking our patients for compensation for those services. Once our patients learn about all the things that we do for them, these patients can become valuable advocates for our services and demand that those services be covered by insurance providers. Gone are the days of quietly solving drug therapy problems behind the scenes and letting our healthy patients be our billboard to the general public. If we do not claim our share of the healthcare dollar, there are others in the healthcare field that are more than willing to do so. Let’s look at the topics we have before us today: Electronic records access...Most of us have been documenting our interactions with our patients for many years with our pharmaceutical care work. How many other medical professionals are even aware that this valuable information exists? We have the potential to add so much to the overall picture of the patient’s history and, conversely, we have long been hampered by not receiving the information that is in the charts of our other healthcare colleagues. It cannot be overstated how much the patient has to gain from our shared knowledge. The concepts of med reconciliation
2015 ANNUAL MEETING administration is our baby and we need to claim it!
“Medication knowledge and administration is our baby and we need to claim it!”
and pharmaceutical care would be enormously aided by this access and most of all, these are functions that are best performed by a pharmacist. We also cannot forget that we can greatly assist each other in the profession as well as our patients by sharing this information across our practice sites. Currently, DME fittings are logically done in the local pharmacy where the patient is located, not in a regional store or office that requires travel for adjustments or follow up. Our frequent access to patients is the advantage that we hold in this situation; the triaging we do during the appointment for the fitting process provides better care and monitoring for the patient.
Pharmacy’s use of social media will be crucial in how we are perceived by our patients. There is a lot of “electronic noise” out there and this will be another instance where we need to advertise exactly what it is we bring to the healthcare game. We can further our reputation as trusted healthcare professionals when this is handled correctly. Statewide protocols will allow us to step up and provide crucial care to our patients and will further our cause to become recognized providers in the healthcare system. This will only advance our position in regards to how we are viewed by managed care. Medication knowledge and
Thank you for a great year! Now read all about it!
IPA is excited to share this year’s achievements with you in our joint IPA/IPA Foundation Annual Report & Calendar. Inside you will find IPA and IPA-F’s achievements for 2014-15, important events for 2015-16 and the personal days that members “owned” this year with a contribution to the Foundation to do celebrate what they chose on that day. To request an additional copy, contact IPA at ipa@iarx.org or 515-270-0713.
Medication Adherence is the flagship of this movement as it is the most visible to our patients. We need to grab this opportunity and run with it. Patients are clamoring for it. They want medication to be easy! We have the tools to make this happen and we need to use them. Your participation in this process and your input on these important issues is valuable. Thank you to the policy committee members and delegates for your commitment and your diligence in this process. Thank you to the students present today and I hope we can “hook” you to remain active even as you become licensed to help shape your practice future. I am honored that you have allowed me to serve in this capacity and look forward to our work today and tomorrow. Thank you all for “Partnering in Practice” with me! ■
2015 ANNUAL MEETING
2015 House of Delegates: ADOPTED POLICIES 15-U1: Pharmacy Practice and Managed Care Organizations (MCOs) 1. IPA supports mandatory incorporation and payment of pharmacist-provided patient care services in the delivery of health care to patients enrolled in MCOs. 2. IPA supports access for any willing Iowa pharmacy provider to participate in all aspects of care included in MCO care models. 3. IPA supports provision of consistent pharmacy benefits across multiple MCOs for Iowa Medicaid and other state-based payers. 4. IPA supports the active involvement of Iowa pharmacists and other Iowa healthcare providers in the development and oversight of formulary management, pricing policy, payment for pharmacistprovided patient care services, and other pharmacy benefit management strategies within MCOs for Iowa Medicaid and other state-based Iowa payers. 5. IPA supports appropriate statebased regulatory oversight and accountability of MCOs and any contracted pharmacy benefits manager to improve patient health outcomes.
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15-U2: Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS) 1. IPA recognizes that DMEPOS fitting and dispensing are among DMEPOS services within the scope of pharmacy practice. 2. IPA supports continued patient access to DMEPOS services provided at Iowa pharmacies. 3. IPA recognizes the national DMEPOS accreditation standards and supports pharmacies that choose to obtain accreditation. 4. IPA opposes DMEPOS-related licensure requirements for pharmacies and pharmacy professionals by a state board other than the board of pharmacy. 5. IPA supports DMEPOS training and education of pharmacy professionals who provide these services
15-U3: Statewide Healthcare Protocols
1. IPA supports development of statewide healthcare protocols that include pharmacy professionals to address public health needs and future healthcare demands. 2. IPA supports collaboration of key state and federal stakeholders
including IPA to identify opportunities for the establishment and implementation of statewide healthcare protocols in Iowa. 3. IPA supports standardized and integrated reporting processes for statewide healthcare protocols that are consistent across all providers. 4. IPA supports appropriate compensation of pharmacy professionals for services delivered through statewide healthcare protocols.
15-R1: Pharmacy’s Role in Meaningful Use 1. Rescind IPA policy 14-R1.
2. Reaffirm IPA policies 09-R1 and 06-U2. 3. IPA supports recognition of pharmacists as eligible professionals (EPs) for established meaningful use standards. 4. IPA supports appropriate and equitable compensation for pharmacists’ contribution to achieving meaningful use standards. 5. IPA supports effective integration and bidirectional exchange of electronic clinical and medication information in order to achieve meaningful use standards.
2015 ANNUAL MEETING
THANK YOU! SPONSORS
6. IPA supports advocacy and education to key stakeholders regarding the role of pharmacists in the meaningful use of health information technology.
15-R2: Medication Adherence
1. IPA supports the role of pharmacists to lead the process of assessing and optimizing medication adherence in collaboration with other members of the healthcare team. 2. IPA supports utilization of evidencebased medication adherence programs across the continuum of care to improve patient health outcomes and optimal use of healthcare resources. 3. IPA supports pharmacists’ engagement with patients and their caregivers to identify and address patient-specific barriers to medication adherence.
4. IPA supports payment by third party payers for medication adherence programs that include pharmacist assessment and optimization of patients’ medication regimen.
15-R3: Use of Social Media
1. IPA supports the use of social media by pharmacy professionals in ways that advance patient care and uphold the integrity of the pharmacy profession. 2. IPA supports the inclusion of social media education, including but not limited to appropriate use and professionalism, as a component of pharmacy education and continuing professional development. 3. IPA supports the protection of patient privacy and confidentiality related to the use of social media.
SAVE THE DATE!
2016 IPA ANNUAL MEETING June 17-18, 2016 West Des Moines, IA
Abbvie AmerisourceBergen AstraZeneca Baxalta US Inc Boehringer Ingelheim Pharmaceuticals Cardinal Health CSL Behring LLC Hartig Drug HD Smith Iowa Department of Public Health Iowa Healthcare Collaborative Iowa Pharmacy Association Foundation Iowa Prescription Drug Corporation Iowa Total Care IPRN Martin Health Services McKesson Merck Vaccine Division Nucara Onnen Company Pfizer Pharmacists Mutual PharmServ Staffing QS1 Sanofi Sharps Compliance, Inc The Medicines Company Thrifty White Drug Wellmark
SUPPORT FOR STUDENT ATTENDANCE Bruce Alexander Carl Chalstrom Kate Gainer Erik Maki Gary Milavetz Nickolas Lund
IPA FOUNDATION SUPPORT
THANK YOU to all silent action contributors and bidders, ring toss donors and players, and red envelope takers. From your contributions and participation, the IPA Foundation raised over $19,000 at the Silent Auction that will directly benefit its student support and practice advancement initiatives.
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2015 ANNUAL MEETING Each year, IPA hosts a Leadership Dinner to recognize the past, present and future leadership within the association and Iowa pharmacy. This year’s dinner was held at the Iowa River Power Restaurant in Coralville which featured a spectacular view of the Iowa River. Those recognized included current and incoming board members, current and past Leadership Pharmacy participants, committee chairs, past presidents and honorary presidents, and the deans from the Drake University and University of Iowa Colleges of Pharmacy.
Iowa Pharmacy Leadership Recognized
2015 Honorary President’s Remarks It was a privilege to follow my longtime colleague and friend, Mark Jones as the 2014–2015 IPA Honorary President. I also extend my congratulations to the 2015–2016 IPA Honorary President, Dennis Jorgensen.
Bruce Alexander, PharmD 2015 IPA Honorary President
I
t has been an honor to serve the Iowa Pharmacy Association (IPA) as Honorary President. My grateful appreciation to Jim Hoehns for nominating me for this honor and to the 2014 – 2015 IPA Board of Trustees for my selection. Also, to the current Board of Trustees for making me feel so welcome.
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My year with the Trustees started July 2014 with the Board’s annual retreat. That planning session and the three quarterly meetings that followed were an in-person confirmation of what important work the Board and the talented IPA staff are doing to keep pharmacy at the forefront of patient care and research in Iowa. They tackle the difficult issues with thoughtfulness and passion to insure the viability and to promote the professional practice of our community and health-system pharmacies. I have been privileged to know 13 of the past Honorary Presidents and 29 of the past Presidents in my fortyone years as an Iowa pharmacist. This list includes pharmacy school
classmates, former students, friends, and academic colleagues. It was in the spring of 1988 when my classmate, roommate, fraternity brother, and friend, Jerry Karbeling called one evening to ask me why I wasn’t a member of IPA. As I quite defensively explained to Jerry I was too busy to be involved with an organization. I had a busy academic career and clinical practice as well as a new baby in the family. If you knew Jerry, then you know how persuasive he could be. As I recall it wasn’t a very long conversation and the next day I joined IPA. This past year has provided me the opportunity for a closer look at what I have known for the past 27 years that IPA is a great organization composed of exceptional people. Thank you to Jerry, for his call that night. It has personally and professionally meant more to me than he could ever have known.
2015 ANNUAL MEETING
Thank You IPA BOARD MEMBERS! Thank You Outgoing 2014-2015 IPA Board of Trustees
IPA would like to sincerely thank the outgoing Board of Trustee members listed below for their dedication and service to the pharmacy profession in Iowa. Their leadership to the association through several important issues has been invaluable in strengthening pharmacy practice in our state. Michele Evink, MS, PharmD, CGP, FASCP Osceola Chairman of the Board Connie Connolly, RPh, BCACP, DeWitt - Speaker of the House Bruce Alexander, PharmD, BCPP, Iowa City - Honorary President John Daniel, PharmD, Fort Dodge - Trustee, Region 2 Ashley Dohrn, PharmD, Le Claire - Trustee, Region 4 Justin Rash, PharmD, CGP, Ankeny - Trustee at Large Felix Gallagher, PharmD, Des Moines - Trustee at Large Carson Klug, Student Pharmacist - Drake University Grant Houselog, Student Pharmacist - University of Iowa
Michele Evink
Connie Connolly
Bruce Alexander
John Daniel
Ashley Dohrn
Justin Rash
Felix Gallagher
Carson Klug
Grant Houselog
2015-2016 IPA Board of Trustees
IPA welcomes the incoming 2015-2016 Board of Trustee members. As their first order of business, the Board met for a retreat in Moravia, Iowa, to review the strategic plan and update priority projects for the upcoming year.
YOUR OPPORTUNITY TO LEAD
Consider serving on board ad....
Being a member of IPA gives you the opportunity to lead and shape the future of our profession. By volunteering on a committee or the IPA Board of Trustees, you will lend your voice and experience to the advancement of pharmacy practice across the state. If your interested in serving on the Board or a committee, contact Anthony Pudlo at apudlo@iarx.org
John Swegle, PharmD, BCPS, Mason City - Chairman of the Board Bob Greenwood, RPh, Waterloo - President Rick Knudson, PharmD, BCPS, MS, MBA, Clear Lake President-Elect Steve Firman, RPh, Cedar Falls - Treasurer CoraLynn Trewet, MS, PharmD, BCPS, CDE, Ankeny Speaker of the House Susan Vos, PharmD, BCPS, FAPhA, Iowa City - Vice Speaker of the House Dennis Jorgensen, RPh, Panora - Honorary President Kristin Meyer, PharmD, CGP, CACP, FASCP, Marshalltown Trustee, Region 1 Ryan Jacobsen, PharmD, BCPS, Iowa City - Trustee, Region 2 Erik Maki, PharmD, BCPS, Johnston - Trustee, Region 3 Jerod Work, PharmD, Sioux Center - Trustee, Region 4 David Weetman, RPh, Iowa City - Trustee at Large Laura Knockel, PharmD, North Liberty - Trustee at Large Brett Barker, PharmD, Nevada - Trustee at Large Stevie Veach, PharmD, BCACP, Tiffin - Trustee at Large G. Jean Gallogly, CPhT, Vincent - Pharmacy Technician Christina Bravos, 2017 PharmD Candidate, Drake University Robert Nichols, 2017 PharmD Candidate, University of Iowa JUL.AUG.SEP 2015 |
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2015 IPA AWARDS
CONGRATULATIONS 2015 IPA AWARD WINNERS! The Iowa Pharmacy Association takes great pride in recognizing individuals for their contributions of leadership, patient care, professional involvement and public service. The following awards were presented by IPA’s Chairman of the Board, John Swegle, and Executive Vice President and CEO, Kate Gainer during the 2015 IPA Annual Meeting.
Robert G. Gibbs Distinguished Pharmacist Ed Maier, RPh, of Mapleton
Distinguished Young Pharmacist of the Year Angie Spannagel, PharmD, BCACP, of Maquoketa Presented by Kim Dornbier of Pharmacists Mutual
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Bowl of Hygeia Award Dick Hartig, RPh, of Dubuque
Excellence in Innovation Ryan Jacobsen, PharmD, BCPS, of Iowa City
Patient Care Partner Award Steven Bascom, MD, of Guthrie Center Pictured with nominator DeeAnn Wedemeyer Oleson, PharmD
2015 IPA AWARDS
Health-System Pharmacist of the Year Dave Weetman, RPh, MS, of Iowa City
Individual Appreciation Award Mike Pursel, RPh, MBA, CHP of Village of Loch Lloyd, MO
GenerationRx Award Lawrence Fleckenstein, PharmD, of Iowa City Presented by Mike Hope of Cardinal Health
Jerry Karbeling Leadership Award Alyssa Billmeyer, University of Iowa & Natalie Roy, Drake University Presented by Tim Becker, IPA Foundation President
Corporate Appreciation Award Iowa Department of Public Health Accepted by Gerd Clabough, Director, IDPH
Pharmacy Technician of the Year Neisha Benson, CPhT, of Norwalk Pictured with Helen Eddy of HyVee
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2015 IPA AWARDS Poster Presentation
Evaluation of Physician–Pharmacist Collaboration Model Natalie Dawn Blaine, PharmD Candidate Rachel J. Finkelstein, PharmD Christopher P. Parker, PharmD, BCACP Barry L. Carter, PharmD
50 Year Pharmacists (L-R) Larry Costello of Clear Lake, John Phillips of Newton, Robert Shores of New London, Duane Haberichter of Oskaloosa, family representative of Carl Rouse of Centerville Not Pictured: Edward Bean of Wayland, Maurice Bell of Afton, Terry Carley of Avoca, Gary Daws of Dixon, IL, John Drzycimski of Cedar Rapids, Marvin Feidler of Phoenix, AZ, Gerald Getter of Corning, Charles Haigh of West Des Moines,Stephen Haigh or Des Moines, John Hofmann of Green Bay, WI, Lois Hurst of Runnells, Corliss Klaassen of Chariton, David Johnson of Burlington, Robert McCaffrey of Boone, Roger Nichols of Prairie City, Martin Ogden of Olathe, KS, Stephen Peterson of Bettendorf, Wayne Ruhl of Melrose, Darrell Shirk of Gravois Mills, MO, William Sievers, Jr. of Sioux City, Roger Snook of Council Bluffs
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Feature
AN Introduction to Pay for Performance Elliott M Sogol PhD, RPh, FAPhA VP Professional Relations Pharmacy Quality Solutions
As the US Healthcare system continues to evolve into a quality based - value driven marketplace, pharmacists are challenged with a changing environment. Quality performance measures are now being reviewed by multiple payers, PBMs, plans, and CMS. These measures may begin to affect preferred pharmacy network (PPN) opportunities through quality based networks (QBN) or value based networks (VBN). Based on the changing environment we are seeing the creation of pharmacy pay for performance (P4P), quality incentive bonus (QIB), or quality incentive programs (QIP) which are being based minimally on the CMS STAR ratings medication metrics. Currently there are two specific areas measured related to medication use: patient safety and medication adherence. The patient safety focus is on high risk medications (HRM) in the elderly while the medication adherence metrics track the proportion of days covered (PDC) for three therapeutic areas: non-insulin diabetic medications, statins, and Renin Angiotensin System Antagonists (RASA) medications. According to Allied Health News, P4P Programs in healthcare is an effort to increase the quality of medical care in the U.S. while at the same time reigning in the often staggering costs.1 P4P programs have been in existence in many health care areas since at least the early 1990s, however as the Affordable Care Act continues to roll out, these programs are growing across the entire health care system. P4P for pharmacy providers is in its infancy but is expanding quickly in the community pharmacy arena.
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What does that mean to the profession of pharmacy as a whole?
Health plans are beginning to offer incentives, in addition to reimbursement for drug products, to pharmacies for high quality services. The specifics of each program may differ in regard to eligibility and payment, however the basic quality metrics remain consistent leveraging the CMS metrics. Many health plans are partnering with Pharmacy Quality Solutions (PQS) using their EQuIPP web based platform to gauge a pharmacy’s performance; PQS acts as a neutral intermediary between health plans and pharmacies. For pharmacists this is an opportunity to gain financial incentives for improving patient outcomes. There are multiple program designs for P4P programs. While these programs are in their infancy for pharmacy some already exist in a variety of programs and designs.
Possible Designs of P4P Programs
• Pharmacies evaluated on medicationuse measures • All or some from the CMS Star Ratings program • May include additional measures that are in consideration by CMS or from other quality-related groups • Pharmacies receive bonus payments based on a specified date rage for performance achievement and/or performance improvement • Some models will be “pay to play” wherein pharmacies take a share of the risk and only high performing pharmacies receive bonus payments for good clinical performance. • Pharmacy P4P eligibility and/or bonus based upon the number of patients for each measure in addition to attainment of goals. • Some goals are fixed, others based on relative performance • Dollars go to top performers
Feature One example of a P4P program is the Inland Empire Health Plan (IEHP) of southern California QIP which started in the fall of 2013. This program currently includes several metrics: CMS endorsed measures plus a generic dispensing rate and an asthma measure. The goal is to improve pharmacy services through IEHP community pharmacy providers and to validate the role of community pharmacy in promoting and affecting healthcare quality. This program is one of the first large scale pharmacy P4P programs in the United States. IEHP has recruited community pharmacists and chain representatives with internal stakeholders including the IEHP Chief Medical Officer, Senior Director of Pharmaceutical Services, and the Associate Medical Director of Pharmaceutical Services to form an active workgroup. IEHP is just one example of P4P program opportunities for community pharmacies. It is clear that the time is now for pharmacy to take an active role in this new arena. By paying close attention to star measure performance ratings, eligible pharmacies may be able to receive quality incentive payments that can be used to advance community pharmacy services.
Community Pharmacy Moving Forward
It is important that community pharmacists understand the measures, know P4P programs exist, and realize that each one is unique in its metrics, eligibility, and payment calculation. Although this may seem overwhelming, here is an opportunity to increase patient satisfaction, achieve better patient outcomes by addressing gaps in care/therapy and reduce the variation in these quality metrics while possibly receiving bonus dollar for doing so. From an adherence perspective working with patients to become more adherent will also provide greater financial rewards and loyalty. How a pharmacy prioritizes ways to improve across
the metrics is a key to knowing which area(s) to concentrate on. Once improvement strategies are identified, the pharmacy can implement changes toward a patient centered care service that focuses on specific quality outcome goals. All of these services and goals affect the everyday life of a community pharmacist. In addition, these programs promote a patient centric ideal and offer another way to collaborate with our neighborhood prescribers and practices in the community. By working collaboratively with our health care professional colleagues, better patient outcomes, reduced adverse drug events and even fewer hospitalizations could result. Focusing on quality measures by proactively reaching out to patients may improve an already trusted and valued patient-pharmacist relationship. What should you ask about P4P programs that you are hearing about? • Is there a clear timeframe for evaluation and payments?
follow up to help patients who become adherent and stay adherent only prolongs the issue. Specific tracking and follow up communications can keep the patient on track. Will this be a new service as to how the pharmacy operates? Is there a set of communications you can put in place for your pharmacy staff members so they understand quality and have a clear plan and set expectations prior to the start of the program? Pharmacy technicians, interns, and students can play a vital role in all aspects of patient care and identification of specific metric issues for each patient. Together we can help patients manage and use their medications for their benefit while providing high level of quality focused on all of our patients, one patient at a time. ■ References:
1. http://www.bestalliedhealthprograms. com/allied-health-news/what-is-pay-forperformance-healthcare
• Are there clear goals/thresholds for success? • What performance measures will be included? • How will the program be communicating to your pharmacy/ pharmacies? Finally, creating an action plan on how to implement interventions or strategies for improvement is critical as well as plans on maintaining successful patient cases. Putting in place an intervention that does not include
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health care hot topics Proposed Legislation to Expand MTM access for Medicare Patients The Medication Therapy Management Empowerment Act of 2015 (S.776) was introduced to the Senate on March 18, 2015. The proposed bill has bipartisan support to help increase access for Medicare patient to MTM services. Currently patients with multiple chronic disease states, taking multiple Part D medications, and incurring a drug cost greater than $3000 qualify to receive MTM services. The bill would expand eligibility for patients who only have one chronic disease state such as cardiovascular disease, COPD, hyperlipidemia, and diabetes. At publication, 14 senators were sponsoring the bill.
FDA Issues Guidance on Developing Abuse-Deterrent Opioids
In April 2015, the FDA issued final guidance to help the industry develop opioids with abuse-deterrent properties. The agency is encouraging drug makers to develop opioids that work correctly when taken as directed; however, they may be formulated in a way that deters misuse, such as making it hard to snort or inject the drug. The FDA guidance details the agency’s views on how drug studies should be conducted to demonstrate whether a certain formulation has abuse-deterrent properties as well as approved labeling claims the product can make.
Pharmacy Workforce Center Releases New Information
Results of the 2014 National Pharmacist Workforce study have recently been released. The survey data shows that the pharmacy workforce has shifted towards a female majority. The survey also showed that pharmacists are spending less time in traditional dispensing roles and spending more
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time performing patient care activities in a variety of healthcare settings.
budget, and maintaining quality of patient care.
CVS Health acquires Target Pharmacies
Stier Appointed Director of Iowa Medicaid
CVS Health has announced it will buy Target’s pharmacies and clinics for $1.9 billion. Target currently operates more than 1,660 pharmacies and 80 clinics across 47 states. All pharmacies will be rebranded as CVS/pharmacies and will operate like a “store-within-astore”. CVS plans to expand the clinics within Target locations by opening two dozen new clinics in the next 3 years.
Governor Faces Backlash after closing 2 State Mental Health Facilities
The in-store medical clinics will be rebranded as CVS’s MinuteClincs. CVS and Target are also collaborating to open more TargetExpress locations, which will offer a full service pharmacy. CVS Health President, Larry Merlo, stated “This relationship with Target will provide consumers with expanded options and access…that will lead to better health outcomes and lower overall health care costs.”
Early Successes in ACO Fuels Expansion Medicare Accountable Care Organizations (ACOs) are used to improve quality of services provided to patients. ACOs are an incentive for health care based teams to be successful and excel in patient care. The health care team is rewarded if they provide quality care and reduce the amount of medical errors.
Recent results from the Pilot ACO programs have been released and produced favorable results, thus fueling expansion. CMS reported that the Pilot ACO program saved the Medicare over $380 million. It meets the Affordable Care Act criteria for expansion due to the monetary savings, not adding to the Medicare
Mikki Stier, who was appointed director of Iowa Medicaid Enterprises on May 1, has officially started work in her new position. Stier was previously the VP of Government and External Relations at Broadlawns Medical Center in Des Moines. As director of Iowa Medicaid, Steir will oversee the program that seeks to optimize health outcomes for low-income Iowans while doing so in a cost-effective method.
Though he claims that the closures will save the state millions of dollars and patients would do better in local care facilities, Governor Branstad’s unilateral actions have upset Iowans and lawmakers.
After using his veto power in July to eliminate funding for the state mental hospitals in Mount Pleasant and Clarinda, the Governor is facing a lawsuit from American Federation of State County and Municipal Employees and 20 Democratic legislators. The suit alleges that the Governor is breaking an Iowa law that states that the state shall operate mental health institutions in those locations. The Governor made clear his intentions to close the facilities earlier this year, but the legislature sent him a compromise within the budget – funding for the Mount Pleasant facility and the opportunity find a private agency to reopen the Clarinda facility. This compromise was vetoed.
FDA: Avoid Using Compounds from Fayetteville, NC Facility
The FDA and the North Carolina Board of Pharmacy (NC BOP) are strongly advising health professionals not to use products made and distributed
health care hot topics from the Prescription Center Pharmacy located in Fayetteville, NC. Products from this facility were distributed to the US and Canada. The NC BOP conducted an inspection of the pharmacy and found major deficiencies in products made by the pharmacy. The NC BOP closed the facility and recalled all sterile and non-sterile products produced and distributed between September 10, 2014 and March 10, 2015. The FDA is not aware of any adverse events associated with products from the facility, but are urging health care professionals to avoid their use due to the concerns surrounding the facility.
Supreme Court Upholds ACA
On June 25, 2015, in a 6-3 decision, the Supreme Court upheld the federal subsidies provisions of the Affordable Care Act (ACA).
The case challenged the legality of the subsidies distributed by the federal government to individual in states that did not have their own health insurance exchanges. A ruling favoring this challenge would have jeopardized subsidies for 6.4 million Americans.
also required to schedule a follow up appointment with the same physician and the same location. In its decision, the court ruled that the rule was unconstitutional because it placed an undue burden on a woman’s right to terminate her pregnancy.
Justices Roberts, Kennedy, Ginsberg, Sotomayor, Breyer, and Kagan affirmed the decision. Justices Alito, Scalia and Thomas dissented.
The case was brought by Planned Parenthood of the Heartland which has been using telemedicine to provide consultations with physicians who then remotely dispense the drugs.
Iowa Supreme Court Strikes Ban on Telemedicine Abortions
In a 6-0 vote, the Iowa Supreme Court struck down an Iowa Board of Medicine administrative rule that effectively banned telemedicine abortions. Under the rule that was adopted in 2013, a physician was required to be physically present to provide an examination and dispense abortioninducing drugs. The woman was
Top Medicare Part D Drugs
According to 2013 data from CMS released in April 2015, Medicare spent $103 billion on prescription drugs under Medicare Part D. Generic Vicodin® was the most prescribed medication with 691,028 filled prescriptions. Nexium® was the most expensive Part D medication costing the program close to $2.5 billion. ■
SAVE THE DATE! FEBRUARY 12-14, 2016
Community Choice Credit Union Convention Center, Des Moines, Iowa
LEARN, CONNECT & BE INSPIRED WITH YOUR COLLEAGUES FROM ACROSS THE MIDWEST!
www.MidwestPharmacyExpo.com www.MidwestPharmacyExpo.com
iowa pharmacy news Amanda brings compassion, enthusiasm, a wealth of ideas, and joy to her new position as IPRN Monitor. Under Amanda’s leadership, IPRN will provide increased exposure and education to pharmacists, students, pharmacy technicians and employers to have a better understanding of the services provided by IPRN and the opportunities to help pharmacy professionals who suffer from the disease of addiction.
Towncrest Pharmacy Receives the Iowa City Chamber of Commerce Root Award (photo courtesy of The University of Iowa College of Pharmacy)
Towncrest Pharmacy Receives Community and Regional Recognition On Wednesday, May 20, Towncrest Pharmacy was recognized by the Iowa City Chamber of Commerce for the Roots Award. The Roots Award recognizes businesses that have remained in business for 50 years or more in the Iowa City area.
Towncrest Pharmacy opened in 1965. Under the leadership of owners Bill Haigh, Bernie Cremers, Randy McDonough, and Mike Deninger, Towncrest Pharmacy continues to provide excellent patient care and innovative approaches to pharmaceutical practices. Towncrest Pharmacy has served as a University of Iowa College of Pharmacy Community Pharmacy Residency site for several years, teaching new pharmacists the importance and impact local pharmacies have on their communities. In addition to being honored with the Roots award, Towncrest was recently recognized by McKesson as Healthmart Pharmacy of the Year in the North Central Region and runnerup nationally. There are approximately 1,000 Healthmart Pharmacies in the North Central Region and nearly 4,000 nationwide.
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Owner Randy McDonough, noted that the honor exemplifies the solid foundation Bill Haigh and Bernie Cremers built and how Towncrest Pharmacy has been able to not only survive, but thrive in a very challenging period in pharmacy. (The University of Iowa College of Pharmacy contributed this article.)
IPRN Welcomes Amanda Latta AS New Monitor
Amanda officially began her position on September 7, 2015. She can be reached at iprn@iarx.org or 1-877-890IPRN (4776).
DHS Announces Winning Bidders for Iowa Medicaid Modernization
On August 17, 2015, the Iowa Department of Human Services (DHS) announced the winning bidders for the Iowa Medicaid Modernization initiative. The four managed care organizations selected to manage the state’s Medicaid program are: • Amerigroup Iowa, Inc. • AmeriHealth Caritas Iowa, Inc. • UnitedHealthcare Plan of the River Valley, Inc. • WellCare of Iowa, Inc.
Amanda Latta, PharmD, was selected to serve the Iowa Pharmacy Recovery Network (IPRN) as the Program Monitor. Amanda is from Springville, Iowa, and has a passion for helping others in recovery. She attended the APhA Institute on Alcoholism and Drug Dependencies (formerly the ‘Utah School’) and began serving as an IPRN advocate for two clients earlier in 2015.
Iowa Medicaid Enterprise has also scheduled training sessions across the state this fall for providers. See the schedule and details here. Since the Governor’s initial announcement in January, IPA and its executive leadership have met with key officials within the Governor’s office, DHS, Iowa Medicaid Enterprise, and a few of the MCOs that submitted bids (including Amerigroup and AmeriHealth Caritas). IPA was able to regularly submit feedback, comments, and concerns to DHS throughout the bidding process and will continue to do so as the program is implemented. ■
iowa pharmacy news
2/2/2 is IPA’s free monthly webinar series designed to keep you engaged and informed on the hot issues impacting the pharmacy profession. When is it? 2nd Tuesday of every month at 2:00 p.m. CST. UPCOMING DATES YOU WON’T WANT TO MISS: October 13
Iowa Medicaid Modernization Update
November 10
E-Prescribing of Controlled Substances
December 8 TBD
Take advantage of these virtual engagement opportunities by registering at www.iarx.org/222. Recordings of previous 2/2/2 programs are available at no charge at www.iarx.org/222. Previous subjects include 340b compliance, Incident-to Billing, Track-n-Trace, and more. Topics subject to change. Watch IPA communications for updates and registration instructions. 2/2/2 webinars are not accredited for CE.
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PRACTICE ADVANCEMENT
Addressing High Rates of Recidivism through Medication Access Jon Rosman Executive Director Iowa Prescription Drug Corporation
I
ndividuals transitioning from our state and local corrections systems face a number of immediate challenges. Released offenders must secure housing, find a medical care provider, be evaluated and apply for financial assistance, and explore employment opportunities. During this time of transition, many released offenders also lack access to affordable behavioral health medications, further complicating the individual’s reintegration into the community. Discontinuing many types of psychiatric medications can lead to the underlying illness or illnesses no longer being under control, an outcome of which could lead to reincarceration. In the Spring of 2013, a program in Polk County was launched to address the behavioral health medication needs of offenders released from the Polk County Jail, and shows significant promise in positively impacting the rate of recidivism among offenders with behavioral health disorders.
Year Two Findings
For a copy of the full report or for more information, please contact IPDC at 515-327-5405 or visit www.iowapdc.org.
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The Polk County Jail Behavioral Health Medication Assistance Program was launched March 4, 2013. Through this program, offenders released from the Polk County Jail are referred to Primary Health Care, Inc., a Federally Qualified Health Center located in Des Moines, where patients are seen on an appointment or walk-in basis. Patients with household incomes 200% of the federal poverty level or below are eligible to receive up to 90 days of behavioral health medications and primary health services at no cost. During the 90-day benefit period, patients are referred to Eyerly Ball Community Mental Health Services or Broadlawns Medical Center where longer-term behavioral health services are available.
Between March 4, 2013, and December 31, 2014, 341 offenders utilized the program to fill 1,301 prescriptions for behavioral health medications at a cost of $19,942. The medications were dispensed from Primary Health Care’s 340B pharmacy. Each offender used an average of 3.8 prescriptions at a cost of approximately $15.32 each. Of the 341 program participants, 306 offenders had been released for a period of 90 days. Due to the recent establishment of the program, recidivism analysis was limited to this critical 90-day period. Nine percent of program completers (persons utilizing three, 30-day supplies of behavioral health medications) recidivated during the first 90 days after release. Comparatively, 24 percent of non-participants with mental illness recidivated during the first 90 days. Further, the longer participants utilize the program, the lower the rate of recidivism is among that group. Among the program participants, the recidivism rates were 21, 17, 10, and 8 percent for persons that utilized one 30-day supply, two 30-day supplies, three 30-day supplies or three 30-day supplies plus a short term, 7-day supply of behavioral health medications. Persons receiving a shortterm supply of medications could not be immediately scene by a Primary Health Care provider. They were given a 7-day supply of medication and returned for another appointment where they received a full 30-day supply of behavioral health medications plus two subsequent refills.
Years one and two of this project were made possible through generous grants from the Mid-Iowa Health Foundation, the Prairie Meadows Community Betterment Program, and the Polk County Board of Supervisors. IPDC is currently collaborating with the Office of the Attorney General to launch this model in Iowa’s most populous counties. ■
PRACTICE ADVANCEMENT
New Practice Model Initiative in Full Swing With the support of the National Association of Chain Drug Stores (NACDS) and the Community Pharmacy Foundation, 17 pharmacies across the state have implemented Tech-CheckTech (TCT) for refill prescriptions as a means to provide advanced pharmacy services. IPA continues to actively support these pharmacies through conference calls, live meetings, and site visits. Information on technician error rates, number of patient care services provided, and measures on how pharmacists spend their time at each site will be collected throughout the research demonstration period.
Seven phase one locations have been utilizing TCT for one year with similar error rates for technician-verified refills compared to pharmacist-verified refills. Phase one sites continue to utilize TCT about 60% of the time. Benefits realized at these sites include a statistically significant decrease in the amount of time the pharmacist spends in dispensing with a corresponding increase in time spent in patient care. The number of services provided on a daily basis to patients continues to increase each quarter. The pilot period for phase one sites will expire in December 2015 and IPA hopes to attain approval from the Iowa Board of Pharmacy to renew this pilot project through July 2016. Ten additional phase two locations implemented Tech-Check-Tech in February 2015 with an 18 month pilot approval from the board of pharmacy. Sites have adjusted to the new workflow of Tech-CheckTech, with similar error rates from
Iowa’s First Practice Advancement Forum A SUCCESS
support statewide implementation of innovative approaches to incorporate pharmacists in the prevention of chronic conditions, particularly diabetes and heart disease.
Over 75 pharmacists from across the state met in Iowa City on June 11, for the first ever Practice Advancement Forum. This one-day forum, held the before IPA’s Annual Meeting, was a collaboration between IPA and the Iowa Department of Public Health (IDPH) to
After a successful first year, IPA and IDPH will again be hosting the Practice Advancement Forum in 2016 to continue the process of incorporating pharmacy expertise to optimize health care delivery in Iowa. Watch for future IPA communications for Forum details.
technician-verified refills compared to the traditional model. Phase two sites are utilizing TCT about 80% of the time and have seen trends similar to those found in phase one. Sites are actively focusing on developing and implementing advanced pharmacy services as well as expanding upon previously established services. In June 2015, both phase one and phase two sites gathered at the IPA Annual Meeting in Coralville to discuss establishing a standard process for patient care across all NPM sites. This process will follow the “Pharmacists’ Patient Care Process” endorsed by 13 national pharmacy organizations and published by the American Pharmacists Association (APhA). The goal is to develop a process for providing services that is as seamless and easy to follow as that of dispensing workflow, and hopefully mirrors the processes of other health care providers.
The morning featured presentation from national speakers that covered the patient care process, provider status and health information technology. Afternoon breakouts allowed attendees to hone in on applications for hospital and community settings with workshops from Iowa experts. The day wrapped up with a panel of Iowa pharmacists to discuss the ideas and applications presented throughout the day.
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ipa foundation
Thank You Iowa Pharmacists...
Y Tim Becker
RPh, FASCP IPA Foundation President
our generosity has made 20142015 a successful year for the IPA Foundation. IPA-F received over $101,000 in grant funding for practice development; is 87% to goal on the Thomas R Temple Leadership Endowment; had a successful inaugural IPA-F team participate in the Register’s Great Annual Bicycle Ride Across Iowa (RAGBRAI); maintained programs to assist with providing sustainable funding into the Foundation; and hosted another successful golf tournament. In addition, the IPA Foundation continues to advance our strategic plan and work to accomplish its mission of “inspiring generosity and fulfilling the aspirations of the pharmacy profession through support of education, practice-based research and practice development” through: • Student Pharmacist Support: Providing scholarships and facilitating professional development programs for student pharmacists in Iowa. • Leadership Development: Facilitating programs of leadership skill development for student pharmacists and new pharmacist-practitioners. • Continuing Professional Education: Supporting the development, in cooperation with Iowa’s two colleges of pharmacy, of CPE programs for pharmacists and pharmacy technicians. • Pharmacy Heritage: Preserving pharmacy’s rich heritage and promoting its culture to the profession and the general public. • Professional Recognition: Spotlighting excellence in leadership and practice innovation through award programs. • Resource Development: Obtaining resources from pharmacy-related organizations and professionals via annual fundraising programs, estate gifting, memorials, and endowed programs of scholarship, recognition, and professional development.
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We ask you to consider how you might best help our profession by making a taxdeductible contribution in support of our great profession. The generosity of Iowa pharmacists and technicians is something we all greatly cherish. One group I would like to thank for their time and efforts to support the activities of the IPA Foundation are my fellow members on the 2015-2016 IPA Foundation Board of Directors: Bill Baer, RPh, CGP, Vice President, Chariton Kate Gainer, PharmD, Secretary/ Treasurer, Des Moines Bernard Sorofman, PhD, Iowa City Carl Charlstrom, RPh, Anamosa Renae Chesnut, RPh, EdD, MBA, Des Moines Jay Currie, PharmD, FCCP, FAPhA, Iowa City Julie Kuhle, RPh, Indianola Sue Purcell, RPh, Dubuque Cheri Rockhold Schmit, RPh, Ames Bob Stessman, RPh, Manning
Tim Becker RPh, FASCP, President
2012-2015 Goals: 1. Create and Strengthen IPAF Brand Identity Among the Pharmacy Community 2. Complete the Leadership Pharmacy Endowment Campaign - $375,000 goal 3. Develop and Implement a Comprehensive Plan for General IPAF Fundraising
IPA FOUNDATION
...For your Generous Support! a ‘Pharmacy Bike Trailer’ that provided OTC/self-care items to riders • Support fundraising efforts of the IPA Foundation
RAGBRAI - last year’s team of 17 traveled 428.9 miles across Iowa and visited 17 pharmacies as a part of the Register’s Annual Great Bike Ride Across Iowa in order to: • Provide a new mechanism to engage IPA members • Provide a unique networking opportunity with pharmacy staff at pharmacies along the route and the pharmacists hosting the team each night in their homes • Promote the profession with screenings at pharmacists along the route • Promote the profession with
Thomas R. Temple Leadership Endowment – the endowment continues to grow and make an impact each year for Leadership Academy participants. With pledges and payments we are currently at $343,985 (of $375,000 goal). The endowment campaign was created 4 years ago in recognition of Temple’s 35 years of service to the profession of pharmacy, and his vision in establishing a leadership development program in Iowa. IPA Foundation Institute and Legacy Society – both of these charitable programs continue to grow and play a critical role in funding the charitable programs of the IPA Foundation and provide for the future of profession.
Sponsor a Calendar Day – you should have received your Annual Report/ Calendar in the mail. You will notice IPA members spotlighting various events and activities. This sponsorship opportunity was a new activity this year and great way for members to be a part of the calendar and raise additional funds for the Foundation.
Eggleston-Granberg Golf Classic– 96 golfers joined us at Brown Deer Golf Course in Coralville for a fun day on the course. Over $9,300 was raised for student support at Drake University and The University of Iowa Colleges of Pharmacy.
Big Night for the Silent Auction This year’s IPA Foundation Silent Auction featured over 100 donated items. In addition to bidding on an impressive list of items, those who attended also participated in the beer and wine ring toss, the Red Envelope Challenge and an exciting game of Heads or Tail to finish an exciting evening. After all was said and done, over $19,000 was raised to support the mission and activities of the IPA Foundation. That broke the Silent Auction record by nearly $4,000! Thank you to those who donated items, bid on items, threw a few rings and accepted the Red Envelope Challenge to support the IPA Foundation.
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ipa foundation
Thomas R. Temple Leadership Endowment With an Iowa goal of $375,000, the Thomas R. Temple Leadership Endowment was organized to endow the Leadership Pharmacy Conference. The endowment campaign was created 3 years ago in recognition of the founder of Leadership Pharmacy, Tom Temple, CEO Emeritus of the Iowa Pharmacy Association. To date, over $327,860 in pledges and payments have been secured for the Endowment Fund.
100%
$375,000
90%
$333,000
80%
$300,000
70%
$262,500
Many IPA members have already made a three-year pledge to this important campaign. If each pledge is extended for one more year, IPA will reach our goal!
60%
$225,000
The 135 challenge
50%
$187,500
40%
$150,000
30%
$112,500
20%
$75,000
10%
$37,500
We need your help to tackle the rest of the goal. Extend Your Pledge
With IPA celebrating its 135th anniversary, we would like to issue a challenge to each member: Anyone who donates a minimum of $135.00 to the Leadership Endowment will receive a $35.00 voucher to an IPA meeting.
Battle of the Endowments - We’re Going for 2!
Leading up to the October 3, 2015, football game between the University of Iowa and University of Wisconsin-Madison, IPA will renew its friendly competition with the Pharmacy Society of Wisconsin to see which state can raise more money for their portion of the endowment.
IPA is coming off a win from last fall and with the series tied 1-1, hopes to tackle PSW again for the repeat. Watch IPA communications and social media this fall for updates! On behalf of the Board of Directors, we ask you to help ensure the future of the Leadership Pharmacy Conference and assist IPA win the challenge over PSW!
Make a contribution or create/extend an annual pledge at www.iarx.org (click on IPA Foundation > Leadership Academy) or by calling the IPA office at 515-270-0713.
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IPA FOUNDATION
2015 KArbeling Award Trip As the 2015 Iowa Pharmacy Association Karbeling Leadership awardees, we were able to travel to Washington, D.C., for the National Community Pharmacists Association (NCPA) Legislative Conference in May. The purpose of this conference is to bring community pharmacists from across the country together to advocate for the pharmacy profession. As the 2015 Karbeling Leadership Award recipients, Alyssa Billmeyer (2016 PharmD candidate, University of Iowa) and Natalie Roy (2016 PharmD Candidate, Drake University) traveled to Washington, D.C., to attend the NCPA Legislative Conference. Here, they share their experience.
This year’s Legislative Priorities included: Ensuring Seniors Access to Local Pharmacies Act (“Any willing pharmacy”), MAC Transparency Act, and Provider Status bills. At the meeting, we were able to engage in discussion with pharmacists and other student pharmacists on these topics to help better prepare for Capitol Hill visits. The discussions inspired passion and confidence in us and the
other attendees to work towards the practice advancements proposed. In addition, we were able to meet with most of Iowa’s Senators and Congressmen at the Capitol to discuss these important issues. These meetings allowed us the opportunity to see first-hand the impact that individual constituents can have on lawmakers. On the trip, we experienced the inspiring passion of so many pharmacy leaders across the country and we are truly grateful to have been given the opportunity to learn alongside and engage with such great leaders. We are honored to be following in the footsteps of such an influential pharmacist, Jerry Karbeling, through our visit to Washington, D.C. ■
ENSURE A strong Pharmacy FUture
Become a member of the IPA Foundation Institute
The IPA Foundation Institute is a group of donor leaders that share the Foundation’s vision of advancing pharmacy practice in Iowa and support it through their commitment to annual giving. Recognized at different levels, their sustained contributions support the Foundation’s education and practice based research initiatives. If you share the Foundation’s vision, consider becoming a member of the Foundation Institute and ensure that the future of pharmacy in Iowa remains strong, visit www.iarx.org/ ipafwaystodonate or contact IPA at 515-270-0713. All contributions to the IPA Foundation, a 501(c) 3 charitable organization, are fully tax deductible.
JUL.AUG.SEP 2015 |
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ipa foundation
Student Pharmacist Scholarship Recipients Congratulations the recipients of the Iowa Pharmacy Association Foundation scholarships for the 2015-2016 academic year!
Drake University
The University of Iowa
IPA-F Eggleston-Granberg Scholarships Elizabeth Bald Aubrey Johnson
IPA-F Eggleston-Granberg Scholarships Jacqueline Camacho Robert Nichols
IPA-F Mike & Terry Pursel Scholarship Andrew Ruplin
IPA-F General Scholarships Maxwell Anderegg Taylor Steckler
IPA-F Russell E. Johnson Jr. & Lucille Johnson Scholarship Krista Maguire IPA-F General Scholarships Michelle Hartman Kelsey Japs Molly Obermark Suzanne Rettey
THANK YOU IPA-F RAGBRAI team! For the second year in a row, the IPA Foundation sponsored a team in the Registers Annaul Bike Rida Across Iowa (RAGBRAI). This team is more that those who ride. We would like to thank the Iowa pharmacy community that help make this unique outreach opportunity a success! Look for a full recap of the week in next quarter’s Journal.
THANK YOU! Fellow Pharmacists who hosted our team along the route. We appreciate your hospitality.
Sioux City: Sara and Terrell Wiedenfield, Bill Drilling Storm Lake: Mike Porsch, Ed McKenna Fort Dodge: John Daniel Eldora: Bill Stonebraker, The Hilsabeck Family Cedar Falls: Jim & Barb Hoehns, Lisa Barton Hiawatha: Adriane & Mike Miller Coralville: Lisa Mascardo, Susan Vos, Kate Pape, Ben Urick
You Can Still Be Part of the Team with Your Official IPA-F RAGBRAI Team Jersey!
THANK YOU! Sponsors and Contributors CVSHealth H.D. Smith Hy-Vee Medicap Pharmacy
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Thompson Dean Drug Daniel Pharmacy NuCara Pharmacy GoMacro Bars
Now only $75.00 Men’s (S-2XL) jerseys available. Get yours today! Visit the IPA Store to order.
ipa foundation
LEADERSHIP PHARMACY
Leadership Pharmacy Welcomes 2015 CLASS The 2015 Leadership Pharmacy Conference and Academy took place on August 6-9, 2015 in Galena, IL. Ten Iowa pharmacists (listed to the right) joined ten pharmacists from Wisconsin for the Conference and continue with the 10-month Leadership Pharmacy Academy. The Leadership Pharmacy program is a unique opportunity for pharmacists in their first 15 years of practice to develop organizational skills which will enable both personal and professional growth. Since its inception in 1988, Over 330 Iowa pharmacists have completed the Leadership Pharmacy program.
THANK YOU!
leadership pharmacy sponsors:
Jeanine Abrons, PharmD, MS The University of Iowa College of Pharmacy Emily Beckett, PharmD, BCPS Broadlawns Medical Center Randi Beranek, PharmD, BCPS University of Iowa Healthcare - Iowa River Landing Eliza Dy-Boarman, PharmD, BCPS Drake University College of Pharmacy & Health Sciences Dana McDougall, PharmD, BCPS Covenant Cancer Treatment Center Holly Randleman, PharmD UnityPoint Health - Des Moines Caitlin Reinking, PharmD NuCara Pharmacy - West Union Allie Schlicher, PharmD, BCPS UnityPoint Health - Des Moines Rachel Smith, PharmD Mercy Family Pharmacy Dubuque Ben Urick, PharmD The University of Iowa College of Pharmacy
Congratulations Holly & allie!
Holly Randleman, PharmD
Your support is appreciated! 34
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Allie Schlicher, PharmD, BCPS
...on your selection to the 2015 leadership Pharmacy Conference and academy!
CONGRATULATIONS RACHEL!
Congratulations...
Caitlin Reinking, PharmD on your selection to the 2015 Leadership Pharmacy Conference! Mercy Family Pharmacy Dubuque congratulates Rachel Smith, PharmD, on her selection to participate in the 2015 Leadership Pharmacy Conference and Academy!
P H A R M A C Y
CONGRATULATIONS! Jeanine Abrons, PharmD, MS
Emily Beckett, PharmD, BCPS
Ben Urick, PharmD
On being selected to attend the 2015 Leadership Pharmacy Conference and Academy! A BIG thank you to all pharmacists and technicians in the state for the health care and leadership you provide every day to Iowans!
public affairs
“[The law] by its terms regulates PBMs, which are entities that are heavily involved in the administration of healthcare to Iowans… The State has a legitimate interest in regulating and preserving the health of its citizens.”
Court Dismisses PCMA Lawsuit Over Iowa’s MAC Transparency Law
O
n September 8, 2015, pharmacists in Iowa and across the country claimed victory as the Southern District Court of Iowa dismissed the remaining complaints of the Pharmaceutical Care Management Association’s (PCMA) lawsuit against it over the state’s pharmacy benefit manager (PBM) regulation law. The court’s decision further validates the hard work that IPA members put in to get the law passed and the law’s importance to Iowans. In its ruling the court stated, “[The law] by its terms regulates PBMs, which are entities that are heavily involved in the administration of healthcare to Iowans… The State has a legitimate interest in regulating and preserving the health of its citizens.”
How We Got Here
The lawsuit was brought about by the passage of H.F. 2297 in 2014, a result of strong grassroots advocacy by IPA members. The law, passed both chambers of the State Legislature unanimously before being signed by Governor Terry Branstad, required PBMs to reveal their MAC pricing list and methodology to the Iowa Insurance Commissioner upon request. On September 2, 2014, PCMA, the national trade association representing
PBMs, filed a lawsuit against Tom Miller, in his capacity as Iowa’s Attorney General, and Nick Gerhart, in his official capacity as Iowa’s Insurance Commissioner. The complaint was filed on five grounds: • That ERISA expressly preempts H.F. 2297 • That ERISA preempts H.F. 2297 due to conflict preemption • That H.F. 2297 violates the Takings Clause of the US Constitution • That H.F. 2297 violates the Takings Clause of the Iowa Constitution • That H.F. 2297 violates the Dormant Commerce Clause of the US Constitution On October 23, 2014, the Iowa Attorney General’s office filed a motion to dismiss four of the five claims alleged in PCMA’s lawsuit (leaving only the Dormant Commerce Clause claim). The federal judge granted the motion to dismiss in its entirety on February 18, 2015. On May 28, 2015, PCMA filed an amended complaint revising its original Dormant Commerce Clause claim and adding a new claim alleging the legislation is vague in violation of due process, to which Iowa filed another motion to dismiss for those two
remaining claims. The court granted this motion on September 8, 2015, thus dismissing the entirety of PCMA’s lawsuit.
IPA’s Role
Although not a party to the lawsuit, IPA provided assistance to the Iowa Attorney General’s office, Governor Branstad and staff, the Insurance Commissioner and staff, and Iowa legislators. This support was made possible by the generous contributions of IPA members and national partners to the recently established Preserve Pharmacy Practice Fund.
What’s Next
This was a hard-fought victory for Iowa pharmacists and patients, but the battle between PBMs and pharmacies is not over. PBM practices continue to interfere with patient access and care. Many other states have passed PBM statutes that have yet to be implemented and enforced, and at least one other state is currently involved in litigation with PCMA. Additionally, there is a strong possibility that PCMA will appeal the dismissal. Reigning in PBM’s unfair business practices continues to be a priority for IPA as we continue to work with the Iowa Insurance Division on the adoption of rules related to PBM regulation. ■ JUL.AUG.SEP 2015 |
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public affairs
2015 Legislative Session Recap Bill Wimmer, JD
IPA Legal & Legislative Counsel
O
ver the course of the 2015 legislative session, IPA scored several key policy victories for pharmacy— most notably clarified state regulatory authority over Pharmacy Benefit Managers. Although pharmacists did not lose any major battles, other points of policy, including durable medical equipment certification, remain unresolved. Below is a breakdown of where IPA’s top legislative priorities stand following the legislature’s adjournment.
IPA PRIORITIES
Pharmacy Benefit Manager Regulation
Angela Davis, JD
IPA Legal & Legislative Counsel
As our top legislative priority, IPA went into session with a focused strategy to pass legislation giving the Iowa Insurance Division (IID) explicit authority to audit PBMs operating in Iowa. A similar bill passed in 2014 with strong IPA support. However, shortly after the law took effect, PBMs began stonewalling regulators. This year’s PBM bill, H.F. 395, closes any potential loopholes. The measure won overwhelming bipartisan support this session, passing unanimously in both chambers. Governor Branstad signed the bill into law on April 2. What’s next: The Iowa Insurance Division now has clear authority to investigate complaints against PBMs— which we encourage members to continue filing. To that end, IPA has developed a tool kit to help members navigate the filing process.
DHS Appropriations ONLINE FEATURE!
Download IPA’s PBM Complaint Toolkit. (member login required)
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As supported by IPA, this year’s Department of Human Services budget will provide funding in line with the increased Medicaid dispensing fee, along with increased funding for the statewide TakeAway medication disposal program. Although the TakeAway language was suggested by the Board of Pharmacy, IPA supported their effort to maintain and expand this key patient-based program. What’s next: Medicaid funding will now fully support the increased dispensing fee of $11.73, which was set on August 1, 2014 (based on the cost-of-dispensing survey). Under Iowa’s new managed care model, Managed Care Organizations (MCOs) operating in Iowa are required to reimburse outpatient prescriptions at this established rate and methodology. Meanwhile, the increase in TakeAway funding will help expand the disposal program, with the possible inclusion of controlled substances, in line with new U.S. Drug Enforcement Administration’s rules.
Board of Pharmacy Proposals
IPA also supported other proposals set forth by the Board of Pharmacy in their dedicated bill, including: • Establishing a telepharmacy licensing category • Increasing or refining requirements for non-resident pharmacies including: inspections, disciplinary actions, and patient access to non-resident pharmacists. • Licensing large-scale compounding pharmacies as outsourcing facilities in line with existing federal licensure. Although the bill, S.F. 453, sailed through the Senate on a unanimous vote, it stalled in the House of Representatives, failing to survive the second legislative funnel. What’s next: IPA will continue to work with the Board of Pharmacy on these proposals. -Another important policy issue—concerning licensure for durable medical equipment sales—was removed from the bill before it reached the Senate
public affairs floor. IPA is continuing to work with other stakeholders on the DME issue.
ADDITIONAL ISSUES Managed Care
In late January, Governor Branstad announced that Iowa Medicaid would be moving to a private, managed care model. IPA worked closely with the Governor’s office and the Department of Human Services (DHS) to make sure our members’ voices were heard as the state’s request for proposal (RFP) was developed. As a result, the RFP required bidding Managed Care Organizations (MCOs) to use the existing drug product reimbursement formula: AAC + dispensing fee established by a state-based survey. (See “DHS Appropriations.”) What’s next: Eleven companies submitted bids in response to the RFP. The Department of Human Services selected four MCOs on August 17, 2015 to manage the Medicaid program in Iowa in 2016. (See pg. 24 for selected MCOs)
Naloxone
IPA worked with the Iowa Medical Society (IMS) on an opioid overdose prevention bill that would have allowed broader access to Naloxone for EMTs,
law enforcement officers, and family and friends of opioid users. It would also provide legal protections to those administering the drug, and to opioid users seeking medical assistance for themselves or others. The bill passed the Senate on a broad, bipartisan vote, 44-2. Although it passed committee in the House, the bill never reached the floor, and was referred back to committee. The Drug Policy Alliance reports that as of January 2015, 30 states had passed some form of Naloxone access law.
Medical Cannabis
This was not an issue that IPA advocated for or against, although medical cannabis does impact pharmacy. Senate Democrats made several attempts to overhaul the state’s marijuana policy this session. Under current law, healthcare providers can prescribe cannabis oil to epilepsy patients, although it is illegal to manufacture or buy the drug in-state. The Senate proposal would have increased access to oil and other forms of medical cannabis by allowing in-state manufacturing and creating a licensed dispensary system. Qualifying conditions would have been expanded to chronic diagnoses such as cancer, Crohn’s disease, multiple sclerosis,
PTSD, and HIV. Marijuana would have also been reclassified as a Schedule II drug, and the penalties for some non-violent drug offenses would have been curbed. The original bill squeaked through the Senate on a 26-19 vote. The issue was a non-starter for House Republican leadership, however, and never made it out of committee. Subsequent efforts to embed the policy in other bills also failed. Governor Branstad has repeatedly said he does not support overhauling Iowa’s marijuana policy. Twenty-three states and the District of Columbia have some form of medical marijuana law on the books. Four of those states and Washington, D.C. also allow for the use of recreational marijuana. What’s next: While this is not a legislative priority for IPA, it remains hot topic and we will monitor any movement on this issue and the possible impact on pharmacy practice in Iowa. ■
STRENGTHEN ADVOCACY. STRENGTHEN PHARMACY.
The Iowa Pharmacy Political Action Committee is a fund used to strategically strengthen relationships with legislators that are supportive of pharmacy interests. Your contributions to the IPPAC aid in advocating for practice advancement, PBM regulation and other important issues facing our profession. For more information or to contribute, visit www.iarx.org/IPPAC IPPAC can only accept individual contributions. Corporate contributions can be made to the Legislative Defense Fund or the Pharmacy Practice Preservation Fund. Visit the website above for more information. JUL.AUG.SEP 2015 |
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public affairs
Board of Pharmacy Hires Andrew Funk as New Executive Director On Friday, September 11th, Andrew Funk began his new role as Executive Director of the Iowa Board of Pharmacy (BOP). Andrew graduated from Roseman University of Health Sciences in Henderson, Nevada in 2004 earning his PharmD degree, and went on to work as a pharmacist in Las Vegas, NV. He has been a Compliance Officer for the BOP since November of 2013.
field of candidates to two for interviews in front of the full BOP the first week of September. Andrew demonstrated leadership and a desire to serve as a visible leader for the Board.
The Board of Pharmacy conducted an extensive search, and narrowed the
Congratulations to Andrew! ■
IPA looks forward to working with Andrew and continuing the strong spirit of collaboration shared between the BOP and the Association.
SAVE THE DATE: January 27, 2016 IPA’s Annual Legislative Day serves as a cornerstone to the Association’s legislative and public policy efforts. Most importantly, it is the one day each year when pharmacists and student pharmacists, engage in face-to-face grassroots advocacy with Iowa legislators! In addition to grassroots efforts, student pharmacists from Drake and the University of Iowa will hold health screening in the Capitol for legislators and staff. This is an important outreach that showcases the value of pharmacy to our elected officials. Watch IPA communications for details and plan on join us on January 27, 2016!
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public affairs
BEComE A mEmBEr of THE iowA PhArMAcy AssociAtion
Position yourself to lead and shape the future of your profession and join a network of pharmacists, pharmacy technicians and student pharmacists advocating the advancement of practice for the health and well-being of our patients.
AdvAntAges for You Equipping you for today’s rapidly evolving health care system with free and convenient CPE and opportunities to connect with colleagues across the state.
AdvocAcy for Your ProfEssion Enabling you to confidently engage your elected officials while representing your interests with the Board of Pharmacy, state agencies, health care organizations, and provider groups.
85
%
of membership dues directly fund initiatives that advance the pharmacy profession
AdvAnceMent for Your PrACTiCE Creating opportunities for you and your colleagues to collaborate with healthcare teams and integrate pharmacy practice into emerging healthcare models.
iowA PhArMAcy needs your unique voice And exPerience!
leArn More & join todAy At
www.iArx.org FREE CPE!
iPA members receive cei’s relicensure or recertification cPe Buckets for free!
All the required CPE for relicensure or recertification conveniently bundled by CEi and free for iPA members!
member section
MEMBER MILESTONES PROFESSIONAL
PERSONAL
Congratulations to Jon Beyer, RPh (Waterloo), who is retiring in September of 2015 after 39-year career as a pharmacist.
Congratulations to members Jon-Michael Rossmann (Iowa Prescription Drug Corporation) and Amanda Rossmann (Walgreens - Ankeny) on the birth of their daughter, Ana Bea Rosmann.
Angie Boord, PharmD (Iowa Methodist Medical Center – Des Moines), graduated from the University of IllinoisChicago College of Medicine with her Masters of Science in Patient Safety Leadership on May 8. Congratulations Angie! Mike Case Haub, PharmD (West Des Moines), became the owner of Case Haub Consulting. The organization focuses on provision of clinical pharmacy services. Congratulations Mike! Brian Wall, PharmD (Arlington, VA), has accepted a Senior Manager of Governance position at the APhA Foundation. Wall, a 2014 graduate of Drake University, recently completed his residency with the organization. Congratulations Brian! Congratulations to members Heidi Price-Eastman, RPh, MPA (Primary Health Care Pharmacy), Holly Randleman, PharmD (Iowa Methodist Medical Center - Des Moines), and Bruce Alexander, PharmD (Iowa City VA Health Care System) as they were appointed by Governor Terry Branstad to the State’s Medical Assistance Pharmaceutical and Therapeutics Committee. Congratulations to members Brian Benson, PharmD (UnityPoint Health - Des Moines); Mike Brownlee, PharmD (University of Iowa Hospitals and Clinics); Melissa Murer Corrigan, RPh (Iowa City); and Lisa Mascardo, PharmD (University of Iowa Hospitals and Clincs) on being named ASHP Fellows for 2015!
Benson
Brownlee
Murer Corrigan
Mascardo
Send your member milestones to ipa@iarx.org for inclusion in the next IPA Journal.
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Jacob Wesley Pilkington was born on May 21, 2015 to proud parents Wes Pilkington, PharmD (Waterloo) and his wife Sarah. Thomas Temple, BS Pharm, MS, FAPhA (IPA CEO Emeritus) and his wife Cathy become grandparents with the birth of their grandson Leyton Joseph Temple on April 29, 2015 to their son Dr. Eric Temple and his wife Lindsay. Steve Firman, RPh, MBA, FAPhA (Cedar Falls) and his wife Jean became grandparents with the birth of their granddaughter, Madeline Scheu Lynch, on April 8, 2015.
Welcome NEW IPA MEMBERS THANK YOU FOR SUPPORTING IPA! APRIL 1 - JUNE 30:
Angela Boord, Iowa City Nicole Brogden, Coralville Dawn Brown, Des Moines Rachel Finkelstein, West Des Moines Jacob Hanken, Ankeny Maureen Lindecker, Urbandale Kavitha Makayee, Fort Madison Christina Neve, Iowa City Julien Rashid, Cedar Rapids Janine Rasing, Brighton Erin Rees, Dubuque Kimberly Robertson, Charles City Danielle Rowan, Wever Sherstin Willyerd, Alton
member section
Get Involved
and Get the Most Out of Your Membership One of the benefits of IPA membership is the opportunity to get involved in the profession. IPA provides several opportunities to play an active role in the advancement of our profession and make meaningful connection with colleagues from across the state.
Set Policy in the House of Delegates
The IPA House of Delegates meets each June to debate and adopt policy during the IPA Annual Meeting. Serving as a delegate in the House of Delegates provides pharmacists, technicians, and student pharmacists an opportunity to have a voice and be part of the policy adopting process for the profession. Delegates are responsible for attending and participating in two House of Delegates sessions during the IPA Annual Meeting.
Write for the Journal From Member to Leader – Volunteer on a Committee!
Your IPA membership gives you the opportunity to lead and shape the future of our profession. By volunteering on a committee, you will lend your voice and experience to the advancement of pharmacy practice across the state. IPA is currently looking for member to consider serving on the following committees: • Policy Committee on Professional Affairs • Policy Committee on Public Affairs • Advisory Committee on Medicaid & Pharmacy Benefit Programs • Health-System Liaison Board • Iowa Pharmacy Political Action Committee (IPPAC) Advisory Committee • Legislative Advisory Committee • Long-Term Care & Senior Care Advisory Committee • Pharmacy Technician Advisory Committee • Education Committee
The Journal of the Iowa Pharmacy Association is an opportunity for members to be publish in a peer reviewed journal. Each quarter, IPA looks for contributions for peer review, featured articles and editorials.
Still not sure what to do?
Opportunities tend to pop up throughout the year, so let us know you are interested in volunteering and what you interests are. We will let you know if something becomes available. Tell us you are interested at ipa@iarx.org or 515-270-0713.
THANK YOU VOLUNTEERS! IPA would like to thank those members who served on a committee or task force this past year for their dedication to our profession. As a membership-driven organization, IPA’s success depends on the willingness of pharmacists, pharmacy technicians and student pharmacists to volunteer their time and expertise. IPA appreciates all who volunteered in 2014-2015.
• Golf Classic Planning Committee • RAGBRAI Planning Committee JUL.AUG.SEP 2015 |
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technician’s corner
SAVE THE DATE! FEBRUARY 13, 2016 Community Choice Credit Union Convention Center, Des Moines, IA Tech Forum is now part of the Midwest Pharmacy Expo! One full day featuring 2 powerful CE tracks dedicated to pharmacy technician education and the opportunity to learn, connect and be inspired with your pharmacy colleagues from across the Midwest at Expo!
www.MidwestPharmacyExpo.com
THE PTCB
ADVANTAGE • Improved employment opportunities • Demonstrated value to the pharmacy team • Validated achievement • Future career growth options • Prestige among coworkers • Potential for higher salary
Certification by PTCB is the gold standard for pharmacy technicians. Many employers now require their employees to be PTCB-Certified Pharmacy Technicians (CPhTs). PTCB has a new website, a streamlined application process, sponsorships, and free verifications. The Pharmacy Technician Certification Exam (PTCE) reflects current knowledge areas demanded across all practice settings. PTCB’s requirements to become a CPhT include a high school diploma and a passing score on the PTCE. Learn more and apply at www.ptcb.org.
Get the
PTCB ADVANTAGE SETTING THE STANDARD www.ptcb.org
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CONNECT ONLINE:
Become a
PTCB CPhT TODAY
technician’s corner
Newly PTCB Certified Iowa Technicians April 1, 2015 through June 30, 2015
Please join IPA in congratulating the following pharmacy technicians on becoming PTCB-certified! Athena Anderson Zohaib Arif Michelle Arkulari Elizabeth Ashlock Troy Bates Madelin Baysden Barbara Bean Nicole Becker Callie Besaw Tamara Biery Kelsey Blocklinger Michelle Blythe Karli Borcherding Miranda Bowers Cierra Boyer Michael Brockway Allie Brooks Jocelyn Brown Katarina Brown Melissa Bruning Corey Bryant James Bullard Maria Burtch Kirsten Carstarphen Jacy Carter-Cook Katie Cashman Jordan Cervantes Jessica Coon Jodi Stelken
Caitlin Dix Jessica Donahue Mary Eckstaine Reid Ellingson Brandi Ernst Jayde Flaig Rebecca Franks-Fjelstad Benjamin Fraser Dawn Garrett Michele Gillispie Cameron Gitzlaff Sarah Greiner Richard Griffith Cristina Grover Jinny Guo Amy Hahn Ewan Hamilton Alicia Hayes-Kerr Talia Hertz Heather Hoey Sonja Hutchens indira inabathini Latavia Jackson Joshua Jaeger Yakin Jaleta Valerie Jarvis-McQuillen Ellen Jasper Carol Johnson Clarissa Jolly
Jennifer Kjormoe Shelley Klimes Natalie Koberna Steven Landa Lyudmyla Lyashenko Jenna Mabry Ashley McLaughlin Andrew McQuillen Katie Meese Brianne Messer Courtney Meyer Gavin Meyer Margaret Meyers Tammy Michels Jennie Mier Natasha Neef Cuong Nguyen Steve Nguyen Tess Noeller Stephanie Norris Pamela Novotny Shamus O’Connell James Palmer Shane Perry Andre Peters Andrew Potter Trisha Reicks Michelle Renner Courtney Rhoads
Kelsey Robinson Alia Russell Samuel Schauer Catherine Schober Lori Schultz Mallory Sea Rebecca Secoy Jessica Sojka Grant Spading Christine Stabile Abby Staudt Kimberly Steffen Holly Stepanek Lori Subbert Shelbi Swinscoe MaryJo Thiemann Cindy Thorp Casie Trimble Kaitlin Umlandt Alexandra Visconti Jessica Wagner Melissa Waugh Kirsten Wells Teresa Widener Chelsea Woods Holly Woods Logan Woolson Muris Zenelji
IPA Technician Members Receive ALL Required CPE for CPhT Recertification for FREE! Looking for recertification CPE? Pharmacy technician members of IPA now receive the Recertification Bucket from CEI for FREE!
The Recertification Bucket includes Pharmacy Technician Certification CPE activities in categories consistent with the PTCB Domains, structured as 10 one-hour written modules that you can print and complete on the go. Also included are live and on demand webinars in the area of pharmacy law and patient safety.
Login at www.iarx.org/cei_buckets to take advantage of this new benefit for members and spread the word to your colleagues.
JOIN NOW & receive your free recertification bucket! www.iarx.org/membership | 515.270.0713 | ipa@iarx.org
JUL.AUG.SEP 2015 |
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college of pharmacy news Renae Chesnut Named CPHS Interim Dean
Renae Chesnut, associate dean of Academic and Student Affairs since 2004, has been promoted to serve as interim dean of the College of Pharmacy and Health Sciences (CPHS) effective June 18, 2015. Chesnut, who joined the Drake faculty in 1993, is a Professor of Pharmacy Practice. She has also been recognized as the CPHS Mentor of the Year, has served on Faculty Senate, and has been the Faculty Athletic Representative to the NCAA and Missouri Valley Conference since 2000. She is a past president of the Iowa Pharmacy Association, is a member of the Cardinal Health Women in Pharmacy Advisory Board, and was the 2014 recipient of the national Lambda Kappa Sigma Vanguard Leadership Award.
Russ Johnson Jr., 2015 recipient of the Weaver Medal of Honor Russ Johnson Jr., PH’52, was selected to receive the 2015 Lawrence C. and Delores M. Weaver Medal of Honor, the highest honor given by Drake University’s College of Pharmacy and Health Sciences (CPHS).
The Weaver Medal of Honor recognizes an individual’s dedication to making a substantial impact on the profession of pharmacy and the advancement of human health. It is presented annually to a recipient who has fulfilled one of the following criteria: the individual’s efforts have advanced the education, research, or outreach mission of the college for the benefit of human health; the individual has made a substantial impact on the profession of pharmacy; or the individual has provided to the college significant financial support that has funded strategic change and progress. The award is made possible by the generous gift of Lawrence Weaver, PH’49, and his wife, Delores.
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Yvette Mitchell Places in Top Ten in National Competition
Yvette Mitchell placed in the top ten nationally at the American Pharmacists Association-Academy of Student Pharmacists Patient Counseling Competition. After winning a competition at the local level, Mitchell, a P3 pharmacy major from Mahtomedi, MN, competed against over 100 pharmacy students from different pharmacy programs across the country.
CPHS 2015 Hooding Ceremony At the hooding ceremony on May 15, students received their doctoral hoods and took the Oath of a Pharmacist, led by Felix Gallagher, PharmD, President of PharmServ Solutions and Chair of the CPHS National advisory Council. James Sacco, CPHS Assistant Professor and winner of the 2014-15 CPHS Teacher of the Year award gave faculty reflection at the event. The following awards were given out: Kelsey Lawfer - Karbeling Memorial Leadership Award Jeffrey Pilz - Excellence in Clinical Communication Skills Janelle Behnke - Outstanding Student Award Benjamin Jagow - Excellence in Pharmacy Karmen Wehrhan - Outstanding Community Practice Pharmacy Graduate Beth Engel - Excellence in Diabetes Disease Management Sheena Wanke - Natural Medicines Comprehensive Database Recognition Award Megan Engle & Jade Engstler Scholastic Achievement in Pharmacy Studies Jaclyn Stoffel - Senior Recognition Certificate (APhA-ASP)
CPHS 2015 Pinning Ceremony
Drake University’s College of Pharmacy and Health Sciences (CPHS) held its annual Pinning Ceremony on Thursday, May 7, 2015. The Pinning Ceremony,
a longstanding tradition for CPHS, serves as a memorable event for third year pharmacy students and health sciences majors as it marks their entry into their capstone experiences. Additionally, the following students were presented awards at the 2014 Pinning Ceremony: Michael Buege - Larson Engaged Practitioner Award Anna Shields - Cardinal Health Student Scholarship Award Emily Larson & Hannah Mikkalson Outstanding Health Sciences Student Award Becca Mahnesmith - Outstanding Health Sciences Student Leadership Award
Pharmacy and Health Sciences Day Awards Faculty, alumni, and community leaders were honored during Drake University Pharmacy and Health Sciences Day on February 26. The annual event is organized by CPHS students, bringing together current students, alumni, faculty, staff and industry leaders to celebrate the 2015 CPHS award winners.
Jill Batten - Mentor of the Year James Sacco - Teacher of the Year Geoffrey Wall - Faculty Preceptor of the Year; Hartig Distinguished Professor Award Sarah Whipple - APPE Preceptor of the Year Chrystal Bower - IPPE Preceptor of the Year Kristen Smith - Health Sciences Preceptor of the Year Nora Stelter - Granberg Leadership Erin Ulrich & Wendy Mobley-Bukstein - Hartig Faculty Development Program 2015 Alumni Achievement Award Josh Benner, PH’98 Asad Patanwala, PH’02 Patrick Verdun, PH’84 Bob Berendt, PH’04 2015 Young Alumni Achievement Charlie Hartig, PH’07
college of pharmacy news Deanna McDanel Selected as AACP Master Preceptor
Deanna McDanel has been named among the nation’s best pharmacy preceptors. The American Association of Colleges of Pharmacy recently announced the selection of eight individuals to their Master Preceptor Recognition Program. These pharmacy professionals exemplify dedication and commitment to excellence in experiential education and professional practice. She has served as a preceptor, clinical associate professor, and clinical pharmacist – among other roles – throughout her career. Since 2002, McDanel has been a clinical pharmacy specialist in ambulatory care at the University of Iowa Hospitals and Clinics, where she coordinates a Post-Graduate Year 1 (PGY1) Pharmacy Residency with a focus in Ambulatory Care and directs a PGY2 an Ambulatory Care Pharmacy Residency. The American Association of Colleges of Pharmacy (AACP) has represented the interests of pharmacy education since its foundation in 1900. The Master Preceptor Recognition was founded to recognize outstanding preceptors from over 134 accredited colleges and schools with pharmacy degree programs.
a Distinguished Alumni Award from Purdue University. These prestigious awards, initiated in 1984, are conferred annually upon selected alumni in recognition of their outstanding achievements in professional and scientific endeavors.
NACDS Foundation Awards Scholarships and Grants The University of Iowa College of
Pharmacy was among the recipients of $210,000 in scholarships and grants awarded by the National Association of Chain Drug Stores (NACDS) Foundation. The project, spearheaded by William Doucette, professor and Head of Division of Health Services Research, will launch an initiative to develop collaborative practice agreements for community pharmacies; conduct research on access disparities in urban areas; evaluate health information exchanges; and incorporate advanced MTM education into the curriculum.
assistants who spark learning and creativity in the classroom.
Four Named ASHP Fellows
The American Society of Health Professionals (ASHP) has selected four members of the UI College of Pharmacy to be named fellows for the 2015 year. Among the 35 pharmacy professionals selected, four are associated with the college, including Mike Brownlee, Associate Dean; Lisa Mascardo, Adjunct Assistant Professor; Kevin Moores, Clinical Associate Professor; and Melissa Murer Corrigan, Adjunct Assistant Professor and Executive Leadership Board Member. All 2015 fellows were honored in Denver, Colorado on Tuesday, June 9 at the ASHP Summer Meetings and Exhibition. The ASHP Practitioner Recognition Program recognizes practitioners that have achieved excellence in the field for ten years or more. Additionally, selected fellows have left positive impacts on the field of pharmacy and continue to lead and contribute to the body of knowledge within the field as a whole. Since 1988, the ASHP Practitioner Recognition Program has recognized over 838 fellows. ■
Drake University College of Pharmacy and Health Sciences also received a NACDS Foundation Pharmacy Partners Program award.
Ben Urick Named Outstanding Teaching Assistant
Dale Wurster Receives Purdue University Alumni Award
Dale Wurster, professor in the Department of Pharmaceutical Sciences and Experimental Therapeutics, was recognized with
Ben Urick, a graduate student in the Department of Pharmacy Practice and Science, was selected as a recipient of the Outstanding Teaching Assistant Award by the University of Iowa. The awards are given annually to a few of the many graduate teaching
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STUDENT SECTION
Drake University College of Pharmacy and Health Sciences
Class of 2015 Christina Aldrich Jeffrey Allen Carolyn Bauer Elizabeth Bedel Janelle Behnke Kevin Betthauser Connor Birkel Claire Blanchard Michaeline Buettner Kailey Bunger Ailey Carroll Margaret Casey Chelsea Cave Kirsten Chatman Samson Chiang Nupur Chopra Aaron Cobb Andrea Crahan Lindsay Crawford Lindsay Cwynar Anh-ton Dang Aaron Dicket Naomi Digiantonio Kimberly Doerhoff Rachel Duffield Peter Elliott Beth Engel Megan Engel Jade Engstler Rachel Evans Jessica Gosch Alyssa Gould Meeshali Gupta Matthew Hattendorf Alexandra Hendzel Rachel Herr James Hills Ellie Huntington Keely Huting Benjamin Jagow Erica Janning Alma Jovancevic Onchuma Kaenkumchorn Arthur Koudelka Kristin Landram Kelsey Lawfer Kyung Joo Lee John Maher Emily Marincic Alvin Mathew
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Kevin Mathew Kelly McKeown Nicole McSweeney Stephanie Merrick John Message Andrea Miskimins Morgan Molstead Brittney Mueller Julia O’Rourke Young Eun Oh Eva Opfer Monica Pal Neel Patel Claire Pearson Kelly Peddy Quang Phan Jeffrey Pilz Michael Porterfield Elizabeth Radloff Kathryn Recca Kayla Renner Hannah Ridgewell Danielle Rowan Stephanie Schenck Phillip Schieffer Kristen Senyk Ryan Sisk Duncan Smith Michael Starling Allison Stephens Jaclyn Stoffel Holly Thurauf Theresa Tranel Crystal Tull Jennifer Vanderploeg Laura Vollmer Sheena Wanke Caleb Warner Karmen Wehrhan Justin Welch Samantha Welch Julie Wiechert Daniel Yoo Kristin Yun Susan Yun
STUDENT SECTION
THe University of IOWA College of Pharmacy
Class of 2015 Doctor of Pharmacy Graduates Sean Anderson Michael Axelsen Justin Bagby Brianne Bakken Lindsey Batz Maya Beganovic Kayla Bock Kory Boeckmann David Brechler Kebba Camara Chelsea Carlson (Tiernan) Abby Cate (Davis) Ashley Daugherty Michelle Davids Jennefer Davis William Denney Chase Dieleman Jenna Dietrich Sharon D’Souza Emily Dworkin Rachel Dyke Martha Eckey Jennifer Elliff Amanda Evans Oluwatobi Fadeyi Matthew Farley Tara Feller Elizabeth Ficek Katie Finkey (Berglind) Courtney Ford Dustin Gaskin (Staver) Trent Geurts Ali Goodson Jenna Green Megan Greene Tyler Greiner Meghan Halverson Sharde Hameed Alex Hansen Shelly Hewitt Christina Highley Grant Holdren Daniel Hopkins Jodi Husman Dowlin Johnson
Jason Kaalberg Ashley Kappenman Mandy Kellogg Zainab Khan Baedero Kim Patrick Kinn Kathryn Klinefelter Colby Krieps Dustin Lane Serena Lester Rachel Lienemann Ryan Lister Wan-Chen Lu Justin Lumetta Miriam Maklad Shruta Malgaonkar Meghan Marino Allison Martin Kathleen McNamara Morgan Meinert Hayley Meyer Emily Mork Marie Moser Valerie Mukete Lindsey Munsch Nicole Naccara Landon Nardini Jonathan Nehman Charles Ni Karl Niggemeyer Savana Novak Katelyn Olsen Ryan Origer Anthony Pape Yesha Patel Ryan Peck Blake Porter Shanique Powell Shanda Ptacek Aphton Rocha Keaton Rossman Kristen Runde Katie Salle Benjamin Schneider Hannah Stanbrough Nicole Standiford Breanna Sunderman
Vichai Thanupakorn Samantha Themas Ashley Thompson Joseph Tully Nicole Tzanakis Elise Van Sant Jordan Wagner Matthew Watters Jordan Westphal Kara Wilkens Hillary Wilming Austin Wiser Angela Wolf Madelyn Yassen Jiazhi Zheng Katie Zittergruen PhD Graduates Samuel Thomas Crowley Sheetal D’mello Hong-Guann (Frank) Lee Mai Tu Benjamin Williamson The following PhD students are scheduled to graduate in Summer 2015: Amal Ayyoub Ana Ferreira Denison Kuruvilla Aaron Miller Carlos Meza Peroza Yang Qiu Radaduen Tinmanee Amaraporn (Kae) Wongrakparich
JUL.AUG.SEP 2015 |
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Calendar of Events 2015 CALENDAR OF EVENTS
NEED A RELIEF PHARMACIST?
OCTOBER 2015
NOVEMBER 2015
8-9
Progress 2015: Learning Together in the 21st Century - Iowa City, IA
10
2/2/2 Webinar
10-14
NCPA Annual Convention - Washington, DC
10
Iowa Healthcare Collaborative Annual Conference - Altoona, IA
13
2/2/2 Webinar
14
Rebalancing Healthcare in the Heartland - Des Moines, IA
26-29
AMCP Nexus - Orlando, FL
28-29 Iowa Immunization Summit Des Moines, IA 30-Nov 1 ASCP Annual Meeting and Exhibition - Las Vegas, NV
DECEMBER 2015 8
CONTACT “JOSEPH IN RELIEF” Joseph Thompson, RPh 9616 Quail Ridge Urbandale, IA 50322
2/2/2 Webinar
JANUARY 2016 12
2/2/2 Webinar
27
IPA Legislative Day and Capitol Screenings - Des Moines, IA
1.888.278.0846 h. 515.278.0846 c. 515.991.2684
For the most up-to-date information on state and national events, visit www.iarx.org/events
ADVERTISE IN OUR PUBLICATIONS Place your ad/classified ad with us. All ads, contracts, payments, reproduction material and all other related communication should be addressed to David at dschaaf@iarx.org or call the IPA office at 515.270.0713 for more information. BuySell_ads15_Layout 1 12/2/14 4:51 PM Page 5
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