IPA Journal - Oct/Nov/Dec 2017 by Iowa Pharmacy Association

A Peer-Reviewed Journal | Vol. LXXIII, No. 4 | OCT.NOV.DEC 2017

IOWA PHARMACISTS READY TO TACKLE TODAY’S PUBLIC HEALTH CHALLENGES INSIDE: RAGBRAI Rides Drake’s New Science Connector Building Meet the Iowa Pharmacy Residents

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 Kate Gainer, PharmD Anthony Pudlo, PharmD, MBA, BCACP Laura Miller Shannon Rudolph, PharmD

COVER STORY Iowa Pharmacists Tackling Today’s Public Health Challenges pg. 16 Iowa pharmacists are expanding their role in public health and healthcare systems to address today’s public health challenges.

OFFICERS CHAIRMAN Rick Knudson, PharmD, BCPS, MS, MBA, Clear Lake PRESIDENT Craig Logemann, RPh, BCACP, CDE, Ankeny PRESIDENT-ELECT Cheryl Clarke, BS Pharm, RPh, FAPhA, Waukee TREASURER Sue Purcell, RPh, Dubuque SPEAKER OF THE HOUSE Steven Martens, PharmD, Grundy Center VICE SPEAKER OF THE HOUSE Jim Hoehns, PharmD, FCCP, BCPS, Cedar Falls

TRUSTEES REGION 1 Christopher Clayton, PharmD, MBA, Manchester REGION 2 Thane Kading, BS Pharm, RPh, Iowa City REGION 3 Rachel Digmann, PharmD, BCPS, Ankeny REGION 4 Carol Anderson, PharmD, Mason City AT LARGE Jessica Frank, PharmD, Winterset Deanna McDanel, PharmD, BCPS, BCACP, Coralville Heather Ourth, PharmD, BCPS, BCGP, Ackworth Nora Stelter, PharmD, CHWC, Urbandale HONORARY PRESIDENT June Johnson, BS, PharmD, FASHP, FCCP, BC-ADM, Des Moines PHARMACY TECHNICIAN Meg Finn, CPhT, North Liberty STUDENT PHARMACISTS Michael Harvey, Drake University Grant Jerkovich, The University of Iowa

The Journal of the Iowa Pharmacy Association is a peer reviewed publication. Authors are encouraged to submit manuscripts to be considered for publication in the Journal. For author guidelines, see www.iarx.org. “The Journal of the Iowa Pharmacy Association” (ISSN 1525-7894) publishes 4 issues per year: January/ February/March issue; April/May/June issue; July/August/ September issue; and October/November/December issue by the Iowa Pharmacy Association, 8515 Douglas Avenue, Suite 16, Des Moines, Iowa 50322. Periodicals postage paid at Des Moines, Iowa and additional mailing offices. POSTMASTER: Send address changes to: The Journal of the Iowa Pharmacy Association, 8515 Douglas Ave., Suite 16, Des Moines, IA 50322. Published quarterly, The Journal is distributed to members as a regular membership service paid for through allocation of membership dues. Subscription rates are $100 per year, single copies are $30. Printed by ColorFx; Graphic design done by the Iowa Pharmacy Association.

RAGBRAI Recap Follow the 2017 IPA Foundation’s RAGBRAI team and the trek across Iowa. pg. 36

Drake’s New Science Connector Building New opportunities await Drake Student pharmacists in new building. pg. 15

FEATURES

Strategic Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Insurance Coverage for New Advances . . . . . . . . . . . . . . . . . . . . 8 2018 Midwest Pharmacy Expo . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Drake’s New Science Connector Building . . . . . . . . . . . . . . . . . 15 2017 White Coat Ceremonies . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Meet the 2017-2018 Iowa Pharmacy Residents . . . . . . . . . . . . 32 RAGBRAI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

IN EVERY ISSUE

President’s Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 CEO Column . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Health Care Hot Topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Iowa Pharmacy News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Practice Advancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Public Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Technician’s Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 IPA Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Member Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 IPA Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Calendar of Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Pharmacy Time Capsule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Mission Statement

The Iowa Pharmacy Association empowers the pharmacy profession to improve health outcomes. OCT.NOV.DEC 2017 |

PRESIDENT’S PAGE

RENEWED AND ENERGIZED taking care of your emotional and physical health? Craig Logemann, RPh, BCACP, CDE Ankeny IPA President

enewed and energized would be two words to describe my feelings after attending the IPA and Pharmacy Society of Wisconsin Leadership Pharmacy Conference. Spending time in a retreat setting surrounded by energetic and passionate professionals was a welcome way to spend part of my summer. I often discover that these types of conferences help reprioritize my thoughts about work and life. Much has been written about the increased stress that health care professionals are facing in their work settings. At our IPA Expo this past February, we had a morning session focused on workplace stress. What I learned from the event was that we all face different types of stressors in our work settings. The added responsibilities of electronic documentation and trying to meet the expectations of our patients and coworkers can lead to emotional fatigue. It is known that if we don’t adequately respond to the stressors at work it can also take a toll on our physical well-being. Long work hours and fast-approaching deadlines can leave us feeling emotionally drained. I know that my interactions with my patients and coworkers are compromised if I allow the stressors to affect my demeanor. Here are some questions for you to ask yourself. What types of activities help relieve the stress you may have in your day to day life? How are you

| The Journal of the Iowa Pharmacy Association

Here are some practical steps we should all consider to help maintain positive emotional health. 1. Make time for yourself: Go for a short walk. Look for hobbies or other activities which help reduce your mental stress. It is vital to decompress from the pressures we face in our daily lives. 2. Interact with positive people: Take time to interact with other coworkers, neighbors, friends and family who are positive in their outlook on life. Embracing the positive things in life can help carry you through the difficult times you will face. Laughter is often the “best medicine.” 3. Build strong, trusting relationships: Confide with those people you are most closely linked to. Be willing to share your struggles and heartaches with others. Allow them to be a sounding board regarding the stressors you may be facing at your work site. Many people talk about the importance of creating the perfect work-life balance. It’s my belief that there is no perfect recipe for creating the ideal work-life balance. As we go through different stages in our life, we will have different things consuming our energy (e.g. young children, aging parents, new position at work, new home, etc.). It is vital, though, to periodically take a step back and reflect on your current balance in life. How are you doing in balancing work, family, social/friendships, spiritual/ reflection, activities/exercise and alone times? One of the sessions during our IPA/PSW Leadership Pharmacy

Conference was moderated by the associations’ CEOs and presidential officers. We all had the opportunity to share ten minutes of “Words of Wisdom” to the conference attendees. Many of us shared how we try to balance work and life. None of us consider ourselves experts in the area, but it was obvious that being a driven professional requires you to have outside passions that help you remain balanced. Yes – being a health care professional will consume significant time and energy, but success in our professional career will be “empty” if we don’t properly maintain our emotional, mental and physical well-being. A benefit of belonging to the IPA Pharmacy family is the networking opportunities you have with forward-thinking pharmacy professionals. Spending time with other IPA members has definitely been a highlight of my presidency so far (both through face-to-face interactions and via social media). I have enjoyed meeting many of you during the IPA Goes Local events and the Foundation’s golf outing. Here are some final thoughts before I close. Be positive in your interactions with fellow coworkers and pharmacy students. Please remind them of the benefits of IPA membership and networking with other like-minded professionals. Let’s do all that we can to help prevent emotional fatigue and burnout in our pharmacy family. Being the best for our patients requires us to purposefully take care of ourselves. I hope you had a fantastic summer and that your batteries are “recharged” for the year ahead. ■

CEO COLUMN

TRADITIONS

t’s no secret that I love traditions. I love starting new traditions with our family and friends, many anchored around holidays or food, yet many are so normal to everyday life you might not even consider them traditions. Even more so, I love carrying on family traditions from my own childhood that bring a sense of nostalgia and wonderful memories. And, as the end of 2017 will mark my 5-year anniversary as IPA’s executive vice president, I’ve come to appreciate the important role IPA plays in providing professional traditions for pharmacists and pharmacy technicians in Iowa. These professional traditions, such as reconnecting with friends over dinner at Expo, coming to the state capitol for Legislative Day, celebrating our leaders at the Annual Meeting, cycling across Iowa in white-coat bike jerseys, welcoming and mentoring new student pharmacists at the white coat ceremonies, or including the IPA Foundation in your year-end giving are all annual traditions for many IPA members. These traditions provide an opportunity to reflect on the culture of leadership, innovation and progressive pharmacy practice that exists in our state; learn about that culture and history from past and present IPA leaders; expand the network of Iowa pharmacists and technicians that are committed to the profession; and support the future generation of pharmacists. I’ve learned that pharmacists in Iowa and IPA leaders are not only thoughtful, but intentional in their actions and traditions. To make significant events even more meaningful, we must be intentional in our recognition and celebration. Over the past 5 years, IPA members generously donated to the Thomas

R. Temple Leadership Pharmacy Endowment. To celebrate Tom’s legacy and each of the endowment donors, IPA hosted a reception and unveiling of the plaque to recognize all those who contributed (see page 44). While 2019 may seem far off, our Board is already discussing its plans to celebrate the 20th anniversary of unification between the Iowa Pharmacists Association and the Iowa Society of Health-System Pharmacists to form the Iowa Pharmacy Association, which occurred in 1999. When the unification occurred, that year’s theme for the Annual Meeting was ‘Creating New Traditions.’ It’s exciting, and fitting, to learn about the past and how these professional traditions are the backbone of Iowa Pharmacy. A new tradition our family started this year was to include our older children (ages 5 and 6) in charitable giving and talk about why we support organizations and causes that are important to us. I shared that the IPA Foundation supports the profession of pharmacy, today’s pharmacists as well as their friends who will want to become pharmacists one day (future pharmacists). At that point, Gigi (5) informed me she did not want to become a pharmacist…. but I’ll keep working on her. For that next generation of pharmacists, and for each of you practicing today, the IPA Foundation works to ensure that pharmacy practice continues to evolve in today’s changing healthcare landscape. Iowa pharmacists have a generous tradition of giving back each year to their profession through the IPA Foundation. The Foundation Institute allows

Kate Gainer, PharmD Executive Vice President & CEO Iowa Pharmacy Association

IPA members to solidify (and simplify) their generous tradition. By committing to an annual contribution to the IPA Foundation, members signify their pledge to help keep the profession of pharmacy in Iowa strong for generations to come. I joined the Foundation Institute this month, a tradition that now falls within both my professional tradition and family tradition lists As 2017 winds to a close, I would like to thank all of our members for supporting IPA and the IPA Foundation over the past year. Exciting things are on the horizon in 2018 and we look forward to advancing the profession with your support. ■

OCT.NOV.DEC 2017 |

See what our tomorrow looks like at: phmic.com/tomorrow2

STRATEGIC PLAN

2016-2019 STRATEGIC PLAN & LEADERSHIP AGENDA The roadmap and priorities set forth in IPA’s Strategic Plan and Leadership Agenda will guide the work of the Board of Trustees, committees, and staff in the coming years. IPA’s Strategic Plan presents long-range goals and strategies for addressing four key areas:

Advocacy IPA is the unified voice advocating for the pharmacy profession in Iowa to key stakeholders including legislators, regulatory agencies, healthcare providers and the general public. IPA leverages its respected reputation, cultivates critical relationships and activates an engaged grassroots network to advance practice, protect the profession and ultimately achieve positive outcomes for all stakeholders. Objectives • Continue to cultivate IPA’s strong grassroots advocacy and active participation in legislative issues. • Collaborate with the Iowa Board of Pharmacy on shared initiatives to protect the public and advance the profession of pharmacy. • Establish a legislative agenda that fosters practice advancement opportunities. • Continue collaboration and innovation on advanced practice models for pharmacists in the ambulatory care, inpatient, and community settings.

Medication Optimization and Patient Safety Patients experience more positive outcomes with proper, safe and effective use of medication through

pharmaceutical care. For this reason, IPA places a strategic emphasis on initiatives and opportunities that assert the role of pharmacists and pharmacy technicians and enable them to practice at the top of their training. Objectives • Concentrate on advancing advocacy for initiatives that increase patient safety and optimal medication use. • Partner with key stakeholders and those utilizing evolving healthcare models to integrate pharmacists as members of the healthcare team to optimize patient outcomes. • Support innovation in which pharmacy technicians are performing advanced functions in medication distribution.

Membership Engagement IPA is most successful when our members are actively engaged in advancing strategic goals and actions. To remain a vibrant and influential organization, IPA focuses on nurturing the active participation of our membership and utilizing its depth of experience and volunteerism. Objectives • Create value in partnership packages that engage pharmacists and pharmacy technicians.

development through capstone conferences and volunteer opportunities. • Realize new ways to utilize technology to foster member engagement in innovative programming.

Collaboration and Innovation IPA is committed to identifying opportunities to position the profession of pharmacy for success in order to meet the needs of a diverse membership in unprecedented times of health care change. IPA seeks to promote collaboration with strategic partners and support innovative practice initiatives that align with Iowa’s progressive professional culture centered on patient care. Objectives • Create new business opportunities to serve the profession and association. • Partner with national and state organizations (pharmacy, healthcare, or otherwise) to enhance pharmacy services provided in Iowa. • Strengthen collaboration between IPA and other healthcare organizations and at the local level between pharmacists and other healthcare providers. • As a unified organization maximize communication among pharmacists across practice settings.

• Enhance programming and opportunities for student and new practitioners as vital voices of the profession. • Nurture leadership opportunities within the association to continue the strong tradition of leadership

OCT.NOV.DEC 2017 |

RX AND THE LAW

INSURANCE COVERAGE FOR NEW ADVANCES Don McGuire, RPh, JD General Counsel Pharmacists Mutual Companies

ecent changes in a number of states have broadened the clinical and patient care activities that can be undertaken by pharmacists. These changes take many different forms. Ohio passed a bill that authorizes pharmacists to provide a large number of patient care activities, including ordering and analyzing the results of blood and urine tests, ordering up to a 30-day supply of life saving medication when a physician is unavailable, and modifying drug therapy (including ordering new drugs). Many other states also allow pharmacists to order and interpret laboratory tests. Most states allow pharmacists to participate in Collaborative Practice Agreements (CPA). The activities allowed under a CPA vary tremendously from state to state. These can include initiation of drug therapy, modification of drug therapy and/or discontinuation of drug therapy. Another development is the use of statewide protocols to allow pharmacists to prescribe certain medications. The leaders in this area are New Mexico, Idaho, California, and Oregon, but other states are beginning to follow their lead. Among the medications that pharmacists are allowed to prescribe are emergency contraception, smoking cessation, oral hormonal contraceptives, and preventative prescription medications recommended by the CDC for people traveling outside the US.

| The Journal of the Iowa Pharmacy Association

A question that should come to mind for every pharmacist involved is whether they are covered by their insurance policy for these activities. This is a very important and challenging question because the coverage provided by each insurance company is different. You cannot just assume that new practices are covered. Each insurance company can determine what they do and do not want to cover in a policy, regardless of what constitutes your state’s scope of practice. For example, there are policies available in the marketplace that exclude damages resulting from patient counseling – whether or not the counseling is required by law. Whether the services you provide are required or optional, you will want to be sure you are adequately protected. It is never safe to assume that you have coverage for something that you cannot find in your policy without first asking and validating it with your insurance company. So how do you go about examining your insurance coverage? Remember that under the law, insurance is a contract. The terms of that contract or agreement are spelled out in the insurance policy. While every provision is important, three parts of the policy are key to our question. They are the definitions, the insuring agreement, and exclusions. Make sure that the activity in question is included in the definitions and/or the insuring agreement of the policy and that it is not included in the exclusions. In a situation like we have in these states, new activities recently authorized likely will not be found in the policy yet. There is a time lag due to the requirement that insurance policies be approved by

the Department of Insurance in each state. Because of this lag, coverage will depend on the insurance company’s interpretation of its existing policy language. Some policies carry a broad definition of what activities are covered. For example, the policy may say that you are covered for your acts as a pharmacist or for your acts within the profession of pharmacy. For cutting edge advances, you may not know how your insurance company will interpret what acts they are intending to cover. Another insurance company includes the phrase, “and other services of a professional nature legally performed by “you””. This phrase picks up newly authorized activities until policies can be rewritten to specifically include them in the policy language. It is important to note that the phrase also includes the words “legally performed”. The pharmacist would need to complete any required training program or certifications prior to providing these services for the coverage to apply. It is also important to comply with all procedures and recordkeeping required by the law. Pharmacists will need to verify what activities they are legally allowed to provide in their state. Once they have chosen the activities that they wish to add to their practice, pharmacists need to verify coverage with their insurance company because every insurance company is different. ■

This article discusses general principles of law and risk management. It is not intended as legal advice. Pharmacists should consult their own attorneys and insurance companies for specific advice. Pharmacists should be familiar with policies and procedures of their employers and insurance companies, and act accordingly.

HEALTHCARE HOT TOPICS

USP <800> Postponed USP officially announced the intent to postpone USP <800>: Hazardous DrugsHandling in Healthcare Settings. The rationale was to better align <800> with revised <797> and allow enough time for proper implementation of the revised chapter. It was also stated that both revised <797> and <800> are expected to become official December 1, 2019.

CVS Health Opioid Limitations CVS Health announced that their new policy is to limit opioid prescriptions to seven days or less for opioid-naïve patients with acute pain. Prescriptions for patients with chronic pain will be limited to 90 morphine milliequivalents per day, in accordance with CDC recommendations. These policies will take effect in February 2018, but it is noted that employers and insurers will have the ability to opt out if desired.

Participation in Insurance Exchange for 2018 Across the country, 63 counties are expected to not have any insurance companies participating in the insurance exchange for 2018. Another 1,472 counties are expected to only have one insurer. All of Iowa’s 99 counties fall into the category of a single insurer participating. At the time of this publication, only Medica had announced their intent to participate in the exchange. This has the potential to change before 2018 as carriers are still deciding whether or not to participate. Furthermore, the Iowa Insurance Division recently submitted a proposal to CMS for an Iowa Stopgap Measure. This waiver limits plan’s financial responsibility for certain patients and the federal government would be responsible for costs over a certain limit. This waiver would prevent 72,000 Iowans from being uninsured in 2018.

Benzodiazepines with Opioid Addiction Medications The FDA announced that buprenorphine and methadone prescriptions used for opioid addiction should not be withheld when a patient is taking benzodiazepines. Historically, patients have been denied prescriptions or discharged from treatment programs when found to be taking benzodiazepines, either medically or illicitly. The agency recognizes that there are increased risks of CNS depression when the agents are taken together, but the risks of untreated opioid addiction are much higher. Rather, the FDA recommends that healthcare professionals work together to develop a treatment plan and educate patients about the risks of concomitant administration.

FDA Approves First Biosimilar for Cancer Treatment Biosimilars are starting to be introduced to the market, and the FDA recently approved the first biosimilar specifically for the treatment of cancer. Bevacizumab-awwb (Mvasi) is a biosimilar to bevacizumab (Avastin). The bevacizumab-awwb biosimilar is indicated for the treatment of certain colorectal, lung, brain, kidney, and cervical cancers.

AMA Pushes Collaboration with 6-step Pharmacist Integration Education Module

The American Medical Association (AMA) has created an education module for its members on integrating pharmacists into their practice as part of its STEPS Forward program for practice improvement. In announcing the new module, AMA described pharmacists and pharmacy technicians as “often missed key partners” that can help practices improve outcomes. As such, the organization

recommends strategies embedding a clinical pharmacist or building a collaborative relationship with a community pharmacist to help with reconciling medications, implementing protocol-driven drug therapy changes and switching medications to improve safety or lower costs. The module explores working with pharmacists and pharmacy technicians based on a practice’s needs and features six steps to follow when partnering with a pharmacist or pharmacy including identifying roles, setting expectations and measuring impact.

OutcomesMTM Releases OpioidRelated TIPs OutcomesMTM is introducing three new opioid-related TIPs to their platform. These TIPs are designed to address safe opioid utilization, storage, disposal, and prevent adverse events. The TIPs are accompanied with resources and best practices for starting the conversation with patients. The alerts are categorized as “Needs Patient Education-Safe Medication Use(Opioid Therapy),” “Needs Medication Assessment- Opioid,” and “Needs Drug Therapy- Naloxone.” These TIPs are currently available in North Dakota, but it is expected that other states and insurers will adopt these TIPs within the upcoming year.

Missouri Gets a PMP by Governor’s Executive Order Missouri Governor Eric Greitens signed an executive order to establish a statewide prescription monitoring program (PMP), ending their status as the only state without such a program. The state’s department of health and senior services stated the program could be operational in a month. Several attempts to pass legislation to create the program have failed over the years, usually based on privacy concerns. ■

OCT.NOV.DEC 2017 |

Learn, Connect & Be Inspired with Your Colleagues from Across the Midwest! The Midwest Pharmacy Expo brings together pharmacists, pharmacy technicians and student pharmacists from across the Midwest for the regionâ&#x20AC;&#x2122;s premier live continuing pharmacy education event.

Now in our fifth year, we invite you to enjoy a weekend featuring high quality live continuing education, engaging networking opportunities, and inspiring keynote speakers in a professional and relaxed Midwest atmosphere.

EXPO LOCATION & LODGING Holiday Inn Des Moines-Airport & Conference Center 6111 Fleur Dr, Des Moines, IA 50321

Eat, sleep, park and enjoy Expo all in the same location!

| The Journal of the Iowa Pharmacy Association

16.5 hrs of CPE for Pharmacists & 10 hrs for Technicians!

Agenda February 16, 2018

Clinically Intensive Workshops 6.5 hrs CPE for Pharmacists

7:30 am Registration 8:30 am Welcome 8:45 am Biostatistics and Trial Design: An Interactive Primer for Pharmacists P 10:45 am -Break11:00 am Chronic Care Mgmt Part I: Mental Health, Cardiology, Endocrinology P 12:30 pm Lunch & Networking (lunch provided) 1:30 pm Chronic Care Mgmt Part II: COPD/Asthma & Oral Chemotherapy P 3:00 pm -Break3:30 pm Physical Assessment: A Refresher for Pharmacists 5:00 pm Wrap-up and Adjourn

February 17, 2018

Midwest Pharmacy Expo 6.0 hrs CPE for Pharmacists & Technicians 6:30 am Registration Opens 7:00 am Industry Symposium Breakfasts 8:30 am Welcome 9:00 am Keynote: “The Need for Advanced Clinical Decision Support Systems for the Management of Patients with Polypharmacy” by Jacques Turgeon P/T 10:00 am -Break10:15 am Session 1 USP <800>: Pearls for Implementation P/T Potential Perils of PPIs: Risks, Misuse, and Deprescribing P Aspirin: Who Needs It? P Medication Management with Celiac Disease: Pearls for Technicians T 11:15 am -Break11:30 am Session 2 Contraception: A Pharmacist’s Guide to Prescribing P Nutrient Depletion: How to Answer Patient Questions P/T Anticoagulation: The Do’s and Don’ts of Bridge Therapy P Quest for the Ideal Anticoagulant: A Patient-centered Approach to Treatment T

12:30 pm Lunch and Exhibit Hall 2:00 pm Session 3 Direct-to-consumer Genetic Testing: Hype or Hope? P/T Pain Management Strategies: Alternatives to Opioids P Heart Failure Guideline Update P Build a Better Pharmacy Team with Training and Mentoring T 3:00 pm -Break3:15 pm Session 4 Medical Cannabis: The Pharmacist’s Perspective P/T CMS Rules for Participation/LTC Regulations: What You Need to Know P Hypertension: What’s Your Goal? P L to Z: Tick and Mosquito Borne Diseases T 4:15 pm -Break4:30 pm Session 5 Biosimilars: Challenges and Opportunities P Breaking the Trend: Helping Patients Manage Fall Risk P/T Dyslipidemia Treatment: Hybridizing Clinical Practice Guidelines P Common Drug Interactions: A Practical Review for Pharmacy Technicians T 5:30 pm Adjourn 5:45 pm Political Leadership Reception**

February 18, 2018

Midwest Pharmacy Expo 4.0 hrs CPE for Pharmacists & Technicians 6:30 am 7:00 am 8:00 am 9:30 am 9:45 am 10:45 am 11:00 am 12:30 pm

Registration Opens Industry Symposium Breakfasts New Drug Update P/T -BreakPharmacist’s Liability in the 21st Century P/T -BreakGamechangers in Pharmacy: 2017 P/T Adjourn CE accredited sessions in bold P - accredited for pharmacists T - accredited for pharmacy technicians **Additional ticket purchase required

See the full agenda & register at

MidwestPharmacyExpo.com OCT.NOV.DEC 2017 |

IOWA PHARMACY NEWS

IPA Adds Two to Staff

On October 9, Casey Ficek and Dawn Morse joined the IPA team. Casey is IPA’s new director of public affairs and will lead IPA’s advocacy initiatives with the legislature, regulatory agencies and other providers. Dawn is IPA’s member services associate and will assist with membership and events. Be sure to introduce yourself the next time you are in the office or see them at an IPA event!

Casey Ficek

Dawn Morse The floor of one of the Iowa Senior Wellness and Security Expo hosted by Rep. David Young

Make Every Encounter Count – Training Available Through CEI

Transforming your pharmacy practice is a team-based approach that requires collaboration, engagement, and commitment. Make Every Encounter Count is a 10-module educational series offered over the course of 20 weeks through the Collaborative Education Institute (CEI) and is accredited for both technician and pharmacist CE credit. Program facilitator, Randy McDonough, provides a step-by-step guided approach to assist community pharmacies in making the changes necessary to have a positive impact on patient outcomes and be successful in a value-based healthcare system. The educational series is designed for the pharmacy team- and the entire staff is encouraged to complete the accompanied workbook activities to customize an implementation plan within their individual practice. Each module concludes with a discussionbased webinar where participants are able to ask questions, share success stories, and work together to create workflow efficiencies. At the end of the series, the entire pharmacy team is well-equipped with the tools needed to maximize every patient interaction and truly make every encounter count.

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The first cohort of participants started July 21, 2017. Registration for the next session is now open through CEI and will launch in February 2018. The program is intended for any communitybased pharmacy team looking to initiate or improve a pharmacy practice focused on engaging patients and improving health outcomes.

disposal through the EcoReturns program, while also providing counseling points on patient’s medications. IPA is proud to have the profession of pharmacy participate in this community event, and to have provided important services to the public.

IPA & Iowa Pharmacists Participate in Rep. Young’s Senior Health Expo

As the Iowa Board of Pharmacy evaluates endorsing USP Chapter <800> in its entirety into the board regulations, IPA worked with the Board of Pharmacy to conduct a readiness assessment of Iowa pharmacies. With a variety of pharmacy practice settings completing the survey, here is a summary of survey results:

For the second consecutive year, Iowa’s Rep. David Young hosted a series of three Senior Wellness and Security Expos during the month of July to provide free access to healthcare professionals and other resources to senior citizens across the state of Iowa.

During the events, seniors were encouraged to participate in various health screenings and assessments, along with hearing safety presentations from qualified professionals. Representing IPA and the pharmacy profession were Jackie Whitman and Kaitlin Brueggen of Drake University and Medicap Pharmacy, as well as pharmacy staff members from Hy-Vee Pharmacy in Creston. These pharmacy volunteers provided information on safe medication

USP Chapter <800> - Are Iowa Pharmacies Ready?

• Most pharmacies receive & unpack hazardous drugs from distributors, store them at their pharmacy, and dispense them to patients • 41% of respondents have a current policy and procedures when dealing with hazardous drugs, but those documents are being revised to align with new USP standards (19% don’t have any polices, but they are being developed; 18% don’t have any policies and they are not currently being developed)

IOWA PHARMACY NEWS

• 45% of respondents have looked at the USP <800> standards, but still have questions about them (11% are just hearing about the standards) • Cost, space, and volume of hazardous drugs is too low to justify investment in changes were listed as the top three biggest barriers preventing pharmacies from meeting new requirements The results of this survey have been critical to provide guidance to the Iowa Board of Pharmacy and IPA as all parties move toward safer handling of hazardous drugs in the work place to protect the public health in all healthcare settings.

Drake, University of Iowa Collaborate to Promote Pharmacy Career Path

Over the past year, the American Association of Colleges of Pharmacy (AACP) has teamed up with large pharmacy groups across the country, such as APhA, to develop an educational resource to garner interest from middle

and high school students in the field of pharmacy. Operating under the title “Pharmacy is Right for Me”, the campaign provides interactive tools, promotional material such as flyers and banners, and a multitude of educational resources that aim to attract the next generation of pharmacy professionals. Access to these materials can be found by visiting www. pharmacyforme.org. Content provided on this official site is regulated by the Pharmacy Career Information Council (PCIC), a conglomerate of pharmacy organizations with a purpose of promoting pharmacy to the public. With the interest of the promotion in mind, IPA collaborated with The University of Iowa and Drake University colleges of pharmacy to create an Iowafocused flyer to be utilized by members in addition to the Pharmacy is Right for Me materials. This promotional tool contains information specific to Iowa, as well as general pharmacy facts to help draw future professionals into innovative community we have in our state. ■

HAVE YOU CONS

IDERED A

CAREER IN PHARMA

CY?

"PHARMACISTS HELP PEOPLE

A PHARMACIST Is a trusted profession al Is essential to heal thcare Has outstanding oppo rtunities Is a medication expe rt Has excellent earn ing potential

PHARMACISTS ARE HEALTHCARE LEA DERS Improve Patient Outc omes Reduce Healthcar e Costs Educate the Commun ity Promote Medicatio n Safety Advance Scientific Research

LIVE HEALTHIER,

BETTER LIVES."

CAREER OPPORTUNIT IES Academic Pharmacy Community Practic e Government Agenc ies Hospice and Home Care Hospital & Institutional Practice Long-term Care Managed Care Medical and Scienti fic Publishing Pharmaceutical Industr y Pharmaceutical Scienc es Trade or Professional Associations Uniformed (public health) services

PHARMACY IN IOW A Iowa is among the most innovative states in pharmacy practice Providing immunizatio ns Compensated for

since 2006

clinical services

since 2000 75% of Iowa pharm acists were educated in Iowa

ENQUIRE TODAY

NOMINATE A COLLEAGUE FOR A 2018 IPA AWARD Recognize a colleague for the outstanding work that they do to serve their patients and advance the pharmacy profession. IPA is seeking nominations for the following awards: • Robert G. Gibbs Distinguished Pharmacist • Honorary President • Excellence in Innovation • Distinguished Young Pharmacist of the Year • Health-System Pharmacist of the Year • Patient Care Partner Award • Appreciation Award: Individual & Corporate • Cardinal Health GenerationRx Award • Pharmacy Technician of the Year Awards will be presented at the 2018 IPA Annual Meeting on June 8-9, 2018, in Des Moines. For more information about each award and to nominate a colleague, visit www.iarx.org/ipaawards. OCT.NOV.DEC 2017 |

IOWA PHARMACY NEWS

IOWA PHARMACY STAKEHOLDERS CONVENE; PROVIDE CONSENSUS ON PROFESSIONAL ISSUES On July 10, 2017, a group of Iowa pharmacy stakeholders met to discuss the challenges and opportunities facing the profession. This group has met annually for several years and is based on a strong tradition of idea sharing, collaboration, leadership, and innovation. Participants represented the Iowa Pharmacy Association, Iowa Board of Pharmacy, Drake University College of Pharmacy and Health Sciences, The University of Iowa College of Pharmacy, Collaborative Education Institute, and Iowa state legislators. Areas of focus for this year’s discussion were opioids, provider status readiness, rural health, and technician roles. Discussion from these meetings generate goals and strategic steps to collaborate across the profession in the upcoming year. There was very lively discussion and the consortium will meet again in November 2017. The consensus of July’s meeting is outlined below:

Opioids Topic

Goals

Prescription Monitoring Program (PMP)

• Greater latitude to access and analyze PMP information • Generate dashboards and opioid utilization reports for providers • Timely pharmacy reporting to PMP

Appropriate Prescribing

• Develop an interdisciplinary consensus statement on best practices for opioid prescribing • Support mandatory controlled substance electronic prescribing (IPA Policy 2017) • Require an indication to be written on prescriptions

Education

• Educate providers on the proper place in therapy for opioids, utilization of the PMP, and mental health resources available for patients • Perform curriculum mapping of pharmacy education and seek opportunities for interdisciplinary education regarding opioids

Provider Status Readiness Topic

Goals

Scope of Practice

• Review Pharmacy Practice Act/ Iowa Administrative Code • Allow pharmacists to engage in collaborative practice agreements with nurse practitioners • Amend definition of “eligible patients” that are able to be treated by a pharmacist under a collaborative practice agreement • Create a legislative agenda that supports statewide protocols

Ambulatory • Increase the number and sustainability of ambulatory Care care pharmacist positions in Iowa Pharmacists • Continue efforts of the Practice Advancement Initiative (PAI) Task Force Payment Models

Rural Health Topic

Goals

Access to Care

• Determine baseline Iowa demographics county-bycounty • Perform analysis of demographics of current population, projected future population, and compare to available pharmacy resources in those areas • Determine gaps in care (and potential future gaps in care); make a plan to align pharmacy resources in these areas to improve access to care • Increase pharmacist scope of practice and collaborative practice agreements • Expand point-of-care testing by pharmacists

Funding

• Maintain funding for critical access facilities • Create a legislative agenda that supports funding for critical access facilities

Technician Roles Topic

Goals

Advanced Technician Roles

• Assess advanced roles that technicians perform in pharmacies • Conduct focus group to evaluate what further resources and education would be needed to support advanced pharmacy technician roles • Support sustainable career ladders that serve as attractive options to help recruit and retain pharmacy technicians within the profession

Technician Product Verification

• Develop legislative language to expand technician product verification in general pharmacy practice • Publish data from New Practice Model

Public Health • Partner with Iowa Department of Public Health to identify recovery, addiction, and mental health resources in communities • Focus area for IPA Goes Local 2017 is the opioid crisis Naloxone

• Work to ensure at least 1 pharmacy in each of Iowa’s 99 counties is actively participating in the naloxone standing order

| The Journal of the Iowa Pharmacy Association

• Collaborate with other stakeholders to increase innovative value-based payment models that support the pharmacist-led delivery of enhanced patient care services • Work towards pharmacist provider status to allow pharmacists to bill for patient care services

DRAKE’S NEW BUILDING

DRAKE’S NEW SCIENCE CONNECTOR BUILDING ENHANCES PHARMACY EDUCATION

tudent pharmacists at Drake University will have the opportunity to learn in environments that enhance their ability for collaboration in groups and across academic disciplines, thanks in part to the support of Iowa Pharmacy Association members. Drake’s new Science Connector Building, one of two academic buildings to open this year as part of the University’s $52 million STEM@DRAKE initiative, links four other science facilities—HarveyIngham Hall, Fitch Hall, Cline Hall, and Olin Hall. The resulting five-building science hub promotes linkages between the research and clinical areas of Drake’s pharmacy program and fosters interdisciplinary teaching, research, and study. The Science Connector Building features a multi-functional student lounge area supported by the Iowa Pharmacy Association and its membership. Funded by more than $50,000 in gifts from IPA members, this student collaboration space offers flexible seating, large whiteboards, and other resources needed for individual and group study sessions. Renae Chesnut, dean of the College of Pharmacy and Health Sciences, says the Science Connector Building will enhance pharmacy education at the University and reap rewards for the pharmacy profession in Iowa.

“Drake University is fortunate to educate our students in a state where pharmacy practice is progressive and where the state association supports students,” Chesnut said. “Because of the strong partnership between the University and Iowa pharmacists, it’s appropriate that the Iowa Pharmacy Association space in our new Science Connector Building is a studentfocused space that reflects a shared commitment to collegiality, collaboration, innovation, and leadership.” The building is also home to Drake’s new athletic training program, led by program director Nate Newman, who joined the Drake faculty on Aug. 1 as associate professor of athletic training, and several other biology and health sciences faculty. Collaborations have advanced in areas like the drug discovery research occurring in the laboratories of Associate Professor of Pharmacology Brian Gentry and Associate Professor of Biology Marc Bush. These professors have collaborated in identifying how viruses replicate and infect cells along with how these processes can be inhibited by drugs. Classrooms are designed with movable furniture, allowing for flexible floor plans, which give faculty members greater freedom to allow class content to drive classroom arrangement—rather than vice-versa. And expanded laboratory spaces accommodate a greater number of students who are interested in animalbased research. ■ Photos: Drake University College of Pharmacy and Health Sciences

OCT.NOV.DEC 2017 |

COVER STORY

IOWA PHARMACISTS TACKLING TODAYâ&#x20AC;&#x2122;S PUBLIC HEALTH CHALLENGES

n the past decade, pharmacists have often been referred to as underutilized or untapped resources for public health.1-4 During a time when public health budgets are declining, the profession of pharmacy is being leveraged to advance community-based priorities. While the profession has already supported public health in a variety of ways (e.g., vaccinations, health screenings, point-ofcare testing, disaster preparedness), there is considerable room for the profession to have an expanded public health role and deeper integration in the healthcare system in Iowa and across the country. As you evaluate your practice for a role in public health, consider these opportunities occurring across the country and in Iowa.

Pharmacy & the Opioid Epidemic

The profession of pharmacy is playing an important role in diminishing the national opioid crisis. Pharmacists work hard to prevent new addictions, monitor for unlawful prescription drug abuse, furnish medications that can reverse overdoses, utilize prescription drug monitoring programs, serve as locations for safe disposal of unused or expired medications, and educate their community about addiction and prevention. While significant progress has been made, the abuse of opioids - both

| The Journal of the Iowa Pharmacy Association

prescription drugs and illicit drugs - is still an epidemic in the United States. States across the country, like Iowa, have pushed to increase availability of naloxone to reduce the risk of respiratory failure after overdose through a statewide standing order. An initial training is available at no charge through The Collaborative Education Institute, and is required before participating in the standing order. As one option to solving the opioid epidemic, cost is sometimes a barrier to accessing this life-saving medication. Public health is also looking at the profession to assist those who may be misusing drugs through their SBIRT (screening, brief intervention, and referral to treatment) training. As the opioid epidemic continues to evolve, pharmacy will be viewed as resource that will continue to be engaged in a solution to this public health emergency.

Antimicrobial Resistance

It has been well-documented that antimicrobial resistance is currently a grave concern, and it is not getting better as more people are infected with

COVER STORY

antibiotic-resistant bacteria every year. As hospitals and long-term care settings work to integrate pharmacists into their antimicrobial stewardship programs, all pharmacists are in an excellent position to educate the public about the appropriate use of antibiotics. Antibiotics are life-saving medications, yet they are often overused and inappropriately prescribed, which contributes to the antibiotic resistance crisis. Outside of playing a leadership role in a stewardship program, pharmacists are also conducting screening and physical examinations, performing Clinical Laboratories Improvement Act (CLIA)-waived pointof-care diagnostic tests, and immediately initiating medication regimens based on test results through the use of collaborative practice agreements (CPAs). While this process is limited in Iowa, there are efforts underway to expand the use of CPAs with nurse practitioners. Currently CPAs are limited to use between pharmacists and physicians.

HIV & Hepatitis C Screenings

Pharmacists are trained to screen and assess patient health needs in addition to refer patients and collaborate with other members of the healthcare team when appropriate. Public health has been looking to improve patient access to HIV and hepatitis C screenings through community-based interventions. After success was seen in the state of Virginia, the state of Iowa will look to provide training and resources to pharmacies to participate in the promotion and performance of screenings, interpretation of the screening results, patient education, and referral to other providers, including for confirmatory testing and diagnosis when appropriate. This initiative will continue to strengthen the strong relationship between pharmacy and public health in Iowa.

Relationship to IPA’s Legislative Priorities

One of IPA’s 2018 Legislative Priorities will focus on the role of pharmacists within statewide protocols and achieving provider status - all of which align

with public health concerns, enhanced access to care, and improved health of Iowans. Statewide protocols would increase access to healthcare services by allowing pharmacists to initiate or adjust treatment when screening, assessing, and monitoring patients’ health. Here are a few cases of where pharmacists can further achieve the goals of public health. 1. Immunizations: Adolescent meningococcal and HPV vaccination rates (7.9% and 45.5%) are below the national average and do not meet the Healthy People 2020 goals for immunizations. This year, Iowa schools started requiring proof of meningococcal vaccination prior to students entering 7th and 12th grades, creating a situation where many children were unable to attend classes the first week of school until the immunization was complete. Expanding pharmacists’ authority to immunize to adolescent populations will increase access to these important and often required CDCrecommended immunizations. 2. Tobacco Cessation: Pharmacists are well-positioned to provide counseling on tobacco cessation methods and often recommend medication options to help patients achieve success with their quit plans. Some insurances will even provide coverage for the OTC nicotine replacement therapies - but only with a prescription. The ability for pharmacists to provide that prescription immediately when a patient presents to the pharmacy will significantly reduce barriers to care. 3. Point-of-Care Testing: As of July 2017, 225 pharmacies in Iowa have a CLIA, or Clinical Laboratory Improvement Amendments of 1988, waiver that allows for the ability of a pharmacy to perform a diagnostic test outside of a laboratory that produces a reliable result rapidly to aid in disease screening, diagnosis, and/or patient monitoring. Point-of-care testing can increase public health agencies’ ability to reach targeted populations (e.g., those infected with influenza

that fail to seek care from a health care professional within the 48-hour window for treatment). As public health forges more robust partnerships with the profession of pharmacy, the benefits to local communities and your patients will be maximized through the delivery of care by pharmacists. IPA will continue to collaborate with the Iowa Department of Public Health (IDPH) on many of their initiatives where pharmacy can serve as a solution to public health concerns. While the profession can be a force multiplier for public health and promote community residency in the face of crises, state and federal agencies and officials need to make a proactive effort to make the profession a fully integrated part of the overall health response. ■ References

1. Giberson S, Yoder S, Lee M. Improving Patient and Health System Outcomes through Advanced Pharmacy Practice. A Report to the U.S. Surgeon General. Office of the Chief Pharmacist. U.S. Health Service; December 2011. https://www.pharmacist.com/sites/ default/files/files/USPHS_Report_USSG_1(1). pdf. Accessed November 15, 2017. 2. Morrison CM, Glover D, Gilchrist SM, et al. A Program Guide for Public Health: Partnering with Pharmacists in the Prevention and Control of Chronic Diseases. National Center for Chronic Disease Prevention and Health Promotion. Centers for Disease Control and Prevention; August 2012. https://www.cdc.gov/ dhdsp/programs/spha/docs/pharmacist_guide. pdf. Accessed November 15, 2017. 3. Exploring Pharmacists’ Role in a Changing Healthcare Environment. Avalere Health; May 21, 2014. http://avalere.com/expertise/ life-sciences/insights/exploring-pharmacistsrole-in-a-changing-healthcare-environment. Accessed November 15, 2017. 4. Isasi F, Krofah E. The Expanding Role of Pharmacists in a Transformed Health Care System. Washington, DC: National Governors Association Center for Best Practices; January 13, 2015. https://www.nga.org/fileslive/sites/ NGA/files/pdf/2015/1501TheExpandingRoleOf Pharmacists.pdf. Accessed November 15, 2017. 5. Centers for Medicare & Medicaid Services. Laboratory Demographics Lookup. Retrieved from https://www.cms.gov/Regulations-andGuidance/Legislation/CLIA/CLIA_Laboratory_ Demographic_Information.html. Accessed December 7, 2017.

OCT.NOV.DEC 2017 |

PRACTICE ADVANCEMENT

IPA Collaborates on SIM Efforts

IPA continues to work with the Iowa Healthcare Collaborative (IHC) as a subcontract on the State Innovation Model (SIM) for the third year of a fouryear federal CMMI grant. The project focuses on care coordination and practice transformation in key regions of the state. Recently, a seventh region including Cedar, Muscatine, and Louisa counties were added to the project. IPA’s initiatives to serve the SIM communities involve educational efforts on pharmacists’ role in clinical care coordination, IPA Goes Local events, support of value-based pharmacy networks, and promote integration of pharmacy services into Iowa’s health information exchange.

State Innovation Model Community & Clinical Care Initiative Lyon

Osceola

CPESN Iowa: Over 100 Pharmacies Strong

Over the past quarter, CPESN Iowa has added dozens of pharmacies to the network. CPESN leadership is working to ensure these new sites receive initial site visits. Pharmacies that already have these site visits performed should have received a follow-up Action Plan in September or October.

| The Journal of the Iowa Pharmacy Association

Emmet

Winnebago

Worth

Mitchell

Howard

Winneshiek

Allamakee

Kossuth

O’Brien

Clay

Palo Alto

Hancock

Gerro Gordo

Floyd

Chickasaw

Fayette Plymouth

Cherokee

Buena Vista

Pocahontas

Humboldt

Ida

Sac

Calhoun

Webster

Woodbury

Wright

Franklin

Black Hawk Hamilton

Hardin

Clayton

Bremer

Butler

Buchanan

Delaware

Crawford

Carroll

Greene

Boone

Story

Dubuque

Grundy

Linn

Monona

Tama

Marshall

Benton

Jones

Cedar Harrison

Dallas Shelby

Audubon

Guthrie

Polk

Jasper

Poweshiek

Iowa

Johnson

Jackson

Clinton

Scott

Muscatine Marion

Pottawattamie

Mills

IPA recognizes that pharmacy professionals in many practice settings are already involved in care coordination activities. Through the SIM initiative, these practices need to be spotlighted and your efforts need to be shared! By working together, we can create more opportunities for collaboration, overcome barriers to providing pharmacy services, and connect pharmacies offering key clinical services with other healthcare professionals. Over the past several months, pharmacists and pharmacy technicians living or working in these key regions of the state have received specific email communications regarding the SIM initiative. To be added to this listserv or to become more engaged in SIM efforts, please contact IPA at ipa@iarx.org.

Dickinson

Sioux

Fremont

Cass

Montgomery

Adair

Madison

Warren

Mahaska

Keokuk

Washington Louisa

Adams

Union

Clarke

Lucas

Monroe

Wapello

Jefferson

Taylor

Ringgold

Decatur

Wayne

Appanoose

Davis

Van Buren

Page

Henry

Des Moines

Lee

1. Community Partners of Sioux County 2. Dallas County Public Health Nursing Services

4. Linn County Board of Health

6. Webster County Health Department

3. Great River Health Center

5. Marion County Public Health Department

7. UnityPoint Health - Trinity Muscatine

CPESN Iowa continues to explore opportunities to work with payers that are interested in providing compensation for improving patient outcomes. Recent discussions have involved representatives from a Medicare Part D plan regarding enhanced MTM. CMS launched the Enhanced MTM program in 2017 as a way to rejuvenate the traditional MTM model and motivate insurance plans to develop innovative solutions to decrease total costs of care. This Medicare Part D plan may be interested in partnering with CPESN Iowa to deliver these services at the community level as a way to enhance the services they already offer internally. CPESN luminaries have reminded participating pharmacies that in order to participate, they must sign participation agreements for both CPESN Iowa and CPESN USA. These participating pharmacies need to complete the CPESN Pharmacy Locator App survey in order for their pharmacy to be included on a national web-based platform.

New ChargeUP Call Format

For over a year, IPA has been offering the ChargeUP educational series for pharmacies participating in three key practice advancement initiatives in Iowa: CPESN, VBPP, and New Practice Model. This series is intended to aid in practice transformation and the sharing of best practices. A new format for the ChargeUP series was recently launched. In response to participant feedback, the calls now offer audio podcasts for convenient listening, allow for more discussion, and better facilitate sharing of best practices. The sessions occur twice monthly with the first session released the first Thursday each month as a 15-20 minute podcast to listen to at participant’s convenience. At work, at home, in the car – wherever and whenever works for you! In October, IPA started making these available on iTunes and Google Play. The second session remains as a webinar format and provides for a discussion in follow-up to that month’s podcast. Participants are

PRACTICE ADVANCEMENT

encouraged to ask questions or share ideas related to the topic.

Falls Prevention Statewide Strategic Pan

IPA was invited by the Iowa Healthcare Collaborative (IHC) to contribute to an interdisciplinary work group to develop a Falls Prevention Statewide Strategic Plan. The work group convened three times in 2017 to develop a comprehensive plan to address the following: 1. Reducing falls for Iowans, 2. Identifying risk factors, 3. Improving quality of falls care and management, and 4. Using data to drive population-based falls prevention and management strategies. Stakeholders included pharmacists, physicians, physical therapists, city planners, patient advocates, and geriatric care agencies among others. Pharmacy specific roles in preventing falls for Iowans were primarily recognized as providing education and interventions regarding medications that contribute to falls risk during the patient care process, medication therapy management, and care transitions. Another objective was to encourage pharmacist-patient-prescriber collaboration through pharmacy collaborative practice agreements and medication reconciliation activities. The finalized document will be used by IHC and disseminated to other stakeholders to guide future activities to prevent falls for all Iowans any age, across the state. IPA was represented on this workgroup by Kristin Meyer, PharmD, CGP, CACP, FASCP, from Marshalltown.

Assist and Screen Patients for Infectious Diseases: Opportunity Coming Soon

IPA has been working with the Iowa Department of Public Health (IDPH) to evaluate mechanisms in which pharmacists and pharmacy technicians can provide screening tests and referrals to prescribers for HIV, and eventually

hepatitis C. As pharmacists are one of the most accessible providers, IDPH will initially identify 50 pharmacies to participate in this initiative. Training and testing supplies will be provided by IDPH. As this initiative aligns with multiple IPA priorities, IPA expects this opportunity to grow in the future to showcase how pharmacists can align with strategies within the National HIV/AIDS Strategy.

functions by Iowa pharmacies. There is often more than one platform used in each pharmacy. Most pharmacy platforms do not use standards specified in EHR Incentive programs as pharmacists are not considered “eligible providers.” Therefore, platforms may not be capable of capturing and exchanging essential data points needed to achieve EHR incentive program objectives.

The National HIV/AIDS Strategy established a specific goal to increase the percentage of people living with HIV who are aware of their HIV infection from 79% to 90% by 2020. In addition, the strategy aims to increase the percentage of newly diagnosed persons linked to HIV medical care within one month of their HIV diagnosis to at least 85% by 2020. Therefore, the Health Resources and Services Administration (HRSA) strongly encourages public health departments to look at strategic partnerships to provide HIV screening in accordance with established guidelines.

This strategy would connect one pharmacy platform capable of capturing and exchanging all essential clinical information to the IHIN to achieve rapid implementation and achievement of the goals over a four-year period from 2018 to 2021.

Iowa Health Information Network: Pharmacy Connectability Opportunity

Stemming from a small pilot project that worked to integrate Iowa pharmacies (community and long-term care) with the Iowa Health Information Network (IHIN), IPA has remained in contact with HIELIX, the vendor that manages the IHIN - Iowa’s health information exchange. IPA has been working with HIELIX to propose an initiative related to connecting pharmacies into the Iowa Health Information Network (IHIN). This initiative is currently seeking funding from Iowa state agencies in order to seek the 90/10 HITECH match funding from the federal government. The goals of this initiative would include connecting Iowa pharmacies to the Iowa Health Information Network, achieving Medicaid Electronic Health Record (EHR) Incentive Program requirements, and ensuring pharmacies are engaged in a successful implementation. There are over 50 pharmacy software platforms on the market, many of those used for various

IPA, APhA Foundation Launch Project IMPACT: Immunizations

IPA is partnering with 15 community pharmacies throughout Iowa to be part of a scaled demonstration for the APhA Foundation’s Project IMPACT: Immunizations. After success was seen in a small pilot project in Washington State, Iowa pharmacists will be utilizing a bi-directional immunization information system to assist in identifying patient vaccination needs. This system will utilize information from the Iowa Immunization Registry Information System (IRIS) to make a vaccine forecast for each adult patient utilizing ACIP recommendations. The pharmacists’ role will be to clinically evaluate these forecasts, counsel patients regarding recommended vaccinations, administer or refer for appropriate vaccinations, and ensure proper documentation and follow up. The goals are to decrease the gap in adult immunization coverage, increase the scope of pharmacy practice, and provide data to help support efforts for compensation for pharmacy services.

A Value-Based Pharmacy Program Officially Launches in Iowa A value-based pharmacy program launched in July 2017, which provides a payment model for pharmacies to manage a panel of patients of certain community pharmacies throughout Iowa. This initiative is led by a commercial payer

OCT.NOV.DEC 2017 |

RENEW YOUR MEMBERSHIP!

Renew your membership today and continue to receive important professional benefits like FREE relicensure or recertification CE in addition to maintaining a strong, unified voice to advocate for your profession. THANK YOU for your continued support of the Iowa Pharmacy Association

ADVANTAGES FOR YOU ADVOCACY FOR YOUR PROFESSION

of membership dues directly fund initiatives that advance the pharmacy profession

ADVANCEMENT FOR YOUR PRACTICE

RENEW TODAY AT

WWW.IARX.ORG Current memberships expire on December 31, 2017

Stop Getting Renewal Notices - Choose Auto Renewal! Pharmacists and Business Partner members can setup yearly or monthly automatic renewal for your IPA membership. Itâ&#x20AC;&#x2122;s the hassle-free way to ensure you continue to receive your membership benefits without interruption each year! Download and complete the form at www.iarx.org/join_renew Contact IPA if you have any questions at 515-270-0713.

PRACTICE ADVANCEMENT

in Iowa and highlights the pharmacy profession’s ability to improve patient outcomes and decrease total costs of care. The main disease states of focus are (1) diabetes, (2) hyperlipidemia, (3) asthma, and (4) depression. The 62 pharmacies participating in this network are measured on different metrics related to these chronic conditions as well as their ability to keep the attributed patients healthy and reduce preventable admissions. In 2018, this payer is expected to expand the network to include 5,000 additional attributed patients. Therefore, it is anticipated that more pharmacies throughout Iowa will be invited to participate. The decision for what locations will be extended an offer will made by the payer and based on number of shared patients, historical performance, and a geographical needs assessment to ensure provision of such pharmacy services in areas of the state that may not currently have adequate coverage. IPA, in collaboration with University of Iowa and Drake University, will be conducting research on this value-based pharmacy program. The objective is to better understand the pharmacy services that are offered when value-based revenue is available and to help gather data to enable sustainable, innovative payment models in the future. ■

OPIOID GUARDIANSHIP PROGRAM LAUNCHES ACROSS IOWA HOSPITALS In participation with the Iowa Healthcare Collaborative, 23 hospitals have rolled out its latest innovative project – the Opioid Guardianship Quality Improvement Project. This project is designed to ensure all patients being sent home with opioids have a treatment care plan aimed at utilizing non-opioid treatment options, and decreasing the need for opioid use. Dr. Tom Evans, President and CEO of IHC states, “In alignment with CDC’s Guideline for Prescribing Opioids, Iowa Healthcare Collaborative is initiating the Opioid Guardianship Project across Iowa communities. This effort will be spread by way of partnerships with participating Compass Hospital Improvement Innovation Network hospitals around the State. Through this work, IHC is facilitating improved communication between healthcare providers, patients, and families about the safe and effective use of opioids for realistic comfort management.” This first cohort of hospitals implemented comfort resources to reframe how providers and patients view pain. These hospitals benefited from the project by having access to several resources, expert pharmacists and quality improvement advisors, and educating their community around this work. The first cohort saw a reduction in adverse drug events with this project and brought awareness to the healthcare providers on the number of opioids being prescribed. Some hospitals found that 30-80% of their discharged patients were prescribed an opioid. The second cohort will begin with Compass HIIN hospitals interested in participating in January 2018. With the numerous lessons learned the project will be slightly different and additional resources such as opioid tapering resources will be available. Additionally, a four-part webinar series will be available with CME/CPE/CEU accreditation. Please contact Sarah Derr at derrs@ihconline.org for additional information. Participating hospitals:

SAVE THE DATE! June 7, 2018 Des Moines Downtown Marriott More info at iarx.org/practiceadv

Audubon County Memorial Hospital** Avera Holy Family** Broadlawns Medical Center Central Iowa Healthcare** Cherokee Regional Medical Center CHI Mercy Council Bluffs Community Memorial Hospital Covenant Medical Center ** Davis County Hospital** Fort Madison Community Hospital Guttenberg Municipal Hospital Hanson Family Hospital

Horn Memorial Hospital Jefferson County Health Center Mercy Medical Center-Dubuque Mercy Hospital of Franciscan Sisters** Mercy Iowa City Mercy Medical Center Centerville Mercy Medical Center North Iowa Methodist Jennie Edmundson Hospital Myrtue Medical Center** Sartori Memorial Hospital** Van Diest Medical Center

**Indicates that a pharmacist is serving as the project lead

OCT.NOV.DEC 2017 |

WELCOME CLASS OF 2021

Drake University College of Pharmacy and Health Sciences White Coat Ceremony - Class of 2021 August 25, 2017 Natalie Ake Ali Altaie Jason Anderson R. Annemiek Arkema Wil Augspurger Alex Bennett Erika Bethhauser Andrew Bjorlin Leah Blader Dani Boone Taylor Boorn Dinka Brdar Matt Burton Viviana Cao Jillian Chambers Miranda Christenson Lydia Code Michael Coleman Layne Davis Brayden Dawson Tessa De Kock Maia Determan Jacob Drettwan Emma Fervoy

Noah Fletcher Emily Freier Hanna Friedrich Abby Frommelt Rita Hammer Sedie Harms Sean Harnois Morgan Hawkins Rebecca Heinert Lindsay Hillmer Katarina Hockey Brooke Huegli Aldin Karic Riley Karpen Josh Kim Justin Klein Celyna Koopmann Jane Laubengayer Sydney Lunardi Paige Mall Husein Mehmedovic Nicole Melby Kennedy Merical Johnny Mills

Claire Monzel Carolyn Morrissey Katelyn Mouser Areeb Nagamiyan Phuong Ngo Sonia Ngo Monica Nikseresht Alix Noteboom Andrew Olson Elizabeth Orput Austin Park Vidhi Patel Rachel Paulmann McKenzie Pfeffer Vy Pham Michaela Phelps Katelyn Phillips David Poidomani Nevin Radechel Ann Radtke Jacey Redman Kayla Reuter Morgan Ridout Renee Rivera

Robert Schroeder Kristi Schwietz Jake Sepka Emily Skjeveland Rachel Soppe Steven Strong Kimberly Tang Erica Thacker Brittany Traut Jesse Upton Taylor Volesky Katie Vollmer Rachel Wedemeyer Abby Wedoff Olivia Welter David Wood Will Wright Verent Yee Katie Yeo Beara Zachariah Tim Zuo

Photos: Drake University College of Pharmacy and Health Sciences

| The Journal of the Iowa Pharmacy Association

WELCOME CLASS OF 2021

The University of Iowa College of Pharmacy White Coat Ceremony - Class of 2021 August 19, 2017 Mohamed Abbas Michael Allenback Zac Anderson Payton Augustine Brian Autry Emily Barmore Caelee Batterson Whitney Blasen Kori Bohlken Tyler Brakke Julie Breuer James Bullard Lyvia Bulman Melissa Burds Megan Castellano Guadalupe Chavez Raemi Chavez Katherine Cheng Reghan Coyle Alec Darrow Drake Dauber Ishaya G. David Noah Doll Taylor Dremsa Marissa Ewers Alaina Feltes Diana Foster Shushanna Galstyan

Amber Garthwaite Lauren Goeser Alexander Goodwin Sarah Greiner Brandi Hageman Stephanie Hay Brandon Hefel Holly Henschel Lauren Hetzler Boi-Lam Hong Nicole Hulsebus Colette Hussey Andy Jatis Anna Kane Nathan Karlan Maksim Kazlouski Jin Ko Helena Kobuzi Claire Kosek Catherine Kruse Steven Landa Christine Lawson Bowen Li Meredith Lumberg Kyle Maere Courtney Major Jovana Majstorovic Jaycee Mandernach

Jacqueline Mareau Maureen Martin Melissa Matcha Becca McCaughey Paul W. McClimon Aaron McDonough Crystal McElhose Amanda Merck Tatum Meyer Holly Miller Adrian Montero Haley Morrison Tyler Morrison Logan Mougin Han Nguyen Julie Ha Nguyen Loc Nguyen Allison Norris Shannon Oâ&#x20AC;&#x2122;Leary Jaelyn R. D. Olson Ellen Overholtzer Ruju Patel Rutu Patel Kaitlyn Pegump Kassi D. Pham Elijah Porter Jasmine Purpura George Qi

Sneha Ramprasad Alyssa Riniker Lucas Roach Mitchell Robak Bibiana Ruiz Andrew Sabers Eihsan Misbah Salih Logan Schmalfeldt Matthew Schoenberger Katlynn Schreiner Abbey Schwery Karlie Seiler Claire Slattery Austin Smith Ji Yun So Claire Sons Shelby Stafford Matthew Stahl Colton Staudt Evan Streck Cassandra Streeter Sarah Tappe Louis Tiberi Dan VanDuyne Rachel Whitesitt Amber L Willams Matthew R Yeates

Photos: The University of Iowa Office of Strategic Communications\Justin Torner

OCT.NOV.DEC 2017 |

PUBLIC AFFAIRS

IPA RESOLVES MEMBERS’ MCO CONCERNS Although the issues pharmacies have experienced with the transition to managed care in 2016 have dissipated over time, IPA is still receiving multiple concerns from pharmacies across the state. IPA continues to work diligently with our contacts at each of the MCOs and Iowa Medicaid Enterprise to reach resolution. Thank you to all who have submitted concerns and questions to IPA. Below are examples of member concerns that IPA has facilitated resolution with the MCOs.

Brand Medication Reimbursement

Express Scripts, the PBM working with Amerigroup, was incorrectly reimbursing for brand medications at the Federal Upper Limit (FUL) rather than the contracted AAC + dispensing fee for approximately five months leaving many pharmacies paid significantly below cost. Through IPA’s efforts working with our contacts at Amerigroup and Iowa Medicaid Enterprise, this issue was resolved as of September 5. All brand medications should be reimbursed correctly at the AAC + dispensing fee moving forward. Furthermore, pharmacies should see all incorrect claims retrospectively adjusted. IPA will continue to work with Amerigroup to make sure these claims are corrected in a timely manner. If pharmacies have any questions regarding this process, they are encouraged to contact Express Scripts Contracting Services at 1-888-571-8182 and inform IPA.

Dispensing Fee Adjustments

Over the past few months, the three MCOs managing Iowa Medicaid have worked to implement the dispensing fee

| The Journal of the Iowa Pharmacy Association

adjustment of $10.02 that was approved March 21, 2017 and retroactive to August 1, 2016. In order for this adjustment process to be federally compliant, any prescription claims submitted after August 1, 2016, must be reversed and reprocessed with the new dispensing fee. Therefore, pharmacies should be aware that they may see large batch reversals of claims. UnitedHealthcare has completed this process already. AmeriHealth Caritas will complete this process between October and November. Amerigroup is expected to undergo the process in November. In the past, financial burden was felt when claims were reversed and not reprocessed until the next billing cycle. IPA has communicated this issue to the MCOs and has been assured that the reversal and reprocessing of claims will be simultaneous to minimize any financial impact on the pharmacy.

Flu Vaccines

It came to IPA’s attention that certain influenza vaccinations listed on the Iowa Medicaid PDL were not recognized by all of the MCOs. The issue should now be resolved and pharmacies should be able to administer any vaccine (regardless of multi-dose vial or pre-filled syringe) listed on the PDL. Furthermore, pharmacies should remember that immunizations for pediatric patients 0-18 years of age are only covered at pharmacies contracted as “Vaccines for Children” providers or for HAWK-I beneficiaries. However, pharmacies have noted that in some cases they are seeing processed claims for children even if they don’t meet either of these requirements. Even though these appear to be paid claims, it was uncertain what the financial consequences may be long-term.

Specific NDCs on PDL

Multiple medications on the Iowa Medicaid PDL are only covered if a specific manufacturer or NDC is dispensed. It has recently come to IPA’s attention that this may become a financial concern to pharmacies. Pharmacies are reimbursed based on average acquisition cost (AAC) which reflects multiple manufacturers’ products. In the majority of cases, this methodology is considered fair, but may not be as applicable when only one specific product is allowed, especially if that NDC is only available at a cost significantly higher than average. IPA is working with Iowa Medicaid and the company they contract with to perform the AAC survey, Meyers and Stauffer, to determine the best approach to this situation. ■

Still Experiencing Issues? Tell Us Now! If you are experiencing an issue with one of the MCOs that does not reach adequate resolution through their respective helplines, please do not hesitate to contact IPA through our survey link on the IPA homepage.

PUBLIC AFFAIRS

Iowa Medicaid DUR Commission Hears from IPA

Following feedback from IPA members, IPA provided comments at the October 4, 2017 meeting of the Iowa Medicaid Drug Utilization Review (DUR) Commission on two key issues seen within Medicaid beneficiaries – coverage of diabetes pen needles and medication adherence. First, IPA encouraged the DUR Commission to investigate the ability for coverage of diabetes pen needles as a pharmacy benefit. The current coverage as a durable medical equipment is inconsistent with the standard of care of diabetes patients. With the current process of contracting for services with Medicaid MCOs, IPA encouraged Medicaid to re-evaluate their process for coverage. In addition, IPA encouraged the DUR Commission to review processes for which Iowa pharmacists can help to improve medication adherence and patient health outcomes within the Medicaid population. Citing the process that many pharmacies undertake to provide clinical medication synchronization services, Medicaid beneficiaries would greatly benefit from adherence monitoring services with appropriate compensation to their local pharmacist. The DUR Commission accepted IPA comments during this meeting. IPA will continue to advocate for such changes for improvement in Medicaid care delivery through multiple avenues.

Iowa Medicaid Director Changes Roles

It was announced on August 22 that Iowa Medicaid Director Mikki Stier has been appointed to serve as Deputy Director of Iowa Department of Human Services (DHS). She has served over two years as Iowa Medicaid Director and was in that position during the transition to managed care. IPA has worked with her in this capacity when issues occur regarding Medicaid or MCO’s. She is currently serving both positions and a new Medicaid Director will be appointed as soon as possible. ■

IPA MEMBERS INVITE LEGISLATORS FOR PHARMACY VISITS Throughout the summer months, IPA has been coordinating with members to host firstterm state legislators at their practice site. Building these relationships is an important part of advancing the profession through grassroots advocacy. Thank you to all the pharmacists that have hosted their legislators. Check out these pharmacists who have built some great relationships with their legislators!

Sharm Wenndt, Rep. Gary Mohr and Angie Danielson

Jen Alexander, Sen. Nate Boulton and Jeff Mullen

“We had a great time showing [Rep. Mohr] the pharmacy and discussing the ever-evolving world of pharmacy! This was his first experience of this type and was thrilled about the invite!” - Angie Danielson, PharmD, HyVee - Davenport “Rep. Bloomingdale was most interested to learn about pharmacists giving immunizations as well as the medication packaging services we offer… Thanks for the IPA backup and support! I enjoyed having the opportunity to meet my Representative in person and promote the pharmacy profession!” - Amy Farlinger, RPh, Cresco Family Pharmacy

“Rep. Hinson has a family member who is a pharmacist. She seemed knowledgeable and was very enthusiastic to learn about the profession.” – Craig Clark, RPh, Clark’s Pharmacy, Cedar Rapids

Any pharmacy practice site provides a great opportunity to showcase the value of the profession. IPA’s goal is to have 100% of first-term legislators meet with a local pharmacist before session reconvenes in January and we strongly encourage you to reach out to your legislators. Interested but not sure where to start? Feel free to contact IPA for additional guidance and resources. OCT.NOV.DEC 2017 |

PUBLIC AFFAIRS

BOARD OF PHARMACY: FALL UPDATE Below is a short recap of key points from the August 29, 2017, open session of the Iowa Board of Pharmacy.

New Rules Affect Telepharmacy Pilot Projects

Pharmacies operating as remote telepharmacy locations throughout Iowa have been doing so as part of a pilot project. As some of these telepharmacies near the pilot project end date, the Board of Pharmacy discussed the process these locations will undergo to transition from a pilot project to compliance with recently adopted regulations. The Board recognized that some pharmacies may need to submit waivers as they convert their practice protocols and technology to comply with the new regulations.

Review of Administrative Rules

As is required every five years, the Board has been in the process of reviewing all administrative rules and proposing updates to improve practice accordingly. The Board released several notices of intended action that can be viewed for public comment at https://rules.iowa.gov, including: • Prescriber/Patient Relationship Proposed Rules: The proposed amendment would remove the existing requirement for pharmacists to cancel remaining refills for prescription orders once a prescriber/ patient relationship is broken or a prescriber no longer oversees a patient’s use of a prescription medication. The new rule would give discretion to the pharmacist to continue refills for an appropriate duration while the patient is trying to reestablish care. The

Board expects this will decrease inappropriate disruption of therapy, allow pharmacists to further care for patients, and increase access to medications. • Storage of Prescription Records: Current rules require storage of prescription records from the most recent year in the pharmacy department and the records of the prior year within the physical building. The proposed rule will allow the second year of records to be stored off site as long as they can be at the pharmacy within 48 hours of request. The proposed rule will also allow all physical records to be stored off site if electronic records are available on site immediately.

Changes in Controlled Substance Regulations Adopted

The Board approved changes to rules in Chapter 10 of Iowa Code 657 which specifically authorizes partial filling of schedule II prescriptions when requested by a patient or prescriber, and the remainder can be filled within 30 days of the date the prescription was issued. This change aligns with federal provisions within the Comprehensive Addiction and Recovery Act (CARA) of 2016. In addition, the Board provided changes in this section to allow pharmacy technicians to be involved in the pseudoephedrine transaction process. These new regulations will take effect on November 1, 2017.

Update on Prescription Monitoring Program (PMP) The Board announced an update that a new PMP software will be in place by March 2018. The new platform will

be equipped with the ability to easily integrate into EHRs and pharmacy management systems. In the meantime, the Board is selecting six pharmacies for a pilot project to test integration of the current PMP platform in late 2017. Upon completion of the pilot project, the Board plans to extend integration of PMP data to the Iowa Health Information Network.

New Board Compliance Officer

Christie Carlson, PharmD, RPh, joined the Iowa Board of Pharmacy as a compliance officer on August 11, 2017. Her responsibilities include conducting pharmacy inspections, investigating complaints, remaining knowledgeable about rules, and serving as a resource for pharmacy practices that may have questions or concerns pertaining to regulations. Prior to joining the Iowa Board of Pharmacy, she worked as a compounding pharmacist at Central Iowa Compounding Pharmacy for 12 years where she enjoyed frequent problemsolving and patient care. Christie is originally from northern Minnesota and attended pharmacy school at Drake University. She has since remained in Iowa in part to the great friends she has met living here.

Upcoming Open Meetings of the Iowa Board of Pharmacy • January 17, 2018 Unless otherwise noted, all meetings are held at the board offices located at: RiverPoint Business Park 400 SW 8th Street, Suite E Des Moines, Iowa 50309

OCT.NOV.DEC 2017 |

TECHNICIAN CORNER

YOU’RE MORE THAN “JUST” A TECHNICIAN have the ability to positively influence the care a patient receives. Meg Finn, CPhT North Liberty, Iowa

dvanced roles of pharmacy technicians continue to be at the forefront of pharmacy practice discussions. This makes it is an excellent time to review the current role pharmacy technicians play in providing patient care. When asked about my profession, the conversation happens as such: “What do you do for a living?” “I work in a pharmacy.” “Oh, so you’re a pharmacist?” “No, I’m just a technician.” The part of this that stands out to me is the “just.” This phrasing was first brought to my attention by a presenter during a session at last year’s Midwest Pharmacy Expo. It really resonated with me. Since then, I have changed how I answer that question. Ellen Petry Leanse recently wrote an article titled “‘Just’ Say No.” In this article, she describes the word ‘just’ as a permission word, an apology word, a qualifier. She is absolutely right. A colleague of mine regularly emphasizes the importance of recognizing that as technicians we are healthcare professionals and we must work to change the culture around the title of Pharmacy Technician. What we do every day does directly affect patient care. This is true in all pharmacy settings. Although our roles and responsibilities may differ, technicians in all areas of pharmacy have at least one thing in common: we

| The Journal of the Iowa Pharmacy Association

One of our primary roles as pharmacy technicians is to support the pharmacists we work with. We work collaboratively to do what is best for our patients. We serve as a second set of eyes, reviewing orders or prescriptions to make sure that no errors reach the patient. We prepare products under their supervision. We work to gain authorization for patients to receive the treatments they need. We troubleshoot and problem-solve. We improve processes to increase efficiency. We take on the responsibilities in order to provide the pharmacist additional time to focus on the patient. These are just a few examples of the role a pharmacy technician can play in patient care. Through all of these duties, we create trust. Trust between the pharmacists and technicians then leads to the trust from the patients in our care. It cannot be stressed enough that the pharmacist-technician relationship is a very important part of what we do. For instance, in an acute care setting technicians are often responsible for the direct preparation of sterile IV medications. There must be a level of trust and confidence in the skills of the technician to prepare those medications correctly. There must be trust in the pharmacist to guide and teach. When entering a pharmacy in an ambulatory setting, the technician is often times the first person the patient encounters. As technicians, we have a very unique opportunity to influence patient outcomes through direct contact with patients. We are the initial friendly face of the pharmacy.

We are responsible for making sure patients’ needs are heard and provide them a positive experience. We can encourage adherence and healthy habits through simple conversations. We are able to form relationships with our patients and identify concerning “red flags”, bringing those concerns to the pharmacist’s attention. One positive experience can make a

“As technicians, we have a very unique opportunity to influence patient outcomes through direct contact with patients.” patient’s visit or even their day. I’ve received countless thank you notes from patients commenting on the kindness, patience, and efficiency they experienced at the hands of technicians in our pharmacies. It is very apparent when a healthcare professional genuinely cares for the patients, and it doesn’t go unnoticed. These are simply a few examples of the roles technicians currently have in various pharmacy settings. There are many that haven’t been touched on, and with the option for advancement of the role of technicians, I can only hope that the list of examples will continue to grow. We must remember that as pharmacy technicians we are a crucial part of the healthcare team. As technicians we need to take pride in the care and support that we provide. We must take ownership of our work and follow through in order to succeed. By supporting our pharmacists and helping patients, we make ourselves a critical part of the healthcare team. We are healthcare professionals; we are not ‘just’ pharmacy technicians. ■

TECHNICIAN CORNER

NEWLY PTCB CERTIFIED IOWA TECHNICIANS July 1 - September 30, 2017

Please join IPA in congratulating the following pharmacy technicians on becoming PTCB-certified! Jessica Aberson Axel Aguillon Hurtado Angela Alexander Hailey Andersen Katherine Appel Madison Barmore Erin Bodkins Daniel Bradley Kaleigh Bransford Felicia Brown Kari Byrd Reanna Campbell Chandler Chandler Melinda Christensen Jennifer Combs Vanessa Cook Tyler Cooksley Matthew Curran Bethany Daniel Victoria Day Allison Denny

Amanda Denny Kayla Drake Hailey Drobushevich Lisa Ealy Lucia Ernst Lacie Evans Elizabeth Fank Melody Forrett Molly Froehle Connie Fullan Ashley Funk Enedelia Gamon Tara Gerhards Aimee Goodnight Jane Gressang Kenny Groninga Emily Hamilton Drew Harrison Claire Holtz Emily Houlsworth Neal Jones Martin Kalkwarf

Joseph Kaney Morgan Kimball Alexandria Knowlton Kaitlin Korleski Brionna Lam Michael Lanciki Jessica Lee Anthony Lovan Nicole Madson Refaat Makkar Emily Mann Eulalia Mata Kristine McCall Liam McGillin Laura McKelvey Courteney Miller Elijah Miller Candice Moore Randolf Munji Erica Palmer Jeanne Paskach Dana Pasker

Saritaben Patel Ashley Perlwitz Chelsie Pettyjohn Annastacia Pierce Stephanie Ray Kayla Rickerl Jasmine Rigley Jay Rockwell Brenda Jo Roenfeld Joelle Schewe Kayla Schneider Edie Schwickerath Phillip Seiwert Stephanie Singer Jared Stangl Cheyanne Starr Dianne Starrett Erica Thacker Markee Thompson Stacey Thompson Noel Tolvanen Annie Tram

Devin VanDerKamp Hannah Vanwyk Mulenda Vicent Heather Vivanco Kim Vo Sophia Vogeler Abbey Vos Emma Wadle Andrea Wahle Briana Walker Lorely Walker Zoie Wernimont Ali Whisenant Brittany Williams Kathy Williams Sarah Williams Merima Zenelji Shondel Zollman

Who cares if your pharmacy technicians are certified? Your patients. Listen to your patients. Choose PTCB Certification. A 2016 survey* of the public found:

94% 85% 76%

say trust in their pharmacy would increase with standardized certification for technicians. believe it’s very important for pharmacy technicians to be certified. say they would change pharmacies if technicians were not certified.

SETTING THE STANDARD. ADVANCING PATIENT CARE. PHARMACY TECHNICIAN CERTIFICATION BOARD

What makes PTCB Certification stand out? Excellence. • • • •

Portable and accepted in all 50 states, DC, Guam, and Puerto Rico Pharmacy profession-endorsed Only non-profit certification program More that 585,000 certifications granted

Learn more at www.ptcb.org. *KRC Research, 2016 ptcb.org/resources/research

OCT.NOV.DEC 2017 |

TECHNICIAN CORNER

TECH TIDBITS Highlights from IPA’s monthly e-newsletter specifically for pharmacy technician members. Sunburn Treatment

While summer may be over, it’s still a good time for a refresher on updated sun protection recommendations. The most important sunburn recommendation is prevention. Sunburn can cause skin cancer, which affects 1 in 5 Americans and kills thousands every year. Sunscreen recommendations from the American Academy of Dermatology include three key factors for choosing the right sunscreen: 1. Broad spectrum protection (against UVB and UVA rays, which can both cause cancer) 2. SPF 30 – 50 (the higher the Sun Protection Factor, the better the protection. However, there is no proven additional benefit of SPF greater than 50) 3. Water resistance (for up to 40-80 minutes, these sunscreens stay on the skin better). It is important to remember to reapply sunscreen a minimum of every 2 hours, and more frequently if exposed to water/ sweat since they are not waterproof or sweatproof. One (1) ounce of sunscreen, or enough to fill a shot glass, is considered the amount needed to cover exposed areas of the body not covered by clothing. Sunscreen should be applied 15-30 minutes before going out in the sun. Combinations of sunscreen and bug spray should be avoided and applied separately since sunscreen needs to be reapplied more frequently. Sunburn usually appears within a few hours of too much sun exposure, but can take up to 24 hours. Characteristic sunburn presents as skin that is red/ pink in color, warm/hot to the touch, painful or tender, swollen, and can even include headache, fever, and nausea if the

| The Journal of the Iowa Pharmacy Association

sunburn is severe. Any exposed part of the body can be sunburnt, including areas covered by clothing, earlobes, scalp, eyes, and lips. A sunburn can take several days to heal, and may even blister or “peel” the top layer of skin. Some treatment options that pharmacists and technicians can recommend to patients include: cool baths, moisturizer, aloe, hydrocortisone cream, aspirin or ibuprofen, and staying hydrated. For blisters and peeling skin, it is recommended to allow the blisters to heal untouched; the blister forms to help the skin heal and to protect the skin from infection. Signs a patient needs to seek medical attention or be referred to a doctor include: blisters that cover a large surface area (like their entire back); or chills, headache, and/or fever.

Meningitis Vaccine

As of January 11, 2017, the meningococcal conjugate vaccine (MenACWY) is now required for students entering 7th and 12th grades in the state of Iowa by the Iowa Department of Public Health (IDPH). The meningococcal secondary school vaccine requirement was passed in the 2016 legislative session and is intended to help Iowa achieve and maintain high adolescent vaccine coverage levels to adolescents and the community since adolescents are the main source of transmission for meningococcal disease. Currently, the Advisory Committee on Immunization Practices (ACIP) recommends adolescents age 11 or 12 years be routinely vaccinated with quadrivalent meningococcal conjugate vaccine (MenACWY) and receive a booster dose at age 16. The brand names of the meningococcal conjugate vaccine that contain all four serogroups available in the US are Menactra and Menveo.

This immunization requirement change was implemented for the 2017-2018 school year. The change to the administrative rules requires the following for students at both public and private schools entering, advancing, or transferring into: 7th Grade (Born after 9/15/04): Proof of 1 dose of meningococcal conjugate vaccine (MenACWY) received on or after age 10 12th Grade (Born after 9/15/99): Proof of 2 doses of meningococcal conjugate vaccine (MenACWY) with the necessity the 2nd dose being administered on or after 16 years of age (if vaccinated previously before 16 years old) OR Proof of 1 dose of meningococcal conjugate vaccine (MenACWY) administered after 16 years of age (if the first dose of vaccine was administered at 16 years or older)

Pharmacists are able to provide the vaccine to eligible patients who are under the age of 18 with a prescription, or with the establishment of a collaborative practice agreement (CPA) for the meningococcal vaccination. Technicians are able to play a role in the administration of this vaccine through educating patients about the vaccine requirements as well as the protections that the vaccine provides. While rare, meningococcal disease can cause longterm problems or be deadly even if it is treated quickly – vaccination is the best way to prevent the disease and its spread. Technicians can also aid pharmacists in screening patients for eligibility. ■

TECHNICIAN CORNER

PHARMACY TECHNICIAN STAKEHOLDER CONSENSUS CONFERENCE RECOMMENDATIONS PUBLISHED On February 14-16, the Pharmacy Technician Certification Board (PTCB) hosted the Pharmacy Technician Stakeholder Consensus Conference in Texas. The conference brought together national stakeholders with the goal of building a roadmap for the evolution and advancement of pharmacy technicians. Those in attendance worked over three days to develop consensus recommendations to address issues like defining pharmacy technician, finding a basic level of qualifications regardless of practice site and recognizing competencies beyond entry-level practice. The final recommendations from the conference were published in the September 2017 issue of the American Journal of Health-System Pharmacy1.

The group built consensus around the following key areas:

technicians prior to state board of pharmacy registration or licensure.

Defining pharmacy technicians. Create a legal definition of pharmacy technicians with specific qualifications required to use that title.

State laws and regulations on pharmacy technicians. Minimize variability in state regulations.

Education of pharmacy technicians. Establish national standards for technician education and educational programs should be accredited. Entry-level knowledge, skills, and abilities. Establish the specific knowledge, skills, and abilities needed to be credentialed as a pharmacy technician for entry-level practice. Certification of pharmacy technicians. Require national certification of

Advanced pharmacy technician practice. Prioritize the development of standards related to entry-level education. Moving forward on pharmacy technician issues. Establish a coalition of stakeholders to pursue the consensus recommendations from the conference. Reference

1. Zellmer, William A., et al. “Toward Uniform Standards for Pharmacy Technicians: Summary of the 2017 Pharmacy Technician Stakeholder Consensus Conference.” American Journal of Health-System Pharmacy, vol. 74, no. 17, Sept. 2017, pp. 1321–1332., doi:10.2146/ajhp170283.

CPhT Recertification CPE for FREE! Join IPA and receive CEI’s Technician Library for FREE! The Technician Library includes pharmacy technician certification CPE activities in categories consistent with the PTCB Domains, including pharmacy law, patient safety, immunizations, and current drug therapy. Also included are live webinars to get those live credit hours.

Members: 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 CPE! www.iarx.org/membership | 515.270.0713 | ipa@iarx.org

OCT.NOV.DEC 2017 |

RESIDENT SPOTLIGHT

MEET THE 2017-2018 IOWA PHARMACY RESIDENTS IPA would like to introduce the 53 pharmacy residents practicing in Iowa in 2017-2018. Take a minute to see who they are and where they are practicing this year.

Becca Anderson

Rebecca Brust

Rachel Gean

Elizabeth Bald

Andrea Chase

Meghan Griebel

Allison Bernard

Eva Coulson

Rachel Grolmus

Teryn Bibb

Nathan Evers

Mika Heister

Kendra Borchers

Brian Farris

Lorena Hernandez

Lauren Bricker

Jared Frye

Ashley Hickey

University of Iowa PGY1 Community Practice at Towncrest Pharmacy

Drake University PGY1 Ambulatory Care at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Ambulatory Care at The University of Iowa Hospitals & Clinics

Texas Tech University PGY2 Ambulatory Care at The University of Iowa Hospitals & Clinics

Drake University PGY1 Pharmacy Practice at UnityPoint - St. Luke’s

Drake University PGY2 Infectious Disease at Mercy Medical Center Des Moines

ONLINE FEATURE! Read the full Iowa Resident Spotlight supplement online.

| The Journal of the Iowa Pharmacy Association

South Dakota State PGY1 Pharmacy Practice at UnityPoint - St. Luke’s

University of Texas Austin PGY1 Pharmacy Practice at Iowa City VA Health Care System

Texas Tech University PGY2 Pain and Palliative Care at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Pharmacy Practice at Mercy Medical Center Mason City

University of Colorado PGY1 Pharmacy Practice at Mercy Medical Center Des Moines

Wingate University PGY1 HealthSystem Administration at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Ambulatory Care at Des Moines VA Health Care System

University of Iowa PGY1 Pharmacy Practice at Iowa City VA Health Care System

University of Iowa PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

University of Florida PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

Texas A&M University PGY1 Pharmacy Practice at Mercy Medical Center Cedar Rapids

University of Iowa PGY1 Pharmacy Practice at Mercy Medical Center Cedar Rapids

RESIDENT SPOTLIGHT

Emily House

Kiera Murray

Tori Roberts

Jessie Johnson

Emily Neddermeyer

Shannon Rudolph

Steven Jordan

Lane Nguyen

Erin Schreiber

Alexandra Kerrigan

Rob Nichols

Jaclyn Shine

Chelsea Khaw

Dan Peterson

Nikki Sly

Taylor Koehrsen

Tatjana Ramos

Daniella Smid

Jordann Kunkel

Julia Rippe

Katharyn Smith

Danielle Larson

Danielle Ritchie

Taylor Steckler

University of Iowa PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

Southern Illinois University Edwarsville (SIUE) PGY1 Community Practice at Osterhaus Pharmacy

Drake University PGY1 Pharmacy Practice at UnityPoint - Iowa Methodist

Creighton University PGY1 Pharmacy Practice at Mercy Medical Center Des Moines

University of Iowa PGY1 Pharmacy Practice at Iowa City VA Health Care System

Creighton University PGY1 Ambulatory Care at Des Moines VA Health Care System

University of Iowa PGY1 Community Practice at Allen Memorial Hospital Outpatient Pharmacy

University of Iowa PGY1 Ambulatory Care at Northeast Iowa Medical Education Facility & Waverly Health Center

Lake Erie - Bradenton PGY1 Pharmacy Practice at Covenant Medical Center

University of Rhode Island PGY2 Ambulatory Care at The University of Iowa Hospitals & Clinics

University of Iowa PGY2 Pediatrics at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Community Practice at Greenwood Drug

Butler University PGY2 HealthSystem Administration at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Community Practice at Allen Memorial Hospital Outpatient Pharmacy

University of Iowa PGY1 Pharmacy Practice at Mercy Medical Center Mason City

Drake University PGY1 Community Practice at CarePro Pharmacy/ A Ave

University of Buffalo Executive Fellowship at the Iowa Pharmacy Association

University of Iowa PGY1 Pharmacy Practice at UnityPoint - Allen Hospital

Drake University PGY1 Managed Care at OutcomesMTM

University of Iowa PGY2 Oncology at The University of Iowa Hospitals & Clinics

Roosevelt University PGY1 Pharmacy Practice at UnityPoint - Iowa Methodist

University of Iowa PGY1 Pharmacy Practice at Iowa City VA Health Care System

OCT.NOV.DEC 2017 |

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Let us guide you to your pharmacy ownership goals. • No-fee planning advice, industry experience and resources • Confidentiality, trust and respect • Financing options • Individualized matching of qualified buyers and sellers • Career, internship and junior equity opportunities

RESIDENT SPOTLIGHT

Grant Stimes

Ashley Trojcak

Jay Wilson

Alex Taylor

Susan Voong

Lexa Wright

Michael Thiefault

Amanda Waggett

Anne Zepeski

Jenna Tingleff

Kaiwen Wang

Drake University PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

Loma Linda University PGY1 HealthSystem Administration at The University of Iowa Hospitals & Clinics

University of Tennessee PGY2 Emergency Medicine at Mercy Medical Center Des Moines

University of Iowa PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

University of Houston PGY2 Pediatrics at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Pharmacy Practice at Covenant Medical Center

University of Iowa PGY1 Pharmacy Practice at UnityPoint - Allen Hospital

University of Minnesota PGY2 HealthSystem Administration at The University of Iowa Hospitals & Clinics

Univ. of Nebraska Medical Center PGY1 Community Practice at Hy-Vee Drug Store Iowa City

University of Iowa PGY2 Emergency Medicine at The University of Iowa Hospitals & Clinics

Rutgers University PGY1 Pharmacy Practice at UnityPoint - Iowa Methodist

45 IOWA RESIDENTS GATHER FOR IPA ANNUAL RESIDENTS MEETING On September 19, forty-five pharmacy residents across Iowa met in Iowa City for the annual IPA Resident’s Meeting. The meeting featured a keynote from Bob Chiusano, former CEO of Rockwell Collins and author of Mediocrity is Not An Option. IPA members may remember Bob Chiusano as the keynote speaker from last year’s Midwest Pharmacy Expo. At this event, he delivered a different, yet equally empowering message to the young pharmacists in attendance. He challenged his audience to embrace “diversity of thought” when working as a team and to strive each day to learn something new. Bob also emphasized the importance of having a positive attitude in all that you do, because your attitude directly affects your outlook, performance, and ability to work with those around you. Following the keynote address, IPA leadership delivered a presentation on the association’s leadership agenda and opportunities to be involved with IPA. Residents participated in roundtable discussions involving leadership, team-based care, precepting, and transitioning from their roles as students to practitioners. Many residents remained following the event to meet with current student pharmacists interested in pursuing a residency after graduation. OCT.NOV.DEC 2017 |

RAGBRAI 2017

WE RODE!

nother year has come and gone, and your Iowa pharmacy team has completed yet another successful bicycle trip across our great state! For the 4th consecutive year, the Iowa Pharmacy Association Foundation has sponsored a team of pharmacy professionals to participate in the Register’s Annual Great Bicycle Ride Across Iowa (RAGBRAI), donning white coat uniforms and pulling “RollinRx” buggies filled with OTC medications to help spread the positive image of pharmacy across this year’s route through the northern communities of Iowa.

| The Journal of the Iowa Pharmacy Association

Over the course of the week, the IPAF team brought together 27 riders from across Iowa (and the U.S.!) to help advocate for the profession of pharmacy and provide professional support to the over 20,000 riders who participated in RAGBRAI 2017. Among the team were students representing both of Iowa’s colleges of pharmacy, notable alumni and distinguished guests joining us from the east coast, pharmacists in hospital, academic, and community practice, and even a guest appearance from our fearless leader, Kate Gainer! The IPAF team was also fortunate to receive another year of week-long support from Tom Pudlo and welcomed bonus assistance this year from Pharmacists Mutual’s Pat Wilsbacher. In addition to providing first aid and medication expertise (and some Facebook Live streaming), the IPAF team visited 18 community pharmacy locations along the route to help spread the unity of Iowa pharmacy practice. RAGBRAI captured a week of bonding, professional mentoring, public relationship building, and all-around fun. While not all of the highlights (and minor injuries) can be adequately captured in words, please follow along to get a glimpse of the Iowa Pharmacy Association Foundation’s RAGBRAI 2017 experience.

RAGBRAI 2017

Saturday, July 22: Orange City

The first group of riders were corralled and transported (via automobile) to Iowa’s northwest corner for the first overnight town of Orange City. In honor of its proud heritage, the town lived up to its “Dutch ‘til Dawn” theme, complete with lots of excitement at the RAGBRAI Expo in the city square and generous hospitality from the team’s hosts. Overnight Hosts: Don Vaas & family

of Jon and Cheryl Grether of Pharmacists Mutual. Another delicious meal provided by the host and plenty of games of Euchre helped cap off a great day for the IPAF team. Overnight Hosts: Jon & Cheryl Grether Pharmacies Visited: Thrifty White Pharmacy, Spencer: Micaela Maeyaert, PharmD Hy-Vee Pharmacy, Spencer: David Steven, RPh

Sunday, July 23: Orange City to Spencer Distance: 63.9 mi. | Climb: 1, 283 ft. (81.8 mi./1,941 ft. w/ loop)

Sporting their crowd-favorite IPAF white coat jerseys and packing their “mobile pharmacies” with plenty of important items, the team embarked on the first day of the week-long, 411mile trip. After a quick tire dip in the Missouri River, marking the official start of RAGBRAI, riders enjoyed a pleasant day of low winds and sunny skies as they made their way through the meeting town of Primghar to their overnight destination in Spencer. Greeted by hosts Derek (Spencer Hospital) & Kalina Grimm, the team enjoyed an evening of fine-grilled meats and abundant conversation. Overnight Hosts: Derek & Kalina Grimm Pharmacies Visited: Thrifty White Pharmacy, Paullina: Chelsea Cave, PharmD Walgreen’s Pharmacy, Spencer: Elizabeth Berberich, PharmD; Audrey Shemon, CPhT Hartley Pharmacy, Spencer: Darci Fritz, PharmD

Monday, July 24: Spencer to Algona Distance: 71.7 mi. | Climb: 1,631 ft. (101.3 mi./2,067 ft. w/ loop)

After their first full day of riding, the team was tested with the longest day of the week. In traditional Iowa pharmacy fashion, the riders rose to the occasion and conquered Day 2, many riders even choosing to “go the extra mile(s)” on the added 29.6 mi. Karras Loop. After a long day of visiting pharmacies and genuine hard work, the team was welcomed into the home

Tuesday, July 25: Algona to Clear Lake Distance: 51.4 mi. | Climb: 934 ft.

Waking up to the smell of freshly made muffins by host Cheryl kicked off a much more relaxing day for the riders. Higher winds added an element of difficulty to the shorter route of Day 3, allowing the team to demonstrate the knowledge and capabilities of pharmacists to fellow riders by providing first aid and medication assistance. In the destination town of Clear Lake, the team was welcomed by the McKesson Corporation in their state-of-the art distribution facility. After an eye-opening tour of their enormous distribution center, the team took the home stretch to the overnight host home of IPA’s Chairman of the Board of Trustees, Rick Knudson and family. Greeted with an awesome hand-crafted “Welcome” sign by the Knudson kids, the team enjoyed an evening in regular Rick and Jen Knudson fashion; full of wonderful hospitality and great conversation. Overnight Hosts: Rick & Jen Knudson with children Sam, Kate & Nate Pharmacies Visited: Larry’s Pharmacy, Humboldt: Carleen Milewski, CPhT Elizabeth’s Pharmacy on Main, Britt: Nancy Abbas, RPh; Sandy Hartwig, RPh Tammy’s Pharmacy, Garner: Angie VanDusseldorp, RPh Payless Foods, Clear Lake: Chris Gage, RPh

OCT.NOV.DEC 2017 |

RAGBRAI 2017

Wednesday, July 26: Clear Lake to Charles City Distance: 57.5 mi. | Climb: 1,290 ft.

The favorable weather couldnâ&#x20AC;&#x2122;t last forever, as rain fell upon riders on Day 4 from Clear Lake to Charles City. Luckily, pharmacists are no strangers to curve balls being thrown into their daily routine. With an early morning start, and some drizzles hitting the back of the riders, the team persevered and made the 57.5 mi. trek to Charles City without injury. Despite the wet conditions, Cathy and Clair Rottinghaus, parents of University of Iowa P4 student and IPA member Alecia Rottinghaus, welcomed the riders into their home for the evening to dry off and relax. Overnight Hosts: Cathy & Clair Rottinghaus Pharmacies Visited: Kmart Pharmacy, Charles City: Cindy Uetz, PharmD; Rhonda Paul, CPhT Hy-Vee Pharmacy, Charles City: Alyssa Vosecky, PharmD

Thursday, July 27: Charles City to Cresco Distance: 54.6 mi. | Climb: 2,257 ft.

Despite soreness and fatigue beginning to creep into the bodies of the riders, the IPAF team took on Day 5 with positive attitudes and RollinRx buggies fully stocked to help out the RAGBRAI community. Braving the increased incline of the day, the team enjoyed themselves through the meeting town of New Hampton and onto the overnight destination in Cresco, stopping in multiple pharmacies along the way. Overnight Hosts: Amy Farlinger Pharmacies Visited: Bennett Pharmacy/HealthMart, New Hampton: Jerry Donlon, RPh; Ann Bennett, CPhT Sterling Pharmacy, Cresco: Laney Frazer, RPh; Savana Kriener, PharmD

| The Journal of the Iowa Pharmacy Association

RAGBRAI 2017

Friday, July 28: Cresco to Waukon Distance: 60.1 mi. | Climb: 2,483 ft.

After a lovely evening with host Amy Farlinger, a 1989 Drake University graduate, and her family, the team showed off their college pride on “College Spirit Day”, many in jerseys supporting their respective alma maters. Day 6 was packed with first aid, 4 pharmacy visits (complete with an appearance by Board of Pharmacy Compliance Officer, Mark Mather!), and plenty of ibuprofen, the team settled into their final overnight town of Waukon. Neal Daley of Hartig Drug and his wife Nancy provided warm hospitality for the group of relentless cyclists, excited but ready to approach the final leg of the week-long journey. Overnight Hosts: Neal & Nancy Daley Pharmacies Visited: Thrifty White Pharmacy, Decorah: Lori Rissman, PharmD; Erin Anderson, PharmD; Kyle Hommer, 2018 PharmD Candidate Donlon Pharmacy, Decorah: Matthew Maker, PharmD ShopKo Hometown, Waukon: Fran Liddiard, RPh; Vikey Nagel, CPhT Hartig Drug, Waukon: Erin Iverson, PharmD (daughter of hosts Neal & Nancy!)

THANK YOU!

The IPA Foundation would like to thank each of the riders, gracious overnight hosts and generous sponsors that comprised this year’s RAGBRAI team. We would also like to thank all of the pharmacists and pharmacies that welcomed the team each day and everyone we met along the way. Week-Long Riders Mark Adams Ashley Branham Barry Carter Sharon Cashman Carter Chapman Theresa Legg Donald Letendre Matthew Letendre Zachary Lough Kevin Moores Anthony Pudlo Mark Sorenson Troy Trygstad Ben Urick

Daily Riders Sarah Cashman Thomas Farley Kate Gainer Levi Gates Manda Johnson Megan Lewis Katie Owen Holly Randleman Ethan Sabers Douglas Schara Amanda Stefl Sarah Swegle Samuel Swegle

Sponsors HyVee Thrifty White Dutch Mill Pharmacy Hartley Hometown Pharmacy Mahaska Drug Mercy Family Pharmacy – Clear Lake South Side Drug Susan Shields, RPh

Saturday, July 29: Waukon to Lansing Distance: 44.8 mi. | Climb: 3,200 ft.

With the end in sight, the IPAF team took on the final day of RAGBRAI 2017 with dignity. Despite a day filled with drastic elevation changes (and legs beginning to resemble Jell-O), the team powered through as one to make their final push to Lansing, IA, where they were rewarded with the pleasure of dipping their tires in the Mississippi River, signaling the completion of yet another successful RAGBRAI.

Thanks McKesson! Thank you to McKesson for inviting the team to tour your distribution center during our stop in Clear Lake!

OCT.NOV.DEC 2017 |

YOUR

PROFESSIONAL SKILLS

REPUTATION DONâ&#x20AC;&#x2122;T HAVE TO BE DAMAGED AS A RESULT OF IMPAIRMENT.

The Iowa Monitoring Program for Pharmacy Professionals (IMP3), a voluntary, confidential program of the Iowa Board of Pharmacy, is designed to assist pharmacists, pharmacist interns and pharmacy technicians in

P 3 I M

obtaining the necessary help for successful rehabilitation from substance abuse as well as mental and physical disabilities. This provides an opportunity for licensed professionals to receive proper treatment and maintain their professional status, while protecting the safety of the public.

O W A

IOWA MONITORING PROGRAM

for Pharmacy Professionals

To learn more about IMP3, visit imp3.iowa.gov. To self-report to IMP3, contact IMP3 staff at 515.725.2253.

IPA FOUNDATION

GIVE FOR THE PRESENT TO EMPOWER THE FUTURE Since its establishment in 1960, the Iowa Pharmacy Association Foundation has invested in the future of the pharmacy profession in Iowa by building strong leaders, investing in innovative practice initiatives and securing high quality education for tomorrow’s practitioners. The result has been, and continues to be, a progressive and innovative culture in Iowa that continues to lead in how pharmacy is practiced across the country. Over the past year the foundation celebrated two significant milestones that will enable the perpetuity of the foundation’s support of innovation and leadership development. In April, the foundation awarded its first Outcomes Innovative Pharmacy Grants to three innovative pharmacy projects in Iowa. These projects were specifically chosen for their potential impact on pharmacy practice in Iowa and beyond. The grants were made available by generous donations from the former shareholders of OutcomesMTM who wanted to continue to support the innovative culture that spawned the organization. Last fall, the foundation celebrated the completion of the Thomas R. Temple Leadership Endowment, a 5-year campaign that raised $375,000.

The endowment was established in honor of Tom Temple to support leadership development programs like the Leadership Pharmacy Conference. Thanks to 195 donors honoring Tom’s legacy of leadership, his vision of leadership development in the pharmacy profession will continue for generations of Iowa pharmacists. While these two achievements stand out, the foundation’s continuing investment in student pharmacists is equally important. The foundation works to ensure high quality education and promote professional involvement by awarding scholarships and assisting with attendance to IPA and national events. None of this is possible without the generosity of Iowa’s pharmacy professionals. By giving to the foundation, you are impacting your ability to practice pharmacy in Iowa. Practice aspects like medication therapy management and patient care in Iowa have their roots in the foundation and are joined by current initiatives like technician product verification (techcheck-tech) and CPESN Iowa. As you consider your year-end giving, please keep the IPA Foundation in mind. Your contributions directly impact our profession, our student pharmacists,

our developing leaders and every practicing pharmacist and pharmacy technician in Iowa. Contribute to the foundation online at www.iarx.org/foundation, by mail, or by adding your contribution to your membership renewal each year. All contributions to the IPA Foundation are fully tax-deductible and greatly appreciated. ■

THE FOUNDATION INSTITUTE The IPA Foundation Institute recognizes those donors who are committed to a sustained contribution to the IPA Foundation through an automatic annual or monthly gift. These donors leaders are recognized by their level of annual giving: Platinum - $1,000+ Gold - $500-$999 Silver - $250-$499 Bronze - $100-$249 Sustaining – Up to $99 To join the Foundation Institute, go to www.iarx.org/IPAFWaystoDonate.

OCT.NOV.DEC 2017 |

IPA FOUNDATION

ONE PROFESSION. ONE VOICE. Matthew Glasow reflects on his time as IPA’s 2017 Max W. Eggleston Executive Intern

Matthew Glasow 2019 PharmD Candidate Drake University 2017 Max W. Eggleston Executive Intern

ne profession, one voice. IPA’s tagline sends a simple, yet powerful message about the mindset of the association, while also stressing the importance of presenting a unified front as a profession. As I reflect on my 12 weeks serving as the Max W. Eggleston Executive Intern in Association Management, I keep coming back to that tagline, and can’t help but realize the importance of that statement. Originally from Minnesota, I decided to attend Drake University due to a variety of factors, none of which included the fact that it’s located in Iowa. What out-of-state prospective students like myself don’t realize is that Iowa doesn’t just have two great colleges of pharmacy; it has some of the most innovative practices and talented pharmacists in the country. This summer helped open my eyes to the long-standing tradition of success for Iowa pharmacy, and I believe much of that reputation can be attributed to the strong and unified pharmacy association of IPA. Before embarking on my journey through the inner workings of the association this summer, I didn’t quite understand the functions (or realized the importance) of IPA, let alone association work as a whole. I had interacted with IPA at the Goes Local events & Legislative Day, so I

| The Journal of the Iowa Pharmacy Association

had gathered that their purpose was primarily to educate its members on topical issues, and provide advocacy at the capitol. While IPA definitely operates to fulfill those goals, these areas of involvement are only the tip of the iceberg. Offering leadership development for students and pharmacists alike at the Bill Burke and Leadership Pharmacy conferences, providing resources to support cutting edge initiatives such as the New Practice Model and the Community Pharmacy Enhanced Services Network (CPESN), and striving towards public health improvement through EcoReturns and various collaborations with the Iowa Department of Public Health (IDPH) are just a few of the additional programs I was fortunate enough to be involved with during my three months on the IPA team. Not to mention the unmatched relationship building that takes place at Annual Meeting, the Board of Trustees Retreat, RAGBRAI, and the various other annual events that help to generate the “One Voice” of IPA. Providing “One Voice” as a profession seemed so simple and obvious to me before this summer, after all, we’re all on team pharmacy! Right…? Unfortunately, I’ve come to learn, it’s a little more complicated than that. With an influx of pharmacists over the recent years and a shifting health environment calling for increased services from professionals across the board, a universal meaning of the title of “pharmacist” has yet to be properly defined. Through conversations with profound pharmacy leaders such as Tom Temple and Mike Pursel, I began to understand the imbalance within the profession. Along with additional meetings and conferences

centered around coordination of patient care, it became apparent that pharmacists don’t always perform to the top of their license, resulting in a varied pharmacy experience from one practice site to the next. As the livelihood of various pharmacy practices are threatened, the need for “One Voice” to allow for consistent care across all practice settings is more apparent now than ever before. Here in Iowa, we are unique in our ability to boast a unified pharmacy association, bringing together pharmacists, technicians, students, and business partners from all areas of the profession. This allows Iowa the opportunity to gain a more representative perspective into the issues facing the various roles associated with pharmacy, thus helping to formulate the “One Voice” we need to truly stand as “One Profession”.

“This internship has taught me how important it is for you and I to actively participate in all the opportunities IPA provides.” As fee-for-service fades away and value-based payment begins to influence all healthcare practices, pharmacies have an excellent opportunity to make great strides towards increased integration into the healthcare team. Changes of this magnitude takes an all hands on deck approach, and a driving force to back it all up. Thankfully, we have IPA. As the main facilitator for change and practice representing all pharmacy professionals in the state, IPA lays down the framework for advancing pharmacy capabilities. Working towards additional collaborative practice agreement opportunities,

IPA FOUNDATION

meeting with insurance payors in the state, and participating in healthcare conferences on increased collaboration during my time with IPA this summer has shown me how powerful our association can be in the healthcare community. We’ve all heard the classic Spiderman quote “With great power comes great responsibility,” and I believe it can appropriately be applied to IPA and its membership. While pharmacists help to fight off superbugs and not supervillains, we, as members of IPA, still have a great deal of responsibility thrust upon us in order ensure the goals set by IPA are seen to fulfilment. This internship has taught me how important it is for you and I to actively participate in all the opportunities IPA provides. From staying informed on current pharmacy topics during the monthly 2/2/2 webinars or regional IPA Goes Local events,

learning how to implement innovative services from the Practice Advancement Forum and Midwest Pharmacy Expo, or supporting the next generation of pharmacy leaders through involvement with the IPA Foundation in events such as RAGBRAI or the Golf Classic, the Iowa Pharmacy Association provides a plethora of ways to stay engaged and make a difference in the profession. I am extremely grateful for the opportunity to work alongside the IPA staff during my 12-week summer internship. I learned the importance of association work in representing the values and goals of the profession, got in touch with the obstacles facing pharmacy today and the solutions that will allow us to overcome them, developed leadership and professional communication skills to help me advocate for pharmacy advancement and involvement that will stay with me throughout my career, and witnessed

first-hand what it means to be part of the Iowa pharmacy family. I couldn’t have asked for a better group of individuals to be surrounded by this summer than the membership and staff of IPA. I would like to thank the IPA Foundation, staff, and membership for the unparalleled opportunity to fully immerse myself into the world of association pharmacy and participate in career-shaping experiences this summer. I couldn’t be prouder to be a member of IPA. While there are many obstacles standing in the way of pharmacy, and the future may seem unpredictable at times, I know that Iowa will continue to succeed. Even in an everchanging healthcare landscape, I am confident Iowa pharmacy will maintain its reputation of excellence and innovation, with IPA leading the charge and guiding our “One Profession, [with] One Voice.” ■

The Iowa Pharmacy Association Career Center gives you access to Iowa’s top pharmacists and pharmacy technicians. Our members are highly engaged and dedicated to taking pharmacy practice to the next level.

Post your next open position to reach our top-level talent pool of active and passive job seekers to join your practice today!

www.iarx.org/CareerCenter

Your Next Great Hire is Here

IPA FOUNDATION

HONORING A LEGACY OF LEADERSHIP On September 7, IPA unveiled a plaque recognizing Tom Temple and those who donated to the Thomas R. Temple Leadership Endowment during a reception at IPA’s office in Des Moines. The 40 friends, donors, past presidents and former colleagues in attendance heard remarks from the IPA Foundation president, Bill Baer; IPA’s executive vice president and CEO Kate Gainer; and, of course, Tom Temple. The plaque, which is permanently displayed in the lobby at IPA’s office, outlines Tom’s legacy of leadership in Iowa pharmacy and includes a list of the endowment donors. The endowment was established in 2011 to recognize Tom’s leadership and commitment to the pharmacy profession he exemplified as he served as IPA’s executive vice president and CEO from 1977 to 2011. He was, and still is, respected across the country for his collaboration, forward-thinking vision and tenacity that led Iowa to the forefront of pharmacy practice. Tom’s vision of a leadership development program that would train young pharmacists for future leadership and engagement sparked the creation of the Leadership Pharmacy Conference in 1989. The endowment was completed in the fall of 2016, with over $375,000 contributed by 195 donors to secure the future of leadership training, including the Leadership Pharmacy Conference, and Tom’s commitment to young pharmacists in Iowa. ■

| The Journal of the Iowa Pharmacy Association

IPA FOUNDATION

2017 LEADERSHIP PHARMACY CONFERENCE The 2017 Leadership Pharmacy Conference in Galena, Ill., again brought together ten Iowa pharmacists and ten Wisconsin pharmacists along with IPA and PSW leadership and staff on August 3-6. With the goals of providing participants with strong leadership training and increasing awareness of issues impacting the profession, this year’s conference did not disappoint. Lauri Freking from Wixted & Company presented on the first full day on communication strategies, difficult Q&A sessions, and practicing your communication. Similar programming occurred with the rest of the weekend as Steve Rough of the University of Wisconsin Hospital and Clinics and Mike Brownlee of The University of Iowa Hospitals and Clinics presented on effectively implementing change with an interactive ‘Shark Tank’ activity. Any IPA pharmacist member residing and/or practicing in Iowa or Wisconsin within their first three (3) to fifteen (15) years of practice is eligible to apply for participation in Leadership Pharmacy. Nominate a colleague (due Feb. 6, 2018) or apply today (due Feb. 22, 2018) at www.iarx.org/LeadershipPharmacy.

2017 Iowa Participants: Lauren Adair, PharmD - OutcomesMTM Jennifer Alexander, PharmD - NuCara Pharmacy – Pleasant Hill Andrea Bennett, PharmD - Mercy Medical Center – Cedar Rapids Brittany Bruch, PharmD, BCACP - University of Iowa Hospitals & Clinics Laura Elliott, PharmD - UnityPoint Health – Iowa Lutheran

Tisha Field, PharmD - Broadlawns Medical Center Shellie Fravel, PharmD, BCPS - University of Iowa College of Pharmacy Tyson Ketelsen, PharmD - VA Medical Center – Iowa City Emma Kraayenbrink, PharmD - Mercy Family Pharmacy – Dubuque Jessica Nesheim, PharmD - Mercy Medical Center – Des Moines

Celebrating the 30th Leadership Pharmacy Conference! With 2018 representing the 30th Leadership Pharmacy Conference, IPA will be celebrating thoughout the year by sharing the experiences of past participants and showcasing the conference’s impact on pharmacy practice in Iowa. Watch IPA’s social media during 2018 and if have a story to share, contact us at ipa@iarx.org!

OCT.NOV.DEC 2017 |

IPA FOUNDATION

2017 GOLF CLASSIC! With perfect weather to greet them, 89 golfers came to Legacy Golf Club in Norwalk for the 2017 Eggleston-Granberg Golf Classic. The event raised over $14,000 for the IPA Foundation’s initiatives to support student pharmacists at Drake University and The University of Iowa. Thanks to all of the golfers who, in addition to participating, purchased mulligans and string (that they obviously didn’t need) to benefit the foundation. Since the Golf Classic is a friendly competition, there were a few winners. Longest Drive (M|F) Pat Wilsbacher | Kate DeMuth Closest to Pin Steven Martens | Kate Gainer Longest Putt Chris Connolly Championship Flight 1st: Andy Ploehn, Katie DeMuth, Dustin DeMuth, Scott Schroeder 2nd: TJ Johnsrud, John Swegle, Jay Goeser, Brian Wegmann 3rd: Tom Temple, Jymm Oplt, Kayla Sanders, Bri Bakken First Flight 1st: Hal Jackson, Allen Fann, Tom Greene, Doug Schara 2nd: Anthony Pudlo, Nic Lehman, Erik Maki, Justin Rash 3rd: Chuck Phillips, Ron Torry, Craige Wrenn, Brian Gentry Second Flight 1st: Lisa Lambi, Jennifer Wick, Drew Riesberg, Richard Riesberg 2nd: Rachel Otting, Josh Feldmann, Tony Pape, Laura Fitzpatrick 3rd: Mike Pursel, Tim Becker, Steve Firman The Eggleston-Granberg Golf Classic is held each fall by the IPA Foundation in honor of the commitment to student pharmacists by Max Eggleston and Boyd and Peg Granberg. All proceeds benefit the IPA Foundation’s support of student pharmacists at Drake University and The University of Iowa.

| The Journal of the Iowa Pharmacy Association

IPA FOUNDATION

Thank You Golf Classic Sponsors!

The Foundation would like to extend a special thank you to these sponsors. This event would not be possible without their support! Cart Sponsor NuCara Pharmacy Beverage Cart Sponsor Greenwood Drug Hole Sponsors TelePharm Jay & Ann Currie Manning Pharmacy McGowen, Hurst, Clark & Smith Quad Cities Pharmacy Association Pharmacists Mutual Company Drake University College of Pharmacy & Health Sciences Dubuque Area Pharmacy Association Miller Purcell Osterhaus Pharmacy Chuck & Janalyn Phillips The University of Iowa College of Pharmacy Towncrest Pharmacy Wasker, Dorr, Wimmer & Marcouiller PC Nick Dahlke IPA Foundation Greenwood Drug Johnson County Pharmacy Association Chris Connolly/Wells Fargo Advisors PharmServ Staffing Student Sponsors Carl Chalstrom Jay Currie Dubuque Area Pharmacy Association Kate Gainer Great River Health System Jim Hoehns Terry Jacobsen Carson Klug Nick Lund Main at Locust Erik Maki Anthony Pudlo Michael Pursel Doug Schara Susan Shields Bob Stessman CoraLynn Trewet Thank you to UBS Financial Services/Alpha Wealth Consulting Group for their donation of golf products!

2017 BILL BURKE STUDENT LEADERSHIP CONFERENCE Thirty student pharmacists from Drake University and the University of Iowa participated in the 22nd annual Bill Burke Student Pharmacist Leadership Conference on September 8-9, 2017. For the fourth year in a row, the conference was held in conjunction with the Eggleston-Granberg Golf Classic. Renae Chesnut, dean of the Drake University College of Pharmacy and Health Sciences, kicked the conference off on Friday evening by framing leadership with three key principles 1) Vision 2) Communication 3) Practice. Students also heard from Michael Pursel, director of medical health relations at Sanofi Biosurgery, who provided insight into the ever-changing health care system and challenged students to take an active role in articulating the pharmacy professionâ&#x20AC;&#x2122;s value proposition during this critical time. Saturday featured a full day of programming with Sarah Ennis, president of SparkPoint, Inc., who led active discussion and activities to push students to be leaders and think critically about the problems facing the profession today. Students also discussed emotional intelligence and how to maintain motivation when leadership becomes challenging. Once divided into teams, students worked together to develop a business plan that would solve a realworld problem facing the profession. Held each fall, the Bill Burke Student Leadership Conference aims to help student pharmacists develop leadership skills and build lasting relationships with fellow students and practitioners that will serve them during their remaining years as students and as new practitioners. The conference is made possible through a partnership between IPA, Drake University, the University of Iowa, and grant support from Main at Locust Pharmacy in Davenport, Iowa.

2017 Participants Drake University Lauren Blum Andre Do Kee Gales Matt Glasow Brianna Hostert Devon Jacobs Matthew Kent Michelle Lin Alexander Maciejewski Alex McCormick Katherine Oâ&#x20AC;&#x2122;Reilly Erin Simpson

University of Iowa Christine Behrendt Matthew Busalacchi Kelsey Coffman Trang Dang Courtney Dawson Brittany Faley Lucas Faley Paula Gawedzki Emily Henningsen Samantha Johnson Meagan Koepnick Josh McDonald

Autumn Petersen Lynn Rich Sonya Thiessen Jay Tieri Jasmin Valentin Daniel Wentworth

OCT.NOV.DEC 2017 |

MEMBERS SECTION

IPA MEMBER SPOTLIGHT:

Amber Baybayan, PharmD

Written by:

Sarah Dean 2018 PharmD/MPH Candidate Drake University

fter graduating with an undergraduate degree in biology from Mount Holyoke College in 1998, Amber Baybayan pursued a career in sales for 5 years before deciding to attend pharmacy school. Drawn to the profession by a desire to impact patient lives on a larger scale and return to her original interest in science, Amber pursued a PharmD at the University of Iowa and graduated in 2010. Although she had enjoyed the business aspect of her sales position, Amber was excited by the wide array of options available to her within the pharmacy profession. During school, Amber became aware of opportunities in the managed care space, but it wasn’t until she completed a rotation at OutcomesMTM that she found a true niche to combine her background in sales and pharmacy education. Seven years later, Amber remains at the company that provided the initial vision for her pharmacy career in a position she has held since graduation. As a Senior Clinical Associate at OutcomesMTM, she plays a vital role in the company’s overall mission to advance patient care and control

| The Journal of the Iowa Pharmacy Association

healthcare utilization through the provision of patient-friendly, faceto-face pharmacist services. Amber’s responsibilities focus specifically on health plans that contract with OutcomesMTM to have medication therapy management services provided in community pharmacy settings. She works closely with clients and their data to identify needs and implement clinical solutions to meet clients’ program goals. Her projects can vary in their goals and methods to improve patient care and come with many challenges. In one recent example, Amber worked with a client requesting a program to identify patients who could benefit from medication synchronization to help improve adherence. This came with the challenge of identifying patients with chronic medications appropriate for synchronization and eliminating those who had already had their medication refills synchronized. Developing this strategy required utilizing large scale prescription claims data and subsequently assigning mathematic logic to target patients who could benefit most from the service. The ultimate goal of the synchronization service is to improve patient care and convenience, but Amber notes the implementation has potential to notably improve medication adherence. While her focus is on health plans, Amber knows her work is important for advancing patient care. She foresees a future patient care system in which pharmacists are both considered an essential tool to decrease overall health care costs and trusted by payers to take a primary responsibility for patient outcomes.

Recognizing that the practice of pharmacy is constantly transforming, Amber encourages other pharmacists to shy away from complacency and instead actively engage to impact the direction of movement. As a leader in the profession, Amber does just this. She understands her participation in the profession is important and states, “being involved to even a small extent can have a big impact.” As an IPA member, Amber has been involved in the Leadership Pharmacy Conference, Annual Meeting, Midwest Pharmacy Expo, and served in the IPA House of Delegates, among others. “Being a part of IPA has helped me keep up to date on the important issues in pharmacy. The members of IPA also help to keep me in touch with the challenges in the community setting. This is important since the most frequent perspective I hear is from the health plan.” The collaborative value Amber receives from IPA and its members mirrors the culture she desires for her peers as they work together to address the multiple stakeholders who can ultimately improve patient care. Significant value comes from being aware and knowledgeable of issues that impact pharmacy and the direction they are trending. From Amber’s perspective, this awareness gives pharmacists the opportunity to take part in the decisions that have implications on their careers and, ultimately, the future of pharmacy. Working in an innovative domain which advances pharmacist practice and patient care through daily, tangible interventions is something she doesn’t take for granted. “My role allows me opportunities

MEMBERS SECTION

to improve the practice of pharmacy by allowing pharmacists to receive compensation for services beyond dispensing medication. I help with not only creating services that can be completed in a community pharmacy setting but also assist with the design of a platform for documentation of services to be reimbursed. The goal of this business model is to improve overall patient care by allowing pharmacists to fully utilize their training and get paid for those services. I believe that allowing payment for a pharmacist to have a conversation with patients around an activity beyond dispensing a medication is a method to enhance the overall practice of pharmacy while improving patient care.” Creating and demonstrating value can be difficult at times, but it is necessary to move the profession forward. When asked how IPA members can influence change, Amber states, “keep the focus on the value of the pharmacist in the health care setting and the ability to provide services beyond dispensing.” There is power and transformation made possible when the pharmacy profession comes together to advance patient care with an innovative, collaborative approach. IPA recognizes Amber in her efforts to do just that, and we invite you to join us in our collective cause! ■

WELCOME NEW IPA MEMBERS! JULY 1 - SEPTEMBER 30, 2017: Michelle Benschoter, Des Moines Jeffery Bray, North Salt Lake, UT Nicole Burgmeier, Des Moines Sara Byrnes, West Union Beth Coon, Urbandale Michael Daly, West Des Moines Courtney Donnelli, Ida Grove Angela Fouts, Mason City Lisa Levander, Dubuque Emily Neddermeyer, Iowa City Michael Nelson, Des Moines Kimberly Owen, Des Moines Jamie Pitlick, Des Moines Tori Roberts, Durant Alexandria Taylor, Coralville Phillip VerBeke, Des Moines Katherine Waack, West Des Moines Anne Zepeski, Iowa City

THANK YOU FOR SUPPORTING IPA!

MEMBER MILESTONES Congratulations to Jessica Burge, CPhT, who was promoted to supervisor of the Med history team at Mercy Medical Center in Des Moines!

Congratulations to Carl Chalstrom, RPh, who was elected to the Anamosa School Board. John Forbes, RPh (Medicap, Urbandale), was awarded the Medicine Shoppe International, Inc. Franchisee of the Year Award at Cardinal Health’s Retail Business Conference. Congratulations, John! Gary Milavetz, BS, PharmD, RPh, FCCP, FAPhA, has been named executive associate dean at the University of Iowa College of Pharmacy. Congratulations, Gary! Congratulations to Chris Parker, PharmD, BCACP (University of Iowa College of Pharmacy), who is a recipient of a 2017 Board of Regents Staff Excellence Award! Congratulations to Sue Purcell, RPh (Dubuque), who was a recipient of a University of Iowa College of Pharmacy Distinguished Alumni Award! Sarah Schmidt, PharmD, was promoted to district manager with Walgreens for Milwaukee Northeast. Congratulations, Sarah! Cheri Schmit, RPh (Medicap Pharmacy/GRX Holdings), was awarded the Clinical Innovation Award by the Cardinal Health’s Retail Business Conference. Congratulations Cheri! Bernard Sorofman, PhD, will retire from the University of Iowa College of Pharmacy in December 2017, at which time, he will be conferred with Professor Emeritus status. Congratulations, Bernard on your retirement and this prestigious recognition.

IN MEMORIAM Harold Woodruff passed away on September 12, 2017, at the age of 95. Harold owned Potter Drug in Jefferson from 1957 until he retired in 1986. Harold served as IPA president from 19701971 and received the Bowl of Hygeia in 1981. OCT.NOV.DEC 2017 |

IPA IN ACTION Pharmacy Family Feud at IPA College Nights

IPA College Nights are an opportunity to expose student pharmacists from Drake University and The University of Iowa to the role IPA plays in the profession and the benefits of professional involvement. This was the 8th year that IPA has hosted events near both campuses featuring networking opportunities and professional programming for each college of pharmacy. Each dean kicked off their respective event, welcoming their student pharmacists and introducing them to the association. IPA leadership hosted a Family Feud-style game show which featured questions showcasing the history and heritage of the pharmacy profession in Iowa. Volunteers from the audience created teams. In true Family Feud-style, they competed to identify the most popular answers that were given in response to a recent survey. The questions involved important events, leaders, and

innovative projects in the history of Iowa pharmacy. After each question, the game show host (Rick Knudson) gave a brief history lesson pertaining to the topic. This activity provided an opportunity for some fun and healthy competition, while highlighting the strong tradition of pharmacy in Iowa. In order to keep pharmacy strong in Iowa, it’s important to understand the history that created the vital pharmacy culture Iowa experiences today. IPA would like to thank each of the 253 student pharmacists and faculty who attended their respective College Night!

119th NCPA Annual Convention

NCPA held their 2017 Annual Convention October 14-18 in Orlando, FL. The meeting started out high-energy with a keynote address from ZDoggMD, a physician and healthcare speaker who is known for his parody videos that both educate and entertain his audience. Over the course of the weekend, over 30 educational sessions were held in addition to the valuable pre-convention programming which included workshops for LTC pharmacies, ownership, frontend building, and transition options for selling your pharmacy.

IPA College Night - Drake University

Attendees of the conference noted a strong Community Pharmacy Enhanced Services Network (CPESN) presence at this year’s event. Since its official conception in 2016, CPESN-USA continues to grow with networks at various levels of development all across the United States. NCPA hosted a CPESN Showcase this year as a way to recruit new pharmacies to participate in established networks, such as CPESN Iowa. The NCPA House of Delegates adopted resolutions on prescription drug spending and addressing the PBM business model. David Smith was installed as the 20172018 NCPA President and attendees celebrated the successful term of outgoing president, DeeAnn Mullins in her home state of Florida.

IPA College Night - The University of Iowa

| The Journal of the Iowa Pharmacy Association

District Five NABP/AACP Meeting Held in Iowa

NABP’s District Five is comprised of Iowa, Minnesota, Nebraska, North Dakota, South Dakota and the Canadian provinces of Manitoba and Saskatchewan. Iowa welcomed the NABP/AACP annual meeting back to Des Moines on August 3-5 for the first time in many years. The agenda included opportunities for many panel discussions, in which representatives from each state or provincial board of pharmacy spoke on various items. Topics included pharmacy technology, prescription monitoring programs, the role of pharmacy technicians, pharmacy inspections, and new accreditation standards for colleges of pharmacy. Lively discussion occurred as there was much interest in how states are handling PMP registration and utilization, as well as the opportunities to interconnect with systems from other states. The meeting will be held in Saskatchewan in 2018 with more details forthcoming.

Iowa Healthcare Collaborative Learning Community

IHC hosted a Learning Community meeting for any healthcare professional involved in efforts regarding the State Innovation Model. Participants tend to be those most involved in quality assurance at their institution. However, there is becoming a growing pharmacy presence at these meetings as we discuss practice transformation and coordination of care. IPA highly encourages those interested to attend these no-charge events. Please contact IPA for more details. The most recent meeting was held in Ankeny, IA on July 12 and included the following topics: CMMI national perspective of SIM, ACO’s in rural areas, payment reform/healthcare system reform, QPP and physician engagement. The next meeting will take place on November 9 in Ankney, IA at the FFA Enrichment Center.

IPA IN ACTION NACDS Total Store Expo – Engagement is Part of Bigger Picture At the National Association of Chain Drug Stores (NACDS) Total Store Expo meeting on August 19-22, 2017, in San Diego, CA, attendees, including several Iowa pharmacists and IPA staff, received a comprehensive briefing on ways their engagement can shape pharmacy’s future, while helping to address issues affecting local communities, the nation and even the world. Presentations from NACDS leadership demonstrated forwardthinking plans to develop shared value that benefits society.

The timeliness of initiatives underway at NACDS served as the ultimate backdrop, and was described in the insights from Gen. Colin Powell (U.S. Army, Retired) – who shared thoughts and experiences from his 50-year career in public service, including military and diplomatic posts spanning four presidential administrations and the founding and leadership of the youth-focused America’s Promise Alliance.

2017 IPA Goes Local Identifies Local Solutions to Opioid Crisis

The 2017 edition of the IPA Goes Local program, featured a partnership with the Alliance of Coalitions for Change (AC4C) and the Cedar Rapids Police Department to facilitate community-focused discussions on the opioid epidemic. Following a 90-minute continuing education program focused on heroin abuse, attendees, which included pharmacists, physicians, dentists, nurses, social workers and treatment programs, law enforcement, substance abuse coalitions, and interested community stakeholders, participated in interactive roundtable discussions. By engaging the combined brainpower of a multitude of professional backgrounds, the Goes Local programs have brought awareness to the emerging public health crisis of opioid abuse while also generating feasible action steps to help each community combat the alarming trends. In reviewing data compiled from meetings in Dubuque, Mason City,

Waterloo, Des Moines, and Davenport, healthcare professionals from across the state have identified common themes of concern followed by imperative courses of action. While many areas for improvement were identified, education, technology, and pharmacy support were the most consistent topics discussed.

as creating opioid abuse prevention task forces like the Community Resources United to Stop Heroin (CRUSH). Most groups stated the need to use the media to promote the dangers of abuse, advertise against the sharing of prescription medications, and to end the negative stigma associated with opioid addiction.

Education for patients, prescribers, community and media was identified as the largest opportunity for improvement. With the heroin abuse presentation beforehand, many participants saw first-hand the lack of knowledge on the current state of opioids in Iowa. Emphasis was placed on educating patients by counseling them on the potential for abuse and even suggesting the patient only fill what they need rather than the full amount prescribed. Similarly, prescribers should be educated on alternative treatment options for pain and potentially limit the maximum quantity they can prescribe at once. Coordination of care was also a trending discussion point as the multidisciplinary audience recognized the importance of increased communication to prevent patients from falling through the cracks.

For technology improvements, use of Iowa’s prescription monitoring program (PMP) needs to be increased across the board with some suggesting it be mandatory for all opioid products. The centralized tracking system of the PMP would help prevent over-prescribing of opioids to patients who see multiple healthcare professionals to manage their pain. Suggestions to increase the use of the PMP by physicians included improved awareness and ease of use. Another technology improvement was the use of e-prescribing for controlled opioid medications to help prescribers and pharmacists be more in sync with the safe prescribing of opioids.

Many Goes Local attendees talked about educational needs outside of health care and proposed educational meetings or open forums for the general public as well

The critical role of pharmacies was also discussed. In addition to using pharmacists to educate patients on opioids, pharmacies can increase availability of medication disposal bins and ensure proper naloxone supply and knowledge within the pharmacy. ■

OCT.NOV.DEC 2017 |

IPA ACTION

CALENDAR OF EVENTS JANUARY 2018

APRIL 2018

2/2/2 Webinar: Opioid Guardianship

Iowa Board of Pharmacy Meeting

IPA Legislative Day - Des Moines

10-11 Governor’s Conference on Public Health Des Moines, IA

FEBRUARY 2018 8

Professional Burnout & Professional Resiliency Conference - Des Moines, IA

2/2/2 Webinar

MAY 2018 8

MARCH 2018

NACDS RxImpact Day - Washington, DC

2/2/2 Webinar

Iowa Board of Pharmacy Meeting

NCPA Congressional Pharmacy Summit Washington, DC

21-24 NACDS Annual Meeting - Palm Beach, FL

16-18 Midwest Pharmacy Expo - Des Moines, IA

7-8

2/2/2 Webinar

16-18 PQA Annual Meeting - Baltimore, MD Iowa Board of Pharmacy Meeting

16-19 APhA Annual Meeting - Nashville, TN 18

Iowa Reception at APhA Annual Meeting Nashville, TN

IPA’s free monthly webinar series held on the second Tuesday of every month at 2:00 p.m. CST. January 9, 2018: Opioid Guardianship February 13, 2018: TBD March 13, 2018: TBD Register for an upcoming 2/2/2 or view previous webinars at www.iarx.org/222.

SAVE THE DATE!

Des Moines Marriott Downtown

| The Journal of the Iowa Pharmacy Association

PHARMACY TIME CAPSULE

19 93

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

JANUARY

Iowa pharmacist John Forbes and Medicap Pharmacies were highlighted in The Journal of the IPA for their innovative practice tool, the “Patient Intervention Log.” The form identified dosage errors and adverse drug reactions, documented pharmacists’ interventions, and suggested possible problems avoided by the intervention. The program was designed in hopes to develop dollar values for different interventions that could be used in negotiations with third party payers for reimbursement of cost saving services.

MARCH

The American Pharmaceutical Association (APhA) released “A Year of Decision in Health Care Reform: What You as a Pharmacist Should Know to Advance Our Profession in 1993.” The report discussed the role pharmacists should have in health care reform with the following principles to guide the profession: • Pharmaceutical services and products must be seen as basic benefits. • Pharmacists should be compensated for providing pharmaceutical care. • Efforts must be made to contain costs. • Drug use review programs should be part of any pharmacy benefit. • Pharmacists must have access to pertinent patient-specific data. • Patients must be free to select the pharmacy of their choice.

JUNE

The Medicaid claims processing system began to verify daily dosage of medications. Claims with a dose determined to be unusually high were now denied with the reason “maximum daily dosage exceeded.” Pharmacists were directed to receive prior authorizations for these medications.

JULY

Following passage of OBRA ’90, the Iowa Department of Human Services partnered with The University of Iowa, Drake University, IPA, Paramax Corporation, and Q-A Inc. to complete a demonstration project to develop, implement, and test programs for online, prospective drug utilization review. The three-year project was commissioned to determine the effectiveness of an online prospective drug utilization review (OPDUR) that allowed pharmacists to review information from all pharmacies where the patient had filled prescriptions in the past. Specific objectives of the study were to assess if online DUR systems could improve patterns of drug use, reduce expenditures, or improve patient outcomes related to specific prescriptions.

OCTOBER

Pharmacy technician membership in IPA was approved as a category following a change in bylaws by the 1993 IPA House of Delegates. The membership category provided technicians with five voting seats in the House of Delegates to participate in the policy making process for Iowa pharmacy. To promote continued learning and professional development of technicians, the Iowa Pharmacy Certified Technician Commission program also developed a recertification program which required technicians to complete twelve hours of continuing education every two years.

DECEMBER

The Iowa Board of Pharmacy proposed a change in the patient counseling rule to require an attempt to verbally counsel all patients receiving new prescriptions, regardless of whether the prescription was mailed or delivered. At the time the rule was filed for notice and public comment, the board had received 43 letters of support and 3 letters of opposition to the proposed rule. Letters of support included APhA, NARD (NCPA), NABP, IPA, and both the University of Iowa and Drake University Colleges of Pharmacy.

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

OCT.NOV.DEC 2017 |

ADVERTISER

NEED A RELIEF PHARMACIST? CONTACT “JOSEPH IN RELIEF” Joseph Thompson, RPh 9616 Quail Ridge Urbandale, IA 50322 h. 515.278.0846 c. 515.991.2684

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 Schaaf at dschaaf@iarx.org or call the IPA office at 515.270.0713 for more information.

| The Journal of the Iowa Pharmacy Association

Inspiring generosity and fulfilling the aspirations of the pharmacy profession through support of education, practice based research, and practice development 1960: The Iowa Pharmacy Foundation is established The first student scholarships and loans are awarded by the foundation to student pharmacists at Drake University and The University of Iowa

1978:

1970

Max W. Eggleston Executive Internship in Association Management is established to provide student pharmacists an educational experience in professional association management.

1992:

1990

Funding is given to Claxton Pharmacy â&#x20AC;&#x201C; CR for a project evaluating the implementation of pharmaceutical care in an independent community pharmacy. The outcome of this research helped lay the framework for modern MTM models.

2007:

2000 With support from both colleges of pharmacy and the IPA Foundation, the Collaborative Education Institute (CEI) was incorporated to serve continuing education needs of Iowa pharmacists and pharmacy technicians.

2011: The Thomas R. Temple Leadership Endowment established to support leadership initiatives, including the Leadership Pharmacy Conference. The endowment was completed in 2016.

1960 1967: First two grants given by the foundation to each college of pharmacy in Iowa to advance their facilities and education they could provide for student pharmacists.

1980 1989:

The Leadership Pharmacy Conference is established to assist new practitioners with developing their leadership skills.

1994: Iowa Center for Pharmaceutical Care (ICPC) is established with the help of $300,000 and staff support from the foundation, Drake University College of Pharmacy and the University of Iowa College of Pharmacy to allow community pharmacists to implement more patient care services.

2010 2010: The New Practice Model Task Force began meeting as a continuation of an unofficial discussion group started by the foundation in 2009. The task force leads to the creation of the New Pratice Model pilot program to study tech-check-tech in 17 Iowa community pharmacies.

Since its establishment in 1960, the Iowa Pharmacy Association Foundation has invested in the future of the pharmacy profession in Iowa by building strong leaders, investing in innovative practice initiatives and securing high quality education for tomorrowâ&#x20AC;&#x2122;s practitioners. The result has been, and continues to be, a progressive and innovative culture in Iowa that continues to lead in how pharmacy is practiced across the country. Consider investing in the future of your profession by donating to the IPA Foundation general fund today at www.iarx.org/IPAFWaystoDonate. All donations to the IPA Foundation are 100% tax deductible.