Pennsylvania Pharmacist March/April 2014

PRSRT STD U.S. POSTAGE PAID HARRISBURG PA PERMIT NO 533

March/April 2014 z Volume 95 z Issue 2

The official publication of the Pennsylvania Pharmacists Association

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PPA Board of Directors PPA Officers: President: J. Scott Miskovsky, RPh President-Elect: Eric R. Esterbrook, RPh First Vice President: Donna Hazel, RPh Second Vice President: Eric Pusey, RPh, CDE Immediate Past President: Robert B. Frankil, RPh Regional Directors: Central: Northeast: Jonathan D. Ference, PharmD, BCPS Northwest: Elliott Cook, PharmD, BCPS Southeast: Nick Leon, PharmD, BCPS, BCACP Southwest: Lauren Simko, PharmD Academy Directors: Academy of Alternative Pharmacy Practice: Jamie McConaha, PharmD Academy of Pharmacy Technicians: Patrick Purcell, CPhT Academy of Chain Pharmacists: Stephanie Harriman McGrath, PharmD Academy of Community Pharmacists: Martin J. Kendra, RPh Academy of Health System Pharmacists: Richard Demers, RPh, MS, FASHP Academy of Long Term Care and Consultant Pharmacists: Brant Gahr, RPh Academy of Pharmacy Industry Association: Todd Eury Academy of Student Pharmacists: Kyle McCormick PPA Office Staff: CEO: Patricia A. Epple, CAE pepple@papharmacists.com Communications Coordinator: Erica Brandt ebrandt@papharmacists.com Membership Coordinator: Courtney Box cbox@papharmacists.com Program Coordinator: Sara Powers spowers@papharmacists.com Government Relations Manager: Donald L. Smith, III dsmith@papharmacists.com

Our Vision

Pennsylvania pharmacists will be recognized, engaged, and fairly compensated as health-care providers.

Our Mission

The Pennsylvania Pharmacists Association, as the leading voice of pharmacy, promotes the profession through advocacy, education, and communication to enhance patient care and public health.

Pennsylvania MAGAZINE

Departments President’s Message..................................................................................... 5 Calendar of Events....................................................................................... 6 Member News.............................................................................................. 7

Ext. 3

New Members.............................................................................................. 9

Ext. 2

Campus Checkup........................................................................................ 11

Ext. 1

Pharmacy Time Capsule............................................................................... 13

Ext. 4 Ext. 6

Pennsylvania Pharmacists Association (PPA) 508 North Third Street, Harrisburg, PA 17101 (717) 234-6151 Fax: (717) 236-1618 www.papharmacists.com ppa@papharmacists.com www.facebook.com/PAPharmacy www.twitter.com/papharmacists Pennsylvania Pharmacist (ISSN 0031-4633) is the official publication of the Pennsylvania Pharmaceutical Association d/b/a Pennsylvania Pharmacists Association and is published every other month, six times per year. Annual subscription is $100 for non-members; for members it is included in the annual dues. Editorial information should be addressed to the PPA address listed above. Peer reviewed articles accepted according to the stated guidelines available from PPA. Editorial Board: Tara L. Pummer, PharmD, Chairman Hershey S. Bell, M.D., M.S., FAAFP Stephanie Smith Cooney, PharmD Bernard Graham, PhD Brian S. Plager, RPh, MBA Associate Editor: Erica Brandt Editor/Manager: Pat Epple Published by: Graphtech Sarah DiCello, Publications Manager (717) 238-5751 sarah@thinkgraphtech.com

Features Quality Ratings Impact Community Pharmacy: The CMS STAR Ratings....... 17 We Need to Shed Some Light on Prescription Benefit Managers and What They’re Doing to Our Healthcare..................................................... 19 Birdsboro Pharmacy ­— Always Looking Into the Future!............................... 28 NPLEx – National Precursor Log Exchange ................................................. 44

Association News Committee Volunteer Form........................................................................... 8 Call for Award Nominations.......................................................................... 14 2013 Recipients of the “Bowl of Hygeia” Award............................................ 15 2014 Mid-Year Conference Highlights........................................................... 23 2013 PharmPAC Report............................................................................... 32 Member Services.......................................................................................... 47 Pharmacy Technician Corner........................................................................ 48 PPA Pharmacy Legislative Day, Wednesday, April 2...................................... 50 PPA Educational Foundation 2013 Annual Report........................................ 51

For Advertising Information: Alexis Kierce, Account Manager (717) 238-5751 alexis@thinkgraphtech.com

Industry News

Designed by: Graphtech

When a Small Reminder Makes a Big Difference .......................................... 31

Pharmacist State Board of Pharmacy Members: Gayle A. Cotchen, PharmD, MBA – Institutional Janet Hart, RPh – Community Chain Pauline Montgomery, RPh – Community Independent Theresa M. Talbott, RPh – Community Chain Mark J. Zilner, RPh – Community Independent 2014 Board of Pharmacy Meeting Dates: March 18, 2014 April 15, 2014 May 13, 2014

June 10, 2014 July 8, 2014

August 12, 2014 September 16, 2014

Journal Interprofessional Education: Ongoing and Planned Activities at Pennsylvania Schools of Pharmacy ......................................................... 35

On the Cover: Pharmargaritaville Attendees, Conference Attendees, Poster Presenter Courtney Yacko, Temple University (Winner of OTC Competition), Know Pain Know Gain Finalists, LECOM Students, Audience during the OTC Competition.

Pennsylvania Pharmacist I March/April 2014 I 3

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Departments

Message from the President F un-ucation!!! I believe that’s award winning performance at what I’d call what we Know Pain Know Gain surely experienced this January at the proved to entertain the audience.

Omni Bedford Springs Resort.

I just don’t think you can beat the What a wonderful team spirit, practice place to be energized Omni Bedford information, and and search for the camaraderie that Springs Resort.

“Next Generation of these two programs What a wonderful Pharmacists”. Many provided. The place to be thanks to the PPA Foundation has energized and Staff and Conference again outdone itself search for the Committee (aka PPA with the wonderful “Next Generation Event Planners) for Pharmargaritaville of Pharmacists”. masterminding this Saturday evening very special event. fundraiser. Your Many thanks to Many members efforts and success the PPA Staff who attended have been an and Conference mentioned to me inspiration to Committee (aka that they could not both myself and PPA Event Planners) remember enjoying a to the Board. pharmacy conference for masterminding Burr…. Another this very special more than this one. day in Pennsylvania, Of particular note with 10" of snow event. were two student and 20-degree programs; the OTC weather. When will Competition and the Know Pain winter ever end this year? I’m Know Gain Competition. really starting to think of spring Congratulations to my alma and warming up and I’m asking mater, Temple, for a hard fought that we all give PPA a warm up victory in the OTC Competition this spring and summer. Let’s this year. I hope that you have start by recruiting one member, received the champion’s plaque by perhaps at a local or county now. There may be a Tony Award meeting. How about attending in the wings for Wilkes professor Legislative Day? We have had Thomas Franko, PharmD. His success recently, but continued

effort in this area is essential and we seek greater attendance every year. Honestly, wouldn’t you feel a little warmer if all of our legislative efforts were successful?

Nothing like some Fair Audit, PBM Transparency, and Immunizations Authority to take the chill out!! So please, contribute and participate and we’ll all be warmer the next time we meet. I look forward to seeing everyone at Legislative Day on Wednesday, April 2!

Best Wishes, J.Scott Miskovsky RPh

Pennsylvania Pharmacist I March/April 2014 I 5

Departments Thank You to Our Corporate Partners These companies support PPA activities throughout the year.

DIAMOND LEVEL

Calendar of Events March

GOLD LEVEL

28-29

NASPA Spring Meeting — Orlando, FL

(Held in conjunction with the APhA Annual Meeting)

28-31

APhA Annual Meeting — Orlando, FL

29

Pennsylvania Pharmacy Reception at APhA — Orlando, FL

April

2-4

26-29

AMCP Annual Meeting — Tampa, FL NACDS Annual Meeting — Scottsdale, AZ

May

SILVER LEVEL

5-8

8

17-20

31-June 4

NCPDP Annual Conference — Phoenix, AZ PPA Board of Directors NABP Annual Meeting — Phoenix, AZ ASHP Summer Meeting — Las Vegas, NV

July

BRONZE LEVEL

26-30

AACP Annual Meeting — Grapevine, TX

September

18-21

PPA Annual Conference — Mars, PA

For additional events and PPA committee meetings, be sure to see our Calendar of Events on the PPA website!

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Departments

Member News University of Pittsburgh Associate Professor Selected for Panel Deanne Hall, associate professor in the Department of Pharmacy and Therapeutics, was selected for the American Society of Health-Systems Pharmacists (ASHP) Ambulatory Care Consensus Recommendations Panel that will plan the Ambulatory Care Conference and Summit in March 2014. z

The Lancaster County Pharmacists Association Board Installed The Lancaster County Pharmacists Association installed their Board for 2013 on January 18, 2014. Pat Epple installed the board and Coleen Kayden served as the emcee for the evening. The new board members included (from left to right) President, Erika Morgan; Vice President, Victoria Hart; Secretary, Erika Martin; Treasurer, Jay Rhodes; In-coming Board Members: Bob Kayden, Stan Bradley. z

Specialties (BPS). Maryann Scholl, PharmD, MS, Assistant Professor of Pharmacy Practice at LECOM, was certified in Pharmacotherapy, the area of pharmacy practice responsible for ensuring the safe, appropriate and economical use of medications.

Justin Scholl, PharmD, MS, Assistant Professor of Pharmacy Practice at LECOM, was certified in Ambulatory Care. z

The Capital Area Pharmacists Association Officers Installed The Capital Area Pharmacists Association installed the following officers for 2014: President, Jeff Lipman; Vice President, Jamie Mazzocco; Secretary, Shannon Roth; Treasurer, Galen Baer. z

Left to Right: Treasurer, Galen Baer; Secretary, Shannon Roth; Vice President, Jamie Mazzocco; President, Jeff Lipman

School of Pharmacy Faculty Earn BPS Certification Two members of the School of Pharmacy at the Lake Erie College of Osteopathic Medicine recently earned board certification from the Board of Pharmacy

Immediate Past President Cindy Wert receiving her thanks for service.

Pennsylvania Pharmacist I March/April 2014 I 7

Volunteer Form ~ PPA and Your Profession Need You! Volunteer Opportunities: PPA has an assortment of work groups, task forces, and committees which typically meet about two to six times per year. Meetings are sometimes held in conjunction with the Association’s Mid-Year Meeting and its Annual Meeting but most meetings are usually done via conference calls or meetings at the PPA office. Conference calls are usually limited to about one hour. Meetings are typically three to four hours in length. For most committees there are no defined times or defined length of commitment. You may join a committee at any time. Or try one committee for one year and another the next year. While we appreciate continuity, there is no requirement for a long-term commitment. We want you to be comfortable with your involvement.

It is critical that committee members have email and regularly access it, as much committee work is done and information shared via email.

PPA regrets that we are unable to reimburse our volunteers for your travel expenses while involved in committee meetings but hopes that you will find value in the interaction with your peers during the meeting and consider the time well spent. But since most of our work is done via PPA hosted conference calls, you should incur much in the way of expense. PPA volunteers find they receive rich personal and professional satisfaction for their service as well as a side benefit of staying informed on issues and practice developments and connecting with fellow volunteers.

The following is a list of PPA’s current Committees. Please indicate your preferences by placing a number 1 in front of the committee of your first choice, a 2 for your second choice, and so forth. o ACO –PCMH – Works on promoting the pharmacists role in Accountable Care Organizations and Patient Centered Medical Homes o Awards – selects the recipients for the Awards PPA annually presents to deserving members. o Conference – develops program, functions, and budget for the Annual and Mid Year Conferences. o Constitution and Bylaws – reviews the PPA bylaws, proposes changes and updates, and ensures the bylaws are followed. o Education – develops high quality educational programs and oversees ACPE accreditation o Finance – oversees the financial administration of the association and develops the annual budget. Previous experience with other PPA committees is desired. o Health Policy Committee – designed to develop association policies and advocate a legislative and regulatory agenda that supports sound health care and pharmacy policy. o Legislation – monitors the regulatory and legislative issues concerning pharmacy and pharmacists, develops for approval the legislative priorities for PPA, establishes positions on appropriate bills, and works to coordinate grass roots efforts and responses when applicable. We have both an independent owners legislative committee and a general one. o Membership – recruits and retains members in all categories of membership from all practice settings of pharmacy. o Public Relations – develops and coordinates programs and activities promoting pharmacists and a positive image to our various publics. Creates public awareness campaigns and information for the public. o TOC – Works on developing opportunities for pharmacists in Transitions of Care o Website – reviews and recommends changes to the PPA Website PPA’s Educational Foundation also has a number of committees, if you would be interested in helping on any of those, please check here: o PPA also appoints work groups for special projects on an as needed basis, if you would like to be considered for a future work group, please check here: o Indicate any special interests/areas of expertise: _____________________________________________ Name: _____________________________________________________________________________________________________________ Please return to: Pennsylvania Pharmacists Association, 508 North Third Street, Harrisburg, PA 17101 Fax: 717-236-1618 • Email: ppa@papharmacists.com

Departments

New Members P

PA welcomes the following New Members who joined the association – December 4, 2013 – January 27, 2014.

Please make these new members feel welcome and part of Pennsylvania pharmacy!

Active Pharmacist

Vincent Cooper Sanofi Pasteur U.S. Wayne

Mary Pluviose Hallandale

Scott Gardner University of Pittsburgh Medical Center Altoona Joseph Hahn McConnellsburg Melanie MartinBoone ExcelleRx Abington David Miringoff Lifevantage Willingboro Mary Peterman North Wales Doreen Graham Wilkes Barre General Hospital Wilkes-Barre Amy DiPietro Connellsville Cory Hartman Pittsburgh

Associate Casey Crisp Frankfort Corey Kemper Pittsburgh Albert Schuster Brooklyn Heights John Volkar

Technician

Resident Ashley Higbea University of Pittsburgh Medical Center Pittsburgh

Student Duquesne University Mylan School of Pharmacy Lauren Abruzzo Laura Brickett Gregory Caspero Anne Countway Janelle Hestin Joy Jakubek Maura Jeffries Chelsea Konopka Rachael Richter Katherine Sulkowski Matthew Sullivan LECOM Mohamed Amer Anthony Fredo Cassie Groner Angela Shick Philadelphia College of Pharmacy at USP Michelle Adamczyk Maura Andrews Paul Bedway Fidelia Bernice Nina Bord Daniel Boulos Nina Bove Cindy Bui Nyjeri Cannon-Moye

Joseph Cavanaugh Shakira Chavis Linda Chen Allen Chirackel Eun Jeong Choi Joseph Cutillo Kevin Farrow Alyssa Fixl Janna Gallagher Joshua Garcia Alexander Hansen Chelsea Hawkins Allison Januszka Michelle Jeon Jaison John Kelly Kilmartin Bruce Kleeman Kelly Maloney Betsy Mamtsis Justin Mathew Chris Miller Ashley Minnich Katherine Monahan Courtney Montepara Richard Oh Rachael Oyewole Jaydip Patel Joshua Paul Melissa Pizano Harrison Price Lukasz Przychodzien Jacob Radcliff Dennis Sainsbury Jaclyn Scalgione Jeremy Schafer Chintan Shah Laura Shuff Courtney Spina Samantha Spishock Amish Vora Temple University School of Pharmacy Sarah Alhasani Kara Anderson Sophia Antoine Edward Avanessians Ryan Basa

Michael Benzon Richard Bornako Matthew Boyd Ilya Braginsky Samantha Brown Vishwapriya Chakraborty Cui Chen Joy Chen Steven Cheng Seoungeun Choi Ejike Chukwukere Courtney Conrad Genesis Cordova Gina DeCarolis Ashley Depuy Karen Do Jonathan Douek Melissa Downey Lisa Dragic Brittney Edwards Salma Eltahir Michee Etienne Ryan Foster Krissia Funes Joyce Gambrah Kelly Gasloli Taylor Gibbs Elona Gjini Erika Goldberg Katarzyna Gosek Bharghavi Devi Gundarapu Amanda Hall Alexandra Hanretty Li He Nicole Hollinger Emalee Hribick Mohamed Juboori Ekaterina Kachur Bahar Khalighi Tanveer Khawaja Eun Joo Kim Hallie Kinecki Yoomi Ko Aliccia Koznecki Michael Lacon Sophie Hien Le Michael Lee Julia Lees Fangchen Lin

Randy Lina Shimeng Liu Tak Yan Liu Alan Lu Betty Lu June Lu Jillian Lykon Lauren Lynch Johnson Manoharan Daniel Marchuk Laurence Martinez Luke Mattson Mary McIntyre Robert Milby Meghan Mitchell Arun Mohanan Brian Mondonedo Stephen Morgado Daina Nanchanatt Rebecca Navarro Kellen Ngo Duy Nguyen Eric Nguyen Jennifer Nguyen Julie Nguyen Justin Nixon Donald Noel Rebecca Nuyen Chinwendu Onyeachu Mariela Ortiz Gracja Osinska Bhamini Patel Pratik Patel Sneh Patel Grace Peterson Loan Phan Victor Phan Andre Pillay Alexander Radovanovich Fatimah Rahaman Anita Ramnath Nicholas Ramsey Willis Richardson Anthony Ruan Michael Ruane Megan Rubino Luke Russo

Continued on page 10

Pennsylvania Pharmacist I March/April 2014 I 9

Departments New Members

Continued from page 9 Cory Ryhal Magne Saba Jola Salayaci Matt Salkovitz Tyler Salovin Kristen Schmerbeck An Shao Carina Shults Minakchhi Singh Myra Smith Nermeen Snaker Carlton Stafford Daniil Stetsenko Ty Stevens Michelle Stricker Christina Taing Nissa Tasnim

Veronika Tereshko Pulsifer Joanne Thai Tonisha Thompson Danielle Tomko John Tran Kathy Trinh Ken Trinh Melissa Urigh Leanna Usnik Rachel Vonvital Erika White Larissa Woloszczuk Melanie Zaniewski Louming Zhou Luoqing Zhou

University of Pittsburgh School of Pharmacy Madison Adams Anthony Albert Tyler Andring Cassandra Bloor Allison Doherty Katelyn Emhoff Anne Haddad Kaleen Hayes Ronald Heisel Chelsea Henderson Samantha Holliday Crystal Jennings Emily Linville Niekeu Ndongwa Daniel Nelson

Daniela Policicchio Von Rhodes Kiersten Williams Ranran Xia

We sincerely thank everyone who has helped recruit a member and for helping make PPA stronger!

Wilkes University Nesbitt College of Pharmacy Casey Anzulavich Michael Daubert Amanda Evanich Stacy Kandrac Ashley Robold

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Departments

Campus Checkup Student Mid-Year Recap!

Pharmacy: The Next Generation had over 100 students in attendance! Thank you to everyone who attended for a weekend of student programming, the OTC Competition, Know Pain Know Gain and Student Poster Presentations. Highlights of this year’s student programming include Planning for Ownership, a special program for students interested in pharmacy ownership, a CV Workshop and programs that explored alternate career paths such as Immunizations, Alternative Practice Settings and United States Air Force Pharmacy.

The programming on Sunday focused on roundtable discussions

where the students gave feedback about PPA’s Membership, Communications and Legislative

Students at Pharmargaritaville

efforts. Students from all schools of pharmacy were in attendance for the Mid-Year meeting. z

Students at OTC Competition

Students at Conference Kick-off Celebration & Welcome Reception

Pharmacy Students Inducted into Phi Lambda Sigma The School of Pharmacy at the Lake Erie College of Osteopathic Medicine (LECOM) inducted 19 new student members to its campus chapter of Phi Lambda Sigma, a national pharmacy leadership society.

The students were given pins as a symbol of their membership in Phi Lambda Sigma, which strives to recognize student leaders in pharmacy and to help students grow and develop their leadership abilities.

Rebecca Miller Wise, PharmD,

Students in Programming at Mid-Year Conference

Director of Admissions for the School of Pharmacy, Assistant Professor of Pharmacy Practice, and advisor to Gamma Pi, led the ceremony. Rachel Ogden, PharmD,

Associate Dean and Assistant Professor of Pharmacy Practice, congratulated the students on behalf of the School of Pharmacy. z Continued on page 12

Pennsylvania Pharmacist I March/April 2014 I 11

Departments Campus Checkup

Continued from page 11

Katy’s Kids The Wilkes University Chapter of the Pennsylvania Pharmacists Association recently held a Katy’s Kids Medication Safety event for second grade students at Tenth Street Elementary. Wilkes Pharmacy students spoke to the children about the role of the pharmacist in community and hospital settings. Students demonstrated how to use a mortar and pestle, pill counting tray, stethoscope and blood pressure cuff. The pharmacy students also spoke about safe medication use and focused on the following topics: when it is safe to take medicine, never take another person’s medication, and only take medicine if your parent or guardian gives it to you. Students also emphasized that some medicine may look like candy, but to always ask a parent or guardian before taking anything. z

Wilkes students during a Katy’s Kids presentation

Jefferson School of Pharmacy APhA-ASP Chapter Attends Meeting The Jefferson School of Pharmacy chapter of the American Pharmacists Association Academy of Student Pharmacists (APhAASP) had a productive Midyear Regional Meeting in Washington, D.C. in early November. During the closing business session, the House of Delegates passed the

12 I Pennsylvania Pharmacist I March/April 2014

chapter’s resolution promoting prescriptive rights for pharmacists with respect to smoking cessation.

Although there was much deliberation over the resolution’s wording, it was eventually voted in with an amendment. The passing of this resolution is not only a great achievement for Jefferson

School of Pharmacy and the students of its APhA chapter, it is also an important issue that will hopefully gain more traction in the coming year as the resolution is evaluated by the APhA-ASP Resolutions Committee. z

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Pharmacy Time Capsules 2014 (First Quarter) 1989

The second Pharmacy in the21st Century (P21) conference held in Williamsburg. The concept of pharmaceutical care was formally introduced by Hepler and Strand and enthusiastically accepted.

1964 The survey, Mirror to Hospital Pharmacy, published. Data included that less than 40% of all hospitals employed approximately 2,000 full-time pharmacists.

1939 Western Massachusetts School of Pharmacy opened in Willimansett, MA although never accredited.

1914 The federal Harrison Narcotic Act passed to regulate and tax the importation, production, and distribution of narcotics.

1889 Walden University (Meharry Pharmaceutical College) opened in Nashville.

Pennsylvania Pharmacist I March/April 2014 I 13

PPA’s Awards Committee is seeking nominations for several prestigious association awards that are presented annually during the Association’s Annual Conference which will be held September 18 to 21, 2014 at the Four Points Pittsburgh North in Mars, PA. Many pharmacists currently practicing in Pennsylvania are excellent candidates for these awards; individuals whose contributions have made pharmacy a better profession for all of us. Below is a list of the awards and criteria for selection of the award recipient for each.

Criteria for all awards A nominee must be a current member of PPA to be considered.

For all awards except those noted with an *, nominees must be a licensed Pennsylvania pharmacist.

All nominations will be held on file and eligible for consideration for 3 years.

Bowl of Hygeia Award Sponsored by the American Pharmacists Association Foundation and the National Alliance of State Pharmacy Associations (NASPA) with support from Boehringer Ingelheim

Granted to recognize and honor a Pennsylvania pharmacist who has demonstrated sustained commitment to community service, apart from his/her specific identification as a pharmacist, which reflects well on the profession of pharmacy. Specific Award Eligibility:  Nominee must not be currently serving or have served in the  Nominee must be living; awards are not presented last two (2) years as a member of PPA awards committee, an posthumously elected PPA officer or a paid employee of PPA  Nominee must not be a past recipient of the award

PPA Pharmacist of the Year Award

Presented to a pharmacist who has demonstrated dedication to the profession of pharmacy, contributed time and effort to the various professional organizations, furthered the profession of pharmacy through community service and embodied those qualities of attitude and leadership which exemplified the profession.

George S. Maggio Memorial Award

Presented to the pharmacist who has contributed the most to pharmacy in Pennsylvania through his/her work in the area of third party relations

NASPA Excellence in Innovation Award sponsored by Upsher-Smith Laboratories, Inc.

Recognizes a pharmacist who is involved in an innovative pharmacy practice resulting in improved patient care. The nomination must include a description of the innovative pharmacy practice which would qualify the recipient for this award. . George H. Searight Community Service Award* Presented to an individual who has shown outstanding devotion and service to PPA, and his/her own county or local association, and for outstanding community service which has enhanced the image of the profession of pharmacy within his/her community. This award may be presented to a pharmacist or a non-pharmacist.

Cardinal Health Generation Rx Champions Award sponsored by the Cardinal Health Foundation

This award honors a pharmacist who has demonstrated outstanding commitment to raising awareness of the dangers of prescription drug abuse among the general public and among the pharmacy community.

The award is also intended to encourage educational prevention efforts aimed at patients, youth, and other members of the community.

Pharmacists Mutual Insurance Companies “Distinguished Young Pharmacist” Award

Recognizes new pharmacists for their dedication to and participation in PPA, commitment to the practice of pharmacy, and involvement in community activities. Minimum selection criteria:  Licensed to practice for nine years or less.  Has distinguished themselves in the field of pharmacy practice.  Participated in national pharmacy association(s), professional programs, PPA activities and/or community service.

Preceptor of the Year

This is the fifth year for this award and it has a separate nomination form for students to use. Nominees must be PPA members, must be a preceptor for a Pennsylvania pharmacy practice site, and must be nominated by a PPA Student Member.

Pharmacy Technician of the Year*

Presented to an individual who has at least 2 years of experience working as a pharmacy technician in any pharmacy setting, who has demonstrated a professional attitude at their place of employment, and who has shown leadership in the training of their technicians in their practice settings.

J. Allen Duffield - Pharmaceutical Industry Award*

Presented to an individual who is associated with the pharmaceutical industry or other pharmacy associated/related business or service, who has contributed time, effort, commitment, and supported and participated in the activities and programs of PPA and who has, through his/her affiliation with the company and industry he/she represents, contributed to the betterment of the profession of pharmacy.

10 Under 10 Awards

This award, presented every three years, recognizes the top ten pharmacists practicing for less than ten years that demonstrate commitment to advancing the profession, involvement in PPA or other pharmacy associations, and/or service to their community. Nominees must have graduated from pharmacy school within the past ten years.

Nominate a deserving individual for an award and recognize them for all they do for the pharmacy profession!

Find the nomination form at www.papharmacists.com/awards

2013 Recipients of the “Bowl of Hygeia” Award

Charles D. Sands III Alabama

Martie Lamont Alaska

Kathryn Labbe Arizona

Karrol Fowlkes Arkansas*

Vicki Fowlkes Arkansas*

Helen K Park California

Ronald Kennedy Colorado

Gregory L Hancock Connecticut

David W. Dryden Delaware

Judith Martin Riffee Florida

William Lee Prather Georgia

Selma Yamamoto Hawaii

Mark Johnston Idaho

Garry Moreland Illinois

Patrick Cashen Indiana

Bernard Cremers Iowa

Leland Hanson Kansas

J Leon Claywell Kentucky

Douglas Boudreaux Louisiana

Paul Chace Maine

Angelo C. Voxakis Maryland

John R Reynolds Massachusetts

Nancy J W Lewis Michigan

Harvey Buchholz Minnesota

Clarence DuBose Mississippi

Kenneth W. Schafermeyer Missouri

Carla Cobb Montana

Scott E Mambourg Nevada

Cheryl A Abel New Hampshire

Eileen Fishman New Jersey

Phil Griego New Mexico

James R. Schiffer New York

Jean Douglas North Carolina

Laurel Haroldson North Dakota

Kenneth S. Alexander Ohio

Eric Winegardner Oklahoma

Wayne Kradjan Oregon

Edward Bechtel Pennsylvania

Daniel Mahiques-Nieves Puerto Rico

Linda A Carver Rhode Island

Linda Reid South Carolina

Ann M Cruse South Dakota

Kenneth Smith Tennessee

Leticia Van de Putte Texas

Dominic DeRose Utah

The “Bowl of Hygeia”

Leo H Ross Virginia

Janet Kusler Washington

Russell Jensen Wisconsin

Timothy Seeley Wyoming

The Bowl of Hygeia award program was originally developed by the A. H. Robins Company to recognize pharmacists across the nation for outstanding service to their communities. Selected through their respective professional pharmacy associations, each of these dedicated individuals has made uniquely personal contributions to a strong, healthy community. We offer our congratulations and thanks for their high example. The American Pharmacists Association Foundation, the National Alliance of State Pharmacy Associations and the state pharmacy associations have assumed responsibility for continuing this prestigious recognition program. All former recipients are encouraged to maintain their linkage to the Bowl of Hygeia by emailing current contact information to awards@naspa.us. The Bowl of Hygeia is on display in the APhA Awards Gallery located in Washington, DC. Boehringer Ingelheim is proud to be the Premier Supporter of the Bowl of Hygeia program. *husband and wife co-recipients

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Features

Quality Ratings Impact Community Pharmacy: The CMS STAR Ratings Elliott M. Sogol, PhD, RPh, FAPhA Vice President Professional Relations Pharmacy Quality Solutions John A. Galdo, Pharm.D., BCPS Clinical Pharmacy Educator, Barney’s Pharmacy Clinical Assistant Professor, UGA College of Pharmacy Clinical Instructor, GRU College of Dental Medicine

H

ealthcare reform is constantly changing and today is no different. As an example, our colleagues in health-system practice are very accustomed to being measured and accredited on a number of key metrics. Today, community-based pharmacy quality measurement and accreditation is on the horizon.

In fact, the Center for Pharmacy Practice Accreditation (CPPA) and URAC published standards for community pharmacy practice in early 2013. Community-based pharmacy practice is starting to shift to not just a culture of cost effectiveness, but also one of quality outcomes and patient– centered care.

A facet of accreditation implies measurements. However, even

before community pharmacy accreditation discussions began, the Centers of Medicare & Medicaid Services (CMS) were measuring health plans; who in return are measuring community pharmacies. This has been on-going for several years. Prescription drug plans receive a summary “STAR rating” on quality measures based on prescription adjudication. For 2014 the STAR ratings for Medicare

Part D plans are based on fifteen individual measures with five measures specific to medication management and use, yet these five account for nearly half of the plan’s Part D summary rating as they carry a triple weighting in the CMS summary score. These measures are: • Two measures of medication safety Continued on page 18

Pennsylvania Pharmacist I March/April 2014 I 17

Features Quality Ratings

continued from page 17

o High-risk medications in the elderly • Medications that should be either limited in exposure to the elderly or not prescribed at all o Appropriate treatment of blood pressure in persons with diabetes • Protection of organs – specifically the kidney (patients on insulin are included in this metric) • Three measures of medication adherence

evaluating MTM programs by measuring the “Comprehensive Medication Review (CMR) completion rate” for all drug plans. It is expected that this CMR measure will be added to the STAR rating measure set in the next round of additions and deletions. The metric is being used to determine how many eligible patients (by percentage) are actually receiving a CMR. Today the number and corresponding percentage is very low.

The implication of quality metrics for community pharmacies is huge. Part D plans are now changing how they will look to pharmacies for inclusion in preferred networks and even

potential changes in the level of reimbursement based on STAR ratings. Programs are available, like EQuIPP, to allow pharmacies to see their STAR ratings. EQuIPP is a service offered by Pharmacy Quality Solutions (PQS), a company owned by Pharmacy Quality Alliance (PQA), a non -profit that develops medication performance measures used by CMS for the STAR ratings process and CE City a technology based company. Ultimately, quality measures will allow us to help transition our patients from health-systems to the community, and give us the opportunity to get in front of the counter to care for our patients. z

o Oral diabetes medications • Patients on insulin are excluded from this metric as it is difficult to track adherence if a patient is provided leeway to adjust dosing o Cholesterol medication (statins) • Focuses on appropriate treatment and adherence o Blood pressure • Appropriate adherence focusing on reninangiotensin system antagonists (RASA) CMS also evaluates prescription drug plans on “display measures” which include metrics on drugdrug interactions, excessive doses of oral diabetes medications and the use of atypical antipsychotics in nursing home patients. Starting in 2014, CMS will also begin

18 I Pennsylvania Pharmacist I March/April 2014

Tony Hayslip, ABR/AREP 713-829-7570 Tony@RxBrokerage.com

Ernie Zost, RPH 727-415-3659 Ernie@RxBrokerage.com

Features

We Need to Shed Some Light on Prescription Benefit Managers and What They’re Doing to Our Healthcare PBMs operate inside a black box of convolution, just like derivatives prior to the 2008 financial crisis By: Nick Smock, Pharm D, M.B.A. CEO, PBA Health

J

ust like derivatives prior to the meltdown of the banking industry in 2008, the transactions of Pharmacy Benefit Managers (PBMs) in filling your prescription today are convoluted and mysterious – and yet they’re wreaking havoc in our everyday lives. But ask anyone shopping in a Walgreens as he’s waiting for his prescription to be refilled what a PBM is or where the independent pharmacy is, and chances are you’ll get a shrug of the shoulders – and that’s just the problem.

PBMs are to the pharmacy industry what finance engineering companies were to the banking industry prior to the financial crisis of 2008. They insert themselves between the patient and or employer and the provider of the prescription; the pharmacist.

They demand that the pharmacist not discuss or disclose the financial transaction with the patient or employer other than the co-payment, as they ratchet down the reimbursement to the pharmacist while escalating the invoice to the employer … Katy bar the door should the two ever meet! The pharmacist at the same time is paying more and more

for the prescription drug from their wholesaler – and only three wholesalers control ninety (90%) percent of the drug distribution in this country. The bottom line is that pharmacists have to pay higher prices to wholesalers for drugs and at the same time accept smaller reimbursement payments from insurers. They’re getting squeezed from both sides, the buy and the sell, yet we as patients or employers don’t get the juice, the PBMs do.

With drug profits diminishing, pharmacists must devote more attention and importance to other revenue streams – like packaged food, liquor, cigarettes, and household and seasonal products imported from China. This trend is driven in large part by the selffeeding business of PBMs, which is going on inside a black box that no one understands, not even your legislator, since one of the country’s largest Political Action Continued on page 20

Pennsylvania Pharmacist I March/April 2014 I 19

Features We Need to Shed Some Light

continued from page 19

Contributors in the USA is PCMA, Pharmaceutical Care Management Association, whose members include the PBMs. There’s absolutely no transparency in the transaction between the patient and or employer or pharmacist.

This has a big impact on the price and availability of drugs, and the amount of attention a pharmacist can devote to professional pharmacy practice, i.e. taking care of you, the patient.

The result is a pharmacy industry that operates more like the retail business than a profession. We as consumers are so used to the phenomenon that we hardly even notice. But think about it: You don’t expect to go to your doctor’s office and pick up an extension cord, a fifth of bourbon, a cheap toy for the kid and a box of Hostess donuts while you wait in the waiting room, do you? No. In fact it would be unthinkable to expect our doctors to set up a cash register at the door and stock shelves with consumables – especially unhealthy items – just so they can stay in business and, by the way, practice medicine. Walk into any chain pharmacy today

20 I Pennsylvania Pharmacist I March/April 2014

and it looks like anything but a giving high quality personal care, health care store, and you are not selling toothpaste. lucky if you get to have any time The question is, will this grossly talking to the pharmacist regarding inequitable practice come to your health and medication, even the surface, as derivatives did though he/she has six years of four years ago? Will legislation college behind the answers and be enacted to correct it, or will advice that could be the industry make offered. changes of its There’s absolutely But that’s the own accord due no transparency way of the world for to public outrage? in the transaction pharmacists today, Or will PBMs between the patient thanks in large part continue to quietly to PBMs who are not and or employer or de-professionalize pharmacist.

This has necessarily squeezing the pharmacy a big impact on the the profit out of profession and pharmaceuticals but price and availability reduce the quality shifting the profit of healthcare for of drugs, and the of the profession amount of attention us all, while we out of pharmacy blindly peruse the a pharmacist to themselves – drugstore aisles for can devote to similar to what the candy, tobacco, professional financial engineering or alcohol and get pharmacy practice, companies did to our prescriptions the banks of the out of a vending i.e. taking care of country. A case in machine? And that’s you, the patient. point is the new not a metaphor: law in Texas that Some big chains are cuts the reimbursement rate that actually working on plans to install pharmacies receive for filling machines to dispense your pills.

Medicaid recipients’ prescriptions If that happens, your pharmacy by 80 percent. Commenting on ‘care’ literally will be reduced the fact that this law will cause to a pill-filled box, whose only independent pharmacists to communication to you is, “Insert actually lose money on those payment here” – and if you have a prescriptions, Mark Merritt, problem, call the Geek Squad. z president of the PCMA has stated that this is actually good for the community pharmacists because the program will get customers into the stores to buy items like toothbrushes or soap. Mr. Merritt’s comment underscores my point: that patients would be better served by a professional pharmacist who’s concerned with

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Association News

2014 Mid-Year Conference Highlights T hank you to everyone who attended Pharmacy: The Next Generation at the Omni Bedford Springs Resort! Around 300 attendees enjoyed a mix of CE programming, networking and social events. The conference also focused heavily on the next generation of pharmacists, the students.

Continuing Education Sessions

One of the major highlights of the weekend was the presentation given during Saturday Breakfast

by Appriss, Inc. titled, What is this new PSE tracking system and what do I need to know about its implementation? Krista McCormick, Appriss, Inc. NPLEx Client Relationship Manager presented information about how NPLEx is specific to Pennsylvania and the implementation process for NPLEx.

OTC Competition

Congratulations to Temple University who took home the 2014 traveling plaque! Members of the winning team include Captain, Patrick Haar and team members Hasan Al-Hasani and Justin Nixon. Thank you to all of the schools who participated!

Wilkes University and LECOM were tied for second place.

(left and above) Friday Conference KickOff Celebration & Welcome Dinner and Student OTC Competition

OTC Competition Winning Team Temple with PPA President Scott Miskovsky and Moderator Richard Smiga Continues on page 24

Pennsylvania Pharmacist I March/April 2014 I 23

Association News Know Pain Know Gain

Mid-Year Conference Highlights

continued from page 23

OTC Teams pictured above

Twelve students were potential contestants for the Know Pain Know Gain Competition on Saturday afternoon. After the Rapid Fire Question Elimination Round, three contestants were left to participate in the Finalist Patient Counseling Round. The students were Benjamin Andrick, Duquesne University Mylan School of Pharmacy, Colleen Herman, Wilkes University Nesbitt College of Pharmacy, and Kyle McGrath, University of Pittsburgh School of Pharmacy. Congratulations to Colleen Herman who received first

Colleagues in Consultation Conference attendees gathered during Saturday lunch for the annual Colleagues in Consultation roundtables. There were 16 choices of topics for attendees and they included Transitions of Care, Immunizations, Biosimilars, Teaching and Innovations Via Technology and Relevant Content and Student Tips for the Final Year of Rotation.

The last time PPA was at the Omni Bedford Springs Resort for a meeting was in 1931 and there is a group photo from this conference. After Colleagues in Consultation on Saturday, attendees gathered for a group picture to honor this tradition.

Know Pain Know Gain Competition

Know Pain Know Gain Finalists with Judges and Patient

Know Pain Know Gain Finalists (l–r) Herman, Andrick, McGrath Colleagues in Consultation Luncheon

24 I Pennsylvania Pharmacist I March/April 2014

Continues on page 26

Over 100 Years Experience!

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Association News Mid-Year Conference Highlights

continued from page 24

place, with a $200 prize, and the two runners-up who both received a $100 prize. This competition is offered through support from the PPA Educational Foundation, The National Alliance of State Pharmacy Associations and Purdue Pharma L.P.

Student Posters There were a record number of posters at the Student Poster Presentations this year! A total of 29 posters were on display throughout the weekend showcasing innovative pharmacy practices. The theme for student posters was A New Generation of Pharmacy Practice in Pennsylvania: Exploring Emerging Issues and Innovative Pharmacy Practice, and posters were offered for CE

credit for the first time. Presenters interacted with conference attendees when the posters were presented early Saturday evening.

Educational Foundation Silent Auction Thank you to everyone who donated an item and made a bid on the Silent Auction to raise funds for the Educational Foundation!

This year, the Foundation raised approximately $5,000! Final details will be reported in the Foundation ebulletin.

Sunday Breakfast and the PPA Educational Foundation Presentation & Announcement of Grants

Pharmargaritaville PPA’s Educational Foundation hosted the Jimmy Buffet themed dinner party, Pharmargaritaville, to heat things up in Bedford! Guests enjoyed tropical food and drinks while drifting away into a beach paradise. Attendees raced to the dance floor when music by Hear to Please the Sound of Excellence started. In addition to this, the evening featured student games, and a display of Silent Auction items for the PPA Educational Foundation. Thank you to everyone who came and enjoyed this special event!

Poster Presentations

26 I Pennsylvania Pharmacist I March/April 2014

Pharmargaritaville

Save The Date!

Pharmacy’s Future is in the Stars, PPA’s 2014 Annual Conference will be held September 18–21, 2014 at the Four Points Pittsburgh North in Mars, PA. We will see you there!

Association News Special Thank You to the 2014 Conference Committee Lauren Simko, chair and members Luke Barnes, Summer Bruchwalski, David Cunningham, TanyaDougherty, Al Emmans, Eric Esterbrook, Kimberly Ference, Robert Frankil, Donna Hazel, D. Scott Himler, Jacqueline Klootwyk, Sean Lynch, Jamie McConaha, Barbara McNeal, J. Scott Miskovsky, Katie Naper, Ellen Nastase, P.J. Ortmann, Bruce Sigman and Leigh Webber.

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Features

Birdsboro Pharmacy ­— Always Looking Into the Future!

By: Courtney B. Graham, PharmD Candidate 2014, Wilkes University School of Pharmacy

B

irdsboro Pharmacy is a free standing 8100 square foot independent store that sells a variety of items. Like the name, the pharmacy is located in the borough of Birdsboro in Berks County, Pennsylvania about eight miles southeast of Reading. It is a one stop shop for not only prescriptions but the store offers DME, health and beauty aids, food, gifts, cards, hardware, household supplies, and stationary. It was built in 1987 and Martin Kendra took over ownership in 1994.

After graduation from Philadelphia College of Pharmacy, Mr. Kendra worked as a staff pharmacist and then transitioned into a pharmacy owner.

“It was a natural path for me. I have always been the type of person to take responsibility”, said Kendra.

With the financial responsibility comes the freedom to make decisions. Marty enjoys the ability to make business decisions and guide his independent pharmacy in the direction he trusts. Soon after buying the store he did just that.

The previous owner operated a traditional old fashioned pharmacy.

The pharmacy is inside a large building and it looks much like a

28 I Pennsylvania Pharmacist I March/April 2014

chain store rather than a traditional apothecary. Marty immediately thought it would be a good idea to advance his advertisements. He created a website which he has

enhanced and developed over the years to attract customers and meet patient needs. The website now has a blog section used to inform patients of current health related issues. The site is linked to social media, so no matter which platform you are utilizing you won’t miss a beat.

Serving the needs of his customers has always been a passion for Marty. The pharmacy

offers a variety of services. There is a need for diabetes education in the community so the pharmacy sets up a ‘Diabetes Education Academy 101’. A certified Diabetes Educator and nutritionist are present to share different ideas with the patients on how to improve the selfmanagement of diabetes care.

A pharmacist is present to answer medication related questions and facilitate the education. The pharmacy also offers diabetic shoe fitting, DME, and medication therapy management with the use of Outcomes and Mirixa. Birdsboro Pharmacy participates in a medication synchronization program to help increase patient adherence with medication use. The program has benefits for the patient as a convenience factor, but also allows the pharmacists to have compliance discussions with the patients who have not filled their medications on time.

The pharmacy also provides flu vaccination, zoster vaccinations, and Flavor Rx. medication flavoring.

With all of the services provided, Birdsboro pharmacy clearly meets the healthcare needs of their community; however they do not stop at community healthcare needs. The pharmacy

Features is actively involved with the community several ways. They attend health fairs at the local senior centers as well as make donations to support local football teams. The pharmacy participates in Christmas in Birdsboro, which is a program that awards a prize to the home that is decorated the prettiest at Christmas time.

Lastly, the pharmacy participates in a scholarship fund with other pharmacies in the area.

Martin Kendra is a natural go getter, who will always keep up to date with innovations in pharmacy practice and technology to enhance quality healthcare for his patients. He has already set some new goals. One goal being to incorporate a phone messaging technology application which patients would receive reminders when prescriptions are due via text message. The patients could then easily notify the pharmacy when

to refill their prescriptions with this service. Marty believes this will be a convenient way for patients to interact with the pharmacist which can improve patient adherence.

Another future goal is the ability to provide travel vaccinations. With Kendra’s keen decision making skills and technology savvy approach we will see Birdsboro Pharmacy serving their community far into the future! z

INTERVIEW | Birdsboro Pharmacy owner Martin Kendra, RPh What are some challenges of owning a pharmacy?

Currently, some of the challenges are to be in an area which is economically challenged. However, there are always ways you can find new revenue streams. Mail order is also a challenge which we have to try to get around. We have done things in PA that have positively impacted the patient restrictions on the use of mail order pharmacy.

What are some benefits of owning a pharmacy?

The self-satisfaction that what you are doing helps your community is a large benefit. Most all of my employees have been here for 10–18 years. It is very welcoming for patients to see the same employees because it builds consistency and trust.

to answer phone calls all morning it is a great feeling. It is now easier to schedule employees as needed and gives value back to the company [IVR service]. At 3AM, Mrs. Jones can refill prescriptions when she cannot sleep. I remember the first day we had the IVR; it would be total silence. We now have more time to communicate person to person with counseling.

Where would you like to see the profession go in 10 years?

I would like to see a secure way to exchange health information developed between all members of the patient care team. It would be the right step to a safer environment for the patient.

What is the value of professional organizations?

Whenever you can gather people from different disciplines within your same profession there is always something to be learned. If you hear something you may not understand it completely. It puts you in contact with people. I always believed if you want to be successful, hang out with successful people.

During your career, what do you believe to be the single most significant advancement in pharmacy?

The information technology revolution has single handedly improved pharmacy. When you come into the store he can already have 50 prescriptions in the queue and you do not have

Bottom Row: (l–r) Dr. Andrew Delaney, Marty Kendra RPH, Mike Bohn RPH Top Row: (l–r) Stephanie S., Debbie D., Susan L., Vanessa M., Lori C., Judy S., Carol S.

Pennsylvania Pharmacist I March/April 2014 I 29

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Industry News

When a Small Reminder Makes a Big Difference H ave you ever had one of those little warning icons light up on your car’s dash and you don’t know what it means? You know that some signals require attention right away and others can wait.

The thing is, most of the time you have to look up the icon to make that decision.

When it comes to medicines and people’s lives, there is no substitute for being clear about a warning, and for injectable drugs the stakes are particularly high. Beginning December 1st, manufacturers of injectable drugs will have to comply with new labeling standards that help ensure that important warnings — warnings that can help prevent life-threatening situations — are obvious and clear. The standards were established by the U.S. Pharmacopeial Convention (USP). USP is a scientific nonprofit organization that sets standards for the identity, strength, quality, and purity of medicines, food ingredients, and dietary supplements manufactured,

distributed and consumed worldwide. USP’s mission is to improve global health through public standards and related programs that help ensure the quality, safety, and benefit of medicines and foods.

In short, this USP standard states that warning messages – for example, “Warning – Paralyzing Agent” or “Dilute Before Using” – are the only markings that should appear on ferrules and cap

overseals of injectable drugs. The ferrules and cap overseals must remain clear of any markings, including logos, except for markings intended to prevent an imminent life-threatening situation.

The standard goes on to say that warnings must be printed in contrasting color and clearly visible under ordinary conditions of use. Finally, products that do not require cautionary statements should be free of information, so that those with cautionary statements are immediately apparent.

With the new USP labeling standard, if a healthcare provider sees a warning on a ferrule or cap overseal, he or she will know immediately that it is a vital, possibly life-saving piece of information that must be observed and acted upon before administering the drug to the patient.

Warning messages on ferrules and cap overseals may go a very long way to helping practitioners protect their patients from harm. z

Pennsylvania Pharmacist I March/April 2014 I 31

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Journal

Interprofessional Education: Ongoing and Planned Activities at Pennsylvania Schools of Pharmacy (Part 2 of a 3 Part Series on Interprofessional Education) Edward F. Foote, PharmD — Professor and Chair, Department of Pharmacy Practice, Nesbitt College of Pharmacy and Nursing, Wilkes University Janet Astle, BS Pharm, EdD — Director of Experiential Education and Director of Student and Government Relations, Mylan School of Pharmacy, Duquesne University Elena M. Umland, PharmD — Associate Dean for Academic Affairs and Professor, Department of Pharmacy Practice, Jefferson School of Pharmacy, Thomas Jefferson University Cathy Poon, PharmD — Associate Provost for Interprofessional Education and Clinical Programs, University of the Sciences, Philadelphia College of Pharmacy Christine O’Neil, PharmD — Professor, Mylan School of Pharmacy, Clinical, Social, and Administrative Science, Duquesne University Ina Calligaro, PharmD — Associate Dean for Education, Faculty Development, and Experiential Education, Temple University, School of Pharmacy Hershey Bell, MD, MS, MedEd — Vice-President of Academic Affairs and Dean, Lake Erie College of Osteopathic Medicine, School of Pharmacy Susan Meyer, PhD — Associate Dean for Education and Professor, Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy Corresponding Author: Edward F. Foote, PharmD, FCCP, BCPS Professor and Chair, Department of Pharmacy Practice Nesbitt College of Pharmacy and Nursing Wilkes University Wilkes-Barre, PA, 18766 570-408-4290 (v) 570-408-7729 (f) edward.foote@wilkes.edu

Funding, Conflict of Interest and Presentation Statement The authors have no perceived or real conflict of interest. There was no funding for this project. Some of the information in this paper may have been presented, in part, in other venues.

Keywords Interprofessional Education, Pharmacy Education, Schools of Pharmacy

Introduction

I

nterprofessional education (IPE) is a process that “occurs when students from two or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes.”1 There are many drivers to IPE in the U.S. not the least of which is the need to improve patient care. The schools of pharmacy in Pennsylvania have taken leadership roles in the national move toward implementing IPE in all stages of pharmacy education.

This three-part series on IPE in the Pennsylvania Pharmacist is intended to provide our preceptors with foundational knowledge in IPE so they are better prepared to provide optimal learning environments for our students. The first article, published in the last issue, provided an overview of IPE, including some of the drivers of IPE; identification of common resources; and suggestions for incorporation of interprofessional activities into the practice experiences.2 This second article will describe strategies and activities employed Continued on page 37 Pennsylvania Pharmacist I March/April 2014 I 35

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Journal Interprofessional Education

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by Pennsylvania schools of pharmacy to incorporate IPE into their programs. The final article in the series will highlight practitioners in Pennsylvania who practice in an interprofessional, patient-centered environment. The authors of this series are fully aware that these paradigm shifts in pharmacy education require an enormous amount of dedication on the part of administrators, staff, faculty, preceptors and learners. We are indebted to these individuals, who are changing the face of pharmacy education.

Duquesne University Mylan School of Pharmacy

By Janet Astle and Christine Oâ&#x20AC;&#x2122;Neil

F

or over 85 years, the Duquesne University Mylan School of Pharmacy has been preparing graduates for rewarding careers dedicated to improving the health and well being of patients and their communities. Duquesne University is further committed to providing students with IPE experiences that support collaboration of care. Accordingly, an IPE task force comprised of representatives from the schools of pharmacy, nursing, and health sciences was formally endorsed by the Provost in the fall of 2012 to ensure such experiences.

Our first initiative consisted of an interprofessional seminar program embedded in a required PY3 therapeutics course that continues to be offered each spring. Students from pharmacy, nursing, physical therapy, occupational therapy, athletic training, health management, speech-language, and physician assistant programs all participate

in this three-hour grand rounds seminar. To-date, the seminar has focused on the etiology and care plan for an actual stroke patient. In advance of the seminar, students are required to complete pre-assigned readings, view videos relative to stroke and interprofessional teambased care, and review a patient case. Students are also asked to complete a small quiz and the Interdisciplinary Education Perception Scale (IEPS). The seminar itself begins with a brief introduction of an actual stroke patient and his family to the larger student group followed by breakouts of multiple student groups comprised of members from the various health care disciplines.

These small interprofessional groups develop questions for the acute, rehabilitation, and outpatient phases of the patient treatment and recovery program.

Following a brief patient selfreport of his medical history and case progression to the larger reconvened audience, student groups have the opportunity to ask the patient and his family questions. Small interprofessional groups then reconvene to create a patient plan of care, which is subsequently shared in the large

group forum. The seminar ends with faculty-facilitated discussion of the collaborative process and its relationship to patient care.

Following the seminar, students complete the IEPS post-test and reflection questions.

Other didactic courses with IPE attributes include the Etiology/ Assessment/Treatment of Pain for the Health Care Professional and the Virtual Patient. In an effort to ensure inclusion of IPE experiences across all years of the curriculum, a recommendation of the IPE Task Force resulted in the creation of an interprofessional health information literacy course that will be offered to all pharmacy, nursing, and health science freshmen students beginning with academic year 2014-2015. As an integral part of the curriculum, opportunities for interprofessional collaboration continue to expand in the introductory and advanced pharmacy practice experiences as an emphasis on team-based approaches to patient care gains increased traction in the healthcare arena.

Acknowledgements: L. DiBartola, S. Cousino, E. DeIuliis, A. Morgan, L. Simko, P. Turocy, S. Wallace, Y. Weideman Continued on page 38

Pennsylvania Pharmacist I March/April 2014 I 37

Journal Interprofessional Education

continued from page 37

Lake Erie College of Osteopathic Medicine

By Hershey Bell

T

he Lake Erie College of Osteopathic Medicine includes a College of Osteopathic Medicine with campuses in Erie PA, Greensburg PA (at Seton Hill University) and Bradenton FL; a School of Pharmacy with campuses in Erie PA and Bradenton FL; a School of Dental Medicine in Bradenton FL; and a new School of Graduate Studies offering distance education Masters level health professions programs. LECOM matriculates over 1000 students into its programs each year.

Through the Provost’s office, a team representing all constituencies in the school was established to outline interprofessional activities in accord with the new Interprofessional Education Collaborative (IPEC) core competencies (values/ethics, roles/ responsibilities, interprofessional communication and teamwork).3 Opportunities are being discussed in both the didactic elements of the curriculum and clinical aspects of the curriculum. A team representing LECOM will attend the IPEC Institute later this year.

Students have cooperated interprofessionally in the following realms:

38 I Pennsylvania Pharmacist I March/April 2014

• Dental students and medical students participated in a semester long problem-based learning course designed to cover the basic sciences common to the two professions • Pharmacy students and medical students participated together in the 2013 Script Your Future Medication Adherence Challenge and received honorable mention for their work together • Because wellness is a central theme within LECOM’s osteopathic philosophy, interdisciplinary wellness related events are a common occurrence at LECOM. Examples include wellness fairs where pharmacy and medical students present topics of interest to the public together; the Primary Care Olympics competition which takes place at the LECOM Wellness and Fitness Center each year and the Interdisciplinary Sports Competition which takes place at the Bradenton campus.

• LECOM is part of a community academic health campus where pharmacy and medical students regularly rotate together both at Millcreek Community Hospital and in the outpatient practices that make up the Medical Associates of Erie.

Finally, LECOM is exploring potential educational partnerships with Gannon University and with local institutions who offer health sciences education to see where further cooperation can be established. For example, medical students currently participate in a simulation center at Gannon University where nursing,

physician assistant, respiratory therapy and occupational therapy students could learn needed clinical skills.

Temple University School of Pharmacy

By Ina Calligaro

T

emple University School of Pharmacy is located on a Health Science Campus (HSC) that is comprised of the Schools of Dentistry, Medicine, Pharmacy, the College of Health Professions and Temple University Hospital. The School of Podiatric Medicine is located in center city Philadelphia, their students complete rotations at Temple University Hospital. Faculty and students have ample opportunities to collaborate in the provision of patient care, community service projects, research, and interprofessional education initiatives.

Historically pharmacy students participate as active members of multidisciplinary health care teams during their IPPEs and APPEs. In an effort to expand the interprofessional experiences throughout the curriculum a Task Force on Interprofessional Education was established in 2011. Faculty from each health profession program serve on this Task Force which is facilitated by the Senior Provost for Strategic Initiative and Communications.

Continued on page 40

For over 60 years, Kinray has been the full-line, full-service pharmaceutical wholesaler for independent pharmacies.

877.857.9881 | www.kinray.com | email us at allaboutyou@kinray.com Š 2013 Cardinal Health. All rights reserved. KINRAY and the Kinray LOGO are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

Journal Interprofessional Education

continued from page 38

A faculty retreat on interprofessional education hosted by the School of Medicine served to initiate the planning process. Two pilot programs have explored strategies to engage students and faculty in interprofessional education prior to the experiential component of the curriculum. The first involved students from the Schools of Dentistry, Pharmacy, Medicine and the Department of Nursing who completed a workshop on effective communication and then participated in a patient simulation as members of a student interdisciplinary team.

The communication skills of each student and the quality of their interactions were assessed by faculty and graduate students from the Department of Strategic Communication. In spring 2012 the medical and pharmacy students participated in an Objective Structured Clinical Exam (OSCE). This project was so successful that it will be continued on an annual basis.

The Task Force is currently working on developing longitudinal interprofessional experiences throughout the curriculum that address the core competencies identified by the IPEC.3 The first in a series of interprofessional activities is being initiated this spring for first year students from schools across the HSC. Approximately 500 students will be divided into small interprofessional groups facilitated by an interdisciplinary

40 I Pennsylvania Pharmacist I March/April 2014

faculty team. Students will explore attitudes about the various health professions and identify the role each discipline plays on the health care team. Members of the Task Force are also exploring ways to increase the collaboration of students in community service activities. Currently pharmacy students have the opportunity to work with faculty and students from other health professionals in the federally funded Bridging the Gaps Summer Internship Program, the Temple Emergency Action Corp – Homeless (TEACH) and Temple sponsored Health Fairs.

Temple University School of Pharmacy is committed to advancing interprofessional education to prepare future graduates for evolving medical models.

Thomas Jefferson University Jefferson School of Pharmacy

By Elena Umland

T

he Jefferson School of Pharmacy (JSP) at Thomas Jefferson University (TJU) is the newest pharmacy school in the state. JSP has a four-year Doctor of Pharmacy program that graduated its first class in May of 2012 and has received full accreditation from the Accreditation Council for Pharmacy Education. It has a class size of 75 students.

TJU and JSP are committed to IPE; the University’s Jefferson IPE

Center (JCIPE) was founded in 2007 to improve interprofessional care (IPC) through implementing and evaluating patient-centered education throughout the TJU curricula. All TJU curricula (pharmacy, couples and family therapy (CFT), medicine, nursing, occupational therapy (OT), physical therapy (PT) and radiologic sciences) incorporate IPE components. All first and second year pharmacy students are required to complete the two-year Jefferson Health Mentors program (HMP). In this program, each pharmacy student is randomly assigned to a team that includes students from two or more other disciplines and a Health Mentor (HM), a community volunteer over the age of 18 who has one or more chronic illnesses. The goals of the HMP are for students to: 1.) value the contributions of each member of the interprofessional healthcare team; 2.) understand the patient’s perspective and value patient-centered care and 3.) appreciate how a person’s health conditions and/or impairments interact with personal and environmental factors. To achieve these goals over the two year HMP, the team with their mentor completes 4 modules that include a comprehensive health history, creation of an evidencebased wellness plan specific for their HM, a home visit to assess patient safety issues and a final visit focusing on self-management support and behavior change.

IPE programming continues as all third year pharmacy students are required to participate in a half-day

Journal program with medicine, OT, nursing and seminary students that focuses on end of life and breaking bad news.

Other IPE programs that JSP pharmacy students in their third and fourth years participate in, depending upon their introductory or advanced pharmacy practice experience at the time, include a half day discharge planning symposium, clinical rounding where the focus of the experience includes observing and/or practicing team skills as well as focusing on the clinical elements at hand, and recorded, simulated team-based IPE acute care scenarios based upon the Team STEPPs® curriculum.

Over the past eight years, JSP faculty and students have presented numerous papers and posters describing the delivery, evaluation and successes/ challenges associated with these various IPE experiences at local, national and international educational meetings and summits.

University of Pittsburgh School of Pharmacy

By Susan M. Meyer

A

t the University of Pittsburgh, the School of Pharmacy is one of six health sciences schools. The Schools work collaboratively on interprofessional education initiatives under the guidance of the Working Group on Interprofessional Education.

The Working Group, composed of administrators and faculty, is led by the associate dean for education from the School of Pharmacy. The Working Group believes educating future health care providers to value and respect each other’s unique expertise and to work together is fundamental to care that is effective, safe, of high quality, and efficient.

First-year (P1) pharmacy students, along with all other first-year health sciences students, participate in the fall Interprofessional Forum.

This two-hour program, which includes a standardized patient interview and reflections from an interprofessional team of faculty clinicians, is designed to introduce the areas of expertise of various health professionals; demonstrate the importance of teamwork from the patient’s perspective; and describe how health professions education programs are addressing interprofessional competencies.

P1 students in their Introductory Pharmacy Practice Experiences develop skills to communicate effectively with patients and other health professionals and learn to document such interactions.

In the P2 year, interprofessional interaction has been addressed through lectures, discussion, and simulation activities, including: • Large group discussion about how myths and stereotypes about other health care professionals may impact interprofessional communication and teamwork.

• Lecture on interprofessional communication focused on

strategies for effective teamwork in health care. The lecture was followed by a simulation activity where students practiced communication strategies with “standardized colleagues” (simulated physicians) to resolve difficult situations.

P2 students in their Introductory Pharmacy Practice Experiences practice skills for effective communication with patients, pharmacists, and other health professionals about patient drug therapy needs and formulation of a care plan.

P3 students participate in a capstone simulation in which each student interacts with a standardized patient with complex drug-therapy problems that must be identified. After analysis and planning, the student then meets with a standardized physician to provide his/her recommendations for the patient, using evidencebased medicine.

Continued on page 42

Pennsylvania Pharmacist I March/April 2014 I 41

Journal Interprofessional Education

continued from page 41

While many advanced pharmacy practice experiences (APPE) in the P4 year engage students in interprofessional collaborative teams, two rotations have been deliberately designed to focus on interprofessional team-based care.

One was designed in collaboration with medicine, nursing, and social work and focuses on team-based care for patients with end-stage renal disease, and one engages students from pharmacy, medicine, and advanced practice nursing in providing team-based care to residents at a long-term care facility.

In addition to interprofessional learning within the curriculum, selected pharmacy students participate in interprofessional extracurricular activities, including the Institute for Healthcare Improvement (IHI) Open School and various fellowship programs that address community service, leadership development, and ethical issues in health care.

University of the Sciences, Philadelphia College of Pharmacy

By Cathy Poon

Philadelphia College of Pharmacy (PCP) is one of five colleges within University of the Sciences (USciences). Other health professional programs offer at USciences include OT, PT, and PA.

42 42 I Pennsylvania I Pennsylvania Pharmacist PharmacistI March/April I March/April 2014 2014

USciences is a private academic institution and is not part of an academic health center. This creates innovative and unlimited opportunities for developing IPE intra- and inter-institutionally for both experiential and didactic learning.

In 2011, PCP/USciences collaborated with Cooper Medical School of Rowan University (CMSRU), to develop an interprofessional, student run clinic as an IPPE. This is a longitudinal 3 year program whereby, first year medical (M1) and P1 students are placed in teams to care for underserved patients in Camden, NJ. Additional students are assigned to each team in subsequent years building teams with cohorts from year 1 to 3 from each profession. Each team participates every other week at the clinic and alternate weeks, at satellite experiences such as, long-term care and community pharmacy. Plans to include other professions are underway.

Intra- and inter-institutional collaborations with University of Pennsylvania (medicine, nursing and social work), along with OT, PT, and PA, create opportunities for IPE simulation workshops. Topics include: goals of care for older adults with lifelimiting illness, transition of care, and patient safety. Simulation workshops focus on IPEC core competencies. Integrated teams include various mixes of the above professional students. Format for these half day simulation workshops include teams learning about each other and their respective professions and

then work together to solve a problem, develop a plan of action or a care plan. Interprofessional communication is a key part of the workshops. At the end of each workshop, there is a debriefing session and assessments.

Additionally, a grant supported project to compare perceived interprofessional competencies pre- and post-ACLS simulation was initiated this past semester.

As part of didactic learning, M1 and fourth year nursing students from The University of Pennsylvania (UPenn) and P3 students participate in a semester long project entitled, Interprofessional Team Assessment Project (ITAP). Each interprofessional team is assigned a patient care team within the UPenn Health System and Childrenâ&#x20AC;&#x2122;s Hospital of Philadelphia.

After interviewing patient care team members and assessing team dynamics by watching the team in action, the IPE teams prepare and deliver a presentation to clinical faculty and practitioner facilitators.

The objective of the project is to learn and assess team dynamics, and craft recommendations for improvement.

Interprofessional course work is being developed with internal and external partners. Recently, a group of P3 pharmacy students participated in a pain course with dental, medical, and nursing students at UPenn. This course was taught by faculty from various professions and serves as a platform for interprofessional teams of students to collaborate on multiple projects.

Journal

Wilkes University School of Pharmacy

By Edward Foote

Wilkes University is a small, independent liberal arts university with approximately 2,300 undergraduate students. The Nesbitt College of Pharmacy and Nursing houses the Schools of Pharmacy and Nursing, the only health professional programs on campus. A small class size of just 72 students allows the SOP to offer a highly personalized, mentored learning experience.

Because Wilkes is not part of a large urban academic health science center, we need to extend our efforts beyond our own campus. A major element of IPE at Wilkes is our participation in the Northeast/Central Pennsylvania Interprofessional Education Coalition (NECPA/IPEC, www.necpaipec.com). The NECPA IPEC consists of a group of faculty members from 11 different regional colleges and universities whose goal is to promote IPE to all healthcare students in our region.

Wilkes University has provided leadership to the NECPA IPEC since its inception.

Our curricula include IPE learning experiences in both the didactic and experiential portions of training. IPE begins with our first year pharmacy (P1) and sophomore nursing students participating in an “Early Learner”

event with first year medical students from The Commonwealth Medical College.

Through small and large group discussions interprofessional and ethical issues are highlighted.

P2 pharmacy students engage with other health care professionals by participating in introductory pharmacy practice experiences (IPPE) in physician offices and at a local visiting nurses association.

These IPPEs have been highly successful in allowing our students to learn from other health professionals and have been in place for several years and so predate the “push” for IPE. This spring, an expanded IPE module is being introduced into our P3 pharmacy care lab. Our pharmacy and junior nursing students will be paired for a 4 week IPE series. The first two weeks will include simulations of a home health visit and an emergent pediatric pulmonary case. In the third week, each pharmacy/ nursing pair will conduct a real home visit with the pharmacy student’s assigned longitudinal care patient. Finally, the teams will all come together for a discussion and debrief. Our P3 and senior nursing students also participate in the annual NECPA IPEC Collaborative Care Summit, with learners from all member colleges/universities

across the region.

The program consists of small interprofessional group discussions surrounding a patient case with a specific focus on interprofessional communication, roles and responsibilities, and teamwork.

In 2013 over 700 students from 17 health professions participated in the summit!

Future plans include documentation and evaluation of interprofessional learning which occur during APPEs. Most of our P4 experiences expose our students to a wide range of health professionals. However, it is necessary to ensure that all students have these opportunities.

Reference List (1) Framework for action on interprofessional education & collaborative practice. 2010. World Health Organization. Available at http://www.who.int/hrh/resources/ framework_action/en/. Accessed 9-302013 (2) Foote EF, Meyer SM, Astle J, Scaramastro T, Umland EM. Interprofessional Education: An Overview and Implications for Pharmacy Preceptors. Pennsylvania Pharmacist. 2014;95(1):27-37.

(3) Core competencies for interprofessional collaborative practice: Report of an expert panel. 2011. Interprofessional Education Collaborative. Available at http://www.aacn.nche.edu/educationresources/ipecreport.pdf. Accessed 9-1-2013. z

Pennsylvania Pharmacist I March/April 2014 I 43

Features

NPLEx ­– National Precursor Log Exchange National Precursor Log Exchange (NPLEx). This real-time electronic tracking system is used across Every day, millions of people the country by retailers and across the country rely on law enforcement to track the effective over-the-counter (OTC) sale of OTC drugs containing cold and allergy medications for pseudoephedrine (PSE), a key their intended use. At the same ingredient in meth. NPLEx is time, a very small percentage of provided free of people buy these charge and is paid Since its inception, same medications for by the PSE with the intent 29 states have passed manufacturers in of diverting legislation adopting states that have a component NPLEx. As of today, passed legislation into the illegal more than 38,000 requiring realand highly pharmacies participate time electronic volatile drug, monitoring of OTC methamphetamine. nationwide.

PSE purchases.

The Consumer Since its inception, 29 states Healthcare Products Association have passed legislation adopting (CHPA) and the National NPLEx. As of today, more than Association of Drug Diversion 38,000 pharmacies participate Investigators (NADDI) partnered nationwide. in the fall of 2009 to launch the

NPLEx Overview

NPLEx in Pennsylvania House Bill 602 (now Act 53), passed in July 2013, requires all retailers that sell OTC PSE to electronically report transactions to NPLEx. The enforcement date for retailers to comply is April 5, 2014.

The gram limits are 3.6 grams per day and 9 grams per 30 days, which is in line with the federal gram limits.

NPLEx and Law Enforcement NPLEx LE is free of charge to law enforcement nationwide.

NPLEx LE provides law enforcement with real-time access to PSE transactions from their desktop, saving investigators countless hours of gathering and poring over manual pharmacy logs.

Available features: • Access to PSE transactions (blocks and purchases) nationwide • Monitor purchase activity and suspicious buying patterns in real-time

NPLEx retailers

44 I Pennsylvania Pharmacist I March/April 2014

• Search for persons that are buying together through the Proximity Search Continued on page 45

Features • Search by county, city, zip code, or address to proactively identify smurfers

NPLEx states ­– every retailer required to submit

• Set up a “Watch” for a specific individual and be automatically notified when they purchase, or are blocked from purchasing PSE at any pharmacy that is contributing dataRegistration Information: To use NPLEx, your business needs only an internet connected computer with a standard web browser. If your store does not sell any over the counter cold and allergy medicine that contain PSE as the active ingredient, or your store is already using NPLEx, there is nothing more you need to do. However, if your store or pharmacy sells PSE over the counter, you will need to register for an account. Please have only one manager or pharmacist in charge follow the steps below to request a store account: • Go to nplex.appriss.com • Click on the “Register for a Store Account” link in the bottom right • At the top of the next form choose Pharmacy or NonPharmacy from the drop down box • Fill out the required information for your store type and click Submit • Please confirm that the email address is valid • Please note that if you have more than one store, you must use a unique email address for each store, email address cannot be associated with more than one store account

NPLEx required (29)

NPLEx legislation introduced

Prescription required

No electronic tracking

NPLEx states

Shortly after you register for your store account, you will receive an email message to the email address provided during registration. This email will provide you with next steps to set up a user account.

The registration needs to be completed by March 1st 2014, in order to comply with the new reporting requirements by April 5th 2014. Some email systems may send this email to your SPAM folder. Please check this folder if you do not see it in your email inbox. If you do not receive an email with a week of registering, please contact our Implementation Support at PANPLEx@appriss.com or 855.675.3972 (855.NPLEx.PA).

After you have registered for your store account, you may want to attend a web-based training.

During this training session, Appriss will perform a live demonstration of NPLEx, train you on how to use the application,

and answer any questions about the service. Trainings will be held every other Tuesday from 11:00AM EST to 12:00PM EST, except for holidays. You can access the webinar at https://appriss. adobeconnect.com/nplexretail/.

Please log in as a “Guest”, you do not need a user name or password for the training session. Once you have logged in as a guest, you may enter your name or the pharmacy you represent. For the audio portion of this training, dial 1(866)879-2360 and enter Conference Code 5202682063.

You may contact the Appriss Implementation Team at 855.675.3972 (855.NPLEx.PA) Mon-Fri, 9:00 AM – 5:00 PM EST or by email at PANPLEx@appriss.com with questions related to account login issues and/or other general questions.

Continued on page 46

Pennsylvania Pharmacist I March/April 2014 I 45

Features NPLEx

continued from page 45

Additional Information Optional Scanner: The NPLEx retail web portal does not require any scanner hardware. However, pharmacies interested in further enhancing their workflow have the option of purchasing scanner that will scan 2D Driver’s License, product UPC, and capture signature. The state of Pennsylvania does NOT require any scanners to participate in

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Whether you are just starting out or looking to expand, Health Mart is a franchise designed for today’s independent pharmacy. Health Mart includes a comprehensive portfolio of marketing, clinical and business solutions to help you care for the health of your patients and your business.

To learn more, call 866.329.0113 or visit growwithmckesson.com

46 I Pennsylvania Pharmacist I March/April 2014

NPLEx. If your pharmacy is interested in obtaining more information on a scanner or have additional questions, please email PANPLEx@appriss.com.

Point-of-Sale Integration: Appriss the software provider of NPLEx, has also completed or is in the process of developing integrations with several point-of-sale (POS) vendors. By integrating with the POS software, transactions can be submitted directly to NPLEx from your POS system instead of using the NPLEx retail web portal. For

additional information on whether your POS system can be integrated with NPLEx, please have your POS vendor contact Appriss at PANPLEx@appriss.com.

This project is sponsored by the National Association of Drug Diversion Investigators.

Again there is no charge to your pharmacy for participating in the project or using the NPLEx retail web portal.

For Information Regarding NPLEx Email panplex@appriss.com. z

Association News

PPA Member Services

Your Member Benefits just got better!

Pennsylvania Pharmacists Association members are now eligible to take advantage of savings with special offers and discounts for theme parks and attractions nationwide including Six Flags®, Water Country USA, Dorney Park, Wild Water Kingdom, Hersheypark, and Paramount’s Kings Dominion! Discounts are also available for attractions in Orlando, FL including the Walt Disney World® Resort, Universal Studios® Orlando, Sea World®, Busch

Gardens® Orlando Dinner Shows and more! But the savings don’t stop there! You can also save on admission to popular attractions in California, Las Vegas, New York, and other parts of the country.

Through this corporate discount program, you have the opportunity to purchase discount tickets year round. Tickets ordered in advance can be mailed directly to you allowing you to have your tickets in-hand before you leave for your trip; saving you time and money!

Go to www.TicketsAtWork.com.

Click on the “Login” Box at the top of the homepage. You will then be prompted to create a username and password, and enter our company code PAPHARM. Once enrolled you will have access to discounts on theme parks and attractions nationwide! Or place your order over the phone by calling customer service at 800331-6483.

Enjoy the savings! z

“Net-Rx” Offsite Backup Service PPA members are eligible to receive an exclusive offer on offsite data backup services through the association’s collaboration with Net-Rx. Net-Rx is a company that provides operational and technical services for pharmacies by providing industry-specific technology solutions. This company’s focus is to help independently owned pharmacies operate smoothly and efficiently. The offsite data backup service is designed for pharmacies, with an IT team that has pharmacy specific training, including familiarity with many of the software dispensing system vendors.

There is no installation hardware – setup is carried out over the phone.

The implementation has no cost, and for PPA members, the service is offered for only $35/month.

For more information on this service, visit the Net-Rx website at www.net-rx.com or contact Courtney Box at cbox@papharmacists.com or (717) 234-6151 ext. 101. z

It’s 3:00 PM. Where is your data?

Pennsylvania PennsylvaniaPharmacist Pharmacist I I March/April March/April2014 2014 II 47

Association News

Pharmacy Technician Corner PPA Pharmacy Technician Profile: Pamela Good, CPhT St. Elizabeth Health Center, Youngstown, OH – Central/IV technician Laurel Technical Institute, Sharon, PA – Pharmacy Technician Program Instructor

What made you want to be a pharmacy technician?

What piece of advice would you give to a new pharmacy technician on their first day?

I enjoy helping people and Everyone makes mistakes, so loved the customer interaction expect to make them! How you in the retail pharmacy. My handle your mistakes is what pharmacist encouraged me to matters. Honesty apply for a hospital is the best policy. pharmacy technician The future of Owning up and position. I went the pharamacy admitting when you through an extensive technician is everare in error fosters hospital training expanding. With a sense of trust for program including recent changes your coworkers. chemotherapy and to healthcare IV preparation management and and found it to be What is your view challenging, but of the future of reimbursement, rewarding work. I the pharmacy more of the started college with technician pharmaacists’ time the dream of being profession? will be spent with a teacher and many The future of the clinical duties. years later, found pharmacy technician myself teaching a is ever-expanding. pharmacy technician program With recent changes to healthcare where I can share my love of management and reimbursement, pharmacy with future technicians. more of the pharmacists’ time will be spent with clinical duties. The

48 I Pennsylvania Pharmacist I March/April 2014

pharmacists will need to provide more counseling and patient education to prevent hospital readmissions. This will leave the technician responsible for more technical duties than ever before. z

Association News

Appreciate Your Pharmacy Technician! They Deserve it!

Pamela Good, CPhT Every time there’s a mechanical malfunction, the pharmacists express how much they appreciate me. We’re a fully automated, robotic pharmacy. Along with automation, comes “technical difficulties”. The technicians at our hospital are the technology experts; from dealing with Robot-Rx problems to Med. Carousel issues to Pyxis machine malfunctions. Automation is wonderful – when it operates properly.

Iris Apple, CPhT I had taken the OTC section over at the pharmacy I was working at. After many long hours of rearranging, ordering new products, and weeding out items that didn’t sell, I declared the section redone. A few weeks later, the CEO and the owner of the company came for a visit. Separately, both asked my manager who was in charge of the OTC section because it looked great. That is the moment I felt I could beam with pride and feel appreciated.

Ashley A. Owens, CPhT There have been several occasions where I felt appreciated at my pharmacy. However, I really felt appreciated when Target’s guest survey came out and a guest left a comment about how

she loves coming TPA was needed, To have a guest to the pharmacy so I hurriedly put make a comment because my customer the medication into about my service, service makes her the pass-through really solidified to and her family feel window then me that my work like they’re among rushed in to gown ... does make a friends. To have up. I had the TPA a guest make a difference in people’s reconstituted before comment about the pharmacist came lives. my service, really in with the dosage — Ashley A. Owens, CPhT solidified to me information, so it that my work as a only took me a pharmacy technician does make moment to draw up both the bolus a difference in people’s lives. and the drip, and have both back to him. As he was checking them, he thanked me for my speed and Donna Foster, CPhT complimented me on my efforts!

There is one pharmacist I I was stunned, but on top of the work with who, although nice, world! :) z is very straight-laced and quiet, rarely thanking anyone for their efforts. I had been told a stroke

Pennsylvania Pharmacist I March/April 2014 I 49

Association News Schedule of Activities: 8:00 a.m.

Registration begins— East Wing Rotunda, Capitol Building 8:30 - 10:00 a.m.

Continental breakfast for attendees, invited legislators and staffers—East Wing Rotunda 10:00 - 11:00 a.m.

Pharmacy Rally— Main Rotunda 8:30 a.m. - 2:00 p.m.

Screenings and informational displays presented by student members of PPA—East Wing Rotunda 8:30 a.m. - 2:00 p.m.

Legislative appointments as scheduled with legislators or staffers PPA will provide you with issue briefings, background papers and leave-behind packets for the major legislative issues affecting pharmacy.

Advance briefings: Conference calls to help you prepare for the issues will be held: Pharmacists:

Tuesday, March 25 at 2:00 p.m.

Wednesday, March 26 at 7:30 p.m.

Students:

Wednesday, March 26 – 4:00 p.m.

Thursday, March 27 – 7:30 p.m.

Don’t miss this opportunity to add volume to the voice of pharmacy in Harrisburg!

PPA

PHARMACY LEGISLATIVE DAY

WEDNESDAY, APRIL 2 Calling all Pennsylvania Pharmacists, Pharmacy Technicians, And Student Pharmacists!

We need you to be here and speak out for the Future of pharmacy and for your patients!

Are You Frustrated about a level playing field for pharmacy?

Experiencing or experienced an unfair pharmacy audit?

Interested in expanding your immunization care to adolescents?

Passionate about advancing pharmacy practice?

You need to be here on April 2 and join us to speak out for pharmacy

“I came to Legislative Day because I wanted to represent community pharmacists throughout the entire state that share the same concerns as I do. We need to let the legislators know that we will not stand by and let PBM's control our future anymore. I feel that being in Harrisburg face-to-face with our Representatives and Senators carries more weight then an email or phone call. They know I really care! ” Dave Cunningham, Independent Pharmacy Owner

Association News

Association News

Association News

Association News

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