Pennsylvania September/October 2015 z Volume 96 z Issue 5
The official publication of the Pennsylvania Pharmacists Association
October is American Pharmacists Month!
PRSRT STD U.S. POSTAGE PAID HARRISBURG PA PERMIT NO 533
How are you celebrating?
Last Chance to Register for the Annual Conference! October 1-4, 2015
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PPA Board of Directors PPA Officers: President: Donna Hazel, R.Ph President-Elect: Eric Pusey, R.Ph, CDE First Vice President: Nick Leon, PharmD, BCPS, BCACP Immediate Past President: Eric R. Esterbrook, RPh
Our Vision
Pennsylvania pharmacists will be recognized, engaged, and fairly compensated as health-care providers.
Regional Directors: Central: Ellen Nastase, RPh Northeast: Tom Franko, PharmD, BCACP Northwest: Nickolas Kernich, PharmD Southeast: Mark Lawson, PharmD, MBA Southwest: Lauren Simko, PharmD Practice Directors: Academia: Roshni Patel, PharmD Chain Pharmacists: Cory Krebs, R.Ph. Community Independent Pharmacists/LTC: Martin J. Kendra, R.Ph and Chuck Kray, R.Ph Health System Pharmacists: Rick Demers, R.Ph, MS FASHP Manage Care/Industry/Government/Other: Julene Vidic, RPh Associates: Todd Eury Student Pharmacists: East: Hamad Juboori West: Madison Adams PPA Office Staff: CEO: Patricia A. Epple, CAE pepple@papharmacists.com Ext. 3 Program Manager: Sara Powers spowers@papharmacists.com Ext. 2 Government Relations Manager: Donald L. Smith, III Ext. 6 dsmith@papharmacists.com Communications Coordinator: Alison Bowker Ext. 1 abowker@papharmacists.com Membership Coordinator: Danielle Adams dadams@papharmacists.com Ext. 5 PPCN Executive Manager: Brandon Antinopoulos ppcn@papharmacists.com Pennsylvania Pharmacists Association (PPA) 508 North Third Street, Harrisburg, PA 17101 (717) 234-6151 Fax: (717) 236-1618 www.papharmacists.com ppa@papharmacists.com 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 nonmembers; 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.
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................................................................................... 3 Calendar of Events..................................................................................... 5 Campus Checkup.................................................................................... 22 New Members.......................................................................................... 38 Member News.......................................................................................... 44
Features Collaborative Practice Regulations.............................................................. 6 Member Profile: Luke Barnes, PharmD..................................................... 13 Student Profile: Scott Bechtel................................................................... 14 Pharmacy Spotlight: Community Pharmacy is Where it’s at for Mark Green, PharmD...................................................................... 18 PPA Legislator Profile: Brandon Neuman.................................................. 27 Rx and the Law: Wrongful Conduct Rule.................................................. 28 Financial Forum: Gauging Your Financial Well-Being................................. 36 Meet Pennsylvania’s 2015-16 Residents!.................................................. 36
Association News
Designed and Published by: Graphtech Sarah DiCello, Publications Manager (717) 238-5751 x118, sarah@thinkgraphtech.com
Where Are They Now?................................................................................ 8 Corrections................................................................................................. 8 Affiliated County News.............................................................................. 11 Where Are They Now? Outstanding Student Award Winners 2014........... 20 PPA Welcomes Danielle Adams................................................................ 21 Free Ways to Give.................................................................................... 24 Flu Immunization for Children Nine and Older Now Permitted!.................. 25 APPE Rotation with PPA: More than Meets the Eye.................................. 30 My Rotation with PPA: A Rewarding Experience....................................... 33 This is what you told us!........................................................................... 34
For Advertising Information: Alexis Kierce, Account Manager (717) 238-5751 x119, alexis@thinkgraphtech.com
Industry News
Editorial Board: Hershey S. Bell, M.D.,M.S.,FAAFP, Chair Kim Coley Stephanie Smith Cooney, PharmD. Bernard Graham, PhD. Brian S. Plager, RPh., MBA Associate Editor: Alison Bowker Editor/Manager: Pat Epple
Pharmacist State Board of Pharmacy Members: Gayle A. Cotchen, PharmD., MBA – Institutional Rob Frankil – Independent Community Janet Hart – Chain Community Theresa M. Talbott, R.Ph. – Chain Community Mark J. Zilner, R.Ph. – Independent Community Board of Pharmacy Meeting Dates: September 15, 2015 October 20, 2015 November 17, 2015 December 15, 2015 On the Cover: Scenes from the Annual Conference 2014. Attend the conference this year and join in the fun! Disclaimer — The opinions of the authors reflected in this publication do not necessarily reflect PPA’s official position on an issue.
Act 31 - Child Abuse Reporting Requirements.......................................... 17 APhA Launches Patient Self-Management Solutions................................ 26 Advertisers Index American Pharmacy Services Corporation 15 AmerisourceBergen 19 Buy-Sellapharmacy.com 29 Cardinal Health 9 Hayslip & Zost 37 HD Smith 26 Independent Pharmacy Buying Group 46 The Jefferson School of Pharmacy 2 The Keystone Pharmacy Purchasing Alliance 42
McKesson / Health Mart 41 Pharmacists Mutual Insurance Company Inside Back Cover PRS Pharmacy Services Inside Front Cover QS/1 Back Cover R.J. Hedges & Associates 31 Rochester Drug Company 4 S&L Solutions LLC 41 University of Pittsburgh School of Pharmacy 12 Value Drug Company 32
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Departments
Donna Hazel, R.Ph PPA President 2015–2016
Message from the President
I
t’s hard to believe that summer is almost over, seems education is continual and ongoing throughout our like it just started yesterday. I hope everyone has had career, the PPA annual conference has always been a time to take a vacation and relax a bit. great way to expand our knowledge. The PPA Board started the summer off by attending October is also Pharmacists month. I know we the annual Board and Leadership Retreat in July, where have a lot of pharmacists doing special projects I got to better acquaint myself with the new members during this month to help spread the word about what of the Board as well as catch up with returning Board Pharmacists in Pennsylvania are doing to help their members. Your Board was hard at work, taking new patients. Please, if you are doing something unique, Directions, and Driving let us know so we can ideas utilizing our strategic Knowing that our education is continual spotlight your activities in plan. We created a and ongoing throughout our career, the the Pennsylvania Pharmacist Dashboard to monitor how magazine. PPA annual conference has always been we are doing to become I hope to talk with many a great way to expand our knowledge. of you personally at the the best board for you, the membership. conference: With summer coming to an end, that means our yearly conference will be here before we know it. Pharmacists: The Best Bet for Patient Care The theme this year is “Pharmacists: The Best PPA 2015 Annual Conference Bet for Patient Care.” What a great theme! As Holiday Inn Harrisburg-Hershey in Grantville, PA pharmacists, we all strive to move patient care to the October 1 to 4, 2015. next level in the Commonwealth of Pennsylvania. This year the conference will be in the Harrisburg/ Please register for the conference and BOOK your Hershey area near the Hollywood Casino and over room now, they are going fast! 20 LIVE CE programs will be offered. I personally I am sure it will be a Roulette of a good time. am having difficulty selecting which CE programs I Donna Hazel, R.Ph will attend because of the high quality of programs offered. I would again ask that we look at the oath PPA President 2015–2016 z of pharmacist, which states: “I will accept the lifelong obligation to improve my professional knowledge and competence.” Knowing that our
Pennsylvania Pharmacist I July/August 2015 I 3
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DIAMOND LEVEL
PLATINUM LEVEL
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Calendar of Events
October
1-4
PPA Annual Conference The Best Bet for Patient Care — Grantville, PA
1
PPA Board of Directors Meeting
2
PPA Foundation Board of Directors Meeting
9–11
NASPA Fall Meeting — Washington DC
10–14
NCPA Annual Conference — Washington DC
18–21
ACCP Global Clinical Pharmacy Conference — San Francisco, CA
AMCP Educational Conference — Orlando, FL
26–29
November
SILVER LEVEL
19
PPA Board of Directors Meeting
December
6–10
ASHP Mid-Year Clinical Meeting — New Orleans, LA
January
BRONZE LEVEL
28-31
PPA Mid-Year Conference The Future of Pharmacy: Connect, Collaborate, Care — Harrisburg, PA
29
Foundation Board of Directors Meeting
31
PPA Board of Directors Meting
March
4-7
APhA Annual Meeting — Baltimore, MD
For additional events including webinars, CE opportunities, and PPA committee meetings, be sure to see our Calendar of Events on the PPA website!
October 2015 How Do You Plan to Celebrate? Pennsylvania Pharmacist I July/August 2015 I 5
Features
Collaborative Practice Regulations Finally after many years of waiting – since 2010 – Collaborative Practice for pharmacists in any practice setting is permitted. The Independent Regulatory Review Commission (IRRC) voted to approve the final form of the regulation on July 9 and with its publication in the PA Bulletin, expected by the end of August, the Act and its regulations are final and pharmacists can now expand their practice under this guidance. Here is a short summary of the Act and regulations. The main objectives were: 1. To employ regulations from Act 29 of 2010, which will amend the Pharmacy Act to provide for collaborative management of drug therapy between a physician and pharmacist in a noninstitutional setting, without giving prescriptive authority to the pharmacist 2. To utilize with consistency the statutory terms 3. To clarify and update the liability insurance obligations for pharmacists who are participating in collaborative management of drug therapy in any setting. Amended existing regulations 27.1, 27.301 and 27.311 and will add 27.302 and 27.312, which will discuss collaborative agreement for management of drug therapy in a non-institutional setting and certification of professional liability insurance. The management of drug therapy is considered: 1. Adjusting a drug regimen 2. Adjusting drug strength, frequency of administration or route 3. Administration of drugs 4. Ordering laboratory tests and ordering and performing other diagnostic tests necessary in the management of drug therapy, consistent with the testing standards of the institution 5. Monitoring the patient’s vital signs 6. Providing education and training to the patient that is related to the management of the drug therapy
6 I Pennsylvania Pharmacist I September/October 2015
Management in a non-institutional setting: Need a written collaborative agreement with a physician authorizing management of drug therapy for diseases or conditions/symptoms of a disease. Must be between physician and a pharmacists Pharmacist may not give economic or other incentives, inducements or benefits to physician to get them to enter into a collaborative agreement A pharmacists employed by a physician under a collaborative agreement for management of drug therapy may not engage in retail dispensing while in the health care practice or within the context of employment The collaborative agreement must contain: 1. A statement identifying the physician responsible for authorizing the management of drug therapy 2. A statement identifying the pharmacist authorized to perform the management of drug therapy 3. A statement requiring that regimens for the management of drug therapy be initiated by a physician for patients referred to a pharmacist for management of drug therapy 4. A statement identifying the types of decisions relating to the management of drug therapy that the pharmacist is authorized to make within the physician’s scope of practice and types of management of drug therapy authorized 5. A statement identifying the terms under which a pharmacist providing the management of
Features drug therapy is permitted to: adjust the drug regimen, the drug strength and the frequency of administration or the route of administration; administer drugs; order laboratory tests and order and perform other diagnostic tests necessary in the management of drug therapy without prior written or oral consent by the collaborating physician. This section does not provide prescriptive authority to a pharmacist. 6. A statement of the functions and tasks the pharmacist shall follow in the course of exercising management of drug therapy, including the method for documenting decisions made and a plan for communication or feedback to the authorizing physician concerning specific decisions made. Documentation of each intervention shall occur as soon as practicable, but no later than 72 hours after the intervention, and be recorded in the pharmacist’s records. 7. A statement that requires notification to the authoring physician of any changes in dose, duration or frequency of medication prescribed as soon as practicable but no longer than 72 hours after the change. 8. A provision for implementation of the collaborative agreement when a physician or pharmacist who is a party to the agreement is temporarily unavailable to participate in its implementation 9. A provision for notification of the role of the pharmacist by a physician to each referred patient the management of whose drug therapy may be affected by the collaborative agreement and providing an opportunity for the patient to refuse management of drug therapy by a pharmacist 10. The signatures of the physicians and pharmacists who are entering into the collaborative agreement and the dates signed 11. A statement allowing for the termination of the collaborative agreement at the request of a party to it at any time The agreement must be available: at the practice sites of each physician and pharmacist, to any patient who is affected by the protocol and upon request to representatives of the Bureau of Professional and
Occupational Affairs (BPOA) and the Department of Health THE COLLABORATIVE AGREEMENT MUST BE FILED WITH THE BUREAU (BPOA). Agreement must be maintained on the premises of the pharmacy for review during inspection or by request of representatives of the BPOA and the Department of Health The protocol is effective for a period of no more than 2 years and at the end of the period (or sooner) the parties shall review, make any modifications, and determine renewal The pharmacist shall: 1. Utilize an area for in-person, telephone or other approved electronic consultations regarding the management of drug therapy that ensures the confidentiality of the patient information being discussed 2. Initiate the management of drug therapy only upon a written referral to the pharmacist from the physician. The written referral must include the minimum frequency in which the pharmacist shall conduct the management of the drug therapy in person 3. Confirm that the physician who is a party to the collaborative agreement holds an active and unrestricted license and that the terms of the collaborative agreement are within the scope of the physician’s current practice at the time of the execution of the collaborative agreement Patient Records: 1. The pharmacist shall have access to the records of the patient who is the recipient of the management of drug therapy 2. The authorizing physician shall have access to the pharmacy records pertaining to the patient receiving management of drug therapy 3. Handling of patient records must comply with HIPPA
Continued on page 15
Pennsylvania Pharmacist I September/October 2015 I 7
Association News
Where are they now? This past year PPA was honored to have four students on rotation with us. Here is a small blurb on what one of our students is doing upon graduation. The other ones can be found in the previous issue of the PA Pharmacist.
Alysha Lopez I cannot believe it has been over a year since APPEs started in 2014 and that just shy of the year I was sitting in the Pennsylvania Pharmacist office learning the ropes. The whole affair flew by quite rapidly and here I am, alive and still partially sane, a full-fledged Registered Pharmacist in the Commonwealth of Pennsylvania. Late July 2015 I begin my first career opportunity as a clinical pharmacist for Geisinger at the Lewistown Hospital. I have an inkling that it will be a positive fit for both myself and Lewistown; there have been many changes to the hospital in the last two years and I am highly motivated to continue to help my campus
Corrections
Director of Health Systems Pharmists Rick Demers
In the last issue of the PA Pharmacist Rick Demers was left out of the Meet the Board Page. This year Rick will be serving as the Director of Health Systems Pharmacists. This is the second year of Rick’s first term on the board. On the Student Board Page Madison Adams and Jennifer
8 I Pennsylvania Pharmacist I July/August 2015
grow. One goal I have is to help implement a more structured clinical and teaching atmosphere at the Lewistown campus. I couldn’t be happier to be done with college. My close friends and family know that I have been waiting to get back into my usual routine and hobbies I enjoyed prior to the stress of college. I did not hesitate to fulfill my first goal of adopting a dog once I had my own place. I got “Tamale” the Chihuahua from a local animal rescue in Burnham, PA, called R.O.F.F. (rescue our furry friends). I plan to continue to assist R.O.F.F. and other local shelters as well as utilize social media to find and rehome lost pets. In the future I look forward to enjoying the late summer/fall season outdoors, finding a local community band to play the saxophone with and of course seeing all of you at the PPA Conferences! z Smith’s photos were swapped. Madison is the Director of the West for both the Student and PPA Boards. Jennifer is serving as the Foundation Director on the Student Advisory Board. z
Foundation Director Jennifer Smith Wilkes University
Director – West Madison Adams University of Pittsburgh
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Last Chance Don’t forget to register for the PPA Annual Conference! October 1—4, 2015 Holiday Inn Harrisburg-Hershey Grantville, PA papharmacists.com/? annual2015
Association News
Affiliated County News BMPA Hosts Successful ACPA Has Plenty Dinner & CE Program to Celebrate Earlier this summer, BMPA sponsored a meeting designed to increase awareness and stimulate new membership by offering a dinner/CE program free of charge to all members and nonmembers. The attendance at this meeting was a record high with over 50 attendees. Handouts describing the benefits of PPA/BMPA membership were made available to all attendees, and it is anticipated that the success of this meeting will generate an increased interest with local pharmacists and pharmacy technicians. BMPA is planning an informational dinner meeting for Thursday, October 22, 2015 on the topic of biosimilars and the program is being sponsored by Amgen, Inc. Additional details about the meeting will be posted on the PPA and BMPA web pages as soon as it is available (http://www. papharmacists. com/members/ group.aspx?id= 134182). z
ACPA members came together to celebrate the work and accomplishments of now Past President, Karen Steinmetz Pater, PharmD, BCPS, CDE at the annual ACPA President’s Dinner. Some of Karen’s family came all the way from Tennessee for the evening at Pittsburgh’s Penn Brewery. ACPA is grateful for all the hard work Karen and other Board members have done this past year.
ACPA President’s Dinner
In other ACPA family news, 2015-2016 President, Maria Osborne, PharmD, BCACP, CDE welcomed a new addition to her family. Leo Joseph Osborne was born on June 26 at a happy and healthy 7 lbs. 4 oz. Congratulations to Maria and her family! z
Baby Leo Joseph Osborne
Pennsylvania Pharmacist I July/August 2015 I 11
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Features
Member Profile Luke Barnes, PharmD By Katrina A. Lynn, PharmD, Candidate 2015 Wilkes University
Luke Barnes, originally from Somerset County, began his pharmacy journey at Duquesne University. His internship experience and early pharmacy career as a floater, staff pharmacist, and pharmacy manager were all community pharmacies. He is currently employed at Ahold USA, and recently became the Senior Manager of Pharmacy Technology. What is Ahold USA? Ahold USA is a support center for four different grocery chain divisions in the northeast; Giant Food Stores, Giant Landover Division, Stop and Shop New England, and Stop and Shop New York. There are 563 pharmacies within these divisions spread over eleven states. Ahold USA’s main headquarters
is in Carlisle, PA, where Barnes is employed, and a branch is also located in Quincy, MA. What does a typical day look like for you as Senior Manager of Pharmacy Technology? Currently, the implementation of a new pharmacy system takes up the majority of Barnes’ time. This involves much more than you would first think, from the interactive voice response (IVR), receiving prescriptions online, how to contact a doctor, and integrating dispensing machines, all interfaces must be thought out. With the new system, Barnes and staff are trying to optimize work flow procedures to best utilize the system. In doing this, they need to be cognizant of employees, and are utilizing a change management strategy to prepare for all changes. How did you choose pharmacy as a profession? When it was time for Barnes to apply to schools, pharmacists were still at a shortage. Barnes knew he wanted to go into the health field, and to help people. The process of becoming a doctor was a bit too long for Barnes, and pharmacy seemed like an intermediary profession that would ensure him a good job, good pay, and the ability and knowledge to make a
difference in people’s lives. How did you become involved with PPA? There was no PPA Chapter at Duquesne when Barnes was in school, but he and some friends decided that this was the organization they really wanted to get involved in, so they started a chapter. Now, he finds it rewarding speaking with Duquesne students at conferences and seeing how the chapter has really grown! Would you recommend other pharmacists join PPA, why? Definitely, the rewards with PPA stem back to being able to positively affect state legislation where you practice. Legislation affects the realm of pharmacy practice, reimbursement rates, and third party audit regulations; which affect Barnes and the business aspect of pharmacy. More aspects of pharmacy are beginning to be regulated at the state level, and advocating on a state level is a big piece to growing the profession, so the more advocates we have, the louder the voice we have! If you are not working, where can you be found? Barnes would most likely be hanging out with wife, Lauren, and four-yearold son, Landon. They love tossing the ball, biking, and the jungle gym! z
Pennsylvania Pharmacist I July/August 2015 I 13
Features
Student Profile Scott Bechtel Pennsylvania Pharmacists Association Student-Member Profile By Matt Veli, PharmD, Candidate, 2016 Duquesne University
Name: Scott Bechtel Education and Expected Graduation Year: University of Pittsburgh 2017 Internships: Bechtel’s pharmacy, University of Pittsburgh / NACDS Member Since: 09/10/2013 Rotations: Rite Aid (community IPPE), APPRISE Why did you choose to study pharmacy? My family owns a pharmacy, so I practically grew up around the profession. Before deciding, I spent time in the pharmacy and saw the personal relationships and mutual respect that my family has built with their patients and community. This drew me into pharmacy and is something I would like to continue throughout my own professional career.
How did you hear about PPA? / Why did you choose to become involved in PPA? My uncle, Edward Bechtel, has always been involved with PPA and at one time was even the president, so I heard a lot about PPA through him. I plan on being involved with PPA throughout my career in order to help advance pharmacy as a profession within the state of Pennsylvania. Would you recommend joining PPA to other students and why? Of course I would; pharmacy is a small world and I believe joining PPA is a great way to become more involved in that world and make connections, especially at an early stage in a person’s career. What other organizations (Pharmacy related and non) are you involved in at your school? One organization I’m proud to be involved with is Phi Delta Chi – Mu chapter. Our chapter has improved significantly over the past couple of years, narrowly missing the award for most improved chapter. For the past two years we have raised over $11,000 for St. Jude’s Children’s Hospital through their Give Thanks Walk and we have also given health presentations to the Pittsburgh
14 I Pennsylvania Pharmacist I September/October 2015
community on the topics of Diabetes, Hypertension, and more. Where do you see yourself in five years? In five years, I hope to be well on my way toward becoming a certified ambulatory care pharmacist and offering multiple clinical services to patients while working at my family’s pharmacy. That is, if my uncle and father let me come work for them. What has been your favorite rotation/internship/pharmacy related job you’ve been on and why? Over the summer I had an internship with Pitt and the NACDS. I enjoyed this internship the most because it allowed me to have the opportunity to meet and interact with a multitude of pharmacists involved with many different organizations. I’ve also been able to complete some basic research in pharmacy clinical services, which is a topic I’m very interested in for the future. What advice would you give first year pharmacy students? As a first year student I wish I would have been more knowledgeable about the many different types of pharmacy there are. For instance, I was unsure what an ambulatory care pharmacist actually was until my
Features second year of pharmacy school, and now I plan to direct my career down that path. So, my advice for first year students is to do a little research into the many avenues of pharmacy available. When you aren’t working where can you be found? When I’m not working I can normally be found in one of two places, either outside kicking a soccer ball around or binge watching shows on Netflix. z
Professional Liability Insurance (Written Protocol and Collaborative Agreement): Minimum amount of $1,000,000 per occurrence or claims made. Acceptable forms: 1. Personally purchased professional liability insurance 2. Professional liability insurance coverage provided by the individual licensee’s employer 3. Similar insurance coverage acceptable to the Board Must submit certification form to the Board with the written protocol and affidavit with the collaborative agreement Must produce upon request to the Board or its agents a certificate of insurance regarding the licensee’s maintenance of professional liability insurance, including policies, cancelled checks, receipts or other proofs of premium payment Failure to maintain insurance will result in disciplinary action z
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Pennsylvania Pharmacist I September/October 2015 I 15
Build your patient care practice: Join the CMMC The Comprehensive Medication Management Collaborative (CMMC) is PPA’s exciting new learning collaborative focused on providing pharmacists with resources and tools in order to increase opportunities to provide direct patient care through medication management services. Membership in the CMMC is available to any pharmacist, and it is the entry point gateway to participating in PPCN contract services. Benefits of being a CMMC member:
Access to the PPCN On-line MTM training worth 6 hours CE credit
Eligible upon completion of online training for the live portion worth 3 hours of CE credit
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Obtain support from the PPCN Mentor Collaborative
Plus access to additional special programs and benefits
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IMMEDIATE CMMC BENEFIT:
Receive $140 off the registration fee for PPA’s Point-of-Care Testing Certificate Program offered at the 2015 Annual Conference
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Industry News
Act 31 - Child Abuse Reporting Requirements Do you know your responsibilities under this new law? Well you better – because effective for your next license renewal, you will need under Act 31 to fulfill a two hour training program prior to your next license renewal (9/30/2016). There is a free course that has been approved by the PA Department of Human Services and Department of State to meet mandated reporting (Act 31) license requirements. While this free program is three hours in length, you can still utilize it to meet the requirement because the State Board of Pharmacy has agreed to accept either a two hour or three hour approved course. So while there are both two and three hour courses available, both for free and for a cost, the Board will accept either the two hour or three hour course in its entirety and reduce the required amount of credit in ACPE courses to 27 or 28 hours of credit after subtracting your Act 31 credits from the total of 30 needed for renewal. To be absolutely clear, if you take a three hour Act 31 course, you will need 27 additional ACPE hours of credit. If you take a two hour Act 31 course, you will need 28 credit hours of additional ACPE. Act 31 courses do not have to also be ACPE approved but could be. Information and links to both the free course and the list of other options can be found on the PPA website at http://www.papharmacists. com/?page=LawsRegs PPA highly recommends NOT waiting until the last minute and
working on fulfilling this requirement now and/or throughout the year ahead. It is important to note that some of the course providers only report those who have fulfilled the requirement on a bi-weekly or monthly basis, so you need to be sure to allow enough time for the Department of State/State Board of Pharmacy to get the information. Please note any course must be approved by either or both, the PA Department of State or the PA Department of Human Services to meet this requirement. The State Board of Pharmacy has stated that courses do not need to be ACPE accredited as long as approved by the above agencies as fulfilling the law. When you go to renew your license next year in 2016, the Department of State will match the license list against the reporting of those who took an approved program. If you don’t have any record of taking an appropriate class you will be unable to renew your license! If you do have a record of fulfilling the requirement, you will only need an additional 27 or 28 hours of ACPE, accredited continuing education, (depending on whether you took a two or three hour course for the Act 31 training). It is also important to note that for initial licenses, this includes people transferring into the state and new pharmacy interns, the three hour course is required PRIOR to obtaining the Pennsylvania license. Please feel free to contact Pat Epple at PPA if you have any questions on this. z
Pennsylvania Pharmacist I July/August 2015 I 17
Features
Pharmacy Spotlight Community Pharmacy is Where it’s at for Mark Green, Pharm.D. Compiled by: Katrina Lynn, 2015 PharmD Candidate, Wilkes University Mark Green is a Clinical Consultant and Community Pharmacist at Hershey Pharmacy and Hershey Care. Green attended Wilkes University School of Pharmacy. He chose Wilkes for its proximity to home, small dedicated class sizes, and good name as a pharmacy school. Upon graduation with his doctor of pharmacy from Wilkes, Green
decided to continue his education with a PGY1 in community pharmacy. His residency position was through Wilkes with the Medicine Shoppe in Dallas, PA. From a young age, Green got the sense that pharmacy was a good profession. Growing up, he knew local pharmacists in his hometown of Ashland, PA. He realized that with a pharmacy degree, you can use your education and help people at the same time. Green has always been a people person, so he knew he would enjoy the personal interaction that pharmacy involves as well. Community pharmacy was always Green’s area of interest. He wanted to interact with patients on a personal level, instead of filling prescriptions for patients from a distant room in a hospital. While completing his residency with Dr. Olenak—Wilkes University faculty member—he began to realize all the available avenues to community pharmacists. It opened his eyes to medication therapy
18 I Pennsylvania Pharmacist I September/October 2015
management services, point of care testing, and numerous counseling opportunities. He realized through his rotations and residency that independent pharmacies were really spearheading these services, so he reached out to Hershey Pharmacy as a potential employer. The independent community pharmacy was the perfect fit for Green who uses his clinical skills while being a community pharmacist. His love of retail, the setting, and clinical services stems from his ability to truly make a difference in patients’ lives! Green wears numerous hats with Hershey Pharmacy. First and foremost he is a clinical community pharmacist who dispenses prescriptions, completes general patient interactions and patient care activities, and offers clinical services such as vaccines. Hershey Pharmacy is also a compounding pharmacy, so that adds an additional component to his position. Within the system, long term care and clinical consulting services exist as well. Green fills in occasionally at the long term care branch of the
Features pharmacy system. As far as the consulting services are concerned, Green plays a big part in carrying out these services on a monthly basis. Green personally consults at three nursing homes in the Hershey area for about 300 patients total. Green loves his work there as well, as he feels that seniors are a vital population of patients that occasionally get overlooked. This position allows him to look over medical records once a month and make an impact on patients’ medications by making suggestions and catching errors that could be especially harmful to a patient who is older. Along with consulting services, Green has been able to participate in community events for nursing homes. He is able to interact with patients on a one on one basis, offering immunizations and education. Green has completed education topics on osteoporosis, medications, sunscreen use, and influenza/influenza vaccines. Green definitely enjoys the bonds that patients develop with you as a pharmacist and health care provider. He loves the personal satisfaction when patients come to you as their community pharmacist with questions and trust the advice given to them. He notes that this is very rewarding for him. He became involved with PPA during his residency year. Through his rotations, P4 year, and a residency, he became more aware of advanced community practice, and realized it was one of his interests and that it could be a reality for him. Through PPA and his professional experiences with the organization, he established that any community pharmacist can be involved with advanced practice in his or her particular setting with the correct mindset. He started going to conferences, and notes that PPA has some of the most useful sessions at conferences, everything is relevant. Because PPA provides updates on pharmacy news in Pennsylvania Green is able to participate in advocacy efforts to advance our practice to the top of its limits. z
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Pennsylvania Pharmacist I September/October 2015 I 19
Association News
Where Are They Now? Outstanding Student Award Winners 2014 PPA’s caught up with the 2014 Outstanding Students to see how their first year as pharmacists went.
Brandon Antinopoulos PharmD University of Pittsburgh This past year has been amazing for me as a PGY1 Community Pharmacy Resident at the University of Pittsburgh. I’ve been able to enhance my skills in providing direct patient care and working collaboratively with health care teams. This year also provided a unique opportunity to work with PPA to advance the Pennsylvania Pharmacists Care Network (PPCN). I want to create opportunities for pharmacists and student pharmacists to provide patient care in Pennsylvania, and this past year with Pitt and PPA has allowed me to do just that. Beginning July 2015, I’ll be working for PPA as the Executive Manager of PPCN as well as Pharmacy Manager at Hometown Apothecary Drugs.
Courtney Graham PharmD Wilkes University I currently work as a community pharmacist at a Weis Pharmacy about an hour away from my hometown of Laporte, PA. I enjoy working closer to my family because I get to spend more time with my parents and my three shih-tzus! My experience thus far at Weis Pharmacy has been quite rewarding. Over the past year I have built trusting relationships with many of my patients. Among all of my daily tasks, I most enjoy immunizing patients and providing patient counseling. I also have the honor to being a preceptor of our current pharmacy student intern. I look forward to continuing my involvement in PPA and expressing my passion for the advancement our profession.
Yuliya Baratt PharmD Jefferson University
Katherine Trexler PharmD LECOM
After graduating from Jefferson last May I completed a PGY1 residency at Mount Sinai Brooklyn. Now I hold the position of pharmacy manager at the same institution focusing on antibiotic stewardship and IV room standardization.
It was an honor to receive the Pennsylvania Pharmacists Association Outstanding Student award in 2014. Since receiving this award, I completed a PGY-1 pharmacy residency at the Coatesville VA Medical Center. Some of the learning experiences I
20 I Pennsylvania Pharmacist I July/August 2015
completed during the residency included ambulatory care clinics, acute care, geriatrics, home-based primary care, pharmacy administration, pharmacoeconomics and staffing. I also completed a year-long research project. Completing a residency was a wonderful experience that enhanced my education and gave me exposure to various pharmacy career options. I will soon be moving to San Diego to continue my pharmacy career.
Lydia Watkin PharmD Philadelphia College of Pharmacy Currently I am a PGY1 Pharmacy Resident at Penn State Milton S. Hershey Medical Center (PSHMC). During my residency year I have completed rotations in Internal Medicine, Pediatrics, Surgical Intensive Care Unit, Infectious Diseases, Antimicrobial Stewardship Program, Cardiology, Heart and Vascular Intensive Care Unit, Ambulatory Care, Precepting APPE pharmacy student, and Administration. Throughout this year I have also completed multiple projects including an ACPE CE presentation on Skin and Soft Tissue Infections, a DUE on the Atypical
Antipsychotics, and a research project comparing DVT Prophylaxis following Transplant Surgery. After the completion of my residency I look forward to continuing my career at PSHMC as a Surgical Clinical Staff Pharmacist.
Haley Wochner PharmD Duquesne University Since graduating last year from Duquesne University, I was fortunate enough to have the choice of where I wanted to live in the country. So, I packed my bags for the “Twin Cities” and now live in a suburb of Minneapolis, Minnesota. It is such a beautiful, healthy, fun city where there is always something going on, infinite shopping, and phenomenal food! Currently, I work for CVS/Pharmacy where I was a staff pharmacist and have since been promoted to the pharmacy manager position of my store in St. Paul. I love my job and have built many relationships with my patients as well as with the other pharmacists in my district; we really are like one big family. I plan on entering the Emerging Leaders program with CVS in hopes of moving up into bigger management and leadership roles within the company. It has been an amazing first year as a pharmacist! z
PPA Welcomes Danielle Adams Danielle began her role as the Membership Coordinator on July 7. She graduated from Shippensburg University in 2015 and has a Bachelor’s degree in Communication/ Journalism. During her time at Shippensburg she served as the Vice-President of Programming and Education of her sorority, Alpha Phi, and was actively involved in the Public Relations Student Society of America. Before coming to PPA, Danielle interned at ABC27-WHTM in the news department. In her free time Danielle enjoys running, watching baseball, and spending time with her family and friends. She currently resides in Mechanicsburg. z
Pennsylvania Pharmacist I July/August 2015 I 21
Departments
Campus Checkup Wilkes Campus Checkup Faculty News
school of Pharmacy News
Julie Olenak, PharmD was promoted to Assistant Dean of Student Affairs. Nicole Pezzino, PharmD and Vicky Shah, PharmD will be joining the Department of Pharmacy Practice. Nicole will practice at Weis Pharmacy in Nanticoke. Vicky will be in internal medicine at the VA in Wilkes-Barre. Patricia Clancy Kienle, Adjunct Professor of Pharmacy, Receives American Society of HealthSystem Pharmacists Award for Distinguished Practice Leadership Kimberly Ference, PharmD and the Nesbitt School of Pharmacy was recognized by Volunteers in Medicine, Wilkes-Barre, for their philanthropic contributions at the organization’s Annual Meeting and Appreciation Luncheon. Eric Wright, PharmD, MPH earned his master’s in Public Health at the John’s Hopkins University School of Public Health.
The SOP recently created a concentration in Spanish. We are the only school in the country to have a language concentration specifically for pharmacy. Twenty members of the 2015 graduating class in Wilkes University’s Nesbitt School of Pharmacy are entering residency programs following their graduation in May. The number – 26 percent of the Wilkes class – exceeds the national average of 23 percent of pharmacy graduates who are placed into residency training. Two Ugandan pharmacists are spending the summer at Wilkes University to complete an advanced pharmaceutical care experiential training program under the supervision of KarenBeth Bohan, associate professor of pharmacy practice in the Nesbitt School of Pharmacy. Cathy Namulindwa and Gonsha Rehema are experienced pharmacists. Namulindwa teaches students at Makerere Univeristy and Rehema works with the pharmacy interns at Mulago Hospital. The Nesbitt School of Pharmacy announced Outstanding Teachers of the Year for Academic Year 2014/2015. P-1 Year Outstanding Teacher: Dr. Adam VanWert, P-2 Year Outstanding Teacher: Dr, Julie Olenak, P-3 Year Outstanding Teacher: Dr. Dana Manning. The overall teacher of the year is Dr. Julie Olenak. Carpenter Award: Jon Ference, associate professor of pharmacy practice received the Carpenter Teaching Award. The award, the highest teaching award at Wilkes University, recognizes outstanding teaching by full-time faculty members who have taught at the university for at least three years. z
student news
The Wilkes University Nesbitt School of Pharmacy has been recognized as a top five school with the highest rate of participation in the American Pharmacists Association’s Pharmacists Provide Care Campaign. The campaign’s mission is to lobby congressional support to grant pharmacists provider status in federal law. Provider status would enable Medicare beneficiaries to access pharmacist-provided services under Medicare Part B.
22 I Pennsylvania Pharmacist I July/August 2015
Advancing Patient Care
My Profession...My Practice...My Philanthropy
Jefferson College of Pharmacy–July 2015 “Pharmacy is a wonderful profession and I love that what we do can make such a difference in the lives of our patients. The efforts of the PPA Educational Foundation are helping to Faculty Promotions advance the practice of pharmacy, creating further opportunities for us to take care of our Elena Umland – Chair-elect AACP Women’s Nicholas Leon and Emily Scopelliti have both patients. To me, it's a "no brainer" to contribute to the Foundation. I hope you'll join me!
Faculty News
Faculty SIG been promoted to the rank of Associate Professor in The monthly credit card deductionthe is a JCP simple, convenient way to support our professional Elena Umland, Jefferson College of Pharmacy Department of Pharmacy Practice. future. For the cost of one lunch or dinner out, a contribution is added to our monthly tab. Laura Pizzi Elected to Key Post at International Associate Dean for Academic Affairs and Professor At the end of the year, we get a charitable contribution statement for our total contribution Pharmacoeconomics Organization in the Department of Pharmacy Practice, has been for use in preparing our tax returns. It’s so easy but it accomplishes a lot. JCP Professor Laura Pizzi, PharmD, MPH was elected as the 2015-2016 Chair-elect of the Women’s Foundation, we are supporting grants, student programs, and fostering the recently elected to serve as Chair Elect of the Student Faculty Special Interest GroupThrough of the the American future of our profession. This is OUR way of making a difference—join us and support your Chapter Faculty Advisor Council for the International Association of Colleges of Pharmacy. be professionShe and will your philanthropy– the PPA Educational Foundation.” Society of Pharmacoeconomics and Outcomes installed during the 2015 AACP annual Meeting in Research (ISPOR). The post entails identifying and July. Dr. Umland has previously served as Secretary implementing initiatives across ISPOR’s student of this group and will serve as Chair during the 2016Stephanie Smith Cooney, PharmD, Clinical Community Pharmacist and Pharmacy Owner, chapters in collaboration with faculty advisors from 2017 year. Gatti Pharmacy, Indiana, PA chapters around the globe. ISPOR currently has 72 For more information on how you can make a difference, http://www.papharmacists.com/?page=FoundationInfo student chapters located in 12 countries, and 1300 student members in total. z
Educational Foundation Advancing Patient Care
My Profession...My Practice...My Philanthropy “Pharmacy is a wonderful profession and I love that what we do can make such a difference in the lives of our patients. The efforts of the PPA Educational Foundation are helping to advance the practice of pharmacy, creating further opportunities for us to take care of our patients. To me, it's a "no brainer" to contribute to the Foundation. I hope you'll join me! The monthly credit card deduction is a simple, convenient way to support our professional future. For the cost of one lunch or dinner out, a contribution is added to our monthly tab. At the end of the year, we get a charitable contribution statement for our total contribution for use in preparing our tax returns. It’s so easy but it accomplishes a lot. Through the Foundation, we are supporting grants, student programs, and fostering the future of our profession. This is OUR way of making a difference—join us and support your profession and your philanthropy– the PPA Educational Foundation.”
Stephanie Smith Cooney, PharmD, Clinical Community Pharmacist and Pharmacy Owner, Gatti Pharmacy, Indiana, PA For more information on how you can make a difference, http://www.papharmacists.com/?page=FoundationInfo
Pennsylvania Pharmacist I July/August 2015 I 23
Association News
Free Ways to Give In this era or rising costs, there is much competition for charitable giving, and there are now several options we can consider to “give for free” or to make our dollars go further. These options are an important way to raise funds, and they take very little effort to do so.
Amazon Smile In 2014, Amazon announced its new charitable program, Amazon Smile, where individuals can sign up, select a charity to support, and have 0.5% of eligible sales go the selected charity. There is no cost to the individuals using the program. To sign up for the for this simple way to give for free, go to www.smile.amazon.com and type the name of your nonprofit and click search, then click select when the your nonprofit’s name appears on your screen. For all future shopping visits to Amazon, go to www.smile.amazon.com to shop. You’ll have the entire Amazon site available to you from that link, so all you have to do is shop as you normally do from that link. It may seem like pennies, but if you shop often, and many others shop often, those pennies can add up to make a difference over time.
TIP: Bookmark the site so you remember to shop amazon through the www.smile.amazon.com link!
24 I Pennsylvania Pharmacist I July/August 2015
eBates
iGive
ebates is a cash-back free shopping portal that leverages their ability to bring shoppers to retail sites, which then pay eBates a rebate, and eBates shares that rebate with shoppers. More than 1,700 retailers, hotel chains, and sites participate. To sign up, provide some basic information (name, address, other items like email address). There are three options regarding your payment preferences. The third one is “send my Big Fat Check to Someone Else.” In that field, type you can type your nonprofit’s name, and provide the address information for your nonprofit. When shopping, log into eBates, search for the retailer name, then click on the retailer and shop. For computers with newer browsers, a user can install the eBates Cash Back Button, which automatically earns the rebate when shopping on the site of any eBates retailer without the need for logging in and searching. There is also an eBates app for iPhones and iPads.
iGive is an online shopping mall where a portion of each purchase is donated to the cause of the user’s choice at no cost to the user. Like eBates, iGive harnesses the power of its many users with the retailers on their site. iGive is compensated for bringing users and retailers together, and they share that compensation with their users’ charities. More than 1,500 stores are part of the iGive site, and users do not have to enter any codes to earn donations. To join, go to www.igive.com, and fill in the form (name, email address, zip code). Then click on Choose Cause. You can search for your organization by name and select them as your charity. Like eBates, there is an iGive button for installation on computers with newer browsers and there is an iPad and iPhone app. To shop on iGive, go to www.igive.com and log in (or open the app). Then type in the store name, and click on that store name to shop and earn a donation for your organization.
TIP: Shop during shopping days like Black Friday and Cyber Monday to earn very high cash back percentages. You can earn extra bonuses for the organization by having people join through the tell-a-friend link.
TIP: Make sure cookies are enabled when using the iGive button. It’s necessary to ensure that the donations process properly.
Association News
Flu Immunization for Children Nine and Older Now Permitted! On June 26, Governor Tom Wolf signed Act 8 into law with an effective date of 60 days thereafter. On August 25, the law went into effect. Immunizing pharmacists can begin providing these immunizations immediately after the effective date as long as following all other applicable regulations and procedures and the new requirements listed below. (Make sure your protocol is updated!) The law essentially expanded the age range, for flu vaccines only, to individuals nine years of age and older. However, there are a few other key components of the law with which you need to be aware: • Parental consent is needed for those less than eighteen years of age. • Administration for injectable or needle free must be in accordance with CDC schedule. • Maintenance of a minimum of $1,000,000 liability insurance • Notification of primary care provider, if known, within 48 hours.
The State Board of Pharmacy has declared that further empowering regulations are not needed to put this aspect of Act 8 into effect! From the Act: (See the bold and underlined as the additions/changes) “The board shall by regulation establish education and training standards and practice guidelines pursuant to which pharmacists shall be authorized to administer injectable medications, biologicals and immunizations to persons who are more than eighteen years of age and influenza immunizations by injectable or needle-free delivery methods to persons nine years of age and older. Such standards and guidelines shall include, but not be limited to, the following: (3) That the administration of injectable medications, biologicals and immunizations be in accordance with a definitive set of treatment guidelines established by a physician and the Continued on page 39
More Bang for Your Buck Corporate Matching Gift Programs One often overlooked ways to make your money more valuable to charitable organizations is through corporate matching gift programs. These programs often match donations made by the individual working for (or retired from) the company or by their spouse/partner. Matching gift programs usually require some notification the company, notifying them of the donation. The employee generally provides the information of the organization receiving the donation, and the recipient organization must usually confirm the donation. This website allows users to search for the names of companies participating in a Matching Gift program. http://www.matchinggifts. com/search/rit Please note that it’s possible to have a gift matched more than once, if both spouses/partners work for matching gift companies.
TIP: If you or your spouse/partner work for a matching gift company, bookmark the site related to processing your corporate match.
Pennsylvania Pharmacist I July/August 2015 I 25
Industry News
APhA Launches Patient SelfManagement Solutions Recently, the American Pharmacists Association (APhA) Foundation launched their innovative Patient Self-Management (PSM) Solutions, a compilation of tools and methods, which have been proven to make people healthier and save money for the health care system. There are two reasons to be excited about PSM Solutions. The first is that the Patient Self-Management Credential (PSMC) for Diabetes will become available to health care providers to improve the care that is delivered to people with diabetes all across the country. The PSMC for Diabetes has been a cornerstone in the Foundation’s research for more than a decade and it helps the whole health care team zero in on
each individual patient’s needs to help customize the education and care they provide. The second reason to be excited is that the Foundation is out in the market looking for innovative self-insured employers and other payers who are eager to change the way they invest in health care. PSM Solutions brings together the PSMC for Diabetes with a care provider network that can contract with payers to deliver health care providers’ patient care services. Take a look at the Foundation’s website at http:// psmsolutions.aphafoundation.org/ to learn more about how PSM Solutions and the PSMC for Diabetes could make people healthier and save money for the health care system. z
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26 I Pennsylvania Pharmacist I July/August 2015
Features
PPA Legislator Profile Brandon Neuman State Representative, D-Washington Representative Neuman is the House Democratic Chair of the Pennsylvania Community Pharmacy Caucus. What are the key issues you would like to see addressed this session? We must ensure that we are funding programs that prepare our students for participation in the global job market. We should promote education programs in Science, Technology, Engineering, Art and Math (STEAM) that lead to high demand and high paying careers. I would also like to see my Pennsylvania Fraud Protection and Recovery Act passed. This legislation will deter fraud and punish those stealing from Pennsylvania and our taxpayers. It would also raise significant revenue through recovered losses and damages. Recently, I was pleased to announce that one of my initiatives became a law this year that will help protect victims of sexual assault. Tell our members a little about your background and why you are a legislator? I was born and raised in the 48th
Legislative District that I now proudly represent. I am a graduate of the University of Richmond. I received a master’s degree from the University of Pittsburgh and a Juris Doctorate from the Duquesne University School of Law. I was drawn to politics because I particularly enjoy working in a non-partisan fashion to enact legislation that helps victims of crime, the elderly, our veterans and our young people. I am a member of several legislative committees and I am the Democratic Chairmen of the PA Community Pharmacy Caucus. How do you see pharmacy and its role in health care evolving in the in the future? Legislative action continues to expand the scope of the pharmaceutical profession giving more access to people in need. We must continue to work together to have better collaboration between health care providers and pharmacists. Advice for pharmacists about the political process? Pharmacists should make an effort to stay aware of proposed legislative and regulatory
developments that could impact the profession. You should visit with your elected officials and voice your concerns and ideas. Above all – you should vote in every election. What do you do for relaxation or enjoyment? I enjoy spending time with my wife Carrie—who happens to be a pharmacist—and our families. We have been extra busy lately preparing for the arrival of our first child this fall. z
Pennsylvania Pharmacist I July/August 2015 I 27
Features
and the Law By Don. R. McGuire Jr., R.Ph., J.D.
This series, Pharmacy and the Law, is presented by Pharmacists Mutual Insurance Company and your State Pharmacy Association through Pharmacy Marketing Group, Inc., a company dedicated to providing quality products and services to the pharmacy community.
Wrongful Conduct Rule
A
recent decision in West Virginia1 is garnering a lot of attention in the pharmacy profession and beyond. The 8 cases involve suits by 29 patients alleging that actions by physicians and pharmacists have caused them to become addicted to and abuse controlled substances. They also alleged that the pharmacies acted in concert with the prescribers by such actions as refilling prescriptions early and filling contraindicated prescriptions. After some years of prescribing by the 4 physicians involved, and dispensing by the 3 pharmacies involved, an FBI raid resulted in arrests of some of the health professionals. Some physician licenses were revoked and some were convicted and served prison time. However, only 1 pharmacy and 1 pharmacist were disciplined (the court decision does not indicate that there were any criminal charges). As the cases progressed, the plaintiffs all admitted to various crimes during the time that
28 I Pennsylvania Pharmacist I July/August 2015
they were receiving and filling prescriptions for the various controlled substances. These included criminal distribution, buying drugs off the street in addition to those prescribed, acquiring prescriptions through misrepresentation, fraud or forgery, and doctor shopping. Because of these criminal activities, some of the defendants filed a motion to have the case dismissed on the basis of the Wrongful Conduct rule or the in pari delicto (in equal fault) doctrine. These two concepts have similar origins, but in pari delicto is used more commonly in contractual or transactional disputes. The premise of the Wrongful Conduct rule is that someone who is injured while performing an immoral or criminal act should not be able to recover damages for that injury. The Court quoted another case to explain the rationale for the rule; “. . . public policy that courts should not lend their aid to a plaintiff who founded his cause of action on his own illegal conduct.”2 The trial court
agreed to dismiss the cases, but then sent certified questions to the Supreme Court of Appeals. The Supreme Court of Appeals declined to invoke the Wrongful Conduct rule in West Virginia because the majority believed the rule was too ambiguous and difficult to apply. They ruled that the jury would take the criminal activity into account when apportioning fault under West Virginia’s comparative fault laws. In West Virginia, if the plaintiff is 50% or more at fault, then they cannot recover any damages. The Court said that comparative fault will essentially take the wrongful conduct of the plaintiff into account, so the Wrongful Conduct rule is unnecessary. There were 2 dissenting opinions that disagreed with the majority that the rule would be difficult to apply. The dissenting opinions said that it is straightforward; a person should not be able to recover for injuries sustained while committing a crime. Thirteen other states have
already adopted the rule. By not invoking the rule, the Court will encourage other criminals to file suits to attempt to profit from their criminal activity. In these particular cases, they contend that the Court is allowing these plaintiffs to clog up the court docket and waste the court’s time. What does this mean for pharmacists? It’s important to recognize that there has been no trial and no judgment on the facts of these cases. The decision does not mean that the pharmacists or physicians are liable. This opinion is a procedural one that places the eventual resolution of the case in the jury’s hands instead of the judge’s hands. Many readers have probably already formed an
opinion about the correctness of the decision. For pharmacists, the real issue is to try not to get involved in such a case in the first place. While this is not always possible, it should be a goal. The monitoring and dispensing of controlled substances is difficult at best. Pharmacists are no longer “order takers” subservient entirely to the doctor’s orders. Pharmacists should be active and diligent in monitoring all of their patients, but especially those with unusual controlled substance needs. Pharmacists need to educate themselves about their patients’ needs. There are plenty of reference articles about effective pain management to consult. Pharmacists also need
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to educate themselves about their responsibilities as health care professionals. The tightrope between patient needs and good stewardship of controlled substances is not easy to navigate, but ignoring the issue is not a solution. z © Don R. McGuire Jr., R.Ph., J.D., is General Counsel, Senior Vice President, Risk Management & Compliance at Pharmacists Mutual Insurance Company. This article discusses general principles of law and risk management. It is not intended as legal advice. Pharmacists should consult their own attorneys and insurance companies for specific advice. Pharmacists should be familiar with policies and procedures of their employers and insurance companies, and act accordingly. 1: Tug Valley Pharmacy, LLC, et al. v. All Plaintiffs below in Mingo County Cases, No 14-0144 (Supreme Court of Appeals of West Virginia, May 13, 2015). 2: Orzel v. Scott Drug Co., 537 N.W.2d 208, 213 (Mich. 1995).
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Pennsylvania Pharmacist I July/August 2015 I 29
Association News
APPE Rotation with PPA: More than Meets the Eye By: Matthew Veli, PharmD Candidate 2016, Duquesne University Mylan School of Pharmacy When I tell people that I am completing an APPE rotation at the PPA office, I always get a blank stare. What do you do there? What are you getting out of it? These are some of my favorite questions to answer about my experience working at the PPA office because there is so much more here than meets the non-member’s eye. PPA’s number one mission is to advance the practice of pharmacy in Pennsylvania through advocacy and legislation. Don Smith, the Government Relations Manager, has spent a lot of time talking with me about the legislative process, the current priority issues, and the importance of advocacy. Advocacy is something I got to experience first-hand while here on my rotation. I set up meetings with both my State Representative and Senator, and was able to educate them about the importance of the bills we were supporting and how it affects pharmacists’ work. It really is amazing how big of a difference you can make by forming a working relationship with your Representative or Senator, leading to hopefully more co-sponsors and caucus members devoted to helping
advance the practice of pharmacy. Also, every day I monitor each new bill that is going to be introduced by a Representative or Senator. I look for anything that might affect the practice of pharmacy, and once found something that Don had to schedule a meeting to voice our concerns about; which ultimately led to a change in the bill. Finally, I had the pleasure to sit in on a meeting between PBM’s and PPA staff/affiliates in order to compromise on wording in bills regarding PBM registration, transparency, and auditing. All of these experiences have taught me one overall message about pharmacy, it is our practice field and with enough support we can form it how we choose to. One of the biggest benefits I feel I got out of this rotation was through meeting pharmacists members and interacting with them to learn more about their practice of pharmacy. Most of these interactions will be published in an issue of the PPA magazine including my pharmacy spotlight article, pharmacist member profile, and student pharmacist member profiles. For the pharmacy spotlight article Continued on page 35
30 I Pennsylvania Pharmacist I July/August 2015
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Association News
My Rotation with PPA: A Rewarding Experience By Lindsey Wenger, Philadelphia College of Pharmacy PharmD Candidate, 2016 Before starting my rotation at PPA, I had no idea what to expect. I wasn’t previously a member, so I wasn’t even sure all of what PPA was about. Obviously I knew that it was an association specifically for Pennsylvania pharmacists, but I didn’t have a clue about all of the good things they do for pharmacists or why I should care. When I chose to do my rotation here, I was just looking for a unique experience and I certainly got one! This rotation was completely different than any other rotation experience, especially because it was not in a pharmacy setting. My rotation with PPA allowed me to gain experiences that I would not have gotten anywhere else. Being right across the street from the Capitol was amazing! It was so cool being able to just “run across the street” for a quick meeting or tour. I was able to meet with my representatives and other legislatures and talk to them about issues that will eventually have a big effect on my future career. It surprised me how willing they were to listen to
me. The Government Relations Manager, Don Smith, took me along to many of his meetings and even a fundraiser. It was so much fun! Before my rotation I had very little knowledge of the government or how anything worked, but now I have a firm understanding of what’s happening and where to find that information to stay up to date. Another aspect of PPA that I had no idea about is all of the programs they put on for pharmacists, technicians and students. I was able to work closely with Program Manager, Sara Powers, on many Continuing Education programs and even the 2015 Annual Conference. I participated in many conference planning calls with her and was able to help accredit CE programs and update all of this information on the website. The most exciting part was when I was able to participate in several live webinar programs from my computer. I have never been particularly great at writing, but I definitely feel like that has changed. The Communications Coordinator, Alison Bowker, had me Continued on page 35
Pennsylvania Pharmacist I September/October 2015 I 33
Association News
This is what you told us! During our election process this year, we asked our membership for your input on some hot topics and this is how your responses registered. We thank everyone for participating in the election and straw polling!
Medical Marijuana Where do you stand on the medical marijuana debate? Option
Percentage Response
I support legalizing certain formulations for approved medical reasons
30%
I think certain formulations should be rescheduled as II or III and prescribed and dispensed accordingly
19%
I think that more research on the medical applications is needed
19%
I believe firmly that this should be decided on a federal level
15%
While I support some medical use, I remain concerned about addiction
11%
What the heck – why not go rogue like Colorado and make it all legal!
6%
National Provider Status How active are you willing to be around National Provider status? Option
Percentage Response
Send emails on a monthly basis to my US Congressman/Senator
13.9%
I’m pretty busy and would rather be an advocate on state issues
10.9%
I could care less about this issue – not sure it changes anything
6.9%
Meet regularly (once a quarter) with my US Congressman and Senator and/or their staff to discuss the issue
5.1%
Call the office of my US Congressman/Senator on a monthly basis on this issue
1.8%
Do some combination of the above
36.9%
Do all of the above if PPA reminds me to take this action!
15.7%
Do all of the above
8.8%
34 I Pennsylvania Pharmacist I July/August 2015
Association News PPA Representation Who do you feel PPA represents? Option
Percentage Response
Pharmacy needs to be unified and PPA is getting us closer to this goal all the time
62%
PPA represents all pharmacy but its focus is on community practice which ultimately helps us all
16%
Pharmacy needs to be unified but I don’t see it really working well
14%
It’s probably not very realistic to have PPA represent all pharmacy
8%
APPE Rotation with PPA: More than Meets the Eye
My Rotation with PPA: A Rewarding Experience
Continued from page 30
Continued from page 33
I got to spend a half-day with Jake Sherk, the owner of Sloan’s Pharmacy. Jake taught me so many countless things about running a pharmacy, the importance of patient relationships, and about life itself. Those few hours will benefit me for a lifetime. I also got to connect with members of the PPCN committee when they came to the office for a work day. These were some incredible and passionate pharmacists when it came to taking their time to really make a difference in the future practice of pharmacy. All of the pharmacists, student pharmacists, and staff that I have connected with have taught me so much about pharmacy and has just grown my love for our profession. Thanks Pat, Sara, Don, and Ali! z
write quite a few articles for the magazine and also the Pharmacists Care Blog. For the two blogs I wrote I needed to do a little research first, which is definitely something worth practicing. It was really interesting to hear about what they do and about their practice sites. The pharmacy spotlight article and the pharmacist member profile both involved talking on the phone with two different pharmacists that I hadn’t met before. PPA’s CEO, Pat Epple, also took me to all of her different meetings. I had never been to a State Board of Pharmacy meeting so that was a great experience. During my time here, PPA was in the process of hiring another staff member and I was allowed to sit in on some of the interview process. This was especially valuable because I am going to be interviewing for pharmacist positions in the near future and it is always good to have more practice. In addition, two pharmaceutical sales representatives and the Executive Director from Pennsylvania eHealth Partnership Authority came to meet with Pat, and I was allowed to participate in those meetings, which were really interesting. This rotation was full of many different experiences that I would not have gotten anywhere else. I feel like I have gained valuable knowledge that will help me in my future career. I am very grateful to all of PPA’s staff for the opportunities that I had here and would recommend this rotation to any student who is looking for a unique rotation. z
Pennsylvania Pharmacist I September/October 2015 I 35
Features
Financial Forum: Gauging Your Financial Well-Being Six signs that you are in good shape. This series, Financial Forum, is presented by PRISM Wealth Advisors, LLC and your State Pharmacy Association through Pharmacy Marketing Group, Inc., a company dedicated to providing quality products and services to the pharmacy community. How well off do you think you are financially? If who maintains it. ( Just 23% of respondents in the your career or life takes an unexpected turn, would Bankrate survey reported having a fund that sizable.) your finances hold up? What do you think will If you head up a family, the fund should ideally be become of the money you’ve made and saved when larger – large enough to address a year of expenses. you are gone? At first thought, building a cash reserve that big may These are major questions, and most people can’t seem daunting, or even impossible – but households answer them as quickly as they would like. It might have done it, especially households that have help to think about six factors in your financial life. jettisoned or whittled down debt. If you have done Here is a six-point test you can take to gauge your it, give yourself a hand with the knowledge that you financial well-being. have prepared well for uncertainty.1 Are you insured? As U.S. News & World Report Are you saving about 15% of your salary for mentioned this summer, about retirement? That’s a nice 30% of U.S. households don’t target. If you’re earning good have life insurance. Why? money, that will probably Having a will is basic, yet many They can’t afford it. That’s the amount to $10-20,000 per Americans don’t create one. In its perception.2 year. You are probably In reality, life insurance already saving that much annual survey this spring, the budget is much less expensive now annually without any strain legal service website RocketLawyer than it was decades ago. As to your lifestyle. Annual IRA found that only 51% of Americans the CEO of insurance industry contributions and incremental aged 55-64 have drawn up a will. group LIMRA commented salary deferrals into a to USN&WR, most people workplace retirement plan will think it is about three times likely put you in that ballpark. as expensive as it really is. How much do you need? As those dollars are being invested as well as saved, A quick rule of thumb is ten times your income. they have the potential to grow with tax deferral – and Hopefully, you have decent or better insurance if your employer is making matching contributions coverage in place.2 to your retirement account along the way, you have Do you have a will or an estate plan? Dying another reason to smile. intestate (without a will) can leave your heirs with Do you have an emergency fund? Sadly, most financial headaches at an already depressing time. Americans don’t. In June, Bankrate polled U.S. Having a will is basic, yet many Americans don’t households and found that 26% of them were living create one. In its annual survey this spring, the paycheck-to-paycheck, with no emergency fund at all.1 A strong emergency fund contains enough money budget legal service website RocketLawyer found to cover six months of expenses for the individual that only 51% of Americans aged 55-64 have drawn
36 I Pennsylvania Pharmacist I September/October 2015
Features up a will. Just 38% of Americans aged 45-54 have drafted one.3 Why don’t more of us have wills? A lack of will, apparently. RocketLawyer asked respondents without wills to check off why they hadn’t created one, and the top reason (57%) was “just haven’t gotten around to making one.” A living will, a healthcare power of attorney and a double-check on the beneficiary designations on your investment accounts is also wise.3 Not everyone needs an estate plan, but if you’re reading this article, chances are you might. If you have significant wealth, a complex financial life, or some long-range financial directives you would like your heirs to carry out or abide by, it is a good idea. Congratulate yourself if you have a will, as many people don’t; if you have taken further estate planning steps, bravo. Is your credit score 700 or better? Today, 685 is considered an average FICO score. If you go below 650, life can get more expensive for you. Hopefully you pay your bills consistently and unfailingly and your score is in the 700s. You can request your FICO score while signing up for a trial period with a service such as TransUnion or GoFreeCredit.4 Are you worth much more than you owe? This is the #1 objective. You want your major debts gone, and you want enough money for a lifetime. You will probably always carry some debt, and you can’t rule out risks to your net worth tomorrow – but if you are getting further and further ahead financially and your bottom line shows it, you are making progress in your pursuit of financial independence. z Citations: 1-d ailyfinance.com/2014/09/03/why-americanwages-arent-rising/ [9/3/14] 2-m oney.usnews.com/money/personal-finance/ articles/2014/07/16/do-you-have-enough-lifeinsurance [7/16/14]
3 - forbes.com/sites/nextavenue/2014/04/09/americans-ostrichapproach-to-estate-planning/ [4/9/14] 4 - nerdwallet.com/blog/credit-score/credit-score-range-bad-toexcellent/ [9/4/14] Pat Reding and Bo Schnurr may be reached at 800-288-6669 or pbh@berthelrep.com. Registered Representative of and securities and investment advisory services offered through Berthel Fisher & Company Financial Services, Inc. Member FINRA/SIPC. PRISM Wealth Advisors LLC is independent of Berthel Fisher & Company Financial Services Inc. This material was prepared by MarketingLibrary.Net Inc., and does not necessarily represent the views of the presenting party, nor their affiliates. All information is believed to be from reliable sources; however we make no representation as to its completeness or accuracy. Please note - investing involves risk, and past performance is no guarantee of future results. The publisher is not engaged in rendering legal, accounting or other professional services. If assistance is needed, the reader is advised to engage the services of a competent professional. This information should not be construed as investment, tax or legal advice and may not be relied on for the purpose of avoiding any Federal tax penalty. This is neither a solicitation nor recommendation to purchase or sell any investment or insurance product or service, and should not be relied upon as such. All indices are unmanaged and are not illustrative of any particular investment.
Tony Hayslip, ABR/AREP 713-829-7570 Tony@RxBrokerage.com
Ernie Zost, RPH 727-415-3659 Ernie@RxBrokerage.com
Pennsylvania Pharmacist I September/October 2015 I 37
Departments
Welcome! New Members PPA welcomes the following New Members who joined the association – June 4, 2015 – July 23, 2015. Please make these new members feel welcome and part of Pennsylvania pharmacy! Pharmacists Tom Betteridge Rosica Pharmacy Lawrence Carey Temple University School of Pharmacy Richard Fox Camp Hill Pinnacle Health Kristin Franks Allison Park CVS Health, Shannon Giddens Pittsburgh Children’s Hospital of UPMC Andre Golemi Nova Star Pharmacy Rosemarie Halt Media Maternity Care Coalition Shelia Hwe Frederick University of Maryland School of Pharmacy Michelle Jeon Allentown Hartzell’s Pharmacy Robert Kasisky Johnstown Eaglescripts Apothecary Thu Kieu Lansdowne Rite Aid Pharmacy Theodore Knauss Lansdale Kristina Loscombe Plains Wilkes University School of Pharmacy Jim Melekos Lifestream Pharmacy
38 I Pennsylvania Pharmacist I July/August 2015
Eric Miladin Monaca Hometown Apothecary Drugs
Ralph Himber Kingston Nipro Diagnostics Inc.
John Mobos, Everett Lowers Pharmacy, Inc.
David Yorski HD Smith
Patrick Pugliese Pittsburgh University of Pittsburgh
Technicians
Christine Reiber Summit Hill
Catherine Bogdnoff Doylestown Harris Pharmacy
Christine Roussel Hatboro Doylestown Hospital
Bethann Cancelliere Dilltown Martella’s Pharmacy
Mohammed Salem Keystone Pharmacy
Jessica Desimone Sebastian, Walgreens Pharmacy
Jessica Sikora Weirton Duquesne University- Mylan School of Pharmacy Michael Stanley Pittsburgh Aureus Health Services Doug Steinbach Pittsburgh Duquesne University
StudentS Duquesne University – Mylan School of Pharmacy Michael Dovidio, Pocono Lake Sydney Kehr Goshen Mary Kimmel Boswell
Shenay Ussein Bridgesburg Pharmacy
Kayla Mikula Elizabeth
David Walker Lehigh Pharmacy
Alvina Tran Pittsburgh
Associate
Alex Wright Titusville
Mary Jean DeSantis HD Smith Vanessa Downs Phoenix BulaLaw Scott Hancock Keystone Pharmacy Purchasing Alliance
Jefferson School of Pharmacy Benson Aningalan Cherry Hill Kenneth O’Donnell Philadelphia LECOM School of Pharmacy Lindsay Gasper Erie
Michael Makaimoku Erie
JJ Gaughan Scranton
Tyler Salovin Ridley Park
Shivam Patel Somerset
Arya George Philadelphia
Gregory Shertzer Lebanon
Erik Whyne Erie
Kelly Gough Downingtown
Briana Skalski Mullica Hill
Amanda Hall Mims
James Sperry Philadelphia
Neena Oommen Philadelphia
Matthew Hoctor Philadelphia
Stephani Strasburger Roaring Brook Twp
Ada Wu Philadelphia
Nansie Khalil Philadelphia
Brittani Tran Lancaster
Matthew Marianski Broomall
Kayla Tuyen Whitehall
Monica Mark Southampton
Emily Warrick Philadelphia
Philadelphia College of Pharmacy at USP
Temple University Marina Abdelmalek Philadelphia E. Avanessians Burbank Steven Cheng Philadelphia Kevin Dunn Hamilton
Brenden McGeehan Woodlyn
Wilkes University – Nesbitt College of Pharmacy
Joel Mussel Columbia
Amanda Bashista Marietta
Peter Nikolos Broomall
Bethany Gilson Thompsontown
Flu Immunization for Children Nine and Older Now Permitted
Continued from page 25
Centers for Disease Control and Prevention, Advisory Committee on Immunization Practices guidelines or another competent authority approved by the board. (5) For individuals under eighteen years of age, that parental consent be obtained prior to administration. Administration of influenza immunizations by injectable or needle-free delivery methods shall be in accordance with the immunization schedule established by the Centers for Disease Control and Prevention. (6) Maintenance of a level of professional liability insurance coverage in the minimum amount of one million dollars ($1,000,000) per occurrence or claims made. Failure to maintain insurance coverage as required shall subject the licensees to disciplinary proceedings. The board shall accept as satisfactory evidence of insurance coverage any of the following: (i) personally purchased liability insurance;
(ii) professional liability insurance coverage provided by the individual licensee’s employer; or (iii) similar insurance coverage acceptable to the board. (7) Notification of the individual’s primary care provider, if known, within forty-eight hours of administration. Important Note: The portion of the Act which allows interns to provide immunizations under the supervision of an immunizing pharmacists can NOT be implemented until regulations are drafted and approved. The Board is working on drafting these. We estimate this process could take 18 to 24 months. Watch for more information as the process rolls out. PPA worked for years to get this bill passed and we are now happy to say that most of it can be implemented! Thanks to everyone for their work and support in this issue. z
Pennsylvania Pharmacist I July/August 2015 I 39
Features
Meet Pennsylvania’s 2015-16 Residents! PPA had an overwhelming response this year from residents wishing to be featured in our Pennsylvania Residency Profile. Thank you to everyone who made a submission. Our residents are achieving great things and we are proud to feature them in our publication. Full profile listings can be found at www.papharmacists.com/?page=Residency. Kalyn Marie Acker, PharmD, Allegheny General Hospital, PGY1, HealthSystem Pharmacy Administration Resident, MPH Candidate Graduate of: The University of Texas Year: 2015 Anna Bondar, PharmD, UPMC St. Margaret,PGY1, Pharmacy Practice Graduate of: University of Pittsburgh Year: 2015 Paul Boylan, PharmD, Reading Hospital, PGY1, Pharmacy Practice
Chase Burkavage, PharmD, Pennsylvania Hospital, PGY1, Pharmacy Practice
Michael Steven Casias, PharmD, Lancaster General Health, PGY1, Pharmacy Practice
Graduate of: Temple University Year: 2015
Graduate of: Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences Year: 2015
John Carroll Cadwalader, PharmD, MS, Medication Use Safety Graduate of: College of Pharmacy and Health Sciences – Worcester Campus Year; 2012 Ashley Campbell, PharmD, UPMC St. Margaret, PGY2, Geriatric Pharmacy Practice
Graduate of: Wilkes University Year: 2014
Graduate of: University of North Carolina Eshelman School of Pharmacy Year: 2014
Emily Brown, PharmD, UPMC Mercy, PGY1, Acute Care
Brianna Carbo, PharmD, Coatsville VA Medical Center, PGY1
Graduate of: Ohio Northern University Raave College of Pharmacy Year: 2015
Graduate of: Jefferson School of Pharmacy Year: 2015
Ngoc Bui, PharmD, Moses Taylor Hospital, PGY1 Graduate of: Temple University School of Pharmacy Year: 2015
Marissa Casagrande, PharmD, Temple University Hospital, PGY1
Lauren Chambers, PharmD, York Hospital, PGY2, Critical Care Graduate of: Shenandoah University Year: 2014 Lynn Chan, PharmD, Allegheny General Hospital. PGY2, Infectious Disease Graduate of: Roseman University of Health Sciences Year: 2013 Jason Ciaramitaro, PharmD, The Children’s Hospital of Philadelphia, PGY1 Graduate of: The University of Rhode Island Year: 2015
Graduate of: Temple University School of Pharmacy Year: 2015
Continued on page 43
40 I Pennsylvania Pharmacist I September/October 2015
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Features Brooklyn T. Cobb, PharmD, Penn Presbyterian Medical Center, PGY1, Pharmacy Practice Graduate of: Hampton University Year: 2015 Ariana Colella, PharmD, Veterans Affairs Medical Center, PGY1, Ambulatory Care Graduate of: Wilkes University Year: 2015 Bethany Crouse, PharmD, Penn State Milton S. Hershy Medical Center, PGY1, Pharmacy Practice Graduate of: LECOM School of Pharmacy Year: 2015 Marissa Csovelak, PharmD, Leigh Valley Health Network, PGY1, Pharmacist Resident Graduate of: University of Pittsburgh School of Pharmacy Year: 2015 Jaclyn Cusumano, PharmD, Thomas Jefferson University Hospital, PGY1, Pharmacy Practice Resident
Anna Drapkin, PharmD, Abington Memorial Hospital, PGY2, Infectious Diseases Graduate of: Jefferson College of Pharmacy Year: 2014 Nicole Durie, PharmD, UPCM Presbyterian Shadyside, PGY1 Graduate of: Northeastern University Year: 2015 Christopher Durigan, PharmD, UPMC St. Margaret, PGY2, Ambulatory Care with a Family Medicine Focus Graduate of: PGY1 Pharmacy Practice Residency at UPMC St. Margaret Year: 2015 Kevin Farrow, PharmD, Abington Memorial Hospital, PGY1, Pharmacy Practice Graduate of: Philadelphia College of Pharmacy Year:2015 Ryan Feeney, PharmD, Temple University Hospital, PGY1, Pharmacy Practice
Graduate of: University of Rhode Island Year: 2015
Graduate of: Temple University Year: 2013
Brianne Dixon, PharmD, Thomas Jefferson University Hospital, PGY1, Acute Care Focused
Maria Felton, PharmD, UPMC St. Maragret, PGY1
Graduate of: Duquesne University Year: 2015
Graduate of: University of Pittsburgh School of Pharmacy Year: 2015
Alyssa Fixl, PharmD, Temple University Hospital, PGY1, Pharmacy Practice Resident Graduate of: Philadelphia College of Pharmacy Year: 2015 Jessica Fortune, PharmD, Wilkes Barre VA Medical Center, PGY1 Graduate of: MCPHS University of Boston Year: 2015 Arlene Gao, PharmD, UPMC Presbyterian, PGY1 Graduate of: University of Maryland SWchool of Pharmacy Year: 2015 Nicholas Giruzzi, PharmD, UPMC St. Margaret, PGY1 Graduate of: Albany Colege of Pharmacy and Health Sciences Year: 2015 Emily Graham, PharmD, Allegheny General Hospital, PGY2, Oncology Graduate of: University of Pittsburgh School of Pharmacy Year: 2014 Kimberly Grant, PharmD, Duquesne University/ St. Barnabas Health System, PGY1, Graduate of: Duquesne University Mylan School of Pharmacy Year: 2015 Continued on page 44
Pennsylvania Pharmacist I September/October 2015 I 43
Features Erin Hanley, PharmD, PennState Hershey Medical Center, PGY1, Pharmacy Practice
Carlo Isabella, PharmD, UPMC Presbyterian, PGY1, Pharmacy Practice
Matthew Joseph, PharmD, UPMC St. Margaret, PGY2, Geriatrics
Graduate of: Wilkes University Year: 2015
Graduate of: University of Pittsburgh Year: 2015
Kushol Hasnat, PharmD, Wilkes-Barre VA Medical Center, PGY1, Pharmacy Practice
Manuel Isherwood, PharmD, Cooper University Hospital, PGY2
Graduate of:University of Pittsburgh School of Pharamcy Year: 2014
No Photo Available
Graduate of: University at Buffalo School of Pharmacy and Pharmaceutical Sciences Year: 2015
Graduate of: Wilkes University Year: 2014 Nellie Jafari, PharmD, Allegheny General Hospital, PGY1, HealthSystem Pharmacy Administration Resident/MPH,
Ronald Heisel, PharmD, UPMC Shadyside, PGY1 Graduate of: University of Pittsburgh Year: 2015
Graduate of: Virginia Commonwealth University Year: 2015
Briana Hicks, PharmD, Highmark, Inc., PGY1, Managed Care Residency Graduate of: University of Pittsburgh School of Pharmacy Year: 2015
No Photo Available
Marissa Hoffman, PharmD, Children’s Hospital of Philadelphia, PGY1, Pediatrics
No Photo Available
Graduate of: Temple University School of Pharmacy Year: 2015 Katie Karkowoski, PharmD, Geisinger Medical Center, PGY2, Hematology/Oncology Graduate of: University of Rhode Island Year: 2014
Joy Jakubek, PharmD, UPMC Mercy, PGY1, Acute Care
Haley Kavelak, PharmD, Lancaster General Health, PGY1, Community Hospital
Graduate of: Duquesne University Mylan School of Pharmacy Year: 2015
Graduate of: Philadelphia College of Pharmacy Year: 2015
Heather Johnson, PharmD, UPMC Presbyterian, PGY1, Pharmacy Practice
Madeline King, PharmD, Templed University Hospital, PGY2
Graduate of: Wilkes University Year: 2015
Graduate of: University of Pittsburgh Year: 2015
Hallie Hudson, PharmD, Duquesne University and the Center for Pharmacy Care, PGY1
Kelley Johnson, PharmD, Pennsylvania Hospital, PGY1, Pharmacy practice
Graduate of: Duquesne University Mylan School of Pharmacy Year: 2015
Graduate of: The University of Tennessee Health Science Center Year: 2015
44 I Pennsylvania Pharmacist I September/October 2015
Ekaterina Kachur, PharmD, Thomas Jefferson University Hospital, PGY1, Cardiology
Graduate of: Texas A&M Health Science Center College of Pharmacy Year: 2014 Kristen Knoph, PharmD, UPMC Presbyterian, PGY1 Graduate of: University of Rhode Island Year: 2015
Features Nathalie Kocon, PharmD, Veterans Affairs Medical Center, PGY1 Graduate of: Wilkes University Year: 2015 Sandrine N. Kojidie, PharmD, Moses Taylor Hospital, PGY1 Graduate of: University of Maryland Eastern Shore Year: 2014 Nathan Lamberton, UPMC St. Margaret, PGY1, Family Medicine Graduate of: Albany College of Pharmacy and Health Sciences Year: 2015 Drew Lockstein, PharmD, Hahnemann University Hospital, PGY1, General Pharmacy Practice Graduate of: Temple University School of Pharmacy Year: 2015 Tristan Maiers, PharmD, Geislinger Medical Center, PGY1, Pharmacy Resident Graduate of: Ohio Nothern University Year: 2015 Namita Mainthia, PharmD, UPMC Health Plan, PGY1, Managed Care Graduate of: Northeastern University School of Pharmacy Year: 2015
Rachel Marini, UPMC Presbyterian Shadyside, PGY2, Infectous Diseases Graduate of: Duquesne University Year: 2014 Danielle Mayer, PharmD, ACME Sav-On Community Pharmacy, PGY1, Community Pharmacist
James Montgomery, PharmD, UPMC Presbyterian/ Shadyside, PGY2, Ambulatory Care Graduate of: University of Pittsburgh School of Pharamcy, Year: 2014 Elisa Morgan, PharmD, Temple University Hospital, PGY1
Graduate of: University of Pittsburgh School of Pharmacy Year: 2015
Graduate of: South Carolina College of Pharmacy Year: 2011
Seth McCleary, PharmD, UPMC Hamot, PGY1
Anna Marie Morlino, PharmD, Thomas Jefferson University Hospital, PGY1
Graduate of: LECOM Year: 2015
Meghan Taylor Mitchell, PharmD, Thomas Jefferson University Hospital, PGY1 Graduate of: Temple University School of Pharmacy Year: 2015 Ashley Modany, PharmD, UPMC PresbyterianShadyside, PGY2, Cardiology, Graduate of: Duquesne University Mylan School of Pharmacy Year: 2014 Taryn B. Mondiello, PharmD, Coatsville VA Medical Center, PGY1
Graduate of: Thomas Jefferson University, Jefferson School of Pharmacy Year: 2015 Jordan Moore, PharmD, Geisinger Medical Center, PGY1, Pharmacy Practice Graduate of: Duquesne University Year: 2015 Kate Naper, PharmD, Allegheny General Hospital, PGY2, HealthSystem Pharamcy Administration Graduate of: University of Pittsburgh School of Pharmacy Year: 2012
Graduate of: St. John’s University College of Pharmacy and Health Sciences, Queens, NY Year: 2015 Continued on page 47
Pennsylvania Pharmacist I September/October 2015 I 45
Independent Pharmacy Buying Group Giving Independent Pharmacy the ability to grow their business and bottom line thru innovative and forward thinking programs. Founded by pharmacists who still work in their own store.
Special pricing from AmerisourceBergen exclusive to IPBG members Members averaged $12,000+ a year in “first to shelf” generics. Up to $1,200 for attending AmerisourceBergen’s Expo PPA, NCPA, PAAS, and DEALookUp 100% paid dues for compliant members. Members kept informed on all important issues from HIPAA, EQuIPP, CMS, OIG, ACO, NHIC, etc. Member of Federation of Pharmacy Networks— 100% of rebates from FPN paid to you. $100 Lifetime processing fee—no other charges. Call IPBG to sign up at no cost for the "Trading Post " where you can buy and sell unwanted inventory at discounted prices . Looking for a group who cares about your botton line? Call us! Visit our website www.IPBGRx.com Independent Pharmacy Buying Group The Lafayette Building, Suite 205 103 Chesley Dr., Media, PA 19063 Toll Free 866.910.IPBG (4724)
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Nicole Nierste, PharmD, Gatti Pharmacy/ Unive3rsity of Pittsburgh, PGY1 Graduate of: Purdue University? Year: 2015
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Michael Parks, PharmD, Geisinger Wyoming Valley Hospital, PGY1 Graduate of: Wilkes University Year: 2015 Monica Patel, PharmD, Duquesne University, PGY1, Community Pharmacy/ Ambulatory Care Graduate of: Duquesne University Mylan School of Pharmacy Year: 2015 Nicole Payette, PharmD, UPMC St. Margaret, PGY1, Ambulatory Care, Family Medicine Graduate of: University of the Sciences Year: 2014 Katelyn Pontore, PharmD, Allegheny General Hospital, PGY2, Health System Pharmacy Administration Graduate of: West Virginia University School of Pharmacy Year: 2014 Benjamin Pullinger, PharmD, Temple University Hospital, PGY1, Pharmacy Practice? Graduate of: Temple University School of Pharmacy Year: 2015
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Jacob Radcliff, PharmD, University of the Sciences/Cooper University Hosptial, PGY1 Graduate of: University of the Sciences Year: 2015 Tyler Redelico, PharmD, RPh, Hahnemann University Hospital, PGY1 Graduate of: Ernest Mario School of Pharmacy at Rutgers Year: 2015 Amy Lynn Robacheski, PharmD, Geisinger Wyoming Valley Medical Center, PGY1 Graduate of: Wilkes University Year: 2013 Kristofer Rivers, PharmD, Wellspan York Hospital, PGY1, Pharmacy Practice Resident
Kelsey Siebold, PharmD, Geisinger Health System, PGY1, Pharmacy Practice Graduate of: University of Pittsburgh Year: 2015 Jessica Sikora, PharmD, Duquesne University Mylan School of Pharmacy and Giant Eagle, PGY1, Community Pharmacy Practice Resident Graduate of: West Virginia School of Pharmacy Year: 2015 Nicolas Skezas, PharmD, UPMC McKeesport, PGY1, Pharmacy Practice/ Graduate of: Duquesne University Year: 2015 Samantha Spishock, PharmD, Leigh Valley Health Network, PGY1
Graduate of: Wilkes University Nesbitt School of Pharmacy Year: 2015
Graduate of: Philadelphia College of Pharmacy Year: 2015
Ami Shah, PharmD, Jefferson Health, PGY1, Pharmacy Practice
Sydney P. Springer, PharmD, UPMC St. Margaret, PGY1
Graduate of: Rutgers University, Ernest Mario School of Pharmacy Year: 2015
Graduate of: University of Rhode Island College of Pharmacy Year: 2015
Bethany Shoulders, PharmD, UPMC Presbyterian Shadyside, PGY2, Critical Care Pharmacy Resident Graduate of: Tennessee Health Science Center Year: 2014
Kyle Strnad, PharmD, UPMC Presbyterian, PGY1 Graduate of: Thomas Jefferson University School of Pharmacy Year: 2015 Continued on page 44
Pennsylvania Pharmacist I September/October 2015 I 47
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Susan Strunk, PharmD, Walgreen’s Specialty Pharmacy/Duquesne, PGY1
Ken Trinh, PharmD, Reading Hospital, PGY1 Graduate of: Temple University School of Pharmacy Year: 2015
Graduate of: Duquesne Mylan School of pharmacy Year: 2015
Kelsey Tyson, PharmD, York Hospital, PGY1, Pharmacy Practice
Karli Swartz, PharmD, WellSpan York Hospital, PGY1, General Pharmacy Practice
Graduate of: University of Maryland School of Pharmacy Year: 2015
Graduate of: Shenandoah University, Bernard J Dunn School of Pharmacy Year: 2015
Natalia Uzal, PharmD, Lancaster General Hospital, PGY1, Community Hospital
Alexia Szelc, PharmD, UPMC Mercy, PGY1, Pharmacy Practice
Graduate of: Bernard J. Dunn School of Pharmacy Shenandoah University Year: 2015
Graduate of: Duquesne University Year: 2015
Regina Vassallo, PharmD, Penn Presbyterian Medical Center, PGY1, Pharmacy Practice
Vivian Tang, PharmD, UPMC Presbyterian Shadyside, PGY2, Ambulatory Care Resident
Graduate of: University of the Sciences Year: 2015
Graduate of: Oregon State University College of Pharmacy Year: 2014
Calla Vodoor, PharmD, PerformRx, PGY1, Managed Care
Salma Tewfik, PharmD, Summit Health, PGY1 No Photo Available
Graduate of: University of the Sciences Year: 2015
Graduate of: Shenandoah University Year: 2015 Gregory Trietley, PharmD, UPMC St. Margaret, PGY2, Ambulatory Care with Emphasis in Family Medicine
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Graduate of: University of Pittsburgh School of Pharmacy Year: 2014
48 I Pennsylvania Pharmacist I September/October 2015
Damika Watley Walter, PharmD, University of Pittsburgh/Giant Eagle, PGY1, Community Pharmacy Graduate of: Howard University College of Pharmacy Year: 2015
Cory Weaver, PharmD, UMPC Presbyterian Shadyside, PGY2, Critical Care Pharmacy Resident Graduate of: West Virginia University Year: 2014 Lauren Wolfe, PharmD, Duquesne University/ Preferred Primary Care Physicians, PGY2, Ambulatory Care Graduate of: Duquesne University Year: 2014 Matt Wright, PharmD, Abington Memorial Hospital, PGY1, Pharmacy Practice Resident Graduate of: Jefferson School of Pharmacy Year: 2015 Yingzhi Zhang, PharmD, Thomas Jefferson University, PGY1, Drug Information Graduate of: Rutgers University Year: 2015
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