Pennsylvania Pharmacist July/August 20115

Pennsylvania July/August 2015 z Volume 96 z Issue 4

The official publication of the Pennsylvania Pharmacists Association

Mark your Calendars for this Year’s Annual Conference October 1-4, 2015

www.papharmacists.com

The Drug Quality and Security Act (DQSA) was signed into law by President Obama on November 27, 2013. Title II of DQSA, The Drug Supply Chain Security Act (DSCSA) specifically outlines steps to trace Drugs as they are distributed throughout the United States and is designed to ensure the safety, quality and security of these drugs. DSCSA has specific requirements that impact pharmacies including those processes pharmacies and employees must follow as part of the supply chain.

Parts of this act will be implemented over the next 10 years; however there are certain aspects of this act that are now in effect.

DRUGSUPPLYTrack addresses the aspects of the act that are now in place and how pharmacies are to comply, specifically the policies associated with: Maintaining Transaction Data that captures movement of a pharmaceutical product through the supply chain Written agreements with Third-parties Returns Complying with requests for information and investigations As additional sections of this act are implemented in conjunction with the projected timeline, the program will be updated for you to include provisions for pharmacies.

Consultants

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6/1/15 4:08 PM

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: Vacant Southeast: Mark Lawson, PharmD, MBA Southwest: Lauren Simko, PharmD

Ext. 3 Ext. 2 Ext. 6 Ext. 1

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. 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 Designed and Published by: Graphtech Sarah DiCello, Publications Manager (717) 238-5751 x118, sarah@thinkgraphtech.com For Advertising Information: Alexis Kierce, Account Manager (717) 238-5751 x119, alexis@thinkgraphtech.com Pharmacist State Board of Pharmacy Members: Rob Frankil – Independent Community Gayle A. Cotchen, PharmD., MBA – Institutional Mark J. Zilner, R.Ph. – Independent Community Theresa M. Talbott, R.Ph. – Chain Community Janet Hart – Chain Community Board of Pharmacy Meeting Dates: July 21, 2015 August 18, 2015 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!

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

Practice Directors: Alternative Pharmacy Practice: Roshni Patel, PharmD Chain Pharmacists: Cory Krebs, R.Ph. Community Independent Pharmacists: Martin J. Kendra, R.Ph and Chuck Kray, R.Ph Health System Pharmacists: Rick Demers, R.Ph, MS FASHP Manage Care: Vacant Associates: Todd Eury Student Pharmacists: East: Hamad Juboori West: Madison Adams PPA Office Staff: CEO: Patricia A. Epple, CAE pepple@papharmacists.com Program Manager: Sara Powers spowers@papharmacists.com Government Relations Manager: Donald L. Smith, III dsmith@papharmacists.com Communications Coordinator: Alison Bowker abowker@papharmacists.com Membership Coordinator: Vacant

Our Mission

MAGAZINE

Departments

President’s Message................................................................................... 3 Calendar of Events..................................................................................... 5 Campus Checkup.................................................................................... 26 New Members.......................................................................................... 42 Member News.......................................................................................... 44

Features Congratulations to Mayank Amin................................................................ 6 Member Profile: Jenna Carmichael, PharmD, BCOP................................. 15 Pharmacy Spotlight: 452 Hazle Street – Home of your Local Family-Owned Pharmacy..................................................................... 22 Rx and the Law: That’s Not My State........................................................ 32 Sterile Compounding and Professional Liability......................................... 41

Association News PPA’s 2015 Outstanding Student................................................................ 8 Affiliated County News.............................................................................. 13 All Members Are Invited to Attend the PPA Annual Business Meeting....... 18 Call for 2016 PPA Educational Foundation Grant Applications.................. 19 Congratulations, 2015 PPA Graduates!..................................................... 24 Where Are They Now?.............................................................................. 25 Meet the 2015-2016 Board of Directors................................................... 28 Insight into a Rotation at the Pennsylvania Pharmacists Association......... 34 PPA Welcomes Ali Bowker....................................................................... 38 PPA Committee/Work Group Chairs 2015-2016....................................... 38 PPA Welcomes the 2015-2016 Student Advisory Board........................... 39 Support PharmPAC.................................................................................. 35 Student Grant Application......................................................................... 36

Industry News Meeting Patient Safety CE Requirements.................................................. 21 Dividends Returned to Pharmacists Mutual Policyholders......................... 30 Advertisers Index American Pharmacy Services Corporation 30 AmerisourceBergen 23 Buy-Sellapharmacy.com 43 Cardinal Health 11 Hayslip & Zost 33 Independent Pharmacy Buying Group 4 The Jefferson School of Pharmacy Back Cover

The Keystone Pharmacy Purchasing Alliance 12 Pharmacists Mutual Insurance Company 2 PRS Pharmacy Services Inside Front Cover R.J. Hedges & Associates 37 Rochester Drug Company 14, 31, Inside Back Cover S&L Solutions LLC 7 Value Drug Company 20

Disclaimer — The opinions of the authors reflected in this publication do not necessarily reflect PPA’s official position on an issue.

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Departments

Donna Hazel, R.Ph PPA President 2015–2016

Message from the President

A

s pharmacy is moving in new directions and new its own Board of Directors, and opening talks with challenges present themselves for pharmacists to payers. expand their role in Pennsylvania and nationwide, I As a part of PPCN, Comprehensive Medication am humbled and excited to be serving as your PPA Management Collaborative (CMMC) is up and President. I would first like to thank Eric Esterbrook running and pharmacists are enrolled to ensure for leading PPA this past year through many medication management training is at the highest level challenges and being a mentor for me, preparing for pharmacists in Pennsylvania. me for my term. During my tenure as President, my My second goal is to ensure the Board of Directors goals are two-fold. First to promote the profession of will continue to work for you, the membership of Pharmacy in the Commonwealth of Pennsylvania by PPA. I want to make sure we take care of your needs, pushing patient care provided by pharmacists to the but with that statement, we need everyone to be next level and secondly- to have “excellence “in the involved. You can help by attending meetings, serving Board of Directors to ensure Our Mission of being on committees, and networking with other members the leading the voice of pharmacy and promoting for best practice discussions to ensure patient safety the profession through and upholding Our Vision advocacy, education, and I will apply my knowledge, experience, to be recognized, engaged, communication. and fairly compensated as and skills to the best of my ability to The second statement assure optimal outcomes for my patients. health-care providers. from the Oath of a We have 13 different pharmacist, which all of us took as we graduated, committees that are looking for new ideas, so we are states: asking pharmacists, students, and technicians to serve “I will apply my knowledge, experience, and skills on these committees. Please respond with a “Yes” to the best of my ability to assure optimal outcomes when you are contacted. for my patients”.

Our next Annual Meeting will be held at the I believe with all the changes, like the Star rating Harrisburg/Grantville Holiday Inn in October. I look system, Transitions of Care, and Accountable Care forward to seeing you then.

Organizations, to name a few, we are improving Enjoy the rest of your summer. healthcare outcomes for our patients.

Donna Hazel, R.Ph At PPA, we continue to build our Pennsylvania Pharmacists Care Network (PPCN): from simply PPA President 2015–2016 z picking a logo, creating a mission statement, creating

Pennsylvania Pharmacist I July/August 2015 I 3

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)

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

DIAMOND LEVEL

PLATINUM LEVEL

GOLD LEVEL

SILVER LEVEL

Calendar of Events

July

9–10

PPA Board of Directors Meeting and Leadership Retreat

11–15

AACP Annual Meeting — National Harbor, MD

August

22–25

NACDS Store Expo — Denver, CO

October

1–4

PPA Annual Conference — 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

BRONZE LEVEL

19

PPA Board of Directors Meeting

December

6–10

ASHP Mid-Year Clinical Meeting — New Orleans, LA

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

PPA’s Annual Golf Outing Join us for PPA’s Annual Golf Outing at the Educational Foundation and PharmPAC. Friday, October 2, 2015 Blue Ridge Golf & Tennis Club (The Clubs at Colonial Ridge, Harrisburg) Continental Breakfast at 7:30 a.m., shotgun at 8:15 a.m., followed by a lunch.

Pennsylvania Pharmacist I July/August 2015 I 5

Features

Congratulations to Mayank Amin The 2015 national winner of the American Pharmacist Association Immunization Champion Award After graduating from University of the Sciences in Philadelphia in 2009, Mayank Amin became involved in volunteering with BAPS Charities spending over 40 hours per week on top of his full-time job and MBA studies.

It is here where he founded a health and safety initiative to provide education and services to children and families who may not receive the education or care

otherwise. Through Amin’s idea of the “Children’s Health & Safety Day” which he pioneered locally, he set a foundation and vision to which he expanded the program to where it is now. To date, this remains as one of the largest nationwide curriculum based children’s health & safety day programs conducted under one umbrella from a non-profit charity group. He currently oversees 25 centers who conduct these events nationally reaching out to over 10,000 families and children.

Through these programs, Amin has given opportunity to thousands of families who come from lowerincome and undereducated families where parents and children may not know about the importance of Amin receives the American Pharmacist Association Immunization vaccines or get Champion Award from Mitchel C. Rothholz (Chief of Staff, APhA)

6 I Pennsylvania Pharmacist I July/August 2015

the services otherwise.

Amin has put a focus back on his profession and created programs to give opportunities for healthcare networks, organizations, practices, universities, and pharmacies to work together toward a common goal of educating children and their families about the importance of health and safety issues and promoting awareness about the importance of prevention versus cure for vaccines. Amin has created collaborations with pharmacy schools, retailers like Walgreens and pharmaceutical companies like Pfizer that send their students and/or healthcare professionals to educate children and families at these children’s health & safety days and discuss the importance of vaccines and staying up to date with immunization records.

This program continues to expand and give hundreds of pharmacists throughout the country an opportunity to make a difference in educating children and families about health issues.

It is now recognized by national initiatives like Michelle Obama’s Let’s Move campaign and the National Institute of Health’s We Can! program where it serves as a model-program where many other

organizations have come to seek advice to implement this into their own communities.

Additionally, Amin has been an advocate to expand immunization services at BAPS Charities’ annual health fairs which reach more than 15,000 patients and families. Amin volunteers to help coordinate the scope of the immunization drives to reach larger masses, build meaningful partnerships, and encourage more communities to get involved. With his collaborative efforts with Walgreens and other pharmacy providers, Amin has helped over 1,500 uninsured patients this past year receive immunizations.

In the past year, Amin has been

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honored for his voluntary work and programs in the community to improve healthcare.

Amin continues to strive Amin Delivers a speech at the APhA National Meeting toward ideas for Pfizer to be at the working with large organizations forefront of improving healthcare. and was one of 75 attendees He is currently enrolled in the invited to participate in the Pfizer MBA program at Villanova School Innovation Conference in 2014. He of Business and works full-time at strives to take this a step further by Pfizer. z working with the Pfizer innovation team and bring more innovative

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Association News

PPA’s 2015 Outstanding Students This award honors and recognizes one graduating student at each school of pharmacy in Pennsylvania who has been most active in pharmacy organizations during his/her academic career.

Benjamin Andrick, PharmD Duquesne University Mylan School of Pharmacy

scientist associated with a pharmacy school. PPA is an organization has given me so much and allowed me to give back to the profession. Therefore, I am very honored and thankful to have received this award.

I am very honored to have been selected as our chapters recipient of the PPA Outstanding Student Award. Being a member of PPA, as a student pharmacist, has been a critical part of my growth as a pharmacist. The numerous opportunities to interact with student pharmacists and pharmacists from across the state helped to broaden my horizons for pharmacy practice. Being in involved with advocacy through PPA allowed me advocate so I can practice to the fullest of my licensure to optimally care for my future patients. My future plans include completion of a PGY1 residency with Georgia Regents Health System and then I plan to pursue a PGY2 in Hematology/ Oncology with involvement in pharmacogenomics.

I could eventually see myself practicing as a clinical

Michael Bellano, PharmD Temple University School of Pharmacy

8 I Pennsylvania Pharmacist I July/August 2015

I have been actively engaged in the profession of pharmacy since my first year, attending numerous state, regional, and national conferences, presenting my research, and being a leader in my school’s pharmacy organizations. I am honored to be named PPA student pharmacist of the year at Temple University, and will continue to stay engaged in the pharmacy profession. I am currently interviewing for positions within the pharmaceutical industry, as well as the field of managed care. I am very appreciative of the role PPA has played in shaping my experience in pharmacy school and connecting me with other pharmacy students within the state of Pennsylvania.

Antonella Frattarelli, PharmD Philadelphia College of Pharmacy, University of the Sciences I am truly honored to have received the Outstanding Student of the Year award from PPA, an organization that has not only helped me grow; but also, developed me into the pharmacist that I know I can be. Be it networking with fellow student colleagues during my time as a chapter liaison, meeting with legislators about important issues, or learning from PPA pharmacists and mentors, PPA allowed me to step outside of my cozy box at the Philadelphia College of Pharmacy and experience the different realms of the “real-world” spectrum of pharmacy! I am currently working for CVS Health as a pharmacist in Delaware County. As a new practitioner I hope to serve as a mentor providing guidance to current PPA student pharmacists throughout the years.

Alysha Lopez, PharmD Wilkes University Nesbit College of Pharmacy The Wilkes University Student Chapter of PPA selects the recipient of the PPA Award based on nominations from peers. It is an honor to receive the distinction as the Outstanding Student because it means I accomplished my goal of being a great leader and serving my colleagues. I would like to thank my chapter for acknowledging my accomplishments and believing in me as both a person and pharmacist.

I did my due diligence to endow my enthusiasm

for lobbying to all around me - both in and out of pharmacy. Being a part of PPA is a great passion of mine because I believe that every single person can make a difference. One of my aspirations is to become a member of the PPA Board.

In the summer of 2015 I will begin my career as a clinical pharmacist at Geisinger-Lewistown Hospital. I am very excited about this new adventure! I am happy I will be able to speak with both patients and other health-care professionals on a daily basis; I strive to make an impact on patient-centered care.

Marcell Martinez, PharmD Thomas Jefferson University, Jefferson School of Pharmacy Being named as Jefferson’s Outstanding Student of the Year for 2015 was very rewarding and exhilarating. It also felt very humbling to have PPA members notice my efforts and nominate me for such a prestigious achievement. My current plans for my pharmacy profession include starting out as a Walgreens pharmacist in South Jersey and then becoming an independent pharmacy owner. As a new practitioner, I hope that my involvement with PPA will allow me to further enhance my skills in independent pharmacy management and allow me to network with other pharmacists with similar interests.

Continued on page 10

Pennsylvania Pharmacist I July/August 2015 I 9

Association News Kyle J. McGrath, PharmD University of Pittsburgh School of Pharmacy It is my honor to have been chosen for this distinguished honor of Outstanding Pharmacy Student from PPA. I view my involvement with the association as one of the best parts of my tenure in pharmacy school and encourage all of my fellow graduates to continue their involvement with PPA, or alternative for the state in which you practice. State associations are the voice of your profession and have a direct impact on where you practice. If we do not step up and have our voices heard, there is no one else who will do it.

Unfortunately, I will be leaving the commonwealth

that we all hold dear for a new commonwealth. This next year, I will be completing a fellowship with the National Association of Chain Drug Stores (NACDS) Foundation in Arlington, VA. As the Executive Fellow, I will work with health care and research leaders throughout the year on projects that enhance patient care and improve health outcomes on a national level.

The fellowship will help develop my skills in the management and design of research projects and an understanding of key issues impacting public health through hands-on engagement in Foundation initiatives.

I will also work to advance patient care within an evolving health care system through improvement of medication adherence and coordination of care.

I look forward to all the fantastic accomplishments the grads of ’15 will accomplish and cannot wait to see the impact we will make on the profession. Hail 2 Pitt.

Alicia Shontz, PharmD LECOM School of Pharmacy I want to express my deepest gratitude in receiving the LECOM PPA Outstanding Student of the year award. Being part of PPA over the last few years has been a wonderful experience and I have met many dedicated pharmacists.

Going forward I will continue to be a member of PPA while working as a retail manager and future preceptor. z

Student members: Did you know you have the opportunity to win $50?

For every new student pharmacist that you recruit to become a PPA member (make sure your name is on the application) you will be entered for a chance to win $50. A winner will be drawn at random and announced at PPA's 2015 Annual Conference. You do not need to be present to win. The competition ends August 31, 2015!

Invite your friends to join PPA today!

10 I Pennsylvania Pharmacist I July/August 2015

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Association News

Affiliated County News BucksMont Pharmacists Association: 2015/2016 Board of Directors President: D. Scott Himler, RPh Vice President: David B. Cunningham, RPh Treasurer: John Gatto. RPh Secretary: Carla Herling (Tomlinson), RPh Event Manager: Jan M. Kitzen RPh, PhD Past President: Bruce Sigman, RPh

Montgomery County Director: Melinda M. Williams, BSP Montgomery County Director: Robert Frankil, RPh Montgomery County Director: John C. Barrett, RPh, CHC Bucks County Director: Stephen Pfeiffer, PharmD, MBA Bucks County Director: Robert S. Schreiber, RPh Bucks County Director: Charles A Palilonis, RPh z

Allegheny County Pharmacists Association: 2015/2016 Board of Directors President: Maria Osborne PharmD, BCACP, CDE President-Elect: Brandon Antinopoulos, PharmD Vice-President: Stacy Costa, RPh Secretary: Jacqueline M. Klootwyk, PharmD, BCPS, BCACP Treasurer: Ann Johnson, PharmD Director: Nick Wytiaz, PharmD Director: Amanda George, PharmD Director: Gary Tedesco, PharmD Director: Amy Woods, PharmD Director: Amy Haver, PharmD, BCPS

University of Pittsburgh Representative: Stanton Jonas, PharmBS, MPH Duquesne University Representative: Angelo J. Greco, PharmD Past President: Karen Steinmetz Pater, PharmD, BCPS, CDE University of Pittsburgh Student: Jennifer Fever (Alternate: Brandon Barry) Duquesne University Student: Carly Malivuk (Alternate: Mary Kimmel) z

Call for Rite of Roses Names Do you know a Pennsylvania pharmacist who passed away within the last year? If so, we would like to recognize them during the Rite of Roses ceremony at our Annual Conference this September. Please send their name, the name of the pharmacy where they worked, and the city in which they lived to ppa@papharmacists.com.

Pennsylvania Pharmacist I July/August 2015 I 13

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Features

Member Profile Jenna Carmichael, PharmD, BCOP

By Katrina A. Lynn, PharmD, Candidate 2015 Wilkes University

Education: Jenna is a 2011 graduate of the University of Arizona College of Pharmacy in Tuscon, Arizona. Upon graduation, she completed her PGY1 at the Sierra Nevada Health System in Reno, Nevada, and PGY2 at the Geisinger Health System in Danville, Pennsylvania.

Work Location: Henry Cancer Center, Geisinger Health System in Wilkes-Barre.

Work Description: Jenna is a Medication Therapy Management Oncology Pharmacist. She has been on the Geisinger team for the past three years, and immensely enjoys what she does. Jenna runs the oncology phone clinic and constantly interacts with patients, providers, and other pharmacists.

On a daily basis, she comes in

early to answer questions from overnight and prepare for the day.

She will begin making patient calls around 10 am. Her scope of practice is primarily patients on oral chemotherapy medications.

She will call them and ask about their chemotherapy, seeing if they are taking it appropriately, if any side effects are occurring, and if so working through the side effect profile. A collaborative practice agreement is in place, so Jenna is able to manage some side effects with recommendations to help with rashes, diarrhea, etc.

Why a career in oncology pharmacy? Jenna’s mother is a pharmacist, and she had always been interested in the medical field. When deciding between medical school and pharmacy school, the blood and guts that potentially come with being a physician did not entice her, so pharmacy it was! Her mother suggested looking into oncology as a potential avenue of pharmacy to shape her career. During her first block of rotations, she was fortunate enough to obtain an oncology position in an infusion center. Her rotations shaped her career in general, she used the time to figure out what she liked the most, and although she enjoyed all of her rotations, she

kept coming back to the oncology rotation and how much satisfaction she received.

What is the best part of being a pharmacist in your eyes? Jenna enjoys the patient interaction. She loves being the “go-to” person for patients. Her most memorable experience of her short career was as a PGY1 resident was when she was rounding in an oncology clinic with a physician. The physician went into the patient room and introduced himself, and told the patient I have my pharmacist, Jenna, with me today. It turns out, she had been working with that patient on some drug interactions a few months prior. The patient looked at her and said, well she’s my pharmacist too! That experience has stuck with her ever since.

When not working, where can you be found? Jenna has a passion for cooking, so in her kitchen! Currently, her phase is fermenting, and she is making her own vinegar. Cooking is her cool down activity after stressful days at work; she comes home and creates interesting meals from scratch. z

Pennsylvania Pharmacist I July/August 2015 I 15

Pharmacists: The Best Bet For Patient Care PPA’s Annual Conference October 1- 4, 2015

Schedule at a Glance: Thursday: • Point of Care Testing • APhA Immunization Delivery Program • Board of Directors Meeting • Dessert Recepton

Friday: • Golf Outing • Countinuing Education, 7 Options • MTM Live Training • Top TIER Meeting • Emergency Planning Meeting • Health Policy Meeting • Local County Association Forum • Foundation Board of Directors Meeting • Coalition of Schools of Pharmacy • Student Advisory Board Meeting • Past President and New Practitioner Receptions • Exhibit Hall Dinner

16 I Pennsylvania Pharmacist I July/August 2015

Saturday: • Breakfast Sponsored by Johnson and Johnson Diabetes Solutions Companies LifeScan • Student Programming • PPA Business Meeting • Health System Forum • Continuing Education, 8 Options • LEAD Meeting • Achieving Independence Competition • Residency Showcase • Dispensing Guidelines Program • New Practitionor Forum • Student Residency Information • PCCN Reseach/ Mentor Collaborative • Leadership Awards and Reception and Dinner

Sunday: • Breakfast Sponsored by Teva Respiratory • Countinuing Education, 3 Options • Student Programming • PPCN Board of Directors Meeting

To register, visit http://www.papharmacists.com/?page=Annual2015

Pennsylvania Pharmacist I July/August 2015 I 17

Association News

All Members Are Invited to Attend the PPA Annual Business Meeting Saturday, October 3, 2015

The Annual Meeting of the corporation, as required by law, will be held during the Annual Conference and will consider proposed changes to PPA’s Constitution and Bylaws In accordance with the requirements to amend PPA’s Constitution and Bylaws, PPA is providing this notification of the intention to consider these changes at the PPA Annual Meeting to be held on: Saturday, October 3, 2015 in conjunction with the PPA Annual Conference at the Holiday Inn Harrisburg Hershey, Grantville, PA. The proposed changes to the Bylaws are noted below. Any PPA Member may attend only the Annual Business Meeting at no charge, which is tentatively slated for 8 a.m. For those wishing to also attend the breakfast before the meeting or any part of the conference, you must be a registered attendee for all or part of the conference or purchase a breakfast only ticket. Please see full registration information at www.papharmacists.com/ ?page=Annual2015

PPCN. The Board of Directors will receive a slate of nominations from the PPCN Nominating Committee as defined in the PPCN Bylaws.

Pennsylvania Pharmaceutical Care Network, Inc. The President of the Corporation shall provide to the Board of Directors a slate of candidates to serve as directors to the Board of the Pennsylvania Pharmaceutical Care Network, Inc. The Board of Directors may, but shall not be bound to, select the Board members from such slate. Not withstanding the foregoing, two (2) members of the Board of Directors of the PPCN Pennsylvania Pharmaceutical Care Network, Inc. shall be the Chief Executive Officer of the Corporation and the Executive Manager Chief Operating Officer of the PPCN Pennsylvania Pharmaceutical Care Network, Inc., who will be a non voting ex officio members. The Chief Executive Officer of the Corporation shall serve as Chairman of the Board of Directors of the Pennsylvania Pharmaceutical Care Network, Inc.

ARTICLE XVII Election of Directors to the Board of the Pennsylvania Pharmaceutical Pharmacists Care Network (PPCN), Incorporated

Section 2. Directors to the Board of the PPCN Pennsylvania Pharmaceutical Care Network, Inc. shall be elected on the last business meeting day of June in each year. Special elections, however, may be scheduled by the Board of Directors of the Corporation upon Notice published in the Pennsylvania Pharmacist to the Board at least ten sixty (610) days prior to the special election.

Section 1. So long as the Corporation continues to be the sole and/or majority shareholder of the Pennsylvania Pharmaceutical Pharmacists Care Network, Inc. (PPCN), the Board of Directors shall be charged with the authority and responsibility to elect the Directors to serve on the Board of the

18 I Pennsylvania Pharmacist I July/August 2015

Section 3. Any person or entity may submit, in writing, to the Board of Directors the name or names

of any individual or individuals to be considered for the position of Director on the Board of the Pennsylvania Pharmaceutical Care Network, Inc. All such nominations must be submitted to the Board of Directors at least sixty (60) days prior to any meeting at which such Directors are to be elected, whether such elections shall occur on the last business day of June or at any special election scheduled pursuant to Section 2 herein.

Section 3 4. All Directors to serve on the PPCN Pennsylvania Pharmaceutical Care Network, Inc. Board shall be elected by a majority vote of those members of the Board of Directors present and voting at any

meeting during which such Directors are elected.

The President of the Pennsylvania Pharmacists Association shall cast the official vote on behalf of the Pennsylvania Pharmacists Association reflecting the majority vote of the Board of Directors as aforesaid.

Section 5 4. Should the Pennsylvania Pharmaceutical Care Network, Inc. become inactive while the corporation remains in existence with the Corporation continuing as the sole or majority shareholder, the provisions of Section 1 through 4 of this Article shall be stayed during the period of such inactive status of the corporation. z

Call for 2016 PPA Educational Foundation Grant Applications The PPA Educational Foundation will award up to four grants in 2016 with a maximum amount of $1,000 per awarded grant. Grants may be used for projects which are targeted towards patient care by pharmacists and innovative activity around pharmacy practice. The purpose of the grants is to encourage exploration of innovative and best pharmacy practices, especially those which focus on patient-centered services or which offer some patient benefit.

For 2016: The PPA Educational Foundation encourages the submission of grants that investigate, demonstrate, document, measure or otherwise explore the value of pharmacist involvement in the Patient Centered Medical Home (PCMH), Accountable Care Organizations(ACOs)or other innovative models of collaboration. Of particular interest to the Foundation, are the following aspects related to the business model of embedding a pharmacist in the PCMH/ACO: productivity, ROI, payment, and/or quality outcomes/measures. This focus does not preclude applications of another topic or project.

The Foundation has available on its website a short recorded webinar (about 15 minutes) on the Foundation, the grant program, its goals and objectives, and the application and decision process.

Watching the webinar is not required but may be helpful in providing any applicant with a greater chance of success by a full understanding of the process and expectations. Participation will also not be considered in the grant evaluation process and therefore is not a requirement or guarantee of success. If you are interested you must register in advance by sending an email to Foundation@papharmacists.com.

You will be sent specifics about login/call-in a few days in advance.

We encourage residents, new practitioners, seasoned practitioners, students, and academia members to apply! It can be a simple, easy way to support a new or ongoing venture of provision of patient care!

Information about Grant Opportunities, the 2016 Grant Announcement, and the Grant Application can be found on the PPA website under Foundation, Grant Programs.

Pennsylvania Pharmacist I July/August 2015 I 19

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Industry News

Meeting Patient Safety CE Requirements The 2012-2014 PA pharmacist license renewal period introduced a new continuing education requirement that caught some Pennsylvania pharmacists by surprise. Of the 30 hours of CE credit required to renew, two of those hours must be in the ACPE topic designator “Patient Safety.”. But how do you know if a program will count toward this requirement?

The Accreditation Council for Pharmacy Education (ACPE) defines patient safety as “The prevention of healthcare errors, and the elimination or mitigation of patient injury caused by healthcare errors (An unintended healthcare outcome caused by a defect in the delivery of care to a patient.) Healthcare errors may be errors of commission (doing the wrong thing), omission (not doing the right thing), or execution (doing the right thing incorrectly).

Errors may be made by any member of the healthcare team in any healthcare setting (definitions approved by the National Patient Safety Foundation® Board July 2003).” A CE program that addresses patient safety as defined here (and is accredited as such) will count toward the two hour requirement.

The quickest and most effective way to determine whether a CE activity counts as a patient safety CE is to look at the Universal Activity Number (UAN). Each CE activity provided by an ACPE-accredited provider of continuing education has a unique UAN, and providers are required to include this number in official program announcements.

The UAN is a string of numbers and letters, separated by hyphens. Each section of the UAN refers to a specific detail of the program.

The last two numbers in the UAN are the topic designator. A UAN with 05 as the topic

designator is designated as a patient safety program and will count toward the two hour renewal requirement.

Example: 0159-0000-15-009-L05-P The CE credit you earn will appear under CPE Monitor in your NABP e-Profile Dashboard. You can log into your NABP e-Profile (www.mycpemonitor.net) at any time to view credits you’ve earned. Just look for the 05 after the L or H in the UAN to confirm that you’ve received patient safety CE credit. z

Pennsylvania Pharmacist I July/August 2015 I 21

Features

Pharmacy Spotlight 452 Hazle Street – Home of your Local Family-Owned Pharmacy

By Katrina Lynn, Wilkes University Pharm.D Candidate, 2015 Bedwick’s Pharmacy and Gifts owned and operated by George and Chris Bedwick, and son Brian is located in Wilkes-Barre, PA. This community focused pharmacy serves a population of approximately 40,000.

George Bedwick graduated from Temple University School of Pharmacy with a bachelor of science in 1983, with a goal to one day owning his own pharmacy.

Prior to owning his own pharmacy, he gained worked as a pharmacist in a chain pharmacy and an

independent pharmacy. When he was ready to purchase his own pharmacy seventeen years ago, he contacted the owner of Stanton Pharmacy, located in the neighborhood where he grew up. Upon purchasing Stanton Pharmacy, George changed the name to Bedwick’s Pharmacy and Gifts, and added some new services, but continued the tradition of being a small, neighborhood pharmacy who knows all their customers.

At Bedwick’s Pharmacy, you

Shown are Mayor Thomas Leighton, George Bedwick, Chris Bedwick, and Brian Bedwick

22 I Pennsylvania Pharmacist I July/August 2015

are guaranteed fast, friendly, and professional pharmacy services.

Some services that the pharmacy offers are pre-filled weekly medication boxes and daily delivery service, both available to patients at no cost. Many patients walk to Bedwick’s Pharmacy or drive just a short distance to fill their prescriptions. The Bedwick’s know all of their customers by name, and greet them as they walk through the door. The patients appreciate the one-on-one customer interaction they receive, trust their pharmacist, and know they can ask any questions on their mind because they are a part of the Bedwick Pharmacy “family.”

George and Chris Bedwick grew up with many of the patients, knew their parents, and now know their children. Patients choose to take their business to this local pharmacy because they cannot get the type of services they receive at bigger chain stores.

A unique service that the pharmacy offers is a front end gift department of the pharmacy.

Bedwick’s wife, Chris, ensures the pharmacy is always well stocked with a wide array of gifts,

cards, candy, seasonal items, and a large selection of religious gift items. People come from all over the area to view and purchase the wide selection of merchandise available in Bedwick’s Pharmacy. This is true especially for the religious items, as it has become increasingly harder to find these items. The pharmacy has developed a niche for providing its customers with the perfect gift for a Baptism, Holy Communion, Confirmation, and other religious occasions.

Being a part of the community is of utmost importance to the Bedwick’s. The pharmacy sponsors a local little league baseball team and participates in the annual Big Brothers/Big Sisters Bowl for Kids’ Sake fundraiser. They also involve the pharmacy in local church bazaars and various other community activities and charities.

Bedwick also finds it important to guide the future pharmacists of America by mentoring pharmacy students. Bedwick is very involved at Wilkes University Nesbitt School of Pharmacy, and works closely with faculty and staff. Each year he accepts many pharmacy students for IPPE and APPE rotations, and this is a responsibility he takes very seriously. Through student rotations, Bedwick shows students that owning your own pharmacy is still a viable career path. Bedwick believes that community pharmacies can grow if the next generation of pharmacists are encouraged to be catalysts of the profession with the much-needed dedication and involvement.

Bedwick has always been involved in pharmacy organizations since college. While at Temple, he joined Kappa Psi Pharmaceutical Fraternity, and remains a member of the Pocono Grad Chapter. Bedwick’s son, Brian, who is a 2015 Pharm.D Candidate from Wilkes University, also pledged for Kappa Psi, and Bedwick is now proud to call Brian his “brother” as well as his son.

Bedwick is also involved in NCPA, PPA, PARD, APHA, Keystone Purchasing Alliance, and the local chamber of commerce. Bedwick feels it is important to be a member of these organizations for many reasons, including future career opportunities for students, and staying up to date on laws. Bedwick feels that it is vital to be involved with PPA, as all the changing laws affect pharmacy businesses daily. Bedwick really appreciates PPA advocating for the profession, and cannot thank them enough for looking out for the interests of Pennsylvania’s independent pharmacy owners. z

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Pennsylvania Pharmacist I July/August 2015 I 23

Association News

Congratulations, 2015 PPA Graduates!

PPA wishes the 2015 PPA graduating students all of the best as they embark on their pharmacy careers!

Remember to remain a committed member of our state pharmacy association no matter where you reside. For those remaining in Pennsylvania, we invite and encourage you to update your membership to pharmacist as either a resident or New Practitioner. This can be done online or by contacting Ali Bowker at abowker@papharmacist.com. PPA membership is an investment in your future livelihood, professional happiness, and the well-being of your patients. Best wishes with your future endeavors!

Creighton University Kimberly Garlena Chelsea O’Brien Duquesne University – Mylan School of Pharmacy Ashley Adams Kathryn DeLone Brianne Dixon Shane Donnelly Alyssa Gabany Mackenzie Grieser Bobby Gwin Charlene Kabel Shanice Levy Christina Lichtinger Valerie Markley Derek Michalski Attila Mihalik Susan Miller Jordan Moore Nicholas Signorella Christopher Smuthwaite Brenna Stackhouse Micheal Strien Katherine Sulkowski Jennifer Wood Jefferson School of Pharmacy Jamie Baccaro Pamela Buckwalter Brianna Carbo Joseph Fulginiti Mishall Ghauri Christopher Goldrick Walid Hammoud Michelle Link

24 I Pennsylvania Pharmacist I July/August 2015

Nicholas Macri Jeffrey Meeks Archana Nair Toan Pham Sergio Vernovsky LECOM School of Pharmacy Rudolf Achiri Jennifer Addo Nicholas Bucci Victoria Cercone Cory Christianson Bethany Crouse Huy Dang Kendra Delibert Lisa DePietro Elaina Marie Farah Kevin Fusselman Graham Garcia Amanda Grim Joel Keckler Kristopher Marchewka Beth Miller Robyn Moodt Nicole Prather Ashley Ramp Christopher Sedgwick Alicia Shontz Amanda Skal Haley Smith Emily Supenia Paulina Trzcinka Temple University School of Pharmacy Michael Bellano Samantha Brown

Leon Do Erika Goldberg Jieun Her Nicole Hollinger Emalee Hribick Hiroyuki Ono Sarah Picozzi Kristen Schmerbeck Ken Trinh University of Pittsburgh School of Pharmacy Anna Bondar Anthony Boyd Joni Carroll Benjamin Colosmo Marissa Csovelak Craig Dennis Julie DiBridge Katelyn Emhoff Adam Gonyeau Chelsea Hudak Amanda Jaber Rachel Jansen Juliann Keffer Ruth Lidoshore Danielle Mayer Kyle McGrath Katherine McGuire Andrew Nguyen Von Rhodes Bradley Rocco Regina Ulis Kathryn Wersosky Leah Williams Julia Zecchini

University of the Sciences/ Philadelphia College of Pharmacy Antonella Frattarelli Ligi Mathew Keegan Miller Cassandra Mislyan Samarth Parikh Mit Patel Joe Schafer Ashley Snow Nazar Ughryn

Wilkes University Samantha Bickert Ariana Colella Kelsie Constable Heather Grabowski Matthew Kelley Bernard Klemchak Kayla Kline Alysha Lopez Katrina Lynn Sarah Medved Rachel Miller Kristofer Rivers Clinton Yoder

Long Island College Rong Zheng Northeast Ohio Medicine Ashley Byrne Elizabeth Legros Ohio Northern University Emily Brown Shenandoah University Karli Swartz St. John Fischer College Collin Lafayette z

“I would like to thank PPA for all of the opportunities that were provided to me as a student such as the Achieving Independence Competition, Legislative Day in Harrisburg, the annual and midyear meetings, the NCPA Sig Grant, and the countless networking opportunities.

These experiences were extremely valuable to me and played a large part in helping me to establish my career goals and develop my interests. Thank you again for all of your support of student pharmacists and of the profession of pharmacy.”

– Andrew Nguyen University of Pittsburgh School of Pharmacy, 2015

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 two of the students are currently doing upon graduation. The other two rotation students will be featured in the Sept/ Oct issue.

Cassandra Mislyan, PharmD is a newly graduated pharmacist from Philadelphia College of Pharmacy. She currently has a job lined up with Weis Markets, Inc. as a full time, floater Pharmacist.

She enjoys working in the community setting and hopes she can continue to do so for many years. She has gained an interest in antique apothecary items and hopes she can expand her collection over the years to come. Furthermore, she would like to thank everyone who has helped her accomplish her dream of becoming a pharmacist.

Upon graduation from Wilkes University in May 2015, Katrina Lynn will reside in York, PA. She is employed at WalMart pharmacy in the York district!

She plans to help many patients in the community pharmacy and be an advocate for the profession! z

Pennsylvania Pharmacist I July/August 2015 I 25

Departments

Campus Checkup LECOM

Jaxson Burkins, Communications Ambassador LECOM students took a little step back from all their extra-curricular activities this month to focus on finals and to recover from a productive semester. However, students were still active with end of the year wrap-ups with their clubs and a few other activities. Students gathered in a lounge at the school to listen to a recent graduate and second year resident talk to students about third year rotations, residencies, and adjusting to life after school.

Dr. Shalyn Quigley gave insightful advice as well as the reality to what it takes to put your name out there for residencies after school.

Near the middle of May, current and future leaders of the APhA student chapter of LECOM met to talk about accomplishments of the year and goals for next year. PPA was included in that discussion as far as our goals as a school for getting more student involvement in the state legislation.

Lastly, it is with great excitement that LECOM can say they are considered a finalist for the Honorable Mention in the National Challenge Category for Script Your Future. This competition is a nationwide competition to raise awareness to the community about medication adherence. z

Philadelphia College Temple University of Pharmacy Contributed by Hamad Juboori

Fidelia Bernice, Communications Ambassador

Philadelphia College of Pharmacy’s PPA had a great semester! Participating in the student competitions at midyear, going to legislative day to give blood glucose screenings, and presenting Katy’s Kids programs at the local elementary school are just some of the things that got students excited to be a part of the PPA community. PCP looks forward to going to annual in the fall and giving even more Katy’s Kids presentations! The kids and the pharmacy students both enjoyed learning about the dangers of medicine and how to take medications safely through videos and hands-on activities. PPA also teamed up with our chapter’s APhA and SSHP for a letter writing campaign during the month of April to inform legislators why provider status would benefit not only their constituents, but all people in underserved populations. z

26 I Pennsylvania Pharmacist I July/August 2015

Temple University School of Pharmacy has had an incredibly successful semester. The success of our recent School-Wide Support Provider Status Campaign has received national recognition, putting Temple at #1 with the most students signing the APhA Pharmacists Provide Care petition. We hope to see provider status for pharmacists come into fruition this year. The sPPA at temple has been working closely with the APhA to discuss legislative ideas that we plan on proposing at their Midyear conference. We held a Pizza & Policy event to discuss these proposals and share policies that are intended to support pharmacists in the future. Although the semester is over, we plan to stay in contact with sPPA members and the APhA to push these proposals forward and achieve success on these fronts. z

University of Pittsburgh

Brittney Knass, Communications Ambassador We want to thank Kelsey Moss and Jenn Fever who did a great job representing our chapter at all of the policy meetings during APhA annual in San Diego!

All of our members also had a great time at the PPA reception during the conference as well!

Our last big event we had for the semester was attending Legislative Day. We were excited to have sent over 125 students and collectively participating in 82 legislative visits! The day was well spent advocating for our profession and tabling about medication adherence, antibiotics, and collaborative practice agreements.

Finally, we want to congratulate and welcome our new E-board for next year! Jenn Fever as Policy VP, Brandon Barry as Policy VP Elect, Laura Yost as Communications Ambassador, Emily Bobrzynski as Legislative Ambassador, and Marissa Badzik as Membership Ambassador. We are looking

forward to all Pitt’s PPA chapter will accomplish next year with these great leaders in charge!

And congratulations to the PharmD Class of 2015!

We wish you the best of luck on your new adventure as pharmacists! z

Wilkes University Trina Patel, Communications Ambassador

PPA’s Wilkes chapter was very excited to wrap up the year with Legislative Day in Harrisburg.

Over 45 students and professors from Wilkes University attended and advocated for the rights of pharmacists.

It was great to not only talk to legislators about important pharmacy bills, but also was an excellent opportunity to network with other students and pharmacists. Our chapter educated the public on immunizations a relevant topic as well and many first time students felt that this opened their eyes to the importance of advocacy and cannot wait to do it again next year!

As the semester came to the end, we had our elections for officers for next year and are proud to announce we have an exciting new board with

Jennie Smith as our Delegate. Looking back at the year, our chapter focused on educating children on medication safety with 6 Katy’s Kids events, advocacy through a letter writing campaign, and fundraising for PharmPAC. Next year PPA’s Wilkes chapter hopes to participate in more Katy’s Kids events and advocacy efforts as well as continue to fundraise for our chapter and PharmPAC. Lastly our chapter looks forward to the Annual Conference in October where we will continue to network with old and new friends and cheer on our Achieving Independent Team consisting of Anthony Fanucci, Paige Pientka, Ashley Robold, and Vladimir Russ! z

Pennsylvania Pharmacist I July/August 2015 I 27

Association News

Meet the 2015-2016 Board of Directors Elections for the 2015 PPA Board of Directors were held in the spring of 2015, and new Officers and Directors will assume their position on July 1, 2015. Officers and Directors will be installed during the Annual Business Meeting on Saturday, October 3rd at the 2015 Annual Conference. To read the biographies for each Board member please visit www.papharmacists.com. z

Officers:

President Donna Hazel, RPh

President-Elect Eric Pusey, RPh

Vice President Nicholas Leon, PharmD, BCPS, BCACP

Immediate Past President Eric Esterbrook, RPh

Chain Pharmacists Cory Krebs, RPh

Community Independent Pharmacists Martin Kendra, RPh

Community Independent Pharmacists Chuck Kray, RPh

Directors:

Alternative Pharmacy Practice Roshni Patel, PharmD

28 I Pennsylvania Pharmacist I July/August 2015

Directors: Vacant…to be filled by the Board of Directors

Managed Care

Academy of Student Student Pharmacists East Hamad Juboori

Associates Todd Eury

Academy of Student Student Pharmacists West Madison Adams

Vacant…to be filled by the Board of Directors

Central Region Ellen Nastase, BS Pharmacy, MS Pharmacy

Northeast Region Thomas Franko, PharmD, BCACP

Southeast Region Mark Lawson, PharmD, MBA

Northwest Region

Southwest Region Lauren Simko, PharmD

Pennsylvania Pharmacist I July/August 2015 I 29

Industry News

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30 I Pennsylvania Pharmacist I July/August 2015

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Features

and the Law

By Phillip J. Schieffer, PharmD/J.D. Dual-Degree Candidate, Drake University

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.

That’s Not My State

O

ften you find yourself flipping through pharmacy news and see recent court decisions that affect the practice of pharmacy in a different state. You might think, “Well it’s not in my state, so who cares?”

Even though that decision may not pertain to your practice now, it could later. The extent to which it does stems from its persuasive authority. Persuasive authority is the characteristic of a judicial opinion that courts in other jurisdictions can rely on in deciding a case. But, this authority is neither absolute nor guaranteed.

Of course there are the judicial opinions issued in your state that directly affect your practice of pharmacy. These are said to have mandatory authority. Once an opinion is rendered based on a particular set of facts, it becomes the rule of law that all lower courts in that jurisdiction (including the court it came out of) must follow from then on. There is no discretion over whether to follow this rule.

32 I Pennsylvania Pharmacist I July/August 2015

The process of following decisions with mandatory authority is called stare decisis, meaning “let the decision stand.” Mandatory authority derived from stare decisis serves the purpose of continuity (so people know what the law is and how to act), as well as efficiency in not having to consider policy arguments every time the same issue is raised.

Let’s look at Bobay v. Walgreen.1 In 2007, Pansey and Dennis Bobay filed a complaint against Walgreen alleging that the pharmacy owed Ms. Bobay a duty to warn her about potential adverse injuries that could result from taking cyclosporine, gemfibrozil, and Vytorin. The Bobays were trying to prove negligence and in order to do that needed to show Walgreen’s had a duty to warn Ms. Bobay about drug interactions. However, the rule of law was already established that pharmacists had no such duty unless directed by the prescribing physician. That rule came from a case previously decided by the Indiana Court of

Appeals.2 Since the federal judge in the United States District Court for the Northern District of Indiana was deciding on an issue in which Indiana state law governed, he was forced to apply the rule, thus favoring defendant Walgreen. As a result, that claim was dismissed from court on a motion for summary judgment. The Bobays could not recover from Walgreen on that claim because the facts were similar enough to a case that had previously been decided within their jurisdiction. The court was bound by mandatory authority.

But what about judicial opinions from courts that have no jurisdiction where you practice pharmacy? They’re not your laws, right? Right. Your courts aren’t bound by them, right? Right. So we can totally disregard them, right?

I wouldn’t. If the issue has yet to be decided in your courts, that outside opinion could play a big part in shaping your professional landscape.

Persuasive authority comes into play when a court is looking at an issue for the first time. It has no previous decisions in their own jurisdiction, so they aren’t bound by any rule of law. It has to make the rule of law and apply it to the case at hand. This process is not to be taken lightly, so persuasive authority is used for guidance in creating mandatory authority.

Exactly how persuasive a decision is, though, relies on a host of considerations. The more similar the facts are, the more persuasive it is. Reasoning behind an opinion, the person that wrote it, and the court from which the decision came all matter, too.

Whether a court shares a specific doctrine on the matter is also important. Even demographic and geographic comparisons are made. It’s difficult to tell with any certainty how persuasive an “outside” decision may be.

So here we go again. Let’s get back to a pharmacist’s duty to warn a patient about adverse effects. The State of Washington looked at this issue for the very first time in McKee v. American Home Products Corporation.3 Here, Elaine McKee alleged that the defendant pharmacists were negligent and should have warned her about the addictive effects of Plegeline for appetite suppression, that its therapeutic effect diminishes after a few weeks, and that it is not a drug to be used for long-term duration.

Since this was an issue of first impression the court looked outside the State of Washington for help. The court was persuaded

particularly by factually similar cases that arose out of the Florida District Court of Appeals and Michigan Court of Appeals. There, they held that pharmacists had no such duty to warn of potential adverse effects, but only a duty to properly fill a prescription. Also, since Washington followed the “learned intermediary” doctrine they looked at decisions from other states that followed the same doctrine.4 Those states found no duty to warn on the part of the pharmacist because they did not know the nuances of a patient’s health. Even though the court wasn’t bound by those prior decisions, it chose to follow their rulings anyway.

Maybe you might want to skim through that article after all. You can anticipate what the

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

argument for or against an issue will be when it’s raised. Making yourself aware of what’s going on in other states helps to keep you aware of your own professional responsibilities and their evolution. z © Phillip J. Schieffer, PharmD/J.D. is a DualDegree Candidate at Drake University.

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: Bobay v. Walgreen Co., 2009 WL 1940727, (N.D. Ind. June 30, 2009).

2: Ingram v. Hook’s Drugs, Inc., 476 N.E. 2d 881, 887 (Ind. Ct. App. 1985) 3: McKee v. American Home Products Corp., 782 P.2d 1045 (Wash. 1989) 4: Learned intermediary doctrine applied here means that it is the physician that has the duty to warn, because not only are they educated on drug therapy, but they also have comprehensive knowledge of a patient’s medical history, unlike the pharmacist.

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

Pennsylvania Pharmacist I July/August 2015 I 33

Association News

Insight into a Rotation at the Pennsylvania Pharmacists Association

By Katrina Lynn, PharmD Candidate 2015 As I began my rotation at the PPA, I was not quite sure what to expect. I was expecting to work with at least one pharmacist in the office on a daily basis, and also expected the staff to be larger than five. I was wrong! These five people, consisting of a CEO, Communications Coordinator, Membership Coordinator, Program Manager, and Government Relations Manager run the entire Pennsylvania Pharmacists Association by themselves! I learned that this is no small feat either, and was amazed by the whole operation.

With the help of different committees of pharmacists, they lobby for our profession, and do so in a big way.

During my first week, I jumped right into action helping with the Mid-Year Conference wrap up, and began some of my assignments.

Every day at this rotation brings something new and exciting. From writing numerous articles for the Pennsylvania Pharmacists Association magazine, attending meetings with legislators, meeting my own

34 I Pennsylvania Pharmacist I July/August 2015

legislators, attending committee hearings on hot topics such as legalizing medical marijuana, writing blog articles, updating websites, and learning how everything runs smoothly with this organization, there was never a dull moment. During my few weeks at the organization, I got the lay of the land and was really able to help and participate in some amazing meetings with very important people.

It blew me away at first working right across the street from the Capitol complex in Harrisburg, especially when I realized how closely work is done with legislators. I began to see them as people with the power to make changes for the betterment of our profession as I got more comfortable. They may wear fancy clothes, work in a fancy building, and have the power to make change, but they are humans just like you and I. I realized that on my first day when a senator asked me to take a “selfie� with her Continued on page 36

Educational Foundation Advancing Patient Care

My Profession...My Practice...My Philanthropy “I am at the point in my life and career that I can look back and see how far we have come as a profession. I know how important PPA has been in advancing the practice of pharmacy in the Commonwealth. The Foundation is a vital tool in the Association’s work of keeping our profession moving forward. Funding research and demonstration projects though our grant program, offering student programs and competitions at our annual and midyear meetings, developing continuing education programs for practicing pharmacists; the Foundation strives to advance pharmacy practice to provide enhanced patient care.

Giving to the Educational Foundation, as well as to PharmPAC, is just something that many of us do as a matter of professional responsibility. Giving to the Foundation has the added benefit of being tax deductible. Participating in raffles and silent auctions can be a fun way to give. I recently found another easy and painless way of giving to the Foundation. A couple of months ago I signed up for iGive with the Foundation as my “Cause.” For every online purchase I made during this past Holiday season, a percentage came back to the Foundation. Check it out at www.igive.com .”

Edward J. Bechtel, RPh., Bechtel’s Pharmacy, Inc., PPA President 1996-97 and Current PPA Educational Foundation Board member and contributor For more information on how you can make a difference, http://www.papharmacists.com/?page=FoundationInfo

We need your support of PharmPAC! By simply completing this form and sending in your contribution - you are providing PPA with the resources it needs to advance our legislative efforts. We need your support to help us stay in front of lawmakers on many key issues that are important to you! Need a few reasons why you should contribute? Early successes so far this legislative session include: • • • • •

Introduction of PBM registration/MAC transparency and pharmacy audit integrity bills in the House and Senate Establishment of a Pharmacy Caucus to help legislators be better advocates for community pharmacy Passage of legislation out of the House which would expand pharmacist-provided immunization opportunities (House Bill 182); and passage of a companion bill out of the Senate (Senate Bill 305) Passage of legislation out of a House Committee to register pharmacy technicians Passage of legislation out of the House to register nonresident pharmacies (House Bill 75)

(Please do not use a corporate card or check as it is prohibited by election laws) Personal Check Personal Credit Card (we accept MasterCard, Visa, or Discover)

Name as it appears on card: ____________________________________________________________________ Credit Card Number : _________________________________________________ Exp. Date: _____/_________ CC Billing Address: ____________________________________________________________________________ Security Code: __________________ (on back of card) email: ________________________________________ Check contributions are to be made payable to PharmPAC and mailed to PA Pharmacists Assn, 508 North Third Street, Harrisburg, PA 17101-1199. Credit card contributions may also be faxed to PPA at 717-236-1618.

Pennsylvania Pharmacist I July/August 2015 I 35

Association News at a freshman legislator’s breakfast sponsored by the Pennsylvania Pharmacists Association. Over the next few weeks I went to numerous individual legislator meetings with our Government Relations Manager and truly realized how influential this organization is. The legislators are there to listen and help, and the Pennsylvania Pharmacists Association has the connections to make suggestions on our behalf.

The way this system is set up, it is of the upmost importance that pharmacists, pharmacy students, and pharmacy technicians speak up for their profession and tell the Pennsylvania Pharmacists Association any issues that could potentially be fixed so they can lobby on the professions behalf. Currently, the Pennsylvania Pharmacists Association is lobbying for the ability of interns to immunize after they receive their training and for pharmacists to be able to administer the flu vaccine to patients nine years and older. With pharmacists who

are passionate about their profession, the association that represents us has the best idea of what needs to be changed.

This rotation enhanced my professional skills and my comfort level of speaking to professionals. It also taught me a lot about professional organizations in general, and how important it is to be an advocate for your profession. Lastly, I learned a lot of information on current legal issues in the profession of pharmacy.

This rotation is amazing, and I encourage everyone to complete it. I encourage you to be ready for a full plate and long days, but feel very rewarded with the work you are completing. z

Students Interested in Pharmacy Ownership -- Attend NCPA this fall on Us! Sponsored by PPA’s Special Interest Group (SIG) for Independent Pharmacy

Receive an expense paid trip to attend the NCPA (National Community Pharmacists Association) Annual Convention

October 10 -14, 2015 Washington, DC

The Pennsylvania Pharmacists Association SIG will present up to four students with grants covering the related expenses for attending the NCPA Convention: (provided certain requirements are met.)  1 Roundtrip Train ticket or mileage reimbursement at IRS rate  up to 4 nights hotel accommodations (room and tax)  Student registration at student member rate  Up to $200 in meals and incidentals such as tolls and parking at the hotel, (receipts and an itemization must be submitted). These must be in accordance with the expense reimbursement policy Expenses are reimbursed subject to the completion of several criteria and attendance at the meeting.

Qualifications: th th • 5 or 6 year* pharmacy student enrolled at a Pennsylvania School of Pharmacy • Pennsylvania resident • PPA Student Member • Must not have previously received this grant • Interest in Community Pharmacy particularly Independent Pharmacy *or equivalent of last two professional years More information and the application may be found at: http://www.papharmacists.com/?page=SIGNCPA

36 I Pennsylvania Pharmacist I July/August 2015

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Association News

PPA Welcomes Ali Bowker Ali began her role as the Communications Coordinator for PPA on May 26. She graduated from Virginia Tech in May 2015 with a B.A. in Public Relations. Ali also has minors in marketing, professional writing, and political science. During her time at Virginia Tech Ali was involved in the student-run television station and served as the station’s General Manager her senior year. She also was the founding president of Lambda Pi Eta the communications honor’s society. In her free time Ali enjoys running, hanging out with friends and family, and watching sports. z

PPA Committee/Work Group Chairs 2015-2016 Committee Name

Committee Chair

Committee Name

Committee Chair

Awards Committee

Missy Krause

Pharmacy Advocacy Committee

Joe Millward

2016 Conference Committee

Marty Kendra

Membership Committee

Courtney Graham

Constitution and Bylaws

Lisa Becker

Nominations

Scott Miskovsky

Education Committee

Kim Ference

PCMH/ACO Work Group

Tanya Dougherty

Finance Committee

Bob Killoran

Public Relations

Kyle McCormick

Health Policy

Janet Astle

Website Task Force

Ben Beidel

Independent - Legislative Committee

Dave Cunningham

Innovative Pharmacy Practice Work Group

In development

Help Us Spread the Word!

Share the link to PPA's new blog with your patients, family, and friends!

www.pharmacistscare.net Pharmacists Care was a blog created for the public in order to promote the value of pharmacists, the services they provide, and their role on the healthcare team.

38 I Pennsylvania Pharmacist I July/August 2015

PPA Welcomes the 20152016 Student Advisory Board The Student Advisory Board regularly holds brief business meetings at each of PPA’s two conferences and provides students with a manner in which to have a voice in PPA policy and activities.

Board (SAB) for 2015-2016

Director – East Hamad Juboori Temple University

Director – West Madison Adams University of Pittsburgh

Vice Chair Zach Hicks University of Pittsburgh

Foundation Director Jennifer Smith Wilkes University

Corresponding Secretary Marissa Badzik University of Pittsburgh

Chair Trina Patel Wilkes University

Recording Secretary Felicia Snyder Wilkes University

Continued on page 40

Pennsylvania Pharmacist I July/August 2015 I 39

Association News 2015-2016 Student Advisory Board Continued from page 39

Each Pennsylvania College of Pharmacy is also entitled to have one student representative and one student alternate serve on the Student Advisory Board. Please feel free to contact your delegates regarding ideas for upcoming meetings or questions on PPA events – they have been chosen to represent you. Additionally, each school has a Membership Ambassador, Government Relations Ambassador, and Communications Ambassador which work to promote and plan events in their area.

School

Director

Alternate

Duquesne

Rachael Richter

Nicole Modany

Jefferson

Elizabeth Shober

Alexis Stinson

LECOM

Emily Petrak

PCP

Swana Thomas

Neena Oommen

Pitt

Jennifer Fever

Brandon Barry

Temple

Veronica Friedrich

Jennifer Nguyen

Wilkes

Jennifer Smith

Anthony Fanucci

Additionally, each school of pharmacy in Pennsylvania has appointed Ambassadors in specific areas and has Faculty Liaisons for PPA.

Ambassadors School

Communication

Government Relations

Membership

Duquesne

Michaela Palermo

Rachael Richter

Alvina Tran

Jefferson

Matthew McGuire

Tim Jacisin

Benson Aningalan

LECOM

Victoria Matteson

Shivam Patel

Erik Whyne

PCP

Ada Wu

Justin George

Colleen D’Amico

Pitt

Laura Yost

Emily Bobryznski

Marissa Badzik

Temple

Jennifer Nguyen

Hamad Juboori

Fidel Raposo

Wilkes

Jennifer Smith

Keri Diehl

Anthony Fanucci

Faculty Liaisons School

Liaison(s)

Duquesne

Jamie McConaha/Jackie Lucey

Jefferson

Nick Leon

LECOM

Sara Dombowski/Rachel Ogden

PCP

Hank Schwartz/Elizabeth McCartney

Pitt

Jim Pschirer/Melissa Somma/Luke Berenbrok

Temple

Michael Barros

Wilkes

Kim Ference/Judy Kristeller

40 I Pennsylvania Pharmacist I July/August 2015

Features

Sterile Compounding and Professional Liability

By Gail Wolfe, Customer Account Representative Supervisor and Presley Joss, Claims Service Representative This article was originally published by Pharmacists Mutual’s quarterly newsletter “Commercial Lines” A national meningitis outbreak and new rate classes for pharmacists performing sterile compounding have left many hospital pharmacists turning to Pharmacists Mutual Insurance Company for answers. Pharmacists Mutual began filing new rates and policy forms for its Individual Pharmacist Professional Liability in 2013.

The roll out of this new program has many thinking that New England Compounding Center (NECC) is to blame.

The national outbreak of meningitis in 2012 was traced back to fungal contamination packaged and marketed by the New England Compounding Center (NECC). There were more than 400 lawsuits filed against NECC, 64 deaths and 751 injuries. The outbreak made national headlines and in December of 2012, NECC filed for Chapter 11 bankruptcy protection.

Less than a year later, Pharmacists Mutual introduced new rate classes and policy forms for individuals performing sterile compounding.

Pharmacists Mutual Insurance Company Senior Vice President Don McGuire, R.Ph., JD., stated, “Although it may look like cause and effect, Pharmacists Mutual began looking for ways to change its sterile compounding coverage years before the outbreak. We were pretty close to being done by the time the NECC story happened.”

Pharmacists Mutual conducts a claims study annually and in the years prior to NECC, noticed the compounding claims were the fastest growing category in the study. There were rising costs

associated with these kinds of claims. This prompted Pharmacists Mutual management to make the decision to offer the Individual Professional Liability policy with two versions; one covering sterile compounding and one that does not.

Senior Vice President of Underwriting and Product Development, Thomas Claude, indicated the goal of Pharmacists Mutual is to “ensure we can honor the promises we make by charging adequate rates, providing excellent customer service to our members, and minimize cross subsidies between members with different risk potentials.”

Those not performing sterile compounding receive a slight reduction in premium from previous programs. Individuals performing sterile compounding receive a premium increase reflecting the higher risk in their practice.

McGuire, who previously worked in a hospital setting, stated many hospital pharmacists call Pharmacists Mutual because they don’t believe what they do is considered sterile compounding.

They consider what they are doing as IV admixture.

However, it is considered as low risk sterile compounding.

Pharmacists Mutual follows USP (797) for its definition of sterile compounding. The American Society of Health-System Pharmacists (ASHP) published a guide to help pharmacists classify the different risk levels of pharmacy compounding.

According to ASHP, simple admixtures compounded using close system transfer methods fall under USP’s low risk level. z

Pennsylvania Pharmacist I July/August 2015 I 41

Departments

Welcome! New Members PPA welcomes the following New Members who joined the association – April 8, 2015 – June 3, 2015. Please make these new members feel welcome and part of Pennsylvania pharmacy!

Pharmacists Joel Alderfer Apothecary of Harleysville Mayank Amin Lansdale Walgreens Pharmacy Sarah Anderson LECOM School of Pharmacy Ricky Leon Carr King of Prussia NA Kimberly Jo Fritz Greensburg CVS Health Damica Garcia Stroud Compounding Pharmacy Kristin Hart Marcy University of Pittsburgh/Rite Aid Pharmacy Van Hellerslia Abington Abington Memorial Hospital John B. Hocker Jr. Redners Pharmacy #38 George Jittu Shop and Carry Ramzan Judge Lansdale Buffalo General Medical Center Thomas E. Kavanagh Nazareth Keystone Choice Pharmacy Kathleen Kelly Erie LECOM School of Pharmacy Frank Louis Konzelman Horsham Walgreens

42 I Pennsylvania Pharmacist I July/August 2015

Bruce Livengood Duquesne University – Mylan School of Pharmacy

Evan Joseph Slagle Reading Saint Joseph Medical Center

Christopher Scott Macumber Southampton GE Healthcare

Douglas Smith LECOM School of Pharmacy

Lara Macumber Southampton Marcell Martinez Merchantville Walgreens Pharmacy Nicole Nierste Zionsville University of Pittsburgh – Gatti Pharmacy

James Michael Stevenson Pittsburgh University of Pittsburgh School of Pharmacy Trevor Strenchock Mahanoy City Alliance Medication Services Kelsey A. Thompson Pittsburgh Pharmblue LLC

Egbukwu Osinakachi ExtraCare Pharmacy

Tanya J. Uritsky Bryn Mawr Hospital of the University of Pennsylvania

Erica Pascale LECOM School of Pharmcy

Bridget Walker University of Pittsburgh

Jessica Orloski Crestwood Pharmacy

Matthew Peter US1 Pharmacy Jennifer Pruskowski University of Pittsburgh School of Pharmacy Shalyn Quigley LECOM School of Pharmacy Brian Rodgers Yardley Pharmacy Kristal Lynn Ross Irwin Giant Eagle Pharmacy Michael Leonard Shaw Indiana Geona a QoL Healthcare Company

Associate David DeDelice Hockessin Pharmacists Mutual Companies

Technicians Lyzel Ahlgren Beaver Falls Nesrine M. Eladly Whitehall Kimberly Anna Thornton White Oak Terri Wilkinson Indiana Alayna Anderson Greensburg

LECOM School of Pharmacy

StudentS Duquesne University – Mylan School of Pharmacy Brittany Carney Johnstown

Abby Gallagher Butler Philadelphia College of Pharmacy at USP Swana Thomas Philadelphia

Matthew J. Veli Harrisburg

Wilkes University – Nesbitt College of Pharmacy Courtney Calamia Lititiz Creighton University Chelsea O’Brien Glenmoore

Lindsey Wenger Annville

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Pennsylvania Pharmacist I July/August 2015 I 43

Departments

Member News Gerald E. Meyer, PharmD, MBA, was recognized for his exemplary leadership role in the profession of pharmacy on December 8, 2014 at the American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting reception, in Anaheim, CA. Gerald served as the 2013-2014 president of ASHP. Burman’s Specialty Pharmacy and Burman’s Medical Supplies, owned by Steven L. Burman received the Patient Safety Award from the Philadelphia Business Journal, the Best Pharmacy in Delaware County Award, and the Shaping Healthcare Delivery Award from AmerisourceBergen.

PARD installed Joe Ralston as their 2015 President during their recent Spring Dinner Dance held at the Franklin Institute. Mat Slakoper was also honored as outgoing President for his two years of service.

Wilkes University pharmacy student Nicholas Stauffer of Barto, Pa., has received the United States Public Health Service Excellence in Public Health Pharmacy Practice Award. The national award is given annually to a pharmacy student enrolled in an accredited doctoral program who promotes the objectives of the Public Health Service’s “Healthy People 2020” initiative, serves the community and demonstrates leadership qualities that foster a team approach in patient care.

On April 22-25, 2015, three Pennsylvania pharmacist delegates attended the 2015 USP convention, which is held only once every 5 years. There were a total number of 605 attendees, 267 delegates (voting privileges) and 41 observers (no voting privileges) attending the Convention and each delegate represented only one constituent member organization. Delegates from Pennsylvania included George Haynes, representing PPA, Jan M. Kitzen representing the American Society for Pharmacology and Experimental Therapeutics (ASPET) and Mike Borenstein, representing Temple University School of Pharmacy. During the 4 day convention, delegates were responsible for voting on various topics that included important decisions on several relevant matters affecting the future goals and mission of the USP. The impact of pharmacist-performed medication therapy management is explored in several studies in the May/June 2015 issue of the Journal of the American Pharmacists Association (JAPhA®). We are proud to say one article was from a team of several PPA members: A pharmacist’s contribution within a patient-centered medical home (Experience) by Jamie L. McConaha, Gary W. Tedesco, Louis Civitarese, and Michele F. Hebda. z

44 I Pennsylvania Pharmacist I July/August 2015

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