Pennsylvania Pharmacist September/October 2017

Pennsylvania September/October 2017 z Volume 98 z Issue 5

The official publication of the Pennsylvania Pharmacists Association

Membership It Matters!

You Matter!

United for Pharmacy, We Are Stronger.

CONTENTS ON THE COVER Welcome to the Membership Issue!

Membership is the foundation upon which we build our success.

PPA is all about our members and it is our members that make PPA strong. Help us help you by inviting a pharmacist you know to join us. Together there is no stopping our work to advance the pharmacy profession.

DEPARTMENTS

ASSOCIATION NEWS

5 Calendar of Events

11 Legislator Profile

7 President’s Message

20 2017 Annual Report

8 Welcome! New Members

28 Congratulations to the 2017 Recipients of Educational Fouindation Student Scholarships!

FEATURES 10 How Early Patient Interactions Shaped Me as a Healthcare Provider

30 2017 Annual Conference

12 Member Profiles 13 Meet Pennsylvania’s 2017–2018 Residents!

27 Student Member Profiles

32 Meet the Pennsylvania Pharmacists Care Network (PPCN) Board of Directors

39 Deadline for 2018 Grant Applications – November 1 40 Children’s Perceptions of Self-Care and Medication Adherence Mobile Applications INDUSTRY NEWS 24 How to Survive a DEA Inspection Series 41 Rx and the Law: Cybersecurity

32 Exciting News for the Pennsylvania Pharmacists Care Network!

OUR VISION Pennsylvania pharmacists will be recognized, engaged, and fairly compensated as healthcare providers.

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

34 Advocacy Starts with You 35 PPA Welcomes a New Membership and Marketing Coordinator 37 Affiliated County News 38 Member News

PPA BOARD OF DIRECTORS PPA OFFICERS President: Nick Leon, PharmD, BCPS, BCACP President Elect: Lauren Simko, PharmD Vice President: Rick Demers, RPh, MS FASHP Immediate Past President: Eric Pusey, RPh, CDE REGIONAL DIRECTORS Central: Richard Seipp, PharmD Northeast: Thomas Franko, PharmD, BCACP Northwest: Nickolas Kernich, PharmD Southeast: David Stone, PharmD Southwest: Cory Krebs, RPh PRACTICE DIRECTORS Academia: Nicole Pezzino, PharmD, CDE Chain Pharmacists: Stephen Pfeiffer, PharmD, MBA Community Independent Pharmacists: Shawn Nairn, RPh Community Independent Pharmacists: Chuck Kray, RPh Health System Pharmacists: Darryle Tillman, RPh MCO/Industry/Government/Other: John Barrett, MBA, RPh Associates: Greg Drew, RPh

STUDENT DIRECTORS East: Amandeep (Amni) Kaur West: Tina Schuler PPA OFFICE STAFF CEO: Patricia A. Epple, CAE pepple@papharmacists.com | Ext. 3 Director of Professional Development: Sara Bowden sbowden@papharmacists.com | Ext. 2 Government Relations Manager: Jeff Stuby jstuby@papharmacists.com | Ext. 6 Membership and Marketing Coordinator: Victoria Madonna vmadonna@papharmacists.com | Ext. 5 Membership and Program Coordinator: Rachel Stall rstall@papharmacists.com | Ext. 1 Bookkeeper: Michele Dibble mdibble@papharmacists.com | Ext. 4 PPCN Executive Manager: Mindy Kozminski, PharmD, BCACP mkozminski@papharmacists.com PPCN Trainer: Brandon Antinopoulos, PharmD ppcntrainer@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 non-members; for members it is included in the annual dues. Editorial information should be addressed to the PPA address listed above. Peer reviewed articles accepted according to the stated guidelines available from PPA. EDITORIAL BOARD Olufunmilola Abraham, PhD, MS, BSPharm Hershey S. Bell, M.D.,M.S.,FAAFP Kim Coley, FCCP, PharmD, RPh Michael Gionfriddo, PharmD, PhD Yardlee Kauffman, PharmD, MPH, BCACP Associate Editor: Danielle Adams Editor/Manager: Pat Epple

Pennsylvania MAGAZINE

papharmacists.com | ppa@papharmacists.com |

PUBLISHED BY GRAPHTECH Alexis Kierce, Publications Manager (717) 238-5751 x119 alexis@thinkgraphtech.com For Advertising Information: Kristen Bergmaier, Account Manager (717) 238-5751 x129 kristen@thinkgraphtech.com DESIGNED BY GRAPHTECH PHARMACIST STATE BOARD OF PHARMACY MEMBERS Institutional: Gayle Cotchen, BSPharm., PharmD., MBA Independent Community: Rob Frankil, RPh Chain Community: Janet Hart, RPh Chain Community: Theresa M. Talbott, RPh Independent Community: Mark J. Zilner, RPh Board of Pharmacy Meeting Dates: October 3, 2017 November 28, 2017

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DEPARTMENT

CALENDAR OF EVENTS SEPTEMBER 12 Online CE Webinar Improving Performance — Solutions to Sexual Dysfunction 6:00–7:00pm 15–17 ACCP Annual Meeting San Diego, CA 21–24 PPA Annual Conference 2017 Kalahari Resorts Pocono Manor, PA 22 Foundation Board of Directors Meeting Kalahari Resorts Pocono Manor, PA

22 PPCN Board of Directors Meeting Kalahari Resorts Pocono Manor, PA 24 PPA Board of Directors Meeting Kalahari Resorts Pocono Manor, PA 24 Student Advisory Board Meeting Kalahari Resorts Pocono Manor, PA

OCTOBER 14–18 NCPA Annual Conference

Orlando, FL

16 Online CE Webinar

A Guide to Individualized Vaccination of Oncology Patients

12:00–1:30pm 16–19 AMCP Educational Conference

Dallas, TX 20 Journal Club

12:00–1:00pm

“PPA is also a great way to stay informed on relevant issues, participate in important advocacy efforts that affect our pharmacies, and participate in changing our profession for the better.” — Stephanie Smith Cooney, PharmD

NOVEMBER 16 Online CE Webinar

Navigating the Beers Criteria: Balancing Medication Safety and Efficacy in the Geriatric Patient

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DECEMBER

20 Online CE Webinar Is MANopause Real?

Common Changes to Men’s Health During the Aging Process and the Potential Effects on their Medication Regimens 3:00–4:00pm

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

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NATIONAL CHECK YOUR MEDS DAY — OCTOBER 21 With 90% of the country’s population living within five miles of a pharmacy, you’re the community’s most accessible health care provider. Demonstrate your expertise and value on October 21 for the inaugural National Check Your Meds Day. Sponsored by Consumer Reports and supported by NCPA, patients are encourage to bring their prescription medications and supplements to their local pharmacy for a brown bag medication review.

DEPARTMENT

PRESIDENT’S MESSAGE This issue of Pennsylvania Pharmacist is the first of what I hope will become an annual occurrence – an issue devoted to the benefits of membership.

I have two overarching goals for this issue.

First, I want to brag to you — our members — about all of the great work that the association does. Second, I want you to brag about the work of YOUR association to anyone who will listen. You belong to a vibrant organization that continues to serve its members, your patients, and our profession across the Commonwealth.

Throughout this issue, you will see the tremendous feats that OUR state pharmacy association has accomplished. On a personal note I would like to share three major reasons why I continue to be an active member of PPA: LEGISLATIVE ADVOCACY — most of our practice is governed by state law and regulation. There is no other pharmacy group in the state that rivals the advocacy

efforts led by PPA. You can be confident that your interests are well represented as PPA advocates for ALL pharmacists, regardless of practice setting.

you receive. And if we want pharmacy not just to survive, but to THRIVE, then we need to help everyone practice closer to the top of their license. To accomplish this, PPA engages pharmacists from diverse practice settings, who lend their unique expertise to PPA’s advocacy and education programs. I encourage you to read through this issue to learn how to get more involved with PPA.

VISIBILITY OF THE PROFESSION — when it comes to state Nicholas Leon, legislators and state PharmD, BCPS, BCACP government agencies, PPA President 2017–2018 PPA is the non-corporate face of pharmacy.

So, this issue is meant to be When the major players in the state have shared. After you have read it, please give a pharmacy-related issue, they contact this issue to a non-member. Show them the PPA. The reputation and credibility of our page(s) that you are proudest of or that you profession relies on a strong, respected, think relates to an issue of importance to and well-supported association. PPA is a them. Please accept this invitation to join leader in raising the visibility and standing of me, and other like-minded pharmacists, in pharmacy in Pennsylvania. promoting the practice of pharmacy in our Commonwealth.

ACTIVE & DIVERSE MEMBERSHIP — the more you engage with PPA, the more value

And remember — it’s okay to brag 

DEPARTMENT

WELCOME! NEW MEMBERS PPA Welcomes the following New Members who joined the association on May 24, 2017 – July 28, 2017. Please make these new members feel welcome and part of Pennsylvania pharmacy!

PHARMACISTS Melissa Barrett, East Norriton, Einstein Medical Center Montgomery

Cynthia Kuntz, Pittsburgh, Allegheny General Hospital

James Musick, West Chester, GlaxoSmithKine

Livia McCutcheon, Wilkes University

Andrea Wilson, Pittsburgh, Boehringer Ingelheim

Jesse Bender, Landisburg, West Perry Pharmacy, Inc.

Lindsey Meston, Pittsburgh, Asti’s Pharmacy

Jeannette Bouchard, UPMC Shadyside

Kimberly Miller,Wilkes University

Cynthia Cele-Nnaeto, Easton, Rite-Aid

Elizabeth Moulton, Merion Station

Katherine Cho, Pittsburgh, University of Pittsburgh

Kwabena Nimarko, Hahnemann University Hospital

Nikita Patel, HD Smith

Catherine Dormarunno, Nazareth, Opus Regulatory

Emily Rosenberg, Pittsburgh, CVS

STUDENTS

Brittany Rosenfeld, Pittsburgh, Allegheny General Hospital

Duquesne University – Mylan School of Pharmacy Emily Bintrim, Harmony Kelsey Dutka, Camp Hill Zachary Johnson, Greenville Thomas Rajchel, Monongahela

Oluwatoyin Fadeyibi, Philadelphia, Community Behavioral Health Ariel Ferdock, Pittsburgh, UPMC St. Margaret Bradley Fullman, Hunter Pharmacy

Brenna Stackhouse, Pittsburgh, Giant Eagle Pharmacy Scott Stolte, Dallas, Wilkes University

Kinley Gannon, Hunter Pharmacy

Shayne Wharton, Mechanicsburg, Penn State Health St. Joseph

Lindsey Glucksnis, Jessup, Medicap Pharmacy

Kaitlyn Zheng, Philadelphia, Hahnemann University Hospital

Uday Gohel, Yardley, UrbanCare Pharmacy Erica Gray, Johnstown

PHARMACY TECHNICIANS

Michelle Howerton, Pittsburgh, UPMC Presbyterian-Shadyside

Mark Berkihiser, Womelsdorf, Penn State Health St. Joseph Medical Center

Annie Hunter, Hunter Pharmacy

Lacey Herring, Hunter Pharmacy

Sara Joe, Williamsburg, There’s A Pharmacist In The House, LLC

Joan Miller, Philadelphia, Penn Presbyterian Medical Center

Cassie Jordan, Hampton, Waynesboro Hospital

Alyssa Nolan, Doylestown, Rite Aid

Jennifer Karabinos, Pittsburgh, Giant Eagle Pharmacy

Taylor Shields, Harleysville, Sellersville Pharmacy

Colleen McGovern, Amerisource Bergen

Jefferson School of Pharmacy Amanda Cline, Phoenixville Alex Walter, Northampton LECOM School of Pharmacy Mihad Ali, Erie Arafat Mohamed, Dearborn Elikem Selormey, Erie Ohio Northern University Mimi Jakes, Erie Philadelphia College of Pharmacy Jesse Lee, Blue Bell

Janet Showalter, Moon Township

Jeffrey Kaufhold, Hummelstown, Dartmouth-Hitchcock Telepharmacy

Lora Smiley, Hunter Pharmacy

Erin Kiefer, Linesville, Rx Xpress Healthmart Pharmacy

ASSOCIATES

Diane Kim, Pittsburgh, Duquesne University

Jeff Cunio, Renton, Pivot Point Counseling

Michael Korczynski, Cheswick, Allegheny Health Network

Benjamin Fellmeth, Glenside, Beekan, The Inventory Company

8 • Pennsylvania Pharmacist • September/October 2017

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FEATURE ARTICLE

STUDENT EXPERIENCE

HOW EARLY PATIENT INTERACTIONS SHAPED ME AS A HEALTHCARE PROVIDER

by Morgan Lorrilliere During my first professional year at Philadelphia College of Pharmacy, I was accepted into a three year longitudinal interprofessional education program in partnership with Cooper Rowan Medical School. At this student-run free clinic, pharmacy and medical students work together to create and implement comprehensive health plans for patients under the guidance of pharmacists and physician attendings. While I anticipated the clinical importance of this program, I never imagined I would be embarking on one of the most rewarding experiences of my academic career.

Although this program has increased my confidence with medications and counseling, I have benefitted the most from encountering the emotions and experiences of my patients. This program has allowed me to see patients on some of their best days, and, unfortunately, on some of their worst.

I have held the hand of a woman hearing the heartbeats of her growing child, but also sat with a teary-eyed patient signing

paperwork to receive cancer imaging. Before this program, I had not realized how greatly the emotions of the patient’s situation would impact me as a healthcare provider and person. I was nearly overcome with tears as a patient I had never met before in the infectious disease ward offered me words of motivation and encouragement rather than focus on his own medical conditions. Just in one meeting, each of these patients had impacted me in a different way.

In addition to these singular emotional encounters, I have built longitudinal trusting relationships with patients. During my fall semester, I had the opportunity to care for a patient who came to the clinic every other week for her uncontrolled hypertension by counseling her on medications and collaborating with a rotating team of medical students. With each visit this patient would share new information about her health conditions and personal life with me as she grew to consider me her provider. As part of the interprofessional team, I worked with the patient to address each condition.

With heavy hearts, we had to explain the battery of labs that returned well above goal. No matter how many medications we changed or suggestions we gave her, I was always greeted the next week in the waiting room by motivation and an excited smile.

During my last assigned week, her final blood pressure reading came back exactly at goal. Her eyes lit up and she looked at me when the medical student told her the good news. In that moment, I was excited for her and her progress while also being proud of playing such an influential role in her care.

Because of these experiences, I am able to sit in class thinking about how regimens will affect my patient’s life, not just their body.

I am thankful to have experienced these meaningful interactions as a student, so that I can apply them to a patient-oriented career in the future. Until then, I will take every opportunity I can to improve patients’ lives while learning from them myself. 

“As an independent pharmacy owner the last six years have been the most enriching of my professional career. That was when I actively got involved with the Pennsylvania Pharmacists Association. For years, I used to say that nothing ever gets done in our profession because pharmacists cannot agree and don’t take a unified stand on issues that affect our working condition. Boy, was I wrong! Because of my involvement I personally witnessed and was part of the complete opposite.

PPA, as a body of like-minded individuals, strives to be the voice of pharmacy to promote us to be recognized as the healthcare practitioners we are, through education, advocacy and communication. What better way to connect with some old friends and make great new ones.” — Marty Kendra, RPh

10 • Pennsylvania Pharmacist • September/October 2017

LEGISLATOR PROFILE

REPRESENTATIVE ROB KAUFFMAN (R-89) factors that drive them, truly overshadow all of those initiatives.

Getting our fiscal house in order and fixing huge cost drivers, like public pensions, are really what matter for the future of our Commonwealth and the next generation of taxpayers.

Tell our members a little about your background and why you are a legislator?

Representative Rob Kauffman (R-89) Serves part of Franklin County Member of the Pharmacy Caucus

What are the key issues you would like to see addressed this session?

Every legislator has pet projects and legislative initiatives that they would love to see accomplished.

Our fiscal challenges and those

I grew up as the son of a small town pastor. I learned about service and how to love people from my parents. I found my calling early in life and always knew that I would live a life of government service. Serving my neighbors, friends, family & the community my family has called home for many generations is so rewarding and the best job I could ask for.

How do you see pharmacy and its role in health care evolving in the in the future?

The pharmacist/patient relationship is becoming more important and more valuable as managed care grows and health care continues to change and become more expensive. The relationship with their pharmacist is what many of our most vulnerable citizens will rely on more and more. It’s a relationship that they trust. Because of that, our pharmacists have a great responsibility that is only growing.

Advice for pharmacists about the political process?

The political process can often be long and difficult. It can take years and sometimes decades for a bill to become law. Legislators rely on personal relationships and advice from folks at home for

some of the best legislative ideas.

Develop that relationship with your legislator. My pharmacist and friend, Dr. Wayne Myers of Norland Avenue Pharmacy, brought an issue to my attention.

In less than two years, that idea became Act 43 of 2015, which required pharmacies located outside of Pennsylvania to register with the State Board of Pharmacy if they fill prescription orders for residents of the Commonwealth.

Sometimes these common sense ideas can happen quickly.

What do you do for relaxation or enjoyment?

I’m a runner and I love putting my earbuds in and going for a long run. That keeps me sane and fit at the same time. But, by far, the best times are those spent with my wife and four kids; preferably out of town and just being anonymous.

SENATOR DAVID ARGALL (R-29) same line, we need to reform our current pension system for school and state employees, including legislators, and bring it up to date with the vast majority of the private sector. Our current system is unsustainable and has been the driving force behind staggering property taxes.

Senator David Argall (R-29) Serves part of Berks and Schuylkill Counties Member of the Pharmacy Caucus

What are the key issues you would like to see addressed this session?

Property tax elimination is my #1 priority and the #1 issue I hear about most from residents not only in Berks and Schuylkill counties, but across Pennsylvania.

Now is the time to get rid of this burdensome, antiquated tax to find a better way to fund our public schools. Along this

Tell our members a little about your background and why you are a legislator?

I don’t come from a “political” family. My parents sometimes joked with me, after I was first elected to the House, that “they must have brought the wrong baby home from the hospital.” While my parents and grandparents – Cornish, Welsh, Pennsylvania “Dutch” teachers, coal miners, factory workers and farmers – did not attend political meetings, they did teach me, from a very young age, the importance of effective public service. In addition to my work as a Senator, I also enjoy teaching periodic public policy classes for

Penn State and Lehigh-Carbon Community College.

How do you see pharmacy and its role in health care evolving in the in the future?

I believe that pharmacy will continue to have a pivotal role in health care. With our continual advancements in medicine, I see pharmacists expanding their roles as key advisers to physicians and other medical professionals and as leading providers of patient care, educating patients about the proper use of medications. The role of pharmacists is critical as we look for ways to combat the growing issue of opioid addiction in our communities.

Advice for pharmacists about the political process?

IBritish statesman Winston Churchill said it best in 1947: “Many forms of government have been tried, and will be tried in this world of sin and woe. No one pretends that democracy is perfect or all-wise. Indeed it has

been said that democracy is the worst form of government except for all those other forms that have been tried from time to time.…”

Pharmacists should also understand that the political process is very similar to how they study the complex interactions of various drug types. The political process too, is very complex, with many different entities interacting with one another.

What do you do for relaxation or enjoyment?

As time permits, I enjoy traveling with my wife and our two adult children. I also enjoy skiing, biking, kayaking, and going on long walks with our two very active terriers.

As the son of a librarian, you can often find me reading about history. I have camped and hiked in mountains and forests from my backyard to Germany as a Scout and as a long-time Scouting volunteer leader and I plan to continue to do so for decades to come.  www.papharmacists.com • 11

FEATURE ARTICLE

MEMBER PROFILE

JANET K. ASTLE, ASSISTANT DEAN FOR STUDENT SERVICES DUQUESNE UNIVERSITY SCHOOL OF PHARMACY WHAT MADE YOU CHOOSE THE PROFESSION OF PHARMACY? I was always fasci­ nated by the field of medicine and healthcare. And I was especially intrigued by active ingredients and how they work in Janet K. Astle, the body. Growing up, Assistant Dean for I routinely read food Student Services, Duquesne University and product labels. I still do, as a matter School of Pharmacy of fact, particularly in the grocery store aisle. Makes my husband wild because it takes us forever to get through the store.

Besides my fascination with medicine, I have always had a passion for teaching. As a grade school student, I would line up my stuffed animals in front of a chalkboard and review the lesson of the day with them. Now I have the best of both worlds with my current position in academia.

DURING YOUR CAREER, WHAT DO YOU BELIEVE TO BE THE SINGLE MOST SIGNIFICANT ADVANCEMENT IN PHARMACY? There have been so many advancements, it is difficult to single out just one. The

number of new therapies that have been developed since my years in pharmacy school is absolutely mind-boggling. Immuno­ suppressants have allowed for routine organ transplantation. The development of anti-virals have allowed us to keep HIV in check and actually cure certain Hepatitis C genotypes. And specialty drug products, including immunotherapies and biologics, allow for treatment of conditions for which there was previously no effective therapy option. I can’t wait to see what’s next!

WHEN YOU ARE NOT WORKING, WHERE CAN YOU BE FOUND? In the mornings, I can be found at Starbucks — or anywhere I can get a good cup of coffee.

If I had my druthers, I would be at the beach for the rest of the day. Any ocean will do WHAT DO YOU LIKE MOST ABOUT BEING A PHARMACIST? I like being able to make a difference in the life of a patient or a student. Watching a student mature into a polished practitioner, capable of providing competent and compas­ sionate care, is incredibly satisfying.

HOW HAS BEING A PPA MEMBER HELPED YOU PROFESSIONALLY? PPA has introduced me to a whole new network of professionals who have helped

me to grow. PPA has also given me the tools and the confidence to participate in advocacy work for which I have gained a new found passion.

WHAT IS THE MOST IMPORTANT PIECE OF ADVICE YOU WOULD GIVE A NEWLY LICENSED PHARMACIST ON THEIR FIRST DAY OF WORK? The most important piece of advice that I can give to a newly licensed pharmacist is to take advantage of the network of pharmacists around you. We are blessed to be in a profession that operates like one big family. I have always felt that I could reach out to my colleagues for advice and assistance. Likewise, I am more than willing to provide help when called upon.

I would also advise pharmacists to be open to new opportunities and ventures. Be that person who steps up to take on new challenges. You never know where those roads might take you.

WHAT MADE YOU DECIDE TO JOIN PPA? I joined PPA because I have a passion for the profession and want to see it continue to evolve for the better. I also want to be able to give back to the profession in the same way as others have done for me. 

“I love being a part of PPA because it allows me to stay connected with other community pharmacists, who help me grow professionally, not only for my patients, but also for myself as an individual practitioner. PPA is also always up to date on the changes in pharmacy legislation, which keeps me on top of issues affecting my area of practice. As a whole, this organization provides everything I need, from networking to staying current, which is why I will always continue to be a member of PPA!” — Sheena Patel, PharmD

12 • Pennsylvania Pharmacist • September/October 2017

FEATURE ARTICLE

Meet Pennsylvania’s 2017–2018 Residents!

Our Residents are achieving great things and we are proud to feature them in our magazine! We wish them the best of luck in their residency! You can view the full version of the residency profiles on our website at: www.papharmacists.com/Residency.

Bethany Abrahams, PharmD, ACME Sav-On Pharmacies, PGY1 Graduate of: Creighton University – Year: 2017

David Adams, PharmD, Abington Hospital-Jefferson Health, PGY2 Graduate of: Texas Tech University Health Sciences Center – Year: 2016

Seth Amidon, PharmD, Duquesne University-Center for Pharmacy Care, PGY1 Graduate of: St. John Fisher College – Year: 2017

Gina Ayers, PharmD, UPMC St. Margaret, PGY2 Graduate of: Shenandoah University – Year: 2016

Binki Baxi, PharmD, Wilkes Barre VAMC, PGY1 Graduate of: University of Sciences – Year: 2017

Emily Bobrzynski, PharmD, UPMC St. Margaret, PGY1 Graduate of: University of Pittsburgh – Year: 2017

Megan L. Bookser, PharmD, Duquesne University/ Preferred Primary Care Physicians, PGY2 Graduate of: Ohio Northern University – Year: 2016

Jeannette Bouchard, PharmD, UPMC-Shadyside, PGY1 Graduate of: Regis University Year: 2017

Laura Marie Brickett, PharmD, Allegheny General Hospital, PGY2 Graduate of: Duquesne University Year: 2016

Courtney Calamia, PharmD, Wilkes-Barre VA Medical Center, PGY1 Graduate of: Wilkes University Year: 2017

Judah Brown, PharmD, Thomas Jefferson University Hospital, PGY1 Graduate of: Rutgers University Year: 2017

Megan Carr, PharmD, UPMC St. Margaret, PGY2 Graduate of: University of Kansas School of Pharmacy Year: 2016

Sarah Brozena, PharmD, Geisinger Medical Center, PGY1 Graduate of: Wilkes University Year: 2017

Gregory Caspero, PharmD, VA Pittsburgh Healthcare System, PGY1 Graduate of: Duquesne University Year: 2017

Taylor Buck, PharmD, University of Pittsburgh/Asti’s South Hills Pharmacy, PGY1 Graduate of: University of Pittsburgh – Year: 2017

Hannah Cawoski, PharmD, Allegheny General Hospital, PGY1 Graduate of: Duquesne University Year: 2017 Continued on next page www.papharmacists.com • 13

FEATURE ARTICLE

Meet Pennsylvania’s 2017–2018 Residents! continued

Derek Chiu, PharmD, Pennsylvania Hospital, PGY1 Graduate of: Rutgers University Year: 2017

Christian Cho, PharmD, Reading Health System, PGY1 Graduate of: Philadelphia College of Pharmacy Year: 2016

Katherine Cho, PharmD, University of Pittsburgh/ Rite Aid, PGY1 Graduate of: University of Michigan College of Pharmacy Year: 2017

Colton Collier, PharmD, Allegheny General Hospital, PGY1 Graduate of: Duquesne University Year: 2017

Ardis Copenhaver, MS, PharmD, UPMC St Margaret, PGY2 Graduate of: Medical University of South Carolina – Year: 2016

Meghan Elizabeth Cunningham, PharmD, Magee-Womens Hospital of UPMC, PGY1 Graduate of: Duquesne University Year: 2017

Michael Czupryn, PharmD, Temple University, PGY2 Graduate of: The University of Toledo – Year: 2016

Dharati Desai, PharmD, Allegheny General Hospital, PGY2 Graduate of: Midwestern University – Year: 2016

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Anupama Divakaruni, PharmD, Geisigner Medical Center, PGY2 Graduate of: University of Maryland School of Pharmacy Year: 2016

Michee Casey Etienne, PharmD, Wilkes-Barre Veterans Affairs Medical Center, PGY1 Graduate of: Temple University School of Pharmacy – Year: 2017

Nicole Handlow, PharmD, Allegheny General Hospital, PGY1 Graduate of: Duquesne University Year: 2017

Katie Doong, PharmD, University of Pittsburgh/Giant Eagle, PGY1 Graduate of: Northeastern University – Year: 2017

Emily L. Fargo, PharmD, UPMC St. Margaret Bloomfield-Garfield Family Health Center, PGY2 Graduate of: University of Pittsburgh – Year: 2017

Samantha Hanna, PharmD, Children’s Hospital of Pittsburgh of UPMC, PGY1 Graduate of: Northeast Ohio Medical University – Year: 2017

Megan Dunlop, PharmD, Duquesne University and Mainline Pharmacy, PGY1 Graduate of: University of Pittsburgh – Year: 2017

Amanda Gerberich, PharmD, Lancaster General Health/ Penn Medicine, PGY1 Graduate of: Wilkes University Year: 2017

Mahalia Harrell, PharmD, UPMC Presbyterian Shadyside, PGY2 Graduate of: University of Missouri – Kansas City – Year: 2016

Daniel Jenniches, PharmD, Allegheny General Hospital, PGY2 Graduate of: Duquesne University Year: 2013

Virginia Edwards, PharmD, Abington Hospital-Jefferson Health, PGY1 Graduate of: Wilkes University Year: 2017

Dennis Goodstein, PharmD, Allegheny General Hospital, PGY1 Graduate of: Duquesne University Year: 2017

Jennifer Ho, PharmD, Pennsylvania Hospital, PGY1 Graduate of: Temple University School of Pharmacy – Year: 2017

Paria Kalantari, Allegheny General Hospital, PGY1 Graduate of: University of Kansas Year: 2017

Daniel Elliott, PharmD, The Reading Hospital and Medical Center, PGY1 Graduate of: Temple University School of Pharmacy – Year: 2017

Erica L. Gray, PharmD, UPMC Shadyside, PGY1 Graduate of: Duquesne University Year: 2015

Michelle Howerton, PharmD, UPMC Presbyterian-Shadyside, PGY2 Graduate of: West Virginia University School of Pharmacy Year: 2016

Namarta Kalia, PharmD, St. Joseph Medical Center, PGY1 Graduate of: Philadelphia College of Pharmacy Year: 2017

Emily Huneycutt, PharmD, Lebanon Veteran Affairs Medical Center, PGY1 Graduate of: Presbyterian College School of Pharmacy Year: 2017

Lindsey Jachim, PharmD, Allegheny General Hospital, PGY1 Graduate of: Duquesne University Year: 2017

Continued on next page

FEATURE ARTICLE

Meet Pennsylvania’s 2017–2018 Residents! continued

Jennifer Karabinos, PharmD, Duquesne University/Giant Eagle Pharmacy, PGY1 Graduate of: Duquesne University Year: 2017

Richard LaCoursiere, PharmD, Thomas Jefferson University Hospital, PGY1 Graduate of: Jefferson College of Pharmacy – Year: 2017

Hayley Kay, PharmD, Geisinger Medical Center, PGY1 Graduate of: Wilkes University Year: 2017

Kristen Lopatofsky, PharmD, Geisinger Wyoming Valley Medical Center, PGY1 Graduate of: Wilkes University Year: 2017

Diane Kim, PharmD, Duquesne University The Center for Pharmacy Care, PGY1 Graduate of: Rutgers University Year: 2017

Cynthia Kuntz, PharmD, Allegheny General Hospital, PGY2 Graduate of: Duquesne University Year: 2016

Jill Lykon, PharmD, Einstein Healthcare Network, PGY1 Graduate of: Temple University School of Pharmacy – Year: 2017

Kevin Mahoney Jr., PharmD, Abington Jefferson Health, PGY1 Graduate of: Jefferson College of Pharmacy – Year: 2017

16 • Pennsylvania Pharmacist • September/October 2017

Dennis Marjoncu, PharmD, Geisinger Medical Center, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Caitlin McHugh, PharmD, UPMC Mercy Hospital, PGY1 Graduate of: Duquesne University – Year: 2017

Laurence Martinez, PharmD, Lebanon Veterans Affairs Medical Center, PGY2 Graduate of: Temple University School of Pharmacy – Year: 2016

Majid (Jay) Mirzai, PharmD, Highmark Blue Cross Blue Shield, PGY1 Graduate of: LECOM School of Pharmacy – Bradenton Year: 2017

Alex Matika, PharmD, Abington Hospital-Jefferson Health, PGY1 Graduate of: Wilkes University Year: 2017

Hannah Mazur, PharmD, Allegheny General Hospital, PGY1 Graduate of: Duquesne University Year: 2017

Hein Nguyen, PharmD, Lancaster General Health/ Penn Medicine, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Vu Phan Nguyen, PharmD, Moses Taylor Hospital, PGY1 Graduate of: Temple University Year: 2017

FEATURE ARTICLE

Meet Pennsylvania’s 2017–2018 Residents! continued

Kwabena Nimarko, PharmD, Hahnemann University Hospital, PGY1 Graduate of: University of Maryland School of Pharmacy Year: 2017

Kyle O’Brien, PharmD, Lehigh Valley Health Network, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Song Oh, PharmD, Einstein Medical Center Philadelphia, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Scott Opalka, PharmD, WilkesBarre VA Medical Center, PGY1 Graduate of: Temple University Year: 2017

Sumaiya M. Patel, PharmD, LECOM/Millcreek Community Hospital, PGY2 Graduate of: Wayne Street University – Year: 2014

Kenneth Paulish, PharmD, Geisinger Wyoming Valley Medical Center, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Victor Phan, PharmD, Acme Sav-on Pharmacy, PGY1 Graduate of: Temple University School of Pharmacy – Year: 2017

Timothy Porter, PharmD, Allegheny General Hospital, PGY1 Graduate of: Duquesne University Year: 2016

18 • Pennsylvania Pharmacist • September/October 2017

Daniel Powell, PharmD, Allegheny General Hospital, PGY1 Graduate of: Ohio Northern University Year: 2017

Eric Rakszawski, PharmD Lancaster General Health/Penn Medicine, PGY1 Graduate of: Duquesne University Mylan School of Pharmacy – Year: 2017

Jazmine Robertson, PharmD, Duquesne University/ Walgreens Specialty Pharmacy, PGY1 Graduate of: Virginia Commonwealth School of Pharmacy – Year: 2016

Nicholas Ruzzi, PharmD, VA Pittsburgh Healthcare System, PGY1 Graduate of: University of Pittsburgh – Year: 2017

Emily Schartner, PharmD, UPMC Health Plan, PGY1 Graduate of: University of Pittsburgh – Year: 2017

Sunish Shah, PharmD, Hahnemann University Hospital, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Casey Shultz, PharmD, Moses Taylor Hospital, PGY1 Graduate of: Duquesne University Year: 2017 Stephanie Rusin, PharmD, Reading Hospital, PGY1 Graduate of: University of North Carolina – Year: 2017

Elizabeth Shober, PharmD, Lehigh Valley Health Network – Cedar Crest, PGY1 Graduate of: Jefferson College of Pharmacy – Year: 2017

Paolo Valerio, PharmD, Allegheny General Hospital, PGY2 Graduate of: Virginia Commonwealth University Year: 2016

Amanda Welk, PharmD, Allegheny General Hospital, PGY2 Graduate of: Notre Dame of Maryland University – Year: 2016

William Wilson, PharmD, UPMC Presbyterian-Shadyside, PGY2 Graduate of: University of Pittsburgh – Year: 2016

Ryan J. Steiner, PharmD, Philadelphia College of Pharmacy/Cooper University Hospital, PGY2 Graduate of: Temple University School of Pharmacy Year: 2016

Sara Walton, PharmD, Thomas Jefferson University Hospital, PGY1 Graduate of: Temple University School of Pharmacy – Year: 2017

Shayne Wharton, PharmD, Penn State Health St. Joseph, PGY1 Graduate of: Notre Dame of Maryland University Year: 2017

Lisa Yamagishi, PharmD, Duquesne University/ St. Barnabas Health System, PGY1 Graduate of: University at Buffalo – Year: 2017

PHOTO NOT AVAILABLE

Dmitriy Sulik, PharmD, Pinnacle Health, PGY1 Graduate of: University at Buffalo – Year: 2015

Tenielle Watkins, PharmD, Einstein Medical Center, PGY1 Graduate of: Temple University School of Pharmacy – Year: 2017

Carrie Wilmer, PharmD, VA Pittsburgh Healthcare System, PGY1 Graduate of: Duquesne University Year: 2014

Kaitlyn Zheng, PharmD, Hahnemann University Hospital, PGY1 Graduate of: Northeastern University – Year: 2017 

PPA Gives Me ...

Neil Turco, PharmD, UPMC St. Margaret—New Kensington Family Health Center, PGY2 Graduate of: University of Pittsburgh – Year: 2016

BIG Wins on the Hill!

www.papharmacists.com • 19

20 • Pennsylvania Pharmacist • September/October 2017

www.papharmacists.com • 21

22 • Pennsylvania Pharmacist • September/October 2017

www.papharmacists.com • 23

INDUSTRY NEWS

HOW TO SURVIVE A DEA INSPECTION SERIES Where is your pharmacy controlled substances inventory when DEA comes into your pharmacy?

by Carlos Aquino, Founder, and President PharmaDiversion LLC Jim Schiffer and I have been dealing with a local independent pharmacy owner who is going through a nightmare resulting from an unannounced inspection and audit of selected controlled substances by members of the Drug Enforcement Administration (“DEA”).

We constantly are preaching to you, the independent pharmacy owners, and your supervising pharmacists, that if want to keep DEA in your pharmacy for an extended period, and potentially be the subject of an administrative or civil actions, don’t maintain a perpetual inventory of your controlled substances and your expired controlled substances.

Over the past few years we have illustrated numerous times the importance of having a perpetual inventory and to periodically conduct a full accountability of your drugs.

So here is what you need to know to prevent your pharmacy from being a target of a DEA administrative or civil action.

DEA personnel will look at your records, the security of controlled substances, and your due diligence program when filling controlled substances prescriptions for pain especially Oxycodone 15/30mg tablets, Hydromorphone 4/8mg tablets, Hydrocodone 10/325mg tablets, Methadone 10mg tablet, Morphine

Sulfate IR 15/30mg tablets. In many cases, they will also look at your dispensing of Fentanyl patches and all strengths of Subsys Sublingual Sprays developed for cancer patients.

need to know what was dispensed before they arrived at the pharmacy. It includes all your purchases for the audit period and any returns of dispensed patient drugs by the patient.

If they (DEA) tell you, “It’s a routine inspection.” Don’t believe it. There is nothing routine about the DEA inspections. This is like a doctor telling you don’t worry when he is about to do open-heart surgery. This is the point where you should go to your stock of “Depends” and open the box.

The ACCOUNTED FOR section consist of a closing inventory done on the day of the inspection, the quantities dispensed during the audit period, those expired drugs awaiting destruction, expired drugs transferred to a reverse distributor, and any theft or loss reported to DEA on a DEA Form 106.

Since an audit is going to happen, let me explain what a DEA computation chart is and how the DEA diversion investigators prepare it. The computation chart requires a starting period and an ending period. For example, beginning of business January 1, 2017 (12:01AM) to the close of business May 23, 2017 (11:59PM). The chart will compare what you should ACCOUNT FOR versus what you have ACCOUNTED FOR and the difference is measured in overages, shortages or a zero balance. Overages is when you have more than you purchased and shortages is when you can’t account for all drugs.

So, as you can see, therefore it is important to maintain a complete and accurate inventory done at the close of business of the last day of the month and a perpetual inventory that will tell you what you had on hand at the ending of one day and the beginning of the next day. There will be overages and shortages because of the amount of a controlled substance dispensed and the quantities of such prescriptions.

Looking at our audit period, the ACCOUNT FOR section is made up of your quantities of each drug available at 12:01 AM January 1, 2017. If they came in at 9:00 AM, they will

We will continue to discuss this issue on the next newsletter. Remember, if you don’t want to lose sleep make sure your end of month and your perpetual inventory are complete and accurate. ©2017 Carlos Aquino all rights reserved 

“Through PPA, it is much easier to stay informed about current issues and updates to laws in pharmacy. As a health system pharmacist, we sometimes forget the issues that impact retail pharmacists daily. It is important to stay involved and stay connected to all areas of the pharmacy profession so that we can achieve goals on a united front. PPA has also created amazing opportunities for networking. Conferences are a wonderful way to stay connected to other pharmacists and continue to learn. Our profession is constantly changing and PPA is an incredible way to stay informed and educated.”

— Jamie Shepherd, PharmD

24 • Pennsylvania Pharmacist • September/October 2017

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FEATURE ARTICLE

STUDENT MEMBER PROFILES “Find satisfaction in being, rather than seeming.”

— My words to live by, Tina Schuler

“Everyone you meet is fighting a battle you know nothing about.

Be kind.

Always.”

— My words to live by, Nancy Tang

Tina Schuler, LECOM School of Pharmacy, PharmD Candidate Class of 2019

Nancy Tang, Thomas Jefferson University, Jefferson College of Pharmacy, PharmD Candidate Class of 2019

Tina Schuler

Nancy Tang

WHY DID YOU CHOOSE TO STUDY PHARMACY?

WHY DID YOU CHOOSE TO BECOME INVOLVED IN PPA?

I have always enjoyed the science and math classes that go into studying pharmacy and wanted to be able to have a positive impact on the lives of the people in my community and beyond. To me, pharmacy is the perfect combination of utilizing knowledge and providing patient care.

WHERE DO YOU SEE YOURSELF IN FIVE YEARS? I’m still somewhat torn between wanting to do a clinical residency and working at an independent community pharmacy. Whichever path I choose, I hope to be well established in my career and beginning to build a family five years from now.

WHAT HAS BEEN YOUR FAVORITE EXPERIENCE YOU HAVE HAD SINCE STUDYING PHARMACY? My favorite experience since deciding to study pharmacy has been working as an intern at an independent pharmacy in my home town.

I’ve gotten to see the relationships that the pharmacists have with all of the patients and the ties the owner has with the community.

Whether it’s providing free flu shots or promoting local non-profits, I feel like they’re always doing what’s best for our community and that’s something I admire so much and am proud to be a part of.

MY WORDS TO LIVE BY ARE ...

I think it’s important to advocate for the pharmacy profession starting at the state level.

There are so many things in healthcare that pharmacists and students cannot do because of restrictions by state policies. Although I am not originally from Pennsylvania, I may end up practicing in PA in the future and, when it happens, I want to be part of the change for the better.

WHERE DO YOU SEE YOURSELF IN FIVE YEARS? I hope to have completed my PGY2 in critical care and have a full-time position as a clinical critical care pharmacist, while (hopefully) balancing my personal life in starting a family.

WHAT ADVICE WOULD YOU GIVE TO FIRST YEAR PHARMACY STUDENTS? Start being active outside of schoolwork now!

Grades are important, but they aren’t everything.

Using what you are learning outside of classes and learning from extracurricular activities are so much more rewarding. It also builds you up for future success and you’ll probably have fun while doing it.

MY WORDS TO LIVE BY ARE… Everyone you meet is fighting a battle you know nothing about. Be kind. Always. 

“Find satisfaction in being, rather than seeming.” www.papharmacists.com • 27

ASSOCIATION NEWS

CONGRATULATIONS TO THE 2017 RECIPIENTS OF EDUCATIONAL FOUNDATION STUDENT SCHOLARSHIPS! All applicants were required to be PPA members, who were at least PY1 and returning to school in the fall.

Applicants were required to submit a letter of recommendation and answer essay questions.

The Foundation also wants to give a big thank you to the individuals and companies who are supporting the future of pharmacy with these scholarships!

GREG & MARY DREW PHARMACY LEADERSHIP SCHOLARSHIP

INDEPENDENT PHARMACY BUYING GROUP SCHOLARSHIP

MARY KIMMEL Duquesne University PharmD Candidate 2018

RDC SCHOLARSHIP

MEDVISORXS LLC SCHOLARSHIP

MEDVISORXS LLC SCHOLARSHIP

AMANDEEP KAMAR Temple University PharmD Candidate 2018

SALLY HABUSTA LECOM PharmD Candidate 2018

MATTHEW MCGUIRE Jefferson College of Pharmacy PharmD Candidate 2018

TERRA PHARM/ ORGANIC REMEDIES PHARMACY SCHOLARSHIP

PAULINE MONTGOMERY MEMORIAL SCHOLARSHIP

PPA GIVES ME ...

A Stronger Future ANTHONY FANUCCI Wilkes University PharmD Candidate 2018

SHANNON YE University of Pittsburgh PharmD Candidate 2019

28 • Pennsylvania Pharmacist • September/October 2017

FELICIA SNYDER Wilkes University PharmD Candidate 2018

ASSOCIATION NEWS

MEET THE PENNSYLVANIA PHARMACISTS CARE NETWORK (PPCN) BOARD OF DIRECTORS The Pennsylvania Pharmacists Care Network Mission: PPCN will be a premier professional network of pharmacists collaborating to optimize appropriate medication use to promote positive patient health outcomes.  Nicholas Leon, PharmD, BCPS, BCACP Chair

Richard Demers, RPh, MS, FASHP Director

Stephanie Smith Cooney, PharmD Director

Melinda Kozminski, PharmD, BCACP Executive Manager

Kristen Hartzell, PharmD, BCACP Vice Chair

Melissa McGivney, PharmD, FCCP, FAPhA Director

William Thompson, RPh Director

Brandon Antinopoulos, PharmD PPCN Trainer

EXCITING NEWS FOR THE PENNSYLVANIA PHARMACISTS CARE NETWORK! PPCN is excited to announce that they have secured a contract for clinical services with the Pennsylvania Medicaid Managed Care Organization, Gateway HealthSM. PPCN pharmacies were able to review the contract starting in late July with the ability to start delivering care soon after that. Earlier in the summer, PPCN announced their partnership with Creative Pharmacist’s STRAND platform as the required documentation platform. PPCN pharmacists are able to bill for Comprehensive medication reviews including follow up encounters for qualified Gateway Health members. PPCN pharmacies are also given alerts through the STRAND platform for members that have a gap in care focused on several

HEDIS measures. Intervention around these measures is also reimbursable.

This contract is a huge opportunity for Pennsylvania pharmacists to join together and show the value that pharmacy can bring to the health care team! In order to be eligible for participation in the payer contract, your employer must sign a participation agreement and you must have a pharmacist complete the PPCN patient care training program. Completion of the training program is required for billing under this contract. It is not too late to get involved in this exciting time for pharmacy as a profession. The next opportunity to complete the live training will be on

PPA Gives Me ...

Business Opportunities 32 • Pennsylvania Pharmacist • September/October 2017

September 22nd at PPA’s annual meeting being held at the Kalahari Resort in the Poconos this year. In order to attend the live training you will need to complete the on-line portion as a pre-requisite. To access the on-line you need to register for the Comprehensive Medication Management Collaborative (CMMC) which can be found on PPA’s website. There will also be a PPCN Discussion Forum later that day which will be a great opportunity to share best practices and learn from one another. Please email PPCN’s executive manager to find out more at mkozminski@papharmacists.com.

You can also visit PPCN’s website at www. papharmacistsnetwork.com. 

PPCN Payer Contract What I Need to Know to Participate Must have signed the community pharmacy participation agreement.

Must have at least one pharmacist per pharmacy ownership complete the PPCN training.

Must have a Creative Pharmacist account and sign the PPCN Creative Pharmacist agreement.

Must sign the PPCN Pharmacy Provider agreement

A continuous quality improvement program can be a lifesaver!

M AK E YO U R PAT I E N TS A N D YO UR P HAR MACY SA FE R .

FOR LESS THAN A DOLLAR A DAY ...

• • • •

Increase patient safety – learn from collected safety data and online resources Maintain compliance – meet accreditation, credentialing, PBM and state QA requirements Reduce costs – increase operations efficiency, reduce potential risk and cut down on “re-do” Rxs Safeguard your data – Patient Safety Organizations offer confidentiality and legal protection

www.medicationsafety.org (866) 365-7472 The Alliance of Medication Safety (APMS) is a federally listed Patient Safety Organization (PSO).

www.papharmacists.com • 33

ASSOCIATION NEWS

ADVOCACY STARTS WITH YOU

MEET WITH LEGISLATORS

SUPPORT CANDIDATES THROUGH PHARMPAC

Patients and legislators are similar in that they build their trust in you by speaking with you in-person. Such meetings are a vital step in developing strong relationships and in advancing our message.

Running and supporting a political campaign is costly. PharmPAC provides you an avenue for helping those candidates who support pharmacy while giving PPA a seat at the legislative table.

Join us at our annual Pharmacy Legislative Day to meet with elected officials and be part of a pharmacy rally. Visit www.papharmacists. com/Legislative_Day to learn more!

Visit www.papharmacists.com/PharmPAC to learn more and to donate!

ADVANCE OUR PRIORITIES Every legislative session PPA monitors numerous bills that affect pharmacy, including a select group of priority issues for which we devote considerable resources.

HOST A PHARMACY VISIT

Visit www.papharmacists.com/Issues and www.papharmacists.com/ActionCenter to learn about our priorities and what you can do to help!

Pharmacy visits are an excellent way for to show elected officials your expertise in healthcare, your innovative patient services, and the day-to-day operations of your pharmacy. Moreover, they allow you to discuss key priorities and develop a strong relationship with your legislators.

Learn more at www.papharmacists.com/PharmacyVisit and host a pharmacy visit today!

PPA Gives Me ...

CONNECTIONS

34 • Pennsylvania Pharmacist • September/October 2017

ASSOCIATION NEWS

PPA WELCOMES A NEW MEMBERSHIP AND MARKETING COORDINATOR! Victoria Madonna began her role as the Membership and Marketing Coordinator in July. She graduated from Elizabethtown College in 2016 and has a Bachelor’s degree in Communications and a minor in Graphic Design. Before coming to PPA, Victoria interned at the Pennsylvania Principals Association in the communications office.

In her free time Victoria enjoys traveling and watching the Food Network channel. Her most recent trip was in the summer of 2016 where she spent 3-weeks in Ireland participating in a travel writing and photography class.

PPA Gives Me ...

A Variety of Resources Victoria Madonna

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Find your staying power with H. D. Smith.

Visit www.stopfundingyourcompetition.com to learn more and join the movement.

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American Pharmacists Month is celebrated annually in October and serves to promote pharmacists as medication experts, an integral member of the health care team, and directly involved in patient care.

APhM aims to educate the public, policy makers and other health care professionals about the role pharmacists play in the reduction of overall health care costs and the safe and effective management of medications.

Pharmacists have a significant role in assessing patients’ medication management in patients and referring them to physicians.

Let PPA know how you’re celebrating American Pharmacists Month at ppa@papharmacists.com!

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ASSOCIATION AFFILIATED NEWS COUNTY NEWS

ALLEGHENY COUNTY PHARMACISTS ASSOCIATION Summers are always a transition period for ACPA as we welcome and congratulate new board members and thank those who have helped ACPA grow over the past year. Our annual transition dinner, the President’s Dinner, was held at the Willow Restaurant in the North Hills, Pittsburgh in June. This year, we welcomed AJ Greco, Corinn Floyd, Renee’ Richardson, Katie Sulkowski, and Elizabeth Bunk to the 2017–2018 board. We also shared our appreciation to those who served on the 2016–17 board, some of whom have stayed in their position or new positions for the upcoming year. Particular thanks goes out to Brandon Antinopoulos, who served as president; Christine Moore, who served as secretary; Ashley Firm, who served as treasurer; and Amanda Jaber, who served as a director. Thank you again for a great year!

In July, we had a successful and highlyattended CE addressing the issue of opioid dependence and abuse. The event consisted of presentations on naloxone use, the dispensing guidelines for opioids, and the referral and treatment for opioid addiction.

Panelists then provided insight from their own practice experience on all of these topics.

As the summer winds down, ACPA is just getting started! If you are reading this in time, we hope you will join us at our annual Back-to-School Picnic. Open to ACPA members and all students, we welcome everyone from the summer break with great food, networking, and kickball.

This year’s picnic will occur September 6th at the Anderson Pavilion in Schenley Park at 6:00pm.

We also hope to see everyone at PPA’s Annual Meeting in the Poconos, September 21–24th. If you have never been, PPA meetings are full of learning and meeting new people. If you want to learn more about ACPA and get involved at a county level, there is a local county association forum that you can attend, as well. We look forward to a weekend of pharmacy at the water park with everyone! 

Brandon Antinopolous receives Past President Award from new President Kyle McCormick.

BUCKSMONT PHARMACISTS ASSOCIATION

THE LEHIGH VALLEY PHARMACISTS ASSOCIATION

The BucksMont Pharmacists Association’s officers changed as of July 1. The new BMPA President is Steve Pfeiffer, Vice President is Robert Frankil, Treasurer is David Cunningham, Secretary is Scott Himler and Event Manager is Carla Tomlinson.

Thirty-one pharmacists, technicians and friends were witness to the first inside-the-park grand slam in Coca-Cola Park history as J.P. Crawford avoided the catcher’s tag sliding into home, when LVPA had a night of networking, food and fun at the Lehigh Valley Ironpigs game on July 26th. President-Elect, Howard Cook threw out the first pitch and a great time was had by all who attended.

The BMPA Board of Directors held a conference call on July 18 and discussion was focused on using the funds in our accounts to provide more programs and support for our members.

BMPA provides two (2) $500 scholarships to students in their first year professional year of the PharmD program and beyond who are permanent residents of Bucks or Montgomery Counties – more information is available online! BMPA has moved our Scholarship funds into PPA’s Educational Foundation and as of the date of the call, there have not been any applications received for these scholarships..

All applications were due on August 1st, but late applications will also be considered.

The Board decided on the giveway for the PPA Annual Conference in September. Beach towels were chosen to go along with the Kalahari location.

BMPA’s new Event Manager Carla Tomlinson is working on upcoming programs. There is a target date of October 19, 2017 and she is still in the process of finalizing the sponsorship and location. She is also contacting other manufacturer’s representatives to get them to put something in their 2018 budgets for a BMPA program. 

With the PPA Annual Conference close by in Pocono Manor, we hope to have many of our members attend, especially on Saturday evening as we may see some local pharmacists receive awards at the benquet.

Our next membership meeting will be held on Tuesday Septembers 26th in conjunction with the Mideastern Chapter of PSHP.. The speaker will be our own Nicole Pezzino, PharmD. 

PPA Gives Me ...

FREE CE — Lots of it!

www.papharmacists.com • 37

ASSOCIATION MEMBER NEWS NEWS

CONDOLENCES PPA offers our deepest condolences to the family, friends, and colleagues of Joe DiMatteo. A graduate of Duquesne University, Joe opened a pharmacy in Penn Hills in 1979, just a few months after his college graduation. By 1985, he opened a second in Oakmont. Both pharmacies are called The Medicine Shoppe Compounding Pharmacy and Integrative Wellness Centers. Six days a week, for more than 20 years, Joe DiMatteo sat down before a microphone, offering medical advice to callers on his popular SiriusXM radio show “Ask Joe DiMatteo.” One of his children, Joseph DiMatteo Jr., who worked with his father in the pharmacies for several years is now operating them. 

ACHIEVEMENTS

Jennifer Malinowski, PharmD, a faculty member an Assistant Dean at the Wilkes University Nesbitt School of Pharmacy, has won the 2017 Innovations in Teaching Competition sponsored by the American Association of Colleges of Pharmacy.

Congratulations Jennifer! 

Scott Stolte, PharmD, has joined Wilkes University as Dean of the Nesbitt School of Pharmacy. Prior to joining Wilkes, Stolte was professor and dean of the College of Pharmacy at Roseman University of Health Sciences in Henderson, Nev. With his leadership, the school will continue to grow and strengthen its national reputation as a leader in education, research, and pharmacy practice. We look forward to welcoming him to Pennsylvania! 

CONGRATULATIONS! Congratulations to our PPCN Manager, Mindy Kozminski, on the birth of her new baby, Griffin. 

Congratulations on job well done!

Alexandra Grudeski, PharmD Candidate 2019, Wilkes University Nesbitt School of Pharmacy Johnathan Kloss, PharmD Candidate 2019, Duquesne University Mylan School of Pharmacy Cody Morcom, PharmD Candidate 2020, Wilkes University Nesbitt School of Pharmacy

The Pharmacy Quality Alliance-CVS Health Foundation and PPA are pleased to announce three of our members are part of the 2017-2018 class of PQA-CVS Health Foundation Scholars. In its second year the program is geared towards promoting student engagement in performance measurement, value-based models of care and quality improvement. Along with a mentor, the student works to execute and implement their project as part of the application process.

The chosen scholars will present their findings at the 2018 PQA Annual Meeting poster session in May.

Government Relations Advocacy for Student Pharmacists (GRASP) Graduate List The Pennsylvania Pharmacists Association would like to recognize and congratulate all students who have successfully completed the GRASP program: Duquesne University – Mylan School of Pharmacy Lisa Mutooni Jefferson College of Pharmacy Toni Campanella Jose Fernandez Matthew McGuire Nicholas Paulson Danielle Vallandingham Lake Erie College of Osteopathic Medicine School of Pharmacy Lauren Bobby Jessica Brown Joseph Cristello Michael Coulter Kelly Duan Katherine Freeman Crystal Gleason Rebecca Goetz Shannon Haberman Tyler Liebegott Tommy Nguyen Patricia Railling Christina Schuler Orlando Vargas

PPA Gives Me ...

38 • Pennsylvania Pharmacist • September/October 2017

Philadelphia College of Pharmacy Dianna Arndt Jacob Gambo Daniel Leehan Andrej Quatrone Sara Skoritowski Lauren Stabler University of Pittsburgh School of Pharmacy Wenqi Chen Kiana Green Abigail Kois Casey Rowe Allyson Seitz Wilkes University – Nesbitt School of Pharmacy Dylan Fox Philip Scavo 

A Passion for Pharmacy

ASSOCIATION NEWS

DEADLINE FOR 2018 GRANT APPLICATIONS – NOVEMBER 1 The PPA Educational Foundation will once againaward up to four grants in 2018 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 2018: 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.

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!

PPA GIVES ME ...

Community Collaboration

Information about Grant Opportunities, the 2018 Grant Announcement, and the Grant Application can be found on the PPA website under Foundation, Programs, and Grant Programs. 

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INDUSTRY FINANCIAL NEWS FORUM

COULD YOU IMPROVE YOUR PERSONAL FINANCES TODAY? Simple decisions & new habits might lead you toward a better financial future.

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.

In life, there are times when simple decisions can have a profound impact. The same holds true when it comes to personal finance. Here are some simple choices you could make that may leave you better off financially — in the near term, the long term, or both.

Use less credit. Every time you pay with cash instead of credit, you are saving pennies on the dollar — actually, dimes on the dollar.

At the start of December, the average “low interest” credit card in America charged users 12.45%, the average cash back card 17.15%.

If you want to see your bank balance grow, try consistently paying in cash. There is no need to pay extra money when you pay for something.1 Set up automated contributions to retirement plans & investment accounts.

By automating your per-paycheck salary deferrals to your workplace retirement plan or your IRA, you remove the chore (and the psychological hurdle) of having to make lump-sum contributions. You can bolster invested assets with regular inflows of new money, without even thinking about it.

Often, arranging these recurring account contributions takes 20 minutes or less of your time.2 Bundle your insurance. Many insurers will give you a discount if you turn to them for multiple policies (home and auto, possibly other combinations). This may help you reduce your overall insurance costs.

Live somewhere less expensive. Sure, it takes money to move, but that one-time cost might be worth absorbing, especially if you can perform your job anywhere. A look at the December United States Rent Report at ApartmentList.com reveals that the median rent for a 1-bedroom apartment in Los Angeles is $1,900. The median rent for a 1-bedroom apartment in Spokane is $630.

What is the median rent for a 2-bedroom apartment in Boston? $3,200. How about in Fayetteville, North Carolina? $700.3 Look into refinancing your largest debts.

Perhaps your student loans could be consolidated. Perhaps you could qualify for a refi on your mortgage (while rates are still low). Both of these moves could free up money and leave you with more financial “breathing room” each month.

Pause and think before you buy something; do you really need it? If you separate your needs from your wants and say no to several of them, you may find yourself living a simpler life with less debt and more cash.

Spend less than what you make, invest and save some of the difference – this is the classic path toward improving your financial situation.

was nearly $16,000. In short, people are spending too much.4 Some expenses are obligatory, others spurof-the-moment and unexamined. Pause and think before you buy something; do you really need it? If you separate your needs from your wants and say no to several of them, you may find yourself living a simpler life with less debt and more cash.

Spend less than what you make, invest and save some of the difference — this is the classic path toward improving your financial situation.

CITATIONS 1 bankrate.com/finance/credit-cards/currentinterest-rates.aspx [12/1/16] 2 forbes.com/sites/robertberger/2016/05/14/20ways-to-improve-your-finances-in-under-20minutes/ [5/14/16] 3 apartmentlist.com/rentonomics/national-rentdata/ [12/1/16] 4 time.com/money/4320973/why-you-are-poor/ [6/6/16]

Spend less money on “stuff” and more money on yourself. Many people associate possessions with well-being — the more “toys” you have, the richer your life becomes.

That kind of thinking can quickly put you deep in debt. You may find yourself living on margin as your “toys” depreciate. A wise alternative: pay yourself first and direct more of your income into retirement or savings accounts. Or if you like, use some money you would normally spend on creature comforts to attack your debt. Instead of simply entertaining yourself today, make money moves on behalf of your financial future.

Too many people give their financial future little thought, and they may be in for a shock when they reach retirement age. We all want to splurge now and then, but try spending money on memorable experiences instead of flashy items — you may find the former many times more valuable than the latter.

Forgo several purchases a month and see what happens. A recent SunTrust bank survey found that roughly a third of U.S. households earning $75,000 or more live paycheck to paycheck. Earlier this year, Money noted that the average household credit card balance

40 • Pennsylvania Pharmacist • September/October 2017

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. 

INDUSTRY Rx AND NEWS THE LAW

CYBERSECURITY

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.

Cybersecurity continues to make the news and to be a source of concern for all business owners. The recent WannaCry ransomware attack affected companies and governments in more than 150 countries. Data breaches and cyberattacks also occur in healthcare.

In Rhode Island, the car of an employee of the state’s largest health network was broken into and a laptop was stolen. The laptop contained sensitive information on about 20,000 of the network’s patients. A healthcare provider in Texas had an unencrypted hard drive stolen. The hard drive contained information (e.g., social security numbers, dates of birth, driver license numbers, insurance information, etc.) about its patients going back to 2009. It is critical for pharmacies to assess their data security and take steps to strengthen it.

Stronger regulations are sure to come, but improvements to your data security now will minimize the chances that your pharmacy ends up as your community’s lead news story. As an example, the New York Department of Financial Services recently promulgated new rules for cybersecurity of financial institutions. This includes banks, insurance companies, and other financial services institutions. It does not apply to health care organizations or entities. The regulations contain 15 requirements for a cybersecurity program. This

article will not review all of them, but will address some that apply to the situations we have already seen.

The regulations require penetration testing and vulnerability assessments. This would mean at least annual testing of firewalls and other portions of the overall cybersecurity program. This should alert you to any shortcomings in your security and give you the opportunity to remedy them before an incident occurs.

Also required is training and monitoring for your system’s users.

Training is an integral part of a security program because a leading cause of data breaches is the people using the system. Phishing attacks and similar techniques succeed because they fool a user into allowing unauthorized access to the pharmacy’s data.

Continued on next page

“The pharmacist-patient relationship is built on trust and data breaches will seriously damage these relationships....

There is no reason to wait for law or regulation to be passed before shoring up your data security.

You are already holding sensitive patient information and there are already numerous threats out there in cyberspace. A cyber incident can cause significant financial and reputational damage to your practice. This is not the time to take an ostrich approach to your data security.”

— Don R. McGuire, Jr. www.papharmacists.com • 41

INDUSTRY Rx AND NEWS THE LAW

Cybersecurity continued Encryption is another important tool and New York’s regulation is going to require it. The regulation requires that data be encrypted both while being transmitted (such as by e-mail) and also while resting on hard drive. This requirement would help secure data that is physically taken, such as in the stolen laptop or server examples. Many people think to encrypt data while it is in transit, but steps should also be taken while it is being stored.

The regulation also requires that organizations periodically dispose of sensitive information no longer needed for business operations.

This will require the organization to assess the need to retain sensitive information and then follow their own policies and procedures to securely dispose of unneeded information. This action may have mitigated the damage done when the hard drive containing seven years of data was stolen in Texas.

The world continues to move toward more virtual and digital realms, so these challenges are not going away. Dealing with data breaches is expensive. Some studies estimate around $200 per record affected.

For the data of those 20,000 patients on the laptop, this equates to around $4 million. And this doesn’t take into account your reputational damage. The pharmacist-patient relationship is built on trust and data breaches will seriously damage these relationships. Ransomware can also be devastating to your pharmacy. Having your system held

hostage until you pay the ransom (or can re-construct your system from back-ups) will, at a minimum, inconvenience your patients. It may cause them to question whether they should share their personal information with you.

There is no reason to wait for a law or regulation to be passed before shoring up your data security. You are already holding sensitive patient information and there are already numerous threats out there in cyberspace. A cyber incident can cause significant financial and reputational damage to your practice. This is not the time to take an ostrich approach to your data security.

RESOURCES 1 23 NYCRR 500.00 to 500.23 © 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. 

JEFFERSON COLLEGE OF PHARMACY Elements of Success

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Reputation

Affiliation

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Connections

Location

Jefferson College of Pharmacy is recognized as an emerging force in the future of Pharmacy education.

We prepare students to be leaders, as demonstrated by victories in ASHP, APhA and ACCP student pharmacy competitions. Our grads have an above-average pass rate among all who take national boards. And, it’s happening just steps from the best Center City Philly has to offer. These are contributing elements to our success.

explore.Jefferson.edu/Pharmacy