Pennsylvania Pharmacist September/October 2018

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PHARMACIST September/October 2018 • Volume 99 • Issue 5

REACHING OUR STRAGETIC GOALS: ATION ENGAGING &

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1 Bill, 1 CE, 1 Member, 1 Mission and 1 Post at a time!

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SSIONAL DEVELOPMENT

Register for our

2018 Annual Conference

October 18-21 in Lancaster, PA!

THE OFFICIAL PUBLICATION OF THE

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CONTENTS PPA BOARD OF DIRECTORS PPA OFFICERS President: Lauren Simko, PharmD President Elect: Richard Demers, MS, RPh, FASHP Vice President: Chuck Kray, RPh Immediate Past President: Nicholas Leon, PharmD, BCPS, BCACP REGIONAL DIRECTORS Central Region: Deron Shultz, RPh Northeast Region: Vick Shah, PharmD, BCPS Northwest Region: Nickolas Kernich, PharmD Southeast Region: David Stone, PharmD Southwest Region: Brian Sidone, PharmD PRACTICE DIRECTORS Academia: Nicole Pezzino, PharmD, CDE Chain Pharmacists: Renee Richardson, PharmD Community Independent: Shawn Nairn, RPh Community Independent: Christopher Antypas, PharmD Health System Pharmacists: Darryle Tillman Jr., RPh MCO/Industry/Government/Other: John Barrett, MBA, RPh Associates: Pat Lavella, RPh STUDENT DIRECTORS Student Director East: Dylan Fox Student Director West: Shannon Ye PPA OFFICE STAFF CEO: Patricia A. Epple, CAE pepple@papharmacists.com | Ext. 3 Conference and CE Manager: Linsley Gentile lgentile@papharmacists.com | Ext. 2 Government Relations Manager: Angela Zaydon azaydon@papharmacists.com | Ext. 6 Membership and Marketing Coordinator: Victoria Madonna vmadonna@papharmacists.com | Ext. 5 Membership and Program Coordinator: Rachel Stall rstall@paharmacists.com | Ext. 1 Bookkeeper: Michele Dibble mdibble@papharmacists.com | Ext. 4 PPCN Executive Manager: Stephanie McGrath, PharmD smcgrath@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 Hershey S. Bell, M.D.,M.S.,FAAFP Kim Coley, FCCP, PharmD, RPh, Chair Michael Gionfriddo, PharmD, PhD Yardlee Kauffman, PharmD, MPH, BCACP Jinsun Paek, PharmD, BCPS

ON THE COVER: REACHING OUR STRATEGIC GOALS Our strategic goals help us maintain balance and structure in order to succeed as an organization. We operate for our members so that they can better the lives of patients across the commonwealth.

DEPARTMENTS

ASSOCIATION NEWS

5

Calendar of Events

22 PPCN Update

7

President’s Message

9

Welcome! New Members

26 Government Relations Advocacy for Student Pharmacists (GRASP) Graduate List

10 Member News 12 Affiliated Member News

FEATURES 14 Student Member Profile 15 Member Profile 16 Legislative Profiles 18 Pharmacy Spotlight 20 DSME and Community Pharmacy: Navigating Pharmacists Through the Path of Accreditation

25 Meet the Editorial Review Board!

26 Celebrating 140th Anniversary 28 Our Presidents Reminisce Continues 29 2017–2018 Annual Report 34 Meet Pennsylvania’s 2018–2019 Residents!

38 2018 Foundation Student Scholarship Recipients

INDUSTRY NEWS 41 Memo on Drug Disposal Options for Pharmacies

Associate Editor: Victoria Madonna Editor/Manager: Pat Epple PUBLISHED BY GRAPHTECH Alexis Kierce, Publications Manager (717) 238-5751 x119 alexis@thinkgraphtech.com For Advertising Information: Kristen Bergmaier, Account Manager (717) 238-5751 x124 kristen@thinkgraphtech.com

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

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 2, 2018 November 27, 2018 January 8, 2019 March 5, 2019

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.

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Calendar of Events

Advertisers Index

September

Smith Drug Company

23-25

IPBG

American College of Clinical Pharmacology Annual Meeting — Bethesda, MD

October 2

CE Webinar — “Living on a Prayer” A Health System Response to the Opioid Epidemic

6-10

National Community Pharmacists Association Annual Conference — Boston, MA

18-21

4

Value Drug Company EPIC

Hayslip & Zost 15 Jefferson College of Pharmacy

R.J. Hedges & Associates Beekan

19

H.D. Smith

28

PPA Educational Foundation Board of Directors — Lancaster, PA

21

PPA Board of Directors Meeting — Lancaster, PA

LECOM RDC

33

39

Value Drug Company PRS

21

23 24

PPCN Innovation and Payer Forum (by invitation only) — Lancaster, PA

17

19

FrogDog

McKesson

PPCN Board of Directors — Lancaster, PA

6

8

PPA 2018 Annual Conference — Lancaster, PA PPCN Training — Lancaster, PA

2

40

43

Pharmacists Mutual

Back Cover

22–25

Academy of Managed Care Pharmacy Nexus Conference — Orlando, FL

November 7-10

American Society of Consultant Pharmacists Annual Meeting — Grapevine, TX

December 2–6

American Society of HealthSystem Pharmacists Midyear Clinical Meeting

13

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

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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Program Management Value Drug’s LTC program is headed by Margie Lydon, R.Ph, who has more than 30 years of experience in community pharmacy and Long-Term Care Pharmacy entities. Her vast knowledge of management operations, from clinical to new pharmacy start-ups, can assist you as you grow or begin your Long-Term Care business.

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President’s Message “I’ve learned that you shouldn’t go through life with a catcher’s mitt on both hands — you need to be able to throw something back.”

— Maya Angelou I love this quote. It resonates with me, personally and professionally.

Has anyone truly been able to get through life without the benefit of others? If you are spending your time receiving and not giving, you are missing out on a great gift of life – giving to others.

Being a pharmacist allows us to give every day in our profession.

Some days, it feels as if all we do is give. We have an angry patient that doesn’t understand their deductible. We have a dying patient in a hospital that brings us to tears. We encourage medication adherence and counsel on side effects, and sometimes it falls on deaf ears.

Giving is what we are trained to do. Giving knowledge, information, concern, and empathy to all patients, not just those that are kind in return. Giving advice on how to treat a scraped knee, a bee sting, or sometimes, just giving the gift of time. Giving a lonely person just a few minutes to speak to another human on the phone, or maybe, being the only person they speak to all day.

Without giving, our society would fail. You give every day to your patients … but are you also giving back to your profession?

Giving your knowledge, your time, your resources to your patient population occurs daily. By improving pharmacy and giving back to pharmacy, you are improving the lives of your patients. Sometimes, it is a life experience that enables me to better assist a patient, but sometimes, it is a lesson I have learned through being active in my profession that gives my patient a better life.

I hope to see you at our Annual Conference in Lancaster, PA. Perhaps you are looking to increase your knowledge in diabetes because you have a family member looking for your support.

Maybe you want to network with other independent owners to determine best practices for your pharmacy. Or perhaps, you understand that without advancement in our profession, we will lose excellent opportunities to improve the health of our nation.

Our theme this year is “Growing Our Future: 140 Years and Counting”. PPA is turning 140 this year, and I hope you will join me October 18–21, 2018 at the Double Tree Resort by Hilton. While you are there, giving your time, giving your effort, giving back to your profession, you’ll also experience the benefit of receiving.

Receiving education, receiving professional advice, and receiving all PPA can offer through intellectual programs, social functions, and hopefully, a dance-off or two by former PPA Presidents. Life is give-and-take, and so is our profession. I promise you will leave the conference feeling fulfilled. See you there, and I look forward to your ideas on how our profession can grow with both giving and receiving. Our patients will lead better lives because of your continued growth.

Lauren Simko, PharmD PPA President 2018–2019

Giving is what we are trained to do.... Without giving, our society would fail. You give every day to your patients … but are you also giving back to your profession? Giving your knowledge, your time, your resources to your patient population occurs daily. By improving pharmacy and giving back to pharmacy, you are improving the lives of your patients.

— Lauren Simko

www.papharmacists.com 7

8 Pennsylvania Pharmacist — Sep/Oct 2018

Welcome! New Members PPA Welcomes the following New Members who joined the association on June 2, 2018–August 3, 2018.

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

PHARMACISTS Oluwafemi Adegboyega, Havertown, United Pharmacy Rasha Ahmed, Allentown, CVS Health Christina Austin, Erie, LECOM School of Pharmacy Jennifer Bevan, Pittsburgh, Magee Women’s Hospital of University of Pittsburgh Medical Center Dan Craig, Ephrata, Royer Pharmacy Taylor Chapman, Morgantown, Duquesne University John Crone, Warren

Didi Kim, Pittsburgh, UPMC Shadyside Troy Lynn Lewis, Wilkes Barre, Wilkes University - Nesbitt College of Pharmacy Michael McCall, Pittsburgh, Duquesne University — School of Pharmacy Mary Mihalyo, Pittsburgh, Duquesne University — School of Pharmacy Cory Minnich, Lititz, Royer Pharmacy Jacqueline North, Lancaster, Lancaster General Health/ Penn Medicine

Jeanne Eberly, Pittsburgh, Royer

Cynthia Nutter, Pittsburgh, Allegheny General Hospital

Natalee Felten, Philadelphia, Enclara Pharmacia

Manzil Panchal, East Norriton, East Norriton Pharmacy

Erlynn Frankson, Pittsburgh, Duquesne University & St. Barnabas Health System

Catherine Phi, Pittsburgh, PPA — University of Pittsburgh School of Pharmacy

Alyssa Helster, Union City, Rite Aid Pharmacy

Christopher Pino, Telford, Small Town Pharmacy 2

Michael Horner, Punxsutawney, The Medicine Shoppe #1094

Kiri Roland, Aston, Rutgers Pharmaceutical Industry Fellowship

Christopher Hvisdas, Sicklerville, NJ, Penn Presbyterian Medical Center Heather Johnson, Pittsburgh, University of Pittsburgh School of Pharmacy

Natasha Singh, Pittsburgh, Duquesne University / Hometown Pharmacy

Monica Skomo, Mars, Duquesne University — School of Pharmacy Michael Taylor, Port Allegany, Buchanan Brothers Pharmacy Jonathan Thacker, Plum, Bill’s Hometown Pharmacy Demi Tran, Holland, Nazareth Hospital Adam VanWert, Wilkes Barre, Wilkes University — Nesbitt College of Pharmacy Taylor Warmbrodt, Erie, Allegheny Health Network Ann Wegelin, Birdsboro, West Reading Drug Store Erin Weslander, Minneapolis, MN, Children’s Hospital of Pittsburgh Jennifer Wiley, Lancaster, Wiley’s Pharmacy of Quarryville Quintin Wright, Canonsburg, Duquesne University — School of Pharmacy Regina Zimmerman, Ephrata, Royer Pharmacy ASSOCIATES Lauren Boyd, Lancaster, Pfizer Vaccines

TECHNICIANS Gina Cook, York, Brockie Healthcare Beverly Druck, York, Brockie Healthcare STUDENTS Creighton University Andrea Getz, Lehighton Duquesne University School of Pharmacy Elyssa Kantor, Pittsburgh Tyler Thomas, Bethel Park Jefferson College of Pharmacy Hannah Kafisheh, Philadelphia Ustina Mikhiel, Philadelphia Philadelphia College of Pharmacy Hannah Bitner, New Tripoli Celine Kuan, Philadelphia Kim Peng, Philadelphia Megan Shuminski, Doylestown Temple University School of Pharmacy Jojo Baidn, Philadelphia Soon Swon, Chalfont

Annie Hunter, Connellsville, Hunter Pharmacy Julie McDonald, Jim Thorpe, Pfizer Vaccines

Third Quarter 2018: Pharmacy Time Capsule By: Dennis B. Worthen, PhD, Cincinnati, OH • Posted on July 6, 2018 Pharmacy Time Capsules are written by Dennis Worthen who makes them available for state pharmacy associations to share with their members.

1993

1968

1943

1918

• ACPE released proposed standards and guidelines for the PharmD as the professional entry-level degree.

• Fentanyl, developed by Janssen and marketed by McNeil, was approved as an IV analgesic

• Bulletin of the American Society of Hospital Pharmacists first published. Later renamed American Journal of Health-System Pharmacy.

• Beginning of the Spanish flu pandemic

• New Mexico passed legislation to address a shortage of primary care providers making it the first state to let specially trained pharmacists provide primary patient care.

1893 • New Mexico formed state pharmacy association

One of a series contributed by the American Institute of the History of Pharmacy, a unique nonprofit society dedicated to assuring that the contributions of your profession endure as a part of America’s history. Membership offers the satisfaction of helping continue this work on behalf of pharmacy, and brings five or more historical publications to your door each year. To learn more, check out: www.aihp.org

www.papharmacists.com 9

Member News Four PA Pharmacy Schools Win Script Your Future Awards The National Consumers League (NCL) and its partners announced the winners of the seventh annual Script Your Future Medication Adherence Team Challenge, a competition designed to engage health profession students and faculty across the nation by encouraging teams to develop creative ideas, events, and initiatives to raise public awareness about the importance of medication adherence. Below are the following award winners who earned award recognition at AACP:

Members of the University of Pittsburgh faculty received the Lyman Award for best paper in AJPE.

2018 National Winner or Focused Award: University of the Sciences Philadelphia College of Pharmacy (USciences)

Pictured are Neal Benedict, Amy Seybert, Susan Meyer, Phil Empey, Pam Smithburger, and Larry Kobulinsky.

Health Disparities/Under-represented Community Outreach Award: Lake Erie College of Osteopathic Medicine (LECOM) School of Pharmacy

Creative Inter-Professional Team Event Award: University of Pittsburgh School of Pharmacy

Wilkes University Nesbitt School of Pharmacy won Third Place in the Pharm4Me Innovation Challenge.

Congratulations to all!

We are so proud that out of the approximately 7 awards — 4 went to PA!!

10 Pennsylvania Pharmacist — Sep/Oct 2018

Talbot and Cotchen reappointed to the State Board of Pharmacy PPA congratulates Terry Talbot and Gayle Cotchen for their re-appointment for another 6 year term on the Pennsylvania State Board of Pharmacy as the Community-Chain and Institutional Representatives respectively.

In Memoria Past PPA President Irv Reich passed away in late June following a short period in hospice. Many in the Department knew Irv from his service as the coordinator of our Pharmacotherapuetics laboratory courses. Irv and his late wife, Judi, were both PCP/USciences alumni, and owned a community pharmacy in Roslyn, PA for many years prior to his joining our faculty. Irv is survived by two daughters, Cindy and Debbie, and was predeceased by his son David.

SHARE YOUR NEWS WITH US Send all snippets of achievements and honor to PPA’s Membership and Marketing Coordinator — Victoria Madonna at vmadonna@papharmacists.com

FOLLOW US ON SOCIAL MEDIA @PAPHARMACISTS

www.papharmacists.com 11

Affiliated Member News LVPA Update Pat Epple, PPA CEO presented her annual Pennsylvania Pharmacy Update at The Bayou in Easton, PA. The restaurant was a recent opening in the emerging downtown area and everyone enjoyed a good meal, the legislative update, and a chance to mix and mingle.

During the CE presentation those present received an update on PPA’s advocacy efforts during the past year and the status of several key priorities in the remaining months of the current Pennsylvania legislative session.

Congratulations to the newly installed LVPA Board of Directors. We thank you for leading our county for the 2018-2019 term!

Don’t miss out on future events…LVPA is social, please “like” our page: www.facebook.com/ LehighValleyPharmacistsAssociation for more updates on updates on events and CE opportunities!

ACPA Update ACPA has had a fun summer. We kicked off the season with our 80th Annual President’s Dinner on June 20th, where we honored outgoing President, Kyle McCormick and welcomed our new officers and board members. Amy Haver coordinated service projects where ACPA members could volunteer in the Pittsburgh area, including Mission of Mercy Pittsburgh 2018 Dental Clinic, Greater Pittsburgh Community Food

12 Pennsylvania Pharmacist — Sep/Oct 2018

Bank, and Community Assessment for Public Health Emergency Response (CASPER).

This summer ACPA hosted two social/fundraiser events. In July, Ann Johnson organized a night out at Perrytowne Draft House. ACPA members, students, friends, and family enjoyed getting a chance to get to know each other and catch up. We’re hoping to go back to Perrytowne for a trivia night event there this fall! On August 1st, ACPA’s

own Michele Hebda donated her dancing talents and led us in a Zumba filled evening at South Hills Dance Academy. Thanks Michele! And thanks to all the members and friends of ACPA who joined us for these events!

LCPA Update Our second event of 2018 was an informational dinner meeting at the Villa Barolo in Warminster. The meeting was sponsored by Teva Pharmaceuticals and BMPA member Tierra Ryan, PharmD, medical science liaison in oncology, spoke on the topic of Biosimilars. About 25 members and guests, including two past presidents of PPA and president-elect Rick Demers enjoyed the delicious hors d’oeuvres served during the networking session that preceded a wonderful dinner during the Teva presentation. Tierra did an excellent job presenting a complex topic as biosimilars are evaluated in a manner very different from the methods used to evaluate generic drugs.

It is important for pharmacists to understand how biosimilars compare to the branded reference product in order ensure the safe and optimal use

of these medications and the need to make sound decisions regarding formulary inclusion.

BMPA Board voted unanimously to make a donation of $10,000 for the PPA building renovation fund.

Immediately following this presentation, BMPA held an open business meeting to discuss several important topics. A vote to amend our bylaws allowing pharmacy technicians to hold board director positions with full voting rights was passed. Director Jan Kitzen presented a summary of some of the topics discussed at the recent PPA leadership retreat including fundraising, social and educational activities and experience with social media. Rob Frankil presented a legislative update on two important bills that recently passed unanimously in the House: 2211- prohibition of the gag clause and 2212 pertaining to unfair Medicaid reimbursement.

Both bills are headed for the senate.

Rob also reminded us that so far there is only one application received for our annual BMPA scholarships. We were all encouraged to promote the availability of these two scholarships with the application deadline of August 1. The final topic of discussion involved funding for the renovations needed for the PPA offices. The

Our next informational dinner meeting is scheduled for this fall.

It is being sponsored by Pfizer and the topic will be Eliquis. Further details will be posted on our web and Facebook pages. Search BucksMont Pharmacists Association to like and follow us.

Right, BMPA member and Keynote speaker Tierra Ryan Below, Matt Fricker, Chantel Farrello, Rick Demers, Rob Frankil, New board director Chanel Epstein, John and Rose Ellen Gatto, guests Bob and Megan Shuminski

Check Your Meds Day A pharmacist will review your medications with you to help organize and list your medications and remove any that have expired. Your pharmacist can provide more details, adjust medications as needed and answer your questions.

Follow these steps before your appointment:

1. Gather ALL of your medications & supplements

2. Place them in a bag

3. Meet with a pharmacist for a consultation

Student Member Profiles

Joey Muscarella Ohio Northern University Raabe College of Pharmacy PharmD Candidate 2019 Why did you choose to study pharmacy?

I chose to study pharmacy because it’s really been a critical part of my life ever since I was a little kid. I was diagnosed with Type 1 Diabetes when I was 1st grade, and there have been several instances where pharmacists have helped me learn how to use all my medications/equipment properly. I want to have that kind of positive impact on my future patients.

If you did not choose to study pharmacy, what would you be doing?

I’ve always been really passionate about fitness and wellness, so if I hadn’t gone into pharmacy, I may have looked into becoming a nutritionist or a dietician.

Why did you choose to become involved in PPA? I honestly had never considered being involved with PPA until two generous Ohio Northern alums notified us that they were providing funding for the first out of state branch of PPA. I knew a lot of students here were involved

in OPA (Ohio Pharmacists Association), and I thought it would be such a great opportunity to be involved with a group that represents pharmacists and students from my home state. So I joined along with a small group of Pennsylvania pharmacy students and offered to be the first alternate director. I got elected and the rest is history!

What has been your favorite experience you have had since studying pharmacy?

Actually, one experience that pops into mind is the PPA Annual Conference in King of Prussia. It was the first pharmacy conference I had ever been to, and I got to meet some really amazing people from some of the Pennsylvania pharmacy schools.

Also, I had a great time sightseeing in Philadelphia.

And I just want to say, there aren’t many things as delicious as an authentic Philly steak and cheese.

10/10 would recommend it to anyone.

Where do you see yourself in five years?

I currently work as an intern for Wegmans, and they’ve honestly treated me so well. If I were offered the opportunity to work for them, I’d take it in a heartbeat. So as of right now, I definitely see myself in the retail/community setting, but I’m not ruling out the possibility of a residency either. I’ve enjoyed my hospital/

institutional experiences thus far, so when the time comes to make a decision about what I’m going to do, I’m going to keep an open mind.

What is the best advice you have ever received?

The grass is always greener where you water it.

When you are not working where can you be found?

You can probably find me outside on a run. I ran cross country and track for a long time, and even though I’m not competing now, running is still something I do on an almost daily basis. It’s a great way to stay healthy and clear your head during stressful times.

growing our FUTURE . 2018 a n d C o u.n t i n g rs aCONFERENCe e ANNUAL 140 Y October 18-21, 2018 . Lancaster, Pa

Save the Date 2018 Annual Conference double tree Resort by Hilton Join us for the following CE topics:

Opioid/Substance abuse Diabetes Transitons of Care Infectious Desease medical Cannabis & More

14 Pennsylvania Pharmacist — Sep/Oct 2018

Member Profile

Natalie Blaine, BS, PharmD Clinical Pharmacist – Ambulatory Care

Penn Presbyterian Medical Center What is the most important piece of advice you would give a newly licensed pharmacist on their first day of work?

The role of the pharmacist is forever evolving. Be open to new opportunities that you may not have any prior exposure to. Your personal niche in pharmacy may in fact be something you have never been exposed to before, and if you’re open to the challenge the opportunities are endless.

How has becoming a member of PPA made you grow professionally?

Networking with leaders in our profession inspires me to push myself. The more involved I get within PPA, the closer I find myself to achieving my goals for stewardship, expansion of clinical services in my practice, publication, and more.

Name the number 1 reason why you became a pharmacist?

Partnership — I believe the strength of the pharmacy profession is our ability to bring people together.

Often we bring patients closer to the healthcare team and empower them to impact their own results through strong adherence, self-care, and consistent communication. In many roles we are the continuity while other members of the healthcare team rotate in and out allowing us to provide historical perspective on patient cases being managed by newly introduced providers. In research we collaborate both within our profession and beyond it to impact patient outcomes on a larger scale. The variety of roles a pharmacist can play showcase the fact that our ability to productively work with others drives our success.

Out of anywhere in the world, if you had to choose a different place to live and practice pharmacy where would it be and why?

Belize — until my international APPE experience, I had no idea how great an impact pharmacists can and do have around the world.

Working in Belize would be an opportunity to expand services to patients who are in dire need of care at all levels. It would also be a permanent vacation because Belize is beautiful.

Best thing you ever ate?

The soul food at Kelsey’s in Atlantic City is unbelievable.

Is there anyone in your professional career that helped shape you into the Pharmacist you are today?

My journey has been impacted by a large number of pharmacists over the years. I could not be where I am today if not for the first pharmacist who took a chance and hired me for my very first Certified Pharmacy Technician position, Becky Reutzel, RPh. Each phase of my career has been impacted by many, but it was Becky’s consideration and confidence that gave me the opportunity to build on my experience and take my career to the next level.

I’m forever grateful.

www.papharmacists.com 15

Legislative Profiles

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

Sen. Ryan Aument

I think there will be even more emphasis on a patientcentered model of care that focuses on improving the quality of care and controlling costs. I think pharmacists will play a critical role in this transition. The level of care pharmacists provide must continue to expand well beyond the traditional dispensing role. I think patients will become more accustomed to and expect their pharmacist to be a critical component of a wellness team with a far broader role of comprehensive medication management.

Pharmacists will work directly with patients to develop and review an entire medication regiment and management plan. The patient/pharmacist relationship will be of event greater importance.

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

I would like to see the General Assembly work in a bipartisan way to advance public policy that will enable us to build an opportunity society where all Pennsylvanians can experience earned success. I believe we can best accomplish this by limiting the role of government, empowering the individual, promoting strong families, Senator Ryan Aument supporting vibrant R-36 communities, unleashing the power of the private sector, and building a high quality education system. Specifically, I intend to continue efforts to control state spending and protect the taxpayer with a responsible state budget plan. I will continue to fight for legislation to promote student and family-centered education reform. I will also work to advance legislation to reform how all branches of our state government are currently structured to promote better processes and ultimately, better outcomes.

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

I grew up in southern Lancaster County, graduating from Solanco High School in 1995. I then earned a B.S. in Education at The Citadel in 1999. Upon graduation I was commissioned a 2nd Lieutenant in the United States Army.

I served as an infantry rifle platoon leader and company executive officer and deployed to Iraq in 2003. After coming home from Iraq, I returned to Quarryville and was hired as a production supervisor at ICI Paints. After being involved in local politics for a number of years, I sought and was elected to the State House in 2010 and then to the State Senate in 2014. I have long had an interest in elective politics but was motived to run for office after serving in the military, and in particular serving in combat. I was fortunate to come home and experience a homecoming that some of those I served with did not experience. I was able to marry and have two beautiful children. I have been blessed with this opportunity to serve my community and hopefully help make life better for future generations. In a sense, I was motivated to serve because others have sacrificed so much and cannot continue their service as I can.

16 Pennsylvania Pharmacist — Sep/Oct 2018

Advice for pharmacists about the political process?

It is absolutely essentially for pharmacists to be fully engaged and work to build relationships with their elected officials. It is important for pharmacists to reach out and get to know their legislator even if they may not have a specific proposal or issue they are advocating for. Phone calls, letters, and email messages are effective. Even more effective is an in-person visit. Building a personal rapport is vitally important.

What do you do for relaxation or enjoyment?

I love reading and spending time with my family — my wife Kate, son Jack, and daughter June. There is nothing more enjoyable for me than coming home after a long day and sitting by the fire with my family and reading a good book.

Rep. Bryan Cutler What are the key issues you would like to see addressed this session?

Our top priorities should be education, cost savings/ efficiencies and governmental regulatory and tax reform.

Pennsylvania’s education system must be better aligned with job market’s current needs, and our funding and policies should reflect that.

Government spends a lot of money, but not always efficiently. We should Representative continue to find savings Bryan Cutler and efficiencies. Finally, we R-100 should re-evaluate how government works. Many times, agencies work against each other, costing extra money and effort. Policies that inhibit innovation or unnecessarily delay investment in the Commonwealth should be evaluated to determine if they are helping or hurting Pennsylvania’s overall health, environmentally and fiscally.

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

I’m an X-ray technologist who left radiology administration and returned to law school. My undergraduate degree from Lebanon Valley College is in health care administration, and my Widener University School of Law degree focuses in health care law. I ran for office to use my education and give back to my community, which helped our family when I was younger and my parents were terminally ill. Without the support of the local community, our church and friends, I would have never had the opportunities that came into my life. I wanted to give back and say thank you.

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

move more rapidly than regulations and the law can keep pace. This is why it will be important for pharmacists to stay engaged in the legislative process.

Advice for pharmacists about the political process?

Offer to be a resource to legislators. Most of my colleagues do not have health care backgrounds. By offering to be a resource up front, they will likely call you about bills that come up. It is always better to be the first call in the process rather than calling on the day of the vote.

What do you do for relaxation or enjoyment?

I like to spend time with my family, hunt, hike and run.

I see its role only becoming more complex and integrated in the delivery of care. This will continue to evolve and likely

Oludamilola Olugbile, PharmD Clinical Pharmacist Magee Rehabilitation Hospital Jefferson College of Pharmacy ’16

Jefferson College of Pharmacy researching schools, I chose Jefferson because “When I learned I’d be given experiences that would develop my skills interacting with other disciplines, which prepared me to easily integrate into the teams and committees that I am now a part of. I took advantage of the resources available and in return I get to help patients every day.

”

Advantages of being a Jefferson student include: • Individual attention toward learning • Individual career mentoring • Immediate patient care experiences Outcomes are demonstrated in our NAPLEX scores and postgraduate match rates. Learn more at Jefferson.edu/PharmDOutcomes

www.papharmacists.com 17

Pharmacy Spotlight Organic Remedies: Dispensing Patient Care “Well, it’s not exactly a pharmacy. I like to call it a hybrid between a doctor’s office and a pharmacy”. Eric Hauser, RPh and PPA member since 1998 is part owner of Organic Remedies, a medical marijuana dispensary, which was the first Pennsylvania dispensary to open two locations in February 2018 (one in Enola and one in Chambersburg).

Medical marijuana has been in the news frequently over the past six months due to its legalization and dispensary openings.

granted a license/permit to operate a medical marijuana dispensary in the commonwealth by the PA Department of Health. Organic Remedies opened for business on February 16, 2018, which was the first day of medical marijuana sales in Pennsylvania.

Eric’s decision to attend pharmacy school came from a desire to help others as well as having a close relationship with two local pharmacists, Joe Mosso and fellow PPA member Gayle Cotchen. Born and raised in Latrobe, Joe Mosso, who owned and operated an independent pharmacy for many years was a friend of the Hauser family and mentored Eric throughout his high school years. While in pharmacy school at Duquesne University School of Pharmacy, Eric had the opportunity to work as an intern for Gayle Cotchen. “Gayle was and is an excellent mentor and always encouraged me to practice at the top of my license” Eric and Gayle have been friends ever since they met in the early 90s.

When asked how he became involved in medical marijuana, Hauser said “I have to admit I was a bit skeptical at first until I took the time to learn about the endocannabinoid system and how Tetrahydrocannabinol (THC) and Cannabidiol (CBD), as well as other chemicals in the plant, provided a pharmacological effect”. During the first 4 months of operations, they have been able to help hundreds of patients who had little to no relief using traditional medications. Eric finds this career the most rewarding work he’s ever done. “At the same time, it’s also the hardest I have ever worked, but I love it!” The dispensary business for Eric and his team is unique in that it was a brand-new industry in PA. There were a lot of unknowns but Eric found that when you own the business, you own the results and the failures. “Having the autonomy to practice pharmacy the way you envision patient care being delivered is priceless”.

After several mergers, Eric began to work for Rite Aid where he was responsible for a district of stores. He was promoted in 2011 to the corporate headquarters based out of Camp Hill with increasing responsibilities over the next 7 years. In 2016, while attending a marijuana seminar in California, Eric met a local Harrisburg businessman and developed a great relationship that lead to the founding of Organic Remedies later that same year. Together they applied for and were one of the few in-state residents to be

Organic Remedies was quickly established as the go-to dispensary for high-quality patient care. The Organic Remedies team sees patients on a weekly basis from as far away as Pittsburgh and Philadelphia. Between both locations, they help over 100 patients per day. “We take a high touch clinical approach to patient care providing CMR’s and personalized treatment plans for every patient.

Polypharmacy is a big opportunity especially in this patient population. Eric and his team work with their patient’s

“Well, it’s not exactly a pharmacy.

I like to call it a hybrid between a doctor’s office and a pharmacy.”

— Eric Hauser, RPh Part owner of Organic Remedies

18 Pennsylvania Pharmacist — Sep/Oct 2018

physicians to reduce and more often than not, eliminate traditional medications such as opioids, benzodiazepines, and NSAIDs. To improve patient outcomes, they employ seven dispensary pharmacists and one nurse practitioner. In addition, they also partner with several physicians and professors of pharmacy who help guide patient care protocols and educational content. All data is captured in a smart electronic health record. To round out this staff, both locations will be receiving students from the University of Pittsburgh School of Pharmacy for their clinical rotations this Fall.

Pennsylvania State Police, YMCA, and local charities�. They also support PPA’s student scholarship program via the Educational Foundation. Eric and his team will be opening up another location later this year in the York area and have also applied for dispensary permits in the Pittsburgh area that are still pending.

Organic Remedies supports a variety of community events with their team of pharmacists and support staff. “We do patient and health care provider educational events on a monthly basis in the Harrisburg and Chambersburg areas and we support a variety of organizations including the

www.papharmacists.com 19

DSME and Community Pharmacy: Navigating Pharmacists Through the Path of Accreditation Thirty-five Pharmacy Sites Added in PA to Deliver Diabetes Services!

“WIn late 2017, the Pennsylvania Pharmacists Association embarked on a new initiative having pharmacy mentors guide community pharmacists through the process to have their pharmacies become AADE diabetes selfmanagement education (DSME) sites. This was all done through the help of a block grant from the Pennsylvania Department of Health. We had a goal of 20 sites and surpassed it with 35!

Diabetes is a chronic disease that requires daily selfmanagement decisions and sometimes complex care activities. Diabetes self-management education (DSME) provides tools to help patients work through these decisions with an overall goal to improve health outcomes.

Specifically, DSME is the process by which coaches facilitate knowledge, skills, and abilities necessary for self-care. By empowering patients through behavior and lifestyle change, the sessions are intended to support self-management on a continual and consistent manner.

Pharmacists are uniquely positioned and accessible to be able to offer DSME at their sites. PPA, together with the Pennsylvania Department of Health, was recently able to offer funding for up to twenty pharmacies plus branch locations to become DSME accredited through the AADE. Unfortunately, we did not meet our goal of 20 different pharmacy owners but did end up with community pharmacy locations, which included regional grocery chains as well.

Five pharmacists, experienced in diabetes and/or diabetes self-management, served as mentors throughout the entire process and developed a strategic plan to guide the sites through the pathway. The mentors: • Developed toolkits (https://www.papharmacists.com/ page/DSME?) to serve as a resource throughout the development process.

• Offered weekly webinars to guide the pharmacists through the accreditation standards • Developed and presented a workshop and numerous CEs at the Mid-Year conference • Were assigned a pharmacist to mentor and check in to keep each site on track • Developed templates to use during the accreditation process These mentors were led by Suzanne Higginbotham, as lead coordinator, with Stephanie McGrath as the co-lead; additionally Karen Hoang, Nicole Pezzino, and Renee Richardson participated. The mentors held monthly calls 20 Pennsylvania Pharmacist — Sep/Oct 2018

“The entire process for AADE accreditation with support from PPA has been absolutely wonderful. Thanks to the training and mentorship provided by PPA, the process was transparent and I felt confident in our program and the application process itself. Stephanie was an outstanding resource. Thank you again for supporting our accreditation.”

— Tanya Dougherty, Pharm.D., BCPS Clinical Pharmacy Specialist, Ambulatory Care, Department of Family Medicine & Community Health, University of Pennsylvania

with Pat Epple to keep the project moving along and then Suzanne, Stephanie, and Karen worked with the numerous sites to get them to the finish line while Nicole and Renee guided the accreditation efforts of own pharmacy chain locations.

Suzanne Higginbotham, one of the coach/mentors, reported, “I was thrilled to have the opportunity to lead community pharmacies through this program. One of the pharmacists recently profusely thanked me for serving as a mentor and guiding them through the accreditation process. The pharmacist also commented that they had always wanted to do this but needed a “kick start” to help them accomplish the goal.”

Accrediting a pharmacy for DSME services allows for alternative reimbursement models and expansion of clinical services in community care. Accreditation allows pharmacists the opportunity to improve chronic disease care by impacting patient health outcomes. Each accrediting organization requires the use of an approved curriculum, allowing the pharmacy team the opportunity to track clinical health markers and patient satisfaction with their clinical services.

According to Pat Epple, PPA CEO, “PPA was very excited to partner with the Pennsylvania Department of Health to assist these 35 community pharmacies become DSMES sites. I am incredibly pleased that we have these programs up and running and we look forward to continuing to support their efforts.”

Boalsburg Apothecary, Moshannon Valley Pharmacy, and Community Pharmacy

The grant money covered the pharmacist’s attendance at the Mid-Year Workshop as well as their application fee to become a DSMES site. PPA is now looking for a few dedicated and committed pharmacies to do the same process this year. The program would start October 1 and the pharmacy must file its application by May 15, 2019 and start seeing its first group of patients by June 1. If your pharmacy is interested in working toward this, get on the list of interested pharmacies by emailing Pat Epple at PEpple@papharmacists.com You will then receive more information on what you will specifically receive to help your location become accredited.

Hartzell’s Pharmacy

The pharmacies, who have received or are in the process of completing pending accreditation status through this initial grant and soon will be able to begin appropriate billing for this service include:

The Medicine Shoppe — Somerset

Asti’s South Hills Pharmacy Bechtel’s Pharmacy

Dierken’s Pharmacy F B Thomas Drug Store Giant Eagle Pharmacy, 11 different locations MacDonalds Pharmacy Mainline Pharmacy, 4 locations, Blairsville Pharmacy, Somerset Drug, and Township Pharmacy McElroy Pharmacy Myers Drug Span and Taylor Drug Penn Family Care, University of Pennsylvania Primary Care Services Pharmacy Weis Pharmacy — Schnecksville Wegmans Many of these community pharmacies are also PPCN pharmacies; however, that was not an absolute requirement.

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www.papharmacists.com 21

PPCN Pharmacies Are Expanding Their Services!

PPCN is proud to report that 18 PPCN pharmacies are receiving recognition through the American Association of Diabetes Educators for a Diabetes Education Accreditation Program, supported by PPA and a grant with the PA Department of Health. This accreditation allows the pharmacy to bill Medicare Part B for diabetes selfmanagement education and support (DSMES). Mike Fapore, RPh, Owner of The Medicine Shoppe in Somerset, PA, was one of the first PPCN pharmacies to receive accreditation this summer. Mike has had an interest in diabetes since pharmacy school and is excited for this opportunity to improve the overall health and lives of his patients and community. Mike shares “I believe accreditation will lend credibility to our program and provide the tools and support for a high-quality diabetes management program. Also, by helping our patients succeed through education and follow-up, our pharmacy can become a destination for referrals from not only health care providers, but from out patients and community

22 Pennsylvania Pharmacist — Sep/Oct 2018

members as well.” STRAND Clinical Technologies (formerly Creative Pharmacist), PPCN’s partner for the documentation and billing of patient care services is a national leader for the provision of DSMES. Ashley Keller, Director, Strategic Partnerships elaborates: “STRAND gives pharmacists the ability to educate, document, bill, and send information to a provider directly through the platform. The evolving clinical landscape is opening up new and unique opportunities for pharmacists to provide care and receive reimbursement for that care.

This is truly an exciting time to be a pharmacist!”

Mike Fapore, RPh Owner, The Medicine Shoppe, Somerset, PA

“I believe accreditation will lend credibility to our program and provide the tools and support for a high-quality diabetes management program.”

— Mike Fapore

The Time is NOW. PPCN kicked off its contract with Gateway Health in July and pharmacists are currently billing for clinical services! The goal of this contract is for community pharmacists to demonstrate an impact on patients’ health outcomes by applying the Pharmacists’ Patient Care Process to chronic medication management. Our pharmacists have the ability to follow their patients on a monthly basis to help to improve their health and be paid for each visit. Pharmacists are also paid to intervene on targeted gaps in care that correspond to HEDIS measures, such as adherence to certain chronic medications and controlling high blood pressure. Our network pharmacists make a difference in the lives of their patients every day, and they are demonstrating the value of PPCN to payers and other health care stakeholders.

PPCN Announces New Partnership!

Are you currently serving a hospice in your community? Would you like too? PPCN is looking to establish a community-based preferred pharmacy network who will be willing to provide enhanced services for our Pennsylvania hospice community. To bring the hospice pharmacy care back to Pennsylvania and keep it local, PPCN partnered with ClaritasPSM (www.claritaspsm.com) to establish a hospice preferred network of community-based pharmacies who are willing to take on this business.

If you would like to learn more about PPCN, visit http://papharmacistsnetwork. com/ or email PPCN Executive Manager Stephanie McGrath, PharmD at smcgrath@ papharmacists.com

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Join Us at the PPA Annual Meeting!

PPCN has many exciting events planned during the upcoming PPA Annual Meeting October 19-21 in Lancaster, PA! PPA will launch the newly-revised live PPCN Patient Care Training- Delivering Enhanced Patient Care on Friday October 19 from 9am-12pm. PPCN is proud to announce that we will host a PPCN Payer and Innovation Forum Friday October 19 from 1–5pm during the PPA Annual Meeting. We are bringing together three different Medicaid Managed Care Organizations for a

panel discussion on how we can partner to innovate and improve health for Pennsylvanians. Join us to gain insight into the world of managed care! A networking reception with representatives from these MCOs will follow the panel discussion. This event is by invitation-only to PPCN pharmacies — you won’t want to miss it!

If you’re attending the conference but are not able to join the PPCN Forum, come stop by the PPCN booth at the Exhibit Hall Friday night and Saturday afternoon. I would love to talk one-on-one about the momentum that PPCN has gained and the opportunities that we have on the horizon!

www.papharmacists.com 23

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 — School of Pharmacy Elizabeth Leonard (Class of 2020) Jefferson School of Pharmacy Nicole Leshko (Class of 2020) Hina Anwar (Class of 2020) Shannan Street (Class of 2020) Lake Erie College of Osteopathic Medicine School of Pharmacy Maria Peluso (Class of 2020) Elise King (Class of 2020) Emma Wysocki (Class 2019)

Philadelphia College of Pharmacy Samantha Frear (Class of 2020) University of Pittsburgh School of Pharmacy Amanda Schwenk (Class of 2019) Hailey Mook (Class of 2021) Jinli Zhao (Class of 2020) Alexandria Taylor (Class of 2018) Danielle Snyder (Class of 2018) Kim Dao (Class of 2020) Jenny Li (Class of 2020) Lina Shao (Class of 2020) Jessica Canonge (Class of 2018) Alexandra Maresh (Class of 2020) Jordan Kester (Class of 2020)

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24 Pennsylvania Pharmacist — Sep/Oct 2018

Mara Cubellis (Class of 2021) Anu Patel (Class of 2021) Jaehee Cho (Class of 2020) Emily Craine (Class of 2020) Joseph Rizkalla (Class of 2021) Wilkes University — Nesbitt School of Pharmacy Nicole Hughes (Class of 2021) Rachel Wood (Class of 2020) Nikko Bonavoglia (Class of 2019) Kayla Hiryak (Class of 2019) Vienna Jones (Class of 2020) Ohio Northern University Ryan Waldschmidt (Class of 2020)

Meet the Editorial Review Board!

The Editorial Review Board oversees the peer review articles and process for The Pennsylvania Pharmacist. The members of the board represent a cross-section of pharmacy interests Chair - Kim Coley, PharmD, FCCP is a professor of pharmacy and therapeutics at the University of Pittsburgh. She received her Bachelor of Science in Pharmacy from the University of Pittsburgh, her Doctor of Pharmacy from the Philadelphia College of Pharmacy and Science and completed a drug information residency at Thomas Jefferson University Hospital. Dr. Coley’s expertise is in health outcomes and practice-based research. Her most recent work focuses on implementing and evaluating new patient care services in community pharmacies.

Hershey Bell, MD, MS (Medical Education) is a board certified family physician who serves as Vice President of Academic Affairs and Dean of the School of Pharmacy at the Lake Erie College of Osteopathic Medicine in Erie, PA and Bradenton, FL. Dr. Bell has been involved in academic medicine and pharmacy for over 30 years. He has published on the topics of competency-based education, doctorpatient relationship issues, and general considerations in medical education. Dr. Bell is a charter member of the National Academy of Osteopathic Medical Educators and is a recipient of the William D. Miller Award for outstanding contributions to osteopathic medical education, and the John and Silvia Ferretti Award for Distinguished Teaching. He teaches Biostatistics and Research Methods at LECOM. He also serves as a senior consultant for the Academy of Academic Leadership.

Yardlee Kauffman, PharmD, MPH, BCACP, CPH, attended the Univer­ sity of Pittsburgh School of Pharmacy, receiving her PharmD in 2010. She subsequently completed a PGY1 community practice residency at the University of Pittsburgh Medical Center and a PGY2 residency in Ambulatory Care with an emphasis in underserved care and global health at the University of Pittsburgh School of Pharmacy. During her residency, she earned a Masters of Public Health from the University of Pittsburgh Graduate School of Public Health.

Following this experience, she completed an outcomes research fellowship at Kaiser Permanente Colorado.

of Pharmacy (PCP). She is passionate about providing care to underserved populations and creating and advancing opportunities for pharmacists and students in public and global health. Her research and teaching interests are centered upon addressing barriers to access for vulnerable populations both locally and globally. She is board certified in both ambulatory care pharmacy and public health.

Michael R. Gionfriddo, PharmD, PhD is an Assistant Professor in the Center for Pharmacy Innovation and Outcomes at the Geisinger Health System. After receiving his PharmD from Wilkes University, he completed his PhD at the Mayo Clinic in Rochester, Minnesota.

Dr. Gionfriddo’s expertise is in evidence synthesis and healthcare communication. Dr. Gionfriddo’s current work focuses on optimizing medication use through the development and evaluation of pharmacy services.

Jinsun Paek, PharmD, BCPS received her Doctor of Pharmacy from the Philadelphia College of Pharmacy. After graduating, she went on to complete a PGY1 residency at St. Luke’s University Health Network and a PGY2 in Health-System Pharmacy Administration at the Lebanon VA Medical Center. She is the Pharmacy Clinical Coordinator at Penn State St. Joseph in Reading, PA. Dr. Paek’s main focus at work is to maintain a clinically sound, safe, and costeffective formulary for the hospital.

Amber Lapping, PharmD received her Doctorate of Pharmacy degree from Duquesne University in 2018.

She is currently completing a PGY-1 Community Pharmacy Residency with the University of Pittsburgh and Giant Eagle Pharmacy. She is a member of the American Pharmacists Association, the Pennsylvania Pharmacists Association, and an alumni member of the professional pharmacy fraternity Lambda Kappa Sigma. Her practice interests include diabetes management, preventative health, and advancing community pharmacy. Amber will be taking the ERB’s first ever residency seat.

In September 2014, she commenced a position as Assistant Professor of Clinical Pharmacy at the Philadelphia College www.papharmacists.com 25

Association News

1980 – 1999 The emergence of technology in pharmacy TTechnology took a step forward in importance as can be seen in the magazines of the early 80s, ads began appearing for computerized pharmacy systems promoting better management of inventory and price lists. Times were quickly changing…

With the PPA Executive Director, Stan Singer’s resignation and move to another Association in 1981, Robert Klugiewicz became PPA’s Executive Director only to last a

PRESIDENTS DURING THIS PERIOD: Alan J. Vogenberg . . . . . . . . . 1979-1980 Richard T. Englehart . . . . . . . 1980-1981 Pauline R. Montgomery . . . . 1981-1982 John E. Gillespie . . . . . . . . . . . 1982-1983 Sidney H. Brown . . . . . . . . . . . 1983-1984 Robert V. Stanek . . . . . . . . . . . 1984-1985 Ronald S. Nighswander . . . . 1985-1986 William L. Greene . . . . . . . . . . 1986-1987 Ronald M. Daugherty . . . . . . 1987-1988 John P. Mariani . . . . . . . . . . . . . 1988-1989 Paul Zanowiak . . . . . . . . . . . . . 1989-1990 Eugene A. Schwartz . . . . . . . 1990-1991 William R. Seitzinger . . . . . . 1991-1992/ 1994-1995 Ida May Englehart . . . . . . . . . 1992-1993 Joseph P. Lech . . . . . . . . . . . . . 1993-1994 William T. Ferri . . . . . . . . . . . . . 1995-1996 Edward J. Bechtel . . . . . . . . . . 1996-1997 Richard A. Centafont . . . . . . 1997-1998 Theresa Talbott . . . . . . . . . . . . 1998-1999

26 Pennsylvania Pharmacist — Sep/Oct 2018

little over a year. In 1982 Carmen DiCello assumed the leadership of PPA as the Executive Director and the Association launched its second annual dispensing cost survey. The first one in 1980 showed a range of 2.02 to 5.27. Around this time, PharmPAC, PPA’s political action fund was created although it was not feasible to easily determine its exact start date.

In the early 80s, PPA hosted a retreat to introduce reforms to the Pharmacy Practice Act and brought together a wide breath of representation to develop specific recommendations for modernization and enhancement.

This lead to the development of the Council of Pharmacy which would consist of PPA, PSHP, and the Deans and one student representative each of the four schools of pharmacy.

Opposition to the Act came from PARD and the Chain Drug Council, who also requested representation on the Council of Pharmacy. This was eventually worked out.

IMPORTANT EVENTS 1980 PAC-Man video game is released and CNN is established 1981 AIDS recognized by the Centers for Disease Control and Prevention and MS-DOS released 1983 first commercial cell phone call is made 1984 Steve Jobs introduces the first Macintosh computer 1985 Microsoft introduces Windows 1986 Space Shuttle Challenger explodes shortly after liftoff 1987 Eli Lilly Drug Company receives final approval to market Prozac 1988 Pan Am Flight 103 is bombed over Lockerbie, Scotland 1989 Berlin Wall falls

It is noted that in the early 80s, the conventions ran from Sunday through Wednesday and also that all four schools of pharmacy at that time hosted alumni luncheons during the event. During this time, the PA Congressional Delegation for the US House dropped from 25 member to 23 with the new census as a result of a population decrease.

1990 Hubble Space Telescope launched during Space Shuttle Discovery mission

In 1983, investigative work began to study starting a foundation for PPA which would ultimately be formally put off and not become

1995 Oklahoma City Federal Building bombing –killing 168 people

1991 Gulf War ends 1993 Fifty-one day standoff and siege of WACO 1994 Nicole Brown Simpson is murdered setting off the OJ Simpson high profile case

official until 1996. The Committee on Public Relations was quite active creating numerous public tools that pharmacies could use. The Association was very involved also in Poison Prevention Week during this time.

PPA dues were $110.

The Pennsylvania Pharmaceutical Care Network and Penn Script were launched in 1986 and were handling about four million dollars of prescription services in the late 80s and early 90s. Penn Script was recognized as the number one PSAO in the multi-state region.

In 1991, the Association initiated legal action against the Department of Public Welfare in regards to their reimbursements and fees. While this suit ended up being successful and returned a significant amount of money to pharmacies, other law suits that followed were not.

Also in the early 90s, many community pharmacies committed to ban the sale of tobacco products in their pharmacies. Interestingly, it was not too few years ago that smoking was done at meetings of the Association and we found an ashtray that was a gift at a convention.

In the mid 90s, the Pharmacy Technician Certification Board emerged and began promoting its certification program. Forty-six state

associations initially endorsed the program, including PPA in partnership with PSHP.

IMPORTANT EVENTS continued

At the same time, PPA was fighting to keep pharmacy carved out of the development of managed care in Medicaid. While a valiant fight, its ultimate implementation lead to considerable independent closures in the late 1990s. In 1995, the PARD Buying group and Penn Script merged into the Keystone Buying Group of Pennsylvania, which would be run by Bill Seitzinger and Mel Brodsky. 1996 brought the launch of a fifth school of pharmacy to Pennsylvania with the Wilkes University opening.

1996 Dolly the sheep is cloned

In 1998, the Association launched the Pennsylvania Pharmacists Professional Guild in an effort to improve relations and work with other union groups on pharmacy programs such as opening the AFL-CIO contracts to independent pharmacies.

1972 Watergate crisis begins/ Secretariat wins the Triple Crown

And of course, technology continued to become more and more important as claims and electronic processing grew and grew. Hospital pharmacies also saw many technological implementations. The old days of paper claims, paper charts and orders, and cash transactions were quickly disappearing and with that the emergence of Pharmacy Benefit Managers, mail order pharmacies, robots, electronic orders, and more!

1998 Monica Lewinsky scandal rocks the White House 1999 Dow Jones Industrial average closes above 10,000 for the first time 1970 First Erath Day celebrated — Kent State Riots rock Vietnam protests 1971 Ban on TV advertisements of cigarettes goes into effect/Walt Disney World in Florida opens

1974 Nixon resigns the office of Presidency 1975 South Vietnam surrenders 1976 United States Bicentennial — 29 People die mysteriously at American Legion Convention and the eventually identified bacterium becomes Legionnaires disease 1977 New York City blackout occurs for 25 hours 1978 Pope John Paul II becomes Pope 1979 Three Mile Island nuclear almost total disaster occurs

ANNUAL MEETINGS 1999 Hershey, PA, Hershey Lodge and Convention Center 1998 Pittsburgh, PA, Sheraton Inn Pittsburgh North 1997 White Haven, PA, Mountain Laurel Resort and Convention Center 1996 Champion, PA, Seven Springs Mountain Resort 1995 Philadelphia, PA, Adam’s Mark Hotel 1994 Hershey, PA, Hershey Lodge and Convention Center 1993 White Haven, PA, Mountain Laurel Resort and

Convention Center 1992 Wilkes-Barre, PA, Genetti’s Hotel and Conference Center 1991 Philadelphia, PA, Adam’s Mark Hotel 1990 Hershey, PA, Hershey Lodge and Convention Center 1989 Wilkes Barre, PA, Western Gennetti Motor Inn 1988 White Haven, PA, Mount Laurel Resort and Convention Center 1987 White Haven, PA, Pocono Hershey Resort

1986 Philadelphia, PA, Adams Mark Hotel 1985 Philadelphia, PA, Adam’s Mark Hotel 1984 Pittsburgh, PA, Marriott InnGreentree 1983 Harrisburg, PA, Marriott Inn Harrisburg 1982 Lancaster, PA, Host Town 1981 Hershey, PA, Hotel Hershey 1980 White Haven, PA Pocono Hershey Resort

www.papharmacists.com 27

Our Presidents Reminisce Continues We continue our lookback and the happenings of certain years in PPA’s history by reviewing the recollections of some additional Past Presidents Scott Himler, RPh 2003 -2004

David Smith, RPh 2000 – 2001 I had the privilege of serving as President of PPA in 2000-2001.

My biggest memory was that Carmen DiCello stepping down as CEO and PPA deciding to hire Pat Epple. Carmen is still a good friend of mine and it is quite a joy to still have Pat leading PPA and growing membership.

Having served as PPA President led me to eventually accept the role of pursing leadership in the National Community Pharmacists Association.

I became President of NCPA this past October and I now invite PPA pharmacists to join me this October 8 in Boston, Mass. There we will celebrate my year as President of NCPA and the joy of practicing pharmacy in Pennsylvania!

My term as PPA President was first marked by a practical joke. Since I had a tendency to nod off during long meetings, the members of the Montgomery County Pharmacist Association had planned to all nod off or pretend they were asleep when I gave my acceptance address. Well at that time the Awards dinners used to run very late, so unfortunately my son Mark, who was only 8 or 9, made a very loud yawn and actually fell asleep just as I was starting. The MCPA group just let it go since my son really out did what they were going to do. We had a good laugh.

The decision to do away with the House of Delegates was another event of my term. It was not an easy

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direction to move PPA. However, In the long run the members still had their voice and the time at meetings was better served for CE and social events.

The main highlight of my year was that the Board meetings went out and visited the pharmacy schools. I was fortunate and proud that during my term one of the Board meetings was at my alma mater Duquesne University. Those meetings at the schools led to more involvement with the students and the faculty in PPA. Unfortunately, PPA did not hear from all our living Past Presidents but we hope you have enjoyed hearing from those who shared their reflections of their time as part of PPA’s history!

www.papharmacists.com 29

30 Pennsylvania Pharmacist — Sep/Oct 2018

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32 Pennsylvania Pharmacist — Sep/Oct 2018

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For more information, visit LECOM.edu

* Combined across all three pathways.

Meet Pennsylvania’s 2018–2019 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

Dana Achenbach, PharmD Lebanon VA Medical Center, PGY1 Graduate of: Wilkes University – Year: 2018

Christine Barrett, PharmD Acute Care, Allegheny General Hospital, PGY1 Graduate of: Duquesne University – Year: 2018

Danielle Cenin, PharmD Hospital of the University of Pennsylvania, PGY1 Graduate of: Ohio Northern University – Year: 2018

Claudia Cho, PharmD Abington Hospital, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2018

Vince Anthony, PharmD Reading Hospital, PGY1 Graduate of: Temple University – Year: 2018

Nayanika Basu, PharmD Acute Care, Allegheny General Hospital, PGY1 Graduate of: University of Pittsburgh – Year: 2018

Katharine Chambers, PharmD West Penn Hospital and Forbes Regional Hospital, PGY1 Graduate of: Duquesne University – Year: 2018

Zareena Chughtai, PharmD West Penn Hospital and Forbes Regional Hospital , PGY1 Graduate of: West Virginia University – Year: 2018

Jonathan Burns, PharmD Infectious Diseases, Hospital of the University of Pennsylvania, PGY2 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Taylor Chapman, PharmD Community-Based, Giant Eagle, PGY1 Graduate of: West Virginia University – Year: 2018

Hal Clark, PharmD Pittsburgh VA, PGY1 Graduate of: University New Mexico – Year: 2018

Joel Arceo, PharmD Springfield Pharmacy, PGY1 Graduate of: Chapman University – Year: 2018

Lauren Ball, PharmD UPMC Pinnacle, PGY1 Graduate of: University of South Carolina – Year: 2018

Brittany Carney, PharmD Mainline Pharmacy, PGY1 Graduate of: Duquesne University – Year: 2018

34 Pennsylvania Pharmacist — Sep/Oct 2018

Christian Cho, PharmD Infectious Diseases, Allegheny General Hospital, PGY2 Graduate of: Philadelphia College of Pharmacy – Year: 2016

Sean Clark, PharmD Ambulatory Care, Center for Pharmacy Care, PGY2 Graduate of: West Virginia University – Year: 2017

Colton Collier, PharmD Critical Care, Allegheny General Hospital, PGY2 Graduate of: Duquesne University – Year: 2017

Mia DiGiammarino, PharmD Acute Care Focus, Allegheny General Hospital, PGY1 Graduate of: Duquesne University – Year: 2018

Monica Coulson, PharmD UPMC Pinnacle, PGY1 Graduate of: Jefferson College of Pharmacy - Year: 2018

Alesha Falzone, PharmD Clinical Pharmacy Practice, Geisinger Wyoming Valley Medical Center, PGY1 Graduate of: Wilkes University – Year: 2018

Taylor Dean, PharmD Psychiatry, Western Psychiatric Institute and Clinic of UPMC, PGY2 Graduate of: University of Texas at Austin – Year: 2017

Alexis DeLeo, PharmD Oncology, Allegheny General Hospital, PGY2 Graduate of: Duquesne University – Year: 2017

Keri Diehl, PharmD Geisinger Medical Center, PGY1 Graduate of: Wilkes University – Year: 2018

John Fawzy, PharmD Health System Pharmacy, Management, UPMC Presbyterian Hospital, PGY1 Graduate of: Long Island University – Year: 2018

Erlynn Frankson, PharmD Pharmacy Practice, Duquesne University/St. Barnabas Health System, PGY1 Graduate of: University of Colorado – Year: 2018

Stacy Fredrick, PharmD Acute Inpatient Care, UPMC Presbyterian, PGY1 Graduate of: University at Buffalo – Year: 2018

Jenna Gray, PharmD Abington-Jefferson Health, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2018

Nicole Handlow, PharmD Ambulatory Care, Allegheny General Hospital, PGY2 Graduate of: Duquesne University – Year: 2017

Phuong (Pauline) Hoang, PharmD ACME Sav-On Pharmacy, PGY1 Graduate of: University of Pittsburgh – Year: 2018

Alexa Hospodar, PharmD CVS Caremark, PGY1 Graduate of: University of Pittsburgh – Year: 2018

Linh Yen Huynh, PharmD Community Pharmacy ACME Sav-On Pharmacy, PGY1 Graduate of: Temple University – Year: 2018

Linsey Jachim, PharmD Ambulatory Care, Allegheny General Hospital, PGY2 Graduate of: Duquesne University – Year: 2017

Taylor Jones, PharmD Internal Medicine, Temple University School of Pharmacy, PGY2 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Didi Kim, PharmD UPMC Presbyterian Shadyside, PGY1 Graduate of: University of Maryland – Year: 2018

Nathan Kubus, PharmD Hospital-Based,Veteran Affairs Medical Center, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2018

Kaitlin Landolf, PharmD Acute Care Focus, UPMC Presbyterian, PGY1 Graduate of: University at Buffalo – Year: 2018

Continued on next page

Scarlet Lau, PharmD Acute Care, West Penn Hospital and Forbes Hospital, PGY1 Graduate of: Cedarville University – Year: 2018

Dennis Marjoncu, PharmD Oncology, Geisinger Medical Center, PGY2 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Lloyd McKee, PharmD Hospital of the University of Pennsylvania, PGY1 Graduate of: Jefferson College of Pharmacy – Year: 2018

Melissa Murphy, PharmD Ambulatory Care, Hospital of the University of Pennsylvania, PGY2 Graduate of: Jefferson College of Pharmacy – Year: 2017

Jessica Laub, PharmD Hahnemann University Hospital, PGY1 Graduate of: Jefferson College of Pharmacy – Year: 2018

Alex Matika, PharmD Infectious Diseases, AbingtonJefferson Hospital, PGY2 Graduate of: Wilkes University– Year: 2017

Katherine Mersinger, PharmD Hospital of the University of Pennsylvania, PGY1 Graduate of: University of Maryland – Year: 2018

Jerika Nguyen, PharmD Critical Care, Hospital of the University of Pennsylvania, PGY2 Graduate of: University of Michigan – Year: 2017

Gina Lee, PharmD Veterans Affairs Pittsburgh Healthcare System, PGY1 Graduate of: Northeastern University – Year: 2018

Hannah Mazur, PharmD Critical Care, Allegheny General Hospital, PGY2 Graduate of: Duquesne University – Year: 2017

Benton Miller, PharmD Inpatient Hospital, Waynesboro/ Chambersburg Hospitals (Summit Health), PGY1 Graduate of: Duquesne University – Year: 2018

Sydney Nguyen, PharmD Penn State Health St. Joseph, PGY1 Graduate of: Temple University – Year: 2018

Kerry Lenzi, PharmD Hospital of the University of Pennsylvania, PGY1 Graduate of: Jefferson College of Pharmacy – Year: 2018

Michael McCall, PharmD Community with a focus in Specialty Pharmacy, AllianceRx Walgreens Prime/Duquesne University, PGY1 Graduate of: St. Johns Fisher College – Year 2018

Karen Lin, PharmD Health-System Pharmacy Administration, Allegheny General Hospital, PGY1 Graduate of: St. Johns Fisher College – Year 2018

Mary McIntyre, PharmD Critical Care, Philadelphia College of Pharmacy/Cooper University Hospital, PGY2 Graduate of: Temple University – Year: 2017

Nicole Modany, PharmD Allegheny General Hospital, PGY1 Graduate of: Duquesne University – Year: 2018

Elissa Muller, PharmD SunRay Drugs, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2018

Maxwell Norris, PharmD Hospital of the University of Pennsylvania, PGY1 Graduate of: University of Michigan – Year: 2018

Adesumbo Odunlami, PharmD Wilkes-Barre VA Medical Center, PGY1 Graduate of: Temple University – Year: 2018

Song Oh, PharmD Critical Care, Philadelphia College of Pharmacy/Cooper University Hospital, PGY2 Graduate of: Philadelphia College of Pharmacy – Year: 2017

Courtney Olesky, PharmD Acute Care Focus, Allegheny General Hospital, PGY1 Graduate of: Duquesne University – Year: 2018

Jessica Olsen, PharmD Hahnemann University Hospital, PGY1 Graduate of: Jefferson College of Pharmacy – Year: 2018

Robbie Ortiz, PharmD Acute Care, Allegheny General Hospital, PGY1 Graduate of: West Virginia University – Year: 2018

Nishta Patel, PharmD Managed Care CVS Caremark, PGY1 Graduate of: University of California, San Francisco – Year: 2018

Marisa Perrella, PharmD Abington Hospital-Jefferson Health, PGY1 Graduate of: Wilkes University– Year: 2018

Philip Scavo, PharmD General Clinical Pharmacy Practice, Geisinger Wyoming Valley, PGY1 Graduate of: Wilkes University – Year: 2018

Kara Stiely, PharmD Acute Care, Reading Hospital, PGY1 Graduate of: Duquesne University – Year: 2018

Theo Pham, PharmD Ambulatory Care, UPMC Presbyterian Shadyside, PGY2 Graduate of: University of Washington – Year: 2017

Marilyn Schoenle, PharmD UPMC Presbyterian Shadyside, PGY1 Graduate of: Butler University – Year: 2018

Connie Suen, PharmD Oncology, Hospital of the University of Pennsylvania, PGY2 Graduate of: University of Florida – Year: 2017

Haylie Phillips, PharmD VA Medical Center, PGY1 Graduate of: Wilkes University – Year: 2018

Natasha Singh, PharmD Lead Resident, Duquesne University/Hometown Pharmacy, PGY1 Graduate of: Long Island University – Year: 2018

Swana Thomas, PharmD Allegheny General Hospital, PGY1 Graduate of: Philadelphia College of Pharmacy – Year: 2018

Keri Jo Putulowski, PharmD Forbes and West Penn Hospitals, PGY1 Graduate of: Belmont University – Year: 2018

Jose Roman, PharmD Lehigh Valley Health Network, PGY1 Graduate of: Northeastern University – Year: 2018

Rachel Smith, PharmD Pharmacy Practice, Reading Hospital, PGY1 Graduate of: University of Maryland – Year: 2016

Khalid Srour, PharmD Pharmacy Practice, Guthrie Robert Packer Hospital, PGY1 Graduate of: Jefferson College of Pharmacy – Year: 2018

Jasica Truong, PharmD Hospital, Lehigh Valley Health Network, PGY1 Graduate of: Temple University – Year: 2018

Adrian Tsui, PharmD Oncology, Allegheny General Hospital, PGY2 Graduate of: University of New England – Year: 2016

Continued on next page

Holly Unger, PharmD Hospital/Health Systems Residency, Geisinger Medical Center, PGY1 Graduate of: University of Pittsburgh – Year: 2018

Quintin Wright, PharmD Community Pharmacy, Center for Pharmacy Care, PGY1 Graduate of: University of California, San Francisco – Year: 2018

Melanie Yabs, PharmD Western Psychiatric Institute & Clinic of UPMC, PGY1 Graduate of: University of Texas at Austin – Year: 2018

Christine Zdaniewski, PharmD ASHP Accredited Pharmacy Practice Residency, UPMC Hamot Medical Center, PGY1 Graduate of: Duquesne University – Year: 2018

2018 Foundation Student Scholarship Recipients Congratulations to the following individuals who are the recipients of the 2018 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!

MedvisoRxs LLC Scholarship

Sophia Cothrel University of Pittsburgh, PharmD Candidate 2019

Dylan Fox Wilkes University, PharmD Candidate 2020

Terra Pharm/Organic Remedies Pharmacy Scholarship

Cody Morcom Wilkes University, PharmD Candidate 2020

RDC Scholarship

Through PPA and its affiliates a total of over $15,000 in scholarships were provided this year. ACPA, BMPA, and LCPA all also provide student scholarships.

38 Pennsylvania Pharmacist — Sep/Oct 2018

Alexandra Grudeski Wilkes University, PharmD Candidate 2019

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Memo on Drug Disposal Options for Pharmacies Courtesy of the Pennsylania Department of Drug and Alcohol Programs Encouraging individuals in your community to rid their medicine cabinets of unused or unwanted medications will help address the opioid epidemic in Pennsylvania. By offering drug disposal options, your pharmacy can help play a vital role in protecting the health of the community you serve.

Drug Enforcement Administration (DEA) regulations allow retail pharmacies to collect both controlled and non-controlled pharmaceutical drugs from ultimate users by voluntarily administering mail-back programs. We ask your pharmacy to consider purchasing a collection receptacle or utilizing other DEA-approved drug disposal methods such as supplying drug deactivation envelopes.

Establishing a mail-back program in your pharmacy provides a safe location for customers to proactively make their homes safer.

In 2013, after visiting the successful drug take-back program in Bucks County, the Department of Drug and Alcohol Programs (DDAP) initiated a partnership with the Pennsylvania Commission on Crime and Delinquency and the Pennsylvania District Attorneys Association to develop an ongoing, statewide drug take-back system to help address the problem of prescription drug misuse. A $100,000 grant was obtained to purchase MedReturn medication collection boxes, and the DDAP worked with the Pennsylvania Attorney General and the Pennsylvania National Guard to dispose of medications collected at these sites. In addition to the boxes purchased through this grant, other police departments, as well as pharmacies, have purchased take-back boxes and informed our department about their locations.

As of this date, DDAP is aware of 732 boxes statewide, covering all 67 counties. The reported amount of medications disposed of so far in 2018 is more th an 52,000 pounds or approximately 26 tons. Since the start of our take-back efforts, more than 395,000 pounds or 198 tons have been destroyed. We strongly encourage you to help strengthen our efforts by adding a take-back box to your pharmacy.

If you are interested in implementing a mail-back program, go to the DEA website at https://www.deadiversion. usdoj.gov/drug_disposal/, click “Register for Disposal of Controlled Substances” and then proceed to modify eligible DEA registration to collect pharmaceutical controlled substances from ultimate users. Two mail-back suggestions we are aware of include:

65%

amount of people who misused prescription painkillers used medications prescribed to someone else.

(National Survey on Drug Use and Health/ NSDUH 2013 & 2014)

Feel free to visit each website for complete and detailed information on how to obtain and purchase a collection box that is suitable for your pharmacy.

If a mail-back program isn’t a workable option for your pharmacy, you may wish to consider providing drug deactivation envelopes for your customer’s personal use.

Several options include: • TakeAway Medication Recovery System envelopes. https://www.sharpsinc.com/store/takeaway-medicationrecovery-system-envelope-25 • Deterra Drug Deactivation System http://deterrasystem. com/ • Disposa-Script http://hh-solutions.com/disposascript/

If you have a mail-back box or plan to purchase one and want your location listed on the DDAP Prescription Drug Take Back website at www.ddap.pa.gov, please contact George Reitz, Drug and Alcohol Program Analyst with DDAP, at 717-736-7469.

• MedSafe — The Sharps Compliance Corp. (http://www. sharpsinc.com/medsafe/).

• Assured Waste Solutions — http://www.assuredwaste. com/meddrop-pitch-protect-community/

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