JAN. 2022
12 STRATEGIES TO HELP INCREASE COVID-19 VACCINE CONFIDENCE AND DEMAND
24/7 coverage lets you focus on patients, not potential mistakes.
PROFESSIONAL LIABILITY COVERAGE COMPARISON PHARMACIST MUTUAL INSURANCE COMPANY
COMPETITOR
Pharmacists Professional Liability
$1MM per occurrence / $3MM aggregate $2MM per occurrence / $4MM aggregate
$1MM per occurrence / $3MM aggregate
Sterile Compounding
Available
?
Pharmacists License Defense Coverage
$250,000 per occurrence / $250,000 aggregate
$25,000
Board of Pharmacy Imposed Fees
$2,500 sublimit
?
HIPAA Claim Defense Coverage
$50,000
$25,000
Assault Coverage
$25,000
$25,000
Sexual and Physical Abuse Coverage
$50,000
$25,000 sublimit
$1,500 per day / $50,000 per occurrence
1,000 per day / $25,000 aggregate
$50,000 limit
$10,000 aggregate
Loss of Income Legal fees – Respond to Subpoena
Professional | Commercial | Personal | Life & Disability
phmic.com Policy terms and conditions control. Coverage may not be available in all states. Life and disability insurance are written through PMC Advantage Insurance Services, Inc., a wholly-owned subsidiary of Pharmacists Mutual Insurance Company.
WHAT IF you were named in a lawsuit and needed a lawyer?
WHAT IF your employer does not have the coverage to protect you?
WHAT IF you have a second job, volunteer, or give advice to a friend or neighbor?
florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 Executive Insight 7 Call for Resoutions 14 Call for Abstracts 18 Call for Nominations
VOL. 84 | NO. 12 JANUARY 2022 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION
Features
8
12 Strategies to Help Increase COVID-19 Vaccine Confidence and Demand
13
The Invisible War
16
The Florida Pharmacy Association's 132nd Annual Meeting and Convention
FPA Board of Directors
Daniel Buffington......................................... President and Interim Board Chair Carol Motycka...................................................................................President Elect Elias Chahine................................................................................... FSHP President Alexander Pytlarz.................................................................Speaker of the House Verender Brown........................................................................Technician Director William Mincy............................................................................................ Treasurer Kimberly Jones...................................................................................... Vice Speaker Joyanna Wright.............................................................................Region 1 Director Tejas Patel.......................................................................................Region 2 Director Matt Schneller..............................................................Region 3 Director (Interim) Cheryl Rouse.................................................................................Region 4 Director Bob Parrado...................................................................................Region 5 Director Katherine Petsos...........................................................................Region 6 Director Paul Delisser..................................................................................Region 7 Director Carmen Aceves Gordon..............................................................Region 8 Director Goar Alvarez.................................................................................Region 9 Director Michael Jackson......................................................................................EVP & CEO JANUARY 2022
|
3
Mission Statements:
FPA Calendar 2022
Florida Pharmacy Today Journal JANUARY 31
1-3
FPA CE Conference Grand Hyatt Tampa Florida Board of Pharmacy Meetings (Subject to approval)
2-3
Geriatric Conference (Hybrid meeting) Grand Hyatt Tampa
13-14
FL BOP Meeting
FPA Election Ballots due FEBRUARY
9-10
Florida Board of Pharmacy Meetings (Subject to approval)
28
FPA Awards Nominations Due MARCH
11
Last Day of Legislative Session
13
FPA Board of Directors Meeting
18 - 21 APhA Annual Meeting San Antonio, Texas APRIL 1
Point-of-Care Test and Treat Certificate Program Grand Hyatt Tampa
JUNE 15-16
Florida Board of Pharmacy Meetings (Subject to approval) JULY
6-10
132nd Annual Meeting and Convention Ft. Lauderdale
31-3
39th Annual SE Gatherin' Destin
CE CREDITS (CE cycle) The Florida Board of Pharmacy requires 10 hours’ LIVE continuing education as part of the required 30 hours’ general education needed every license renewal period. There is a two-hour CE requirement for pharmacists on the dispensing of controlled substances effective this biennial renewal period. The Reducing Medication Errors course is needed for pharmacists and technicians. Pharmacists should have satisfied all continuing education requirements for this biennial period by Sept. 30, 2023, or prior to licensure renewal. Consultant pharmacists and technicians will need to renew their licenses and registrations by Dec. 31, 2022. For the Pharmacy Technician Certification Board application, exam information and study materials, please contact the FPA office. For more information on CE programs or events, please contact the Florida Pharmacy Association at (850) 222-2400 or visit our website at www.floridapharmacy.org CONTACTS FPA — Tian Merren-Owens (850) 222-2400 FSHP — Tamekia Bennett (850) 906-9333 UF — Emely McKitrick (352) 273-5169
FAMU — Dr. Selika Sampson (850) 599-3301
Note: The views of the authors do not necessarily represent the views or opinions of the Florida Pharmacy Association, Florida Pharmacy Today or any related entities.
The Florida Pharmacy Today Journal is a peer-reviewed journal which serves as a medium through which the Florida Pharmacy Association can communicate with the profession on advances in the sciences of pharmacy, socio-economic issues bearing on pharmacy and newsworthy items of interest to the profession. As a self-supported journal, it solicits and accepts advertising congruent with its expressed mission.
Florida Pharmacy Today Board of Directors The mission of the Florida Pharmacy Today Board of Directors is to serve in an advisory capacity to the managing editor and executive editor of the Florida Pharmacy Today Journal in the establishment and interpretation of the Journal’s policies and the management of the Journal’s fiscal responsibilities. The Board of Directors also serves to motivate the Florida Pharmacy Association members to secure appropriate advertising to assist the Journal in its goal of self-support.
Advertisers APMS................................................................... 15 EPIC..................................................................... 12 PQC...................................................................... 20 PHARMACISTS MUTUAL................................ 2
NSU — Carsten Evans (954) 262-1300
DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association is engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.
4 |
FLORIDA PHARMACY TODAY
EMAIL YOUR SUGGESTIONS/IDEAS TO dave@fiorecommunications.com
Executive Insight BYRETIRED MICHAEL JACKSON, RPH PHARMACY ASSOCIATION MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA
A
Dealing with Pressure Through Compassion
fter all these years of conversing with the members of the Florida Pharmacy Association, why are you seeing this after I have retired as FPA CEO? After all, one would think that after 300-plus articles and many hundreds of newsletters that I would run out of commentary. Well, it just so happens that our profession is so broad, diverse and with so many moving parts that there is always something interesting to talk about. It becomes fascinating when historical issues either continue to skim the surface of our profession or when some things have yet to be resolved. During the closing weeks of 2021, we learned of the continuing frustration of our frontline caregiver pharmacists and the immense pressure on our practices to take on an ever-increasing care model. In addition to the expansion of immunization services, we are now seeing the management of patients with chronic and non-chronic conditions by collaborative practice and protocol models added to the menu of pharmacist services. We are also still fighting our way through a nasty prolonged pandemic, helping patients get their COVID shots, testing for COVID and caring for those who are disabled from this disease. Add that to the continuing frustration that pharmacy providers are having with health plans that have complicated and cumbersome step therapy protocols and restricted coverage and we find a consumer that has become easily agitated when things don’t go as they wish. Let us also not forget that with our profession, it simply is not an option to work remotely. We find ourselves on
the front line providing care and doing as best we can with securing enough personal protective equipment and supplies to keep ourselves and our staff safe. Our pharmacies are already woefully understaffed, driven by belowcost reimbursement and efforts to con-
During the closing weeks of 2021, we learned of the continuing frustration of our frontline caregiver pharmacists and the immense pressure on our practices to take on an ever-increasing care model. tain costs by reducing payroll expenses. These events triggered considerable chatter on social media late last year by some of our colleagues wanting to take drastic measures to bring attention to the issue. No doubt, what is going on in pharmacy practice has created immense pressure on our front-line providers. They are overwhelmed with the things on their plate and the impression is that no one is listening.
Michael Jackson, B.Pharm
To my fellow members, be comforted in knowing that this is not a lightweight issue that is flowing in one ear and out the other of our professional organizations. I have sat around the Board table of the FPA and heard repeatedly that there needs to be a resolution to this problem. Be reminded that your advocates have appeared before the Board of Pharmacy and raised this as a major concern. The Board of Pharmacy is very limited on any action that can be taken on employment practices. APhA has undertaken a major study entitled “Pharmacy Workforce and Well-Being Reporting” (PWWR). Policy is driven by data, which can be a powerful tool. Data is not easily mined from social media (unless you are evaluating views and “click counts” to sell advertising). This is a real project to collect information, both good and not so good, from
Executive Insight, continued on page 6 JANUARY 2022
|
5
FPA STAFF Director of Continuing Education Tian Merren-Owens, ext. 120
Continuing Education Coordinator Stacey Brooks, ext. 210 Coordinator of Membership Ranada Howard, ext. 110
FLORIDA PHARMACY TODAY BOARD Chair....................David Mackarey, Boynton Beach Vice Chair................................... Matt Schneller, Tampa Treasurer.................................... Eric Jakab, Gainesville Secretary............................. Julie Burger, Pensacola Member.........................Michael Finnick, Jacksonville Member....................... Carol Motycka, Jacksonville Member............................Teresa Tomerlin, Rockledge Member...................................... Greta Pelegrin, Hialeah Technician Member..........Julie Burger, Pensacola Executive Editor.......Michael Jackson, Tallahassee Managing Editor...................Dave Fiore, Tallahassee Journal Reviewer........................... Dr. Melissa Ruble Journal Reviewer....................................Dr. Angela Hill This is a peer-reviewed publication. . ©2021 FLORIDA PHARMACY JOURNAL, INC. ARTICLE ACCEPTANCE: The Florida Pharmacy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy. All articles are subject to review by the Publication Review Committee, editors and other outside referees. Submitted articles are received with the understanding that they are not being considered by another publication. All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today. The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today. The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion, politics or any other subject the editors/publishers deem unsuitable for the readership of this journal. In addition, The Journal does not accept advertising material from persons who are running for office in the association. The editors reserve the right to edit all materials submitted for publication. Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board.
Executive Insight, from Page 5
those of us in active practice. You are encouraged to contribute to this study and visit the reporting at www.pharmacist.com/pwwr. In the meantime, let’s use this current crisis to reset our purpose and mission to deliver patient-focused health care. Step back from the daily challenges of pharmacy practice and think back to your training as you
began your initial trek into the practice of pharmacy. Remember that we became pharmacists because we wanted to make a difference in patients’ lives. The next time you encounter a difficult patient, understand that their frustration in many cases is beyond your control. Sometimes, all they want to hear is “How can I help?” n
OVER 90% of donations collected support political campaigns or committees! Decisions and laws are made as to how you will practice your profession of pharmacy, care for your patients, as well as how health care costs affect state budgets. Your vote and personal contributions have a direct impact on these elected officials who represent you and make decisions affecting the future of your profession. The Florida Pharmacist Political Committee (FPPC) is a means for us all to pool our resources and have a greater reach to candidates who have or will have an understanding of what's best for the practice of pharmacy and each aspect of patient care. The vast majority of your contributions go directly to political candidates to support their campaigns. The Florida Legislature typically reviews a number of pharmacy issues that affect not only our businesses but also how we practice the profession. The advocacy efforts of the Florida Pharmacy Association supported by your contributions to the FPPC will helped to ward off onerous public policy designed to put you out of business or compromise the relationships that you have with your patients.
OR SCAN THIS CODE: FLORIDA PHARMACY ASSOCIATION
610 N. Adams St. • Tallahassee, FL 32301 850/222-2400 • FAX 850/561-6758 Web address: www.floridapharmacy.org.
CLICK HERE FOR SECURE ONLINE DONATION FORM
CALL FOR RESOLUTIONS TO THE 2022 HOUSE OF DELEGATES The House of Delegates is now accepting resolutions for 2022. The last day to submit resolutions is May 11, 2022. The following information will be needed when submitting resolutions: 1. Name of organization: The name of the organization submitting the resolutions(s); 2. Name and telephone number of individuals: A contact in the event clarification or further information is needed; 3. Problem: A statement of the problem addressed by the resolution; 4. Intent: A statement of what passage of the resolution will accomplish; 5. Resolution Format: Please type and use double spacing. TITLE OF RESOLUTION NAME OF ORGANIZATION WHEREAS , AND
WHEREAS :
THEREFORE BE IT RESOLVED (THAT THE FPA OR SUBDIVISION OF FPA)
CONTACT NAME AND PHONE #: PROBLEM: INTENT:
Return this form to: Membership Coordinator, Florida Pharmacy Association, 610 North Adams Street, Tallahassee, Florida 32301 or fax (850) 561-6758
JANUARY 2022 |
7
12 Strategies to Help Increase COVID-19 Vaccine Confidence and Demand Source: Centers for Disease and Control and Prevention
State and local health departments, community- and faithbased organizations, and local non-profits are encouraged to try a combination of the following:
1. VACCINE AMBASSADORS Vaccine ambassadors train community members to disseminate important health information in their communities. Derived from the lay health advisor model, ambassadors are most effective when they are trusted community members and share similar beliefs and characteristics with their peers. ■ Barriers Addressed: Equity, Access, Prevailing Social Norms, Mistrust, Mis- and Disinformation, Cultural Relevance ■ Research Base: Framing vaccine uptake as a prevailing social norm has a positive impact. A survey study showed that when people think that most people around them want to be vaccinated, they are more likely to be vaccinated as well. Discussing with peers the risk of contracting disease and the decision to vaccinate impacts one’s decision. Endorsements from peers in one’s own social network can also help spread credible information about the vaccines 8 |
FLORIDA PHARMACY TODAY
2. MEDICAL PROVIDER VACCINE STANDARDIZATION Medical provider vaccine standardization refers to offering vaccination as a default option during patient visits and integrating vaccination into medical practice procedures. ■ Barriers Addressed: Policy, Mistrust, Health Literacy ■ Research Base: Medical practices and hospitals can take steps to increase vaccine uptake through standard practice measures, including default scheduling and presumptive announcements. In one study, scheduling patients by default increased flu vaccination by 10 percent. Another study showed patients with “standing orders” received flu and pneumococcal vaccines significantly more often than those with reminders. For patients with standing orders, the hospital’s computerized system identified eligible patients and automatically produced vaccine orders directed to nurses at the time of discharge. Even standardizing what the doctor says when entering the room can impact vaccine uptake. For example, one study found doctors trained to announce human papilloma virus (HPV) vaccines during visits with a brief statement that assumed parents were ready to vaccinate (the presumptive approach) increased uptake by 5.4 percent over the approach of engaging parents in openended conversations about vaccinating their child.
3. MEDICAL REMINDERS Medical reminders are messages sent to patients to remind them of recommended or upcoming treatment. Messages can be sent by autodialed phone calls, text messages, or post-cards, for example. ■ Barriers Addressed: Equity, Access, Forgetfulness, Friction, Health Literacy, Lack of Adequate Information ■ Research Base: Reminders of upcoming vaccination appointments can increase vaccination rates. This intervention is often part of a multipronged approach combined with removing access barriers to optimize uptake. ● Duval County Health Department in Florida successfully increased childhood vaccination rates by using data from the Florida Shots Registry to identify families with upcoming or overdue child vaccinations and sending them reminders with educational materials through phone calls, letters, and home visits. ● A study in Rochester, New York, showed that when interventions included patient reminders, provider reminders, and telephone outreach combined, older adults were up to six times as likely to be vaccinated against flu. ● A University of Pennsylvania study found that simple reminder text messages sent to 47,306 patients in two health systems increased flu vaccinations by around five percent. Of the 19 different messages tested, those most effective were presented in a professional format and tone— surprisingly not casual or interactive. The most successful messages reminded patients twice to get their reserved shot at their upcoming doctor’s appointment.
4. MOTIVATIONAL INTERVIEWING
5. FINANCIAL INCENTIVES
6. SCHOOL-LOCATED VACCINATION PROGRAMS
Motivational interviewing refers to patient-centered conversations designed to increase patient motivation and likelihood of health behavior uptake. ■ Barriers Addressed: Misperception, Health Literacy, Uncertainty ■ Research Base: Motivational interviewing aims to support decision making by strengthening a person’s intention to vaccinate based on their own arguments. The healthcare professional informs about vaccination in alignment with the individual’s specific informational needs and with respect for their beliefs. Motivational interviewing has been shown to decrease parental vaccine hesitancy.
Financial incentives aim to motivate people to participate in a health behavior by providing a tangible reward, or a chance at a tangible reward, for completion of the behavior. ■ Barrier Addressed: Inertia ■ Research Base: While evidence supporting the use of incentives to increase vaccine uptake is overall limited, the type that appears effective is of a guaranteed gift incentive. For example, offering a $30 incentive increased vaccination rates at college campus clinics according to one study.
School-located vaccination programs are events held at a school campus to remove logistical barriers and increase vaccine uptake. These can be open to students only or offered to faculty, families, and the greater community as well. ■ Barriers Addressed: Access, Friction, Prevailing Social Norms, Uncertainty, Lack of Adequate Information ■ Research Base: Voluntary school-located vaccination programs have demonstrated high coverage, though they are not without challenges. One of the major challenges is obtaining informed parental consent when needed. School-located programs can be effective even with “controversial” vaccinations such as for HPV. The setting also has been shown to yield higher completion rates of multi-dose vaccine series as compared to community health center settings.
A pilot study using motivational interviewing in maternity wards during postpartum stays found the strategy led to: ● 15 percent increase in mothers’ intention to get their child vaccinated ● 7 percent increase in infants’ vaccination coverage at seven months ● 9 percent greater chance of complete vaccination at two years
Two recent studies of the Ohio COVID-19 vaccine lottery have been less positive, showing the likelihood that the approach has not increased vaccine uptake. It is important to note that these are two different approaches—one is a guaranteed gift and the other a chance at winning. Also, the audiences differ with the first comprised of young adult college students and the latter a general population. Thus, the approach and audience may affect vaccine uptake differently.
Motivational interviewing significantly improved HPV vaccination completion among adolescent patients in a study that used a presumptive vaccine recommendation with motivational interviewing follow-up for parents who remained resistant. Some healthcare providers have concerns that this approach takes too long and that such a conversation is not billable.
JANUARY 2022
|
9
7. HOME-DELIVERED VACCINATION
8. WORKPLACE VACCINATIONS
Home-delivered vaccination efforts reach populations where they are; traditionally used when barriers to transportation and access exist. ■ Barriers Addressed: Equity, Access, Inertia, Friction ■ Research Base: Bringing vaccines to where people are, including in their homes, is an effective means to reach several hard-to-reach populations. This strategy can be applied to homebound people and to neighborhoods with low vaccination rates.
A vaccination event held on-site at a workplace to remove logistical barriers and create norms. This can be open to employees only or extended to family members or the greater community. ■ Barriers Addressed: Access, Cost, Prevailing Social Norms, Friction ■ Research Base: Numerous studies have shown that vaccination programs at the worksite can increase vaccination rates among workers and their families. In one study where flu vaccination rates increased significantly after the intervention, 90 percent of vaccinated employees received a vaccine at employer-sponsored events. The most important reasons employees reported for being vaccinated at work were not related to health, but that the vaccine was free and convenient, and would help them avoid being absent from work. There is evidence on-the-job COVID-19 vaccination may have similar uptake success: ● A recent Kaiser Family Foundation study found that 23 percent of Americans would be more likely to get vaccinated if was available at their workplace. ● Another recent survey of employees by McKinsey & Company found an even greater potential return with 83 percent of those surveyed saying offering on-site vaccinations would significantly (49 percent) or moderately (34 percent) increase the likelihood that they would get a COVID-19 vaccine. ● According to a 2020 Gallup poll, small businesses are one of the most trusted institutions in the United States.
In an effective effort in New York City, individuals canvassed specific communities to educate people about the flu vaccine and offered it to people on the spot. They focused on: ■ People with substance use disorders ■ Immigrant populations ■ Older adults ■ Sex workers ■ People experiencing homelessness Both appointment-based home delivery and canvassing methods may be effective ways to deliver COVID-19 vaccines.
THERE IS EVIDENCE SHOWING SCHOOL MANDATES POSITIVELY IMPACT UPTAKE FOR ROUTINE CHILDHOOD VACCINES AND SOME STUDIES SUGGEST THAT VACCINATION FOR CHILDREN AND WORKERS, INCLUDING MANDATORY VACCINATION, DECREASES ABSENTEEISM. 10
|
FLORIDA PHARMACY TODAY
9. VACCINATION REQUIREMENTS Vaccination requirements are policies that require employees, students, or patrons to be vaccinated and provide proof of vaccination to comply. ■ Barriers Addressed: Policy, Inertia, Prevailing Social Norms, Politicization ■ Research Base: Vaccine requirements at the organizational level may be an effective way to increase vaccination rates and decrease disease incidence. Requirements by employers or schools ask that employees or students provide proper documentation of vaccination to comply with the organizations vaccination policies. Exemptions can be offered for specific circumstances, such as medical and religious reasons. Vaccination requirements have not often been used for adult populations, except for military requirements and for healthcare workers to receive flu shots. There is evidence showing school mandates positively impact uptake for routine childhood vaccines and some studies suggest that vaccination for children and workers, including mandatory vaccination, decreases absenteeism.
10. EFFECTIVE MESSAGES DELIVERED BY TRUSTED MESSENGERS Effective messages are messages that have undergone testing with the intended population and were shown to produce the desired outcome. Trusted messengers are people seen as credible sources of information by specific populations. Trusted messengers can be trained to be vaccine ambassadors (see Strategy 1) and may include experts. ■ Barriers Addressed: Mistrust, Health Literacy, Misinformation, Lack of Adequate Information ■ Research Base: The messengers and messages used to convey information about vaccines are important to improving vaccine confidence. The COVID-19 States Project Report evaluates results from two experiments designed to test effective communication strategies for increasing COVID-19 vaccine confidence and intent. The first experiment tested five messages and a control message for the effects they had on participants’ willingness to receive a COVID-19 vaccine. The messages involved themes of: ● Patriotism ● Harm reduction ● Social norms ● Scientist recommendation ● Physician recommendation The study found that messages involving a personal physician or a scientist recommending vaccination were the most compelling. The second experiment looked at messenger effectiveness and found that messages delivered by politicians increased resistance to vaccination, while those delivered by physicians or scientists showed increased vaccine confidence and intent. Messages and messengers should be continually evaluated for effectiveness and tested across populations with different demographics. Continued evaluation of messages enables communication campaigns to tailor messages to specific concerns and demographic populations, which is shown to be more effective than generalized messaging.
11. PROVIDER RECOMMENDATION
12. COMBATTING MISINFORMATION
Provider recommendation refers to healthcare professionals recommending that a patient receives a COVID-19 vaccination. ■ Barriers Addressed: Inertia, Friction, Mistrust, Uncertainty, Mis- and Disinformation, Lack of Adequate Information ■ Research Base: Provider recommendations have strong support for increasing vaccination. The Advisory Committee on Immunization Practices includes this strategy in their recommendations for improving vaccination rates. Some people may have more trust in their own doctor than in the medical community in general. ● Research on vaccinations in pregnant people found that a provider recommendation increases vaccination rates, and when coupled with offering the vaccination during doctor’s office visits, doubles the likelihood of uptake. ● In a study of flu vaccination in adults, patients whose providers recommended and offered the flu vaccine during their office visit were 1.76 times more likely than those who did not receive a recommendation to be vaccinated. ● The HPV vaccine, which relies on healthcare professionals for distribution, depends on provider recommendations for adequate coverage. A study on low HPV vaccination rates in North Carolina found that lack of provider recommendations contributed to under-vaccination in the population.
This strategy consists of tactics used to address and dismantle misinformation and disinformation. Misinformation refers to false information shared by people who do not intend to mislead others, and disinformation refers to false information that is deliberately created and disseminated with malicious intent to manipulate a narrative. ■ Barriers Addressed: Misperception, Mis- and Disinformation, Lack of Adequate Information ■ Research Base: Believing incorrect information can act as a barrier to vaccine uptake. Vaccine myths are particularly difficult to combat, in part because people tend to believe information that is in line with their existing attitudes and world view. Fact-checking and debunking appear to be effective tools to counteract the effects of misinformation, particularly when the correct information sources are universities and health institutions. Debunking incorrect information with messages that reflect the worldview and affirm the values of the intended audience may be the most successful approach. Debunking misinformation is challenging. Misinformation is often simple and more cognitively attractive than fact, and refuting a falsehood often requires repeating it, which reinforces the falsehood in the believer. Techniques that help dispel falsehoods include: ● Warning the audience upfront that misleading information is coming ● Using fewer arguments to refute the myth ● Keeping the factual statements simple Everyday social media users can play an important part in correcting misinformation. While the person originally expressing the misinformation may not be moved because the correction does not align with their world view, others see the correct information and are impacted by it. Tips for effective corrections include responding with empathy and providing facts, rather than simply saying something is wrong. JANUARY 2022 |
11
Interested in How the Florida Pharmacy Association Works? Members can access the FPA Articles of Incorporation, Constitution and Bylaws anytime on the association website. Visit https://www.floridapharmacy.org/page/Organiz-govern-docs or simply go to www.floridapharamcy.org and from the menu go to "About FPA" - "Leadership and Governance" - then select "Constitution, Bylaws, Policies & Procedures.”
We encourage members to get familiar with FPA governance – especially if it prompts you to get more involved!
Helping independent pharmacies compete since 1982. Now with more services to thrive in today's pharmacy landscape. • Group volume purchasing • Profits distributed to members at year-end • EPIC Pharmacy Network – third party contracting • – claims reconciliation and automated reimbursements below cost system • – regulatory and compliance management
800-965-EPIC (3742) | epicrx.com memberservices@epicrx.com
12
|
FLORIDA PHARMACY TODAY
JOIN TODAY!
The Invisible War By William Garst
There is an invisible war being fought at the microscopic level between bacteria and fungi. We should be glad of this, because these microorganisms produce chemicals that inhibit each other, and we can use these chemicals to produce antimicrobials. Bacteria will produce antifungal and antibacterial chemicals, with the fungi doing the same. William Garst, They do this to compete for the nutrients in Pharm.D. nature. What scientists try to determine are Consultant the specific antimicrobial compounds, what Pharmacist kind of microorganisms they inhibit, are they safe for humans, and can they be produced in large enough quantities to be cost-effective. In the Philippines in 1949, scientist Abelardo B. Aquilar, who was employed by Eli Lilly, collected soil into jars and labeled each with the date, location, and his initials. He then carefully packed them for shipment to the U.S., specifically Indianapolis, Indiana, home of Eli Lilly Pharmaceutical Company. When the jars arrived at the company, each one’s contents were put into separate containers holding a broth designed to grow microorganisms. After a few days of incubating in the large containers, the samples of the liquid contents were put on petri dishes (dishes used to grow microorganisms in laboratories) in which a variety of bacteria were introduced. One of the petri dishes showed streaks of no bacteria growth where the liquid from the large containers was applied. This was the first indication that a substance to inhibit bacteria may be in the soil samples. The organism that produced the antibacterial compound was a bacterium called Streptomyces erythreus, later called Saccharopolyspora erythraea. The antibacterial compound was named erythromycin after the organism from which it was extracted. Erythromycin was discovered at a convenient time. Penicillin had been used for a few years by 1949 and there were beginning signs of allergic reactions and resistance showing up in people who had previously received penicillin. Erythromycin worked against many of the same bacteria that penicillin was effective against and therefore could be used as an alternative. There are a variety of dosage forms for erythromycin: oral, topical ointments, ophthalmic products, and intravenous solutions. Though it can be given orally, it is not very stable in the acidic stomach and can produce hypermotility of the gastrointestinal tract. This bothersome side effect can be taken advantage of by giving this drug to people who have a condition called gastroparesis, a slowing down of the gastrointestinal tract. Erythromycin given at low doses can cause the gastrointestinal tract to move again, giving relief to this condition, however, this use is discouraged because bacterial drug resistance is a possible consequence.
ERYTHROMYCIN WAS DISCOVERED AT A CONVENIENT TIME. PENICILLIN HAD BEEN USED FOR A FEW YEARS BY 1949 AND THERE WERE BEGINNING SIGNS OF ALLERGIC REACTIONS AND RESISTANCE SHOWING UP IN PEOPLE WHO HAD PREVIOUSLY RECEIVED PENICILLIN. Because of the instability of erythromycin in stomach acid, another similar antibiotic drug was developed by Taisho Pharmaceutical Company of Tokyo, Japan in the 1970s and marketed in the 1980s. This drug is clarithromycin (Biaxin) which has the same antibacterial spectrum as erythromycin but is more stable in stomach acid. In addition, it stays in the body longer and can be given fewer times a day. In the 1980s, a pharmaceutical company in Zagreb, Croatia, the Pliva Company, a subsidiary of Teva Pharmaceutical Company of Israel, discovered azithromycin. It was brought to the U. S. market by the Pfizer Company as Zithromax. Azithromycin is another antibiotic and is given once a day because it stays in the body an extra-long time. Azithromycin is the drug in the famous “Z-Pack.” The Z-Pack is a dosing regimen of azithromycin in which a person takes two 250 mg tablets on day one, then one 250 mg tablet daily for four more days. This regimen has been highly effective in treating respiratory infections. The development of antibiotics involves the invisible war amongst microorganisms and is a true international story with research conducted by people all over the world. Stay informed and stay healthy. William Garst is a consultant pharmacist who resides in Alachua, Florida. He received his bachelor’s degree in pharmacy from Auburn University in 1975. He earned a master’s degree in pharmacy from the University of Florida in 2001. In 2007, he received his doctor of pharmacy from the University of Colorado. Dr. Garst is a member of many national professional associations as well as the local Alachua County Association of Pharmacists. He serves on the Alachua County Health Care Advisory Board. He works part-time at the UF Health Psychiatric Hospital and retired from the VA in 2016. Dr. Garst enjoys golf, reading (especially history) and family. He writes a blog called The Pharmacy Newsletter (https://thepharmacy newsletter.com). He can be contacted at communitypharmacynewsletter@gmail.com.
JANUARY 2022
|
13
CALL FOR ABSTRACTS FOR POSTER PRESENTATIONS FLORIDA PHARMACY ASSOCIATION 132nd ANNUAL MEETING AND CONVENTION
July 6-10, 2022 Marriott Harbor Beach Resort ♦ Ft. Lauderdale, Florida Poster Session: Friday, July 8, 2022 ♦ 11:00AM-1:00PM COST ONE DAY REGISTRATION The FPA Poster Presentations are open to PHARMACISTS, RESIDENTS, STUDENTS, AND TECHNICIANS. Complete and submit this COVERSHEET for each abstract submission. Submissions must be received no later than Friday, May 6, 2022. Abstracts will NOT be accepted after this date. Mail or E-mail this application along with the abstract submission to:
PLEASE TYPE
Tian Merren Owens, MS, PharmD, Director of Continuing Education Florida Pharmacy Association 610 N. Adams Street Tallahassee, FL 32301 tmerren@pharmview.com
Contact Information: Presenter's Name: _______________________________________________________________________________ □ Pharmacist
□ Resident
□Student
□ Technician
Address: ________________________________________________________________________________________ City, State, Zip: ___________________________________________________________________________________ Telephone No: _____________________E-Mail Address: _________________________________________________ College of Pharmacy: _____________________________________________________________________________ Abstract Title: ____________________________________________________________________________________ Poster Type:
□ Basic Science Research □ Best Practice □ Clinical Research □ Literature Review □ Translational Research (Basic Science and Clinical Research)
Primary Author: __________________________________________________________________________________ (Presenter will be notified by mail of acceptance). Co-Author(s): ____________________________________________________________________________________ Awards:
Posters will be eligible for 1st, 2nd, and 3rd place prizes to be presented at Convention. (Only one prize is given for each winning poster)
ABSTRACT FORMAT The abstract form submitted should be the equivalent of one page. The abstract should include: Title (Include authors’ names and name of College of Pharmacy), Purpose, Methods, Results, and Conclusions. Abstracts will not be accepted if they are not in this format. Do not include figures or graphs.
Please direct all questions and concerns to: Tian Merren Owens ♦ (850) 222-2400 ext. 120 ♦ tmerren@pharmview.com DEADLINE DATE: FRIDAY, MAY 6, 2022
Protect your patients. Protect your pharmacy. ERRORS CA N IN JURE PATIENTS A N D PUT YOUR PHARMACY IN F I NANCIAL JEO PARDY.
The PQC+ QA program can improve efficiency and increase patient safety as well as help you meet accreditation, credentialing, PBM and state Quality Assurance requirements. • Training, Quality Assurance CE, and resources • Patient Safety Organization protection for your QA work • Practical tools to collect and analyze patient safety data
Learn more at www.medicationsafety.org or call us at (866) 365-7472. The Alliance of Medication Safety (APMS) is a federally listed Patient Safety Organization (PSO). J A N U A R Y 2 0 2 2 | 15
132nd 132nd Annual Meeting and Convention an
General Education Track You You Don't Don't Consultant Education Track Want Want to Miss Student & Technician to Track Mis Social Distanced Special Events This! This! Networking Opportunities
Exhibits • Poster Presentations Exh • Receptions i b i t•s Awards •
Po
Room Rates: Room $195 plus tax based on Rates: single/double occupancy.$195 The room reservation room deadline is Friday, reservation June 17, 2022 or when room d block is full. block is full. Thereafter, reservations may be taken on a space Ther available or available rate available basis. There is an optional or resort rate fee. Selfav parking is parking discounted to $12 per day. Please is be sure discoun to ask for the Florida Pharmacy Florida Association group rate. Pharmacy All reservations must be accompanied accompanied by a first night room deposit guaranteed with a major by a credit card. credit The check-in time is 4:00 card. p.m. and the checkout The time is ch 11:00 a.m. 11:00 a.m.
132nd and July 6 -10, 2022
Room reservations Marriot Marriot Harbor Beach ResortHarbor Beach Reso M can be made by calling && Spa, Ft. Spa, Lauderdale, FL, Ft. Lauderdale, FL 33316 33316 (800) 222-6543 16
|
Venue
FLORIDA PHARMACY TODAY
1
FPA 132nd Annual Meeting and Convention July 6-10, 2022v Ft. Lauderdale, FL
,
55Daily Education Registration
Participant Information Participant Information
Daily registration does not include admittance to functions or handbooks. Handouts will be posted on our website July 5.
Name: _____________________________________________________ Name _______________________________________________ Address______________________________________________ Badge Name: _______________________________________________ City, State, Zip_________________________________________ Mailing Address: ____________________________________________ Phone___ ________________________ City, State, Zip: _____________________________________________ Email________________________________________________ Phone: (W) (H)_______________________ Practice Setting________________________________________ License: PS______________ PU _____________RPT_________ Fax: ______________________________________________________ NABP Date of Birth___________ License:e-profile#__________________ PS________________ PU_________ Other State________ Emergency Contact Name/Number_________________________
2
Full Package Registration
Full package registration includes Educational Programs Thursday-Sunday, House of Delegates on Thursday, Exhibit Hall Friday and Saturday, Receptions, and Awards Event on Saturday. Handbooks are not included in full package registration. Handouts will be available the week of the convention on our website, www.floridapharmacy.org. Onsite
Amount_
2FPA Member
$345
$430
$_______
Non-Member
$525
$610
$_______
Pharmacist BEST Value
$540
$625
$_______
Member Technician
$155
$185
$_______
Non-Member Technician
$175
$210
$_______
Technician BEST Value
$185
$220
$_______
$150
$170
$_______
$40
$40
$_______
3Student
Handbooks
(BEST Value includes Registration & Membership)
3
Onsite
Amount
FPA Member
$165
$185
$_______
Non-Member
$215
$235
$_______
Member Technician
$65
$85
$_______
Non-Member Technician
$90
$110
$_______
Handbooks
$40
$40
$_______
Please select the day(s) you will attend: ¨Thursday
Before June 17
3
Before
June 17
6
¨Friday
¨Sunday
Additional Tickets
The following events are included in the Full Registration Package, if requested. However, you must purchase additional tickets for guests who are NOT registered. Quantity
Price
Amount
Exhibit Hall
$30
$______
Awards Event
$80
$______
7
Special Events Registration
The Poster Event is available to all pharmacy professionals and included in full and daily registrations. The Student Awards Event is not included in any registration packages. Quantity
Price
Amount
Poster Presenter One Day Registration $______ (Registration fee is based upon membership and professional status for non-convention registrants.) Student Awards Event
Please indicate below which functions you will attend. If no boxes are selected, we will assume you will not attend any of the events listed below. Please see box 6 for additional tickets.
¨Saturday
8
_______
$50
$______
FPA Polo Shirt (Deadline is June 3) Quantity Price ¨
Yes
______
$35
M/F ______
Size ______
Amount $_______
¨
House of Delegates (Thursday)
¨
FPPC Reception (Thursday)
¨
Exhibit Hall (Friday and/or Saturday)
¨
Awards Event (Saturday)
¨
Christian Fellowship (Sunday)
¨Check (To: FPA) ¨AMEX ¨Discover ¨MasterCard ¨Visa
¨
I will not attend any of these functions.
Account # ____________________________________________
4
House of Delegates
House of Delegates (Non-convention registrants)
9
Payment
Total Enclosed: $______
Security Code _________________ Expiration Date __________ Before June 8 $165
Amount ______
Billing Address ________________________________________ Signature ____________________________________________
Four Ways to Register
Mail: FPA, 610 North Adams Street, Tallahassee, FL 32301 Phone: 850-222-2400 Fax: 850-561-6758 Web: www.floridapharmacy.org
Schedule and Fees Subject to Change
JANUARY 2022
|
17
C A L L
F O R
APhA Foundation and NASPA Bowl of Hygeia Awarded to a pharmacist for outstanding community service above and beyond professional duties. The use of the following selection criteria is required: ■ The recipient must be a Florida licensed pharmacist and member of the FPA. ■ The recipient must be living. Awards are not presented posthumously. ■ The recipient has not previously received the award. ■ The recipient is not currently serving nor has he/she served within the immediate past two years on its award committee or an officer of the association in other than an ex officio capacity. ■ The recipient has compiled an outstanding record of community service, which, apart from his/her specific identification as a pharmacist reflects well on the profession. James H. Beal Award Awarded to the “Pharmacist of the Year.” The criteria established for this award is that the recipient be a Florida licensed pharmacist and a member of FPA, who has rendered outstanding service to pharmacy within the past five years. Criteria: ■ The recipient must be a Florida licensed pharmacist and a member of the FPA. ■ The recipient has rendered outstanding service to pharmacy within the past five years. Technician of the Year Award Awarded annually to a Florida pharmacy technician who is recognized for his/her outstanding performance and achievement during his/ her career. Criteria:
18
|
FLORIDA PHARMACY TODAY
N O M I N A T I O N S ■
■
■
■
■
Candidate must be a member of the Florida Pharmacy Association for at least two years. Candidate must have demonstrated contributions and dedication to the advancement of pharmacy technician practice. Candidate must have demonstrated contributions to the Florida Pharmacy Association and/or other pharmacy organizations. Candidate must have demonstrated commitment to community service. Candidate is not a past recipient of this award.
R. Q. Richards Award This award is based on outstanding achievement in the field of pharmaceutical public relations in Florida. Criteria: ■ The recipient must be a Florida registered pharmacist and a member of the FPA. ■ The recipient has displayed outstanding achievement in the field of pharmaceutical public relations in Florida. Frank Toback/AZO Consultant Pharmacist Award Criteria: ■ Candidate must be an FPA member, licensed with the Florida Board of Pharmacy as a consultant pharmacist in good standing. ■ Candidate should be selected based on their outstanding achievements in the field of consultant pharmacy. DCPA Sidney Simkowitz Pharmacy Involvement Award Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profession of pharmacy in Florida. Criteria:
■
■ ■
■
F P A
A minimum of five years of active involvement in and contributions to the local association and FPA. Candidate must have held office at local level pharmacy association. Member in good standing for a period of at least five years in the FPA and must have served as a member or chairman of a committee of the association. Candidate must have been actively involved in a project that has or could potentially be of benefit to members of the profession.
Pharmacist Mutual Companies Distinguished Young Pharmacist Award Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacy: Criteria: ■ Licensed to practice for nine (9) years or less. ■ Licensed to practice in the state which selected. ■ Participation in national pharmacy association, professional programs and/or community service. IPA Roman Maximo Corrons Inspiration & Motivation Award Interamerican Pharmacists Association created this award to honor the memory of Roman M. Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession. Roman was always there with guidance and support that motivated pharmacists and encouraged visionary leadership, approachable active membership and succession planning. This award recognizes the motivators among us who inspire others to continue to advance the profession. Criteria: ■ The recipient must be a Florida li-
A W A R D S
■
■
■
censed pharmacist and a member of the FPA. Candidate should motivate others to excel within the profession by encouraging them to be leaders. Candidate is not necessarily an association officer, but guides, supports and/or inspires others. A brief description on the candidate’s motivational/inspirational skills must accompany the nomination.
2 0 2 1 - 2 0 2 2 The Jean Lamberti Mentorship Award The Jean Lamberti mentorship Award was established in 1998 to honor those pharmacists who have taken time to share their knowledge and experience with pharmacist candidates. The award is named in honor of long time FPA member Jean Lamberti for her effort in working with pharmacy students. Criteria: ■ The recipient must be an FPA member. ■ The recipient must serve as a role model for the profession of pharmacy.
Upsher Smith Excellence in Innovation Award Awarded to honor practicing pharmacists who have demonstrated innovation in pharmacy practice that has resulted in improved patient care. Criteria: ■ The recipient has demonstrated innovative pharmacy practice resulting in improved patient care. ■ The recipient should be a practicing pharmacist within the geographic area represented by the presenting Association. ■ Qualified Nominee: A pharmacist practicing within the geographic area represented by the Association.
DEADLINE FOR NOMINATIONS: FEBRUARY 28, 2022 FPA AWARDS NOMINATION FORM I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION:
NOMINATED BY:
Name:
Name:
Address:
Date Submitted: Signature:
FOR THE FOLLOWING AWARD: Bowl of Hygeia Beal and Powers Award R. Q. Richards Award
Please describe briefly the nominee’s accomplishments, including why you feel he or she should receive this award. (Attach additional sheets if necessary.)
Frank Tobak/AZO Consultant Pharmacist Award DCPA Sydney Simkowitz Award Pharmacist Mutual Distinguished Young Pharmacist Award Jean Lamberti Mentorship Award IPA Roman Corrons Inspiration & Motivation Award Upshur Smith Innovation Pharmacy Practice Award Technician of the Year Award
SUBMIT NOMINATONS TO: Annual Awards, Florida Pharmacy Association, 610 N. Adams St., Tallahassee, FL 32301 (850) 222-2400 FAX (850) 561-6758 FOR A LISTING OF PAST AWARD RECIPIENTS GO TO WWW.FLORIDAPHARMACY.ORG AND SELECT THE “AWARD” MENU ITEM DEADLINE FOR NOMINATIONS IS FEBRUARY 28.
JANUARY 2022
|
19
“I’M ALWAYS WATCHING OUT FOR MY PATIENTS, BUT WHO’S WATCHING OUT FOR ME?”
WE ARE. We are the Alliance for Patient Medication Safety (APMS), a federally listed Patient Safety Organization. Our Pharmacy Quality Commitment (PQC) program: • • • •
Helps you implement and maintain a continuous quality improvement program Offers federal protection for your patient safety data and your quality improvement work Assists with quality assurance requirements found in network contracts, Medicare Part D, and state regulations Provides tools, training and support to keep your pharmacy running efficiently and your patients safe
Call toll free (866) 365-7472 or visit www.pqc.net PQC IS BROUGHT TO YOU BY YOUR STATE PHARMACY ASSOCIATION
