The Iowa Pharmacy Association’s Annual Report to the membership is an opportunity to share the accomplishments, activities and milestones of the association and our members.
Seizing Change Change is inevitable and can take many different forms. When Iowa Medicaid is transitioned to managed care, that change is challenging. When an endowment is established to support innovation in our state, that change is celebrated. When our members come together to create a statewide performance based network, that change is opportunistic. Our ability as a profession to adapt to, influence and even initiate change determines how pharmacy is practiced and how healthcare is delivered. This year was no different. IPA remains committed to providing members with the professional resources and continuing education necessary to maintain the progressive reputation of pharmacy practice in Iowa. This year, we included a BPS recertification track at the Midwest Pharmacy Expo. For the first time ever, board certified pharmacists or those interested were able to attend this level of programming at a state-based regional meeting. Seventy-eight pharmacists from across the Midwest welcomed this change and took advantage of this new and unique opportunity. Unity of the profession within our state is a unique strength and it was best seen this year where change can be the most challenging - the State Capitol. The relationships built with legislators and policy makers saw fruit this year as PBM rules were finally implemented and, in an unprecedented move, the previous Medicaid reimbursement formula was carried over through the transition to managed care. These achievements are due in no small part to the ability of our members from diverse practice settings to come together and deliver a strong, unified message through grassroots advocacy or face-to-face meetings with their elected officials. While we are often forced to embrace change from the outside, as a progressive profession, we relish the opportunity to create it on our own. Initiatives like the New Practice Model are continuing to expand opportunities for pharmacists and pharmacy technicians to deliver higher levels of care to Iowans and other states are taking notice. IPA facilitated the coming together of pharmacists from across the state to begin developing a performance based network that would create a framework for payers and health-systems to pay for services that positively impact patient outcomes. Our willingness to unite and innovate will allow the profession to embrace and even dictate change as healthcare evolves. The innovative reputation of pharmacy practice in Iowa is rooted in the generosity of Iowa’s pharmacy professionals investing their time, talent and treasure to the profession. This year, the IPA Foundation saw record-setting results at the Silent Auction and Eggleston-Granberg Golf Classic, fueling support for student pharmacists and the future of the profession. The establishment of the Outcomes Innovative Pharmacy Endowment by the former shareholders of OutcomesMTM will drive practice innovation in our state for years to come. Through this generosity, we are enabling the innovators and future leaders in our profession to lead change in our profession. Through ebbs and flows of this past year, the strengths of the pharmacy profession in Iowa were on full display as challenges were faced, opportunities seized and new, exciting initiatives were launched. Please take a moment to review the achievements of the past association year. But don’t take too long. The opportunities and momentum gained this year will not last long on their own. Iowa pharmacy must continue to build on the important achievements of the past year. Your active engagement is imperative to the continued success of the profession in our state.
The mission of the Iowa Pharmacy Association is to promote safe and effective medication use to improve the health of patients by serving the pharmacy profession. 2
2015-2016 BOARD OF TRUSTEES
John Swegle, PharmD, BCPS Chairman of the Board Mason City
Bob Greenwood, RPh President Waterloo
Rick Knudson, PharmD, BCPS, MS, MBA President-Elect Clear Lake
Steve Firman, RPh, MBA, FAPhA Treasurer Cedar Falls
CoraLynn Trewet, MS, PharmD, BCPS, CDE Speaker of the House Ankeny
Susan Vos, PharmD, BCPS, FAPhA Vice Speaker of the House Iowa City
Kate Gainer, PharmD Secretary Des Moines
Kristin Meyer, PharmD, CGP, CACP, FASCP Trustee Region #1 Marshalltown
Ryan Jacobsen, PharmD, BCPS Trustee Region #2 Iowa City
Erik Maki, PharmD, BCPS Trustee Region #3 Johnston
Jerod Work, PharmD Trustee Region #4 Sioux Center
David Weetman, RPh, MS Trustee at Large Iowa City
Laura Knockel, PharmD Trustee at Large North Liberty
Brett Barker, PharmD Trustee at Large Nevada
Stevie Veach, PharmD, BCACP Trustee at Large Tiffin
Dennis Jorgensen, RPh Honorary President Panora
G. Jean Gallogly, CPhT Pharmacy Technician Vincent
Christina Bravos Student Pharmacist Drake University
IPA STAFF
Kate Gainer, PharmD Anthony Pudlo, Executive Vice PharmD, MBA, BCACP President & CEO Vice President Professional Affairs
Mindy Pertzborn Professional Affairs & Members Services Associate
CONSULTANTS
Marla Mecham Manager, Finance & Technology
David Schaaf Communications & Marketing Director
Robert Nichols Student Pharmacist University of Iowa
Laura Miller Membership & Development Director
Nicole Straker Member Services Associate
Bill Wimmer, JD Legal & Legislative Counsel
Angela Davis, JD Legal & Legislative Counsel
Jennifer Moulton, RPh Megan Myers, PharmD Chief Executive Officer, Project Manager, Collaborative Education New Practice Model Institute
3
ADVOCACY
Legislative Day
IPA held its 39th annual Legislative Day with over 200 pharmacists, pharmacy technicians and student pharmacists descending on the Capitol to advocate for the profession. The Iowa Medicaid transition to managed care was a hot topic with members and legislators alike. Members also took advantage of the opportunity to explain the larger role for pharmacy in health care delivery through statewide protocols. In addition to the advocacy activity, student pharmacists from Drake University and the University of Iowa provided 94 health screenings in the Capitol Rotunda for legislators and staff.
PBM Rules
On June 1, the Iowa Insurance Division enacted rules to regulate PBMs in Iowa, the culmination of 2 years’ worth of strong grassroots advocacy by members. The rules implement 2014’s HF 2297 and 2015’s HF 395, both of which were passed unanimously in both houses of the legislature. The new rules give the IID explicit authority to audit PBMs and request information, including pricing methodology for generic drug prices.
PCMA Lawsuit
In September 2015, a federal judge dismissed the final 2 of the 6 counts of the lawsuit brought by Pharmaceutical Care Management Association (PCMA) against the State of Iowa in 2014 over the Iowa’s 2014 PBM bill. PCMA appealed the decision in October. Thanks to the generous support of members and partners nationwide of IPA’s Preserve Pharmacy Practice Fund, IPA continues to be a resource to the Iowa Attorney General’s office as they defend the State. In February, IPA partnered with the National Community Pharmacy Association to submit an amicus curiae brief to the U.S. Court of Appeals federal court in support of the State of Iowa and against the PCMA appeal. The brief outlined compelling legal reasons defending the dismissal and the negative impact of PBM practices that the law addresses.
Iowa Medicaid/ IA Health Link
On April 1, administration of Iowa’s Medicaid program transitioned to three managed care organizations (MCOs) under Governor Branstad’s Medicaid Modernization Initiative, now called IA Health Link. In the months leading up to the transition, IPA worked diligently with the Governor’s office, the MCOs and key stakeholders to address pharmacy concerns. The most critical issue was maintaining the reimbursement rate
4
of AAC + $11.73. IPA was able to achieve an important, hard fought and unprecedented victory by maintaining the current reimbursement formula. IPA has also used this opportunity to assert the value of pharmacy and how the profession can contribute to the program’s goals of providing more care and reducing costs.
Full Congressional Support for Provider Status
All six members of Iowa’s congressional delegation cosponsored the Pharmacy and Medically Underserved Enhancement Act which would grant pharmacists provider status under Medicare Part B. Sen. Grassley introduced the Senate version of the bill, S 314, in January 2015, after working with IPA. IPA continued to advocate the importance of moving this legislation forward.
Leadership Breakfast with Rep. Buddy Carter
Addressing DIR Fees in Washington, D.C.
IPA worked with Sen. Chuck Grassley’s office to circulate a letter in the U.S. Senate urging senators to call on CMS to finalize their guidance from 2015 that would provide transparency to DIR fees in Medicare Part D plans. A similar letter coauthored by Rep. Dave Loebsack of Iowa was circulated through the U.S. Houses of Representatives.
Working with Sen. Ernst on Controlled Substance Disposal
IPA worked with Sen. Joni Ernst on amendment language for the Comprehensive Addiction and Recovery Act that would lessen the restrictions faced by pharmacies that are interested in collecting controlled substances. Though the amendment was not included in the bill, Sen. Ernst advocated for its provisions in an editorial in the Cedar Rapids Gazette.
Opioid Summit
IPA co-presented with the Iowa Medical Society (IMS) at an opioid abuse summit that brought together thought leaders from across the state to address the growing trends in opioid overdoses. The summit was hosted by IMS and the Alliance of Coalitions for Change and included representatives the Iowa Academy of Family Physicians, the Governor’s Office of Drug Control Policy, Iowa Poison Control, the Iowa Healthcare Collaborative, the Iowa Behavioral Health Association, the Iowa Osteopathic Medical Association, and Pfizer among others.
IPA hosted Rep. Buddy Carter of Georgia, the only pharmacist serving in Congress, for the 2016 Expo Political Leadership Breakfast. Rep. Carter shared his perspective as a congressman on several issues including provider status, PBMs, FDA drug approvals, and what needs to happen in Washington, D.C., to address these issues.
Pharmacy Visits
IPA partnered with several members to host pharmacy visits with Iowa’s congressional leaders while they were back in Iowa during the August recess and throughout the year.
NCPA Congressional Pharmacy Summit
Rep. Rod Blum tours Hartig Drug in Dubuque, Iowa
A delegation of Iowa pharmacists and student pharmacists, including the Karbeling Leadership Award recipients, held office meetings with members of Iowa’s congressional delegation during the 2016 NCPA Congressional Pharmacy Summit.
Rep. Dave Loebsack (right) talks with Randy McDonough (centerright) and IPA staff at Towncrest Pharmacy in Iowa City, Iowa
5
ADVOCACY TakeAway Expands to Controlled Substance Disposal
As of June 2016, the TakeAway program has collected 131,000 pounds of unwanted medication since its inception in 2009. In 2016, the Iowa Board of Pharmacy approved additional funding that would allow the collection of controlled substances. Ten pharmacy sites were selected to receive MedSafe units that are DEA approved to accept controlled substances. In addition, envelopes were made available for any pharmacy to purchase at a reduced rate to give to patients, free of charge, to mail in their unwanted controlled medications.
Recommendations for IDPH Healthy Iowans 2020 plan
IPA submitted three recommendations to the Iowa Department of Public Health (IDPH) for consideration in the Healthy Iowans 2020 vision plan. Those recommendations were: • Collaboration among key stakeholders to develop and deploy strategies to reduce prescription drug abuse in Iowa. • Optimize patient outcomes and reduce medication errors during care transitions with pharmacist-delivered medication reconciliation and medication therapy management services. • Broaden availability, coverage, and public knowledge of immunizations to increase Iowa’s immunization rates in children, adolescents, and adults. IDPH will consider these recommendations as it narrows down priority health issues facing Iowans and strategies to address them.
Impact with IPPAC
Thanks to generous donations from our members, the Iowa Pharmacy Political Action Committee (IPPAC) was able to distribute $4,250 to 15 state legislators who have been supportive of the pharmacy profession. Most of the contributions were hand deliver by members in the legislator’s district to further strengthen those important relationships.
Preserve Pharmacy Practice Fund
Through the Preserve Pharmacy Practice Fund, IPA was able to continue to support the legal efforts related to PCMA lawsuit, and subsequent appeal, over Iowa’s PBM law. Through this restricted fund, IPA was able to partner with NCPA to submit an amicus curiae brief in the U.S. Court of Appeals support the State of Iowa in its defense of PCMA’s appeal.
6
Legislative Session The 2016 legislative session was a busy time for IPA, with our staff and lobbyists actively advocating for IPA’s legislative priorities and additional pharmacy bills that were introduced. Board of Pharmacy Bill - IPA supported the Iowa Board of Pharmacy’s bill (S.F. 453) which included the Board’s proposals on nonresident pharmacy, telepharmacy and outsourcing facility licensure, alternate board members, and definitions regarding pharmacy practice. The bill passed with amendments in both chambers and was signed by Governor Branstad on April 21. Naloxone – IPA worked with other stakeholders to include language in the Standings bill to allow pharmacists to dispense the opioid overdose reversal agent naloxone by prescription, collaborative practice agreement or standing order. Additional Prescriptions - SF 2214 allows pharmacists to change the quantity of a prescription dispensed within the total allowable. It passed unanimously out of both chambers and was signed by the Governor on April 6. Drug Information Program Access - SF 2102, which expands PMP access, passed out of both chambers unanimously and was signed by the Governor on April 6. Medication Synchronization – Medication synchronization was a top legislative priority for IPA and a bill was passed in the Senate (SF 2261), but it stalled in the House subcommittee and ultimately did not pass in 2016. IPA continues to work with healthcare payers, legislators and key stakeholders to implement policies that allow patients and pharmacies to easily synchronize chronic medications.
ADOPTED POLICIES
The following policies were adopted by our members at the House of Delegates during the 2015 IPA Annual Meeting held on June 12-13, 2015, in Coralville, Iowa.
15-U1: Pharmacy Practice and Managed Care Organizations (MCOs)
• IPA supports mandatory incorporation and payment of pharmacist-provided patient care services in the delivery of health care to patients enrolled in MCOs. • IPA supports access for any willing Iowa pharmacy provider to participate in all aspects of care included in MCO care models. • IPA supports provision of consistent pharmacy benefits across multiple MCOs for Iowa Medicaid and other state-based payers. • IPA supports the active involvement of Iowa pharmacists and other Iowa healthcare providers in the development and oversight of formulary management, pricing policy, payment for pharmacistprovided patient care services, and other pharmacy benefit management strategies within MCOs for Iowa Medicaid and other state-based Iowa payers. • IPA supports appropriate state-based regulatory oversight and accountability of MCOs and any contracted pharmacy benefits manager to improve patient health outcomes.
15-U2: Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS)
• IPA recognizes that DMEPOS fitting and dispensing are among DMEPOS services within the scope of pharmacy practice. • IPA supports continued patient access to DMEPOS services provided at Iowa pharmacies. • IPA recognizes the national DMEPOS accreditation standards and supports pharmacies that choose to obtain accreditation.
• IPA opposes DMEPOS-related licensure requirements for pharmacies and pharmacy professionals by a state board other than the board of pharmacy. • IPA supports DMEPOS training and education of pharmacy professionals who provide these services
15-U3: Statewide Healthcare Protocols
• IPA supports development of statewide healthcare protocols that include pharmacy professionals to address public health needs and future healthcare demands. • IPA supports collaboration of key state and federal stakeholders including IPA to identify opportunities for the establishment and implementation of statewide healthcare protocols in Iowa. • IPA supports standardized and integrated reporting processes for statewide healthcare protocols that are consistent across all providers. • IPA supports appropriate compensation of pharmacy professionals for services delivered through statewide healthcare protocols.
15-R1: Pharmacy’s Role in Meaningful Use • Rescind IPA policy 14-R1.
• Reaffirm IPA policies 09-R1 and 06-U2. • IPA supports recognition of pharmacists as eligible professionals (EPs) for established meaningful use standards. • IPA supports appropriate and equitable compensation for pharmacists’ contribution to achieving meaningful use standards. • IPA supports effective integration and
bidirectional exchange of electronic clinical and medication information in order to achieve meaningful use standards. • IPA supports advocacy and education to key stakeholders regarding the role of pharmacists in the meaningful use of health information technology.
15-R2: Medication Adherence
• IPA supports the role of pharmacists to lead the process of assessing and optimizing medication adherence in collaboration with other members of the healthcare team. • IPA supports utilization of evidencebased medication adherence programs across the continuum of care to improve patient health outcomes and optimal use of healthcare resources. • IPA supports pharmacists’ engagement with patients and their caregivers to identify and address patient-specific barriers to medication adherence. • IPA supports payment by third party payers for medication adherence programs that include pharmacist assessment and optimization of patients’ medication regimen.
15-R3: Use of Social Media
• IPA supports the use of social media by pharmacy professionals in ways that advance patient care and uphold the integrity of the pharmacy profession. • IPA supports the inclusion of social media education, including but not limited to appropriate use and professionalism, as a component of pharmacy education and continuing professional development. • IPA supports the protection of patient privacy and confidentiality related to the use of social media.
7
PRACTICE ADVANCEMENT Starting a Performance Based Network
Iowa Health Information Network
Wellmark High Performing Pharmacy Network
New Practice Model
Development was underway for the Iowa Community Pharmacy Enhanced Services Network (CPESN). Luminaries created minimum required services and a culture for a higher quality of care in Iowa. Pharmacies began to join the network and were volunteering to provide the highest value impact for all stakeholders. Community Care of North Carolina (CCNC) received a grant from the Center for Medicare and Medicaid Innovation to help model their CPESN network in Iowa. The Wellmark High Performing Pharmacy (HPP) Network planning was underway to eventually be in effect July 1, 2016. Wellmark listed pharmacies they consider to be providing a higher level of pharmacy care and began implementing a new performance-based prospective payment model for these pharmacies. The four target disease states are asthma, diabetes, hyperlipidemia, and depression.
Iowa Selected for CMS Enhanced MTM Pilot
The Iowa Health Information Network (IHIN) was initiated in a group of pharmacies to broadcast pharmacy use to improve coordination of care across health care settings. IHIN was operated by the Iowa Department of Public Health (IDPH) who was receiving reports from pharmacies to improve functions and address barriers to IHIN pharmacy use. Coordination with software vendors began to eventually integrate and upload pharmacy information into the IHIN. Phase 1 of the New Practice Model (NPM) pilot program completed its first 18 months of data collection in December 2015, while both phase 1 and phase 2 will end in August of 2016. Tech-Check-Tech was implemented in 17 pharmacies for refill prescriptions allowing pharmacists more time to provide patient care services. Phase 1 showed a similar error rate between tech and pharmacist verified prescriptions. A statistically significant increase in the number of patient care services provided and the time pharmacists spend in patient care was shown.
The Centers for Medicare and Medicaid Services (CMS) Enhanced Medication Therapy Management (MTM) Pilot program was announced and will begin in Iowa (1 of 11 states) on January 1, 2017 for Medicare Part D beneficiaries. CMS will be testing strategies to improve medication use and achieve MTM program goals.
Over ten state associations and boards of pharmacy have expressed to IPA their interest in to replicating the NPM’s success. IPA has been a resource to these states including sending Anthony Pudlo, IPA’s vice president of professional affairs, to present to the Idaho Board of Pharmacy.
Practice Advancement Forum
Statewide Technician Curriculum
The first Practice Advancement Forum was held on June 11, 2015 as a collaboration between IPA and the Iowa Department of Public Health (IDPH) to support the statewide implementation of innovative approaches to incorporate pharmacists in the prevention of chronic conditions. National speakers covered the patient care process, provider status, and health information technology.
A statewide technician education program began development with The University of Iowa; stemming from the upcoming changes in eligibility requirements to sit for the Pharmacy Technician Certification Board exam by 2020. The curriculum will meet the new ASHP/ACPE accreditation standards and will seek a single accreditation across all Iowa community colleges.
Practice Advancement Initiative
The Practice Advancement Initiative (PAI), formally called the Pharmacy Practice Model Initiative (PPMI), was a movement sponsored by ASHP to change pharmacist-provided hospital care. Close to 80 percent of Iowa hospitals completed the PPMI Hospital Self-Assessment to measure the alignment of hospitals with recommendations. PAI focused on a multi-disciplinary patient care team with active pharmacy involvement for appropriate medication use.
Trinity Pioneer ACO
8
The Trinity Pioneer ACO MTM program concluded after two years of research. While the program was not significantly different than the Medicare Shared Savings Plan (MSSP) comparison group, the ACO integrated MTM program was associated with significant decreases in hospitalization rates and Medicare costs showing promising results.
EDUCATION
Collaborative Education Institute (CEI)
CEI was founded in 2008 with stakeholders including the IPA Foundation, The University of Iowa College of Pharmacy, and Drake University College of Pharmacy and Health Sciences, and continues to be a leader in providing innovative live and webbased continuing pharmacy education (CPE) activities which assist pharmacists and pharmacy technicians in advancing their continuing professional development (CPD).
Free CPE Buckets
IPA members receive CEI’s Relicensure and Recertification Buckets for free. These buckets bundle all of the required CPE for pharmacist relicensure and pharmacy technician recertification together in one convenient package. During the first full year this was offered, 371 members took advantage of this important and popular membership benefit.
IPA Goes Local
Now in its third year, the Midwest Pharmacy Expo continues to evolve to meet the continuing education needs of pharmacists and pharmacy technicians in the Midwest. In 2016, Expo became the first state-based regional meeting to host BPS recertification CE programming, with 78 pharmacists attending this high level programming. Also new in 2016 was the addition of the Expo Tech Forum for pharmacy technicians and the inclusion of the Heartland PRN Conference. These tracks were in addition to the high quality continuing education and networking opportunities that are the heart of Expo. Over 300 attendees from 17 states earned up to 16.5 hours of live continuing education at the 2016 Expo.
IPA continued to partner with Iowa’s eight local associations to present a patient safety CPE program. The 2016 program also included a brief introduction and presentation from Andrew Funk, PharmD, the executive director of the Iowa Board of Pharmacy.
Advanced Technician Training Module
As a part of the initial resources developed for New Practice Model sites, IPA developed extensive training modules for technicians interested in or preparing for advanced roles in their practice setting, including tech-check-tech and telepharmacy.
The 2016 Expo also featured a keynote from Edward M. Hallowell, MD, a child and adult psychiatrist, leading authority in the field of ADHD, and the New York Times best-selling author of Shine and Crazy Busy.
9
PROFESSIONALISM
Max W. Eggleston Executive Internship in Association Management
College Nights
Elizabeth Bald, a 2017 PharmD Candidate from Drake University, served as the association’s 35th Executive Intern. This 12-week summer internship, supported by the IPA Foundation, trains student pharmacists for leadership positions by exposing them to association work and the issues facing the profession.
IPA Executive Fellowship Established
The IPA Board of Trustees approved the establishment of a fellowship position at the association. The IPA Executive Fellowship in Association Management is a postgraduate training program that supports the development of individuals interested in association management through training and experience in leadership, advocacy, professional affairs and problem-solving at IPA. Individuals who complete the fellowship will be well prepared for leadership positions in a variety of settings in the profession of pharmacy and health care. The fellowship is supported by the IPA Foundation.
Iowa Receptions
IPA, Drake University College of Pharmacy and Health Sciences and The University of Iowa College of Pharmacy hosted Iowa Receptions at the 2015 ASHP Midyear Meeting in New Orleans, LA, and the 2016 APhA Annual Meeting in Baltimore, MD.
IPA hosted college nights for pharmacy students from Drake University and The University of Iowa. Students heard from IPA leadership on the importance of professional involvement and participated in an interactive “Choose your own adventure” presentation designed to prepare students as they entered the professional world.
Iowa Pharmacy Resident’s Meeting
On September 22, 2015, 43 of Iowa’s 45 pharmacy residents met in Iowa City for IPA’s annual Resident’s Meeting. The meeting is an opportunity for residents to network with each other, meet IPA staff and leadership and discuss key issues in the profession and their practice.
Rotation site
IPA served as an Advanced Practice Experience (P4 rotation) to 16 student pharmacists from Drake University and The University of Iowa, educating them on the role of professional organizations in pharmacy practice.
10
IPRN
IPA continues to work closely with the Iowa Board of Pharmacy to maintain a successful Iowa Pharmacy Recovery Network (IPRN) program serving pharmacy professionals dealing with impairment, addiction, abuse, and mental health issues. In September of 2015, Amanda Latta, PharmD, become IPRN’s monitor and in the spring of 2016, Jeff Reist, BS, PharmD, BCPS, was elected as chair of the IPRN Committee.
New Dean at Drake University College of Pharmacy & Health Sciences In February 2016, Renae Chesnut, RPh, EdD, MBA, was named Dean of Drake University College of Pharmacy and Health Sciences. IPA Executive Vice President and CEO Kate Gainer was part of the university’s dean search committee. Renae had been serving as interim dean since May 2015.
Board of Pharmacy Appointment
Iowa pharmacist Sharon Meyer, PharmD, (Urbandale) was appointed by Governor Branstad to her second term on the Iowa Board of Pharmacy. Urbandale was reappointed to a second three-year term.
New Board of Pharmacy Executive Director
Andrew Funk, PharmD, was named the executive director of the Iowa Board of Pharmacy. Andrew had previously been a compliance officer with the board since 2013 after 7 years as pharmacist in charge at Medicap Pharmacy in Grimes, Iowa.
2/2/2 Webinar Series
IPA’s 2/2/2 monthly webinar series is now in its third year, offering members and non-members insight into a current hot topic. The 2/2/2 webinars are presented on the second Tuesday of each month at 2:00 p.m. and recordings of the webinars are posted on IPA’s website.
Communications
IPA continues to use a variety of communication platforms to engage, educate and inform members: • IPA’s weekly Top 5 email newsletter features the “top 5” stories of the week from the pharmacy profession. During the legislative session, it becomes the Top 5+1, featuring a weekly update on legislative activity. In April, IPA launched the Events Edition to keep members appraised of upcoming live events and webinars from IPA and other state and national organizations. • The quarterly Journal of the Iowa Pharmacy Association publishes peer reviewed articles in addition to news, features, and editorials from pharmacy leaders across the state and nation. • IPA continues to use Facebook, Twitter, and LinkedIn to interact with members.
Board of Pharmacy Podcast
IPA launched its first ever podcast in May 2016. “BOP: What, Why & How” is a quick and informative discussion between IPA and Iowa Board of Pharmacy staff following each Board of Pharmacy meeting. The discussions focus on WHAT actions were taken by the Board of Pharmacy, WHY it took the actions it did, and HOW the action will impact the practice of pharmacy in Iowa.
Members in National Leadership Roles Pharmacist Presence at IRHA Meetings & Events
As national provider status efforts focus on the role of the pharmacist in medically underserved and rural areas, IPA and its members were active within the Iowa Rural Health Association. • Bernard Sorofman, PhD, of The University of Iowa College of Pharmacy was elected to 3-year term on the IRHA Board of Directors. • TJ Johnsrud, RPh, received the 2015 IRHA Jerry Karbeling Award • Kate Gainer, PharmD, presented “The Pharmacist’s Role in Care Coordination” at the 2015 IRHA Fall Conference in September • Eric Carlson, RPh, (Ottumwa) & Tina Dotzler, RPh, (Harlan) served on healthcare provider panels as part of the 2016 Spring IRHA Rural Health Workshops
Collaboration with Iowa Healthcare Collaborative
IPA continues to work collaboratively with the Iowa Healthcare Collaborative (IHC). In addition to attending several IHC meeting and conferences, IPA is working to integrate pharmacists into key statewide initiatives including the State Innovation Model (SIM), Hospital Engagement Network (HEN) and Compass Practice Transformation Network (PTN).
Randy McDonough, PharmD, MS, CGP, BCPS, (Iowa City) was elected to the American Pharmacists Association (APhA) Board of Trustees. Wendy Mobley-Bukstein, PharmD, BCACP, CDE, (Des Moines)was elected as a 2017-2019 American Pharmacists Association Academy of Pharmacy Practice and Management (APhA-APPM) Executive Committee Member-at-Large. Melissa Murer Corrigan, BSPharm, FASHP, (Iowa City) and Jim Miller, BSPharm, MBA, (Dubuque) were named APhA Fellows. Gayle Mayer, RPh, (Spencer) and David Weetman, BS Pharm, MS, (University of Iowa Hospitals and Clinics) were named ASHP Fellows. Donald Letendre, PharmD, Dean of The University of Iowa College of Pharmacy served on ASHP Board of Trustees. Matt Osterhaus, RPh, FASCP, FAPhA, (Maquoketa) completed his term as an APhA officer.
11
AWARDS
IPA takes great pride in recognizing individuals for their contributions of leadership, patient care, professional involvement and public service. These awards, presented during the 2015 IPA Annual Meeting in Coralville and serve to capture Iowa pharmacy’s spirit of service and its culture of professionalism.
Bowl of Hygeia Dick Hartig, RPh, Dubuque Robert G. Gibbs Distinguished Pharmacist Ed Maier, RPh, Mapleton Honorary President Dennis Jorgensen, RPh, Panora Excellence in Innovation Ryan Jacobsen, PharmD, BCPS, Iowa City Distinguished Young Pharmacist of the Year Angie Spannagel, PharmD, BCACP, Maquoketa Health-System Pharmacist of the Year Dave Weetman, RPh, MS, Iowa City Patient Care Partner Award 2015 Recipient: Steven Bascom, MD, Guthrie Center *Presented by the IPA Foundation
12
Appreciation Award (Individual): Mike Pursel, RPh, MBA, CHP (Corporate): Iowa Department of Public Health GenerationRx Award Lawrence Fleckenstein, PharmD, Iowa City Pharmacy Technician of the Year Neisha Benson, CPhT, Norwalk Karbeling Leadership Award* Natalie Roy, PharmD Candidate 2016, Drake University Alyssa Billmeyer, PharmD Candidate 2016, The University of Iowa Poster Presentation* “Evaluation of Physician–Pharmacist Collaboration Model” - Natalie Dawn Blaine, PharmD Candidate; Rachel J. Finkelstein, PharmD; Christopher P. Parker, PharmD, BCACP; Barry L. Carter, PharmD
LEADERSHIP
Bill Burke Student Pharmacist Leadership Conference Thirty student pharmacists from Drake University and The University of Iowa participated in the 20th annual Bill Burke Student Pharmacist Leadership Conference. The 2-day conference began in conjunction with the Eggleston-Granberg Golf Classic in Ankeny on Friday, September 19, and moved to Altoona for Saturday’s session. The conference aims to help student pharmacists develop leadership skills and build lasting relationships with fellow students and practitioners that will serve them during their remaining years as students and as new practitioners. The conference is made possible through a grant support from Main at Locust Pharmacy in Davenport, Iowa.
Leadership Pharmacy Academy/Conference
Held each fall, the Leadership Pharmacy Conference hosts 20 pharmacists, 10 each from Iowa and Wisconsin, in Galena, IL, and kick starts the 8-month Leadership Pharmacy Academy for the participants. For the 3rd consecutive year, Mike Brownlee, Chief Pharmacy Officer from UIHC, presented a leadership workshop at the at the 2015 Conference. The conference is joint effort by the foundations of IPA and the Pharmacy Society of Wisconsin and is an unequaled opportunity for pharmacists in their first fifteen years of practice to develop organizational skills which will enable both personal and professional growth. Over 300 pharmacists have completed the program.
2015 Bill Burke Student Leadership Conference Participants Drake University
University of Iowa
Christina Bravos, P3 Shane Kozlowski, P3 Laura Litwin, P3 Morgan McPherson, P3 Taylor Monson, P3 Mary Shea O’Brien, P3 Adati Tarfa, P3 Andrew Wagner, P3 Danielle Walla, P3 Jason Babcock, P2 Alexa DeVita, P2 Kayla Hughes, P2 Michelle Mages, P2 Jacob Schnackenberg, P2 Alexi Schrieber, P2
Michael Brunner, P4 Leslie Noty, P4 Monica Rauch, P4 Ashley Beckman, P3 Brandon Gerleman, P3 Logan Murry, P3 Laura Nesheim, P3 Jennifer Ross, P3 Daniel Widman, P3 Hayley Wittnebel, P3 Maxwell Anderegg, P2 Anh Ngo, P2 Casey O’Connell, P2 Claire Weidman, P2 Rochelle Yang, P2
2015 Iowa Participants Jeanine Abrons, PharmD, MS The University of Iowa College of Pharmacy Emily Beckett, PharmD, BCPS Broadlawns Medical Center Randi Beranek, PharmD, BCPS University of Iowa Healthcare - Iowa River Landing Eliza Dy-Boarman, PharmD, BCPS Drake University College of Pharmacy & Health Sciences Dana McDougall, PharmD, BCPS Covenant Cancer Treatment Center Holly Randleman, PharmD UnityPoint Health - Des Moines Caitlin Reinking, PharmD NuCara Pharmacy - West Union Allie Schlicher, PharmD, BCPS UnityPoint Health - Des Moines Rachel Smith, PharmD Mercy Family Pharmacy Dubuque Ben Urick, PharmD The University of Iowa College of Pharmacy
13
Outcomes Endowment
2015-2016 BOARD OF DIRECTORS
Tim Becker, RPh, FASCP President Mason City
Bill Baer, RPh, CGP Vice-President Chariton
Renae Chesnut, RPh, EdD, MBA Drake University College of Pharmacy & Health Sciences Des Moines
Following the purchase of OutcomesMTM by Cardinal Health, the original OutcomesMTM investors partnered with IPA Foundation to create the Outcomes Innovative Pharmacy Endowment. The endowment will award grants and loans for the financial support and encouragement of future innovative pharmacy practice initiatives within the state of Iowa. It was created in the same innovative spirit that prompted IPA to provide seed money to OutcomesMTM when it was in innovative start up in 1999. The OutcomesMTM board thought it fitting to give back to IPA and asked shareholders to reinvest a portion of their proceeds from the OutcomesMTM sale to the endowment. The shareholders have responded generously at the opportunity to enable the next generation of pharmacy practice innovation. To date, $744,450 has been donated to the endowment.
Silent Auction
Sue Purcell, RPh Dubuque
14
Bob Stessman, RPh Manning
Bernard Sorofman, PhD The University of Iowa College of Pharmacy Iowa City
Kate Gainer, PharmD Secretary/Treasurer Des Moines
Julie Kuhle, RPh Indianola
Cheri Rockhold Schmit, RPh Ames
Carl Chalstrom, RPh Anamosa
Jay Currie, PharmD, FCCP, FAPhA Mount Vernon
With over 100 items up for bid, beer and wine toss and the Red Envelope Challenge, the 2015 IPA Foundation Silent Auction raised over $19,000, to support the Foundation’s initiatives for student pharmacy support and practice advancement. That amount broke the Silent Auction record by nearly $4,000!
Karbeling Leadership Award
The 2015 recipients of the Karbeling Leadership Award were Natalie Roy (Drake University) and Alyssa Billmeyer (University of Iowa). This award, designed to recognize student pharmacists for their contributions to professional organizations and the political process, includes a trip to DC for visits with national organizations and Iowa’s Congressional delegation.
Natalie Roy
Alyssa Billmeyer
Student Pharmacist Support
Eggleston-Granberg Golf Classic
Each fall, the IPA Foundation hosts the Eggleston-Granberg Golf Classic in honor of the commitment to student pharmacists by Max Eggleston and Boyd and Peg Granberg. The 2015 Golf Classic saw a record 106 golfers take over Otter Creek Golf Course in Ankeny and contribute a record $16,000 to the IPA Foundation’s initiatives to support student pharmacists at Drake University and The University of Iowa though scholarships, leadership training and other resources.
The IPA Foundation supports Iowa’s student pharmacists by providing funding for scholarships, professional development programs like the Bill Burke Student Pharmacist Leadership Conference, and attendance at state and national professional events. These initiatives are designed to instill a sense of professionalism, increase awareness of professional issues, improve communication and leadership skills, and establish students as an integral part of the profession. Thanks to the generous support of our members, IPA Foundation provided $19,000 in scholarship to these student pharmacists from Drake University and The University of Iowa for the 2015-2016 academic year: Drake University IPAF Eggleston-Granberg Scholarships Elizabeth Bald Aubrey Johnson IPAF Mike & Terry Pursel Scholarship Andrew Ruplin IPAF Russell E. Johnson, Jr. & Lucille Johnson Scholarship Krista Maguire
RAGBRAI
For the second year in a row, the IPA Foundation sponsored a team of pharmacist and student pharmacist cyclists in the Register’s Annual Great Bike Ride Across Iowa (RAGBRAI). The team logged 462.2 miles during their week-long trek across the state as they promoted the profession, visited pharmacies and provided first-aid and numerous over-the-counter treatments to fellow riders from three mobile pharmacies. Through this unique outreach opportunity, the team connected with pharmacists and pharmacy technicians across the state and demonstrated the value of pharmacy professionals in a tangible way.
IPAF General Scholarships Michelle Hartman Kelsey Japs Molly Obermark Suzanne Rettey The University of Iowa IPAF Eggleston-Granberg Scholarships Jacqueline Camacho Robert Nichols IPAF General Scholarships Maxwell Anderegg Taylor Steckler
15
CONTRIBUTORS The Iowa Pharmacy Foundation sincerely thanks those members who make a contribution to the future of the profession by supporting the efforts of the Foundation…these contributions truly make a difference. The following list of contributors is for January 1, 2015 – December 31, 2015.
PLATINUM LEVEL ($1000+) Gary & Diane Albers Tim & Sherry Becker Brent Bovy Ray & Sally Buser Michael & Krisanne Calhoun Sharon Cashman Renae Chesnut Connie & Chris Connolly Michele & Michel Evink Steve & Jean Firman John & Cindy Forbes Jessica & Cody Frank Kate Gainer Bob Greenwood Tom & Heather Halterman Greg & Diane Hoyman Russ & Lucille Johnson TJ Johnsrud Clare Kelly Rob & Karla Krogman-Sauer Julie Kuhle Nickolas Lund Gary Maly Jim & Pam Miller William Moore Brand Newland Matt & Marilyn Osterhaus Lisa & Andy Ploehn Anthony Pudlo Sue & Kevin Purcell Morgan Sayler Al Shepley Denise & Bob Soltis Bernard Sorofman Bob & Lois Stessman Brenda Thies
GOLD LEVEL ($500-$999) Jeanine Abrons Mark Adams Carl Chalstrom Jay & Ann Currie Wendy Duncan Josh Feldmann Jim Hoehns
16
Rick Knudson Theresa Legg Kristin Meyer Marshall Moyer Kate & Ryan Pape Mike Pursel Daniel Ricci Susan Shields Rachel Smith Ben Urick & Kathryn Owen Sara & Terrel Wiedenfeld
SILVER LEVEL ($250-$499) Rocky Anderson Bill Baer Bill Baker Theresa Chamberlain John Daniel Ashley Dohrn Alisha Eggers Larry Fleckenstein Melanie Furman Tom Greene Terry Jacobsen Dennis Jorgensen Margaret Karbeling Barb Kelley Donald E. Letendre Erik Maki Steven Martens Jim McEnany Gary & Mary Milavetz Chuck & Janalyn Phillips Wes Pilkington Ethan Sabers Tyler Sandahl Bob Shores Angie Spannagel Amanda Stefl Sarah & John Swegle Tom Temple Farah Towfic CoraLynn Trewet Stevie Veach Emily Vyverberg Jerod Work
BRONZE LEVEL ($100-$249) Carol Anderson Ken Anderson Michael Andreski Christopher Arp Syl Arroyo Elizabeth Bald Christina Bravos Ginelle Bryant Cindy Buys Frank Cable Chris Catney Jacqueline Chorzempa Angela Davis Chris Donner Tiernan Carmen Dunphy Dalton Fabian Allen Fann Amy Jackson Tyson Ketelsen Lisa Lambi Nicolas Lehman Craig Logemann Gene & Susan Lutz Ed Maier Dana McDougall Leman Olson Phyllis Olson Bob Osterhaus Khanh Phan Holly Randleman Steve Sayler Douglas Schara Allison Schlicher Jim Scott Rachel Skoff Rachel Smith Ron Torry Susan Vos Jim Wallace Bill Wimmer Sara Wormley
BUSINESS PARTNER CONTRIBUTORS
APhA Foundation APMS Bellevue Pharmacy CarePro Health Services Chris Connolly/Wells Fargo Advisors Collaborative Education Institute CVS Health Daniel Pharmacy Drake University College of Pharmacy Dubuque Area Pharmacy Association Greenwood Pharmacy GRX Medicap Hartig Drug H.D. Smith Hy-Vee Johnson County Pharmacy Association Main on Locust Manning Pharmacy McGowan, Hurst, Clark & Smith McKesson Miller Purcell North Iowa Pharmacy Inc NuCara Management Group Osterhaus Pharmacy Pharmacists Mutual Pharmco Properties PharmServ Staffing Quad Cities Area Pharmacy Association The University of Iowa College of Pharmacy Thompson Dean Drug Towncrest Pharmacy Wasker, Dorr, Wimmer, Marcouiller
thank you!
THOMAS R. TEMPLE LEADERSHIP ENDOWMENT For the past 28 years, the Leadership Pharmacy program has provided leadership training to over 300 new pharmacy practitioners in Iowa. To ensure that the conference continues on in perpetuity, an endowment campaign was established in 2012 with a goal of $750,000 to be split equally between Iowa and Wisconsin. The IPA Foundation established the Thomas R. Temple Leadership Endowment for the Iowa portion in recognition of the founder of Leadership Pharmacy, Tom Temple, CEO Emeritus of the Iowa Pharmacy Association. To date, Iowa has collected $350,735 of our $375,000 goal! Thank you to those who helped grow the Endowment fund in 2015 (Levels represent 2015 gifts only), Platinum Level ($1,000+) Connie Connolly Kate Gainer McKesson Miller Purcell NuCara Pharmacies Anthony Pudlo Brenda Thies Gold Level ($500-$999) Jeanine Abrons Josh Feldman Bob Greenwood Lisa Ploehn Silver Level ($250-$499) Bill Baker Carl Chalstrom Jay Currie Alisha Eggers
Susan Shields Farah Towfic Bronze Level ($100-$249) Gary Albers Ken Anderson Bill Baer Tim Becker Renae Chesnut Ashley Dohrn Carmen Dunphy Michele Evink Amy Jackson Jessica Frank Tyson Ketelsen Rick Knudson Julie Kuhle Lisa Lambi Nic Lehman Nickolas Lund
Phyllis Olson Bob Osterhaus Wes Pilkington Michael Pursel Allison Schlicher Rachel Skoff Bob Stessman Stevie Veach Jim Wallace Sara Wiedenfeld Copper Level (Up to $99) Shane Madsen CoraLynn Trewet Patrick Verdun Brian Wall
Battle of the Foundations
For the second year in a row, IPA defeated the Pharmacy Society of Wisconsin in the Battle of Foundations. This friendly rivalry challenge takes place in the weeks leading up to University of Iowa vs. University of Wisconsin football game, encouraging members from both states to contribute to their respective part of the Leadership Pharmacy Endowment for Iowa member’s generosity resulted in $11,300 being contributed to the Thomas R. Temple Leadership Endowment.
Outcomes Innovative Pharmacy Endowment The IPA Foundation would like to thank these Founding Circle donors who have to date given $744,450 to the endowment.
Platinum Level ($100,000 and above) Ray & Sally Buser Michele & Michael Evink Russ & Lucile Johnson Jim & Pam Miller
Gold Level ($50,000 - $99,999) CarePro Health Services Matt & Marilyn Osterhaus
Silver Level ($10,000 - $49,999) Tom & Heather Halterman Greg & Diane Hoyman
John & Cindy Forbes Brand Newland Sue & Kevin Purcell Bob & Lois Stessman Brenda Thies
Bronze Level ($1,000 to $9,999) Gary & Diane Albers Michael & Krisanne Calhoun Cardinal Health Steve Firman Jessica & Cody Frank Towncrest Pharmacy
17
COMMITTEES
thank you! Policy Committee on Public Affairs
Legislative Advisory Committee
Sally Haack, Chair Ashley Dohrn, Vice Chair Bruce Alexander Rocky Anderson Tim Becker Angie Danielson Jessica Dizon Dalton Fabian Jim Hoehns Nick Lund Lisa Mascardo Kathleen McNamara
Steve Firman, Chair Erik Maki, Vice Chair Marilyn Aldrich Bill Baker Brett Barker Ashley Clark Mike Fuller Jen Goings Tom Greene Robert Greenwood Tom Halterman Hal Jackson Thane Kading
Taylor Monson Mary Mosher Nathan Peterson Emily Prinz Meaghan Rogers Morgan Sayler Susan Shields Mark Sorenson Mary Starry Geoff Wall Claire Weidman Rochelle Yang
Policy Committee of Professional Affairs Angie Spannagel, Chair Heather Ourth, Vice Chair Meagan Adamsick Randi Beranek Ginelle Bryant Jordan Burger Mike Case Haub Carl Chalstrom Ashley Clark Rachel Dyke Carson Klug Gayle Mayer
Corey Melroe Logan Murry Angie Nelson Anh Ngo Monica Pal Michael Schnackenberg Mary Theresa Seddon Wendi Slaughter Rachel Smith Theresa Tranel Kristi Ugboh Valerie Uthoff
Advisory Committee on Medicaid and Pharmacy Benefit Programs Kim Spading, Chair Randy McDonough, Vice-Chair Nancy Bell Christina Bravos Jessica Frank Ryan Frerichs Mike Fuller Rachel Gean Teri Jacobsen Kelsey Japs
18
Laura Knockel Patrick Kinn Scott Kollasch Shane Madsen Chris Parker Wes Pilkington Marshall Sanders Sarah Schmidt Jess Smith Jenny Tuttle
Joel Kurzman Shiny Parsai Nathan Peterson Marra Pienta Sue Purcell Doug Schara Andy Spurgin Anne Stella Krystle Thai Erica Tolle Kristin Williams Marshall Johnson
Health System Liason Board Zach Pollock, Chair David Weetman, Vice Chair Brianne Bakken John Beyer Michael Brunner Jordan Burger Amanda Bushman Alexa DeVita Jenna Dietrich Allison Fick Keri Heitzman Jeff Houseman Candace Jordan
Sue Keller Lisa Lambi Aaron Lott Shane Madsen Jasmine Mangrum Alex Mersch Emily Muehling Traci Peters Holly Randleman Katie Rolfes Megan Snyder Erica Truong
Hospital Leadership Team Brian Benson Mike Brownlee Kevin Cassatt Mary Beth Gross John Hamiel Scott Leigh Gayle Mayer DeeAnn Wedemeyer Oleson
Craig Osland David Seiler Jamie Sinclair Pat Thies Travis Tubbs Doug Wetrich Greg Young
FINANCIALS Long Term Care & Senior Care Advisory Committee Kristen Meyer, Chair Mark McMullen, Vice-Chair David Brothersen Frank Caligiuri Brittany Dougherty Anisa Fornoff Marie Franzen Becky Kehoe Micaela Maeyaert Shannon Mahony
Marcia McNulty Dick Michael Justin Rash Jeff Reist Taylor Schwebe Grant Stimes Amy Wadstrom Michael Williams Pamela Wong
Education Advisory Committee Nic Lehman, Chair Emily Beckett, Vice Chair Elizabeth Bald Brittany Bruch Connie Connolly Meredith Ginn Allie Haight Ryan Jacobsen Teresa Kelley Carrie Koenigsfeld
John L. Estrange Hilary McCants Nicole McSweeney Heather Ourth Chris Parker Susan Shields Andrew Stessman Stevie Veach Claire Weidman Sara Wiedenfeld
Pharmacy Technician Advisory Committee Lori Foster, Chair G. Jean Gallogly, Vice-Chair Neisha Benson Jessica Burge Carmen Dunphy Meg Finn Anna Fishel Michelle Garvin Sonya Jones Kelly Komen Judy Mentzer
Angie Miller Kaye Moeller Chris Parker Mary Powers Tammy Sharp-Becker Jill Shoopman Jessica Sinning Alyce Steig Julia Strause Rachel Weber Amanda West
The IPA Board of Trustees approves an annual budget each year in combination with PNI, Inc., IPA’s wholly owned subsidiary. PNI, Inc. owns the Association’s headquarters located at 8515 Douglas Avenue in Urbandale, Iowa. A financial review was conducted by McGowen, Hurst, Clark & Smith, a CPA firm located in West Des Moines. The report was presented to the Board in April with no significant findings. Below is a summary of the association’s revenue and expense by category, for calendar year 2015. Per the review, only 13% of IPA’s income is spent on operations and administration, while the remaining 87% of our income funds association programs and initiatives, directly supporting the mission of the Iowa Pharmacy Association. TOTAL OPPERATING REVENUE Membership Dues
$417,998
Grants
$259,079
Drug Take-Away
$180,000
Clinical Services
$68,218
Corporate Partnerships
$211,966
IPA Conferences
$243,636
Management Services
$21,400
Publications
$122,962
Market Earnings
Personnel Grants
IPA members have the opportunity to lead and shape the future of our profession. By volunteering on a committee, you lend your voice and experience to the advancement of pharmacy practice across the state. If you are interested in serving on the Board or a committee, contact Anthony Pudlo at apudlo@iarx.org.
$66,750
Building Rent
TOTAL OPERATING EXPENSES
GET INVOLVED
$1,588,372
($3,637) $1,512,610 $526,733 $73,003
Drug Take-Away
$221,144
Clinical Services
$44,145
Operations
$115,099
IPA Conferences
$289,838
Advocacy
$68,418
Building
$64,638
Publications
$67,040
State & National Meetings
$35,827
Awards CHANGE IN NET ASSETS
$6,725 $75,762
19
IOWA PHARMACY ASSOCIATION 8515 Douglas Avenue, Suite 16 Des Moines, Iowa 50322 515-270-0713 | ipa@iarx.org www.iarx.org