IPA Journal - Jan/Feb/Mar 2016

The Journal of the Iowa Pharmacy Association | A Peer-Reviewed Journal

Antibiotic Resistance: The Threat Driving Antimicrobial Stewardship pg. 10

JAN.FEB.MAR 2016 IPA’s 2016 Legislative Priorities Committee Meeting Updates New IPA Fellowship

JAN.FEB.MAR 2016 | Vol. LXXII, No. 1

TABLE OF CONTENTS 8515 Douglas Avenue, Suite 16, Des Moines, IA 50322 Phone: 515.270.0713 Fax: 515.270.2979 Email: ipa@iarx.org | www.iarx.org

PUBLICATION STAFF David Schaaf, Managing Editor dschaaf@iarx.org Kate Gainer, PharmD kgainer@iarx.org Anthony Pudlo, PharmD, MBA, BCACP apudlo@iarx.org Laura Miller lmiller@iarx.org

OFFICERS

CHAIRMAN John Swegle, PharmD, BCPS, Mason City 641.428.7182, john-swegle@uiowa.edu PRESIDENT Bob Greenwood, RPh, Waterloo 319.234.1589, bob@greenwoodpharmacy.com PRESIDENT-ELECT Rick Knudson, PharmD, BCPS, MS, MBA, Clear Lake 515.707.1174, raknudson@hotmail.com TREASURER Steve Firman, RPh, Cedar Falls 319.277.7540, steve@pmgrx.com SPEAKER OF THE HOUSE CoraLynn Trewet, MS, PharmD, BCPS, CDE, Ankeny 515.360.0065, coralynn.trewet@sanofi.com VICE SPEAKER OF THE HOUSE Susan Vos, PharmD, BCPS, FAPhA, Iowa City 319.335.8837, susan-vos@uiowa.edu

TRUSTEES REGION 1 Kristin Meyer, PharmD, CGP, CACP, FASCP, Marshalltown 641.753.4580, kristin.meyer@drake.edu REGION 2 Ryan Jacobsen, PharmD, BCPS, Iowa City 319.321.4436, ryan-jacobsen@uiowa.edu REGION 3 Erik Maki, PharmD, BCPS, Johnston 515.326.0171, erik.maki@drake.edu REGION 4 Jerod Work, PharmD, Sioux Center 712.722.0845, jerodwork@gmail.com AT LARGE David Weetman, RPh, Iowa City 319.356.2577, david-weetman@uiowa.edu Laura Knockel, PharmD, North Liberty 319.354.7121, lauraknockel@gmail.com Brett Barker, PharmD, Nevada 515.382.4179, brett-barker@uiowa.edu Stevie Veach PharmD, BCACP, Tiffin 563.580.9662, stevie-veach@uiowa.edu HONORARY PRESIDENT Dennis Jorgensen, RPh, Panora 641.755.2520, dkjorgensen@netins.net PHARMACY TECHNICIAN G. Jean Gallogly, CPhT, Vincent crittersandstuff@yahoo.com STUDENT PHARMACISTS Christina Bravos, Drake University christina.bravos@drake.edu Robert Nichols, University of Iowa robert-nichols@uiowa.edu

FEATURES

President’s Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Board of Trustees Election . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Feature: Antibiotic Resistance: The Threat Driving Anitmicrobial Stewardship . . . . . . . . . . . . . . . . . . . . 10 2016 Midwest Pharmacy Expo . . . . . . . . . . . . . . . . . . . . . . 14 IPA Committee Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 IPA Goes Local . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Join the 2016 RAGBRAI Team . . . . . . . . . . . . . . . . . . . . . . . 31 IPA Legislative Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

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The Journal of the Iowa Pharmacy Association is a peer reviewed publication. Authors are encouraged to submit manuscripts to be considered for publication in the Journal. For Author Guidelines, see www.iarx.org.

“The Journal of the Iowa Pharmacy Association” (ISSN 1525-7894) is published 4 issues per year: January/ February/March issue; April/May/June issue; July/August/September issue; and October/November/ December issue by the Iowa Pharmacy Association, 8515 Douglas Avenue, Suite 16, Des Moines, Iowa 50322.

Periodicals postage paid at Des Moines, Iowa and additional mailing offices. POSTMASTER: Send address changes to: The Journal of the Iowa Pharmacy Association, 8515 Douglas Ave., Suite 16, Des Moines, IA 50322. Published quarterly The Journal is distributed to members as a regular membership service paid for through allocation of membership dues. Subscription rates are $100 per year, single copies are $30. Printed

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JAN.FEB.MAR 2016 |

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President’s Page

HAPPY NEW YEAR

Bob Greenwood, RPh IPA President

I hope you and your family had a happy holiday season! As we start our journey into 2016, it is the half way point of my service as President of the Iowa Pharmacy Association. I have had time to reflect on 2015 while traveling to Des Moines for IPA meetings on your behalf. If one would chart the year on a graph as it pertains to IPA it would have similar gyrations on the 2015 stock market, i.e. a roller coaster environment. I want to pencil down some of the activities that took place this past year in order to preserve the environment and challenges that the 2015 IPA members faced, the battles we fought, and success we attained so the future generations of pharmacists can embrace the past.

2015 started with the State of Iowa being challenged by a lawsuit from the Pharmaceutical Care Management Association (PCMA), the association representing the PBM industry.

This litigation was filed to stop the implementation of H.F. 2297 (the PBM bill) which was signed into law by the Governor on March, 14, 2014. IPA monitored the litigation and tried to be a resource to the Iowa Insurance Division and the State Attorney General’s office as the case proceeded and was finally dismissed in late 2015.

Another successful year of advocacy was kicked off with the IPA Legislative Day in January. The number one priority of the Legislative committee was the PBM fix bill H.F. 395 which again passed unanimously by both chambers and was signed into law by Governor Branstad on April 2, 2015. The major change in policy followed the start of the legislative session when Governor Branstad introduced his Medicaid Modernization Initiative which would move the administration of the Iowa Medicaid Program to managed care oversight. Contracts with MCO’s were signed in October and as of this writing, the State is waiting for CMS to grant final

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approval to implement managed care administration on March 1, 2016.

Before I get into activity IPA has planned for 2016, I would like to thank Kate and the IPA staff for their hard work and dedication this past year. Chery and I also extend our heartfelt appreciation and best wishes to Joan Stover on her retirement.

Thanks to fellow members of the Executive Committee, Board of Trustees, and Legislative team. I want to extend a special thank-you to the members that have served and are serving on IPA committees. Lastly to the generous donors of the IPA Foundation, the new Outcomes Innovative Pharmacy Endowment, the IPPAC and the IPA Legal Defense fund. We could not succeed without you!

Now for 2016, if you haven’t been involved, get involved, we need all hands on deck! Call a former classmate, an across town colleague, or a co-worker and sign up to attend an event. Check out IPA’s Midwest Pharmacy Expo (pg 14)!

2016 will see plenty of opportunities to advance pharmacy in Iowa and beyond.

IPA is in the initial stages of developing a statewide performance-based network.

CMS announced an enhanced MTM model pilot in Iowa and 10 other states beginning in 2017.

Rest assured your IPA staff, executive committee and board of trustees will continue to address unfair reimbursements that community pharmacies are experiencing. We will find a streamlined mechanism to be able to report these unfair reimbursements to the Iowa Insurance commissioner, and continue to work with plan sponsors and payers to find different and fair reimbursement methodologies. ■

THANK YOU FOR A FANTASTIC 2015!

board of trustees ELECTION

Board of Trustees Election Vote for the 2016-2017 Iowa Pharmacy Association Board of Trustees!

ELECTRONIC BALLOTS WILL BE SENT TUESDAY, FEBRUARY 2.

Each candidate’s personal statement and bio will be available online with the electronic ballots. All IPA Pharmacist members vote for all elections. Ballots will close Wednesday, February 16 at 12:00 midnight.

FOR THE OFFICE OF PRESIDENT Rick Knudson, Pharm D, MS, MBA, BCPS Clear Lake

Rick Knudson received his Doctor of Pharmacy degree from Drake University College of Pharmacy and Health Sciences in 1998.

Following graduation he completed a Pharmacy Practice Residency at Avera McKennan Hospital in Sioux Falls, SD. Upon completion of residency training Rick returned to Iowa to practice pharmacy in Mason City where he served for five years as the Infectious Disease Clinical Pharmacy Specialist for Mercy Medical Center - North Iowa. In 2004 he joined Premier as Director, Pharmacy Consulting.

Recently Rick transitioned to the role of Senior Director, Pharmacy Member Support for Premier. In the spring of 2013 Rick completed his Masters requirements in pharmacoeconomics through the University of Florida College of Pharmacy. In 2014, he completed the requirements for a Masters of Business Administration degree from Stetson University in Deland, FL. Rick served on the IPA Board of Trustees from 2007-2009. He is a past participant of Leadership Pharmacy and has served on numerous IPA committees and task forces. Rick has been active in various roles with the association including serving as a peer reviewer for The Journal of IPA and a pilot participant for the continuing professional development program. In addition, he serves numerous committees and advocacy roles through his work with Premier.

FOR THE OFFICE OF TREASURER

To request a paper ballot, contact the IPA office at 515-270-0713.

Sue Purcell, RPh The IPA Board of Trustees is the governing body responsible for advancing the goals and objectives of the association. The board ensures clear communication between IPA and its members and maintains a strong awareness of our members’ needs, desires and attitudes. With that understanding, the Board shapes the association’s personality, defines its goals, sets its budget, and charts its future.

Each year, IPA members have the opportunity to choose who will represent them on the board. Candidates are selected by a nominations committee and are then ratified by the IPA House of Delegates at the Annual Meeting in June. The election is held the following February and those elected are inaugurated at the following Annual Meeting.

Trustees are elected to serve a 2-year term. The Board meets for a retreat each July and then meets in November, February and April at the IPA office in Des Moines, and again at the IPA Annual Meeting the following June.

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Dubuque

Sue Purcell is a co-founder of Miller-Purcell, an ambulatory pharmacy management corporation. A graduate of the University of Iowa College of Pharmacy, Purcell is a past President of the Iowa Pharmacy Association. She was among the first group to receive designation as a Certified Consultant Pharmacist from the Commission for Certification in Geriatric Pharmacy. Sue is a past IPA Board Trustee, has participated on the Legislative and Professional Affairs Committees, chaired the Public Affairs Committee and served as Speaker of the House of Delegates. She is currently the Director of Ambulatory Pharmacy for Mercy Medical Center in Dubuque and manager of Mercy CareMor, a long term care pharmacy providing consulting and dispensing services to 1500 patients. Sue has served on the Pharmacy and Therapeutics Committee for the Iowa Medicaid Preferred Drug List since its inception and is a past Chair.

A former winner of the IPA Innovative Practice Award, Sue currently serves on the IPA Legislative Committee and the Iowa Pharmacy Association Foundation Board. She has been the Co-Chair of the 1885 Society for the University of Iowa College of Pharmacy and currently serves as the Chair of the IPA Political Action Committee.

board of trustees ELECTIOn FOR THE OFFICE OF PRESIDENT-ELECT Craig Logemann, RPh, PharmD, BCACP, CDE Ankeny

Craig Logemanm graduated with his Bachelor Degree in Pharmacy from the University of Iowa. He then completed a pharmacy practice residency at the University of Iowa Hospitals and Clinics. Upon completion of his residency, he was a hospital pharmacist in St. Paul for six years. During that time, he received his Doctor of Pharmacy degree from the University of Minnesota. In 1995, he returned to Iowa and was Family Medicine Faculty with the University of Iowa and Iowa Lutheran Hospital Family Practice Residency. Since 2004, Craig has provided clinical pharmacist services at various family medicine clinics within UnityPoint Clinics (currently at Urbandale, West Des Moines and Ankeny). His clinical activities include medication therapy management primarily in the areas of anticoagulation, diabetes, hyperlipidemia and metabolic syndrome. He also has provided leadership in advancing medication therapy services within UnityPoint Health. He is an adjunct professor with University of Iowa and Drake University Colleges of Pharmacy.

Craig has served on various IPA committees over the past 18 years, including the Professional Affairs and Public Affairs Policy Committees. He served as Vice Speaker and Speaker of the House of Delegates from 2008-2010. He has also been a speaker at many of the IPA continuing education programs. In 2005, he received the Innovative Pharmacist Award from the Association.

Geoffrey C. Wall, PharmD, FCCP, BCPS, CGP Johnston

Geoffrey C. Wall is a Professor, Department of Clinical Sciences, at the Drake University College of Pharmacy and Health Sciences and Director of the Drake Drug Information Center. His clinical practices include the Internal Medicine and Medical Intensive Care Teaching Services at Iowa Methodist Medical Center in Des Moines. Geoffrey received his Bachelor of Science in Pharmacy from the University of Utah in 1992 and his Doctor of Pharmacy from Idaho State University in 1998. He completed an ASHP-accredited Internal Medicine Specialty Residency at Scott and White Memorial Hospitals and Clinics in 1999. He is Board-Certified in Pharmacotherapy and is a Certified Geriatric Pharmacist. He is a Fellow of the American College of Clinical Pharmacy.

Geoffrey has written a number of peer-reviewed papers and textbook chapters on a variety of topics, and has designed or participated in several clinical trials. He has served IPA in numerous capacities including acting as Delegate for the IPA Annual meeting, serving on several Policy Committees and the Health-System Liaison Board, and the Governor’s Taskforce on Epilepsy Treatment and Education. He has served two terms on the Board of Trustees including a position as Speaker of the House.

FOR TRUSTEE - REGION 1 Sharon Cashman, RPh Waverly

Sharon Cashman is currently the pharmacy manager for Waverly Health Center, managing both the inpatient and retail pharmacies and working as an Associate Preceptor for the Northeast Iowa Family Practice Residency Program as well as an adjunct professor for the University of Iowa College of Pharmacy IPPE 1 and IPPE 2 Hospital Pharmacy experience. She graduated with a bachelor’s degree in pharmacy from the University of Iowa in 1987, before working community and hospital pharmacy for the past 28 years gaining experience in long term care, implementing a pharmacy immunization program, automated dispensing, and 340B program.

Sharon has been an IPA member as a student and throughout her pharmacy career, promoting the IPA educational programs to her staff. Over the past two summers she was part of the IPA Foundation RAGBRAI team networking with pharmacists across Iowa. She serves as an active member in her community as a healthcare professional and a city leader involved in community projects and health related events. Sharon has been an active voice in the IPA and IHA legislative action items.

Christopher Clayton, PharmD, MBA Manchester

Christopher Clayton received his doctorate degree in Pharmacy from the University of Iowa in 2000 and his MBA from the University of Iowa in 2009. Chris is currently the Regional Director of Pharmacy for Unity Point Health Waterloo and Dubuque regions and serves as the Residency Program Director for Allen Hospital. He has direct oversight of inpatient hospital pharmacies, retail pharmacies, outpatient MTM clinics and the residency program. He is also co-owner and the CFO/ COO of Clayton Drug in Strawberry Point and Sumner, IA. Chris has been the director over other areas such as DME and digestive health, served as project leader for numerous projects (including the Epic implementation at Allen Hospital) and has served on numerous committees. He has participated in ongoing performance improvement initiatives and has a background in FMEA, Lean and Adaptive Design. He was recognized by IPA for his leadership in the State and was selected for the Leadership Pharmacy Conference in 2008.

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board of trustees FOR TRUSTEE - REGION 3 Rachel Digmann, PharmD, BCPS Ankeny

Rachel Digmann received her Doctorate of Pharmacy from Drake University and completed a specialized residency in Primary Care at the University of Iowa. After residency, she practiced as a Clinical Pharmacy Specialist in Primary Care at Kaiser Permanente Colorado for several years. In 2009, she and her family decided to relocate back to Iowa. Since then, she has held various clinical and administrative pharmacy positions, including: Clinical Operations Manager for a PBM; Director of Clinical Pharmacy for a health insurance company; and Assistant Chief of Pharmacy at a VA hospital.

In 2012, she accepted the position as Telligen’s Clinical Pharmacy Specialist and began work on the state of Iowa Quality Improvement Organization (QIO) contract. In 2014, she transitioned from the local QIO contract to the Quality Innovation Network National Coordinating Center contract with Telligen, where she currently is the Medication Safety & Program Lead. In 2015, Rachel was appointed to the IDPH Medication Safety Steering Committee. She also sits on the Drake University DELTA Rx Institute Advisory Board.

Holly Randleman PharmD Des Moines

Holly Randleman has practiced pharmacy for 8 years since graduating from Drake University with a Doctorate of Pharmacy in 2007. She went on to complete a residency at Mercy Medical Center in Des Moines in 2008, and then worked at Mercy as a clinical staff pharmacist. Currently, she is a pharmacist at Iowa Methodist Medical Center in Des Moines where she has practiced pharmacy since 2011.

Holly serves as a preceptor for third and fourth year student pharmacists from Drake University. She has also served as chair of the Health-System Liaison Board for IPA, is on the Iowa Medicaid Pharmacy and Therapeutics Committee, served on the Board of Pharmacy-Iowa Pharmacy Association Patient Safety Task Force, and attended the 2015 Pharmacy Leadership Academy.

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FOR TRUSTEE - AT LARGE Jessica Frank, PharmD Winterset

Jessica Frank is Vice President of Quality at OutcomesMTM where she directs the corporate quality strategy as well as the design and implementation of clinical programs. She is a subject matter expert on industry quality standards and ensures the company’s initiatives are aligned with the National Quality Strategy. Jessica has extensive experience in clinical account management serving as lead pharmacist for dozens of health plans across the country. She has experience in developing and managing the performance of an MTM network of over 100,000 pharmacists and has been instrumental in developing clinical rules for the OutcomesMTM Insight Clinical Engine.

Jessica is an active member of the Pharmacy Quality Alliance, with appointments to the Quality Metrics Expert Panel, the Part D MTM Measure Development Team and has participated in several industry workgroups that guide pharmacy quality measure development, particularly in the medication therapy management industry. She was also appointed in 2014 to serve a three-year term on the CMS MTM Technical Expert Panel. Dr. Frank has been a long-standing member of IPA and has served for the past three years on the Iowa Medicaid & Pharmacy Benefit Program Advisory Committee. She is also a past participant in the IPA Leadership Pharmacy Conference.

Jessica received a Doctor of Pharmacy degree from the University of Iowa in 2007 and completed a managed care pharmacy residency with OutcomesMTM.

Heather Rickertsen, PharmD Delmar

Heather Rickertsen graduated from the University of Iowa College of Pharmacy in 2005, and completed a Community Care Pharmacy Practice Residency with University of Iowa College of Pharmacy and Mercy Family Pharmacy. Heather is a clinical pharmacy coordinator with Mercy Family Pharmacies in Dubuque, Iowa. She also serves as site coordinator for University Of Iowa Community Care Pharmacy Practice Residency program and preceptor for pharmacy students from Drake and University of Iowa.

She provides patient care in a variety of settings, including anticoagulation clinic, hyperlipidemia, hypertension and diabetes disease state management programs, safety net pharmacy oversight committee, performance improvement and pharmacy and therapeutics with Crescent Community Health Center. Additionally, she manages 340b-dispensing pharmacy and clinical pharmacy services for Crescent Community Health Center. Heather is active in Alliance for Integrated Medication Management as a team member as well as a learning coach.

board of trustees FOR TRUSTEE - AT LARGE Nora Stelter, PharmD, CHWC Urbandale

Nora Stelter is the Associate Professor of Pharmacy Practice and Coordinator of Introductory Pharmacy Practice Experiences (IPPE) at Drake University College of Pharmacy and Health Sciences. She is a 2000 graduate of the University of Iowa College of Pharmacy and completed a residency in association management at the NACDS. After residency, Nora spent eight years at NACDS where she was Director of Education and Training where she collaborated with other national pharmacy associations to advance pharmacy practice and developed pharmacy education and training programs. She began her academic career at Drake University in 2008. She maintains a practice site with Polk County Senior Services and serves as a preceptor there. She also enjoys dedicating her time as a chapter advisor for the APhA-ASP at Drake.

Nora is an active member of IPA, APhA, and the American Association of Colleges of Pharmacy (AACP). In IPA, she currently serves on the Policy Committee on Public Affairs, and in the past has served on the Long Term Care Advisory Committee, Medicaid and Pharmacy Benefit Programs Committee, Legislative Committee, and Policy Committee on Professional Affairs. She serves as a Delegate in the IPA House of Delegates and was a 2009 Leadership Pharmacy Conference Participant.

Leslie Tierney, PharmD Denver

Leslie J. Tierney received her Doctor of Pharmacy degree from The University of Iowa College of Pharmacy in 2000. Leslie is an active long term care pharmacist, managing partner and Chief Executive Officer (CEO) of Martin Health Services.

She brings experience from many disciplines of pharmacy practice.

She began her career as PIC of an independently owned retail pharmacy in her hometown for 5 years. She has expanded her experience in a closed door pharmacy setting where she fulfills the full pharmacy needs of skilled nursing facilities, assisted living facilities, residential care facilities and group homes. Some of her specific initiatives center around formulary management, pharmacogenetics and clinical pharmacist services with a strong emphasis on transitions of care from home or hospital to facility and facility back to home.

Leslie’s involvement at IPA started in 1998 when she served as the Executive Intern. Leslie has also served on the Policy Committee and the Board of Pharmacy-Iowa Pharmacy Association Patient Safety Task Force. She is a long-time member of IPA, ASCAP, ICAL, and NCPA.

FOR TRUSTEE - PHARMACY TECHNICIAN Meg Finn, CPhT North Liberty

Meg Finn has been a Pharmacy Technician at the University of Iowa Hospitals and Clinics since 2007. She was promoted to the position of Pharmacy Technician Supervisor in the Ambulatory Care Pharmacy division in February 2014, where she oversees technicians, student technicians, pharmacist interns, and pharmacy processes in multiple pharmacy locations including: outpatient prescriptions services, medication bedside delivery services, mail order services, and technician training. Meg graduated from the University of Northern Iowa with a bachelor’s degree in Education in 2005.

Meg is an active member of the Iowa Pharmacy Association, having served on the Technician Advisory Committee in 2014-2015. She also served as a technician representative and presenter at the Iowa Pharmacy Technician Education Summit, held in February of 2015 in Des Moines.

Judy Neville, CPhT Omaha, NE

Judy Neville received her Bachelor’s degree from Buena Vista University. She is a Director at the University of Nebraska Medical Center College of Pharmacy (UNMC COP) for the Pharmacy Technician Program. Prior to her current position, Judy was employed as a Pharmacy Auditor/Communications & Coordination Manager for a Federal government Medicaid Integrity Program Contractor of the Centers for Medicare and Medicaid (CMS). Prior to working in the pharmacy auditing field, Judy spent 12 years as a pharmacy technician educator and program director in Omaha, NE. She is an accomplished author of 3 pharmacy technician textbooks.

Judy is a Board member for the Exam for the Certification of Pharmacy Technicians (ExCPT). She is a member of Southwest Iowa Pharmacy Association (SIPA) and active in both the Nebraska Pharmacy Association (NPA) and IPA, serving on IPA’s Long Term Care committee and Pharmacy Technician Advisory Board. She is a member of the Accrediting Bureau of Health Education Schools (ABHES) advisory committee for pharmacy technician education.

Judy is also the President of the American Association of Pharmacy Technicians (AAPT).

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Feature

Antibiotic Resistance: The Threat Driving Antimicrobial Stewardship Amanda Bushman, PharmD, BCPS Infectious Disease Pharmacist UnityPoint Health - Des Moines

Lisa Lambi, PharmD, BCPS Clinical Pharmacist UnityPoint Health - St. Luke’s

D

id you know that antibiotic resistance has been called one of the world’s most pressing public health problems? Inappropriate antibiotic use can lead to the development of resistant infections that even our strongest antibiotics cannot effectively treat. In the United States, at least 2 million people become infected with antibiotic resistant infections each year and nearly 23,000 of those people die as a result of their infection.

In the past, the problem of antibiotic resistance was manageable. As organisms evolved, the pharmaceutical industry developed new antibiotics to overcome the growing resistance.

However, since 2009, only seven new antibiotics have come to market. In 2013, the CDC published an antimicrobial threat report which highlights the seriousness of this problem. This report provides information on the threat of antimicrobial resistance, how to fight against resistance and the current threat levels in the United States by pathogen.

The three pathogens that have been deemed an urgent threat are: Clostridium difficile, Carbapenem Resistant Enterobacteriaceae (CRE) and Drugresistant Neisseria Gonorrhoeae. While many practice sites may not routinely encounter these pathogens, many of the serious and concerning threats are more commonly seen pathogens.

The CDC Threat Report also highlights the benefits and importance of antimicrobial stewardship. Antimicrobial stewardship is defined by the Infectious Disease Society of America (IDSA) as coordinated interventions designed to improve and measure the appropriate

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use of antimicrobials by promoting the selection of the optimal antimicrobial drug regimen, dose, duration of therapy, and route of administration. Antimicrobial stewardship can decrease antibiotic resistance, decrease Clostridium Difficile infections, decrease antimicrobial costs and most importantly, promote better patient outcomes.

“Antimicrobial stewardship can decrease antibiotic resistance, decrease Clostridium Difficile infections, decrease antimicrobial costs and most importantly, promote better patient outcomes.”

The problem of antibiotic resistance has also gained the attention of The President of the United States. In fact, in September 2014, the President issued an Executive Order in efforts to address this serious public health concern. In March 2015, the White House released a comprehensive plan that identifies critical actions to be taken by key Federal departments and agencies to combat the rise of antibioticresistant bacteria. The documented plan, drafted by the President’s Council of Advisors on Science and Technology (PCAST), is titled “National Action Plan For Combating Antibiotic-Resistant Bacteria”.

This sixty-five page document highlights eight high-level recommendations to combat antibiotic resistance. The sixth recommendation and focus of the report is on improving stewardship of existing antibiotics in health care. The report indicates that reimbursement should

Feature be used as an incentive to drive compliance of stewardship activities.

By 2017, all health-care facilities will be required to have robust Antimicrobial Stewardship Programs (ASP) and be compliant with stewardship activities.

Health-system practitioners should be asking themselves, “Is my institution ready for these new antimicrobial stewardship requirements?” Starting an antimicrobial stewardship program (ASP) requires multiple steps. Prior to starting an ASP, institutions should assess their current practices to understand the prescribing environment and scope of the antimicrobial resistance issues. Many resources regarding antimicrobial stewardship can be found on the CDC website (www.cdc.gov), including

information for both the healthcare worker and the patient. One important resource is the CDC’s Core Elements of Hospital Antibiotic Stewardship Paper.

This paper highlights the check-list of key items that are imperative to a stewardship program.

The Iowa Pharmacy Association’s (IPA) Health-System Liaison Board (HSLB) is working to provide Iowa pharmacists with education and tools to assist with antimicrobial stewardship. The HSLB is conducting a survey for institutionbased practitioners that will provide IPA with information to assist with the education and development of programs around the state, including those institutions who have limited resources (i.e. critical access hospitals).

If you are interested in learning more about how to develop an ASP or what the future regulatory requirements will be in regards to antibiotic stewardship, IPA will be your guide!

Resources and education will include upcoming journal articles, the January 2016 2/2/2 webinar focused on Antimicrobial Stewardship in Iowa, and examples from best practices in stewardship across the state. ■

ONLINE FEATURE!

View a recording of the January 2/2/2 Webinar

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health care hot topics Chain Drug Acquisitions and Mergers

In October, Walgreens Boots Alliance announced plans to acquire Rite Aid for $17.2 billion. The deal would create the largest pharmacy chain in the U.S. with nearly 13,000 stores. In order to clear regulatory hurdles, Walgreens has agreed to divest up to 1,000 stores, however analysts suggest the total could be as high as 3,000 due to proximity considerations.

Within the last few years, Walgreens has acquired Duane Reade, USA Drugs, and Kerr Drug. In addition, CVS Health completed its acquisition of Target pharmacies in December.

Update to Beers Criteria Released

The American Geriatrics Society (AGS) released a second update to the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.

Several key changes were made that will impact healthcare in the geriatric population, including: • The addition of nonbenzodiazepine, benzodiazepine receptor agonists hypnotics (eszopiclone, zaleplon, zolpidem) added to the list to avoid • The creatinine clearance at which nitrofurantoin should be avoided was lowered from less than 60 mL/ min to less than 30 mL/min • Proton-pump inhibitors are to be avoided for use longer than 8 weeks without justification

Study: Nationwide Average Cost of Dispensing is $10.55

A recent study found that the national average cost of dispensing –not including pharmacy profit – is $10.55 per prescription. The study, commissioned jointly by NCPA and NACDS, surveyed approximately 19,000 community pharmacies and reviewed 1.2 billion prescriptions. The results of this study will aid community pharmacy’s efforts to ensure dispensing fees are adequate.

Avalere Health Releases Reimbursement Whitepaper

Avalere Health released the white paper, “Developing Trends in Delivery and Reimbursement of Pharmacist Services,” to examine the increasing role of pharmacist services in today’s health care system (particularly in the community setting) and the limited methods of reimbursement for those services. It also looks at factors that could expand reimbursement for pharmacist services and opportunities in emerging care delivery models.

U.S. House Judiciary Subcommittee Holds Hearing on PBMs

On November 17, the U.S. House Judiciary Committee Subcommittee on Regulatory Reform, Commercial and Antitrust Law held a hearing to determine if additional oversight is needed for the PBM industry. During the hearing, subcommittee members expressed their concerns about the unregulated PBM industry including lack of MAC pricing transparency and consolidation and integration into mail order and retail pharmacies creating a conflict of interest.

Sen. Ernst signs onto S. 314; 100% support from Iowa!

Iowa Senator Joni Ernst became the 37th cosponsor of the Pharmacy and Medically Underserved Areas Enhancement Act (S. 314) otherwise known as the provider status bill. With Senator Ernst on board, each of Iowa’s 6-member congressional delegation is in support of the provider status legislation. Senator Chuck Grassley introduced the Senate bill in January and all four of Iowa’s Representatives are cosponsors of the House companion bill – H.R. 592.

National Efforts to Address Prescription Drug Abuse and Heroin Use

heroin and prescription drug abuse epidemic. Actions centered around provider training on appropriate opioid prescribing and access to treatment resources. Commitments have come from 40 provider groups – including APhA, NACDS, NCPA, ASHP and NABP – to have healthcare providers complete opioid prescriber training, increase access to naloxone, and increase registration into state prescription drug monitoring programs.

Track-n-Trace Enforcement Delayed to March 1, 2016

The FDA extended the enforcement deadline of certain product tracing requirements of the Drug Supply Chain Security Act (DSCSA) to March 1, 2016.

These requirements went into effect on July 1, 2015, however, the FDA originally agreed to delay enforcement until November 1, 2015, to allow pharmacies additional time to ensure compliance.

The FDA is delaying its enforcement to again address readiness concerns from smaller, independent pharmacies and health systems.

The DSCSA was signed into law in 2013 to establish a national system for tracing pharmaceutical products through the supply chain and sets nation standards for licensing wholesalers and third party logistics providers.

CMS Releases 2014 National Health Expenditures

In December, CMS released a report on health care spending last year.

According to the report the cost of prescription drugs increased by 12.2% in 2014, up from a gain of only 2.4% the previous year. This increase has been driven by rising costs for new medicines, specifically specialty drugs.

Despite the uptick in drug costs, healthcare expenditures in general and on a per-capita basis have increased slower compared with years prior to the Affordable Care Act. ■

The White House announced national efforts from federal, state, local and private sector efforts to address the JAN.FEB.MAR 2016 |

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FEBRUARY 12-14, 2016

Community Choice Credit Union Convention Center, Des Moines, Iowa

LEARN, CONNECT & BE INSPIRED WITH YOUR COLLEAGUES FROM ACROSS THE MIDWEST! The Midwest Pharmacy Expo brings together pharmacists, pharmacy technicians and student pharmacists from across the Midwest for one weekend of high quality live continuing education, engaging networking opportunities, and inspiring keynote speakers in a professional and relaxed Midwest atmosphere.

FEATURED PROGRAMMING In addition to the high quality continuing education and uniquely Midwestern experience you’ve always enjoyed, the 2016 Expo will be enhanced with these programming options:

BPS Recertification Track | Fri., February 12

Expo has partnered with ASHP to host their Pharmacotherapy Intensive Studies Package of three, 2-hour intensive sessions for board certified pharmacists to earn recertification credit (BCPS, BCACP). CPE credit is also available. Expo is the first state-based regional meeting to host this level of programming.

Tech Forum | Sat., February 13

This one-day interactive conference features programming specifically tailored the needs of hospital and community pharmacy technicians, plus attendees can take advantage of Expo’s keynote, Sunday programming, exhibit hall and networking opportunities.

Heartland PRN | Sat.-Sun., February 13-14 The annual Heartland Pharmacist Recovery Network conference is a gathering of Midwest pharmacy professionals interested in addressing chemical dependency within the profession. Programming will provide the tools, motivation and networking opportunities for those in recovery or interested in supporting their peers.

For more information or to register, visit

www.MidwestPharmacyExpo.com 14

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FULL EXPO AGENDA Friday, February 12

BPS Recertification CPE Available: 6 Hours - Pharmacists 8:00 a.m. Registration 9:15 a.m. Welcome 9:30 a.m. Individualizing Therapy for Patients with Type 2 Diabetes 11:30 a.m. Lunch Break - on your own 12:30 p.m. Making Sense of Infectious Diseases Clinical

Practice Guidelines 2:30 p.m. Break 3:00 p.m. Does Practice Need to a-DAPT? Considerations

in Anti platelet Therapy after Drug-eluding

Stent Implatation

• Immunizations: Clinical Pearls • Medication Synchronization Overview • It Takes a Team: Technicians and Medication Reconciliation • Emerging Drugs of Abuse 3:00 p.m. Break 3:15 p.m. Session 4 (Expo, Tech Forum, Heartland PRN): • Incorporating Research into Practice • Worst “Case” Scenario: Managing Side Effects • Heart Failure: Pharmacotherapy Update • More Than Just a Number - A Review of Outpatient Labs • CBC’s, BMP’s, LFT’s - Oh My! • The Psychopharmacology and Neuroscience of Substance Use and Disorders 4:15 p.m. Break

7:00 a.m. Political Leadership Breakfast (ticket req.)

4:30 p.m. Session 5 (Expo, Tech Forum, Heartland PRN): • Translational Care in Transitional Care • On the Case: Solving Conundrums in Pain Management • Pass the Salt! Managing Electrolyte Disorders • Tips to Reduce Med Errors in the Community Pharmacy • Tips to Reduce Med Errors in the Hospital Pharmacy • Medication Management of Persons in Recovery

5:30 p.m. Adjourn

5:00 p.m. Adjourn

Saturday, February 13

CPE Available: Expo: 6 hrs - Pharmacists

Tech Forum: 6 hrs - Technicians

Heartland PRN: 5 hrs - Pharmacist & Technician 6:30 a.m. Registration Opens Product Theater Breakfasts (free)

8:30 a.m. Welcome

5:45 p.m. Product Theater Dinner (Free)

9:00 a.m. KEYNOTE: Shine: Using Brain Power to Get the

Best From People - Edward Hallowell, MD

7:00 p.m. PRN Recovery Support Meeting

10:00 a.m. Break

Sunday, Februay 14

10:15 a.m. Session 1 (Expo, Tech Forum, Heartland PRN): • The Role of the Pharmacist in Emergency Medicine • Case Closed! Optimizing Treatment for Endocrinologic Disorders • Appropriate Prescribing in Older Adults: A Focus on the 2015 Update to the Beers Criteria • Communication Skills for Pharmacy Technicians • Navigating PRNs and the Workforce 11:15 a.m. Break 11:30 a.m. Session 2 (Expo, Tech Forum, Heartland PRN): • Medication Synchronization: Integration and Implementation • “Case” in Point: Dilemmas in Anticoagulation Management • Optimizing Inhaled Respiratory Medications: A Hands-on Approach • Compounding Pharmacy in the Community Setting • Compounding Pharmacy in the Hospital Setting • State PRNs Sharing Session

Expo CPE Available: 4.5 Hours - Pharmacists & Technicians 6:30 a.m. Registration & Continental Breakfast Begins 8:00 a.m. New Drug Update 9:30 a.m. Break 9:45 a.m. Gamechangers in Pharmacy 11:45 a.m. Break 12:00 p.m. A Look Ahead/Specialty Pharmacy 1:00 p.m. Adjourn Heartland PRN CPE Available: 2.5 Hours - Pharmacists & Technicians 7:00 a.m. Non-Denominational Prayer Service (no CPE) 8:15 a.m. Issues Surrounding Addictive Disease in Pharmacists 9:45 a.m. Break

12:30 p.m. Lunch and Exhibit Hall

10:00 a.m. The Effects of Alcohol on Health

2:00 p.m. Session 3 (Expo, Tech Forum, Heartland PRN): • Beyond Adherence: Expressing Value in the Era of Health Reform • Making the Case: Challenging Scenarios in Mental Health

11:15 a.m. Break 11:15 a.m. Today Matters (no CPE) 12:15 p.m. Adjourn

JAN.FEB.MAR 2016 |

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SAVE THE DATE!

Join your pharmacy colleagues from across the state to participate in the policy adoption process in the House of Delegates, award presentations, afternoon educational sessions, and time set aside for GREAT networking with pharmacy leaders!

This Year’s House of Delegates Speakers include: Session 1 (Friday):

Jean Paul Gagnon, PhD Retired, Senior Director of US Policy & Strategic Advocacy for Sanofi US

Dr. Gagnon will speak on the evolution of value and outcomes in US healthcare, its impact on key stakeholders and the continuing need for pharmacy to showcase its value in healthcare quality and delivery.

Friday Lunch Motivation

Scott Siepker Iowa Filmmakers

Our Friday lunch motivation will feature “Iowa Nice Guy” Scott Siepker, known for his hit Iowa Nice video series and two season run on ESPNU’s College Football Daily.

Session 2 (Satuday):

Shannon Peter, PharmD Clinical Pharmacy Manager Think Whole Person Healthcare, Omaha, NE John Jacobsen, MD Medical Director Think Whole Person Healthcare, Omaha, NE Saturday’s keynote will focus on innovative approaches to team-based care at the primary care level with examples from Think Whole Person’s focus on care transitions and utilization of pharmacists.

REGISTRATION COMING SOON! JAN.FEB.MAR 2016 |

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COMMITTEE REPORTS

IPA Committee Reports IPA advisory committees provide guidance to the Board of Trustees and staff regarding specific practice areas. Committees meet at least once a year at IPA headquarters in Des Moines, and may be asked to provide feedback by email or conference call throughout the year.

The following pages feature recaps from this year’s committee meetings include topics discussed and recommendations given.

Serving on a Committee

Serving on an IPA committee gives you the opportunity to influence the direction of the association and the advancement of pharmacy practice across the state. Each year, IPA’s president selects pharmacists, residents, pharmacy technicians and student pharmacists from a variety practice settings and areas of the state to serve on committees.

See the list of committees at: www.iarx.org/committeestaskforces IPA committees are formed in the late summer months.

If you are interested in serving on a committee, contact Anthony Pudlo at apudlo@iarx.org or 515-270-0713.

Advisory Committee on Medicaid and Pharmacy Benefit Programs

IPA’s Advisory Committee on Medicaid and Pharmacy Benefit Programs is a professional advisory committee to the Iowa Department of Human Services (DHS) and IPA’s Board of Trustees. The committee meets each fall to discuss issues related to the Iowa Medicaid program, Medicare Part D and third party payors and pharmacy benefits managers.

The Medicaid & Pharmacy Benefit Programs Advisory Committee met on November 3, 2015, to discuss issues concerning payors and the delivery of services. The meeting started with a discussion with Matt Hosford, Wellmark’s director of pharmacy, on Wellmark’s initiative to pay pharmacies differently and detailed their Pharmacy Quality Advisory Committee. Hosford was then joined by Barb Cleppe and Nathan Petersen of CVS Health to discuss Wellmark’s transitioning PBMs from Catamaran to CVS Health. Discussions focused on implementation, vaccination reimbursement and med sync acceptance.

The meeting then shifted to Iowa Medicaid’s transition to managed care. Concerns were raised regarding pricing and exceptions that were brought forward by the MCO’s. The committee compiled a list of additional questions for IPA to submit to Iowa Medicaid Enterprise for clarification of these and other concerns.

The committee was updated on the Iowa Insurance Division’s progress of implementing rules resulting from the PBM legislation passed the previous two years and the dismissal of the PCMA lawsuit. The committee also discussed Direct/ Indirect Remuneration (DIR) fees and the uncertainty pharmacies are facing as few PBMs are sharing what their fees are for 2016.

Committee Members Kim Spading, Chair Randy McDonough, ViceChair Nancy Bell Christina Bravos Jessica Frank Ryan Frerichs Mike Fuller Rachel Gean Teri Jacobsen Kelsey Japs Laura Knockel Patrick Kinn Scott Kollasch

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Shane Madsen Chris Parker Wes Pilkington Marshall Sanders Sarah Schmidt Jess Smith Jenny Tuttle

COMMITTEE REPORTS Health System Liaison Board

The Health-System Liaison Board (HSLB) serves as an advisory committee to the Board of Trustees to ensure the needs of hospital and health-system pharmacists in the state are considered.

The IPA Health System Liaison Board convened on September 9, 2015, to discuss prominent issues facing hospital practice throughout the state of Iowa. Among the many topic discussed were provider status, drug shortages, technician training and training programs, antibiotic stewardship, medication reconciliation, the 340B program, the potential for critical access hospital residency programs, and telepharmacy.

Several sub-groups of the HSLB were established to develop solutions or suggestions to address the aforementioned issues. Specific issues that these groups will focus on include: attempting to develop a more structured medication reconciliation process; improving antibiotic stewardship and tools to help develop programs; assessing the potential for critical access hospital residency programs; and attempting to increase completion rates of the Pharmacy Practice Model Initiative (PPMI) selfassessment tool. IPA will continue to update members on further developments throughout the year.

Committee Members 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

Education Advisory Committee

The Education Committee seeks to expand educational programs offered by the association and assess IPA and CEI programming to keep it aligned with members’ needs.

The Education Advisory Committee convened on September 29, 2015, to review key IPA and Collaborative Education Institute (CEI) programs and discuss upcoming continuing education opportunities. The committee reviewed the proposed agenda for the 2016 Midwest Pharmacy Expo and expressed the need for additional education focused components of BPS recertification.

The committee discussed the process for IPA members to obtain their free licensure or recertification buckets and the need for continued education on this process so more members take advantage of this important member benefit.

The committee also discussed the interest in interprofessional education and encouraged IPA and CEI to hold an interprofessional education conference.

The committee reviewed upcoming IPA programs and provided input on the structure and educational offerings for the 2016 IPA Annual Meeting, Practice Advancement Forum, IPA Goes Local and state law review. There was also open discussion on the educational needs related to provider status and recent performance-based network opportunities. The committee also encouraged IPA to work with the Board of Pharmacy to develop a streamlined process for pharmacists to utilize CPD in practice.

Committee Members Sue Keller Lisa Lambi Aaron Lott Shane Madsen Jasmine Mangrum Alex Mersch Emily Muehling Traci Peters Holly Randleman Katie Rolfes Megan Snyder Erica Truong

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

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COMMITTEE REPORTS Long Term Care and Senior Care Advisory Committee

The Long Term Care and Senior Care Advisory Committee advises the IPA Board of Trustees and IPA staff on issues including short cycle dispensing, geriatric therapy updates, and federal rules related to LTC and senior care.

The Committee met on September 4, 2015, to review the Statewide Medication Safety and Effectiveness Strategy, discuss the recent CDC guidelines on antibiotic stewardship, medication reconciliation, the Iowa Department of Public Health’s Iowa Health Information Network initiative and the approaching Medicaid Modernization transition.

The committee provided guidance on surveys to assess long term care practice with topics including MedPak use procedures and controlled substance disposal. Discussions involving clinical services included the inclusion of caregivers in MTM sessions and opportunities with “incident-to” billing.

The committee discussed and recommended actions for IPA on regulatory issues including the Board of Pharmacy rules changes incorporating USP 795 and 797 for sterile and non-sterile compounding and the recently released “Mega Guidance” for the 340B drug pricing program and LTC practice.

The committee welcomed Nicki Brandt, president-elect of the American Society of Consultant Pharmacists who provided an update on the organization legislative priorities and pending regulatory changes. She also highlighted the “Triple Aim” concept and assessment of post-acute care opportunities for pharmacists.

Committee Members Kristen Meyer, Chair Mark McMullen, ViceChair David Brothersen Frank Caligiuri Brittany Dougherty Anisa Fornoff Marie Franzen Becky Kehoe Micaela Maeyaert Shannon Mahony Marcia McNulty Dick Michael Justin Rash

Pharmacy Technician Advisory Committee

IPA’s Pharmacy Technician Advisory Committee serves to address issues facing pharmacy technician members, promote the National Pharmacy Technician Certification Examination in Iowa, and develop and promote educational programs and materials for CPhTs and technicians interested in becoming certified.

The IPA Pharmacy Technician Advisory Committee met on October 7, 2015. The committee discussed the IPA leadership agenda and its focus on technician membership and how to engage more members in their profession as well as recruiting more members. The committee discussed the goal of having more pharmacy technician members and the benefits such as 10 free CE credits, having a voice in the profession of pharmacy, and creating awareness that pharmacy technician is a profession and not just a career.

IPA staff reviewed the components of the IPA journal and the committee recognized the need for continued technician presence in the Journal with a quarterly column written by a technician. Some topics of interest included information on central fill pharmacy, nuclear pharmacy, telepharmacy, and tech-check-tech. The committee encourages technicians to write an article and submit it to be featured in the Journal.

The committee encourages IPA to continue to provide education to technicians regarding their role as healthcare professionals such as performing more medication therapy management (MTM) services to patients. The committee provided suggestions to IPA staff on education to be provided as future programs for the Midwest Pharmacy Expo. The committee discussed updates on IPA’s new practice model, Medicaid modernization, telepharmacy, and PBM regulations.

Committee Members Jeff Reist Taylor Schwebe Grant Stimes Amy Wadstrom Michael Williams Pamela Wong

Lori Foster, Chair 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

JAN.FEB.MAR 2016 |

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iowa pharmacy news IPA Welcomes Nicole Straker

Nicole Straker joined the Iowa Pharmacy Association on December 7, 2015 as the Member Services Associate. She attended Des Moines Area Community College and Ashford University with a major in English and History. Prior to joining IPA, Nicole worked at Living History Farms as a supervisor for the historical 1875 town.

Nicole was responsible for overseeing interns, staff, and volunteers as well as creating various new historical and educational programming for the museum. Nicole lives in downtown Des Moines with her 12 year old daughter, Madelynne, and 8 year old son, Colin.

Nicole will be assisting with the planning and execution of IPA meetings, events, and membership strategies.

Iowa Community Pharmacists at NCPA Annual Convention Community pharmacists from Iowa attended the 2015 NCPA Annual Convention on October 10-14, 2015, in Washington, D.C. Attendees took advantage of continuing education, exhibit hall of 235 vendors and the

Students from Drake and the University of Iowa Colleges of Pharmacy at the Iowa Reception and ASHP Midyear

countless opportunities to network with fellow community pharmacists from across the country.

Over 200 from Iowa Attend 50th ASHP Midyear

Over 200 Iowa pharmacists and student pharmacists attended the 2015 ASHP Midyear Clinical Meeting held in New Orleans on December 6-10, 2015.

This year marked the 50th anniversary of the event. Those who attended heard a keynote from former President George W. Bush, his wife Laura and daughter Jenna in addition to Midyear’s

education and networking opportunites.

IPA welcomed over 250 pharmacists and students to the Iowa Reception – the annual gathering of the extended Iowa Pharmacy family who are attending Midyear hosted by IPA and the Drake University and University of Iowa Colleges of Pharmacy. The Iowa reception had tremendous student pharmacist turnout, along with residents from our state. The energy in the room was palpable with these new practitioners eager to advance the profession and help create a strong future for pharmacists in Iowa.

Going Local in 2016!

The 2016 IPA Goes Local program will feature a 1 hour patient safety CPE presentation by pharmacists from advanced clinical practices sharing clinical pearls and teambased care practices to improve the health outcomes of patients with diabetes and hypertension.

In addition to the CPE presentation, Andrew Funk, executive director of the Iowa Board of Pharmacy, will be available for a 30 minute informal meet and greet at each IPA Goes Local event.

Watch for communications from IPA and your local association for event details in your area!

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February 16 - Central Iowa Pharmacy Association March 22 - North Iowa Pharmacy Inc April 14 - Black Hawk/Bremer County Pharmacy Association May 12 - Dubuque Area Pharmacy Association May 19 - Quad Cities Area Pharmacy Association August 25 - Southwest Iowa Pharmacists Association September 29 - Johnson County Pharmacy Association October - Northwest Iowa Pharmacy Association Watch for communication from your local association for details on time, location and registration.

iowa pharmacy news IHC HEN 2.0 Conference Spotlights Community Care Coalition Initiative

The development and advancement of Community Care Coalition (C3) initiatives across Iowa was a key message from the Iowa Healthcare Collaborative at their November 11 Hospital Engagement Network (HEN) 2.0 Learning Community meeting. A C3 initiative is a locally-based coalition of stakeholders that promotes the coordination of health and social services across care settings and systems of care, while seeking to improve health outcomes through community partnerships and the use of shared community resources.

With grant support by the Iowa Department of Public Health, C3 initiatives will implement multilevel, cross-sector strategies in their community to address broad determinants of health to drive these improved community health outcomes.

These strategies take advantage of coalition led interventions to promote healthy behaviors, healthcare to human service linkages, healthcare quality improvement, policy change, and community engagement strategies. C3 initiatives would allow pharmacists to bring their skills to the table.

In addition, incorporating pharmacists was promoted as being critical to success of C3 initiatives during the HEN 2.0 Learning Community.

Equally as crucial is reaching out to your colleagues across care settings to create an environment for these initiatives to thrive. These community partners include: hospitals, primary care providers, specialty care providers, mental health and substance providers, public health, community action, and social service providers. Pharmacists are uniquely suited to foresee the challenges facing our patients. C3 initiatives give us one more tool to ensure optimal health outcomes for our patients.

Iowa Pharmacists attend Heroin and Opioids: A Community Crisis. L to R: Michael Wolnerman (OutcomesMTM), John Hamiel (Convenant Medical), Kelsey Japs, (Drake University Student), Nancy Bell (Pfizer), Andrew Funk (Board of Pharmacy), Jenny Phabmixay (VA Des Moines), Travis Tubbs (VA Iowa City), Shane Madsen (UIHC), Jamie Sinclair (Mercy Cedar Rapids) Ashley Dohrn (Main at Locust/Main Healthcare), Susan Shields (Dept. of Corrections)

US Attorney Office’s Call to Action on Heroin and Opiates Written by: Nancy Bell, PharmD

Several key stakeholders came together on November 12th at the University of Iowa College of Public Health to address Heroin and Opioids: A Community Crisis. The Northern District of the US Attorney’s Office convened the summit to address the growing problems with opioid abuse, misuse and diversion, how it can lead to heroin use in our communities, and the ensuing consequences.

Attendees heard from the Centers for Disease Control (CDC), the Iowa Department of Public Health (IDPH), the National Safety Council, the Drug Enforcement Agency (DEA), law enforcement, medical professionals treating both pain and addiction, and families who have lost loved ones to addiction. The program was keynoted by Sam Quinones, author of Dreamland: The True Tale of America’s Opiate Epidemic. Members may have seen local news coverage as the conference was covered on public radio, local television news and live tweets throughout the day.

Stakeholders in attendance received a call to action -- be a part of a multi-faceted approach to safe and

appropriate use of medications, treatment of addiction, and access to naloxone kits in the community. IPA would encourage all those given the opportunity to participate in any local efforts in their communities to be a part of the solution.

Wellmark Transitions to CVS Health as PBM

On January 1, 2016, Wellmark transitioned to CVS Health as their PBM. As part of the transition, all Wellmark members received new ID Cards in December. Most member IDs won’t change (unless they change plans). The new cards will have updated prescription processing information as outlined below: • RxBIN: 004336 • RxPCN: ADV • RxGrp: RX1021 This information will be the same for all Wellmark members.

Iowa Prescription Drug Corporation Partners with NeedyMeds

The Iowa Prescription Drug Corporation (IPDC) is partnering with NeedyMeds, a nationwide non-profit, to provide a free drug discount card that offers a discount of up to 80% at more than 63,000 pharmacies nationwide and JAN.FEB.MAR 2016 |

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iowa pharmacy news 691 pharmacies in Iowa. According to Jon Rosmann, Executive Director of IPDC, “The partnership aligns with IPDC’s mission to develop practical solutions that provide free and lowcost pharmaceutical access to our most vulnerable populations. We are partnering with NeedyMeds because NeedyMeds offers convenient and valuable service for card users and charges among the lowest fees to participating pharmacists.”

Anyone can use the card regardless of income level or insurance status and no registration is required. The same card can be used by friends and family members to save on prescription drugs, over-the-counter drugs and medical supplies written on a prescription form, and pet prescription drugs purchased at a pharmacy.

NeedyMeds maintains a website, www.needymeds.org, that provides free information about programs that help people who can’t afford medications and healthcare cost. The NeedyMeds PAPTracker software, which helps clinics simplify Patient Assistance Program application processes, is well-known among safety net providers.

The NeedyMeds web page also features a participating pharmacist search function and a drug pricing calculator tool to assist consumers to compare prescription drug prices for participating pharmacies.

For more information about the NeedyMeds/IPDC medication discount card or to request cards, contact Laura Sands, IPDC Senior Program Manager, at 515-327-5405, or e-mail laura. sands@iowapdc.org.

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iowa iowapharmacy pharmacy news

STAY ENGAGED. STAY INFORMED. 2/2/2 is IPA’s free monthly webinar series designed to keep you engaged and informed on the hot issues impacting the pharmacy profession.

When is it? 2nd Tuesday of every month at 2:00 p.m. CST. UPCOMING DATES YOU WON’T WANT TO MISS: March 8, 2016 Biosimilars

April 12, 2016

Pharmacy Residents Leading Practice Change

May 10, 2016

Open Forum on Proposed IPA Policies Take advantage of these virtual engagement opportunities by registering at www.iarx.org/222.

Recordings of previous 2/2/2 programs are available at no charge at www.iarx.org/222.

Previous subjects include 340b compliance, Incident-to Billing, Track-n-Trace, and more.

Topics subject to change. Watch IPA communications for updates and registration instructions. 2/2/2 webinars are not accredited for CE.

JAN.FEB.MAR 2016 |

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PRACTICE ADVANCEMENT Iowa CPESN (Community Pharmacy Enhanced Services Network)

Following a presentation from Troy Trygstad the vice president of pharmacy programs at Community Care of North Carolina, at the November IPA Board of Trustees meeting, the IPA Board committed to facilitating a discussion related to pharmacy network development.

An informational webinar was hosted by IPA on December 17, with presentations from Ashley Branum, director of clinical services at Moose Pharmacy in Concord, North Carolina, related to the experience of developing a CPESN in North Carolina, and from Kate Gainer with information related to the landscape shifts within healthcare purchasing in Iowa that create an environment for shifting to network development based on quality and value.

IPA also hosted a meeting with pharmacists from across the state that have been selected to participate in a performance-based network through Wellmark. The meeting hosted by IPA, along with Drake University, the University of Iowa, and the Collaborative Education Institute, was designed to assist selected pharmacies in preparing to deliver and document care in a manner that positively impacts health outcomes and allows the pharmacies to be paid based on a shared savings model. Wellmark

has committed to transitioning into a new payment model, and has agreed to pay select pharmacies a prospective per member/per month payment in the beginning of the network development.

Sixty-seven pharmacies participated in the December 17 webinar with preliminary interest in being part of an enhanced service network.

Over 20 states are in varying stages of developing similar community pharmacy networks. Each state has a different set of criteria to participate that relate to the specific needs of that geography. Next steps related to the development of an Iowa CPESN include a face to face meeting in February and further discussion of inclusion criteria requirements.

ONLINE FEATURE!

View the Dec. 17 informational webinar

University of Iowa to Research Medicaid MCO Transition in 2016

Iowa Medicaid will be transitioning its Medicaid population to private managed care companies on March 1, 2016. Following the change, drug benefit management, including reimbursement for prescriptions and pharmacist services, will be under the purview of the managed care companies.

The Iowa Medicaid managed care transition is part of a larger trend affecting pharmacies across the United States. The first study objective is to identify challenges and opportunities for Iowa community pharmacies associated with the Iowa transition to Medicaid managed care using a mailed survey. The second objective is to conduct an in depth case study of the financial impact and other effects of the transition on 3-4 independent Iowa community pharmacies. The study will be conducted by Julie M Urmie, Ph.D. and William R. Doucette, Ph.D., both researchers at the University of Iowa College of Pharmacy.

Wellmark PQAC

Wellmark BCBS has established a Pharmacy Quality Advisory Committee (PQAC) that has met four times over the course of the past year. The PQAC has been instrumental in providing feedback to Wellmark on quality measures and pharmacists’ readiness to participate in a performance based network.

Wellmark is looking to pharmacies to impact care and outcomes for patients with depression, diabetes, hyperlipidemia, and asthma. â–

As you learn about innovative pharmacy practice opportunities around the country, know that many IPA members are part of that innovation here in Iowa. IPA plans to continue to spotlight innovative service offerings and grant projects in this Practice Advancement section of the Journal of the IPA. If you have an innovative project that you are currently working on, please inform IPA at ipa@iarx.org.

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PRACTICE ADVANCEMENT

SAVE THE DATE June 16, 2016 West Des Moines Sheraton

IPA will host the 2016 Practice Advancement Forum to strengthen opportunities for collaboration and practice advancement in Iowa.

This year’s forum keynotes and workshops will give you practical applications and insight that will enable you to advance your practice and align it with the evolving healthcare landscape. “How-to” workshops will cover topics like using collaborative practice agreements, documenting services, leading change and bringing other stakeholders on board.

This year’s Forum will once again be held the day before IPA’s Annual Meeting at the same location. The full Practice Advancement Forum agenda and registration will be available soon! Watch IPA communications for details.

JAN.FEB.MAR 2016 |

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ipa foundation

Thank You for Supporting the IPA Foundation in 2015!

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

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Jim Hoehns 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

IPA FOUNDATION

Thomas R. Temple Leadership Endowment – Goal in Sight!

For the past 28 years, the Leadership Pharmacy Conference has provided leadership training to over 300 new pharmacy practitioners. To ensure that the conference continues on in perpetuity, an endowment campaign goal of $750,000 was established.

The original goal of $750,000 was divided equally among Iowa and Wisconsin and Iowa now has a goal of $375,000 to endow the conference into perpetuity. Through pledges and payments, IPA has been able to collect $350,735.

Thank you to those who helped grow the Endowment fund in 2015 (Levels represent 2015 gifts only, see full campaign at www.iarx.org/LeadershipEndowment):

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

100%

$375,000

90%

$333,000

80%

$300,000

70%

$262,500

60%

$225,000

50%

$187,500

40%

$150,000

30%

$112,500

20%

$75,000

10%

$37,500

We look forward to being able to wrap up this very special campaign and celebrating its success in 2016. We will be creating a plaque to be hung prominently in the IPA office with the individuals and corporations that have generously contributed over the years. Help us close out this campaign and join the list of contributors to the Pharmacy Endowment.

Donate today at www.iarx.org/LeadershipEndowment Donations to the Thomas R Temple Leadership Endowment are tax deductible.

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ipa foundation

IPA Announces Executive Fellowship Opportunity An important component of the IPA Foundation’s mission is facilitating programs of leadership skill development for student pharmacists and new pharmacist-practitioners.

With that in mind, the Foundation is excited to introduce the Iowa Pharmacy Association Executive Fellowship in Association Management, a 1-year, post-graduate learning opportunity for a pharmacist interested in being a leader in the health care system.

work and providing insight and assistance to the association.

By engaging with Iowa’s pharmacists, student pharmacists, pharmacy technicians, policy makers, state agencies, other health care provider groups and managed care organizations, the Executive Fellow will gain and share valuable insight towards the IPA mission of advancing the role of the pharmacist in the health care system.

The Executive Fellowship was established to support the development of individuals interested in association management.

With training and experience in management, networking, lobbying, and problem-solving at IPA, the fellow with be prepared for leadership positions in a variety of settings in the profession of pharmacy.

“The fellowship will offer a comprehensive training program to ensure the mission and vision of IPA continues to be achieved in each of the critical functional areas of the association while customizing the learning experience based upon the fellow’s strengths, weaknesses, interests, goals and experiences,” Pudlo added.

“The Executive Fellowship will produce highly competent individuals who are prepared to assume high-level leadership positions in and outside of the Iowa Pharmacy Association by providing exceptional training in all areas of organizational development and administration, including leadership, professional advancement and business growth,” explained Anthony Pudlo, IPA’s vice president of professional affairs, who will oversee the fellowship.

Selection of the Applicant

The Executive Fellow will be immersed in the day-to-day activities of the association and work closely with IPA staff to continue to advance IPA’s mission. They will work to expand IPA’s clinical initiatives, attending state and national pharmacy meetings, gaining exposure to all aspects of association

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Those who are interested should submit their online application along with a cover letter, current curriculum vitae, writing sample, and three letters of recommendation to IPA by March 1. A committee composed of IPA executive leadership will be responsible for choosing candidates to interview and ultimately select the Fellow. The final selection will be made before April 1.

Key Learning Objectives Membership Explain the membership recruitment process and the importance of member retention and fundraising for the Foundation.

Professional Affairs Provide leadership, expertise, and education on effective medication use through project management of current initiatives and research.

Public Affairs Discover the importance of advocacy for our profession through interactions with other pharmacists, legislators, and patients and work to improve the Association’s legislative and regulatory advocacy efforts.

Fundraising Be responsible for securing grant funding or sponsorship monies to support efforts of the Association Strategic Planning Understand the rationale for consistent strategic planning and contribute to the planning process at the Board Retreat.

Association Governance Learn about the approaches to association governance and how IPA utilizes its Board, staff, and committees to achieve the goals of the Association.

Communications Explain the role of marketing and publications in reaching members and others, and be involved in the production of press releases of pharmacy issues.

IPA FOUNDATION

Looking to Fulfill Your New Year’s Resolution?

Join the 3rd Annual IPAF RAGBRAI Team!

The Register’s Annual Great Bicycle Ride Across Iowa (RAGBRAI) is scheduled for July 24-30, 2016. Join the IPA Foundation and your pharmacy colleagues as ambassadors for the association and our profession.

The IPAF RAGBRAI team connects with Iowa pharmacists and pharmacies along the route, educates Iowans on the important role of pharmacy, serves riders with OTC treatments, and conducts public health screenings in host cities.

Any Iowa pharmacist, pharmacy technician or student pharmacist is welcome to ride one day, a few days, or the entire week and spread the word about pharmacy from river to river.

Sign up early to guarantee a spot on the team! The team will be limited to 20 weekly riders and an additional 10 riders per day. A wait list will be used for additional interested riders.

NEW this year! The team will be divided into three groups: beginner, intermediate and advanced. Each team will have a captain and 5-7 additional riders with a list of pharmacies to visit for the day.

Not a Cyclist? No problem!

IPAF RAGBRAI team is more than riders. We need volunteers to help get the team from the Missouri River to the Mississippi River, as well as help with outreach efforts along the RAGBRAI route with screenings and other pharmacy promotions. Donations to support individual riders are also welcomed!

The 2016 RAGBRAI route will be officially released on January 23, 2016. IPAF will be seeking assistance to host the team when the route comes through your town.

Interested in participating and have questions?

Contact Laura Miller at lmiller@iarx.org or 515-270-0713.

WHAT DO YOU GET WHEN YOU RIDE THE IPAF TEAM? Week-Long Riders receive all benefits of the daily rider, plus: • IPAF Team Bike Jersey (free) • Transportation to the start and from the finish to a central Iowa meeting location • 2 days of laundry service • Indoor accommodations with host families (as available) Daily Riders (up to 3 days): • IPA-F Team Bike Jersey (discounted rate) • Transportation of gear and supplies • Official registration through RAGBRAI • Official RAGBRAI wristband • Camping with Host families or the RAGBRAI campgrounds (if needed) • Snacks for each day • Water and coffee available each day • Personal shower tents (shower bag is rider’s responsibility) • SAG service for tired riders if needed or half-day riders • Electrical charge station

HOW TO JOIN THE IPAF RAGBRAI TEAM Go to www.iarx.org/RAGBRAI for instructions on how to join the IPA Foundation team.

Important Registration Deadlines: Weekly Riders Early Bird: March 1 Final: March 31

Daily Riders Early Bird: March 1 Final: May 31

Fees Week-Long Rider MAX 20 Riders

Early (by 3/1) Late (by 3/31)

Pharmacist Member

$600

$750

Technician/Student Member

$450

$600

Non-IPA Members (includes spouse & children)

$750

$900

Daily Rider (max 3 days)

Early (by 3/1)

Late (by 5/31)

$80/day

$100/day JAN.FEB.MAR 2016 |

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Own a Day!

ipa foundation

or 2!...or 3!

The IPA Foundation has a unique opportunity to claim your favorite day(s) of the year as your own...at least on paper.

With your charitable donation, you may purchase days in the 2016 IPA/IPAF Annual Report Calendar to celebrate ANY occasion!

To reserve your days, contact David Schaaf at 515-270-0713 or dschaaf@iarx.org. Donations are 100% tax deductable and will go to the Foundation.

Hurry and claim your day(s) before someone else does and before April 1, 2016!

Description (under 10 words)

Text & Photo - $100.00 Text Only - $50.00 Month/Day: _______/_________

Name: _______________________________________________________________________________________________________ Address: _____________________________________________________________________________________________________ City: __________________________________________________________ State: ________________ Zip: ______________________ Phone: _______________________________________________ Email: __________________________________________________ PAYMENT INFORMATION Make checks payable to: Iowa Pharmacy Association Foundation, 8515 Douglas Avenue, Suite 16, Des Moines, Iowa 50322 Please Charge my Credit Card $___________ Card Type (circle one):

Visa

Mastercard

Discover American Express

Cardholder Name: _____________________________________________________________________________________________ Card Number: ________________________________________________ Exp Date: ________________ Card ID #: ______________ Billing Address (if different from above):____________________________________________________________________________ Signature: ____________________________________________________________________________________________________ Mail to: Iowa Pharmacy Association Foundation 8515 Douglas Avenue, Suite 16 Des Moines, Iowa 50310

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Fax: 515-270-2979 Questions? Contact: Laura Miller - 515-270-0713 lmiller@iarx.org

F201-350-000@ ___________________ F201-350-000@ ___________________ Ck#__________ Date _______________ ID number_________________________

IPA FOUNDATION

Outcomes Innovative Join the IPA Pharmacy Endowment Foundation Institute In October of 2015, the IPA Foundation and the former board of directors and shareholders of OutcomesMTM announced the establishment of the Outcomes Innovative Pharmacy Endowment. Stemming from OutcomesMTM’s purchase by Cardinal Health, the endowment was created to support the innovative spirit of Iowa pharmacy that fueled the creation of the company.

The Outcomes Pharmacy Endowment will award grants and loans for the financial support and encouragement of future innovative pharmacy practice initiatives within the state of Iowa. An announcement will be made in June about the grant funds that will be available and the application process and timeline.

Understanding that there is still work to be done, 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.

The IPA Foundation would like to thank these Founding Circle donors who have to date given $738,500 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 Steve Firman Jessica & Cody Frank Towncrest Pharmacy

This group of donor leaders in Iowa is recognized collectively for their commitment to annual giving in support of the Foundation’s mission. Foundation Institute donors identify with the charitable purpose of the Foundation and the need to support of the profession through education and practice based research.

We are inviting you to join the IPA Foundation Institute to be a leader in the profession and show your support for student pharmacists, leadership development, continuing pharmacy education, professional practice innovation, and the preservation of pharmacy’s rich heritage.

When you invest in the Foundation Institute you invest in new concepts in pharmacy practice. Membership in the Foundation Institute recognizes varying levels of on-going, annual financial support for the IPA Foundation: Platinum Gifts -$1,000 or more Gold Gifts - $500-$999 Silver Gifts - $250-$499 Bronze Gifts - $100-$249 Sustaining Gifts - up to $99 Thank you for your commitment to the Foundation Institute which ushers new level of pharmacy philanthropy.

Current Foundation Institution members: Tim & Sherry Becker Kristin Meyer Jim Miller Bob Stessman Renae Chestnut Join this group of philanthropic leaders today: www.iarx.org/ IPAWaystoDonate All contributions to the IPA Foundation, a 501(c)(3) charitable organization, are fully tax deductible.

JAN.FEB.MAR 2016 |

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public affairs

Board of Pharmacy Looking Forward to 2016

stakeholders utilized the time to review legislative and regulatory priorities and positions of each group. The group held open dialogue on hot topics in the profession, including: telepharmacy, performance-based networks, pharmacy benefit managers, and innovative practice models.

Telepharmacy Pilot Projects

As the calendar changes to 2016, the Iowa Board of Pharmacy has been focused on key issues in the practice of pharmacy at their recent meetings.

Joint Meeting with Pharmacy Leadership

On November 4, 2015, members from the Board of Pharmacy, IPA leadership, and the Colleges of Pharmacy met for an evening meeting to discuss and prepare for changes and trends looking into 2016. This group of key pharmacy

During the November Board of Pharmacy meeting, the Board was presented with current and new pilot project applications for telepharmacy practices. The Board approved a 12-month extension for the managing pharmacy of the telepharmacy locations in Victor, West Liberty, and Brooklyn. The Board denied the applications for numerous telepharmacy sites, including the communities of Lake Park, Nora Springs, Wayland, and Winfield. The Board held active discussion on the topic and recommended the need for convening a new telepharmacy task force in 2016 to further evaluate areas of concern and mechanisms for regulation in telepharmacy practice.

Review of PRN Services

Representatives from the Iowa Physician Health Program (IPHP)

Comment on Proposed Rules Last summer, the State of Iowa launched a new administrative rules website to make it easier for Iowans to comment on newly proposed rules or rule changes from the state’s regulatory agencies.

When the Board of Pharmacy Rules Committee proposes a new or modified rule, it will be published in the Iowa Administrative Bulletin and be available for comments on the new website for 20 days. Rules that are reviewed and adopted will become part of the Iowa Administrative Code.

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presented on the Board of Medicine’s program that supports physicians who self-report problems with mental health issues, physical disability, or drug and alcohol abuse or dependence. The Board of Pharmacy has been working to evaluate the current services and operations of the Iowa Pharmacy Recovery Network (IPRN), and has looked at other programs inside and outside the profession of pharmacy during this process. In early 2016, the Board of Pharmacy will convene a group of interested pharmacy practitioners to help guide the Board in their approach to improving the services for impaired pharmacy professionals in Iowa.

Rules Review and Planning

Starting in 2016, the Board of Pharmacy intends have a thorough and systematic review of all their regulations looking to best align these rules with current state of pharmacy practice.

This tedious process will ensure the Board’s regulations remain relevant and pertinent to all groups of pharmacy stakeholders. It will be important during this time to continue to monitor IPA and Board of Pharmacy communications as regulations are updated. ■

To comment on proposed rules or changes, go to the rules.iowa. gov to see proposals that are open for comment and popular notices.

Clicking on a specific proposal will show the additions or modifications.

Comments can be made by clicking on a specific section in the document or by clicking the green “comment now” on the right sidebar. The website also contains resources to learn about the rulemaking process and a link to search the current administrative code.

IPA will continue to comment on all BOP rule proposals on behalf of the profession. We also encourage pharmacists and pharmacy technicians to take advantage of the opportunity to comment on proposed rules that will affect the profession across the state.

public affairs

2016 LEGISLATIVE PRIORITIES IPA’s Legislative Committee and Board of Trustees have established the following legislative and regulatory priorities for calendar year 2016.

LEGISLATIVE PRIORITIES Prescription Medication Synchronization

IPA supports legislation that enables patients to synchronize their medications and allows them to make one visit per month to their pharmacy.

Medication synchronization brings system efficiencies to patients, prescribers and pharmacies.

Medication synchronization can reduce medication waste, improve patient compliance, and thus improve health outcomes.

Pharmacist Statewide Protocols

IPA supports the creation of an advisory council of prescribers, public health and pharmacy to develop statewide protocols that allow pharmacists to deliver care under a standardized protocol to address public health needs.

Statewide protocols create the opportunity for pharmacists to provide additional care with prescription medications to positively impact public health. Examples of statewide protocols include: administering immunizations; smoking cessation counseling and treatment; furnishing naloxone for opioid overdose. Statewide protocols can also bring administrative efficiencies to prescribers and pharmacies by allowing refill extensions and changes to dispense quantity (eg 30 days to 90 days).

Board Of Pharmacy Legislative Proposals

IPA supports the legislative proposals of the Iowa Board of Pharmacy related to nonresident pharmacy, telepharmacy and outsourcing facility licensure, alternate board members, and definitions regarding pharmacy practice.

REGULATORY PRIORITIES

Pharmacy Benefits Managers – Iowa Insurance Division IPA supports the adoption of rules by the Iowa Insurance Division that implement the policy changes and provide clear enforcement authority language that was passed by the legislature in 2014 and 2015.

Following unanimous passage of PBM legislation in 2014 and 2015, the Iowa Insurance Division has not yet adopted administrative rules to fully implement the intent of the law. IPA is committed to working with IID to provide feedback from the profession of pharmacy during the rulemaking process.

Collaborative Practice – Iowa Board Of Pharmacy IPA supports a review and revision of Board of Pharmacy rules related to Collaborative Practice Agreements.

Since 2006, the Iowa Board of Pharmacy and Board of Medicine have had joint rules governing collaborative practice agreements between pharmacists and physicians in the state of Iowa. IPA believes the opportunity to increase the public health impact of services that can be delegated to a pharmacist by other healthcare providers can be achieved through updating the current BOP rules related to CPA.

Iowa Health Link – Medicaid Managed Care – Department Of Human Services

IPA is committed to working with DHS, the Iowa Medicaid Enterprise (IME), the Governor’s office and the four (4) Managed Care Organizations that have contracted with the state of Iowa.

Medicaid modernization ‘Iowa Health Link’ has the opportunity to lower healthcare costs to the state by managing and maximizing provider services to Medicaid beneficiaries.

IPA believes oversight of the MCO’s will be critical to ensure provider services (such as pharmacist services including MTM) are not reduced, but rather optimized; and that prescription drug reimbursement remain at the statutorily set rate of AAC + $11.73, as determined by a provider survey.

POLICY POSITIONS

Durable Medical Equipment, Prosthetic & Orthotic Supplies

IPA supports continued patient access to DMEPOS services provided at Iowa pharmacies.

IPA recognizes that DMEPOS fitting and dispensing are among services within the scope of pharmacy practice.

Interchangable Biosimilars

IPA opposes legislative language that would reduce generic competition between manufacturers of biologic medications.

The FDA is currently developing the approval pathway for biosimilars in the United States. Eighteen states have seen legislation introduced to limit the inter-changeability of generic biologic medications.

Drug Product Selection

Following participation in the 2013 statewide task force on epilepsy treatment and education, IPA agrees to legislative language that a) provides authority to the Board of Pharmacy for oversight of non-resident pharmacies related to the drug product selection law, b) prohibits drug product selection for generic medications when a specific manufacturer’s product is prescribed and the diagnosis of epilepsy is written on the prescription, and c) requires third party payers to cover the cost difference.

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public affairs

2016 IOWA Pharmacy Advocacy Primer Because so much of daily pharmacy practice is dictated by the actions of our elected officials, advocacy is a strategic focus of IPA. The association is heavily involved in regularly advocating with elected leaders and regulatory agencies on behalf of Iowa’s pharmacy professionals. In addition to IPA’s involvement as an organization, the association is dedicated to enabling members to participate in the process and influence important legislative and regulatory decisions that impact how we practice pharmacy in Iowa.

Much of our success is easily credited to the dedication of IPA members’ willingness to engage in advocacy for the pharmacy profession. Grassroots advocacy, IPPAC contributions, building relationships with legislators, acting on IPA Advocacy Alert emails are all examples of member actions that have led to recent wins for Iowa pharmacy.

With the 2016 Iowa Legislative Session underway, here are a few things you can do to advocate for the profession this year.

Know IPA’s Legislative Priorities

Each year IPA’s Legislative Committee works with IPA leadership, staff and legislative counsel to develop the association’s legislative priorities for the year to be approved by the IPA Board of Trustees. These priorities and policy positions guide the association’s advocacy efforts for that year’s legislative session. Priorities for 2016, which include medication synchronization and statewide protocols, can be seen on page 35 or on IPA’s website at www.iarx.org/LegPriorities.

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Get to Know Your Legislators

Strong relationships with elected officials is the backbone of any advocacy effort. IPA encourages EVERY pharmacist, pharmacy technician and student pharmacist to reach out with an email, phone call, or personal meeting with your legislators and introduce yourself as a pharmacist.

Thank them for their service and let them know you are willing to be a resource and share information on pharmacy/healthcare legislation.

If appropriate, invite them into your pharmacy practice when they are back home on the weekends.

Find your legislators at www.legis.iowa.gov/legislators

MORE ONLINE

IPA’s advocacy resources including issue briefs are at www.iarx.org/legresources.

Grassroots Advocacy

As IPA’s priorities move through the legislative process, it is often necessary for members to engage in grassroot advocacy to see a favorable outcome.

When these times arise, IPA will send out Advocacy Alert emails that instruct members to contact their legislators, including what to say, why it’s important and necessary background information.

In 2014, over 350 IPA members personally communicated with their legislators which led to the successful passage of H.F. 2297 – the 2014 PBM bill. Your voice is needed and IPA will do everything it can to make it easy for you to use it.

Stay Informed

At the start of the legislative session, IPA’s weekly Top 5 newsletter will add

a +1 Legislative Recap - brief updates on IPA’s legislative priorities, bills that impact pharmacy practice and other issues that may arise throughout the session. By stay updated on the latest in the legislature, you can be better prepared to engage your legislators.

Financially Contribute

The Iowa Pharmacy Political Action Committee is a fund used to strategically strengthen relationships with legislators that are supportive of pharmacy interests. Your contributions to the IPPAC aid in advocating for practice advancement, PBM regulation and other important issues facing our profession. Since contributions to the IPPAC can only be made by individual donors, IPA Legislative Defense Fund was created to allow corporations to contribute to IPA’s advocacy efforts.

For more information or to contribute, visit www.iarx.org/IPPAC

Never done this before?

No problem. IPA stands ready to assist in any way possible to help you with these or any other advocacy opportunity you may have.

To protect and advance pharmacy practice in Iowa, each member of the pharmacy profession in Iowa must support, engage in and contribute to advocacy efforts in some way. By presenting a strong, unified voice we can continue to remain a leader and innovator in our profession. ■

public affairs

STRENGTHEN ADVOCACY. STRENGTHEN PHARMACY.

Impacting Advocacy Through the IPPAC & Legislative Defense Fund The Iowa Pharmacy Association’s commitment to legislative involvement is critical to the future of the profession of pharmacy. It is important for pharmacists to make sure that key legislators understand the important role that today’s pharmacists play in enhancing the health care of Iowans, and this interaction remains an important way to allow for positive changes in pharmacy practice.

An important way that the IPA can impact legislative issues is by using their political action funds carefully and wisely to provide support to legislators and candidates who are supportive of pharmacy’s role in delivering patient care. The Legislative Defense Fund and Political Action Committee play an important role in enhancing the legislative mission of the profession of pharmacy in Iowa. While both funds are necessary in promoting pharmacy to legislators, there are some major differences between them.

IPA encourages every pharmacist, or pharmacy, to make a contribution to one of these funds, at any level, to assure that our voice is heard!

The Iowa Pharmacy Political Action Committee (IPPAC) is a fund used to strategically strengthen relationships with legislators that are supportive of pharmacy interests. The IPPAC is funded by contributions from individual pharmacists, pharmacy technicians, or student pharmacists, as well as member PACs of other organizations. Your contributions to the IPPAC aid in advocating for practice advancement, PBM regulation and other important issues facing our profession.

IPA’s Legislative Defense Fund (LDF) consists of donations from corporate sponsors. Since corporations are prohibited from contributing to candidates (and therefore, the IPPAC), these funds are used to pay for advocacy activities, which include IPA’s Legislative Day and Capitol Screenings, contracted lobbyists and external consultants, and IPPAC administration and fundraising costs.

Learn more or donate online at www.iarx.org/IPPAC JAN.FEB.MAR 2016 |

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public affairs

Iowa Medicaid Modernization Update Reimbursement Rate Reaffirmed: IPA stifles PBM’s Reimbursement rate Workaround

In the months following Governor Branstad’s introduction of his Iowa Medicaid Modernization Initiative (IA Health Link), IPA worked closely with his office and the Iowa Department of Human Services (DHS) to make sure that Iowa pharmacy’s concerns were heard, and more importantly, acted upon throughout the process.

The result was the continuation of the existing Iowa Medicaid drug product reimbursement rate of AAC + $11.73.

However, when members received contracts during the fall of 2015 from the original four managed care organizations (MCOs) that the state originally contracted with, they discovered that new “exception” language had been negotiated into those contracts that placed that reimbursement rate in significant jeopardy. These contracts stated that pharmacies with national contracts (chains, PSAOs, etc.) would be exempt from the current reimbursement rate.

The exceptions, which essentially applied to all Iowa pharmacies, would allow PBMs to set the reimbursement rates at their discretion, which they claimed would save the state $6-8 million.

IPA’s leadership and legislative counsel immediately went to work to re-establish the commitment from the Governor and keep those dollars in provider reimbursement for pharmacy.

By leveraging the association’s long-established relationships with key legislators and the Governor’s

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office, IPA was able to explain the effect of that exemption language on Iowa’s patients and pharmacists. IPA educated these stakeholders on the impact of opening Medicaid to abusive PBM practices and how the PBM legislation signed by the Governor the last two years related.

IPA has created an FAQ document and a grid of the now 3 MCO’s to help answer many pharmacist or patient questions. They can be found at www.iarx.org/medicaid_modernization (member login required).

Governor Branstad’s office was committed to working with IPA towards a solution that made sense for Iowa.

After several meetings and goodold-fashion persistence from IPA leadership and legislative counsel, the Governor’s office agreed to return to the previously agreed upon prescription drug reimbursement formula of AAC + $11.73 and to remove the exception language from the MCO contracts. Amended contract language was approved by DHS and submitted to CMS and the MCOs in late December.

On December 17, 2015, the Centers for Medicare and Medicaid (CMS) pushed back the implementation date of Iowa’s Medicaid Modernization transition to managed care from January 1, 2016 to March 1, 2016.

While the reimbursement formula will remain, it is important to note $11.73 cost-of-dispensing may change with future surveys, as the state will conduct a new cost of dispensing survey in 2016. This survey is unrelated to the transition to managed care and would have happened under a state run Medicaid program.

Also, PBMs may use different logic (such as AWP minus) but the product reimbursement may not go below the state’s AAC. As part of this process, IPA has made a commitment to the state and other stakeholders to present opportunities where pharmacists may be used more efficiently as part of the health care team, and in turn, how greater utilization of pharmacists in direct patient care can be part of the solution to achieving cost savings to the state.

IPA will keep members informed of developments in the continuing transition, address any concerns and make sure pharmacy is an active participant in the state’s transition to managed care.

CMS Delays Iowa Medicaid Transition

The decision for the 60-day delay came after CMS spent a week in December testing the readiness of Iowa and the managed care organizations (MCOs) it has contracted for the transition.

Because it pays for over half of the program’s budget, CMS must give final approval for the plan to move forward.

In its letter announcing the delay, CMS indicate that it expects to ultimately approve the transition to managed care.

WellCare Contract Terminated

on December 19, 2015, the State terminated the its contract with WellCare of Iowa, Inc. as one of the MCO’s to administer the Iowa Medicaid program. The move follows a recommendation from Administrative Law Judge Christie Scase in November, who found that WellCare should have disclosed information about its integrity agreement with the federal government before bids were awarded. That agreement stemmed from the convictions of three former executives who schemed to withhold money meant to be returned to the state of Florida. ■ IPA is continually monitoring the transition and implementation of IA Health Link and will keep you updated through member communications.

ONLINE FEATURE!

For the latest info, see IPA’s Medicaid FAQ (login req.)

member section IPA Member Spotlight:

Mickey Cooper, RPh By: Christopher Goodwin 2016 PharmD Candidate Drake University College of Pharmacy In collaboration with: Breanna Sunderman, PharmD (while on rotation at IPA) Starting as a family with a typewriter and a dream, IPA member Mickey Cooper’s independent pharmacy practice has grown to become an integral part of the communities in and around Eagle Grove, Clarion, Webster City, and Fort Dodge. Now providing vaccinations, specialty care compounding, MTM, and other pharmacy services, Mickey’s pharmacy is an outstanding example of a successful, innovative independent pharmacy practice.

Mickey, along with her husband Tom, has owned and operated Eagle Grove Pharmacy, Inc. going on 30 years.

The two started the business “from scratch,” and while it has become a rewarding experience, Mickey states that driving the success of her pharmacy was no easy task.

“I was voted by my peers as ‘least likely to practice,’ but obviously they did not know me very well.”

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From raising kids in the back room, Mickey’s pharmacy has evolved with the shifting practice models of pharmacy. She has used her passion for small-town-atmosphere to stay committed to building her practice, and Mickey states she’s been rewarded with a “sweet spot” to practice in the Eagle Grove area.

She works with inclusive, receptive providers that utilize Mickey and her staff to their fullest potential, resulting in opportunities such as clinical education. Mickey reports that it’s these relationships with providers that allow her to provide truly beneficial patient care experiences.

Mickey’s initial interest in independent pharmacy started when she interned for Tom Kenefick, Jr. in Eagle Grove.

She feels it was a great experience for her, and her passion for smalltown pharmacy was born. Mickey first attended Iowa Central Community College in Eagle Grove and Fort Dodge, and subsequently received her degree in pharmacy from the University of Iowa in 1979.

“I have a theory about management, and it has always been to find my employees’ talents and go with it.”

Mickey has seen her pharmacy evolve in various ways throughout the years, and has always been flexible and open to changes and growth. She allows her employees’ passion for various aspect of pharmacy care to drive this evolution. For example, one of her pharmacists was interested in compounding, and recently became PCCA-trained. The pharmacy is now incorporating specialty care compounding to expand their practice, as personalized medication doses and delivery systems are a growing area of pharmacy. Mickey’s other pharmacist excels in areas of inventory, insurance, and MTM, and Mickey has harnessed this individual’s interests and talents to drive the success of her pharmacy.

A successful independent pharmacy practice doesn’t occur exclusively within the four walls of the establishment. In addition to her practice in Eagle Grove, Mickey loves the community outreach opportunities small-town pharmacy practice allows.

She stays busy within her church and the local school district, serves on the F&M/Security Savings Bank’s board of directors, serves on the local board of health, and plays an active role in the Chamber of Commerce. She utilizes her pharmacy expertise to give back outside of the community as well, by regularly participating in medical missions to Haiti with providers from the Iowa Specialty Hospital.

“Small business is the backbone of this country and I believe we are the backbone of our patient’s care.”

As Mickey reflects on the future of pharmacy, she believes that involvement is of utmost importance.

She states that as pharmacists, we need to be paying attention to what’s going on regarding our practice, and we need to call on legislators at the state and national level to let them know we are paying attention. She’s a strong supporter of provider status. From an independent pharmacy owner, her concerns lay in poor reimbursements, questionable PBM practices, and rising prices of medications. However, with all the opportunities out there, she believes we can find success if we step outside the box as pharmacists. ■

member section

MEMBER MILESTONES PROFESSIONAL Congratulations to Rachel Weber, CPhT, on starting in her new role as a Medication Reconciliation Pharmacy Technician at Mercy Medical Center – Des Moines!

Bob Sack, RPh and his wife Monica are starting their 42nd year of ownership of Widner Drug Store in Manchester, Iowa. The store started in 1932 by University of Iowa graduates Elmer and Marie Widner.

Neisha Benson, CPhT, (HyVee Central Fulfillment Pharmacy, Des Moines) has joined Janssen Pharmaceuticals as a sales representative for Invokana and Xarelto in Kansas City. Congratulations Neisha!

Congratulation to Gayle Mayer, RPh, BPharm, who recently retired as director of pharmacy at Spencer Hospital in Spencer Iowa.

Steven Nelson, RPh (Coralville), retired in December of 2015. Steve was most recently the Director of the Center on Pharmacy Practice Advancement at ASHP. Congratulations Steve!

Congratulations to Brett Barker, PharmD (Nucara) who was elected to an at-large seat of the Nevada City Council.

Congratulations to Caitlin Reinking, PharmD, who recently began working at Oelwein Family Pharmacy is Oelwein, Iowa.

Matt Farley, PharmD, was recently selected as the new Supervisor of Inpatient Pharmacy Operations at UnityPoint Health – Cedar Rapids. Congratulations Matt!

Congratulations to Randy McDonough PharmD, MS, CGP, BCPS, (Towncrest Pharmacy, Iowa City) for being named a candidate for Trustee on the APhA Board of Trustees.

Wendy Mobley-Bukstein, PharmD, CDE, of Des Moines, IA, was slated for APhA-APPM Executive Committee Member-at-Large.

Congratulations Wendy!

This store is now 1,500 square feet and include a 1950’s ice cream parlor - all in 5 adjoining buildings - and is comparable in size to the Wall Drug in South Dakota.

Congratulation’s Bob and Monica!

PERSONAL Ezra Dean Francis was born December 10, 2015 to proud parents Bret, PharmD (Community Pharmacy, Lake City) and Whitney Francis.

In Memoriam Harriett Jackson, wife of Hal Jackson, RPh (Winterset, retired), passed away on December 13, 2015.

Mark Nessen, RPh, of Corydon passed away on November 27, 2015. Mark was a 1972 graduate of the University of Iowa College of Pharmacy and owned Nessen Pharmacy in Corydon from 1981 to 2014.

Gwen Banker, wife of Professor Emeritus and former Dean of The University of Iowa College of Pharmacy Gilbert Banker, passed away on October 30, 2015.

JAN.FEB.MAR 2016 |

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member section

Welcome NEW IPA MEMBERS THANK YOU FOR SUPPORTING IPA! OCTOBER 1 - DECEMBER 31, 2015: Angela Aarhus, Ankeny Kristi Adams, Ankeny Jill Ahn, Des Moines Sherry Amendt, Spencer Rachel Anderson, Des Moines Sarah Babb, Ankeny Marquisha Babcock, Des Moines Cheryl Barlow, Clear Lake Holly Barrickman, Des Moines Heather Batterson, Decorah Julie Berger, Postville Valerie Bergman, Clear Lake Shanda Berndt, Des Moines Roger Bever, Des Moines Paul Bickel, Urbandale Davina Bowen, Des Moines Christopher Brabeck, Windsor Heights Jonathan Brummer, Des Moines Jackie Campbell, Des Moines Terrie Champlin-Phillips, Des Moines Jolene Christensen, Webster City Mary Claassen, West Des Moines Ashley Clark, North Liberty Cathy Clubb, Harper Katelyn Coffman, Ankeny Jessica Conway, Granger Shannon Cooper, Des Moines Marvin Cross, Waukee Kelli Cunningham, West Des Moines Angel Dale, Sigourney Meridith DeKruyf, Urbandale Nancy Dickerson, Des Moines Jessica Dizon, Iowa City Janel Dolezal, West Des Moines Ron Dorin, Des Moines Kathleen Eastin, Ankeny Laura Elliott, West Des Moines Angie Ellis, Denison Kelsey Erbes, Iowa Falls Erica Erixon, Council Bluffs Debra Flynn, Decorah Rex Ford, Iowa Falls Shelby Freeman, Creston Meagan Freeze, Des Moines Susan Fry, Council Bluffs Michael Ganley, Des Moines Peggy Garrels, Ollie Lindy Gasperi, Grimes Michele Gillispie, Paullina Patty Gilreath, Des Moines Theresa Gnade, Paullina

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Tracy Graham, Ankeny Kerry Graham, Des Moines David Graham, Des Moines Kimberly Gustafson, Denison Troy Gustofson, Ankeny Casandra Hackman, West Des Moines Charles Haigh, West Des Moines Chenchen Hartono, Ankeny Amy Havenhill, Clive Brianne Hefty, West Des Moines Amy Heinrich, Pleasant Hill Todd Hibbing, Grimes Richard Huyck, Des Moines Shelly Johnson, Spencer Stephanie Jones, West Des Moines Mark Joniak, Norwalk Kathryn Juhl, West Des Moines Miemie Kephart, Pleasant Hill Alexandra Kerber, Creston Jacqueline Kern, Des Moines Allison King, Des Moines Andrew Kjos, Ankeny Jacob Klein, Clear Lake Mark Knox, Des Moines Angie Koka, Des Moines Michelle Kraber, Urbandale Nikol Krambeer, Boone Lori Krause, Clear Lake Dena Kroska, Ankeny Sheldon Levin, West Des Moines Megan Lewis, Urbandale Jennifer Luettjohann, Sigourney Joshua MaCauley, Waukee Andrew Marble, Ottumwa Paul McClimon, Bellevue Debra Mertz, Urbandale Sarah Mester, Coralville Elizabeth Miller, West Des Moines Anne Mitchell, Des Moines Kevin Mitchell, Des Moines Tuyen Monzon, Des Moines Rachel Moran, Spencer Shawnae Morey, Des Moines Ashley Morgan, Des Moines Ashley Mrla, Eagle Grove Amy Munemoto, Des Moines Lauren Munoz, Des Moines Joyce Newton, West Des Moines Mark Notz, Ankeny Michelle Olson, Spencer William Palmer, Mitchellville

Patty Peterson, Pleasant Hill Jeffrey Pettit, Des Moines Sheryl Pfeiler, Omaha, NE Angela Phipps-Atkins, Altoona Rebecca Ponce, Norwalk Vali Potter, Ankeny Selena Pribyl, West Des Moines Carolyn Prohaska, Clear Lake Joan Pruisner, Des Moines Madison Rector, Clarion Dawn Reser, West Des Moines Laura Ridout, Des Moines Michael Robinson, Ankeny William Rodewald, Ankeny Megan Saltou, Waukon Steven Sanders, Des Moines Jan Schimmer, Primghar Tisha Schumacher, Humboldt Robbie Schwenker, North Liberty Gwen Schwestka, Des Moines Brian Seifert, Des Moines Kelly Shea, Urbandale Steve Shea, Des Moines Cynthia Sinnott, Denison Amy Sprague, Des Moines Melissa Spurgeon, Waukon Tara Stasi, Johnston Laney Stevenson, Cresco James Stratton, Correctionville Marilyn Thies, Waukon Jennifer Toliver, Waukee Amanda Ueltschy-Badillo, Ankeny Christina Ulrey, Pleasantville Jeri Van De Walle, Renwick Kimberly VanLangen, Urbandale Ellen Vawter, Des Moines Timothy Vawter, Des Moines Katherine Waack, West Des Moines Robert Wagner, Altoona Sherry Wall, Des Moines Amy Wells, Des Moines Jacob Wheeler, Des Moines Gillian Wilder, Des Moines Rachelle Williams, Des Moines Timothy Winter, Des Moines Rebecca Wram, Ankeny Ashley Wright, Des Moines Tasha Yepsen, Ely Lynn Young, Clive Kristy Zenk, Denison

BEComE A mEmBEr of THE iowA PhArMAcy AssociAtion

Position yourself to lead and shape the future of your profession and join a network of pharmacists, pharmacy technicians and student pharmacists advocating the advancement of practice for the health and well-being of our patients.

AdvAntAges for You Equipping you for today’s rapidly evolving health care system with free and convenient CPE and opportunities to connect with colleagues across the state.

AdvocAcy for Your ProfEssion Enabling you to confidently engage your elected officials while representing your interests with the Board of Pharmacy, state agencies, health care organizations, and provider groups.

85

%

of membership dues directly fund initiatives that advance the pharmacy profession

AdvAnceMent for Your PrACTiCE Creating opportunities for you and your colleagues to collaborate with healthcare teams and integrate pharmacy practice into emerging healthcare models.

iowA PhArMAcy needs your unique voice And exPerience!

leArn More & join todAy At

www.iArx.org FREE CPE!

iPA members receive cei’s relicensure or recertification cPe Buckets for free!

All the required CPE for relicensure or recertification conveniently bundled by CEi and free for iPA members!

technician’s corner

Technician Life at Hy-Vee Central Fill Pharmacy Neisha Benson, CPhT

Outgoing System Administrator/ Lead Technician Hy-Vee Central Fulfillment Center

W

orking as a pharmacy technician in a central fulfillment center is extremely different than working in any other pharmacy setting.

The amount of automation, numbers of prescriptions filled, and staff size are three things that make this setting unique.

At our facility, we have Parata Express machines, as well as a variety of others, to automate the dispensing process as much as possible. There are countable medications that we cannot put in a machine for dispensing, as well as unit-of-use medications, which are dispensed just like in a retail pharmacy.

Certified technicians are responsible for replenishing the Parata Express cells with product when they become empty.

We use a barcode scanning process and cameras, as well as visual verification by a pharmacist to ensure accuracy.

Technicians also assist with inventory and troubleshooting a variety of things, just as we do in any other setting.

My prior work experience was in a retail pharmacy setting, so I understand the stresses and rigors of that environment.

The typical interruptions present in a retail practice are absent at the central fulfillment center. Our pharmacists and technicians can focus on dispensing and accuracy, without the distractions of retail pharmacy practice.

The automation allows us to accurately and efficiently fill maintenance prescriptions and support our retail

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pharmacies. This model allows our retail pharmacies to focus on improved customer care and expanded services, such as immunizations, diabetes education, and MTM. We are committed to improving patient care through our innovative approach. Utilizing our fulfillment center gives our retail pharmacists the time they need to provide more personalized patient care.

Our experience with a central fulfillment model has been positive. We are accurately and efficiently providing maintenance medications to our patients while expanding pharmacy services and improving patient care.

I am proud to be working in such a progressive pharmacy environment and believe that central fulfillment pharmacies will continue to enhance retail pharmacy practice in the future. â–

Pharmacy Technicians: We Want to Hear from You! Do you or someone you work with continually demonstrate excellence as a pharmacy technician?

Each quarter, IPA highlights one IPA pharmacy technician member whose dedication to patient care and innovation within the pharmacy profession makes them an example for others.

If you or someone you know exemplifies these characteristics, please contact IPA at ipa@iarx.org to be able to spotlight their passion for the profession.

technician’s corner EXPO TECH FORUM:

Earn up to 6 hours CPE and network with colleagues from across the Midwest!

Join your colleagues from around the Midwest and earn up to 6 hours of CPE for this 1-day interactive conference. Programming is designed to help you understand the ever evolving role of pharmacy technicians in both community and hospital settings.

SAT., FEBRUARY 13, 2016

Attendees can also take advantage of the Midwest Pharmacy Expo’s keynotes, exhibit hall and networking opportunities!

Community Choice Credit Union Convention Center, Des Moines, Iowa

Attend Expo on Feb. 14 for up to

10.5 total hours of CPE!

Tech Forum is part of the Midwest Pharmacy Expo held on Feb. 12-14, 2016

Attend Expo’s Sunday (February 14) programming for up to an additional 4.5 hours of CPE credit!

For more information or to register, visit

www.MidwestPharmacyExpo.com/TechForum

THE PTCB

ADVANTAGE • Improved employment opportunities • Demonstrated value to the pharmacy team • Validated achievement • Future career growth options • Prestige among coworkers • Potential for higher salary

Certification by PTCB is the gold standard for pharmacy technicians.

Many employers now require their employees to be PTCB-Certified Pharmacy Technicians (CPhTs).

PTCB has a new website, a streamlined application process, sponsorships, and free verifications. The Pharmacy Technician Certification Exam (PTCE) reflects current knowledge areas demanded across all practice settings. PTCB’s requirements to become a CPhT include a high school diploma and a passing score on the PTCE. Learn more and apply at www.ptcb.org.

Get the

PTCB ADVANTAGE SETTING THE STANDARD www.ptcb.org

CONNECT ONLINE:

Become a

PTCB CPhT TODAY JAN.FEB.MAR 2016 |

45

technician’s corner

Newly October PTCB1,Certified Iowa Technicians 2015 through December 31, 2015

Please join IPA in congratulating the following pharmacy technicians on becoming PTCB-certified!

Mercedez Abston Caitlin Albrecht Jenna Alff Elizabeth Allbee Autumn Baca Rebecca Beaver Nicholas Bell Crystal Blades Katie Bloemker Delaney Brainerd Brittany Brink Anna Burriola Victoria Carroll Jody Collins Sarah Collins Mikaela Cooper Christine Craig Megan DeJong Starla Doerter Emily Dolezal Elicia Duncan-Giese Tessa Engle Sharon Fresquez Alexis Garcia Sean Giese

Allison Grobstick Derek Grote Katie Hackman Kristin Hahn Christopher Hajek Alyssa Haman Samantha Hamilton Misty Hardy Ashley Harriman Mackenzie Harris Jennifer Hartwig Devon Haupt Holly Henschel Natalie Herron Toni Hickem Keaton Higgins Dakota Hiner Sanam Hussien Melissa Ivie Erica Jarnagin Jordan Kimball Allison Krewson Kristopher Krohn Clara Lemos Amber List

YinShan Low Deidra Lowenberg Steven Mallinger Kate Malone Jayla Mayes Nicholas McFadden Karly McKusker Vanessa McLaughlin Rebecca Metcalf Jennifer Meyer Tara Mott Helmsley Canong Moua Michael Mueller Sarah Nicol Stephanie Nicol Emily Nyland Felicia Oertel Tejal Patel Susan Perry Chance Petro Stephanie Quernemoen Drake Reiter Mary Riley Hannah Roppo Kelsie Schwartz

Sandra Seeser Kortney Self Esteban Serrano Heidi Shields Tanner Smith Michaela Smith Brandon Springston Derek Staats Miranda Stephen Carolyn Stone Reuel Trevino Heather Vogel Robert Weidenbacher Levi Wright Cecil Wright

IPA Technician Members Receive ALL Required CPE for CPhT Recertification for FREE! Looking for recertification CPE? Pharmacy technician members of IPA now receive the Recertification Bucket from CEI for FREE!

The Recertification Bucket includes Pharmacy Technician Certification CPE activities in categories consistent with the PTCB Domains, structured as 10 one-hour written modules that you can print and complete on the go. Also included are live and on demand webinars in the area of pharmacy law and patient safety.

Login at www.iarx.org/cei_buckets to take advantage of this new benefit for members and spread the word to your colleagues.

JOIN NOW & receive your free recertification bucket! www.iarx.org/membership | 515.270.0713 | ipa@iarx.org

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college of pharmacy news

Exciting endeavors to be seen in Spring 2016

T

he Drake University College of Pharmacy and Health Sciences has a variety of noteworthy events and activities occurring during the spring 2016 semester, making it a historic time for the university.

Renae Chesnut, RPh, EdD, MBA

Dean Drake University College of Pharmacy & Health Sciences

Groundbreaking for Two New Buildings

As announced in the Fall of 2014, the incorporation of two new buildings will create a six-building interdisciplinary complex. One building will house state-of-the-art science labs and teaching spaces. The second building will house the education, math and computer science programs along with the Robert D. and Billie Ray Center and conference facilities.

Weaver Medal Lecture

Rodney Carter, PH’76, will deliver the 18th annual Weaver Medal Lecture on Wednesday, April 27 at 2 p.m. in Old Main Sheslow Auditorium. After graduating from Drake, Rod completed his PharmD from the University of Minnesota and then went on to academic and administrative leadership positions at Purdue University, University of Minnesota, and currently at Regis University where he serves as Dean of the College of Pharmacy. Rod served as the President of the American Association of Colleges of Pharmacy in 2010-2011.

University Presidential Inauguration

For only the 12th time in Drake’s history, the inauguration of a new President will occur, with the ceremony being held on Thursday, April 28 at 1:30 p.m. in the Drake University Knapp Center. Earl ‘Marty’ Martin joined the University in July 2015. An accomplished academic administrator, teacher, and legal scholar, Martin joined Drake following 10 years at Gonzaga University in Spokane, Washington where he served as the executive vice president (2010-2015), the acting academic vice president (2009-2010) and dean of the School of Law. Before joining Gonzaga, Martin spent eight years (1997-2005) as a professor of law at Texas Wesleyan University School of Law, serving as associate dean for academic affairs (2003-

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05). Prior to his academic career, Martin served for eight years as an active-duty U.S. Air Force staff judge advocate officer in England, Germany, and the United States.

Martin holds a bachelor’s degree and a J.D. from the University of Kentucky and an LL.M. from Yale University School of Law.

All-Pharmacy Reunion

Five years ago, the first ever Drake University All-Pharmacy Reunion was held during the Drake Relays with more than 300 alumni and guests, faculty and students in attendance. The success of that event has led to the establishment of a second reunion on April 29-30, 2016, which is again during the Drake Relays. Activites during the weekend will include a gathering in the Cline Atrium Hy-Vee Learning Commons, tours, socials with fraternities and other affinities, and a party in the alumni tent. If you are an alumnus of our college, please make plans to return for to commemorate, celebrate, and elevate our college!

Welcoming Our First Class of Occupational Therapy Doctorate Students

The College has been working with our three occupational therapy faculty members as they applied for candidate status accreditation en route to welcoming the first class of Occupational Therapy Doctorate students in May. The Drake program, one of only 30 accredited programs, will be a year-round, three-year doctoral program that will allow students to earn certifications throughout their educational program, have a variety of fieldwork experiences. Once our accreditation candidate status is received in January, we will begin admitting students to start the program in May following the spring semester.

This historic time at Drake University marks a beginning for some, including the first class of the OTD students. For others, our alumni, it means coming back to celebrate the university’s progress and support its vision for the future. For all of us, this time is about working together in supporting the mission of Drake University.

Thank you for your support of our College! ■

college of pharmacy news

Walk-the-Talk...

No Brag, Just Fact

W

alk-the-talk” is an adage heard often in our College. From the time our students are first welcomed to the College family and continuing through Commencement they are routinely challenged to “walk-thetalk.” As Hawkeyes this is an expectation not merely a play on words.

During this time of year we are especially mindful of what these words represent within our program as we reflect on our students accomplishments through the many letters of recommendation that are written for those who will be graduating and are seeking employment, postgraduate residencies and fellowships, additional education, post-docs, or numerous other opportunities. Of course, writing these letters also serves to underscore how all of those who comprise our family must also ‘walk-the-talk’.

After all, our students learn best through example. It is this thought that fills my soul with tremendous pride.

This past August, our College began implementing what can arguably be described as one of the most forwardthinking, student-centric, avant-garde curricula in the country. Our curriculum has always been rigorous and among the finest offered. However, of the many attributes that make this one different are the countless additional opportunities that will be presented during students’ years of study and training to further advance oneself through combined educational offerings, certificate programs, scientific inquiry, organizational involvement, and community engagement. Similarly, ongoing changes in our graduate offerings continues to keep our program at the fore and among the most highly regarded in the country. All of this would not be possible if not for the dedicated faculty, staff, and adjunct faculty who expand the boundaries of science; provide exemplary patient care; demonstrate servant leadership through active professional association engagement; and, volunteer

their time and talents through meaningful participation in a myriad of communitybased, service-learning programs. Those responsible for teaching our students categorically “walk-the-talk” and it is through their example that our students come to more fully understand what is expected of them as a Hawkeye pharmacist or pharmaceutical scientist.

In the ‘60s, The Guns of Will Sonnett was a favorite classic western show. The patriarch, played by acting legend Walter Brennan, was once famously quoted as saying “no brag, just fact,” a reference to his adroit quick draw and accuracy with his side arms. Reflecting upon the many letters of recommendation I wrote in recent weeks underscored that our students could make the same proclamation. The plaudits they received were well-earned. And what was especially gratifying was that often they were following in the footsteps of their healthsciences progenitors…their teachers, mentors, and personal professional confidants. Their accomplishments as students will no doubt lay the foundation for unquestionable achievement in the decades to come. Each represent the type of balanced student we are trying to nurture here at the UI College of Pharmacy - academically driven, professionally engaged, and exemplary in demeanor.

All are blossoming professionals who are destined for great things!

Donald Letendre, PharmD

Dean The University of Iowa College of Pharmacy

As Dean I have had the privilege of witnessing countless ways in which members of our College family simply do the right thing in response to whatever the challenge at hand might be. All - faculty, staff, adjunct faculty, and students - are shining examples of what it means to “walk-the talk.” And that is “no brag, just fact!” ■

JAN.FEB.MAR 2016 |

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STUDENT SECTION

HighPerforming Pharmacy Networks Robert Nichols

2017 PharmD Candidate The University of Iowa 2015-2016 IPA Board of Trustees

A

s pharmacy professionals, we recognize that our profession is capable of playing a greater role in the delivery of health care services. If we are properly incentivized to practice at the full extent of our training and licensure, we can provide a breadth of health management services that can reduce overall health spending. These incentives may soon become a reality for Iowa pharmacists as insurers are starting to realize the benefits of pharmacy healthcare delivery.

In 2016 and beyond, one of the key practice advancement initiatives for IPA will be the support of performancebased pharmacy networks that reward pharmacies for providing an enhanced level of care. As the details of these high-performing pharmacy networks (HPPN) have yet to be established, it is vital that we discuss how pharmacies will be included in these networks and how pharmacy performance will be measured. To demonstrate the positive impact of pharmacist care on the healthcare system, we must understand the value HPPNs may provide different stakeholders, and be engaged with the association so we may continually evolve our practices to help patients achieve therapeutic outcomes through safe and effective drug therapy.

In the past, pharmacy benefit managers (PBMs) have used narrow networks to incentivize patients to chase lower copays by switching pharmacies; often jeopardizing established therapeutic relationships between patients and their pharmacist. To be included in the narrow network, pharmacies have

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had to accept lower reimbursement rates. The ideal HPPN would align incentives of stakeholders to improve health outcomes for patients, decrease readmissions rates for hospitals, and reduce overall healthcare spending for payers. To accomplish this, pharmacies would be compensated for delivering an enhanced level of patient care.

Wellmark Blue Cross/Blue Shield, the primary commercial insurer in our state, is already moving to create a HPPN. Wellmark has formed a Pharmacy Quality Advisory Committee to guide development of HPPN that improves care delivery and reduces total health spending in a shared risk and reward reimbursement model. It will be important to study models like these to understand how they will evolve to shape pharmacy practice across the profession.

The Practice Advancement Forum and online webinars are easy ways to be engaged within IPA, learn about high performing networks, and impact how they will evolve and shape your practice.

Initial discussion and understanding of performance-based pharmacy networks were part of various webinars in December and January. Each webinar was recorded and available by email request to ipa@iarx.org. The Practice Advancement Forum (PAF) is held in conjunction with the IPA Annual Meeting and allows attendees to learn about innovative ways pharmacists are being used as medication experts to prevent and manage chronic diseases. With presentations and panels of practice leaders, the programming explores methods to improve pharmacy practice settings to improve patient outcomes and pharmacist care delivery.

As commercial insurers explore the risks and rewards of HPPNs, pharmacies have the opportunity to demonstrate the impact the profession has on patients’ health. Pharmacies that perform will be rewarded for providing an enhanced level of care. Successful implementation of such a system has the potential to usher in a reimbursement model where the incentives of all stakeholders are aligned. â–

STUDENT SECTION

Over 60 student pharmacists from Iowa attend MRM! Written by: APhA-ASP Chapter Presidents Dalton Fabian, Drake University Marshal Johnson, University of Iowa The American Pharmacists Association Academy of Student Pharmacists (APhA-ASP) Region 5’s Mid-Year Regional Meeting (MRM) is an annual conference designed specifically for student pharmacists where they come to network, advocate for our profession, and recognizing chapters for their educational and patient care events put on during the previous academic year. APhA-ASP is composed of 8 regions and 128 chapters at colleges of pharmacy across the country.

This year’s Region 5 MRM was held in Minneapolis, MN and was attended by 13 student pharmacists from Drake University and 50 from The University of Iowa. Topics included information about the national provider status movement and how students can be involved with advocating at the grassroots level. Students also gathered to discuss and work through the policy process.

A panel of new practitioners, which featured 2014 Drake graduate Brian Wall, Senior Manager of Governance at APhA, discussed their challenges and successes breaking into the profession.

Students work through policy process.

The most successful part of the meeting was the election of regional officers. With three positions for regional officers available, one student from each university in Iowa was elected to a regional position! Annie Stella (Drake) was elected the Regional Delegate and Claire Weidman (Iowa) was elected Regional Member-at-Large. Over the next year both chapters are excited to see the impact that both of these student pharmacists will make on our region and APhA-ASP. L to R: Annie Stella (Drake University), Liz Murray (South Dakota State University), Claire Weidman (Univeristy of Iowa)

JAN.FEB.MAR 2016 |

51

STUDENT SECTION

APply to the Bill Burke Student Pharmacist Leadership Conference

Max W. Eggleston Executive Internship in Association Management

September 23-24, 2016

Deadline to Apply – May 1, 2016 The 21st annual Bill Burke Student Pharmacist Leadership Conference is scheduled for September 2324, 2016, at the Marriott Hotel & Conference Center in Coralville. The conference will be held in conjunction with the IPA Foundation’s annual Eggleston-Granberg Golf Classic to provide additional opportunities for networking and learning. Events are also scheduled on September 23 to be held at Brown Deer Golf Club, after the Golf Classic.

The Bill Burke Student Leadership Conference aims to: • Instill quality organizational leadership skills • Increase awareness of issues impacting the profession of pharmacy • Encourage development of leadership skills and involvement in professional and community activities • Recognize pharmacy students who have displayed leadership potential • Improve communication and teamwork skills

Application Deadline – March 1st The Eggleston Executive Internship in Association Management is a 12-week program held each year during the summer months in the IPA offices in Des Moines.

“I can count pills, pour liquids, and compound medications but this is just a small part of a being a pharmacist. Being a consultant to my patients – that’s where I’ve used my education and where I have been of greatest service.”

- Bill Burke, RPh

During the internship experience, the intern will receive education instruction in each of the Association’s division as follows: • Public Affairs and Business Development • Professional and Educational Affairs • Organizational and Administrative Affairs The ideal candidate is an IPA student pharmacist member currently in their second year of pharmacy school.

Applicants should submit their online application along with a current resume and writing sample to Anthony at apudlo@iarx.org by March 1st.

For more information, please review the IPA website or contact IPA at 515.270.0713.

To Apply

Online applications are now being accepted for current P1 through P3 student pharmacists from Drake University and The University of Iowa.

Go to www.iarx.org/billburke for more information or to complete an application before May 1, 2016.

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2015 Eggleston Executive Intern, Elizabeth Bald

Pharmacy Time Capsule

19 82

Issues & Events that have Shaped Iowa Pharmacy

JANUARY

The intravenous form of verapamil was the first calcium antagonist approved for use in the US. Clinical trials were underway for the oral form of verapamil. Other calcium antagonists, diltiazem, nifedipine, and perhexiline, were investigational drugs at this time. The availability of calcium antagonists at this time represented a major addition in treatment of cardiovascular disease.

FEBRUARY

IPA started a Task Force on Impaired Pharmacists. The goal of this task force was to develop guidelines for dealing with pharmacists that may be impaired through the use of alcohol and/or other chemicals. This task force essentially created the idea behind the Iowa Pharmacy Recovery Network (IPRN) that is active today.

JUNE

Medicaid Reform: Governor Ray proposed a 2.5% reduction in provider reimbursement, along with a state MAC program for prescription drugs. IPA took the position that pharmacists were willing to stand in line with the rest of the providers and accept the 2.5% cut, but that the reduction should not be applied to the drug costs component of the reimbursement formula – a cost over which the pharmacists had no control. The three changes made for pharmacy in FY’83 were: • The professional fee was increased from $3.35 to $3.53 • The 2.5% reduction would only be applied to the professional fee • Pharmacists were paid an additional 50 cents for new prescriptions dispensed in which the pharmacists had saved the state $1.50 or more on drug costs, through the exercise of drug product selection

JUNE

IPA’s 104th president, Gene Lutz, gave his inaugural address at the Annual Meeting in Des Moines.

Gene’s speech, titled “I Can Make a Difference,” encourages pharmacists to be active members in both health care and the community. Gene states that the days of “lick and stick and count and pour” are gone and that pharmacists are the drug experts and need to be providing the best care to patients. Another request was that pharmacists be politically active and contact their legislators and organize pharmacy visits to show what the pharmacy profession can offer.

DECEMBER

President Reagan signed “The Tax Equity and Fiscal Responsibility Act of 1982” which limited Medicare hospital reimbursement based on total hospital costs. With the new rules, there was a shift from cost-based reimbursement to rate-based reimbursement in which payment rates were negotiated or set prospectively and independent of actual costs incurred. This new policy discouraged use, particularly of ancillary services, shifting pharmacists’ role of maximizing revenue from drug products to controlling unnecessary use and reducing departmental expense.

The Iowa Pharmacy Association Foundation is committed to the preservation of the rich heritage of pharmacy practice in Iowa. By honoring and remembering the past, we are reminded of the strong tradition we have to build upon for a prosperous future for the profession.

JAN.FEB.MAR 2016 |

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Calendar of Events 2016 CALENDAR OF EVENTS FEBRUARY 2016

MAY 2016

12-14 Midwest Pharmacy Expo - Des Moines, IA

10

Tech Forum (Feb. 13)

Heartland PRN Conference (Feb. 13-14)

16 IPA Goes Local: Central Iowa Pharmacy Association

MARCH 2016 4-7

APhA Annual Meeting - Baltimore, MD

6

Iowa Reception - APhA Annual Meeting, Baltimore, MD

8

2/2/2 Webinar: Bioslimiars

22

IPA Goes Local - North Iowa Pharmacy Inc

2/2/2 Webinar: Open Forum on Proposed IPA Policies

12 IPA Goes Local: Dubuque Area Pharmacy Association 19 IPA Goes Local: Quad Cities Area Pharmacy Association

JUNE 2016 14

2/2/2 Webinar

16

Practice Advancement Forum - W. Des Moines

17-18 IPA Annual Meeting - W. Des Moines

APRIL 2016 12

2/2/2 Webinar: Pharmacy Residents Leading Practice Change

14

IPA Goes Local: Blackhawk/Bremer County Pharmacy Association

For the most up-to-date information on state and national events, visit www.iarx.org/events

NEED A RELIEF PHARMACIST? CONTACT “JOSEPH IN RELIEF” Joseph Thompson, RPh 9616 Quail Ridge Urbandale, IA 50322

1.888.278.0846 h. 515.278.0846 | c. 515.991.2684

FOR SALE

5 year-old Script Pro Robot in New Hampton, Iowa

Call Tom Deutch: 319-464-6733

ADVERTISE IN OUR PUBLICATIONS Place your ad/classified ad with us. All ads, contracts, payments, reproduction material and all other related communication should be addressed to David at dschaaf@iarx.org or call the IPA office at 515.270.0713 for more information.

54

| JAN.FEB.MAR 2016

IOWA PHARMACY RECOVERY NETWORK

Assisting Impaired Pharmacists, Student Pharmacists, and Pharmacy Technicians

Where do you turn when you, a co-worker or someone you care about needs help with an addiction, physical illness or psychiatric disorder?

Providing support . . . through caring volunteers

HOPE FOR RECOVERY 1-877-890-IPRN

http://www.iowarecovery.org/

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