IPA Journal - Oct/Nov/Dec 2016

A Peer-Reviewed Journal | Vol. LXXII, No. 4 | OCT.NOV.DEC 2016

The Medicare Quality Payment Program Who, What, When, Why & How pg. 10

INSIDE: Ride Along with the 2016 RAGBRAI Team Meet Iowa’s 2016-2017 Pharmacy Residents IPA’s 2016-2019 Strategic Plan

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 Kate Gainer, PharmD Anthony Pudlo, PharmD, MBA, BCACP Laura Miller Sarah Derr, PharmD

COVER STORY: The Medicare Quality Payment Program

pg. 10

An overview of the QPP and how this upcoming payment reform could affect healthcare from the pharmacy perspective.

OFFICERS Chairman Bob Greenwood, RPh, Waterloo PRESIDENT Rick Knudson, PharmD, BCPS, MS, MBA, Clear Lake PRESIDENT-ELECT Craig Logemann, RPh, BCACP, CDE, Ankeny TREASURER Sue Purcell, RPh, Dubuque SPEAKER OF THE HOUSE Susan Vos, PharmD, FAPhA, Iowa City VICE SPEAKER OF THE HOUSE Steven Martens, PharmD, Grundy Center

TRUSTEES REGION 1 Christopher Clayton, PharmD, MBA, Manchester REGION 2 Ryan Jacobsen, PharmD, BCPS, Iowa City REGION 3 Rachel Digmann, PharmD, BCPS, Ankeny REGION 4 Jerod Work, PharmD, Sioux Center AT LARGE Jessica Frank, PharmD, Winterset Nora Stelter, PharmD, CHWC, Urbandale Brett Barker, PharmD, Nevada Stevie Veach, PharmD, BCACP, Tiffin HONORARY PRESIDENT Jane DeWitt, RPh, Iowa City PHARMACY TECHNICIAN Meg Finn, CPhT, North Liberty STUDENT PHARMACISTS Nick Vollmer, Drake University Casey O’Connell, The University of Iowa 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) publishes 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 by ColorFx; Graphic design done by the Iowa Pharmacy Association.

Meet the Residents Meet the 50 pharmacy residents practicing in Iowa this year. pg. 32

IPA Foundation RAGBRAI Team Recap Relive the team’s trek through southern Iowa promoting the profession. pg. 40

FEATURES

IPA’s 2016-2019 Stragic Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Feature: The Medicare Quality Payment Program . . . . . . . . . . 10 Midwest Pharmacy Expo Preview . . . . . . . . . . . . . . . . . . . . . . . 18 Welcome Class of 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Legislative Day Preview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Meet the 2016-2017 Iowa Pharmacy Residents . . . . . . . . . . . . 32 RAGBRAI Recap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

IN EVERY ISSUE

CEO Editorial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 President’s Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Health Care Hot Topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Iowa Pharmacy News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Practice Advancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Public Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Technician’s Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 IPA Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Member Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 IPA Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Calendar of Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Pharmacy Time Capsule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Mission Statement

The Iowa Pharmacy Association empowers the pharmacy profession to improve health outcomes. OCT.NOV.DEC 2016 |

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CEO Editorial

Hey, Pharmacy, What DO you Say?

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grew up in a family of sports fan, and being the only daughter of my parents’ three children, I was often the victim of 2-on-1 wrestling matches or the lone outfielder in a backyard game of twilight baseball. My family dynamic of being the oldest and only girl not only shaped me into the person I am today, but created the framework for sports to be an integral foundation in many aspects of my life. And with sports, like life, and like our profession, we often talk about leaving a legacy. After 108 years, the Chicago Cubs finally won a World Series. While I grew up in Wisconsin and spent my summers at County Stadium cheering for the Milwaukee Brewers, this year’s MLB post-season found me (and what felt like all of Iowa) rooting for the Chicago Cubs. I was excited for game 7, but my emotions didn’t come close to those of true lifelong Cubs fans: the adrenaline rush of an early lead, agony of a lost lead, anxiety of a rain delay, excitement of extra-innings, and joy, pure joy of watching the ball into Rizzo’s glove for the final out. The part I enjoyed most of this year’s World Series was observing the fans. The lifelong Chicago Cubs fans that watched their team build its “loveable loser” legacy were seeing their patience and loyalty rewarded. I loved the stories of lifelong fans whose passion and loyalty had been passed down to them from previous

generations that supported their Cubbies year in and year out, but weren’t here for the 2016 World Series. And how, in celebrating the 2016 Chicago Cubs championship, the fans were also celebrating the ever-loyal generations of fans that introduced them to the sport, and shared their joy, the near misses, the goats, and some guy named Bartman (I’m sure there are more, but I’m a Brewers fan). Our profession also has a storied and still evolving legacy. It too was built on years of shared experience by pharmacists and pharmacy technicians with a passion for taking care of people. And pharmacists have been the underdog through the years – historically against physicians, then drug manufacturers, and most recently PBMs. We’ve had significant small victories and advancements over the years, but they weren’t without their own peaks, valleys and sometimes even superstitions. And we know about them because those stories have been passed along from generation to generation.

Kate Gainer, PharmD Executive Vice President & CEO Iowa Pharmacy Association

profession through these stories and shared experiences. These are the building blocks of a legacy. Together these small advancements shape the future of the pharmacy profession. Each advancement brings its share of adrenaline, anxiety, and excitement. Our generation is working on interprofessional education and team based care; value-based payments and enhanced services networks; fully utilizing technicians and technology; and pharmacists as healthcare providers – recognized by all. Each of these may define the current generation of pharmacists, may build upon the important legacy of our profession. So, hey, pharmacy, what do you say? Is our profession going to win today? ■

Understanding how the profession today was shaped by those before us helps us understand and appreciate the significance of each achievement. We get to pass these stories and their importance to the student pharmacists and new practitioners. We share our passion for our

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President’s Page

To ‘Be’ or Not to Be… That is the Question status (this is where the introspection comes in)? Rick Knudson, PharmD, MS, MBA, BCPS Clear Lake, Iowa IPA President

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hen we last spoke I discussed the need to move our professional dialogue beyond “achieving” provider status to the realm of “being” a provider. I would like to take this opportunity to expand upon this concept a bit further. Much has been written and expounded upon by many within pharmacy regarding the need to be recognized as providers. Generally, this message centers around the need to have legislation in place so that pharmacists are on equal footing with other providers with respect to billing for services. I am not going to disagree with those arguments, but I am going to ask you to think a bit broader – maybe even be a bit introspective. In recent months the profession has come together unlike ever before to rally for a cause – provider status. Professional associations as well as pharmacists from various practice types and settings are advancing the concept of provider status. These are all good and necessary steps for our profession to achieve provider status with respect to the logistical issues (i.e. billing for services, etc.). Are these logistical issues the only thing standing between us and provider

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What does it mean to “be” a provider? In my mind it means several things: • Taking initiative and making definitive decisions • Taking responsibility for those decisions • Owning your mistakes should (when) they occur

“I firmly believe that being a provider is...about an inherent mindset that we each must achieve.” If we think about pharmacy practice in this perspective then those logistical issues mentioned earlier, while important, are but one aspect of truly becoming a provider. Perhaps even more important is the paradigm shift that we as individual pharmacists, and as a profession, must go through in order to achieve our goal. I firmly believe that being a provider is not about a particular training designation, billing code or professional degree but rather about an inherent mindset that we each must achieve. The old ways of practicing such as “I made a recommendation” must give way to scenarios such as “I implemented a new regimen”. The difference is subtle but very important if we want to succeed in this endeavor as providers. Some of you are saying… “I get it. I’m onboard.” Others might not be

there yet. Will we all get there? Will all pharmacists be able to thrive in this era of provider status? I do not know the answer to that question, but I can tell you that it will not happen if we do not prepare. It is no different than trying to take an exam without preparing in advance. You will fail. What have you done, or will you do, to prepare yourself to “be” a provider? Have you evaluated or changed your practice in some way, shape or form? Do you challenge those around you to do the same? If it came to it, would you leave a professional position that restricts your ability to practice at the highest level you are able? These are the kinds of challenging questions that you must answer for yourself as you work through your own unique pharmacy practice paradigm shift. While you are working on your professional introspection rest assured that IPA continues to advance the tools, resources and initiatives (New Practice Model Initiative, High Performance Networks, Tech-checkTech, etc.) that you will need to be successful in a provider environment. We are here to support you and all of your efforts on behalf of the patients you serve. Over the coming weeks and months I will be attending the “IPA Goes Local” events across the state. I look forward to talking with each of you at those venues, and anywhere else our paths might cross, about all of the issues that face our profession. ■

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2016 Strategic Plan

IPA Board of Trustees APPROVES Strategic Plan for 2016-2019; Updates Association’s Mission

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n the spring of 2016, IPA began a process to create the next strategic plan for the association. The 2012-2015 Strategic Plan had been completed. With BluOpal Consulting assisting in the process, interviews were conducted with a set group of IPA board members, association members, and external stakeholders. An online survey was created and taken by members as well. Both the interviews and survey asked questions about the participant’s experience with IPA, their engagement, education, forms of communication, and their awareness of advocacy and policy issues. Building upon the base of interview and survey findings, two planning retreats were conducted; one with IPA staff in June 2016 and then with the IPA Board of Trustees in July 2016 to further develop and hone the key themes and actions of the strategic plan. The following is the 2016-2017 IPA Strategic Plan which includes an updated mission statement and the inclusion of the values that guide the association.

IPA Mission Statement The Iowa Pharmacy Association empowers the pharmacy profession to improve health outcomes.

IPA Vision The Iowa Pharmacy Association is an influential voice representing pharmacy professionals in Iowa. We provide essential services and information, advance the profession, and improve patient care and health outcomes through advocacy, leadership, collaboration, education, and innovation.

IPA Values Collaboration: Seek opportunities to partner with key stakeholders to achieve common goals and tackle healthcare challenges. Advocacy: Promote the value of the pharmacy profession to payers, policy makers and patients and enable our members to do the same. Innovation: Strive for excellence by actively pursuing “what’s next” for pharmacy practice. Education: Provide high quality educational resources and opportunities to equip an engaged and innovative membership Engagement: Cultivate a culture that drives members to be actively engaged within their profession and provide them with opportunities to make an impactful contribution. Leadership: Invest in the future of the pharmacy profession by nurturing leaders and innovators who inspire others to transform the profession. Positive Patient Outcomes: The health and safety of the patient is at the core of everything that the profession and this association does, guided by the principle of “if it’s good for the patient, it’s good for pharmacy.”

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2016 Strategic Plan

2016-2019 Strategic Plan & Leadership Agenda The roadmap and priorities set forth in IPA’s Strategic Plan and Leadership Agenda will guide the work of the Board of Trustees, committees, and staff in the coming years. IPA’s Strategic Plan presents long-range goals and strategies for addressing four key areas:

Advocacy IPA is the unified voice advocating for the pharmacy profession in Iowa to key stakeholders including legislators, regulatory agencies, healthcare providers and general public. IPA leverages its respected reputation, cultivates critical relationships and activates an engaged grassroots network to advance practice, protect the profession and ultimately achieve positive outcomes for all stakeholders. Objectives • Continue to cultivate IPA’s strong grassroots advocacy and active participation in legislative issues. • Collaborate with the Iowa Board of Pharmacy on shared initiatives to protect the public and advance the profession of pharmacy. • Establish legislative agenda that fosters practice advancement opportunities. • Continue collaboration and innovation on advanced practice models for pharmacists in the ambulatory care, inpatient, and community settings.

Medication Optimization and Patient Safety Patients experience more positive

outcomes with proper, safe and effective use of medication through pharmaceutical care. For this reason, IPA places a strategic emphasis on initiatives and opportunities that assert the role of pharmacists and pharmacy technicians and enable them to practice at the top of their training. Objectives • Concentrate on advancing advocacy for initiatives that increase patient safety and optimal medication use. • Partner with key stakeholders and those utilizing evolving healthcare models to integrate pharmacists as members of the healthcare team to optimize patient outcomes. • Support innovation in which technicians are performing advanced functions in medication distribution.

Membership Engagement IPA is most successful when our members are actively engaged in advancing strategic goals and actions. To remain a vibrant and influential organization, IPA focuses on nurturing the active participation of our membership and utilizing its depth of experience and volunteerism. Objectives • Create value in partnership packages that engage pharmacists and technicians. • Enhance programming and opportunities for students and new practitioners as vital voices of the profession.

• Nurture leadership opportunities within the association to continue the strong tradition of leadership development through capstone conferences and volunteer opportunities. • Realize new ways to utilize technology to foster member engagement in innovative programming.

Collaboration and Innovation IPA is committed to identifying opportunities to position the profession of pharmacy for success in order to meet the needs of a diverse membership in unprecedented times of health care change. IPA seeks to promote collaboration with strategic partners and support innovative practice initiatives that align with Iowa’s progressive professional culture centered on patient care. Objectives • Create new business opportunities to serve the profession and association. • Partner with national and state organizations (pharmacy, healthcare, or otherwise) to enhance pharmacy services provided in Iowa. • Strengthen collaboration between IPA and other healthcare organizations and at the local level between pharmacists and other healthcare providers. • As a unified organization maximize communication among pharmacists across practice settings.

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Cover Story

The Medicare Quality Payment Program Who, What, When, Why & How Lyndsay Fluharty, MA Senior Marketing and Communications Consultant Telligen

Sandy Swallow, CMA Senior Quality Improvement Facilitator Telligen

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n October 14, 2016, the Centers for Medicare and Medicaid Services (CMS) finalized a bipartisan breakthrough policy that will implement the Medicare Quality Payment Program starting in January 2017. The Quality Payment Program (QPP) is part of the Medicare Access and CHIP Reauthorization Act (MACRA) passed by Congress in 2015. MACRA replaced the Sustainable Growth Rate with the QPP, a payment method that

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incentives high-value, patientcentered care over volume. The purpose of the QPP is to give providers the tools and resources they need to serve the more than 55 million Americans who receive healthcare through Medicare. The QPP will alter Medicare Part B payments for more than 600,000 clinicians across the United States. It streamlines three existing programs – Physician Quality Reporting System (PQRS), ValueBased Payment Modifier (VM) and Medicare EHR Incentive Program (MU) – into the single QPP model. The QPP will reimburse physicians and other clinicians participating in Medicare and ultimately provide them with the opportunity to earn more by focusing on quality patient care. The details of the program are meticulous; therefore, CMS has enlisted Quality Innovation NetworkQuality Improvement Organizations (QIN-QIOs) across the country to assist in the transition. Telligen serves as Iowa’s QIN-QIO and supports not only payment reimbursement, but also cardiac health, diabetes care, antibiotic stewardship, and medication safety. Although pharmacists are not currently eligible for the QPP, it is important to understand the intricacies of the QPP and how it could affect healthcare from the

pharmacy perspective. This article will provide an overview of the who, when, and how of this upcoming payment reform.

Who is participating in the QPP? The key providers who will be eligible to participate in the QPP for 2017 are as follows: physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists. As one of these provider types, the practice must also bill Medicare more than $30,000 a year or provider care for more than 100 Medicare patients in one year. If 2017 is a practice’s first year participating in Medicare, then they are not required to participate in the 2017 QPP. CMS expects more provider types will be added in 2019, similar to those currently eligible for PQRS. Although pharmacists are not directly affected by the QPP payment model, they can assist physicians in meeting their quality measures.

When does the QPP start?

As proposed, the QPP is set to begin January 2017. CMS recognizes not all providers are in the same place in regards to their quality improvement measures and their Medicare reimbursements; therefore, CMS is allowing providers to select their pace of participation. There are four options for providers to choose from starting January 1, 2017. The four options are:

COVER STORY First Option: Test the QPP With this option, providers must submit some data – including some from after January 1, 2017 – to the QPP to avoid a negative payment adjustment. This option is designed to prepare providers for broader participation in 2018 and 2019 as they learn more about the system. Second Option: Participate for part of the calendar year Providers may choose to submit QPP information for a reduced number of days, meaning the first performance period could begin after January 1, 2017. Practices can select from the list of quality measures and improvement activities available under the QPP and still qualify for a small positive payment adjustment if they participate for part of the calendar year. Third Option: Participate for the full calendar year This option is for practices that are ready to go on January 1, 2017. Their first performance period will begin on January 1, 2017. If practices submit information for the entire year on quality data, they can qualify for a modest positive payment adjustment. CMS expects many practices of all sizes will be able to utilize this option. Fourth Option: Participate in an Advanced Alternative Payment Model in 2017 Practices can participate in the QPP by joining an Advanced Alternative Payment Model instead of reporting quality data and other information. Those that received enough Medicare payments or saw enough Medicare patients through the Advanced Alternative Payment Model in 2017 will qualify for a 5 percent incentive payment in 2019.

How does the QPP work?

The Quality Payment Program has two tracks from which providers can choose: Advanced Alternative Payment Models (APMs) and the Merit-based Incentive Payment System (MIPS). Eligible clinicians that already provide care through APMs may qualify for participation in the APM track. This

track offers a potentially more attractive reimbursement structure than MIPS, but is only available to a subset of APMs during the early years of the program. Advanced Alternative Payment Models (APMs) As the healthcare payments continue to evolve, physicians are being incentivized to move towards new approaches that emphasize quality and value; an APM is a payment approach with added incentives to provide high-quality and cost-efficient care. In APMs, the payer and provider share some of the financial risk and rewards associated with managing and caring for patient populations. Through this shared effort, care is better coordinated among providers and doctors are rewarded for lowering costs. There are many different types of APMs, all of which will have different value-based financial awards under the QPP. Advanced APMs are a subset of APMs that let practices earn more for taking on additional risk related to their patients’ outcomes. In doing so, they can earn a 5% incentive payment. In payment year 2026 and later, a clinician who meets the requirements receives a higher Physician Fee Schedule (PFS) update than those clinicians participating in MIPS. Merit-based Incentive Payment System (MIPS) Currently, CMS evaluates provider performance through multiple qualityreporting programs that include the Physician Quality Reporting System (PQRS), the Value Modifier (VM) Program and Meaningful Use (MU) of EHR technology. The MIPS payment track streamlines and improves these programs under one merit-based incentive payment system, MIPS. Under MIPS, eligible clinicians receive a composite score, from 0 to 100, based on performance in four categories. Providers are then subject to a payment adjustment (positive or negative) based on their score. The four categories are as follows with percentages showing which have the most weight: quality (60% 2017, 50% 2018), improvement activities (15%), advancing care information (25%), cost (0% 2017, 10% 2018). The first

performance year will be 2017, with the first payment year set for 2019. As the QIN-QIO for Iowa, Telligen is contracted with CMS to assist practices in meeting their quality improvement measures selected through MIPS.

What does this all mean?

The QPP is more than physician reimbursement — it is the future of our healthcare system. By changing payment incentives, it supports the goal of a value-based healthcare system that ensures high-quality, affordable healthcare. In collaboration with CMS, Telligen QIN-QIO is working throughout Colorado, Illinois and Iowa to achieve better, more affordable care for people and communities through quality improvement. Telligen QIN-QIO drives quality in healthcare for Medicare beneficiaries by providing communities with technical assistance, convening learning and action networks for sharing best practices, and collecting and analyzing data for improvement. By aligning statewide partners, Telligen supports ongoing healthcare initiatives to create a higher value healthcare system and better coordination of care. Our quality improvement teams work side-by-side with providers in all care settings on quality improvement initiatives, while pooling resources and common elements to best serve the needs of beneficiaries, families, caregivers and healthcare providers across the region. ■

If you have additional questions about QPP, visit Telligen’s website www.whatismacra.com or CMS’s QPP home page at https://qpp.cms.gov/. If you would like to work with our quality improvement team or learn more about the work Telligen is doing in Iowa, please visit www.telligenqinqio.com. Specific to pharmacies, we support medication safety and offer an antibiotic stewardship program. Please contact the authors if you have any additional questions.

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HealthCare Hot Topics

Updates to Sepsis Guidelines

Last revised in 2001, new definitions of sepsis and septic shock as well as new clinical guidance to help pharmacists and prescribers more quickly identify patients with or at risk of developing sepsis was published in the February 2016 issue of JAMA. With considerable advances made in the pathobiology, management, and epidemiology of sepsis and to offer greater consistency for clinical trials and epidemiologic studies, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine convened an expert task force to update these guidelines.

CDC Finds Nasal Spray Flu Vaccine Ineffective; Recommends Against Use

In response to research questioning the effectiveness of FluMist, the CDC’s Advisory Committee on Immunization Practices stated that the nasal spray flu vaccine should not be used during the 2016-2017 flu season. Research on the live attenuated influenza vaccine (LAIV) delivered by the nasal spray found that it’s effectiveness on children aged 2-17 was 3% - showing no measured protective benefit. For comparison, flu shots for this age group had a 63% vaccine effectiveness rate. FluMist is the only non-injectionbased influenza vaccine on the market and accounts for one-third of all flu vaccines given to children. Reasons for its ineffectiveness aren’t known. The CDC still recommends annual flu vaccination, with either the inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV), for everyone 6 months and older. The agency will be working with manufacturers to assure adequate supply for this flu season.

Surgeon General Urges Practitioners to ‘Turn the Tide’

U.S. Surgeon General Dr. Vivek Murthy’s Turn the Tide campaign (www. TurnTheTideRx.org) was developed to combat the opioid abuse epidemic in the country. The Surgeon General

asked health care professionals to pledge their commitment online, and to (1) educate ourselves to treat pain safely and effectively, (2) screen our patients for opioid use disorder and provide or connect them with evidence-based treatment, and (3) talk about and treat addiction as a chronic illness, not a moral failing.

will be required to apply to have their products undergo scientific review by the FDA over the next two years. The companies can continue to sell their products for about a year after they apply as the application process proceeds.

EpiPen Price Increases Face Scrutiny

Nearly every Schedule II opiate and opioid medication will see a 25% reduction in manufacturing in 2017. The Aggregate Production Quota (APQ), is the metric to be used to determine the amount of controlled substances needed to meet estimated medical, scientific, research, industrial and export needs for the year. This quota system is intended to maintain adequate supply while limiting quantities to combat diversion.

Mylan faced scrutiny for “outrageous” price increases for EpiPen from Senators Chuck Grassley (R-Iowa) and Amy Klobuchar (D-Minn). Senator Grassley wrote to the company asking for an explanation why the price has increased 400% since 2007. Mylan provided $300 savings cards for patients that pay-out-ofpocket and expanded eligibility for their Mylan plans to release a generic version of the EpiPen in an effort to provide cost savings to patients.

Patients Sue UnitedHealth Over Clawbacks

Three customers are suing UnitedHealth Group over clawback practices, accusing them of charging co-pays for prescriptions that were higher than the cost of the drug and pocketing the difference. The lawsuit seeks to represent a nationwide class of UnitedHealth customers that could number in the tens of thousands. The lawsuit claims that the co-pay is more of hidden premium and that clawbacks violate the federal Racketeer Influenced and Corrupt Organizations Act (RICO) which targets illegal conspiracies, and violated federal law governing employee benefit plans.

FDA Begins Regulating E-Cigarettes

In August, the FDA began regulating e-cigarettes. All buyers who look younger than 27 must now show their ID to purchase e-cigarettes. The rules come as the CDC revealed that teen cigarette smoking has radically decreased, however, experimentation with e-cigarettes has increased 900%. On the regulatory side, e-cigarette companies

DEA Reduces Amount of Opioids to be Manufactured in 2017

Marijuana Remains Schedule I Drug

DEA announced that it would not reclassify marijuana as a Schedule II drug. The decision comes in response to two petitions to reclassify marijuana to allow for easier federal approval to conduct research on the medical effects of cannabis. However, the DEA announced that they would expand the number of DEA-registered marijuana manufacturers to provide researchers with a more robust supply of marijuana. Currently, only the University of Mississippi is authorized to produce marijuana to supply researchers.

FDA Requires New Warnings on Combined Use of Opioids and Benzodiazepines

After reviewing the latest scientific evidence, the FDA will require boxed warnings and revised medication guides on nearly 400 products. New labeling will require focus on the serious risks associated with combining these central nervous systems depressant medications. This action supports the FDA’s Opioids Action Plan, which focuses on reversing the prescription opioid abuse epidemic while ensuring that patients in pain continue to have appropriate access to opioid analgesics. ■

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Iowa Pharmacy News

Drake & University of Iowa SSHP Chapters Receive Official ASHP Recognition

The Student Societies of Health-System Pharmacy (SSHP) at Drake University and the University of Iowa received official recognition from the American Society of Health-System Pharmacists (ASHP). Official recognition provides a direct relationship between ASHP and the SSHP. To receive official recognition each year, the SSHPs must meet three criteria based on involvement in health-system organizations, stimulating interest in health-system pharmacy and encouraging career development and professionalism among students. Congratulations to the Drake and University of Iowa student pharmacists involved in their respective SSHPs on achieving this recognition.

IPA’s BOP Podcast to be Accredited for CPE in 2017

IPA’s BOP: What, Why & How podcast, which premiered in April 2016, will be accredited for law CPE credit starting in January 2017 as part of the Relicensure and Recertification Buckets. The episode following the Iowa Board of Pharmacy’s (BOP) January meeting will be the first available for credit. The podcast is hosted by IPA’s Anthony Pudlo and features a 15-minute discussion with BOP staff following each BOP meeting. Each episode focuses on WHAT actions were taken by the Board of Pharmacy, WHY the BOP took the actions it did, and HOW BOP action will impact the practice of pharmacy in Iowa.

Cardinal Health Buys TelePharm

The telepharmacy start up company, TelePharm, announced on August 26 that

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it had been purchased by Cardinal Health. TelePharm was founded in 2012 by Roby Miller and provides video conferencing and other web-based systems that support telepharmacy services. The company’s 18 employees will remain in their Iowa City office. Details of the acquisition were not made public. TelePharm is the second Iowabased pharmacy start up purchased by Cardinal Health in a year following the company’s purchase of OutcomesMTM last summer.

Iowa Opiate Abuse and Heroin Addiction: A Community Crisis

On August 2, 2016, Drake University hosted a summit for both health care professionals and community members to discuss one of Iowa’s most pressing public health emergencies: opiate abuse and heroin addiction. The afternoon session was primarily health care provider focused with discussion based around how a collaborative effort between all health care professionals could help to

build upon and accelerate the prevention, intervention, treatment, and recovery programs that exist in Iowa today. The evening session was more focused on educating community members on the magnitude of this issue both on a national and state-wide level and showing them what types of steps are being taken in Iowa to help with these issues. Participants in both sessions had the opportunity to learn where the largest problems lie in relation to opiate abuse and heroin addiction and hear a powerful personal story on how addiction and abuse can impact the entirety of a family. The event was sponsored by the U.S. Attorney’s Office for the Northern and Southern Districts of Iowa and Drake University College of Pharmacy and Health Sciences whom hope that in addressing this epidemic, as a state we can come together to help prevent Iowa residents from falling victim to opioid or heroin abuse and better treat those who have already become addicted. ■

Iowa Reception at Midyear At this year’s ASHP Midyear Clinical Meeting, held December 4-8 in Las Vegas, IPA, Drake University College of Pharmacy and Health Science and The University of Iowa College of Pharmacy will once again be hosting an Iowa reception. December 5, 2016 5:30-7:00 p.m. Mandalay Bay (South Pacific IJ) 3950 S Las Vegas Blvd Las Vegas, NV 89119 Join us to reconnect with colleagues and make new connections within the extended Iowa pharmacy family!

IOWA PHarmacy News

SafeNetRx Initiative to Increase Cancer Medication Donations Laura Sands, MS, MBA Senior Program Manager SafeNetRx

It’s no secret that the rising cost of oncology medications prevents many people from seeking the treatment they need. One study examining the financial toxicity of cancer treatment found that 24% of cancer patients do not take prescribed treatments at all because they cannot afford the medication1. Iowa is one of the few states in the country that has a mechanism for collecting and redistributing life-saving medications to individuals in need. With support from the Iowa Cancer Consortium and the Iowa Department of Public Health, SafeNetRx, a pharmaceutical safety net provider, has launched an initiative to increase the donation of life-saving oncology drugs through its Iowa Drug Donation Repository.

The Iowa Drug Donation Repository was established by the Iowa legislature to accept, inspect and redistribute medications to uninsured or underinsured Iowans whose income is at 200% of the Federal Poverty Level and below. The Repository can only accept medications and medical supplies that are not controlled substances, have an expiration date greater than six months from the date of the donation, are contained in original sealed or unit-dose tamper-evident packaging, and do not require refrigeration.

need, SafeNetRx is placing tamper-proof medication donation receptacles at cancer centers across the state. The goal of this initiative is to increase cancer medication donations by 40%.

Last year, the Repository provided medications valued at $3.48 million to Iowans, of which $1.18 million was in the form of cancer medications. Despite the great work and progress the Repository has made so far, requests for cancer medications far exceed the supply of donated cancer medications available. To address this expanding

To learn more about how to request cancer medications on behalf of a patient or to donate medications, please call (515)327-5405 or visit SafeNetRx.org and click on the Iowa Drug Donation Repository. â–

Patients and their families who receive treatment at the centers will have the opportunity to donate eligible cancer medications that have been prescribed but not used, by contacting cancer center staff. The receptacles will be returned to the Iowa Drug Donation Repository for inspection and redistribution.

References

The Oncologist 2013; 18:381-390

1

OCT.NOV.DEC 2016 |

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Iowa Pharmacy News

The University of Iowa College of Pharmacy Breaks Ground on New Building “We will be, without question, the envy of our peers once this building is done,” said Donald Letendre, dean of The University of Iowa College of Pharmacy to the crowd of over 100 alumni, student pharmacists, faculty, dignitaries and friends celebrating at the ground breaking ceremony for the college’s new building on September 29, 2016. Scheduled to open in 2020, the building will feature state-of-the-art classrooms, laboratories, pharmacy practice learning centers, and a 128-seat lecture hall. It will be located across the street from the current pharmacy building on the site that was formerly the Quadrangle Residence Hall – which was demolished this past summer. It will replace one of the oldest public college of pharmacy buildings in the country. The current building was built in 1961 with the addition of the south tower in 1996. The older section of the building will be demolished while the south tower will remain. ■

Photos: The University of Iowa College of Pharmacy

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| The Journal of the Iowa Pharmacy Association

SAVE THE DATE

June 16-17, 2017 Coralville Marriott Hotel & Conference Center Join your pharmacy colleagues from across the state to participate in the policy adoption process in the House of Delegates, Annual Award Presentations, afternoon educational sessions, and GREAT networking with pharmacy leaders!

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17

February 17-19, 2017 The Midwest Pharmacy Expo brings together pharmacists, pharmacy technicians and student pharmacists from across the Midwest for the region’s premier live CE event.

Des Moines, Iowa

Featuring: • Ambulatory Care Advancement Conference (Friday, February 17) • Saturday Keynote by Robert M. Chiusano, MBA

The weekend features high quality live continuing education, engaging networking opportunities, and inspiring keynote speakers in a professional and relaxed Midwest atmosphere.

• Four CE Tracks • Current Headlines • Clinical Pearls • Management • Technician • Sunday Favorites including Gamechangers & New Drug Update

15.5 hrs of CPE for Pharmacists & 10 hrs for Technicians including Patient Safety & Federal Law

New Location!

Holiday Inn Des Moines-Airport & Conference Center 6111 Fleur Dr, Des Moines, IA 50321

Eat, sleep, park and enjoy Expo all in the same location!

Learn, Connect & Be Inspired with Your Colleagues from Across the Midwest!

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| The Journal of the Iowa Pharmacy Association

EXPO Schedule Friday, February 17, 2017

Ambulatory Care Advancement Conference 7:30-8:45 am 8:45–9:00 am 9:00–10:00 am 10:00–10:45 am 11:00–11:45 am 11:45 am–1:00 pm 1:00–2:30 pm 2:45–4:15 pm 4:15–4:30 pm 5:30-7:30 pm

Registration Welcome Keynote p Quality Measures: How Pharmacists Can Make an Impact p Population Management p Lunch & Networking (lunch provided) Transitioning into Transitional Care p Best Practices for Documentation and Communication p Wrap-up and Adjourn Expo Welcome Reception

Saturday, February 18, 2017

Midwest Pharmacy Expo 6:30–8:30 am 7:00–8:15 am 8:30–9:00 am 9:00–10:00 am

Registration Industry Symposium Breakfasts Welcome Keynote: “Mediocrity is Not an Option” by Bob Chiusano p/t

10:15–11:15 am Session 1 What Lies Below the Surface: Unseen Risk in Your Ambulatory Patient on Chronic Opioid Therapy p/t Clinical Pearls: Diabetes p USP 800: What You Need to Know p 10 Habits of Highly Effective Pharmacy Technicians t 11:30 am–12:30 pm Session 2 Novel Oral Anticoagulant Reversal p Clinical Pearls: OTC Medications p Informatics: What is it and Where is it Going? p/t Clinical Pearls for Technicians: Diabetes t

12:30–2:00 pm

Lunch and Exhibit Hall

2:00–3:00 pm Session 3 Electronic Cigarettes: Clearing the Air p/t Clinical Pearls: Oncology p Mentoring vs. Managing p Time Management is really LIFE Management t 3:15–4:15 pm Session 4 Pharmacogenomics p/t Clinical Pearls: Pulmonary Medicine p Pharmacy Training: Bridging the Gap Between Student and Independent Practitioner p Clinical Pearls for Technicians: OTC Medications t 4:30–5:30 pm Session 5 Use and Misuse of Antibiotics: A Focus on Antibiotic Stewardship p Clinical Pearls: Mental Health p There Seems to be a Mistake with My Prescription p/t The Evolving Role of the Pharmacy Technician t 5:45–7:00 pm

Political Leadership Reception**

Sunday, February 19, 2017 Midwest Pharmacy Expo

6:30–8:00 am 7:00–8:00 am 8:00–9:30 am 9:45–10:45 am 11:00 am–12:30 pm

Registration Industry Symposium Breakfasts New Drug Update p/t How to Cut Your Compliance Risk in Half: The Top 10 Pharmacy Compliance Issues p/t Gamechangers in Pharmacy: 2016 p/t

P - accredited for pharmacists

T - accredited for pharmacy technicians

**Additional ticket purchase required

OCT.NOV.DEC 2016 |

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WElcome Class of 2020

Drake University College of Pharmacy and Health Sciences White Coat Ceremony - Class of 2020 August 26, 2016 Sharon Abraham Andrea Aguilar Leah Amundson Laura Baumgartner Nicholas Bianchini Emily Birakdar Austin Bolker Allison Brask Kaitlin Brueggen Kristen Butler Jessica Caelwaerts Nicholas Cao Caitlin Carriel Ryan Cecala Michael Chenoweth Kamolchanok Cheung Kevin Clough Shania Cubit Jack Curran Brandon Daul Kara Eid Spencer Endecott Noah Espeseth Molly Everett Madison Fazio Thomas Felker Kendra Ford Ronald Frantz Erica Gannon

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Grace Geiser Rachel Goettl Megan Goetzl Taylor Gorski Kara Gossen Jenna Green Erin Haberman Taylor Hammond Hallie Harding Tessa Heitkamp Brianna Hoenig Alysha Hoyt Shanell Hurst Arianna Johnson Cassidy Johnson Josmi Joseph Karla Knobbe Mackenzie Lasnek Sophia Le Paul Lee Sara Leistico Bret Lentz Michelle Lin Alexander Maciejewski McKenzie Magee Michael Manlick Phillip Masters Alex McCormick Gabrielle McNett

Darby Messerschmitt Rebecca Metcalf Kara Metowski Valerie Meyer Garrett Moorman Edward Mueller Samantha Murata Jimmy Nguyen Madison Nissen Thomas Noll Eileen O’Brien Krishn Patel Sharmi Patel Greta Petersen Lisa Pham Gabriel Podraza Hudson Priebe Andrew Ramdhani Drake Reiter Rebecca Rezac Emma Robasse Sadie Robb Dylan Sarocco Matthew Schlott Madison Schwarz Paige Schwoebel Erin Simpson Jin Kyung Song Danielle Strelecki

Brittany Sulkowski Piper Swanson Justin Taber Reed Timmer Courtney Toth Rachel Tran Bridget Tunink Joshua Valerius Conrad Wagner Chloe Wall Ian Watson Alex Weber Katlynn Wellington Kelli Welter Iris Wenceslao Courtney Younge

Photos: Drake University College of Pharmacy and Health Sciences

| The Journal of the Iowa Pharmacy Association

Welome Class of 2020

The University of Iowa College of Pharmacy White Coat Ceremony - Class of 2020 August 20, 2016 Ahmed Abdelgadir Genan Alshawy Mona Alsheikh Olivia Altemeier Jordyn Anderson Robert Askren Garrett Beck Christine Behrendt Collin Belk Brittany Bittner Kebba Bojang Michael Boller Cole Borchardt Matthew Boyd Joshua Brausey Matthew Busalacchi Cheyenne Caldwell Kirsten Carstarphen Delaney Cheek Jingshi Chen Kevin Chiang Jisoon Chong Courtney Cobert Kelsey Coffman Beth Cole Katelyn Corcoran Christopher Cozzolino Roberta Davis Courtney Dawson Amy Dunleavy

Reid Ellingson Jace Engstler Kyle Erkel William Evans Lucas Faley Kelly Ferris Courtney Fischels Christopher Fox Mohammed Fredericks Allison Gardner Alec Gates Levi Gates Sean Giese Ana Glavas Cambridge Hampsher Hyesin Han Alexander Harlan Hannah Hemry Dakota Hiner Uyen Hoang Caprisse Honsbruch Kelsey Howland Joel Hoyman Connor Hunter Sonja Hutchens Hyunjae Hwang Michelle Jakaitis Samantha Johnson Sarah Kadura Tiffany Katz

Tiffany Khachikian Bret Kinne Haley Kirchner Alexa Klimek Michael Leonard Sherlie Llorens Samantha Marquardt Mattison Mason Matthew McDonald Patrick McFadden Mackenzie McGraw Maryanne Menge Francesca Milavetz Austin Miller Kristopher Miyakusu Ryan Molander Nathan Mott Leah Mouw Zachary Mulford Nichole Nunemaker Fadumo Osman Michael ParisiMercado Eesha Patel Meghal Patel Nicole Potter Brenna Robinson Michael Russell Caleb Rux Austin Sack Jessica Satterfield

Aaron Schmitz Paul Scholbrock Nickolas Scott Alexa Sieren Spencer Smythe Miranda Staab Carolyn Stone Louis Swaka Diana Theusch Sonya Thiessen Alexis Thumann Jay Tieri Kelly Tocki Amanda Toebe Kris Tuttle Bethany Vogts Kirsten Wells Karli Welter Caren Wi Marjorie Yassen

Photos: The University of Iowa College of Pharmacy

OCT.NOV.DEC 2016 |

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PRACTICE ADVANCEMENT

Comparing the CPESN & The Wellmark HPP Network There are multiple initiatives occurring in Iowa that are transitioning community pharmacy practice away from strictly dispensing roles to providing direct patient care and impacting patient outcomes. Two initiatives include the Community Pharmacy Enhanced Services Network (CPESN), which is a grassroots effort led by five pharmacist luminaries, and the

Who

Wellmark High Performing Pharmacy Network, which includes metrics for four diseases states and payment to pharmacies in the network for the outcomes of these metrics. The following table distinguishes between the two networks and explains the unique aspects of each.

Community Pharmacy Enhanced Services Network (CPESN)

Wellmark High Performing Pharmacy (HPP) Network

Approximately 100 pharmacies across Iowa, including independently owned, small chains, and large chains.

Approximately 70 pharmacies across Iowa invited by Wellmark including independently owned, small chains, and large chains.

This is an initiative modeled after the North Carolina CPESN, which began with funding from a CMMI grant and has been successful in achieving improved patient outcomes and total cost of care savings. North Carolina’s CPESN has also received some payment for providing enhanced services. A network of pharmacies who are committed to offering enhanced services including 5 core services: • Comprehensive medication review • Clinical medication synchronization • Medication reconciliation • Immunizations • Adherence packaging

High Performing Pharmacies identified by Wellmark to participate in the program which will pay through a valuebased model.

When

Initial discussions began with Community Care of North Carolina in December 2015. Luminaries are working to determine strategies for the CPESN. The first CPESN conference call was on September 28, 2016. The next meeting is February 17, 2017 in Des Moines.

Data collection began on July 1, 2016 Pharmacy payment is projected to begin January 2017 with incentive payments made annually based on me trics.

Leadership

5 Luminaries: Ryan Frerichs, Bob Greenwood, Randy McDonough, Matt Osterhaus, and Cheri Schmit

Matt Hosford, Wellmark’s Chief Pharmacy Officer as approved by Senior Leadership Team

Is Payment Available?

With enhanced services consistently delivered across the network and state, CPESN pharmacies believe the network will be able to approach payers to receive payment for these services, or payment for value with improved outcomes.

Wellmark has determined a per member per month (PMPM) payment for attributable patients and will offer incentives to the top HPPs within the network at 6 month intervals. Wellmark’s HPP network is structured outside of the PBM relationship.

IPA’s Role

Administrative support (conference calls/webinars) Meeting facilities (live meetings with Expo and Annual Meeting) As CPESN network matures, the IPA Board of Trustees and CPESN luminaries will evaluate IPA’s role in assisting the network

Hosting twice monthly ChargeUP calls to maintain HPP network momentum and a forum for sharing clinical updates, best practices, workflow efficiencies, and guidelines updates.

What

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Along with hospital readmission and total cost of care, quality metrics focus on 4 disease states including diabetes, asthma, hyperlipidemia and depression.

Practice Advancement

CPF Grant Awarded to Advance Performance Networks in Iowa

For over a year, IPA has facilitated dialogue among Iowa pharmacists that has led to two initiatives to develop community-based pharmacy performance networks – the Iowa Community Pharmacy Enhanced Services Network and the Wellmark High Performing Pharmacy Network (see page 22 for details of each). While Iowa pharmacies in these networks have already begun to implement enhanced pharmacy services into their daily workflow, payers are recognizing the importance of quality and value based payments. With support by the Community Pharmacy Foundation and key strategic partnerships with The Collaborative Education Institute, Drake University College of Pharmacy and Health Sciences, and The University of Iowa College of Pharmacy, IPA will be coordinating research and educational activities that study the effective implementation of these services and determine effective ways to train pharmacists in providing enhanced pharmacy services. The specific goals and objectives of this joint collaboration include: • Provide training and education specific to practice transformation for pharmacies in Iowa pharmacy performance networks • Describe the performance of the network through effects on quality indicators, total cost of care, and overall performance scores • Assess the relationships between pharmacy care activities and pharmacy performance reported for participating network pharmacies • Characterize qualitative feedback from patients receiving the advanced pharmacy care at network pharmacies • Market and promote the advance performance networks to providers, payers, and pharmacists Roughly 70 pharmacies have been selected to engage in the high-performing

pharmacy network for the large commercial payer, while almost 100 pharmacies have agreed to participate in the Iowa CPESN. The research and educational initiatives are scheduled to begin in November 2016 and continue through December 2017. Findings will be distributed via reports to all stakeholder groups, presentations at national meetings and conferences, and various scholarly publications.

New Practice Model Planning Meeting

The New Practice Model (NPM) pilot integrating Tech-Check-Tech (TCT) is now entering Phase III which will allow for new prescriptions to go through the technician verification process. The addition of TCT into community pharmacies is not to replace the pharmacist but rather free up pharmacist time to spend in patient care services such as comprehensive medication management, clinical medication synchronization, immunizations, etc. On September 9, 2016, pharmacists who practice at sites in the NPM pilot came together for a discussion on next steps and strategies to move forward with Phase III of this pilot. The meeting provided an overview of the history of NPM and the process for Phase III of the pilot. Pharmacists in attendance shared their best practices and lessons learned during the first two phases. Discussion centered around standard and enhanced services, documentation, patient care processes, and how to educate technicians and pharmacist to perform TCT. Currently the Iowa Code allows TCT practice in hospital and other institutionalized pharmacies, such as long term care pharmacies. IPA plans to pursue legislation to expand TCT to the general pharmacy setting in 2017.

Hospital Self-Assessment Survey Results & New Ambulatory Care Survey

As part of ASHP’s Practice Advancement Initiative (PAI), formerly the Pharmacy Practice Model Initiative (PPMI),

IPA’s Health-System Liaison Board has been working with hospital pharmacy directors around the state to regularly complete the 106-question Hospital Self-Assessment survey. This survey has been found to be useful as pharmacy departments development their strategic plan that aligns with their hospitals mission and vision. As of the end of August 2016, Iowa has had 64.8% of hospitals complete this survey. Key findings seen thus far, include: • Only 71.6% of Iowa hospitals report that pharmacy leaders engage in regular, direct communications with hospital administration about medication management system performance, compared to 81.3% nationally. • Of survey respondents, 59.3% of Iowa hospital pharmacy departments track and trend pharmacist interventions at their hospital, compared to 81.3% nationally. • The inspection and replenishment of medication storage devices are assigned to pharmacy technicians with appropriate education and training at 86.4% of Iowa hospitals, compared to 94.2% nationally. Not sure if your hospital has completed an official survey, please contact Anthony at apudlo@iarx.org. In addition, do you want to see how your practice aligns with recommendations from the 2014 ASHP Ambulatory Summit recommendations? Complete the following assessment at http:// www.amcareassessment.org. Once you complete the assessment, you will be given the opportunity to develop an action plan that will focus on practice priorities that are individualized to your site. This tool will help practitioners in all outpatient healthcare settings. However, its utility will vary based on various factors, such as, the institution’s size, geographic location, services provided, and available resources.

OCT.NOV.DEC 2016 |

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PRACTICE ADVANCEMENT

• Increase the amount of healthcare payments linked to value

Pharmacy Contributes to the Goals of the State Innovation Model Project

The State Innovation Model (SIM) is a federal grant program aimed to improve healthcare quality, effectiveness, and efficiency through population-based, community-applied solutions. The Center for Medicare & Medicaid Innovation announced Iowa is one of the 11 states awarded a four year, $43 million federal grant in 2015. Iowa will use the SIM grant to implement and evaluate a sustainable healthcare delivery system which will improve population health, improve patient care and reduce healthcare costs. By 2018, Iowa’s SIM project will: • Increase the percentage of adult smokers who have made a quit attempt • Decrease the adult obesity prevalence rates • Increase the percent of adults with diabetes having two or more A1c tests • Reduce preventable ED visits • Reduce preventable readmissions

State Innovation Model Community Care Coalition Initiative Grantees Osceola

Lyon

O’Brien

Sioux

1

Dickinson

Emmet

Clay

Palo Alto

WinnebaWorth go Kossuth Hancock

Cerro Gordo

Mitchell

Howard

Floyd

Chickasaw

Winneshiek

Allamakee

This project will focus on 6 six pilot communities which are led by Community 4 Care Coalitions (C3). Four subcontractors have been 2 identified by the Iowa 5 Healthcare Collaborative 3 (IHC), including IPA, to assist in care coordination 1. Community Partners of Sioux County 4. Linn County Board of Health and providing support to the C3 communities to 2. Dallas County Public Health Nursing Services 5. Marion County Public Health Department foster change. The other 3. Great River Health Center 6. Webster County Health Department three subcontractor include the Iowa Medical Society, that IPA will utilize to assist in reaching Alliance for Integrated Medication the goals of the SIM project include: Management, and the Iowa Primary Care the Community Pharmacy Enhanced Association. Services Network (CPESN), 2017 IPA Goes Local meetings, integration of Pharmacists can play a key role in pharmacy into health information reaching the goals outlined above. technology, and educational resources In collaboration with the other in the form of webinars, continuing subcontractors and IHC, IPA will enroll education courses, and live session to and mobilize the pharmacy community foster discussion amongst pharmacists in the six C3 communities to coordinate in how to coordinate care in these care throughout the community. Efforts communities. ■ Plymouth

Cherokee

Woodbury

Crawford

Franklin

Calhoun Webster Hamilton Hardin

Sac

Ida

Monona

Poca- Humboldt Wright hontas

Buena Vista

Carroll

Boone

Greene

Butler

Bremer

Grundy

Black Hawk

Fayette

Buchanan Delaware Dubuque

Marshall

Tama

Benton

Jasper

Powe shiek

Iowa

Marion Mahaska

Keokuk

Story

Clayton

Jones

Linn

Jackson

Clinton

Harrison

Shelby

AuduGuthrie bon

Dallas

Polk

Johnson

Cedar

Scott

Muscatine

Pottawattamie

Cass

Adair

Mills

Montgomery

Adams

Fremont

Page

Taylor

Madison

Union

Warren

Clarke

Ringgold Decatur

Lucas

Wayne

Washington

Monroe Wapello Jefferson Appanoose

Davis

Van Buren

Louisa

Henry Des Moines Lee

SAVE THE DATE

June 15, 2017 Coralville Marriott Hotel & Conference Center This year’s Forum will once again be held the day before IPA’s Annual Meeting at the same location. Watch for additional communications for the full Practice Advancement Forum agenda and registration!

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RENEW YOUR MEMBERSHIP!

Renew your membership today and continue to receive important professional benefits in addition to maintaining a strong, unified voice to advocate for your profession. THANK YOU for your continued support of the Iowa Pharmacy Assocation

ADVANTAGES FOR YOU ADVOCACY FOR YOUR PROFESSION

87

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ADVANCEMENT FOR YOUR PRACTICE

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WWW.IARX.ORG Ask us about Auto Renewal! 515-270-0713 or ipa@iarx.org Current memberships expire on December 31, 2016

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Public Affairs

Board of Pharmacy Updates:

Telepharmacy, Tech-Check-Tech, & More Open Hearing on Proposed Telepharmacy Rules

The Board of Pharmacy held an open hearing on August 31, 2016 to listen to comments from Iowa pharmacists, civic leaders, and other stakeholders about the practice of telepharmacy in the state of Iowa. The proposed changes would amend 657 Iowa Administrative Code (IAC) chapters 8 and 13 regarding telepharmacy practice. Comments varied in level of support or opposition, yet majority of the comments viewed the proposed rules as too restrictive. Proposed regulations of most debate included those areas on distance requirement, which mandates the managing pharmacy shall be within 50 miles of the Telepharmacy; technician training, which states a technician must have one year of full time employment consisting of 2000 hours practice experience at the same pharmacy company as the telepharmacy site; and onsite pharmacist staffing, which required minimum onsite pharmacist staffing based on the average number of prescriptions dispensed per day by the telepharmacy site. The Board of Pharmacy worked to incorporate many of the comments into revised proposed regulations. This revisal proposal was voted on and approved during the November 2, 2016 Board of Pharmacy meeting. The Board will now solicit additional public comments over the next several weeks, and work to incorporate these suggestions before likely voting on a final proposal of telepharmacy regulations in early 2017.

Tech-Check-Tech (TCT) Program Approved in LTC Pharmacy

While hospital pharmacies have already been approved to implement TCT and

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| The Journal of the Iowa Pharmacy Association

community pharmacies pilot TCT programs, the Board of Pharmacy recently approved Donlon Healthmart Pharmacy in Decorah, IA to became the first pharmacy to use TCT solely for their dispensing process for medications in LTC facilities. Institutional or other closed-door pharmacies are currently able to utilized TCT in their pharmacies workflow based on the regulations established in 657 IAC chapter 40.

Updates on Technician Certification Representatives from the Pharmacy Technician Certification Board (PTCB) and the National Healthcareer Association (NHA) presented on each organization’s technician certification examination services and provided details on their organizations’ vision for the future of technician certification. These presentations were requested in response to the proposal by PTCB to require pharmacy technicians to graduate from an ASHP/ACPE-accredited technician education program prior to sitting for the examination administered by PTCB by the year 2020. The Board of Pharmacy took no additional action on this topic during the August meeting.

Rules on Naloxone Implemented

Continuing the battle against opioid abuse, a Notice of Intended Action to amend chapter 8 of the Iowa Administrative Code was approved during the August meeting of the Board of Pharmacy. These regulations would allow pharmacists to distribute an opioid antagonist to certain entities such as police departments, fire departments, and emergency medical services under that entities name if the pharmacy agrees to participate under a collaborative practice agreement, a standing order, or a written prescription. These regulations adopt

legislation approved and signed by the Governor that would allow pharmacists to provide naloxone to patients or people in a position to assist patients based on a standing order signed by the medical director at the Iowa Department of Public Health. The formal comment period were open to the public until October 18. During the November Board meeting, the Board voted to approve final amendments to the proposed rule. The rules were given emergency adoption and therefore effective immediately. More information on the final rules are available on the November 2/2/2 webinar available at www.iarx.org/222.

Board of Pharmacy Legislative Priorities

The Board of Pharmacy discussed potential 2017 legislative priorities including items that were not approved by the legislature in 2016 as well as new topics of interest by the Board. One particular issue, the composition of the Board of Pharmacy, garnered spirited debate. Discussion centered on the possibility of allowing for alternates to take the place of a board member if necessary and the inclusion of pharmacy technician representation. Currently the Iowa Board of Pharmacy has no technician members and is composed of 5 pharmacists and 2 members of the public not associated with the profession. Other topics included the funding cap for the Iowa medication disposal program and mandates with use of the Prescription Drug Monitoring Program (PDMP). During the November Board of Pharmacy meeting, the Board provided additional support to the Board of Pharmacy staff in filing proposed legislation for 2017. ■

Public Affairs

DIR Fee Bans Introduced in Congress

Companion bills of the “Improving Transparency and Accuracy in Medicare Part D Spending Act” were introduced in the U.S. House (H.R. 5951) and Senate (S. 3308). The legislation would effectively ban DIR fees applied retroactively and increase transparency and accuracy in Medicare Part D prescription drug spending. The bill will not increase Part D costs or prohibit “pay-for-performance” incentives in categories such as patient adherence to medication and avoidance of dangerous and costly drug interactions. Rep. Rod Blum of Iowa was one of the nine cosponsors who introduced the House version of the bill and Rep. Dave Loebsack cosponsored it soon after. Sen. Chuck Grassley is a cosponsor of the Senate version. As of September 30, Reps. Steve King and David Young and Sen. Joni Ernst have not yet sponsored their respective bills. National advocacy efforts are being led by the National Community Pharmacy Association. IPA members are encouraged to contact their legislators to either urge them to sponsor or thank them for their support.

Congressmen Push for Provider Status & MAC Transparency Bills

In a special session of Congress on September 13, Reps. Doug Collins (RGA), Buddy Carter (R-GA), Austin Scott (R-GA) and Dave Loebsack (R-IA) took to the house floor to emphasize the value of pharmacists. For over an hour, the congressmen spoke of the importance of pharmacy in healthcare and called on their fellow congressmen to pass legislation for pharmacist provider status (H.R. 592) to improve access to pharmacy services. The congressmen also spoke on the lack of transparency in the PBM industry and its effect on pharmacies and patient and asked for support of the MAC Transparency Act (H.R. 244).

Rep. Carter Questions Mylan CEO over EpiPen Pricing

During Congress’ EpiPen pricing hearing in September, Rep. Buddy Carter (R-GA) the only pharmacist serving in Congress, questioned Mylan CEO Heather Breschover over the pricing increases. At one point, Rep. Carter used a line of questioning to help illustrate through Breschover’s testimony, that lack of transparency in the PBM industry is also to blame for pricing increase. He called for the House to pass the MAC Transparecy Act (H.R. 244). Video of the Rep. Carter’s questioning is available on YouTube.

Rep. Young Visits Broadlawns

Rep. David Young visited Broadlawns Medical Center in Des Moines, Iowa on July 29, 2016. The congressman met with Broadlawn’s pharmacy director, David Seiler, PharmD, and members of his staff. In addition to receiving a tour of the facility, the pharmacists discussed the 340B program, PBM issues, and the role of pharmacists in acute and ambulatory care settings with the congressman.

IPA Resolving Your Medicaid MCO Issues IPA has been collecting member’s specific concerns regarding the transition of Medicaid to an MCO model since June. Thank you to all who have submitted concerns, issues and questions to IPA. Most pharmacies who submit a concern have called the MCO helpline and worked with their pharmacy liaison. When a resolution is not found via this path, the pharmacy submits their concern via a survey on the IPA website and IPA works with the MCOs to resolve these concerns. In the last couple of months IPA has been able to obtain answers and resolve multiple concerns. For example, one pharmacy was having difficulty with coverage for meloxicam in a patient with rheumatoid arthritis who was previously on naproxen. When the pharmacy ran the claim, they received a notification that a prior authorization (PA) was needed; however, when they informed the physician’s office of this, the nurse told them that she had spoken with the insurance and they did not need a PA. The pharmacy contacted IPA and we worked with MCO to resolve this issue and the patient was able to pick up the medication before running out of their current supply. Another member contacted IPA as they were unable to obtain the fee schedule for incontinence products such as disposable bed pads. IPA worked with the MCO to obtain this information for the pharmacy to share with their patients. Finally, a member was receiving claim rejections for an unknown reason. IPA worked with the MCO and uncovered that the pharmacist was not entered into the system as a provider and therefore the claims were rejecting. This was resolved and the pharmacy was able to obtain payment. If you or your pharmacy has concern or question about processing claims or receiving payment from the MCOs please fill out the “Send feedback to IPA” located under the Iowa Medicaid Info box on at www.iarx.org.

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Public Affairs

Embassy Suites, Des Moines • Iowa State Capitol Legislative Day in the key event in IPA’s advocacy and public policy efforts. It is imperative that pharmacists and student pharmacists across the state participate in this face-to-face advocacy opportunity to educate and build strong relationships with legislators. Never done this before? No problem. The morning of Legislative Day is designed to prepare you to confidently engage legislators and discuss key issues with them. You’ll hear from IPA legislative counsel on procedures at the Capitol and how to discuss IPA legislative agenda. Following our time at the Capitol, the afternoon will feature CE sessions on important healthcare policy topics with state legislators and state health and regulatory agencies. See the full agenda and register at www.iarx.org/IPALegDay.

Schedule at a Glance 8:00–9:00 a.m. Registration at Embassy Suites 9:00–10:30 a.m. Welcome & Legislative Briefing 10:30 a.m.–1:00 p.m. Capitol Visits & Lunch

DON’T FORGET YOUR WHITE COAT!

Immediately following meetings with legislators, all attendees will gather in the Capitol Rotunda for the “Paint it White” photo. Also, it’s awesome to see so many pharmacists and student pharmacists, easily identified by their white coats, spread throughout the Capitol.

1:15 p.m. IPA Group Photo on Rotunda Stairs 1:45–4:30 p.m. Pharmacy Law CPE Program

Student pharmacists from Drake University and The University of Iowa will provide screenings and education to legislators and Capitol staff on hypertension, high cholesterol, immunizations, osteoporosis, and pharmacists’ role in today’s health care system.

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Technician Corner

TECH TIDBITS Highlights from IPA’s monthly e-newsletter specifically for pharmacy technician members. Common Medications to Treat Hypertension: ACE Inhibitors & ARBs

In the United States, high blood pressure, or hypertension, is the most common cause of health care office visits for nonpregnant patients. It can be estimated that approximately 76.4 million Americans currently suffer from hypertension. Normal blood pressures should be below 120/80, however, blood pressure is expected to rise with increasing age. Hypertension begins at blood pressures greater than 140/90. Uncorrected high blood pressure can result in heart failure, stroke, heart attack, and kidney disease. One common cause of hypertension is thought to be a dysfunction in the ReninAngiotensin System. Three major classes of medications are commonly utilized to impact this pathway: Renin inhibitors (Tekturna, or aliskerin), Angiotensin Converting Enzyme Inhibitors (“ACE inhibitors,” such as lisinopril, captopril, benazepril, enalapril, ramipril), and Angiotensin Receptor Blocker (“ARBs,” such as losartan, valsartan, irbesartan, olmesartan). Each works to reduce blood pressure by blocking a different step in this pathway. As all of these medications affect the same process, there are some common side effects to look out for. These include low blood pressure (symptoms may include dizziness, lightheadedness or fainting), a decrease in kidney function (symptoms may include a decrease in urine produced, or especially dark urine), angioedema (swelling of the face, lips, and tongue), and hyperkalemia (elevated potassium levels). A dry cough is a common side effect of ACE inhibitors (5-20% of patients), but is seen less frequently with ARBs (1-3%), and aliskerin (1%). Additionally, none of these medications should be used in combination with each

other or during pregnancy. You have the opportunity to help your patients by looking out for the side effects discussed above. If your patient is on more than one of the same class of medication or more than one of any of these three, you should notify your pharmacist. This is proven to potentially increase the chance of side effects. For example, if a patient mentions that they’ve been suffering from a dry cough as they come to pick up their medication for lisinopril, this is something that should be discussed with the pharmacist. Similarly, if a patient mentions that they are pregnant and you notice that they are taking valsartan, she should likewise be directed to the pharmacist. Be sure to have a discussion with your pharmacist on other ways that you can help in continuously monitoring patients with hypertension.

What you Need to Know about Allergic Rhinitis

Allergic rhinitis is a disease with prominent nasal symptoms that affects approximately 20% of adults and 40% of children worldwide. It is most prevalent in children and adults ages 18-64 with the number of cases decreasing after the age of 65. Allergic rhinitis mainly affects the upper respiratory system and is triggered by indoor (e.g. pet dander, house-dust mites, etc…) and outdoor (e.g. pollutants, pollens, and mold spores) environmental allergens. Symptoms of allergic rhinitis, include: runny nose, itchy eyes/nose/ palate, sneezing fatigue, irritability, and malaise. There are a variety of over-thecounter products that can be used to help patients with these symptoms. If patients are looking for non-drug therapy options, they may consider things such as a Neti-Pot, nasal wetting agents

(e.g., saline, propylene, polyethylene glycol sprays or gels), or a HEPA filter ventilation system. However, the primary non-pharmacological treatment option would be avoidance of the offending allergen. If the patient would like to try a pharmacological option, there are a variety of products.

OTC Management of Heartburn

Heartburn is a common complaint that is often described as a burning sensation in the stomach or lower chest that rises up. It is frequently noted within 1 hour after eating, especially after a large meal. Lying down or bending over may worsen heartburn. Some of the foods and beverages that can contribute to heartburn include alcohol, caffeine, carbonated beverages, fatty foods, and spicy foods. It is important to avoid these items, eat smaller meals, and refrain from eating within 3 hours of going to bed. In addition, weight loss, smoking cessation, and limiting stress can help decrease the incidence of heartburn. If these lifestyle modifications do not alleviate symptoms, it may be prudent to assist patients with one of the many over-the-counter medications used to treat heartburn. These over-the-counter medications are effective options for the treatment of heartburn. However, patients should be referred to their physician if they complain of nighttime heartburn, bloody vomit, unexplained weight loss, pain on swallowing, or heartburn that continues after 2 weeks of self-treatment. ■

Technicians Members!

To receive the Tech Tidbits newsletter each month, be sure that your email is up-to-date in your member profile on IPA’s website www.iarx.org.

OCT.NOV.DEC 2016 |

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BE PROUD As a PTCB Certified Pharmacy Technician (CPhT), you can take pride in knowing you are prepared to meet the challenges of a changing pharmacy workplace. By passing the Pharmacy Technician Certification Exam (PTCE), you have demonstrated a mastery of technician skills across practice settings, enabling you to enhance patient safety; maintain pharmacy workflows; and support pharmacists in drug preparation and distribution.

Certification Excellence Since 1995, the Pharmacy Technician Certification Board (PTCB) has certified over 425,000 pharmacy technicians nationwide and is the only pharmacy technician certification endorsed by the American Pharmacists Association, the American Society of Health-System Pharmacists, and the National Association of Boards of Pharmacy.

Not PTCB Certified? With more State Boards of Pharmacy and employers requiring pharmacy technicians be PTCB certified to work within pharmacy settings, certification has become an essential component in developing and maintaining qualified workforces. Feel secure in your work by taking the PTCE, the leading certification exam that meets standards in 43 states.

Do it for your pharmacy. Do it for your patients. Do it for you. Become a PTCB CPhT Today!

PTCB has moved to an online-only application process for pharmacy technicians applying for certification and recertification. For more information, please visit www.ptcb.org.

Apply to take the PTCE online at www.ptcb.org. CONNECT ONLINE:

Technician Corner

Newly PTCB Certified Iowa Technicians April 1 - June 30, 2016

Please join IPA in congratulating the following pharmacy technicians on becoming PTCB-certified! Jyoti Adhikari Megan Alexander Sheima Alkilidar Kay Allen Jessame Azinger Teresa Bash Wendy Bastron Shelby Boston Tammi Byrn Bobbi Jo Carlson Abigail Collison Katelyn Corcoran Elizabeth Counts Brittany Craighton Samantha Daters Ashley Davis Nicole de Jesus-Roetlin Scott Delaney Annie DeVries Courtney Dimit Michele Dodd Marsha Doebel Jessica Duggins Garrett Duncan Melissa Ellis Luke Endecott Elisabeth Erickson Crystal Estrada

Maizie Evans Tina Forsythe Julie Foster Clinton Garlock Sujan Ghimire Jennifer Girard Catherine Goodall Madeline Green Elizabeth Hansmann Alyssa Harvey Lauren Heil Sean Hernandez Amanda Hicks Charlene Horner Anika Jackson Sarah Jungers Tina Kindred Shayla King Donald Kuhn Lanie Kunkel Anna Lauer Emily Law Laura Lee Kayla Lucas Mary Luddy Stephanie Mahoney MacKenzie Male Kari Marshall

Erica Martin Jamie McDonald Kersten McLeland Danielle Mendenhall Paula Mennenga Kaley Miller Angela Moen Benjamin Moore DeSondra Morgan Makky Mousa-Makky Hebah Musharafa Matthew Nardy Dane Nealson Clint Nelson Kaci Nuehring Ashley O’Neill Elizabeth Orput Kendra Osheim Andrew Parr Madilyn Peckham Denise Perkins Lauren Petersen Shirley Poole Nicholas Poznanski Jamie Retz Jordan Riesselman Mayra Rivera Torrance Roberson

Ardelle Roost Nancy Ryan Rachel Scholten Sarah Schwarting Audrey Shemon Nicholas Shepard Elizabeth Smith Emma Smith Taylor Sommer-Kohrt Sakounlath Souvandy Vickie Stabile Vickie Stellinga Cebastien Thorson Doreen Timmerman Alexandra Toft Anita Tyree Kristen Veencamp Jordan Wachter Mackenzie Wagner Katlynn Wellington stephanie whiteaker Kathleen Williams Jody Woodberry Joshua Yem Tim Zuo

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

OCT.NOV.DEC 2016 |

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Resident Spotlight

MEet The 2016-2017 Iowa Pharmacy Residents Residents & Directors Gather in Des Moines

On October 6, 2016, forty-five pharmacy residents across Iowa met in Des Moines for the annual IPA Resident’s Meeting. This year’s meeting also included programming for directors of pharmacy (DoP) and residency program directors (RPD) as well. The DoPs and RPDs met in the morning to discuss key initiatives occurring in Iowa and how to best include residents and residency programs in these initiatives. The meeting featured a keynote from Jannet Carmichael, a University of Iowa College of Pharmacy alumni and past professor who is currently the VISN 21 pharmacy executive for the VA Sierra Pacific Network. Dr. Carmichael presentation was part of an American Society of Health-System Pharmacists Foundation (ASHPF) grant through their Visiting Leaders Program. Residents, RPDs and DoPs all attended Dr. Carmichael’s key note address titled ‘Pharmacists Providing Value.’ This address highlighted core leadership principles that Dr. Carmichael has utilized in her career as well as the importance of pharmacists in the healthcare team. Residents had the opportunity to discuss population health and attend roundtables in the afternoon. Following this meeting residents had the opportunity to speak with current students about their programs and attend Drake’s College Night.

IPA would like to thank Jamie Sinclair MS, RPh, FASHP, the Director of Pharmacy at Mercy Medical Center in Cedar Rapids for obtaining ASHPF grant.

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IPA would like to introduce the 50 pharmacy residents practicing in Iowa in 2016-2017. Take a minute to see who they are and where the are practicing this year.

ONLINE FEATURE! Read the full Iowa Resident Spotlight supplement online.

Nash Albadarin

Teryn Bibb

Elisha Andreas

Ivana Bogdanich

Bri Bakken

Chris Brockert

Tara Bergland

Alyssa Cosnek

Drake University PGY1 Managed Care at OutcomesMTM

University of Iowa PGY1 Community Practice at Hy-Vee Drugstore Iowa City

University of Iowa PGY2 Health-System Administration at The University of Iowa Hospitals & Clinics

University of Nebraska PGY2 Pediatrics at The University of Iowa Hospitals & Clinics

Texas Tech University PGY1 Ambulatory Care at The University of Iowa Hospitals & Clinics

Texas Tech University PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

University of Kansas PGY1 Pharmacy Practice at UnityPoint Health St. Luke’s

University of Iowa PGY1 Community Practice at Towncrest Pharmacy

Resident Spotlight

Eva Coulson

Andrea Flanagan

Joyce Ho

Sarah Derr

Natalie Gadbois

Geena Hopwood

Jessica Dizon

Meredith Ginn

Michael Jacobsen

Brittany Dougherty

Elizabeth Glynn

Niki Koirala

Ty Drake

Rebecca Halbur

Mary Lacy

Rachel Dyke

Amaris (Mari) Hanson

Olivia Lehman

Lisa Dykes

Christie Hart

Rachel Lienemann

Texas Tech University PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

University of Minnesota Executive Fellowship at Iowa Pharmacy Association

University of New England PGY2 Health-System Administration at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Pharmacy Practice Mercy Medical Center Cedar Rapids

Drake University PGY1 Pharmacy Practice at Iowa Methodist

University of Iowa PGY2 Pediatrics at The University of Iowa Hospitals & Clinics

South Carolina College of Pharmacy PGY1 Pharmacy Practice at Iowa City VA Health Care System

South Dakota State University PGY1 Pharmacy Practice at Iowa City VA Health Care System

Drake University PGY1 Pharmacy Practice at Iowa Methodist

Auburn University PGY2 Oncology at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Pharmacy Practice Mercy Medical Center Cedar Rapids

Creighton University PGY1 Community Practice at CarePro/A Ave

University of Iowa PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

Wingate University College of Pharmacy PGY2 Psychiatry at Iowa City VA Health Care System

University of Southern California PGY2 EM at Mercy Medical Center - Des Moines

Drake University PGY1 Ambulatory Care at Des Moines VA Health Care System

Drake University PGY1 Pharmacy Practice at UnityPoint-Allen Hospital

University of Maryland PGY1 Pharmacy Practice at Covenant Medical Center

University of Colorado PGY1 Pharmacy Practice at Iowa Methodist

Drake University PGY1 Pharmacy Practice at Mercy Medical Center North IA

University of Iowa PGY1 Ambulatory Care at Northeast Iowa Medical Education Facility & Waverly Health Center

OCT.NOV.DEC 2016 |

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Resident Spotlight

Jon Linder

University of Iowa PGY1 Pharmacy Practice at Iowa City VA Health Care System

Dan Peterson

Butler University PGY1 Health-System Administration at The University of Iowa Hospitals & Clinics

Chayla StantonRobinson

University of Iowa PGY1 Community Practice at CarePro Pharmacy

Anastasia Lundt

Emily Prinz

Kayla Stein

Christy Marchiando

Robert “Taylor” Reed

Britney Stillmunkes

Ohio Northern University PGY1 Community Practice at Osterhaus Pharmacy

University of Iowa PGY1 Pharmacy Practice at Mercy Medical Center North IA

Emily Neddermeyer

Tyler Sandahl

Michael Thiefault

Nhut Nguyen

Jerica Singleton

Jay Wilson

Long (Lane) Nguyen

Marie Sirek

Kirre Wold

Jacob Peterson

Talli Smith

Anne Zepenski

University of Iowa PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

Creighton University PGY1 Ambulatory Care at Des Moines VA Health Care System

University of Rhode Island - Kingston PGY1 Ambulatory Care at The University of Iowa Hospitals & Clinics

Drake University PGY1 Pharmacy Practice at UnityPoint Health St. Luke’s

University of Iowa PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Pharmacy Practice at UnityPoint-Allen Hospital

University of Iowa PGY2 Ambulatory Care at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Pharmacy Practice at Iowa City VA Health Care System

University of Southern Florida PGY1 Community Practice at Mercy Family Pharmacy

North Dakota State PGY2 Ambulatory Care at The University of Iowa Hospitals & Clinics

Drake University PGY1 Pharmacy Practice at Mercy Medical Center Des Moines

Drake University PGY1 Pharmacy Practice at Covenant Medical Center

University of Tennessee PGY1 Pharmacy Practice at Mercy Medical Center Des Moines

University of Minnesota PGY1 Health-System Administration at The University of Iowa Hospitals & Clinics

South Dakota St. College of Pharmacy PGY2 Pharmacy Practice at Mercy Medical Center Des Moines

University of Iowa PGY1 Pharmacy Practice at The University of Iowa Hospitals & Clinics

OCT.NOV.DEC 2016 |

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IPA FOUNDATION

My Top 5 Experiences as IPA’s Exec. Intern Connor Dierks P2 The University of Iowa College of Pharmacy 2016 Max W. Eggleston Executive Intern

T

his past summer, I had the privilege of working at IPA as the Max W. Eggleston Executive Intern. It was a great summer full of experiences, but I’ve narrowed it down to my top 5:

1. IPA Annual Meeting

As one of my first big projects, Annual Meeting gave me a lot of tasks to tackle and helped get me into the swing of things within IPA. At Annual Meeting, I was able to gain a lot of knowledge regarding the delegation process and being able to first hand witness such an event was a great experience in itself. On top of this, being able to attend the policy committee meetings and see how they operate firsthand helped me learn a lot about the process. It was a pleasure to get to take part in such a spectacular event and meet those on the IPA Board of Trustees. The fun run was also a great opportunity to put together a project that was both fun and gave me a good opportunity to meet more pharmacists and students alike as we took part in a casual morning jog around the conference facilities.

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2. Board of Trustees Retreat

The IPA Board of Trustees (BOT) retreat makes my top 5 summer experiences for several reasons. First off, this was really a great time to get to know the members of the BOT and learn more about them professionally as well as personally. What really made this experience memorable was being able to engage with other professionals about IPA and its goals for the future as well as the future of pharmacy as a profession.

discussing changes in healthcare and how to approach a changing landscape. These high level discussions were quite interesting and I learned a lot about changes in models in healthcare such as a movement from volume to value in the payment model for healthcare services. I felt that this really highlighted some of what I learned in school last Fall and really put it into a more accurate perspective for me.

5. Opioid Projects

3. Networking on RAGBRAI

A common theme this summer was Iowans and others working to curb the growing opioid abuse in the state, as well as the nation as a whole. It was interesting to learn about this growing issue and participate in discussions as to how pharmacists and other healthcare professionals can help control this problem and help those who may be at risk for such abuse. I was also able to learn about many projects taking place in Iowa aimed to help prevent drug abuse such as TakeAway. These projects really resonated with me due to the selfless nature of what they aimed to do and how they aimed to help communities and the individuals affected by the tragedy of drug abuse. ■

4. Iowa Healthcare Collaborative Summits

The Max W. Eggleston Executive Internship in Association Management is a 12-week program held each summer at the IPA. The program is coordinated under the direction of the professional affairs division of IPA and supported by the IPA Foundation.

This summer I was able to meet so many members of IPA as well as others in the pharmacy profession. After getting to know so many Iowa and other pharmacists, I really felt welcomed into the profession and began to see what a family the pharmacy profession really is. RAGBRAI was a great example of this as a group of Iowa pharmacists rode bikes across the state of Iowa together, helping many other bikers along the way and working together as a team to accomplish such a great feat. Being welcomed into this professional family really made my summer an incredible experience.

The Iowa Healthcare Collaborative summits and conferences I was able to attend this summer were a real highlight. At the meetings, both pharmacists and others in the healthcare field were in attendance

IPA FOUNDATION

Fueling IOWA Pharmacy’s LEgacy Innovative. Progressive. Leader. These are just a few of the words that have been used to describe pharmacy practice in Iowa. You could easily point out several factors that contribute to our well-earned reputation like two fantastic colleges of pharmacy, a collaborative culture, an emphasis on leadership development, or a focus on patient care. Perhaps the most influential factor though is our generosity. Iowa pharmacy professionals have a knack for sharing their time, talent and treasure to serve their patients and their profession. Whether participating in practice advancement initiatives or passing along their experience to student pharmacists, that generosity has established an important professional legacy here in Iowa. The IPA Foundation has helped channel the profession’s generosity since 1960. By supporting student pharmacists, scholarships, practice advancement initiatives and leadership development

programs in Iowa, the Foundation, more importantly those who have generously donated over the years, has helped establish that legacy of innovation, progressive practice and leadership. This coming year, the Foundation is looking forward to completing the Thomas R. Temple Leadership Endowment to secure the future of the Leadership Pharmacy Conference. The Foundation will also award the first grant funding from the Outcomes Innovative Pharmacy Endowment, which was independently established by several generous individuals wanting to fuel the next generation of Iowa pharmacy innovation. As you consider your year-end giving, please keep the IPA Foundation in mind. Your contributions greatly impact our profession, our student pharmacists, our developing leaders and every practicing pharmacist in our state. Contribute to the Foundation online at www.iarx.org/Foundation, by mail,

or by adding your contribution to your membership renewal each year.

Foundation Institute

The Foundation Institute recognizes those donors who have committed to a sustained contribution through an automatic annual or monthly gift to the IPA Foundation. These donor leaders are recognized by various levels of their annual giving: • Platinum - $1000+ • Gold - $500-$999 • Sliver - $250-$499 • Bronze - $100-$249 • Sustaining – Up to $99 To become a member of the Foundation Institute, go to www.iarx.org/IPAFWaystoDonate. All contributions to the IPA Foundation are fully tax-deductible and greatly appreciated. ■

APPLY NOW!

Outcomes Innovative Pharmacy Grant The IPA Foundation is looking to support the next generation of innovative pharmacy ideas through the Outcomes Innovative Pharmacy Grant. If you are a pharmacist licensed in Iowa and an active member of the Iowa Pharmacy Association, you are eligible to apply. For your innovative project to be considered, complete your application by December 1, 2016.

Review the requirements and submit your application at www.iarx.org/OutcomesGrant. OCT.NOV.DEC 2016 |

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IPA FOUNDATION

2016 Golf Classic! With the skies clearing at just the right time, 80 golfers took over Brown Deer Golf Club in Coralville, Iowa, for the 2016 EgglestonGranberg Golf Classic. The event raised over $12,300 for the IPA Foundation’s initiatives to support student pharmacists. While the student pharmacists at Drake University and The University of Iowa are the real winners of this event, a few golfers did some winning of their own. Longest Drive (M|F) Chris Arp | Briana Negaard Closest to Pin Scott Schroeder | Bri Bakken Longest Putt Dana McDougall | Joan Stover 1st Flight 1st – John Swegle, Jay Goeser, Craig Logemann, Nathan Peterson 2nd – Andy Ploehn, Mark McMullen, Scott Schroeder, Dustin DeMuth 3rd – Wes Pilkington, Dana McDougall, Chris Arp, Jason Roy

Thank You Sponsors!

The Foundation would like to extend a special thank you to these sponsor. This event would not be possible without their support. Cart Sponsor NuCara Pharmacy Beverage Cart Sponsor Greenwood Drug Hole Sponsors Jay & Ann Currie Chris Connolly/Wells Fargo Advisors Chuck & Janalyn Phillips Collaborative Education Institute Drake University College of Pharmacy Dubuque Area Pharmacist Association Hartig Drug Johnson County Pharmacy Association McGowan, Hurst, Clark & Smith PC Mercy Family Pharmacy Nick Dahlke North Iowa Pharmacists Association Osterhaus Pharmacy Pharmacists Mutual Companies PharmServ Staffing Quad City Area Pharmacy Association

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2nd Flight 1st – Steven Martens, Chris Simpson, Nick Dahlke, Chuck Phillips 2nd – Nick Lund, Jacob Schnackenberg, Chris Quenelle, Michael Schnackenberg 3rd – Jay Currie, Mike Catney, Briana MidkiffNegaard/Holly Laur, Bill Baer 3rd Flight 1st – Mike Pursel, Tim Becker, Steve Firman, Ralph Stover 2nd – Zachary Rose, Wesley Rose, Zak Flynn 3rd – Jim Scott, Doug Schara, Joan Stover, Allen Fann

The Eggleston-Granberg Golf Classic is held each fall by the IPA Foundation in honor of the commitment to student pharmacists by Max Eggleston and Boyd and Peg Granberg. All proceeds benefit the IPA Foundation’s support of student pharmacists at Drake University and The University of Iowa.

The University of Iowa College of Pharmacy Towncrest Pharmacy Wasker, Dorr, Wimmer & Marcouiller PC Student Sponsors Ray Buser Connie Connolly Dubuque Area Pharmacist Association Kate Gainer Tom Greene Bob Greenwood Josh Feldman Carson Klug Julie Kuhle Nick Lund Steven Martens Chuck Phillips Lisa and Andy Ploehn/Main at Locust Anthony Pudlo Mike Pursel Doug Schara Michael Schnackenberg Susan Shields Joan Stover Thank you to UBS Financial Services/Alpha Wealth Consulting Group for their generous donation of golf products!

IPA FOUNDATION

28 Years and Counting:

Leadership Pharmacy Conference 2016

Ten pharmacists from Iowa and ten pharmacists from Wisconsin came together with IPA and PSW leadership and staff on August 4-7 for another successful Leadership Pharmacy Conference in Galena, Ill. With the goals of providing participants with strong leadership training and increasing awareness of issues impacting the profession, this year’s conference did not disappoint. The event saw minor changes as Lauri Freking from Wixted & Company presented on the first full day on communication strategies, difficult Q&A sessions, and practicing your communication. Similar programming occurred with the rest of the weekend as Steve Rough of the University of Wisconsin Hospital and Clinics and Mike Brownlee of The University of Iowa Hospitals and Clinics presented on effectively implementing change with an interactive ‘Shark Tank’ activity. Any IPA pharmacist member residing and/or practicing in Iowa or Wisconsin within their first three (3) to fifteen (15) years of practice is eligible to apply for participation in Leadership Pharmacy. Nominate a colleague (due Feb. 6, 2017) or apply today (due Feb. 22, 2017) at www.iarx.org/LeadershipPharmacy.

2016 Iowa Participants:

Christina Baumgart, PharmD, MPH, BCPS River Valley VA Clinic Leigh Boehmer, PharmD, BCOP Mercy Medical Center – North Iowa Kari Heitzman, PharmD, BCPS UnityPoint Health – Des Moines Alex Hoopes, PharmD OutcomesMTM, a Cardinal Health company Andrea Kjos, PharmD, PhD Drake University College of Pharmacy & Health Sciences Shane Madsen, PharmD, BCPS University of Iowa Hospitals & Clinics Kelly Percival, PharmD, BCPS Drake University College of Pharmacy & Health Sciences / Mercy Medical Center Sarah Schmidt, PharmD Walgreens Pharmacy – Davenport Jill Stegall, PharmD Wheaton Franciscan Healthcare – Iowa Dustin Villhauer, PharmD Hy-Vee Pharmacy – Des Moines

2016 Bill Burke Conference Thirty student pharmacists from Drake University and the University of Iowa participated in the 21st annual Bill Burke Student Pharmacist Leadership Conference on Friday–Saturday, September 23-24, 2016. For the third year in a row, the conference was held in conjunction with the Eggleston-Granberg Golf Classic. Bernard Sorofman, executive associate dean of The University of Iowa College of Pharmacy, kicked the conference off on Friday evening by framing leadership with three key principles 1) Vision 2) Communication 3) Practice. Students also heard from Michael Pursel, director of medical health relations at Sanofi Biosurgery, who provided insight into the ever changing health care system and challenged students to take an active role during this change. Saturday featured a full day of programming with Sarah Ennis, president of SparkPoint, Inc., who led active discussion and activities to push students to be leaders and think critically about the problems facing the profession today. Students also discussed emotional intelligence and how to maintain motivation when leadership becomes challenging. Once divided into teams, students worked together to solve a real-world problem as student leaders. The teams then presented their solution to a panel of students who provided feedback. Held each fall, the Bill Burke Student Leadership Conference aims to help student pharmacists develop leadership skills and build lasting relationships with fellow students and practitioners that will serve them during their remaining years as students and as new practitioners. The conference is made possible through a partnership between IPA, Drake University, the University of Iowa, and grant support from Main at Locust Pharmacy in Davenport, Iowa.

2016 Participants Drake University Michael Harvey, P2 Carley Castelein, P3 Sarah Dean, P3 Shelby Derrick, P3 Kelly Dunlop, P3 Grace Fenner, P3 Tori Groves, P4 Megan Kriewald, P3 Margaret Lundholm, P3 Katherine Schlebecker, P3 Taylor Schwartz, P3 Jena Stallsmith, P3 Annie Stella, P3 Andrew Ruplin, P4 Grant Stimes, P4

University of Iowa Fischer Herald, P2 Grant Jerkovich, P2 Abigayle Renner,P2 Dayton Trent, P2 Samantha Alukas, P3 Quinton Behlers, P3 Jillian Koos, P3 Chelsea Meade, P3 Rachel Parry, P3 Melanie Reineke, P3 Amanda Stefl, P3 Daisy Want, P3 Meagan Adamsick, P4 Kristen Peterson, P4 Brittney Snitker, P4 OCT.NOV.DEC 2016 |

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IPA FOUNDATION RAGBRAI TEAM RIDES SOUTH FOR PHARMACY GLENWOOD

MUSCATINE

OTTUMWA

Creston

WASHINGTON

SHENANDOAH

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LEON

CENTERVILLE

RAGBRAI

For the third straight year, the IPA Foundation supported a team for the Register’s Annual Great Bike Ride Across Iowa (RAGBRAI) to advocate for the association and the profession. This year’s route went through southern Iowa, from Glenwood to Muscatine for a total distance of 418.3 miles. A group of 17 riders, accompanied with over-the-counter medications and other first aid materials, rode across the state, stopping along the way to aid those in need of medical assistance and visiting 19 pharmacies. This gave the team the opportunity to connect with pharmacists across the state, listen to and address pharmacies’ concerns, as well as discuss IPA’s current operations and what they have been working on for the profession. This ride also gave the public an opportunity to see pharmacists in a new light, on the road assisting with minor ailments and delivering over-the-counter treatments. Here is a look at the team’s trek across the state:

Saturday, July 23: Glenwood

Monday, July 25: Shenandoah to Creston Distance: 75.2 mi. | Climb: 3,994 ft.

After a long day of hills and over 2,500 feet of climb, the team loosened their tight muscles took to their bikes headed to Creston for the longest ride of the trip. After many miles, the team was treated to bananas, water, and cookies provided by Medicap Pharmacy in Creston. The host family even had a sign created by Larry himself welcoming them to Creston. Overnight Hosts: Larry and Dawn Richardson Pharmacies Visited: Honeyman Drug, Villisca: Russ Sharp, RPh Hy-Vee Drugstore, Corning: Troy Weddell, RPh; Greg Schuelke, RPh; Kelly Garner, CPhT; and Jenny Bieber, CPhT Hy-Vee Pharmacy, Creston: Jim Ide, RPh, and Barb Ide, CPhT Medicap Pharmacy, Creston: Jeff Longstaff, RPh; Taryn Tompson, RPh; and Skip Carlson, RPh

The team was able to relax and prepare themselves for the first day of RAGBRAI by visiting the RAGBRAI Expo, getting an early tire dip in the Missouri River, and ending the night with some bonding with card games. Overnight Hosts: Susan and Clark Fry

Tuesday, July 26: Creston to Leon Distance: 58.5 mi. | Climb: 3,318 ft.

After stretching out sore muscles and enjoying some bananas and coffee, the team was ready to roll. Eager to get wheels on the pavement, they suited up in white coat jerseys and began the ride to Leon. Overnight Hosts: Kellie Lesher and Garret Saxton

Sunday, July 24: Glenwood to Shenandoah Distance: 49.7 mi. | Climb: 2,614 ft. (67.9 mi./3,620 ft. w/ Loop)

With white coat jerseys on and eager to get on their bikes, the team left Glenwood and took to the hills as they made their way to Shenandoah. A light rain came through that evening, only to reveal a beautiful rainbow at the Peterson residence. Overnight Hosts: The Peterson Family (Nate and Dan) Pharmacies Visited: Don Reed, Malvern Walmart, Shenandoah: Phil Wright, RPh; Melissa Waugh, CPhT; and Trudy Fidler, CPhT

Pharmacies Visited: Shopko Pharmacy, Mount Ayr: Steve Mitchell, RPh; Amy and Brandy, CPhT Hy-Vee Drugstore, Leon: Wendy French-Levis, RPh; Nicole Jimmerson, CPhT; and Brenna Early, CPhT

By the Numbers: 17 Riders 2 Mobile Pharmacies 418. 3 Miles Traveled 19 Pharmacies Visited Countless Riders Helped Along the Way OCT.NOV.DEC 2016 |

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RAGBRAI

Wednesday, July 27: Leon to Centerville Distance: 65.1 mi | Climb: 2,708 ft. (97.4 mi./3,948 w/ Loop)

Pushing through sore muscles, some of the team opted to ride another long day and rode the ‘Century Ride’ which included an extra loop called the Karras Loop making the day’s ride nearly 100 miles! The team was able to celebrate this accomplished day by rocking out to 80’s classics at the Hairball concert. Overnight Hosts: Bill and Linda Johnson Pharmacies Visited: Owl Pharmacy, Centerville: Rachel Ryals, PharmD; Debbie Thomas, CPhT; Lauren Lain, CPhT; and Makenzie Jewett, CPhT Walmart, Centerville: Ji Kim, PharmD and Amber, CPhT Hy-Vee Pharmacy, Centerville: Amy Spencer, PharmD; Candi Oliver, PharmD; Gabby Snyder, CPhT; Emily Groff, CPhT; Renee Sheston, CPhT; and Sydney Dommer, CPhT

Friday, July 29: Ottumwa to Washington Distance: 68.5 mi. | Climb: 2,541 ft.

Suited in their college jerseys, the team fixed up their bikes and made their way to Washington, making various stops along the way to help out riders in need and visit pharmacies they passed. They arrived in Washington eager to visit with the pharmacists and were welcomed to the The University of Iowa Pharmacy Mix and Mingle held at the host residence. Overnight Hosts: John and Danielle Majewski Pharmacies Visited: Jack’s Corner Drug, Sigourney: Paul O’Rourke, RPh; and Mary Beth Adam, PharmD Hy-Vee Pharmacy, Washington: Marge Comer, RPh; Jake Engle, CPhT; Lupe Klein, CPhT; Abby Lebsack, CPhT; Ceira Yeoman, CPhT; and Gabe Call, Asst. Manager Bean’s Pharmacy, Washington: Jon Thompson, RPh; Kizzy Waterhouse, CPhT; Tammy Porter, CPhT; Denise Kirby, CPhT; and Courtney Weidner, CPhT

Thursday, July 28: Centerville to Ottumwa Distance: 51.6 mi. | Climb: 1,999 ft.

The team awoke to homemade muffins, coffee and fruit salad provided by the hosts. After crossing through the halfway point of Iowa in Humeston Wednesday, the team was feeling good having trekked over halfway across Iowa already. The team pumped their tires and headed towards Ottumwa where many pharmacies awaited. Overnight Host: Eric Carlson Pharmacies Visited: Walgreens, Ottumwa: Mary DeJong, RPh; Ronda Morten, CPhT; and Tumaini Mmasi, CPhT NuCara Pharmacy, Ottumwa: Marie Ljosenvoor, PharmD; Meghan Celia, DME specialist; Linda Rudd, CPhT; and Courtney Allison, CPhT South Side Drug, Ottumwa: Gene Carlson, RPh; Eric Carlson, RPh; and Mark Frahm, RPh

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Saturday, July 30: Washington to Muscatine Distance: 49.7 mi. | Climb: 1,314 ft.

After a long week of biking and helping others with pharmacy needs, the team embarked on their final leg of the journey to Muscatine. They visited several pharmacies on this final day and dipped their tires in the Mississippi River to complete the journey. Pharmacies Visited: Wester Drug, Muscatine: Jim Wester, RPh, and Jessica Rahlf, CPhT Walgreens Pharmacy, Muscatine: Jen Nienhaus, PharmD, and Andi Canada, CPhT

RAGBRAI

THANK YOU 2016 RAGBRAI TEAM! The IPA Foundation would like to thank each of the riders, gracious overnight hosts and generous sponsors that comprised this years RAGBRAI team. We would also like to thank all of the pharmacists and pharmacies that welcomed the team each day and everyone we met along the way. Week Long Riders Mark Adams, Drake Student Sharon Cashman, RPh Sarah Cashman Andrew Funk, PharmD Theresa Legg Donald Letendre, PharmD Courtney Morris, PharmD Anthony Pudlo, PharmD, MBA Mark Sorenson, RPh Ben Urick, PharmD Richard Wenzel, PharmD Daily Riders Megan Lewis, PharmD Holly Randleman, PharmD Ethan Sabers, UI Student Doug Schara, RPh Amanda Stefl, UI Student Matthew Letendre Sponsors & Contributors CVS Health Hy-Vee Kohll’s Pharmacy and Homecare NuCara South Side Drug, Ottumwa

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MEMBERS Section

IPA Member Spotlight: Mike Brownlee, PharmD, MS, FASHP

Written by:

Morgan McPherson 2017 PharmD Candidate Drake University College of Pharmacy and Health Sciences

N

ot many pharmacists can say they currently oversee 400 staff, 18 pharmacy residents in six post-doctoral residency programs, and 550 student rotation experiences. He is well-versed to influence the lives of these individuals through his success and expertise. Throughout his career, Mike Brownlee, PharmD, MS, FASHP, has made a significant impact on his profession. Explaining his innovative work in the area of Information Technology (IT), Mike’s science interest was in chemistry and computer science during college. He eventually began studying prepharmacy and worked at a progressive community pharmacy, Travis Pharmacy, in his hometown of Shenandoah, Iowa. Mike graduated from the University of Iowa with his PharmD and the University of Kansas with his Master’s in Health-System Pharmacy Administration completing a residency there as well. When not spending valuable time with his family, many would be surprised to hear his hobbies include woodworking and welding on top of golf and basketball.

Career Impact

Remaining loyal to the Hawkeyes after spending time in various prestigious positions at Oregon Health and Sciences University, Oregon State University College of Pharmacy, the

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University of Kansas Medical Center, and the University of Missouri College of Pharmacy in Kansas City, Mike eventually returned to Iowa City and is currently the Chief Pharmacy Officer and Associate Hospital Director at the University of Iowa Hospitals and Clinics (UIHC) as well as Clinical Associate Professor and Associate Dean for Clinical Education at the University of Iowa College of Pharmacy. He serves on the Board of Directors for the Iowa Poison Control Center. Mike is comfortable to say that pharmacy practice in the Midwest is top in the nation. In his role, Mike works with many different health care professionals. When asked about how physicians view his services, Mike responded by stating how rewarding it is to see the support they have for pharmacy services to positively impact our patients. This is no doubt in part to the relationships Mike has made with individuals he works with. From a broad perspective at the top level of an organization, Mike sees the value pharmacists have in compliance with state and federal regulations, financial stewardship, business development, and ensuring clinical quality and safety.

Educational Impact

In a variety of roles, Mike has impacted the future of pharmacy through the education of students and pharmacists. Furthermore, Mike continues his own educational learning by teaching his residents and trainees. Mike is involved with the Leadership Pharmacy program and has also started seven different residency programs throughout his career. He empowers individuals and pushes them to be the best they can be. Through Mike’s exemplary actions, students and pharmacists can gain a passion for moving their profession forward. Mike sees a vision for the pharmacy profession in expanding ambulatory care and the use of technology using

techniques like pharmacy technician validation and telepharmacy. On a more clinical note, he can see the expansion of the microbiome and pharmacogenomics in our near future. Mike not only sees this vision but will act on it as well. Over his career, he has implemented several IT projects including inpatient and outpatient pharmacy systems, barcode medication administration, telepharmacy, and IV pump integration. We have seen the great impact services like these have provided for our profession and know that he will be working on new innovative practices to obtain his vision as well.

Worldwide Impact

Mike recognizes the importance of utilizing technology in the best way possible to enhance the profession. In fact, Mike was part of the Oregon Health and Science University team to win the Innovator Award from the Association of Community Cancer Centers for being the first academic health center to implement telepharmacy for the preparation of IV chemotherapy. Under Mike’s direction at UIHC, the team created integration between their electronic health record (Epic) and their IV smart pumps (Alaris) and they were the first in the world to do so. “Be bold, accept that responsibility, and blaze a path. Our patients need us.” Pharmacists can follow Mike’s great example of excellent patient care and innovation in the profession. He is thankful we have such a strong pharmacy presence in Iowa. Mike drives pharmacists and students to accept responsibility for our patients and their outcomes related to medication use. As Mike states, “Be bold, accept that responsibility, and blaze a path. Our patients need us.” ■

MEMBERS SECTION

Welcome NEW IPA MEMBERS July 1 - September 30, 2016: Khagendra Bhattarai, Des Moines Teryn Bibb, Iowa City Abby Buenneke, Des Moines Roger Cary, Jesup Katrina Coen, Prole Eva Coulson, Iowa City Sarah Derr, Minnetonka, MN Emily Dierickx, North Liberty Thomas Donner, Fort Dodge Amanda Eaton, Des Moines Rebecca Halbur, North Liberty Christie Hart, North Liberty Chuck Hudek, Omaha, NE Laurel Janney, Cedar Rapids Blake Justus, Des Moines Jon Kallen, Cedar Rapids Erin Kiojai, Gilbert Snjezana Klaric, West Des Moines Patty Kumbera, Johnston Mary Lacy, Des Moines Kersten McLeland, Des Moines Zachary Meseck, Jefferson Andre Peters, Clinton Emma Piehl, Cedar Falls Mary Ray, Coralville R. Taylor Reed, Maquoketa Katherine Schellenberg, North liberty Alicia Schroder, Shenandoah Colin Sinnott, Dubuque William Strayer, LaPorte City Victor VanCleave, Des Moines Heather Varvel, Des Moines McKay Whiting, Reeseda, CA Jonathan Wilson, Coralville Heather Wolfe, Cedar Falls

Thank you for supporting IPA!

MEMBER MILESTONES Deanna McDanel, PharmD BCPS, BCACP, (University of Iowa Hospitals and Clinics) received the 2016 Genesis Award from The University of Iowa College of Pharmacy. Congratulations Deanna! Thrifty White Pharmacy received specialty pharmacy accreditation from the Utilization Review Accreditation Commission. Congratulations to Heather Rickertsen, PharmD, on her new position at Crescent Community Health in Dubuque. Kristin Meyer, PharmD, CGP, CACP, FASCP, (Drake University) received the Association of Consultant Pharmacists’ 2016 Armon Neel Senior Care Pharmacist Award. Congratulations Kristin! Randy McDonough, BS, PharmD, MS, CGP, BCPS, FAPhA, (Towncrest Pharmacy, Iowa City) received the 2016 NextGeneration Pharmacist Entrepreneur Award. Congratulations Randy! Geoff Wall, BS, PharmD, BCPS, FCCP, CGP, (Drake University) received the 2016 Next-Generation Pharmacist Health-System Pharmacist Award. Congratulations Geoff! Richard Michael, BSPharm, (Fort Dodge) received the 2016 Next-Generation Pharmacist Patient Care Provider Award. Congratulations Richard! Randy McDonough, BS, PharmD, MS, CGP, BCPS, FAPhA, (Towncrest Pharmacy, Iowa City) received NCPA’s 2016 Willard B. Simmons Independent Pharmacist of the Year. Congratulations Randy! The University of Iowa College of Pharmacy’s NCPA Student Chapter received the 2016 NCPA Student Chapter of the Year.

IN MEMORIAM Cal Woods passed away October 18, 2016, at age 95. Cal owned Cal Woods Pharmacy in Fort Dodge, Iowa, for many years. He was active in the Iowa Pharmacy Association and served as president in 1966-67. He received the bowl of Hygeia award that same year. He served on the APhA Judicial Board for two years. He is survived by his wife, Doris.

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IPA ACTION keynote speaker, Dr. Berkowitz, shared seven crucial changes for population management and improving patient outcomes in the ever changing healthcare landscape. These seven changes included:

IPA Delegate Election to be Held in January 2017

IPA will be conducting an online election in January for pharmacists to serve as regional voting members in the House of Delegates at the 2017 and 2018 IPA Annual Meetings. If you are interested in serving as a delegate – please e-mail your interest to IPA at ipa@iarx.org by December 15. Interested pharmacists will be indicated on the ballot with an asterisk (*) by their name. All IPA members are entitled to vote for 22 delegates from their region. IPA regions mirror Iowa’s congressional districts. Following the election, delegates must register and attend the IPA Annual Meeting to serve in the House of Delegates. IPA’s 2017 Annual Meeting is scheduled for June 16-17, 2017 at the Marriott Hotel in Coralville. The 2018 Annual Meeting is scheduled for June 2018 in Des Moines.

1. Thriving in an ever-changing environment especially in as healthcare moves from volume to value based models. 2. Enterprise wide cost reduction is required in order to cut total healthcare costs. 3. Transparency is the only way to do business. 4. Implementing guidelines and best practices is key to meeting quality measures and achieving optimal patient care. 5. Excelling in pay for performance is required in the new payment models. 6. Recognize and implement new technology to better serve our patients. 7. Achieving engagement and alignment of all stakeholders will be needed to reach our goals.

Iowa Healthcare Collaborative Annual Conference

Two other well-known speakers Bruce Bagley, MN shared his insight on changes coming to quality metrics and the new MACRA payment model; and Eric Shell

On August 16, 2016, the Iowa Healthcare Collaborative (IHC) brought together key healthcare stakeholders for the 13th Annual IHC Conference. The

discussed how MACRA may affect rural healthcare specifically. The afternoon programming included one of four tracks: leadership, patient and family engagement, care transitions, or performance improvement.

IPA Tours New McKesson Distribution Center

McKesson hosted members of IPA’s staff and leadership at their new distribution facility in Clear Lake, Iowa. The group toured the state-of-the-art distribution center and heard about the new services and efficiencies of the facility. The tour also included a walk through the office space which was adorned with local art and photography depicting the Clear Lake area. McKesson consolidated three regional facilities into the new 340,000-square-foot center, which opened in May 2016. The new center serves nearly 2500 pharmacies throughout the Midwest. IPA and McKesson also discussed opportunities for collaboration with this new presence in Iowa, building on our strong, longstanding relationship. ■

Nominate a colleague for A 2017 IPA Award Recognize a colleague for the outstanding work that they do to serve their patients and advance the pharmacy profession. IPA is seeking nominations for the following awards: • Robert G. Gibbs Distinguished Pharmacist • Honorary President • Excellence in Innovation • Distinguished Young Pharmacist of the Year • Health-System Pharmacist of the Year • Patient Care Partner Award • Appreciation Award: Individual & Corporate • Cardinal Health GenerationRx Award • Pharmacy Technician of the Year Awards will be given at the 2017 IPA Annual Meeting on June 16-17, 2017, in Coralville. For more information about each award and to nominate a colleague, visit www.iarx.org/ipaawards.

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IPA ACTION

Students Pharmacists Face Tough Choices at IPA College Nights IPA College Nights are an opportunity to expose student pharmacists from Drake University and The University of Iowa to the role IPA plays in the profession and the benefits of professional involvement. This was the 7th year that IPA has hosted events near both campuses featuring networking opportunities and professional programming for each college of pharmacy. Each dean kicked off their respective event, welcoming their student pharmacists and introducing them to the association. IPA executive leadership led students in a “choose your own adventure” presentation. Volunteers from the audience took turns recreating possible reactions to situations that students may find themselves in as they enter a professional environment.

Following some entertaining stage work from the volunteers, the audience voted on which reaction was most appropriate. Example situations included how to manage a difficult situation with a challenging patient at the pharmacy, the appropriate amount of food to take at reception, and how to introduce oneself to professionals at networking events. This activity provided an opportunity to discuss how to respond and best take advantage of these scenarios. For the scenarios that didn’t have clear answers, IPA leadership provided students with tips to decide when each reaction would be appropriate. IPA would like to thank each of the 275 student pharmacists and faculty who attended their respective College Night!

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IPA ACTION

CALENDAR OF EVENTS December 2016

March 2017

1

Rebalancing Health Care in the Heartland Forum 9 & IRHA 2016 Annual Conference - Des Moines

14

4-8

ASHP Midyear Clinical Meeting - New Orleans, LA

5

Iowa Reception at ASHP Midyear- New Orleans, LA

13

2/2/2 Webinar

2/2/2 Webinar

24-27 APhA Annual Meeting & Exhibition San Francisco, CA

May 2017 3-4

ASCP Forum - Arlington, VA

January 2017 10-13 Wellcoaches School of Coaching - Des Moines 10

2/2/2 Webinar: What is MACRA?

25

IPA Capitol Screenings - Des Moines

February 2017 7

IPA Legislative Day - Des Moines

14

2/2/2 Webinar

17-19 Midwest Pharmacy Expo - Des Moines

CO M I N G S OO N IPA’s free monthly webinar series held on the second Tuesday of every month at 2:00 p.m. CST. December 13: TBD January 10, 2017: What is MACRA? February 14, 2017: TBD Register for an upcoming 2/2/2 or view previous webinars at www.iarx.org/222.

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2017 2017 IPA Goes Local is shaping up to be our biggest and best yet! This year we will bring pharmacists, providers and community leaders together to discuss localized solutions to combat opioid abuse their communities. Watch for an annoucement from IPA or your local assocation for dates, times and program details.

Pharmacy Time Capsule

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Issues & events that have shaped Iowa pharmacy (or are fun to remember!)

January

The formal establishment of the new professional organization for pharmacy in Iowa occurred. On January 1, Iowa Society of Health-System Pharmacists and the Iowa Pharmacy Association were unified to represent all pharmacists, pharmacy students, and pharmacy technicians in Iowa. The Healthy and Well Kids in Iowa (HAWK-I) program began on January 1 which provided coverage for children age 18 and younger who did not qualify for Medicaid but were at 185% of the federal poverty level.

March

Jordan Cohen began as the new dean of the University of Iowa College of Pharmacy on March 1st succeeding Gilbert Banker. Cohen was previously dean of the University of Kentucky College of Pharmacy. Governor Tom Vilsack was the keynote speaker at IPA Legislative Day on March 3rd. His speech focused on the importance of quality health care to attract future Iowans. Representative Robert Osterhaus, an Iowa pharmacist, spoke as well. Bob Osterhaus received the Hubert H. Humphrey Award from APhA on March 8th which recognizes a pharmacist for distinguished public service as an elected or appointment government official.

May

IPA hosted a conference for Iowa hospital and Health-System pharmacy directors to discuss issues facing practitioners and consequently develop ways to advance pharmacy practice. The FDA added “pharmacist” to Over-the-Counter Medication labeling as in “Ask your doctor or pharmacist.”

June

John Forbes was installed as the 1999-2000 president of IPA at the annual meeting held in Cedar Rapids on June 12th. His speech focused on the importance of pharmacist inclusion on the health care team, placing patients’ interests above our own, being adaptable to change, and working together as a pharmacy family.

Dennis Jorgensen received the 1999 Bowl of Hygeia at the IPA annual meeting.

July

The University of Iowa College of Public Health was founded on July 1.

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.

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Advertiser

need a relief pharmacist? Contact “Joseph in Relief� Joseph Thompson, RPh 9616 Quail Ridge Urbandale, IA 50322 h. 515.278.0846 c. 515.991.2684

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 Schaaf at dschaaf@iarx.org or call the IPA office at 515.270.0713 for more information.

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Student loan refinancing for IPA members SoFi saves pharmacist borrowers an average of $448 a month1

Apply through SoFi.com/IPA to get a $100 welcome bonus2 when you refinance your student loans. Terms and Conditions Apply. SOFI RESERVES THE RIGHT TO MODIFY OR DISCONTINUE PRODUCTS AND BENEFITS AT ANY TIME WITHOUT NOTICE. See sofi.com/legal for a complete list of terms and conditions. Current as of 10.1.16. SoFi loans are originated by SoFi Lending Corp (dba SoFi) California Finance Lender #6054612. NMLS #1121636. 1Monthly savings calculation is based on all SoFi members with a pharmacist degree who refinanced their student loans between 7/1/15 and 6/30/16. The calculation is derived by averaging the monthly savings of SoFi members with a pharmacist degree, which is calculated by taking the monthly student loan payments prior to refinancing minus the monthly student loan payments after refinancing with SoFi. SoFi’s monthly savings methodology for student loan refinancing assumes 1) members’ interest rates do not change over time (projections for variable rates are static at the time of the refinancing and do not reflect actual movement of rates in the future) 2) members make all payments on time. SoFi’s monthly savings methodology for student loan refinancing excludes refinancings in which 1) members elect a SoFi loan with a shorter term than their prior student loan term(s) 2) the term length of the SoFi member’s prior student loan(s) was shorter than 5 years or longer than 25 years 3) the SoFi member did not provide correct or complete information regarding his or her outstanding balance, loan type, APR, or current monthly payment. SoFi excludes the above refinancings in an effort to maximize transparency on how we calculate our monthly savings amount and to minimize the risk of member data error skewing the monthly savings amount. 2Payment will be issued electronically once you become a SoFi borrower; you have submitted a completed application with documents and your loan has been disbursed. Offer good for new customers only.