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A Peer-Reviewed Journal | Vol. LXXIV, No. 4 | OCT.NOV.DEC 2018

CELEBRATING 30 LEADERSHIP PHARMACY CONFERENCES INSIDE: 2018-2020 IPA Strategic Plan RAGBRAI 2018: Bigger & Better Meet the 2018-2019 Iowa Pharmacy Residents

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 Casey Ficek, JD Matthew Pitlick, PharmD, BCPS

COVER STORY Celebrating 30 Leadership Pharmacy Conferences pg. 34

Take a look at the history and the impact of the Leadership Pharmacy Conference and the people who made it possible.

OFFICERS CHAIRMAN Craig Logemann, RPh, BCACP, CDE - Ankeny PRESIDENT Cheryl Clarke, EdD, RPh, FAPhA - Waukee PRESIDENT-ELECT Connie Connolly, RPh, BCACP - DeWitt TREASURER Tim Becker, RPh, FACP - Mason City SPEAKER OF THE HOUSE Jim Hoehns, PharmD, FCCP, BCPS - Cedar Falls VICE SPEAKER OF THE HOUSE Ashley Dohrn, PharmD, BCGP - Le Claire

TRUSTEES REGION 1 Sharon Cashman, RPh - Waverly REGION 2 Jim Mennen, RPh - Coralville REGION 3 Sally Haack, PharmD, BCPS - Urbandale REGION 4 Carol Anderson, PharmD - Mason City AT LARGE Bill Baker, BS Pharm - Iowa City Craig Clark, RPh - Cedar Rapids Deanna McDanel, PharmD, BCPS, BCACP - Coralville Heather Ourth, PharmD, BCPS, BCGP - Ackworth HONORARY PRESIDENT John Rovers, PharmD, MIPH - Des Moines PHARMACY TECHNICIAN Jessica Burge, CPhT - Des Moines STUDENT PHARMACISTS Bridget Tunink - Drake University Austin Miller - 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.

RAGBRAI Recapping the IPA Foundation’s fifth year of RAGBRAI. pg. 44

Residents Meeting Meet the 2018-2019 Iowa pharmacy residents. pg. 30

FEATURES

2018-2020 IPA Strategic Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2019 Midwest Pharmacy Expo . . . . . . . . . . . . . . . . . . . . . . . . . . 10 PEER REVIEW: Connecting Community Pharmacies to Clinic Electronic Medical Records . . . . . . . . . . . . . . . . . . . 14 Welcome Class of 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Resident Spotlight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 COVER STORY: Celebrating 30 Leadership Pharmacy Conferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 RAGBRAI 2018: Bigger & Better . . . . . . . . . . . . . . . . . . . . . . . . 44

IN EVERY ISSUE

President’s Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 CEO’s Column . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Health Care Hot Topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Iowa Pharmacy News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Practice Advancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Public Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Technician’s Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 IPA Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Members Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 IPA Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Calendar of Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Pharmacy Time Capsule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Mission Statement

The Iowa Pharmacy Association empowers the pharmacy profession to improve health outcomes. OCT.NOV.DEC 2018 |

PRESIDENT’S PAGE

WHAT DO YOU STAND FOR? Cheryl Clarke, EdD, RPh, FAPhA Waukee IPA President

or those who have seen “Hamilton: An American Musical,” it is likely that at least some of the story struck a chord with you. I had the good fortunate of seeing this musical twice and found many of the lyrics were applicable to various aspects of life. As one example, Aaron Burr advised Alexander Hamilton to “Talk less! Smile more! Don’t let them know what you’re against or what you’re for!” While Burr advocated a playit-safe attitude, Hamilton rebuffed this advice and prolifically wrote his opinions and beliefs for all to read, allowing others to agree and join the cause. Hamilton proclaimed what he stood for while telling Burr, “No one knows who you are or what you do.” This theme in the musical caused me to reflect upon the idea – What do I stand for? I wondered how often we openly display our beliefs and convictions. As a young pharmacist, Denny Jorgensen employed me at the Panora Pharmacy, a small independent pharmacy in Panora. When discussing compensation, Denny offered to pay my IPA dues, saying “I believe it is important.” This simple statement made it perfectly clear what Denny

| The Journal of the Iowa Pharmacy Association

stood for. Likewise, I observed Denny speaking to political candidates who would come to the pharmacy, teaching me that political engagement is an important professional responsibility. I also remember Denny coming home from an APhA Annual Meeting, handing me the Hepler and Strand white paper on pharmaceutical care, and saying, “We are going to do this.” We remodeled the pharmacy, converted the film drop-off area to a consultation room, and began our transformation to a more patient carebased practice. Through these actions, our patients knew what Panora Pharmacy stood for. How do your actions reinforce what you stand for?

Trustees demonstrated what they believed IPA stood for. I encourage you to review these values as well as the mission, vision, and strategic plan (either on the website or on page 7 of this journal). Will you stand up for IPA? Collaboration. Advocacy. Innovation. Education. Engagement. Leadership. Positive Patient Outcomes. Do you share these values? Imagine if we collectively proclaimed these values, saying “I believe it is important.” Imagine if our actions demonstrated these values to our patients and to society. Imagine if the entire pharmacy profession joined forces to stand for these values. It just might spark a revolution.

Recent actions have made it perfectly clear what IPA stands for. The IPA Board of Trustees recently engaged in a very thoughtful process to update IPA’s mission, vision, values, and strategic plan. The themes of Unified Voice, Practice Transformation, and Strategic Growth serve as the pillars of the strategic plan. The values created through this process provide an excellent summary of what IPA stands for. Interestingly, the Trustees did not directly write these values. Rather, the strategic plan consultants drafted these values by observing the Trustees’ words, discussions, L to R: Doug and Cheryl Clarke and Kay and Denny Jorgensen and actions, i.e., how the

CEO’S COLUMN

WE ARE THE CHAMPIONS

often write about sports in this column as they provide analogies for life and our profession. The title tees this up as another sports related editorial, but – spoiler alert – these champions are not athletes.

We are the champions, my friends IPA members are the champions. Each day pharmacists provide invaluable knowledge and services to their patients and other members of the healthcare team. Across the care continuum, pharmacists provide lifesaving medications and help patients achieve optimal outcomes with their coaching and expertise.

say “it’s been no bed of roses, no pleasure cruise.” Yet, every week I talk to an IPA member that shares a win. This might be a deepened relationship with a key physician or other member of the healthcare team; new contracting opportunities to improve reimbursement rates; training in a new specialized area; landing a dream job; gratitude from patients; increased revenue; and – literally – saving a patient’s life.

Pharmacists regularly rank in the top two of America’s most honest and ethical professionals, earning a trust through years of serving as the most accessible healthcare provider. And IPA members, you’ve paid your dues, time after time, and I thank you all.

For each member I talk to with a significant win, I hear from several others about problems and concerns that need to be addressed, and need to be fought for – or fought against - on behalf of the pharmacy profession. IPA works on these issues through multiple channels for our members, but one critically important channel in fighting for (or against) key issues is political advocacy.

And we’ll keep on fighting ‘til the end

We are the champions, we are the champions.

Today’s pharmacists face no shortage of external and internal pressures. Inadequate payment for prescription drugs. Inability to bill for professional services. Drug shortages and rising cost of pharmaceuticals. Lack of access to patient data. Public perception of our profession. DIR fees. Vertical integration. Student loans. Market saturation. Some might

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

Iowa house and senate district with an established relationship with their legislator. As pharmacists and constituents, IPA members are in a prime position to build the same level of trust with legislators that we have already earned with patients and the public. It’s no secret that IPA members are champions in many ways; I look forward to watching the Champion Advocate program grow and recognizing all of you that can serve in this way! When we develop the highlight reel of the important work and successes from this new initiative, you can guess what song it will be set to. ■

As part of IPA’s new strategic plan (page 6), we are launching a Champion Advocate program. IPA’s strongest political asset is our grassroots advocacy and the local, personal relationships that our members have with elected officials.

The goal of the Champion Advocate program (see page 24) is to have at least one IPA member in EVERY

OCT.NOV.DEC 2018 |

STRATEGIC PLAN

2018-2020 IPA STRATEGIC PLAN In the spring and summer of 2018, IPA engaged stakeholders in a strategic planning process designed to establish organizational priorities and goals, and develop a two year roadmap to achieve them. The rapid pace of change in healthcare required that we step back from our day-to-day operations and ask, “Where do we want to go and how do we get there?” This document sets forth Goals, Strategies, and Action steps, designed to move IPA forward and ensure the Association and our programs remain synonymous with excellence and innovation in three thematic areas: Strategic Growth, Practice Transformation, and Unified Voice.

Strategic Growth

To remain a vibrant and influential organization, IPA will focus its efforts in areas that promote growth in membership, resources, value, relevance, and engagement. IPA is most successful when our members are actively engaged in advancing our strategic goals, and the organization can grow and evolve to meet the diverse needs of our members. • Increase membership recruitment, retention and engagement. • Improve the wellbeing of pharmacy professionals in Iowa by focusing on professional resiliency and burnout. • Expand reputation as a respected leader within the profession of pharmacy and among other healthcare organizations.

Practice Transformation

Across the country, Iowa is recognized and respected as a leader in innovative pharmacy practice. Along with innovation, IPA places a strategic

| The Journal of the Iowa Pharmacy Association

emphasis on initiatives and resources that enable pharmacy practices to transform, allowing pharmacists and pharmacy technicians to practice at the highest level of patient care. • Promote integration of pharmacists as valued members of the healthcare team. • Assist pharmacists and pharmacy technicians with practice transformation to provide the highest level of patient care. • Support career pathways for pharmacy technicians to advance technician roles in pharmacy practice settings.

Unified Voice

IPA is the unified voice representing pharmacy professionals in all practice settings across the continuum of care. Our unified voice allows IPA to advocate for the pharmacy profession in Iowa to key stakeholders, including legislators, regulatory agencies, healthcare providers and the general public. IPA leverages its respected reputation, cultivates critical relationships and activates an engaged grassroots network to advance pharmacy practice, serve the profession and ultimately improve health outcomes. • Continue to cultivate IPA’s strong grassroots advocacy in all pharmacy settings and active participation in legislative issues. • Leverage the unique strength of IPA as the unified voice representing pharmacy in Iowa. • Establish an advocacy agenda that increases access to pharmacist services, protects the public, and fosters practice advancement opportunities.

New Vision Statement

In addition to the new strategic plan, the IPA Board of Trustees approved a new vision statement, as outlined below with the IPA’s mission statement and values.

IPA Mission Statement

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

IPA Vision

The Iowa Pharmacy Association is the preeminent voice for all pharmacy professionals in Iowa and the leader in advancing pharmacy practice transformation.

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 through 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 those leaders and innovators who inspire others to transform the profession. Positive Patient Outcomes: The health and safety of patients is at the core of everything the profession and this association does, guided by the principle of “if it’s right for the patient, it’s right for pharmacy.”

HEALTHCARE HOT TOPICS

Series of Medication Recalls

There have been several high-profile medication recalls, including valsartan and related combination products, Children’s Advil, montelukast, spironolactone and hydrochlorothiazide. In particular, the valsartan recall has received a lot of scrutiny due to potential cancer-causing impurities found in large batches of the drug from Torrent Pharmaceuticals. The recall has spread to other manufacturers as well. Look for notifications from the FDA regarding news of additional recalls.

ACIP Influenza Vaccine Recommendations

The Advisory Committee on Immunization Practices (ACIP) recommends that all patients ages 6 months and older without contraindications should receive the influenza vaccine during the 2018-19 influenza season. All available influenza vaccines are recommended, including the live-attenuated inactivated virus (LAIV), for appropriate ages. The past two years the LAIV has not been recommended due to lack of prevention of that season’s influenza virus strains.

DEA Seizing Cannabidiol

The Drug Enforcement Agency (DEA) has recently been seizing shipments of hemp and cannabidiol oils and extracts. The 2014 Farm Bill made hemp legal for some industries, like textiles and manufacturing, provided the plant contains no more than 0.3 percent tetrahydrocannabinol (THC) by dry weight. While several states have approved the use of these products, the DEA considers nearly all hemp and cannabidiol products designed for human consumption illegal.

Opioid Production Reduction

On August 16, the Drug Enforcement Administration (DEA) published a proposed rule to decrease the annual production quotas (APQs) for opioid medications including fentanyl, hydromorphone, hydrocodone, morphine, oxycodone, and oxymorphone. The rule does not distinguish among dosage forms

when setting APQs. The proposed cuts range from 7-15% of the 2018 APQs, with an average 44% decrease from the 2016 APQs. This is part of the federal government’s “Safe Prescribing Plan” to reduce U.S. production of opioids.

CMS Physician Fee Schedule Changes

The CY 2019 Medicare Physician Fee Schedule has proposed rules that update payment policies, payment rates, and other provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019. This proposed rule proposes potentially misvalued codes, adds procedures to the telehealth list, and other policies affecting the calculation of payment rates. This proposed rule includes several new provisions, including one to change documentation, coding and payment to reduce administrative burden and improve payment accuracy for office/ outpatient Evaluation and Management visits. An additional provision would pay separately for two newly defined physicians’ services furnished using communication technology.

Cigna & Express Scripts Merger Approved

The United States Department of Justice has given approval for the $67 billion merger between Cigna and Express Scripts. This is the latest in a series of high profile mergers between insurers and pharmacy benefits managers. Proponents of the deal explain that the merger could decrease healthcare costs, however, many are skeptical. The merger is expected to be completed by the end of 2019.

Online Sale of Counterfeit Prescription Drugs Still a Problem

A recent story in the Wall Street Journal reports that the sale of counterfeit prescription drugs is still a growing problem in the United States. The National Association of Boards of Pharmacy (NABP) found that nearly 95% of 12,000 online websites selling prescription drugs did not meet NABP standards and applicable laws. Remember to educate patients on the risks of

purchasing prescription medications from non-reputable sources.

HPV Vaccine Adult Approval

The FDA has expanded its approval for the HPV vaccine to now include men and women aged 27-49 with the previously approved age range of 9-26 years old. A study found the vaccine was 88 percent effective in preventing infection and related cancers. The new approval marks another opportunity for pharmacists to impact a large public health need.

CDC Kicks off Antimicrobial Resistance Challenge

The Centers for Disease Control and Prevention (CDC) launched its Antimicrobial Resistance (AMR) Challenge on September 25 at the United Nations General Assembly. The year-long global campaign is aiming to combat antimicrobial resistance and encourage governments, private industry, and organizations to commit to specific actions in at least one of these five commitment areas: tracking, data collection, and sharing; infection prevention and control; appropriate antibiotic use; environmental factors and sanitation; and vaccine access and therapeutic development, therapeutics and diagnostics.

Healthcare Cybersecurity

One of healthcare’s biggest challenges has become protecting private patient information. As health data continues to migrate to the cloud, the number of ransomware and other malware attacks in recent years have increased significantly. The purpose of these attacks is to access personally identifiable information or other personal health information and sell it on the black market, often for thousands of dollars per file. Recently, UnityPoint of Iowa was the victim of an attack by cybercriminals, potentially accessing patient health information such as diagnoses and types of care along with patients’ financial information. The attackers used a “phishing” technique through the company’s email system and as of now officials do not report any misuse of patient information. ■

OCT.NOV.DEC 2018 |

ITâ€™S TIME TO... ENGAGE

CONNECT

ENERGIZE

ADVANCE

...RENEW! Renew your membership today and continue to receive important benefits like FREE CPE and join us as we build on our 2018 momentum to advance practice, including Provider Status in Iowa.

Exciting things are happening in Iowa pharmacy in 2019. Renew your membership to be a part of it!

RENEW BY LOGGING IN AT WWW.IARX.ORG

IPA memberships expire on December 31, 2018

IOWA PHARMACY NEWS

Heartland Dawn Black Sky Training

IPA staff participated in a training event at the Iowa State Emergency Operations Center on August 7, 2018. The training program brought several Iowa stakeholders together to discuss emergency operations and preparedness in the event of a Black Sky event, which is a complete shut down of the power grid. Participants included the Iowa National Guard, Homeland Security, utility companies, healthcare affiliated groups, and business groups. During the daylong training, the group discussed public safety priorities and scenarios in a Black Sky event. Remember to have an emergency preparedness plan in your workplace and home.

New Medical Director at IDPH

Earlier this summer, Dr. Caitlin Pedati began serving as Iowa’s State Medical Director and Epidemiologist. Dr. Pedati is a boardcertified pediatrician and completed a residency with a certificate in Global Child Health at the Children’s National Medical Center in Washington, DC. Growing up in northern Virginia and seeing common health problems among her patients, she joined the CDC’s Epidemic Intelligence Service which, for the first time in her life, took her west of the Mississippi River to Nebraska. She served as a medical epidemiologist for the Nebraska Department of Health and Human Services prior to joining the Iowa Department of Public Health. Dr. Pedati fulfills this new role after Dr. Patricia Quinlisk formally retired earlier this year after 24 years at IDPH. Dr. Quinlisk was the first woman to hold the position of state epidemiologist in Iowa. On September 19, IPA hosted an introductory meeting with Dr. Pedati. The agenda of the meeting included the role that pharmacists play across the spectrum of care and key public health issues such as immunizations and opioids. Dr. Pedati shared her positive experience in working with pharmacists and was delighted to learn of the important work of Iowa pharmacists in public health matters. At

this point, Dr. Pedati has reissued the current naloxone statewide standing order previously issued by Dr. Quinlisk.

Iowa Board of Medicine Names Interim Executive Director

The Iowa Board of Medicine has named Kent Nabel as its interim executive director. Nabel, an attorney, has been the board’s director of public affairs for the last 20 years. Nabel will lead the organization as the board conducts a search for a permanent replacement for the previous executive director, Mark Bowden, who retired in July.

Second Cohort to Begin for ‘Make Every Encounter Count’ Training

CEI’s Make Every Encounter Count (MEEC) training will launch its second round of sessions in late October. This 30-week training program is a series of interactive modules that guide a pharmacy team through the process of transforming their community pharmacy practice site to succeed in preferred pharmacy networks and elevating patient care. MEEC is a 20-hour, practice-based educational activity intended for community pharmacy teams – both pharmacists and technicians. Registration includes access to 10 modules – packed with content, including: 10 video

modules; a Leader’s Guide with activities, discussions and tools; live discussions with the cohort and Community Pharmacy leaders; paper-based tools to implement at your practice site; and an online collaborative learning group. Visit www.ceimpact.com to learn more.

PRIMECARRE Loan Repayment – Pharmacists Can Now Apply!

After years of advocacy efforts by IPA, pharmacists are now eligible for Iowa’s PRIMECARRE loan repayment program. Through this program, pharmacists can receive up to $50,000 for loan repayment for providing services in specified health professional shortages areas (HPSA) per Health Resources and Services Administration (HRSA) guidelines. Pharmacists must work in an HPSA-eligible site for a minimum two years of full-time work or four years of part-time work. The first phase of the applications has a deadline of November 12, 2018. The phase 2 application deadline is January 8, 2019. Remaining funds carry into Phase 3, which has an application deadline of March 6, 2019. For more information, visit www. iowagrants.gov (click on Grants Opportunities, search for ID# 275444).

2019 IPA Awards Nominate a Colleague Today! www.iarx.org/awards Nominations accepted through February 1, 2019.

OCT.NOV.DEC 2018 |

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

The Midwest Pharmacy Expo brings together pharmacists, pharmacy technicians and student pharmacists from across the Midwest for the region’s premier live continuing pharmacy education event.

16.75 hrs of CPE for Pharmacists & 10.25 hrs of CPE for Technicians • Clinically Intensive Workshops (Friday) featuring high-level clinical programming

• Keynote from Paul Radde on professional burnout • 4 tracks including pharmacist-pharmacy technician integrated programming:

• Continuity of Care • Professionalism • Provider Readiness • Hot Topics

• Sunday Favorites New Drugs, Law, and Gamechangers

Build Connections Connect with pharmacists and pharmacy technicians from across 9 Midwestern states, plus hear from experts from across the country!

BRAND NEW LOCATION! The 2019 Midwest Pharmacy Expo’s new location is the brand new Des Moines Hilton Downtown!

• AGENDA • Friday, February 8, 2019

12:30 pm

Clinically Intensive Workshops

2:00 pm

6.5 hrs CPE for Pharmacists

7:45 am 8:30 am 8:45 am

Registration

Biostatistics and Trial Design: An Interactive Review for Pharmacists -Break-

12:30 pm

Lunch & Networking (lunch provided)

3:00 pm

-Break-

11:00 am 1:30 pm 3:30 pm 5:00 pm

SESSION 3

1. Taking the “Pain” out of Inpatient Pain Management 2. Mentors: The Importance of Having One and Being One T

Welcome

10:45 am

Lunch and Exhibit Hall

3. Culture Shock: Advanced Practice in Infectious Disease 4. Having Difficult Conversations with Patients T

Chronic Care Management Part I: Infectious Disease

3:00 pm

Pitfalls and Pearls: Interpreting Common Labs in Clinical Practice

3:15 pm

SESSION 4 1. Critical Care: Updates for the Non-ICU Pharmacist 2. Medication Errors: Combat the Impact of Stress T 3. 8 Things I Never Wanted to Learn about Diabetes

Chronic Care Management Part II: Cardiology Wrap-up and Adjourn

-Break-

4. Medical Cannabis Status Update T 4:15 pm 4:30 pm

Saturday, February 9, 2019 Midwest Pharmacy Expo

6.25 hrs CPE for Pharmacists & Pharmacy Technicians

-Break-

SESSION 5 1. Partnering for Success: How Community Pharmacists can Reduce Hospital Readmissions T 2. Setting Boundaries & Saying NO - Nicely T 3. Time to Deprescribe: When Less is More

6:30 am

Registration Opens

8:45 am

Keynote: “Re-igniting from Professional Burnout: Assess, Prevent and Reverse the Syndrome” by Paul Radde T

7:15 am 8:30 am

4. On the Front Lines: Impacting Outcomes in Mental Health

Industry Symposium Breakfasts

5:30 pm

Welcome

10:00 am

-Break-

10:15 am

SESSION 1

5:45 pm

Midwest Pharmacy Expo

1. Peri-operative Medication Management: Focus on Anticoagulation

3. Advancing Care with Point of Care Testing 4. Troubleshooting USP 800 and Handling of Hazardous Meds: Key Issues in the Hospital T 11:30 am

Political Leadership Reception**

Sunday, February 10, 2019

2. Keeping Up with the Studies: The Challenge of Staying Current in Pharmacy T

11:15 am

Adjourn

-Break-

SESSION 2 1. Case-based Challenges in Hospital Medicine 2. Rx: Inoculate from Burnout T

4.0 hrs CPE for Pharmacists & Pharmacy Technicians

6:30 am

Registration Opens

9:30 am

-Break-

6:45 am

8:00 am

4. USP 800: Drugs of Concern in the Community Pharmacy T

New Drug Update T

9:45 am

Electronic Messaging: Staying HIPAA Compliant T

12:30 pm

Adjourn

10:45 am 11:00 am Tracks:

3. Give It Your Best Shot: Maximizing Immunizations in Your Patients

Industry Symposium Breakfasts

-Break-

Gamechangers in Pharmacy: 2018 T

1. Continuity of Care 2. Professionalism

3. Provider Readiness 4. Hot Topics

CE accredited sessions in bold T - Accredited for both pharmacists & pharmacy technicians ** - Additional ticket purchase required

MidwestPharmacyExpo.com OCT.NOV.DEC 2018 |

YOUR

PROFESSIONAL SKILLS

REPUTATION DONâ€™T HAVE TO BE DAMAGED AS A RESULT OF IMPAIRMENT.

The Iowa Monitoring Program for Pharmacy Professionals (IMP3), a voluntary, confidential program of the Iowa Board of Pharmacy, is designed to assist pharmacists, pharmacist interns and pharmacy technicians in

P 3 I M

obtaining the necessary help for successful rehabilitation from substance abuse as well as mental and physical disabilities. This provides an opportunity for licensed professionals to receive proper treatment and maintain their professional status, while protecting the safety of the public.

O W A

IOWA MONITORING PROGRAM

for Pharmacy Professionals

To learn more about IMP3, visit imp3.iowa.gov. To self-report to IMP3, contact IMP3 staff at 515.725.2253.

PRACTICE ADVANCEMENT

IPA, APhA Foundation Continue to Partner on Project IMPACT Immunizations Building off the success of an initial pilot in Washington State and an initial phase to a scaled demonstration project, IPA has partnered once again with the APhA Foundation to work with community pharmacies to increase vaccination rates for routinely recommended adult vaccines. Project IMPACT Immunizations is a multi-phase initiative that integrates an innovative care model into each participating pharmacy in an effort to identify unmet adult vaccination needs. The goal for this project is to address population health for preventable diseases, especially in patients with highrisk disease states, to reduce the cost of care over time. Participating pharmacies include: Eagle Grove Pharmacy Hy-Vee Pharmacy – Iowa City Hy-Vee Pharmacy - Marion Hy-Vee Pharmacy – West Des Moines Medicap Pharmacy – Carlisle Medicap Pharmacy – Eldora Medicap Pharmacy – Indianola Montross Pharmacy NuCara Pharmacy – Coralville NuCara Pharmacy – Pleasant Hill NuCara Pharmacy – West Union Osterhaus Pharmacy Towncrest Pharmacy Wal-Mart Pharmacy – Atlantic Wal-Mart Pharmacy – Knoxville Wal-Mart Pharmacy – Pella

IDPH Continues Support of Pharmacy Practice Advancement Strategies into 2019 In continued collaboration with the Iowa Department of Public Health, IPA has advocated to showcase the

skills and services of a pharmacist in delivering high quality patient care for patients with diabetes, hypertension, and other cardiovascular diseases. Aligning with other federal initiatives like the Million Hearts Campaign and growth in CDC-recognized Diabetes Prevention Programs (DPPs), IPA will be assisting members in targeted counties to guide pharmacists and provide technical assistance in aligning their practice with these initiatives. As part of this multi-year initiative, IPA encourages our members to answer the call when looking to advance their practice and improve health outcomes for these specified patient populations. The initiative aims to embed pharmacists within outpatient clinics to assist in the primary care of patients with the specified chronic disease. The project will begin in January 2019.

HIV Screening Initiative to Launch in Targeted Areas In collaboration with the Iowa Department of Public Health (IDPH), IPA is partnering with communitybased pharmacies to implement a scaled demonstration project across the state of Iowa with an initial focus on HIV testing. Hepatitis C testing will also be added to the project in subsequent years. IPA is currently recruiting communitybased pharmacies for the first and second cohorts in order to provide testing in early 2019. Based on statistical data from Iowa Department of Public Health, the communities of Atlantic, Decorah, Waterloo, and Waverly, as well as the south-central area of the state will be the focus of the project. By the end of year one, IPA expects to enroll up to forty pharmacy locations. Pharmacies will receive a grant to help offset the costs of implementing the

project. IPA and IDPH’s Bureau of HIV, STD, and Hepatitis will also provide training and continuing education on the status of HIV in Iowa, counseling on results, and data reporting. The initial training is planned to occur in late October and early November 2018. To participate in the project or to learn more, please contact Kellie Staiert, IPA’s lead project manager at kstaiert@iarx.org.

Opioid Crisis Action Summit IPA staff participated in an Opioid Crisis Action Summit on October 9. The focus of the summit was to develop a statewide, collaborative action plan to help combat the opioid crisis in Iowa. Attendees included the Iowa Department of Public Health (IDPH), law enforcement, non-profit organizations, health care professionals, and members of the Iowa Harm Reduction Coalition.

Diabetes Prevention Program Resources CMS released two new resources for Medicare Diabetes Prevention Program (MDPP) suppliers, including a billing and claims fact sheet and crosswalk guidance. The fact sheet is for suppliers who want to better understand how to bill for MDPP services and contains MDPP billing practices, as well as the claims submission process. The crosswalk guidance provides direction on the crosswalk file that MDPP suppliers are required to maintain. It describes the form and manner in which MDPP suppliers must maintain the crosswalk file, including crosswalk file submission dates, beneficiaries to include in the crosswalk file, and data required in the crosswalk file. Independent pharmacists who are registered as MDPP suppliers are encouraged to review these new resources. ■

OCT.NOV.DEC 2018 |

PEER REVIEW

CONNECTING COMMUNITY PHARMACIES TO CLINIC ELECTRONIC MEDICAL RECORDS William R. Doucette, Ph.D. Professor University of Iowa College of Pharmacy 115 S Grand Avenue Iowa City, IA 52242 william-doucette@uiowa.edu

William Evans Student Pharmacist University of Iowa College of Pharmacy 115 S Grand Avenue Iowa City, IA 52242 william-evans@uiowa.edu

Abstract Objectives The objectives of this project were to: 1) interview healthcare professionals who have participated in implementing an electronic medical record (EMR) connection between a clinic and community pharmacy; 2) identify benefits, facilitators and obstacles when establishing EMR connections; and 3) develop a brief guide for establishing an EMR connection. Methods A purposeful sample of six sites in Iowa was identified to have established a pharmacy link to a clinic’s EMR. The sites were contacted, and six pharmacists and two clinic personnel agreed to conduct telephone interviews. Informants were asked about benefits, facilitators and obstacles in establishing the connection. Interviews were transcribed and coded to generate a report for each site. From these data, a brief guide on connecting to clinic EMRs was developed. Results Each interview lasted between 3050 minutes. Reported benefits of an EMR connection included improved pharmacist recommendations on medication therapy, time saved, and

| The Journal of the Iowa Pharmacy Association

identified/resolved adverse drug events (ADEs). Facilitators included involving a smaller clinic with limited hierarchy and using clear talking points regarding the value of establishing the EMR connection. A champion within the clinic, often a provider or nurse, also promoted the value of linking a pharmacist to the EMR. Obstacles included convincing clinic administrators the value of the connection exceeded potential risks, technology concerns, and difficulty in accessing decision makers in healthcare systems. A brief EMR guide was developed that described key issues that can support establishing an EMR connection. Conclusions The healthcare system is searching for efficient ways to improve patient outcomes. One solution is improving the interconnectivity between clinics and community pharmacies through EMR access. This relatively low-cost link has shown preliminary benefits such as resolved or prevented ADEs, better recommendations for patients and improved physician-pharmacist relationships.

Background

Interprofessional collaboration is critical in the patient care process. The need for pharmacists to access pertinent patient information is becoming increasingly important as the pharmacist’s role within the healthcare team continues to advance. Medication discrepancies are commonly seen as patients make the transition to the community after a hospital visit. In a study by Coleman et al., 14.1% of patients returning home after a hospital stay experienced a medication discrepancy. Approximately half of these discrepancies were the result of a system-associated contributing factor (e.g. discharge instructions being incomplete or illegible or prescribing a medication with known allergies/intolerance), suggesting a need for an improvement in electronic health information systems.1 Medication discrepancies such as these have also been shown to result in rehospitalizations and a significant increase in healthcare costs. 2-4 Community pharmacists are in a key position to improve continuity of care, as well as chronic medication therapy. They are often the first healthcare professional consulted after leaving the hospital and also a regular stop for patients picking up their discharge prescription medications. After discharge, community pharmacists regularly interact with patients taking medications to control chronic conditions. To be most effective in these roles, community pharmacists require access to patient information in order to gain a complete clinical picture to help optimize the medication therapy. However, community pharmacists frequently lack the necessary access to all of the patient’s health information due to the absence of a connection to the patients’ records held by other providers (e.g. a clinic’s electronic medical record or EMR). Often times the patient is

PEER REVIEW

relied upon to transmit clinical data to the community pharmacist, rather than the pharmacist accessing the patient information directly. This approach is not always reliable, as patients often depend on healthcare providers to document and share test results.5 Missing or incorrect information can limit the value that community pharmacists bring to the patient care process. In addition, the inability of pharmacists to check patient information themselves also can result in pharmacist requests for patient information from the hospital or clinic, contributing to the work load of provider personnel. Solutions are being explored to improve the connectivity of community pharmacies to other providers. One model being explored is including community pharmacies in health information exchange (HIE). HIE relies on a network of providers allowing healthcare professionals and patients to securely access and share patient medical information electronically.6 However, HIE has been utilized primarily in the clinic/hospital setting and is infrequently accessible in the community pharmacy setting. A survey done in Indiana showed that pharmacists, especially in community settings, had limited involvement with HIE.6 Another study showed that 70% of responding physicians reported a positive attitude towards HIE and its potential to reduce costs, save time and improve patient care.7 Benefits of HIE include avoiding medication errors and readmissions, along with improved decision making. Thus, including community pharmacists in HIE is a potential solution for the discontinuity of care seen as patients transition back into the community setting and for enhanced coordination of chronic care. Community pharmacist access to provider EMRs can be an important advancement in HIE. An EMR connection may entail read-only access, ability to communicate with providers, and/or privilege to enter notes. While models have shown EMR access to off-site pharmacies can be beneficial performing patient services8, literature describing

EMR access in off-site community pharmacy is limited. The purpose of the present project was to assess the use of clinic EMR connections in community pharmacy settings in order to further understand the benefits, facilitators and obstacles in establishing this EMR access.

guide consisted of approximately 25 questions. A slightly different version of the interview guide was developed for the clinic interviews, focusing on the clinic’s perspective with the pharmacy’s EMR access.

The objectives of this project were to: 1) interview healthcare professionals who have participated in implementing an EMR connection between a clinic and community pharmacy; 2) identify benefits, facilitators and obstacles when establishing EMR connections; and 3) develop a brief guide for establishing EMR connections between clinics and community pharmacies.

The audiotaped conversations were transcribed verbatim. Transcriptions were coded and organized to generate an individual site report for each of the sites. Three main categories were created using the data extracted from the site reports: benefits, obstacles and facilitators in establishing EMR access. These data were then used to formulate a brief EMR guide consisting of six steps which aimed to facilitate gaining access to clinic EMRs in community pharmacy settings.

Methods

Results

Community pharmacists and clinic personnel who previously participated in pharmacists gaining access to patient records at a clinic were identified and recruited for interviews. The interviews were audiotaped, transcribed, and used to generate site reports. The qualitative data were compiled and coded by two coders. A report was generated for each site along with a brief guide for establishing community pharmacy connections to clinic EMRs.

A total of six sites in communities ranging from rural to metropolitan size were identified to have a successful pharmacy connection to a clinic EMR via a secure portal. Six pharmacists and two clinic personnel were interviewed for this project, all of which had a significant role in establishing pharmacy access to clinic EMRs. The two clinic participating personnel included a physician and a nurse administrator. The interviews lasted from 30-50 minutes in length.

The target population was any community pharmacist or clinician at a site that allows for community pharmacy access to a clinic or hospital’s EMR system. Using information from the Iowa Pharmacy Association and past experience from the authors, pharmacies in Iowa that had successfully connected to a provider’s EMR system were identified.

Some of the pharmacies had more than one EMR connection established. All but two of the pharmacy links to EMRs were in use at the time of the interview. One link was terminated after a year due to expenses. The fees had initially been waived but after about a year the pharmacy was asked to pay a significant fee for the services to continue at multiple sites. The pharmacists decided the linkage was not worth the costs, as it was not generating comparable revenue under available payment opportunities for community pharmacies. Another EMR connection ended due to the clinic leaders believing no one benefited from the service. This link was initially established to support a project, but it was dropped when the project ended despite some preliminary benefits. The length of use for all the EMR connections ranged from three months to over ten years.

Objectives

Qualified pharmacies were contacted via email with an interview request. The participant recruitment included a formal request for interview along with information regarding the project. The informants were offered an incentive of $50 for their interview time. A telephone interview was scheduled with interested parties at the informant’s convenience. An interview guide was developed with relevant questions regarding the pharmacist’s use of EMR access. The

OCT.NOV.DEC 2018 |

PEER REVIEW Benefits to EMR access Several benefits of a community pharmacy having access to a clinic’s EMR were discussed throughout the interviews. The major benefits to pharmacists included improved medication therapy recommendations to providers, increased preparedness for patient interactions, and time saved for pharmacy staff. Other benefits included improved relationships with the providers and decreased adverse drug events (ADEs) for patients. A pharmacist described important patient safety benefits with the EMR access, “We were able to catch errors and prevent errors that could’ve led to hospitalizations. I can think of at least three times where we found discrepancies between the meds that the patient was on, and what was actually charted, or what was prescribed and what was charted that we caught before it got to the patient, which, they were serious ones.” Benefits to the provider commonly included an improved relationship with the pharmacist, time saved due to reduced communication of callbacks and addressing faxes, and improved quality metrics for the provider. Providers, along with pharmacists, are increasingly expected to limit costs while delivering high quality care. By allowing qualified community pharmacy partners to connect to their EMRs, providers can gain useful information from informed practitioners (i.e. pharmacists) who typically see patients more frequently. Such ongoing information can improve monitoring of chronic conditions and support adjustments to optimize medication therapy. Similarly, informed pharmacists (via an EMR) can help clinics achieve higher quality metrics by engaging patients in adhering to prescribed therapy and changing their lifestyles to better manage chronic conditions. Facilitators in establishing EMR access Having a champion within a clinic was a key facilitator for establishing a pharmacy connection to a clinic EMR. Such champions typically were a provider or nurse who understood the potential benefits of allowing pharmacists to access

| The Journal of the Iowa Pharmacy Association

the EMR and provided support within the clinic organization. A champion can support a request to connect to an EMR when an initial reaction might be to say no. They can provide sufficient discussion for benefits to be stated and considered, rather than an immediate rejection. One pharmacist described the significance of finding a champion within the clinic, “You always needed one [champion] at every site; you just had to identify who it was. Somebody had to be willing to step up to bat for you.” Positive interprofessional relationships between pharmacists and clinic providers can serve as a basis for developing a champion for a pharmacy link to a clinic EMR. Another facilitator was having clear talking points used by the pharmacy personnel to convince the clinic to allow the pharmacy to gain access. These included showing the value of pharmacists through statistics related to patient care or provider quality metrics, such as an improvement in the number of patients with diabetes getting hemoglobin A1c levels checked regularly. One pharmacist described the importance of focused talking points, “Patient safety was always number one. It allowed us to be accurate, it allowed us to put information in the medical record, so patient safety, continuity of care was our biggest selling point. Then secondly was improved time efficiency for clinic staff. Not just the physicians, but it was honestly more often their support staff not having to duplicately enter information or wait on the phone or deal with our faxes and emails because we had questions about something.” Other facilitators included stating ways in which connected pharmacists can bring value to the healthcare process, such as providing timely information about medication adherence and updated medication lists. It was also important to involve the clinic IT department in the conversation in order to make sure clinic administration understood allowing

remote pharmacy access to the EMR was technologically feasible. Obstacles in establishing EMR access Obstacles encountered in establishing the EMR link varied by site. The most common obstacle was explaining the rationale of granting pharmacists access to patients’ health information via EMRs. Clinic personnel, especially administrators or legal counsel, often times did not see how the benefits outweighed the risks in giving pharmacies remote access to the EMRs. A pharmacist described her experience in working with clinic staff, “I feel like the administrator, unless you have a personal relationship or some kind of professional relationship, may just look at it more from a legal standpoint or a compliance standpoint, whereas a physician might say, ‘This pharmacist can really do this for my patients. This would make my job a lot easier. I think we should give this a try and go from there.’” A related obstacle was demonstrating to the clinic the access was not in violation of HIPAA, which such connections do not for mutual patients. The HIPAA misunderstanding was described by one pharmacist: “Many sites actually felt that… they believed it was illegal to grant access, so we had to overcome that barrier… not once did we ever find it was illegal, because that’s just silly.” Pharmacies reported different sitespecific challenges in using various EMR programs, including difficulty searching for and finding patients and incomplete data availability due to voluntary participation by providers. Cost of access was a key issue at one site as the EMR vendors typically charge for each site that uses their EMR system. Thus, adding a pharmacy as a site using the EMR could increase the charge to the provider. Pharmacists also reported some challenges with technology and EMR system training.

PEER REVIEW

Actions to establish an EMR connection between a clinic and a pharmacy Identify a local clinic

Initiate contact with clinic

Find a champion

Utilize facilitators

Persevere through obstacles

Act on a plan

Choose a clinic with a past relationship, if possible, to establish an EMR link

Select a clinic which treats many of your patients

“My advice is pick one provider that you work with, that you think you can leverage your professional/personal relationship with, and try to get medical record access...”

Clearly and thoroughly explain your goals for the link

Request a meeting to discuss the connection

“So the hospital directors and VP's on the board at present, we're very engaged in trying to make sure and share information and be able to take care of these patients.”

Find someone within the clinic who understands the value of informed pharmacists

Build a working relationship with the champion

“You always needed one [champion] at every site, you just had to identify who it was. Somebody had to be willing to step up to bat for you.”

Prepare talking points to show the benefits to the clinic and how potential risks will be managed

Bring the IT department on board to assist in any technical issues

Concerns about HIPAA or technical limitations can be overcome

Be persistent in pushing for access until it is granted

“I think he [clinician] saw the value after I got back to him on just even those few patients. I think it planted the idea in his head that hey, maybe the pharmacist can help a little bit more. Maybe there's something there that we're missing.”

Develop a plan for how the pharmacy will access the clinic records

Follow the plan to use the connection in care delivery

“Many sites actually felt that ... they believed it was illegal to grant access, so we had to overcome that barrier.” “..not once did we ever find it was illegal, because that's just silly.”

“.. patient safety, continuity of care was our biggest selling point”

Figure 1. Brief Guide to Establishing an EMR Connection between a Clinic and Pharmacy. Additional information on this guide is available in the online edition of the Journal at www.iarx.org/journal

Brief Guide to Establishing an EMR Connection between a Clinic and Pharmacy

A brief guide targeting community pharmacists was developed using the results of this study. The guide (Figure 1) includes six steps pharmacists can follow to establish EMR access. The steps include: 1) identify a local clinic, 2) initiate contact with the clinic, 3) find a champion, 4) utilize facilitators, 5) persevere through obstacles, and 6) act on a plan. Each of the steps includes advice and direct quotes from the interviews. This guide can support pharmacists seeking to establish a connection to a clinic’s EMR to raise their practice’s capacity in order to deliver high quality care. While this guide does not have specific instructions relevant to all potential sites, it provides a general path to establishing clinic EMR access.

Discussion

Currently, many community pharmacists lack ready access to the information required to make the best decisions for patients. The integration of clinic EMRs with community pharmacies is

not widespread, though it promises to improve the quality and coordination of care. This study identified benefits of having community pharmacists connected to clinic EMRs that affected patients, clinics, and pharmacies – including identification of ADEs, improved recommendations by pharmacists, clinic efficiencies and higher quality metrics. Though these findings are practitioner reports, they show that such EMR links can make medication therapy safer, more effective, and can help limit costs of care. While this multi-site qualitative study is useful, more research is needed to better understand the full range of benefits and costs of connecting community pharmacists to EMRs in clinics and other provider settings. As such EMR connections become more common, it is vital that valid and comprehensive evaluations are made of them, so that best practices can be identified and disseminated. Among the respondents, the most common situation was that the connected pharmacists had read-only access to the EMR. In an update of the Roadmap for Pharmacy Health Information

Technology Integration in U.S. Health Care, the Pharmacy Health Information Technology (PHIT) Collaborative called for work to “ensure that electronic health information contributed by pharmacists gets documented, captured, and integrated for use by all patient care providers.”9 The PHIT Collaborative has worked to develop and promote the pharmacist-provider electronic health record (PP-EHR), which would support standardizing pharmacists clinical care notes. Relying on SNOMED CT, a widely used clinical coding standard, this PP-EHR approach would facilitate broader use of patient care records made by pharmacists. Some pharmacists have begun to use systems incorporating SNOMED CT coding, including in the national pilot of enhanced medication therapy management (MTM) involving Iowa pharmacies. As community pharmacists gain experience using SNOMED CT coding, they likely would be better positioned to discuss notemaking privileges with clinic partners who have given them EMR access. The most significant barrier in widespread establishment of pharmacy links to EMRs was clinic personnel not understanding how the benefits can outweigh the risks. Several pharmacists reported the primary concerns of the clinics were violating HIPAA and whether the connection is technologically possible – neither of which should be a real barrier. Since the clinic and pharmacy are both providers for patients, they can share patient information under HIPAA. Similarly, the current state of technology allows ready access between pharmacy and clinic EMRs, often with little extra software or hardware. A few unattached clinics discovered at each site it was possible for a remote pharmacy to be given access to their clinic EMR with assistance from the provider IT department. Clinics in larger health systems typically were more difficult to work with than smaller clinics due to more levels of administration needed to authorize the EMR connection. Health systems may manage risks more formally than individual clinics (e.g. risk manager and/or legal counsel), which could raise OCT.NOV.DEC 2018 |

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Claim your 1001 toward your student loans at sofi.com/IPA. Checking your rate will not affect your credit score.2 Terms and Conditions Apply. SOFI RESERVES THE RIGHT TO MODIFY OR DISCONTINUE PRODUCTS AND BENEFITS AT ANY TIME WITHOUT NOTICE. To qualify, a borrower must be a U.S. citizen or permanent resident in an eligible state and meet SoFi’s underwriting requirements. See SoFi.com/elgibility for details. SoFi refinance loans are private loans and do not have the same repayment options that the federal loan program offers such as Income Based Repayment or Income Contingent Repayment or PAYE. Licensed by the Department of Business Oversight under the California Financing Law License No. 6054612. SoFi loans are originated by SoFi Lending Corp., NMLS # 1121636. Information as of July 2018. 1 Additional terms and conditions apply. Offer is subject to lender approval. To receive the offer, you must: (1) register and/or apply through the referral link you were given; (2) complete a loan application with SoFi; (3) have and provide a valid US bank account to receive bonus; (4) and meet SoFi’s underwriting criteria. Once conditions are met and the loan has been disbursed, you will receive your welcome bonus via automated clearing house (ACH) into your checking account within 30 calendar days. Bonuses that are not redeemed within 180 calendar days of the date they were made available to the recipient may be subject to forfeit. Bonus amounts of $600 or greater in a single calendar year may be reported to the Internal Revenue Service (IRS) as miscellaneous income to the recipient on Form 1099-MISC in the year received as required by applicable law. Recipient is responsible for any applicable federal, state or local taxes associated with receiving the bonus offer; consult your tax advisor to determine applicable tax consequences. SoFi reserves the right to change or terminate the offer at any time with or without notice. 2 To check the rates and terms you may qualify for, SoFi conducts a soft credit pull that will not affect your credit score. A hard credit pull, which may impact your credit score, is required if you apply for a SoFi product after being pre-qualified.

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PEER REVIEW

the difficulty in getting permission to connect to an EMR in a health system clinic. Larger clinic organizations also tend to have more policies in place and violation of privacy was a primary concern. Persistence is a key to be able to get into communication with the people in the organization that can advance the request by a pharmacy to connect to a clinic EMR. Establishing an EMR link with a clinic can be a long and difficult process. The initial approach to the clinic may be the most important part of a successful partnership. Pharmacists found that having an initial rapport or trust level was helpful, perhaps through involvement in a previous project or collaboration with the clinic. Ideally a champion can be identified within the clinic organization. Often this person is a clinician, who is able to recognize the value of having pharmacists connected to the electronic medical records. A champion at a clinic helps build support for the pharmacy gaining access to the EMR through sharing a vision of practice when pharmacists can provide higher quality care for shared patients. Weinstein discusses four characteristics of champions in making a corporate decision involving another organization: credibility, connections, company intelligence, and motivation.10 Credibility derives from the champion being well respected within the clinic organization, while connections refer to the champion having working relationships with key leaders. Also, a champion knows about the future needs of the clinic organization, which allows him/her to recognize the value of trying an EMR link with a community pharmacy. Finally, a champion is motivated, usually to do what he/she believes is best for the organization. In this situation, a champion might push for an EMR connection because he/she sees it as a way to try to improve quality metrics and associated reimbursements for the clinic. Positive personal relations between a pharmacist and a clinician could serve as the basis of engaging a champion for a pharmacy connecting to the clinic’s EMR. Interprofessional trust can be built

by using expertise and keeping promises. Also, supporting a champion is helpful, such as providing details that can assist them in stating the case for the EMR link.

M, Kleefield S, Yurkofsky M, Brennan TA. Factors associated with unplanned hospital readmission among patients 65 years of age and older in a Medicare managed care plan. Am J Med 1999;10713- 17

As with any such work, this project has some limitations. One issue is the small sample size of six pharmacy sites. Since this project was intended to identify issues and not quantify relationships or specific variables, the sample size seems appropriate. A second limitation is that only participant-reported benefits were collected. That is, no actual clinical data or records were collected to corroborate the benefits reported by the interviewees. Future research is needed to more rigorously compare the processes and outcomes of systems/providers operating with and without pharmacy EMR connections.

5. Wuerdeman L, Volk L, Pizziferri L, Tsurikova R, Harris C, Feygin R, Epstein M, Meyers K, Wald JS, Lansky D, Bates DW. How accurate is information that patients contribute to their Electronic Health Record? AMIA Annual Symposium Proc 2005: 834–838.

In conclusion, participants in this qualitative study reported patient and organizational benefits of electronic medical record connections between community pharmacies and clinics. A brief guide was developed that can assist pharmacists seeking to connect to local providers’ EMRs. Future work should be done in this issue, especially as formal coding of pharmacist care advances the interoperability between pharmacies and other providers. Acknowledgments: This project was supported by funding from the Iowa Department of Public Health.

References

1. Coleman EA, Smith JD, Raha D, Min SJ. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005; 165(16):1842-7, http:// dx.doi.org/10.1001/archinte.165.16.1842 2. Doucet J, Jego A, Noel D, et al. Preventable and non-preventable risk factors for adverse drug events related to hospital admissions in the elderly: a prospective study. Clin Drug Invest 2002;22385- 392 3. Col N, Fanale JE, Kronholm P. The role of medication noncompliance and adverse drug reactions in hospitalizations of the elderly. Arch Intern Med1990;150841- 845 4. Marcantonio ER, McKean S, Goldfinger

6. Held AD, Woodall LJ, Hertig JB. Pharmacists’ familiarity, utilization, and beliefs about health information exchange: A survey of pharmacists in an Indiana pharmacy organization. J Am Pharm Assoc. 2014;54:625–29. 7. Wright A, Soran C, Jenter CA, et al. Physician attitudes toward health information exchange: results of a statewide survey. J Am Med Inform Assoc. 2010;17(1):66–70. 8. Vande Griend J. P., Saseen J. J., Bislip D. An off-site clinical pharmacy service in family medicine: Development and 1-year outcomes. Family Medicine. 2014;46(5):348–53. 9. The roadmap for pharmacy health information technology integration in U.S. health care: 2014 to 2017 update. Pharmacy Health Information Technology Collaborative, Alexandria, VA: 2015. 10. Weinstein PV. To close a deal, find a champion. Harvard Bus Rev. SEP 2014, https://hbr.org/2014/09/to-close-a-deal-finda-champion. Accessed May 31, 2018.

Be a Peer Reviewer!

IPA is currently looking for members to share their expertise as a peer reviewer for The Journal of the Iowa Pharmacy Association. This is an important opportunity to maintain the clinical integrity of the Journal’s peer reviewed content. Peer reviewers review up two articles every twelve months. Becoming a peer reviewer is easy: 1. Complete a survey to indicate your areas of expertise 2. Watch the training video 3. Email Anthony Pudlo at apudlo@iarx. org once you have completed the video Additional instructions, including links to the survey and video, are available at www.iarx.org/journal.

OCT.NOV.DEC 2018 |

WELCOME CLASS OF 2022

Drake University College of Pharmacy and Health Sciences White Coat Ceremony - Class of 2022 August 24, 2018

Anis Abdullahi Nicholas Andert Daniel Armstrong Edina Begic Beau Blake Isabella Blankenship Angelica Castro Maria Castro Castro Samuel Cataldo MacKenzie Challoner Derek Cloyd Barret Collard Noah Cresco Darshika Desai Sukhnoor Dhillon Nicholas Driscoll Jacob Dumas Andrew Dunham Tarah Fisher Hope Fraise Michaela Friedeck Kole Gallick Caroline Gander Holly Gardner Rachel Garner Abby Hall Joshua Hart Elizabeth Harvey Latham Hendrickson

Thao Hoang Jacob Horstman Caroline Jones Collin Jones Christopher Karch Zoe Kedrowski Ellisa Kim Sydney Kleven Courtney Krall Stephanie Krois Humam Lafta Natalie Lee Britain Lehrer Richard Levites Tabitha Liechty Jacob Lucht Stephanie Martin Emma McDonald Landon McKee Haley Miller Breanna Moore Hebah Musharafa Bailey Nagel Kim Nguyen Kylie Noon Ryan Nulty Megan Ochs Joel Parado Prachi Patel

Elizabeth Petersen Jordan Pierce Carissa Popp Keegan Preston Tyler Prokuski Reagan Rathe Jonathan Resch Siri Roberts Graham Robles Ropafadzo Runesu Edie Schwickerath McKenna Simpson Emma Smith Isabel Stanger Shawna Stricker Gabriella Tagliapietra Courtney Temple Isabelle Tharp Marc Thieme Jacquelyn Thomsen Tatum Torode Mariah Trapp Danielle Vo Sara Wede Brittani Weichman Kaitlyn Wellens Tyler Wypych Lauren Zimmerman

Photos: Drake University College of Pharmacy and Health Sciences

| The Journal of the Iowa Pharmacy Association

WELCOME CLASS OF 2022

The University of Iowa College of Pharmacy White Coat Ceremony - Class of 2022 August 18, 2018

Salma Abdelrahman Fatima Atfif David Bainbridge Urvi Bhakta Delaney Braden Josh Brase Sarah Cinquepalmi Alexis Clouse Steven Cui Alexandra Curran Annie DeVries Kyla Dickey Michelle Dobrzynski Austin Dollmeyer Ashley Duda Sara El-Hattab Kathryn Fier Megan Fishel Jacob FitzPatrick Ben Fox Hao Fu Marisol Garcia Clinton Garlock Alexander Goss Julia Grover Manar Habiballa Alex Hall Hasna Harrabi

Caroline Hartman Denisse Herrera Michael Hickman Micah Hiner Sonny Hoang Alaina Hofmann Linh Huynh Kelsey Ihns Analisa Iole Emma Johnson Guissella Johnson Jacob Johnson Fatmata Kamara Beatrice Kariuki Tessa Kauffman Gun Hee Kim Morgan Kimball Megan Lake Brooke Lawler Kassidy Lawler Tiffany Le Sungjea Lee Peizhi Li Damien Lihs Dylan Lloyd Ryan Lux Jessica McCants Colton McConnell

Raegan Menke Riley Mohr Spencer Munroe Ann Mwangi Ali Naraghi Kalyca Nardy Sara Nashed Chi Nesah Sara Nezirevic Chelsea Nguyen Son Nguyen Vy Nguyen Sydney Novak Reid Peloquin Ashely Perlwitz Ellen Peters Kyla Peters Emma Piehl Shannon Powers Brieanna Priebe Kaitlyn Quinn Sara Ramirez Shelby Reid Lauren Reist Jenna Ringsdorf Mason Roberts Allen-Erika Robles Marissa Rupalo

Amir Saba Samuel Schauer Brendan Schryver Erika Schupp Nick Shepard Aaron Steenwyk Marissa Stewart Dalton Swift Jamal Targio Trey Van Hemert Jacob Van Oort Hoa Vuong Walt Wang Tyler Wempen Ryan Wenzel Jackson Willette Kayla Wilson Liangping Yu

Photos: The University of Iowa Office of Strategic Communications\Justin Torner

OCT.NOV.DEC 2018 |

Join your colleagues on January 29, 2019, as the pharmacy profession descends upon the state capitol for a day to advocate for pharmacy practice in Iowa. The conversations and connections made by our members on this day, serve as an important foundation for the association’s advocacy efforts during the legislative session.

Following an election, it is especially important to establish relationships, educate legislators, and speak up for your profession. Legislative Day makes it easy to do just that through face-to-face grassroots advocacy!

WHAT YOU NEED TO DO:

1. Register at www.iarx.org/IPALegDay 2. Contact your legislator & make an appointment for January 29 3. Show up (with your white coat)!

“I’ve never done anything like this. I won’t know what to do.”

Don’t worry. You won’t be alone. Partner with a colleague or IPA can help you partner with a Legislative Day veteran. Legislative Day is about coming together as a profession to deliver a strong, unified message to advance and preserve pharmacy practice. Just show up and we’ll help you with the rest.

AGENDA AT A GLANCE Times and speakers subject to change

8:00–9:00 am

Registration at Embassy Suites

9:00–10:00 am

Welcome and Legislative Briefing

10:00–10:20 am

Good Government Award Presentation

10:30 am–1:00 pm Capitol Visits & Lunch (transportation & lunch provided) For Student Pharmacists 10:30–11:30am Young Legislator Forum and Lunch 11:30 am–1:00 pm Capitol Visits 1:15 pm

IPA Group Photo

1:45–4:30 pm

Pharmacy Law CPE:

What’s the Status of Provider Status? 1:45–2:15 pm - Casey Ficek, IPA Director of Public Affairs and Matt Pitlick, IPA Executive Fellow Legislator Panel 2:15–2:45 pm - TBD PBMs: Recent State and Federal Action 3:00 pm–3:45 pm – Anne Cassity, NCPA Vice President, Federal and State Government Affairs Iowa Medicaid Update 3:45–4:30 pm – Mike Randol, Iowa Medicaid Director (invited)

| The Journal of the Iowa Pharmacy Association

PUBLIC AFFAIRS

BOARD OF PHARMACY: REGULATORY UPDATE

IPA WORKING FOR YOU

The Iowa Board of Pharmacy convened for open session on July 24, 2018 to discuss multiple requests, reports and informational items, as well as several proposed rules.

Addressing Your Iowa Medicaid & MCO Concerns

PMP Advisory Council Appointments

The board’s executive director, Andrew Funk, announced that three appointments have been made to the PMP Advisory Council, filling all remaining vacancies: Traci Mixdorf (family medicine physician, Clear Lake), Anthony Miller (psychiatrist, Iowa City), and Yulia Johnson (family medicine physician, Des Moines).

Narcan Distribution Day

An update was also provided on the Narcan Distribution Day, which was held on June 29, 2018. More than 350 pharmacies participated, distributing 2,000 Narcan kits to patients at no charge. The kits were provided by the Iowa Department of Public Health.

PMP Registrations Increase

The executive director’s report also included an update on PMP registrations. Enhancements to the database and registrant communication have resulted in increased PMP registrations. Now 57% of required prescribers are registered with the PMP (up from 47% from Nov. 2017). Dentists have seen the greatest improvement in registration. In November 2017, only 3% of dentists were registered with the PMP, but now 46% are registered.

Discussion and Approval of USP 795 Comments for Submission The board reviewed and discussed comments for submission to USP

regarding the proposed Chapter 795 revision. These included a number of suggested changes to the original proposed language. The board directed compliance officer Christie Carlson to submit comments pursuant to the board discussion. This discussion centered around removing suggestions that were based on the financial burden placed on pharmacies. The Board felt it was not their role to comment on the finances of pharmacies.

Vote of Adoption on New Regulations

Adoption of Rules Relating to “Centralized Prescription Filling and Processing”, “Unit Dose, Alternative Packaging, and Emergency Boxes” The Board approved amendments to Chapter 18, “Centralized Prescription Filling and Processing”, and Chapter 22, “Unit Dose, Alternative Packaging, and Emergency Boxes.” The proposed amendments incorporate language from HF 305, signed into law during the 2017 legislative session, which allows the substitution of interchangeable biological products and includes labeling requirements. Other Adoption and Filings The Board adopted amendments for Chapter 10, “Controlled Substances.” The amendment temporarily schedules fentanyl-related products that are not already listed in another schedule as Schedule I controlled substances in response to action taken by the federal Drug Enforcement Administration. The Board also adopted amendments relating to a review and update of Chapter 15, “Correctional Pharmacy Practice.” ■

Medicaid Diabetes Test Strip Reimbursement

IPA continues to advocate on your behalf to remedy the reimbursement issues with preferred diabetes testing supplies submitted to Amerigroup/ Express Scripts. The supplies returned to WAC pricing at point-of-sale on October 16, 2018. Express Scripts will reverse and resubmit the claims from June 1, 2018, to October 15, 2018. If you have any questions, it is recommended to first call Express Scripts at 888-5718182.

Several Manufacturers do not renew CMS contract

As of October 1, several manufacturers did not renew a CMS contract agreement which allowed their products to be a CMS rebating labeler. Claims for these products will not be able to be adjudicated and will reject at the point of sale. It is unknown at this time the potential impact however it appears to be mostly related to generic drug manufacturers. For more information, see Iowa Medicaid Informational Letter #1949.

OCT.NOV.DEC 2018 |

Advance IPA’s Legislative Agenda by Becoming a Champion Advocate Are you interested in becoming an important partner in helping IPA advance its legislative and regulatory agenda throughout the year? IPA is looking for Champion Advocates across Iowa to build relationships with their elected officials. Help us achieve our goal of having a Champion Advocate in every House and Senate district! Our goal is to have pharmacists establish trust and familiarity with their legislators to keep them aware of the key issues facing pharmacy. As you work to educate our representatives and senators, we can help build their understanding of our concerns regarding patient care and the role of the pharmacist.

By volunteering as a Champion Advocate, you would be kept up to date on the latest information relating to IPA’s advocacy agenda and would be ready to answer the call when IPA needs to make a grassroots push with legislators.

Responsibilities would include:

• Building relationships outside of the legislative session by hosting pharmacy visits with legislators and delivering PAC contributions when needed • Contact legislators during session to explain how pending legislation would affect your pharmacy practice • Relaying your personal experiences to help legislators understand the important role that today’s pharmacists play in enhancing the health care of Iowans • Stay informed with bill tracking/ IPA legislative priorities and participate in bi-weekly update calls

If you are interested in becoming a Champion Advocate or have any questions, contact Casey Ficek, IPA’s director of public affairs, at cficek@ iarx.org or 515-270-0713. Casey can help you identify your senator and representative and get started with setting up a pharmacy visit.

| The Journal of the Iowa Pharmacy Association

PUBLIC AFFAIRS

Advocacy in the Pharmacy

IPA’s advocacy team spent the summer meeting with legislators across the state. Many of these meetings were conducted in coordination with IPA members, giving legislators the opportunity to see first-hand the innovative pharmacy practice activities the profession is doing to improve patient care. Visits like these are incredibly important to build relationships for the future and to keep IPA’s voice strong at the Statehouse.

Thank you to all those who have hosted their legislators. If you’re interested in hosting a legislator at your pharmacy, hospital, or any practice setting, contact Casey Ficek at cficek@iarx.org or 515-2700713 to begin the process.

Gubernatorial Race Comes to IPA

In September, IPA hosted roundtable discussions with the two leading candidates for Iowa governor, Gov. Kim Reynolds and Fred Hubbell.

In July, Sen. Roby Smith (R-Davenport) met with Lisa Ploehn, PharmD, and IPA’s director of public affairs, Casey Ficek, and executive intern Will Evans at Main at Locust Pharmacy in Davenport. Casey and Will also met with Sen. Jason Schultz (R-Denison) and Tim Weber at Thrifty White in Denison. Both Sens. Smith and Schultz will be key in advancing pharmacy legislation in the future.

prospectively from Nov. 1 in order to eliminate issues with claim adjustments. Iowa’s Medicaid dispensing fee is statutorily set as the average actual acquisition cost (AAC) plus a dispensing fee as determined by a survey that is conducted every two years. This survey-based methodology provides a transparent, data-based formula that is in the best interest of the state and pharmacy providers for serving the pharmacy needs of Iowa Medicaid members.

IPA hosts Legislative Reception with Iowa’s Pharmacist Legislators On September 12, IPA hosted a reception to support Iowa’s two pharmacist legislators – Rep. John Forbes (D-40, Urbandale) and Sen. Tom Greene (R-44, Burlington).

Members had the opportunity to meet the legislators and discuss legislative issues. Both legislators spoke about pharmacyrelated events of the last legislative session and legislative action they would be pursuing in 2019. Iowa is in the unique position of having two pharmacists in the state legislature one in each chamber and one from each political party.

Sen. Jason Schultz (R-Denison) meets with Tim Weber and staff at Thrifty White in Denison.

In August, leaders from both parties had the opportunity to tour pharmacies. Kristin Meyer, PharmD, hosted Rep. Mark Smith (D-Marshalltown), the Democratic Minority Leader in the Iowa House of Representatives, for a visit to the Iowa Veterans Home in Marshalltown. Candace Jordan, PharmD, hosted Senate President Charles Schneider (R-West Des Moines) for a visit to Mercy West Lakes Hospital in West Des Moines. IPA has also been contributing to pharmacy friendly candidates prior to the November elections to lay the groundwork for another successful legislative session in 2019. Your support of the Iowa Pharmacy Political Action Committee (IPPAC) is essential in keeping these relationships between IPA and Iowa’s legislators strong.

These roundtable discussions were important opportunities for Iowa pharmacists to discuss issues including PBMs, Medicaid, and mental health. Both candidates expressed interest in more collaboration with pharmacy to address the state’s health needs.

The event coincided with IPA’s Legislative Advisory Committee Meeting. ■

Iowa Medicaid Dispensing Fee to Increase

The dispensing fee for Iowa Medicaid will increase from $10.02 to $10.07 starting on November 1, 2018. The increase is the result of the Department of Human Services’ biennial cost of dispensing survey that was conducted last spring. The new dispensing fee rate will be effective beginning November 1 and will apply for two years until the next cost of dispensing survey is completed. In contrast to previous years, the change in dispensing fee will only be applied OCT.NOV.DEC 2018 |

TECHNICIAN CORNER

THE FIVE-MINUTE CHALLENGE Daniel Vande Voort, BA, AAS, CPhT NuCara Pharmacy Montezuma

s the holidays loom upon us, it seems many of us can become preoccupied with all of the activities and responsibilities associated with the season of the year. While perhaps this is normal, it’s important for us to realize the potential implications this time of year can have, not only on us as technicians, but also on the populations we serve. Patients may delay their refills to save on holiday costs. Having a compliance program in place or providing a personalized reminder phone call may ensure not only compliance, but may assist in better healthcare outcomes, and benefit the pharmacy as well. Let’s take an extra five minutes to impact a patient’s day for their betterment and help them cope with the stress that the holidays may bring by giving them one less thing to remember! This is also the time of year when people begin to make New Year’s resolutions and think about positive lifestyle changes. A common occurrence in the coming months will be individuals stopping by pharmacy locations and expressing interest in quitting smoking or other tobacco products. Being up-to-date on the resources available to patients (such as Quit Line), knowing the referral process, and providing education to patients about treatment options is a place where pharmacy technicians

| The Journal of the Iowa Pharmacy Association

can shine. Understanding your pharmacy’s choice of available OTC nicotine replacement products, from patches to gums, can help empower patients to quit and radically change the outcome of not only their current health situation, but extend their lives! When a patient has been identified as wanting to make this change, whether using OTC products or prescription formulations, one small way we can help is to follow-up and see how they are doing or inquire if they need their medications refilled. This can help them to stay on the progressive path to completely kick the habit for good. It takes time and commitment from pharmacy staff, but this commitment can truly build lasting relationships for years to come. In many ways the little investments -- phone calls and conversations are where we can show we are interested and fully invested in our patients. These patient interactions can be the difference in them being successful in reaching their health goals. It’s a big responsibility, but I am confident of the commitment, professionalism, and care delivered by pharmacy technicians across the state of Iowa. We truly do have the power to make a difference in many aspects of our patient’s health. Let’s challenge ourselves to be even more committed in 2019 and take an extra five minutes each day to have a personal impact in our sphere of influence. We can change patient lives each and every day, so let’s continue to radiate positivity and assist our patients to reach their health and lifestyle goals in the coming year!

ASHP Launches Pharmacy Technician Forum Officially launched in April 2018, ASHP’s Pharmacy Technician Forum is a new national membership home for pharmacy technicians, created to further elevate and advance the pharmacy technician workforce. Similar to other forums within ASHP, this forum serves as the central point for pharmacy technician engagement in ASHP, providing tools, education, and numerous other resources to help pharmacy technicians advance their practice. The 2018-2019 strategic goals of the forum, include: • GOAL 1: Improve patient care by enhancing the well-being and resilience of pharmacists, student pharmacists, and pharmacy technicians • GOAL 2: Advance the creation of a well-defined professional career path for pharmacy technicians by elevating their patient care roles, responsibilities, and vital contributions to enhancing the direct patient care efforts of pharmacists. • GOAL 3: Advocate for laws, regulations, and standards that improve patient care. • GOAL 4. Grow and retain an engaged and diverse pharmacy technician membership. To learn more, please visit www.ashp. org/Pharmacy-Technician/PharmacyTechnician-Forum.

A New Opportunity for Technicians (From IPA’s August 2018 Tech Tidbits newsletter) The role of the pharmacy technician is ever changing and expanding. As pharmacy technicians have an integral

TECHNICIAN CORNER

role in the pharmacy profession, a bill was recently passed stating that a pharmacy technician shall have a position on the Board of Pharmacy. Senate file no. 2298 changed the composition of the Iowa Board of Pharmacy to include: 5 licensed pharmacists, 1 pharmacy technician, and 2 members of the general public as elected by the governor. This goes into effect on July 1, 2018 and the Board hopes to have the position filled by the end of the year. The Iowa Board of Pharmacy has many responsibilities in regulating the practice of pharmacy in the state. Some of these responsibilities include but are not limited to: licensing pharmacists and interns, certifying technicians, regulating the legal distribution of prescription drugs, performing compliance investigations and audits, and instituting disciplinary action. The Board of Pharmacy also can allow for innovative pilot projects in Iowa, such as technician product verification. This is a great opportunity for technicians to

become more involved in the profession and can be a very fulfilling experience. Serving on the board allows you to help shape pharmacy practice, protect patient safety, and connect with your profession in a unique way. It also allows for many avenues for professional development such as gaining expertise, better understanding governance, building networks and relationships, and growing as a leader. If this is something you would be interested in, please contact Casey Ficek, IPA’s director of public affairs, at cficek@ iarx.org to learn more and guide you through the application process!

Online Career Centers: Look No Further than IPA or PTCB Online (From IPA’s September 2018 Tech Tidbits newsletter) In May 2018, the Pharmacy Technician Certification Board (PTCB) launched a new online career center. This website allows certified pharmacy technicians the

opportunity to view job listings and apply for new positions. Through this website, pharmacy technicians can search for careers by location, job title, or keyword. Pharmacy technicians can see total number of listings on the site as well as the total number of employers on the site who are hiring. These innovative career sites allow pharmacy technicians to browse potential job opportunities and then save job postings to their profile for later review. Pharmacy technicians can also program their profile to receive email notifications when jobs fitting their interests are posted to the site. This website also has benefits for employers such as the ability to identify qualified, certified candidates, and access to resume searching. Signing up for the PTCB Online Career Center is free for pharmacy technicians and can be done on the PTCB Career Center website at: careers.ptcb.org. The PTCB Online Career Center is similar to

CPhT Recertification CPE for FREE! Join IPA and receive CEI’s Technician Library for FREE! The Technician Library includes pharmacy technician certification CPE activities in categories consistent with the PTCB Domains, including pharmacy law, patient safety, immunizations, and current drug therapy. Also included are live webinars to get those live credit hours.

Members: 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 CPE! www.iarx.org/membership | 515.270.0713 | ipa@iarx.org

OCT.NOV.DEC 2018 |

TECHNICIAN CORNER

the website offered by the Iowa Pharmacy Association. View the IPA Career Center at www.iarx.org/careercenter.

New Standards for Education and Training of the Technician Workforce In July, ASHP and ACPE released a revised national standard to guide for the development of ASHP/ACPEaccredited pharmacy technician education and training programs. These new standards serve as the criteria for the evaluation of new and established pharmacy technician training programs and will help to ensure that pharmacy technicians possess the knowledge, skills, and abilities necessary for their critical role on the healthcare team. The revised standards place additional emphasis on the educational outcomes expected of students and the methods used by training programs to assess competency. The standards now define competencies that differentiate entrylevel and advanced training. They also address the structural and processrelated elements needed for programs to implement evidence-based outcome measures that document achievement of the requirements. ASHP and ACPE noted that a number of environmental factors, including changes in state laws allowing for expanded roles, responsibilities, and authority for pharmacy technicians, prompted the reassessment of the standards, which were last revised in 2015. The standards will become effective for new programs on January 1, 2019. Existing accredited pharmacy technician programs will be required to incorporate the new standards into their programs by January 1, 2020, and to notify the Pharmacy Technician Accreditation Commission (PTAC) regarding their intention to train students at the entry level, advanced level, or both.

| The Journal of the Iowa Pharmacy Association

BOP License and Registration Renewals Now Online As of this fall, the Board of Pharmacy announced that most business licenses and all individual licenses and registrations may be renewed online at https://iowa.igovsolution.com/ iboponline/. These include Pharmacists, CSA-individuals and businesses, Certified Pharmacy Technicians, Pharmacy Support Persons, Outsourcing Facilities, Wholesale Distributors, and Pharmacies. Online renewals require fee payments by credit card. Courtesy renewal notifications were sent to all licensees and registrants who will expire November 30, 2018 and December 31, 2018. Failure of the licensee or registrant to receive the notice does not relieve the individual or business of the responsibility for renewing the license/ registration prior to its expiration. Although discouraged, renewal applications will still be accepted through the mail with a check or money order. Application forms can be found on our website at: pharmacy.iowa.gov/ application-forms.

PTCB Launches New Certification Program in Compounded Sterile Preparation The Pharmacy Technician Certification Board (PTCB) has launched the PTCB Certified Compounded Sterile Preparation Technician (CSPT) Program. The program offers a certified pharmacy technician the opportunity to demonstrate knowledge and skill as a specialized technician, and his or her commitment to medication safety by meeting the program’s high standards. PTCB aims to ensure that individuals working inside clean rooms are well trained due to their critical role to achieving safety in sterile compounding. To earn CSPT Certification, eligible technicians must: 1) pass the CSPT

Exam, a 2-hour, 75-question exam; and 2) submit Competency Attestation documentation from a qualified supervisor. The exam covers hazardous and non-hazardous Compounded Sterile Products (CSPs) in the four domains of: Medications and Components (17%); Facilities and Equipment (22%); Sterile Compounding Procedures (53%); and Handling, Packaging, Storage, and Disposal (8%). To maintain the CSPT credential, a CSPT must recertify annually, a process requiring completion of 5 continuing education (CE) hours in sterile compounding and submission of a supervisor’s Attestation Form each year. PTCB charges a $50 non-refundable CSPT application fee and a $149 CSPT Exam fee for initial testing and retakes. Learn more and apply at ptcb.org/cspt. ■

Pharmacy Technicians: We Want to Hear from You! Do you or someone you work with continually demonstrate excellence as a pharmacy technician? Each quarter, IPA highlights a pharmacy technician member whose dedication to patient care and innovation within the pharmacy profession makes them an example for others. If you or someone you know exemplifies these characteristics and would like to share their passion for the profession, please contact IPA at ipa@iarx.org.

TECHNICIAN CORNER

NEWLY PTCB CERTIFIED IOWA TECHNICIANS July 1 - September 30, 2018

Please join IPA in congratulating the following pharmacy technicians on becoming PTCB-certified! ShayLeigh Abbott Victoria Adrian Michelle Barker Hannah Barmore Sydney Barnhart Jennifer Bassett Bethany Baumgartner Lindsay Bazer Alyson Boes Karlee Boyle Parker Bramsen Ashley Bright Brittany Bullock Hanna Burgess Rachel Cass Elise Choate Sarah Clark Patricia Colsch Alyssa Conaway Byron Cota Kurtis Crow Marcus Daniels

Destiny Dominguez Rachel Doran Jillian Drury Gabrielle Duttweiler Margaret Ehlert Tammy Ernst Jaclyn Feltman Kelsey Floerchinger Allison Freese Ashley Grady Mackenzie Gunther Gabriel Guot Nisha Gupta Rebel Hall-Campbell Riley Hennes Johan Hermosillo Jodi Hettwer Melody Hines Amanda Hinshaw Shanda Hoyle Jasmin Husidic Cortland Johns

In a world where our patientsâ€™ health requires the best in care,

PTCB CHOOSES

EXCELLENCE. ptcb.org

Jolene Johnson Alena Kamencic Minela Kapetanovic Julie Kavanagh Madison Kilberger Melissa Kilborn Lisa Kinney Beth Klaahsen Kelsey Knake-Wheelock Anna Laire Shelby Lambing Ellen Land Sandra LasleyKapayou Tien Le James Leach Kurt Lee Hilu Lee Ronald Lund Austin Maere Wajeeha Mariam Jessica May Olivia McCauley

Grace McCollum Bailey McCoy Braiden McFarland Sydney Metteer Elizabeth Moore Elizabeth Nelson Amber Odell Briana Peterson Shelbee Phomphakdy Zachary Pogge Bradley Price Olivia Reschly Ashley Reubin-Ford Ashley Reyes Daisha Riddle SaNisa Rodriguez Caitlin Rohrbaugh Jesse Roling Angelica RuaRodriguez Bailey Rustad Morgan Schrage

Jennel Schulte Lori Schultz Amy Schulz Madison Sieperda Maci Slaybaugh Angelina Staley Marissa Stewart Courtney Stowell Martha Symmonds Shyenne Tack Megan Tiet Brody Tritle Hannah Van Houten Kelly Vu Thomas Wagner Amanda Walker Walt Wang Leah Welch Christina Wilson Kathryn Yarwood

PTCB is the leading certifying body for pharmacy technicians. We are most trusted. All 50 states, DC, Guam, and Puerto Rico accept PTCB Certification. We are the only certification that is nationally accepted. We specialize in pharmacy technicians. Our sole focus is on certifying technicians for their many roles across pharmacy settings.

We have nothing to hide. Our Pharmacy Technician Certification Exam (PTCE) is challenging, and we publish extensive detail about the exam.

We are informed by research.

We rely on evidence to evaluate the PTCB Program and strengthen its value.

Patient safety demands rigor.

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Choose PTCB. Choose Excellence. OCT.NOV.DEC 2018 |

RESIDENT SPOTLIGHT

MEET THE 2018-2019 IOWA PHARMACY RESIDENTS IPA would like to introduce the 51 pharmacy residents practicing in Iowa in 2018-2019. Take a minute to see who they are and where they are practicing this year.

Ashleigh Arndorfer

Kimberly Bolton

Tyler Downey

Matthew Austin

Tucker Borel

Jade Feller

Elizabeth Bald

April Brown

Lorin Fisher

Jenna Beninga

Jeni Carmody

Jared Frye

Allison Bernard

Austin Cook

Tyler Goebel

Kiley Boeding

Sarah Dean

Mika Heister

Creighton University PGY1 Community Practice at CarePro Pharmacy/ A Ave Pharmacy

University of Iowa PGY1 Community Practice – HyVee Drug Store

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

University of Iowa PGY1 Community Practice at Greenwood Drug

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

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

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

| The Journal of the Iowa Pharmacy Association

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

University of Kansas PGY1 Community Practice at UnityPoint Health – Allen Hospital

Xavier University of Louisiana PGY1 Community Practice at Osterhaus Pharmacy

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

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

Drake University PGY1 Managed Care at OutcomesMTM

University of Wyoming PGY1 Pharmacy Practice at Mercy Medical Center

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

University of Iowa PGY1 Ambulatory Care Pharmacy Resident at The University of Iowa Hospitals & Clinics

University of N. Carolina PGY2 Health System Administration at The University of Iowa Hospitals & Clinics

Drake University PGY1 Pharmacy Practice at Covenant Medical Center

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

RESIDENT SPOTLIGHT

Morgan Hemmingson

Vilailack Kheuakham

Katelyn McDaniel

Joanna Hodder

Jennifer Ku

Chelsea McIntire

Kayla Hughes

Mackenzie Leal

Grayson Meunier

Brianna Jansma

Erin Lettow

Josephine Montgomery

South Dakota State University PGY1 Pharmacy Practice at Mercy Medical Center University of Minnesota PGY1 Ambulatory Care at NE IA Medical Education Facility & Waverly Health

Drake University PGY1 Community Practice at Towncrest Pharmacy

South Dakota State University PGY2 Emergency Medicine at The University of Iowa Hospitals & Clinics

University of Iowa PGY1 Pharmacy Practice at Iowa Methodist

University of North Carolina PGY2 Pain and Palliative Care at The University of Iowa Hospitals & Clinics

Drake University PGY1 Pharmacy Practice at Iowa Methodist

Drake University PGY1 Pharmacy Practice at Unity Point – St. Luke’s

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

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

Drake University PGY1 Pharmacy Practice at Unity Point – Allen Hospital

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

Cassandra Jenn

Alex Littler

Binh Nguyen

Amber Johnson

Jonathan Lochner

Adnan Omanovic

Nicholas Kayser

Jenna Lundsgaard

Matthew Pitlick

Chelsea Khaw

Kevin Martin

Alecia Rottinghaus

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

South College Tennessee PGY1 Pharmacy Practice at Mercy Medical Center – Cedar Rapids

University of Iowa PGY1 Pharmacy Practice at Iowa Methodist

University of Iowa PGY2 Psychiatry at Iowa City VA Health Care System

University of Illinois at Chicago PGY2 Emergency Medicine at Mercy Medical Center

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

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

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

Notre Dame of Maryland University PGY1 Pharmacy Practice at Mercy Medical Center – North IA

Creighton University PGY2 Infectious Disease at Mercy Medical Center

Drake University Executive Fellowship at the Iowa Pharmacy Association

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

OCT.NOV.DEC 2018 |

Protect your patients. Protect your pharmacy. ERROR S CAN I NJU R E PAT I ENTS AN D P U T YOU R PHAR M ACY I N FI NANCIAL J E OPA R DY.

The PQC+ QA program can improve efficiency and increase patient safety as well as help you meet accreditation, credentialing, PBM and state Quality Assurance requirements. • Training, Quality Assurance CE, and resources • Patient Safety Organization protection for your QA work • Practical tools to collect and analyze patient safety data

Learn more at www.medicationsafety.org or call us at (866) 365-7472. The Alliance of Medication Safety (APMS) is a federally listed Patient Safety Organization (PSO).

RESIDENT SPOTLIGHT

Nicole Schaberg

Logan Sudbeck

Samantha Wheeler

Kate Sieps

Alexandria Taylor

Emily White

Lauryn Smelser

Brooke Weber

Kate Zink

South Dakota State University PGY1 Pharmacy Practice at UnityPoint – Allen Hospital

University of Nebraska PGY1 Ambulatory Care at Des Moines VA Health Care System

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

University of Nebraska Medical Center PGY1 Pharmacy Practice at Mercy Medical Center – Cedar Rapids

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

University of Iowa PGY1 Community Practice at Mercy Family Pharmacy – Dubuque, IA

University of Chicago – Rockford PGY1 Pharmacy Practice – Covenant Medical Center

University of Utah PGY1 Pharmacy Practice at Mercy Medical Center – North IA

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

2018 RESIDENT’S MEETING On September 27, 2018, fifty-one pharmacy residents from across Iowa met in Des Moines for the 2018 IPA Resident’s Meeting. In addition, IPA welcomed several directors of pharmacy and resident program directors. This year’s meeting featured a keynote from Dr. Henri Manasse regarding the current status and future of pharmacy’s role in the healthcare system. In particular, Dr. Manasse discussed transforming residency education to meet the demand of today’s students. The former vice president for health sciences at the University of Iowa, and chairman of the board of the University of Iowa Health System, returned to Iowa as part of the American Society of Health-System Pharmacists Foundation’s Visiting Leaders Program.

Following the keynote address, IPA leadership delivered a presentation on the association’s leadership agenda and opportunities to be involved with IPA. Residents participated in roundtable discussions involving leadership, team-based care, precepting, and transitioning from to their roles as students to practitioners. Additionally, residency program directors had the opportunity to visit with Dr. Manasse and IPA leadership to discuss the future of residency programs and best practices. IPA’s Resident’s Meeting is held each year to bring together all of Iowa’s pharmacy residents for a day of professional development and networking with their peers and IPA leadership.

OCT.NOV.DEC 2018 |

COVER STORY

CELEBRATING 30 LEADERSHIP PHARMACY CONFERENCES

blink of an eye.

That’s how Tom Temple describes the time that has passed since the first Leadership Pharmacy Conference in 1989 to now having graduated its 30th class. That blink represents 30 years and over seven hundred young pharmacists that have gone on to lead in their practice settings, professional associations, civic organizations, boards, and communities.

As executive vice president and CEO of the Iowa Pharmacists Association (forerunner to the Iowa Pharmacy Association) at the time, Tom felt the organization needed to stimulate more involvement from young pharmacists. He envisioned a leadership conference to train young pharmacists for future leadership and engagement in the organization.

Few conferences can boast the lifechanging, profession-driving impact that the Leadership Pharmacy Conference has had. Fewer conferences can boast the longevity in substance and style as the Leadership Pharmacy Conference.

After gathering support from some of the profession’s leaders including Gene Lutz, TJ Johnsrud, and Bob Osterhaus and under the leadership of IPA’s presidents at the time – Steve Firman and Jerry Karbeling, the idea of a conference began to take shape. The association turned to its Young Pharmacists Committee for ideas.

A good story like this can be a monumental task to take in. But, as Harles Cone, who will be introduced later, would say to conference participants, “How do you eat an elephant? One bite at a time.”

The First Bite

The late 1980s was a time of change for pharmacy with a shift from an employer to an employee-based profession, the expansion of chains, and growth in hospital practice and clinical services. The organization needed to be as contemporary as possible and establish a culture that welcomed new practitioners

that were the face of a changing profession.

| The Journal of the Iowa Pharmacy Association

Chris Decker, an associate director at the association, oversaw the committee and delivered the committee’s proposal for a young pharmacists’ leadership conference that would bring high quality leadership development to the profession’s most promising new practitioners. But, there was one more detail to iron out.

“How are we going to pay for it?” Like any initiative, the new conference would need funding to make sure it was done right. Tom and Chris drove to Kansas City to meet with Marion

Laboratories with a bold ask of $30,000, an unprecedented amount at the time. “They looked at us like we had two heads, each,” Chris reflected. “But, they said ‘ok.’” Marion Laboratories provided financial support for 10 years until they were eventually acquired . That acquisition placed that funding in doubt. Fortunately, additional corporate sponsors stepped up throughout the next several years, often championed by internal leaders that were familiar with the conference. Mike Pursel, who was on the committee that developed the conference and a member of the initial 1989 class, worked at Sanofi and was able to resurrect a portion of the funding. Mike would continue to find support for the conference at every stop in his career. Tom estimates that Mike is responsible for securing $250,000 in funding for the conference. The IPA Foundation has also supported the conference from the beginning. When Tom retired from IPA in 2011, the IPA Foundation established the Thomas R. Temple Leadership Endowment in recognition of his leadership and commitment to the pharmacy profession. The endowment would be intended to fund leadership development programs including the Leadership Pharmacy Conference. Following a

COVER STORY

five-year fundraising effort, the $375,000 endowment was completed and now supports the conference into perpetuity. Nearly 200 individuals and corporations contributed to this endowment, and nearly all of the donors were past attendees of the conference. By far, the most important sponsor of the Leadership Pharmacy Conference has been McKesson. In addition to being a significant contributor to the Leadership Endowment, they have provided support for the conference longer than any other organization. Their partnership and steadfast support of the conference exemplifies their understanding of the importance of developing young leaders to the mission of state associations and the future of the pharmacy profession.

The Conference

With funding set, the first conference took shape. Thirty Iowa pharmacists, who were up and coming leaders in the profession, were selected to attend. The conference was held during the summer of 1989 in Panora, Iowa. The retreat atmosphere eliminated distractions and allowed attendees to step back and focus. The intimate setting also fostered relationship building and a sense of comradery between attendees through social activities, both planned and unplanned. In 1990, Chris became the executive vice president and CEO at the Wisconsin Pharmacists Association (now Pharmacists Society of Wisconsin (PSW)). Wanting his state association to have the same type of leadership development opportunity available, he and Tom discussed a partnership. The conference has since become a collaboration between the two organizations. The associations in Illinois and Minnesota, at different times, have also partnered with IPA and PSW. Today, ten pharmacists from Iowa join ten pharmacists from Wisconsin for three days at Eagle Ridge Resort in Galena, Illinois, with the intent to expand professionally and connect personally. These pharmacists are within their first 3-15 years in practice and represent a broad range of professional backgrounds.

The diversity of geography and practice setting feed into the program’s success by incorporating a variety of perspectives. In addition to the 20 participants, both IPA and PSW presidential officers and professional staff attend the conference to interact with the participants. The opportunity that young pharmacists have to spend one-on-one with these current leaders, both during the formal agenda and informal events, has been a key ingredient for the conference’s success. The conference has a packed agenda. The days are filled with programming focusing on the development of fundamental leadership skills, implementing change, making the business case for change, and opportunities to lead within the profession. Time is also set aside for association leaders to share words of wisdom on their successes, failures, and lessons learned. The evenings are focused on relationship building between the participants themselves and with the association leaders. The conference is intentional on providing these opportunities whether it’s the lawn olympics, murder mystery dinner, or dance party finale. What can’t be scheduled or planned is the relationship building that happens during the white space on the agenda. The conversations and stories shared in the cabins and around the resort during these times have created decades-long friendships.

Harles Cone

Any reflection on the Leadership Pharmacy Conference is simply incomplete without mentioning Harles Cone. For 25 of the 30 conferences, his last being in 2014, he provided the leadership programming. But, his impact on the conference and participants is far deeper. Tom describes Harles as a tremendous listener and one the most insightful people he knows. Harles helped participants build their own leadership story and skills. “I recall so many participants at the end of the conference saying, ‘I learned so much about myself when I sat with

“Anyone who is trying to close a gap between the way something is and the way it might be is taking a lead.” Harles Cone

Harles,’” Tom reflects. One participant simply stated in their evaluation, “You had me at ‘Harles!’” Few, if any, outside of that core group of leaders that created the conference, have been as responsible for the success and longevity of the Leadership Pharmacy Conference as Harles Cone.

Legacy

From the start, Tom had a two-part vision for the Leadership Pharmacy Conference. First, he wanted to develop leadership among new practitioners to help make the association stronger, more effective, and contemporary. It’s no coincidence that Iowa’s leadership in pharmacy practice has continued to grow as past conference participants have progressed through their careers and risen through the ranks of the association. Tom has seen IPA and the profession as a whole benefit as past participants apply the skills and lessons learned to bigpicture visions. In total, 336 Iowa pharmacists have participated in the Leadership Pharmacy Conference. Of those, 74 have served on the IPA Board of Trustees and many more led or participated on IPA committees and task forces. Twelve (and counting) have become IPA presidents, including five from that first class in 1989: Jay Currie (2007-2008), Carl Chalstrom (2011-2012), Matt Osterhaus (20042005), Lisa Ploehn (2000-2001), Jim Wallace (2002-2003). OCT.NOV.DEC 2018 |

COVER STORY

Kate Gainer, IPA’s executive vice president and CEO, noted that 2018 was the first time that all six of the presidential officers from both Iowa and Wisconsin were all past participants of the Leadership Pharmacy Conference. She expects that trend to continue.

Hearts and Minds

The second part of Tom’s vision was to build richness in the hearts and minds of new practitioners and help them understand the richness of their profession through enhanced leadership involvement. No one is more qualified to determine if Tom’s vision has been realized than those who have been through the program. Those participants will have the last word on this reflection on 30 Leadership Pharmacy Conferences as they share how the conference impacted their hearts and minds. “Gaining a better understanding of the state association framework from the executive officers and staff really helped to see where I could fit in with regard to my own involvement and leadership.” - Renae Chesnut (1994) “This conference was the spring board to helping me realize my potential to seek out and seize additional opportunities for professional engagement.” - Deanna McDanel (2004) “My favorite memory of the conference was the Words of Wisdom session with current pharmacy leaders. They openly shared stories of success, stories of failures, and how they overcame barriers when faced with challenges. It offered a familiar reminder that we all face similar issues in pharmacy, but how we handle them shows our true character.” - Tisha Field (2017) “I continue to celebrate the profession with many of the people that shared 1992 with me. Even more, I look at the leadership of the association and see how it has served as a springboard for so many pharmacists. I have lifelong

friendships, cheerleaders at every turn and so much appreciation for the experience that is already 26 years ago!” - Michele Evink (1992) “I have tried to incorporate many of the lessons learned into my practice and cultivate new leaders in each of my team members.” - Jessica Nesheim (2017) “I remember it being one of the most influential moments in my career that connected me with IPA and the importance of association support and participation.” - Christopher Clayton (2008) “I think it helped me appreciate the core value of “advancing the profession”. Irrespective of practice setting, we are all in the same boat together. I gained a greater appreciation of the passion for the profession which Iowa pharmacy is known for.” - Jim Hoehns (1997) “I believe that my participation in the conference gave me a foundation of confidence in my ability to think as a leader. It also was a unique opportunity to meet and learn from others who believe in the profession and being actively involved in its betterment.” - Carl Chalstrom (1989) “We were able to form deep, lasting relationships due to the immersive nature of the retreat. One of our speakers shared the quote: “Don’t let perfect be the enemy of good.” I’ve tried to remember that daily. I’ve been able to accomplish a lot of good things since our conference.” - Jennifer Alexander (2017) “It changed my entire life in regard to taking an active role in my profession. That change drives my professional engagement and contributions to this day.” - Jay Currie (1989)

OCT.NOV.DEC 2018 |

IPA FOUNDATION

The 2018 Eggleston-Granberg Golf Classic was held on a blustery day at Brown Deer Golf Course in Coralville, Iowa, on September 21, 2018. Thanks to the generosity of 89 golfers, the IPA Foundation raised $12,454 toward their initiatives to support student pharmacists at Drake University and the University of Iowa. Since the Golf Classic is a friendly competition, there were a few winners. Closest to pin (M | W): Chris Arp | Kate Gainer Long Drive (M | W): AJ Steahr | Kayla Sanders Long Putt (M | W): Tom Temple | Lisa Mascardo

Championship Flight 1st: Wes Pilkington, John Pilkington, Chris Arp, Dana McDougall 2nd: Nate Peterson, JP Webb, AJ Steahr, Reid Peloquin 3rd: Kate Gainer, CoraLynn Trewet, Mike Brownlee, Lisa Mascardo 1st Flight 1st: Andy Ploehn, Scott Schroeder, Dustin DeMuth, Katie DeMuth 2nd: Amy VanGorp, Seth VanGorp, Mike Farley, Matt Farley 3rd: Chuck Phillips, Ron Torry, Craige Wrenn, Brian Gentry

2nd Flight 1st: Steven Martens, Cheryl Clarke, Nick Dahlke, Chris Simpson 2nd: TJ Johnsrud, John Swegle, Jeri Mace, Colby Dunn 3rd: Rachel Otting, Laura Fitzpatrick, Zach Brandel, Tony Pape | The Journal of the Iowa Pharmacy Association

IPA FOUNDATION

Thank You Golf Classic Sponsors! The IPA Foundation would like to extend a special thank you to these sponsors. This event would not be possible without their support! Cart Sponsor NuCara Pharmacy Beverage Cart Sponsor Greenwood Drug Student Sponsors Mike Brownlee Connie Connolly Dubuque Area Pharmacy Association Craig Logemann Ed Maier Steven Martens Lisa Ploehn Anthony Pudlo Doug Schara Susan Shields

Hole Sponsors Chris Connolly/Wells Fargo Advisors Jay & Ann Currie Nick Dahlke Drake University College of Pharmacy & Health Sciences Dubuque Area Pharmacy Association Michele & Michael Evink - Fleetside Ford-Osceola Greenwood Drug Horn Memorial Hospital Pharmacy IPA Foundation Johnson County Pharmacy Association Manning Pharmacy Miller Purcell

North Iowa Pharmacy Inc Osterhaus Pharmacy Pharmacists Mutual Company PharmServ Staffing Chuck & Janalyn Phillips Quad Cities Area Pharmacy Association Towncrest Pharmacy The University of Iowa College of Pharmacy Thank you to UBS Financial Services/ Alpha Wealth Consulting Group for their generous donation of golf products!

OCT.NOV.DEC 2018 |

IPA FOUNDATION

2018 BILL BURKE STUDENT LEADERSHIP CONFERENCE

LEADERSHIP PHARMACY CONFERENCE The 30th Leadership Pharmacy Conference was held on August 2-4, 2018, in Galena, Ill., bringing together ten Iowa pharmacists and ten Wisconsin pharmacists, along with IPA and Pharmacy Society of Wisconsin leadership and staff. As with the 29 previous conferences, participants enjoyed strong leadership training and a focus on the issues impacting the profession. 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 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. 1, 2019) or apply today (due Feb. 15, 2019) at www.iarx.org/LeadershipPharmacy.

2018 Iowa Participants Abby Beane, PharmD - VA Medical Center – Iowa City Chelsea Cave, PharmD - Thrifty White Pharmacy – Paullina Courtney Gent, PharmD - University of Iowa Hospitals & Clinics Kyle Hilsabeck, PharmD - McCord Holdings Lynn Kassel, PharmD - Drake University College of Pharmacy and Health Sciences Ashley Loeffelholz, PharmD - NuCara Pharmacy – Ames Jen Morris, PharmD - Manning Pharmacy Nathan Peterson, PharmD - UnityPoint Health - Trinity Kathryn Stone, PharmD - CHI Health – Missouri Valley JP Webb, PharmD - Mercy Medical Center – Des Moines

| The Journal of the Iowa Pharmacy Association

IPA hosted 30 students from Drake University College of Pharmacy and Health Sciences and the University of Iowa College of Pharmacy for the 23rd annual Bill Burke Student Leadership Conference on September 28-29, 2018. The conference began with an inspirational welcome from Donald Letendre, dean of the University of Iowa College of Pharmacy who encouraged the students to think about what type of leader they would like to be in the future. He also reminded students to not make failure a bad thing but to use it for future learning. The students heard from Mike Pursel, director of medical health relations at Sanofi Biosurgery. He challenged students to take an active role in the fast-changing healthcare system and discussed developing pharmacy’s value proposition to remain relevant in today’s healthcare world. To conclude the first day the students participated in a rousing murder mystery dinner. On Saturday, the students were involved in an active discussion and workshop led by Sarah Ennis, president of Sparkpoint Inc. Sarah encouraged the students to think about transformational moments in their careers and lives. In addition, the students discussed current healthcare and pharmacy related issues and developed solutions to those problems. Held every fall, the conference aims to help student pharmacists develop leadership skills and build lasting relationships with fellow students and 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.

2018 Participants

Drake University: Sharon Abraham, Rachel Annemiek, Kristen Butler, Molly Everett, Erica Gannon, Rita Hammer, Tessa Heitkamp, Arianna Johnson, Karla Knobbe, Claire Monzel, Katelyn Mouser, Ann Radtke, Drake Reiter, Bridget Tunink, Kelli Jo Welter University of Iowa: Amy Dunleavy, Mohammed Fredericks, Levi Gates, Cambridge Hampsher, Caprisse Honsbruch, Sonja Hutchens, Becca McCaughey, Aaron McDonough, Briana Negaard, Michael Parisi, Andrew Sabers, Rachel Whitesitt, Amber Williams, Samuel Williams, Kelsey Zenti

IPA FOUNDATION

BUILDING A SUSTAINABLE FOUNDATION The pharmacy profession in Iowa has a well-earned reputation for innovation and practice advancement thanks in no small part to the generosity of Iowa’s pharmacy professionals. Whether offering their time, talent, or treasure, their commitment to practice at a high level to better care for their patients has kept Iowa pharmacy moving forward. Since 1960, the IPA Foundation has been one channel of that generosity, supporting innovative efforts and the pharmacists behind them through grants, loans, and scholarships. Sustaining important initiatives that keep Iowa a leader in practice requires a commitment to the foundation’s mission: To inspire generosity and fulfill the aspirations of the pharmacy profession through support of education, practice-based research, and practice development. To continue in its mission, the foundation needs, well..., a strong foundation. Hundreds of Iowa’s pharmacy professionals give to the foundation’s general fund each year. Their sustained commitment has driven the foundation’s successful investments in innovative initiatives, up-and-coming leaders, and future practitioners. For those who are committed to a contribution to the foundation each year, the Foundation Institute provides special recognition based on annual giving levels, including an exclusive reception at IPA’s Annual Meeting. By committing to a sustained contribution through an automatic annual or monthly withdrawal, you will provide a strong foundation of support to the IPA Foundation’s

education and practice-based research initiatives. In addition to joining this prestigious group of donor leaders who support the foundation’s mission, the IPA Foundation Institute is an easy and convenient way to show your support for your profession. Designate an amount and frequency, and your gift is automatically deducted from your account. It’s that simple. While providing much-deserved recognition for its donors’ generosity, commitment, and leadership, the institute provides the foundation with stability and sustainability to pursue and support practice initiatives across the state. It’s a win-win. As you consider your year-end giving, keep the IPA Foundation and a sustained contribution through the Foundation Institute in mind. If you already give to the foundation each year, consider solidifying that commitment (and adding a little convenience) by joining the IPA Foundation Institute and be recognized for your generosity. If you can’t commit to a sustaining gift, please know that ANY contribution to the IPA Foundation is recognized and greatly appreciated. More information on the IPA Foundation Institute and other ways to donate to the foundation can be found at www.iarx.org/ IPAFoundation. All contributions to the IPA Foundation, including through the Foundation Institute, are fully tax-deductible and greatly appreciated. ■

OCT.NOV.DEC 2018 |

OWN A DAY!

or 2!...or 3!

The IPA Foundation has a unique opportunity to claim your favorite day(s) of the year as your own...at least on paper. With your charitable donation, you may purchase days in the 2019 IPA/IPAF Annual Report Calendar to celebrate ANY occasion! To reserve your days, contact David Schaaf at 515270-0713 or dschaaf@iarx.org. Donations are 100% tax deductible and will go to the Foundation. Hurry and claim your day(s) before someone else does and before April 1, 2019!

Text & Photo - $100.00

Description (under 10 words):

Text Only - $50.00 Month/Day: _______/_________ Name: ___________________________________________________________________________________________________________________ Address: _________________________________________________________________________________________________________________ City: _____________________________________________________________ State: ________________ Zip: _____________________________ Phone: _______________________________________________ Email: ______________________________________________________________

PAYMENT INFORMATION Make checks payable to: Iowa Pharmacy Association Foundation, 8515 Douglas Avenue, Suite 16, Des Moines, Iowa 50322 Please Charge my Credit Card $___________ Card Type (circle one):

Visa

Mastercard

Discover

American Express

Cardholder Name: _________________________________________________________________________________________________________ Card Number: ____________________________________________________________ Exp Date: ________________ Card ID #: _____________ Billing Address (if different from above): _______________________________________________________________________________________ Signature: ________________________________________________________________________________________________________________ MAIL TO: Iowa Pharmacy Association Foundation 8515 Douglas Avenue, Suite 16 Des Moines, Iowa 50310

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

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

IPA FOUNDATION

FIELDS OF OPPORTUNITY

espite living in Iowa my entire life, I still take notice of these words every time I cross over our state border and see them on the state’s welcome sign. While most people would assume the slogan emphasizes the abundant corn and bean fields across the state, our opportunities extend much further than this. Nearly 20 years ago at the Iowa State Fair, Governor Vilsack announced the new state slogan, proclaiming, “When we think of Iowa we think of fields, certainly because agriculture is a major part of the state economy, but fields also refer to professional fields.” Pharmacy is a robust and thriving professional field in Iowa, thanks to roots planted in our soil years ago by remarkable pioneers and leaders throughout the history of our pharmacy profession. Our field is rich with committed teachers, practitioners, and students. Indeed, Iowa has become a nationally recognized place for both practicing pharmacy and pharmacy research and education. Over the past three years, I have been fortunate to study pharmacy at the University of Iowa and to work in a community pharmacy. I have developed great

relationships with faculty and practicing pharmacists as well as being an active member of our state and other national pharmacy associations. This past summer, I was afforded the opportunity to be the Iowa Pharmacy Association Max W. Eggleston Executive Intern. Throughout my twelve weeks, I was presented with many opportunities that will influence my career and personal life. A few highlights of my internship include helping organize IPA’s annual meeting in Des Moines, traveling across the state of Iowa on RAGBRAI to visit several pharmacies providing innovative services, and meeting with legislators and other prominent leaders of pharmacy across the country. I was also fortunate enough to sit in on high-level meetings to discuss the state of the profession and the vision for pharmacy’s future. These discussions highlighted both the significant challenges and exciting opportunities pharmacists experience as we evolve our services in order to provide better care to patients. Since I have concluded my IPA internship, I cannot think of a better way to describe my experience than

Will Evans 2020 PharmD Candidate University of Iowa 2018 Max W. Eggleston Executive Intern

the “Fields of Opportunities” slogan on our state’s welcome sign. I have developed a better understanding of what I believe the future holds for pharmacy in Iowa. We as a profession are at a turning point. Our roles and responsibilities in the health care system will likely increase over the next few years. Students, pharmacists, researchers, and our healthcare industry constituents must be active in state and national legislation to influence these new roles. In my time as intern, I discovered the critical role that IPA plays in advancing our profession and leave this position with the knowledge that it is up to all of us to shape the direction of our profession and to keep patients at the center of our work. I look forward to cultivating my professional network and knowledge through IPA and contributing to the pharmacy field for years to come. ■

OCT.NOV.DEC 2018 |

RAGBRAI 2018

#RollinRx JEFFERSON

ONAWA

NEWTON DENISON

IOWA CITY

AMES DAVENPORT SIGOURNEY

RAGBRAI 2018: BIGGER & BETTER 2018 marked the fifth year of the IPA Foundation RAGBRAI pharmacy cycling team. This year brought an exciting milestone of the most pharmacy visits yet! The team experienced nationally-recognized Iowa traditions, and a partnership with Pharmacy Times that showcased Iowa pharmacies and RAGBRAI to the largest audience yet. A quick recap of the RAGBRAI route is included for your enjoyment as the team traveled 431 miles across central Iowa and climbed 13,000 feet. Nearly 30 pharmacies were visited and team members spoke to pharmacists who had served their communities from more than 40 years to those who had just arrived in town.

| The Journal of the Iowa Pharmacy Association

RAGBRAI 2018

Saturday, July 21: Onawa

The team launched from the IPA offices, packed and ready for the week ahead. They spent the evening sharing a meal and many stories with the team hosts, who live in the town where the Lewis and Clark Expedition once traveled. While most of the team remained at the host site all evening, some ventured into nearby downtown Onawa to experience the annual RAGBRAI Expo, listen to music, and check out all of the first night’s festivities. It was a heartwarming first night for the team as they heard firsthand stories from Scott North and Aaron Stangel about Aaron’s father, James, who was and continues to be a pillar in this community even long after his passing. Overnight Host: Scott & Kathy North Pharmacy Visited: Stangel Pharmacy, Onawa: Aaron Stangel, PharmD

Sunday, July 22: Onawa to Denison Distance: 43.5 miles (62.3 miles w/ Gravel Loop)

The first day of biking was a mild 43.5 miles in distance, but plenty of hills outside of town humbled the team as they made their way toward the mighty Mississippi River. Team riders were greeted in Denison by our hosts, Tim and Lisa Weber. Tim shared stories of his pharmacy’s success in implementing technician product verification in their workflow and the positive experiences from the community of Denison. Overnight Host: Tim & Lisa Weber Pharmacies Visited: Hy-Vee Pharmacy, Denison: Jess Eischeid, PharmD Thrifty White Pharmacy, Denison: Tim Weber, PharmD

Monday, July 23: Denison to Jefferson Distance: 71.7 miles

After the shortest distance day, the team had the longest distance to conquer – 71.7 miles and 2,527 feet of climb. They had the privilege of meeting with some great pharmacist and pharmacy technician leaders in the state along the way. It was exciting to hear stories of how the hospital and community pharmacies collaborate and focus on the health outcomes of their small communities. The evening activities in Jefferson were a sight to see as the RAGBRAI favorite classic rock band, Hairball, performed in the main square. Overnight Host: Victoria Riley & Andrea Chargo Pharmacies Visited: Manning Regional Healthcare Center Pharmacy, Manning: Jen Morris, PharmD; Micaela Chapman, CPhT Manning Pharmacy, Manning*: Bob Stessman, RPh & staff

* Team Sponsors

Coon Rapids Pharmacy, Coon Rapids: Dan Pomeroy, RPh Greene County Medical Center Pharmacy, Jefferson: Megan Snyder, PharmD Hy-Vee Pharmacy, Jefferson: Heather Acton, PharmD & staff (Manager: Courtni Witt, PharmD) Medicap Pharmacy, Jefferson: Taylor Anglemyer, PharmD & staff

Tuesday, July 24: Jefferson to Ames Distance: 62.4 miles

The route from Jefferson to Ames was relatively smooth and relaxing for the team, which helped their legs recover from the day prior. With plenty of pharmacies and hospitals along the route, they stayed busy reconnecting with pharmacists and technicians. After 62.2 miles and 1,262 feet of climb, the team enjoyed the hospitality of hosts, Anne & Mike Garcia. Overnight Host: Anne & Mike Garcia Pharmacies Visited: Swanson Drug, Ogden: Patti Swanson, RPh & staff Medicap Pharmacy, Boone: Jane Pfannes, RPh; Jessica Wonderlich, PharmD; Savannah Tinch, CPhT Walgreens Pharmacy, Boone: Sudha Kumar, RPh Medical Associates Pharmacy, Boone: Wendy Kinne, PharmD; Brett McConnell, PharmD Boone County Hospital Pharmacy, Boone: Sondra Donald, PharmD; Kim Askren, PharmD; Carrie Galvan, CPhT NuCara Pharmacy, Ames*: Ashley Loeffelholz, PharmD; Verona Parr, CPhT Medicap Pharmacy, Ames: Levi Long, PharmD; Michelle Ringgenberg, CPhT Mary Greeley Medical Center Pharmacy, Ames: Jill Bode, PharmD; Ann Miller, PharmD; Dan Cullinen, PharmD & staff (Director: Doug Wetrich, RPh)

OCT.NOV.DEC 2018 |

RAGBRAI 2018

Wednesday, July 25: Ames to Newton Distance: 59.1 miles

The team grew in size as they left on the route toward Newton, a 59.1 mile ride with 1,777 feet of climb. The day made for great conversations amongst the team and other riders. It was also a great day to experience one of the telepharmacies in the state – NuCara Pharmacy in State Center. After maneuvering some big hills around Newton, team members jumped in and helped care for several riders that flooded the Medicine Shoppe Pharmacy in town. Pharmacists Provide Care – even in spandex! Overnight Host: Julie & RJ McCarey Pharmacies Visited: NuCara Pharmacy, Nevada*: Nick Dahlke, PharmD & staff Parkview Pharmacy, Nevada: Gary Cottington, RPh; Samantha Appelgate, CPhT Story County Medical Center Pharmacy, Nevada: Erica Miller, PharmD; Jamie Deveno, CPhT NuCara Pharmacy (telepharmacy), State Center*: Diane Miller, RPh & staff (Supervisor: Dane Nealson, CPhT) Medicine Shoppe Pharmacy, Newton: Dianna Ambroson, RPh; Larry Ambroson, RPh

Thursday, July 26: Newton to Sigourney Distance: 68.6 miles (105.3 miles w/ Karras Loop)

As the team started counting down the remaining days, they took a 68.6-mile stroll with 2,719 feet of climb toward Sigourney, Iowa. A few members of the team even took the Karras loop challenge, and finished the day riding an amazing 105.3 miles.. The midpoint town of Montezuma provided a much-needed break as this was the hilliest day of the week. The evening allowed the team to gather around the fire pit where Jack Vallandingham shared numerous stories from his professional career serving some very rural parts of the state! Overnight Host: Jack & Carol Vallandingham Pharmacies Visited: NuCara Pharmacy (telepharmacy), Montezuma*: Chris Simpson, RPh; Daniel Vande Voort, CPhT; Shelly Shoemaker, CPhT

Jack’s Corner Drug, Sigourney: Nathan Hemsley, PharmD; Cathy Club, CPhT; Angel Dale, CPhT | The Journal of the Iowa Pharmacy Association

RAGBRAI 2018

Friday, July 27: Sigourney to Iowa City Distance: 57.6 miles

The team grew to its largest number as they trekked 57.6 miles with 1,413 feet of climb from Sigourney to Iowa City. The blackand-gold was in full force as team members rolled into Iowa City and they had the great opportunity to receive a private tour of the University of Iowa Stead Family Children’s Hospital. This evening was full of great camaraderie as hosts, Mike & Diane Brownlee, generously opened their home to the team. Overnight Host: Mike & Diane Brownlee Pharmacies Visited: Pharmacy on 8th, Wellman: Tess De Jesus-Roetlin, PharmD Millers Medicine Chest, Kalona: Rebecca McDanel, RPh; Ed Sarrazin, RPh; Angi Staley, CPhT; Amber Borckenstedt, CPhT NuCara Pharmacy, Coralville*: Pamela Wiltfang, PharmD; Chris Petersen, CPhT; Sarah Griswold, CPhT; Andraya Kelm, CPhT; Jamie Whitlow, CPhT Towncrest Pharmacy, Iowa City*: Mike Deninger, RPh, PhD; Kelly Kent, PharmD; Kayla Hughs, PharmD; Lauren Hetzer (P2 at the University of Iowa) U of I Hospitals & Clinics Discharge Pharmacy, Iowa City: Sara Cabernet, PharmD; Caymen Jones, CPhT, Nicole Hulsebus (P2 at the University of Iowa); Kelsie Tingle (tech in training)

THANK YOU!

The IPA Foundation would like to thank each of the riders, gracious overnight hosts and generous sponsors that comprised this year’s 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 Sarah Cashman Sharon Cashman Carter Chapman Ben Fox Christopher Fox Levi Gates Kevin Moores Anthony Pudlo Mark Sorenson Troy Trygstad Ben Urick

Daily Riders Matt Cantrell Ann Cashman Bill Cashman Kate Gainer Tracy Harlan Don Letendre Zach Lough Katie Owen Douglas Schara

Sponsors Pharmacy Times Pharmacists Mutual Companies Manning Pharmacy NuCara Pharmacy Towncrest Pharmacy

Saturday, July 28: Iowa City to Davenport Distance: 68.9 miles

Everyone was in great spirits as the team made the final 68.9mile push (1,585 feet of climb) toward Davenport and the Mississippi River. While there were only 2 pharmacies along the route (and they were closed), it was great to see their locations within these rural communities. Pharmacies Visited: Hy-Vee Pharmacy, West Liberty

Special thanks to the University of Iowa Stead Family Children’s Hospital in Iowa City for providing a memorable tour for our team members.

Wester Drug, Wilton * Team Sponsors

OCT.NOV.DEC 2018 |

MEMBERS SECTION

IPA MEMBER SPOTLIGHT:

David J. Scott, RPh, PharmD, MBA

Written by:

Erin Cook 2018 PharmD Candidate Creighton University

estled by the Volga river in northeast Iowa is the picturesque town of Fayette. It is the embodiment of rural small-town Iowa and it is also home to Scott Pharmacy and its pharmacist/co-owner David J. Scott RPh, PharmD, MBA. A career in pharmacy felt like a very natural path for David having grown up in the pharmacy that his father, Jeff Scott, has owned since 1979. When the time came, there was little decision making to be had regarding his education and career path. David attended the University of Iowa where he earned his PharmD degree and MBA in 2007 and 2012, respectively. Earning his MBA was a priority to David because his intention all along was pharmacy ownership. Knowing healthcare is an extremely complicated and regulated industry, he felt that having an MBA would be a great asset when owning his own pharmacy. Technically, David’s first pharmacy position was at Scott Pharmacy, but after graduation he worked as a clinical pharmacist for Wester Drug in Muscatine and Wilton, Iowa for three years. In 2010, David saw an opportunity for another pharmacy path and began working

| The Journal of the Iowa Pharmacy Association

for UnityPoint Health - Quad Cities where he quickly became an Informatics (IT) Pharmacist. At the time, Iowa Health System was transitioning to UnityPoint Health and installing EPIC was a part of this transition and growth. There was a need for a pharmacist to be designated within each pharmacy to be focused on the build, installation and optimization of EPIC. With an interest in IT stemming back to high school, this position suited him well. David enjoyed his time at UnityPoint working on various projects related to Pyxis, Epic, Omnicell and Pharmogistics, but he knew his true passion was independent community pharmacy. In 2015, he returned home to Fayette to practice alongside his father at Scott Pharmacy. David points out that pharmacists are at the front-line of patient care by being the most accessible healthcare providers and at Scott Pharmacy that’s a priority. David makes it his priority to answer questions, help patients feel better, afford their medications and navigate the ever-changing healthcare/insurance system. Rumor has it he has also become very proficient at changing watch batteries! Along with helping his patients in their healthcare journey, David and Scott Pharmacy have embarked on a journey of their own, becoming involved with CPESN-Iowa and CPESN-USA. David currently is part of the Quality Assurance workgroup for CPESN-Iowa. Although the network is still actively growing, David sees the potential it has to get the profession back to the clinical services that we focused on in our education. The network also provides a reimbursement structure to compensate pharmacies for the value pharmacy-based services, especially

by decreasing overall healthcare costs and improving patient outcomes. David feels that CPESN is providing a direction and vision for where pharmacists and his pharmacy are headed in the healthcare field. He states, “As we look at declining reimbursement focused around dispensing functions, we must build a new model for pharmacists to remain in their communities and work to the fullest extent within the healthcare system.”

“…we must build a new model for pharmacists to remain in their communities and work to the fullest extent within the healthcare system.”

As our profession shifts from the dispensing model to also incorporating more clinical services, like that of the CPESN network, David’s advice for this change is straightforward: Embrace it as much as you can, as fast as you can! The key to moving toward patient-centered care is to continue to build trusting and lasting relationships with the people in your community and local healthcare providers. Lately his involvement in his community has been focused on his wife, Andrea, and two young daughters, Kathryn (age 5) and Amelia (age 3), but David says that building strong relationships in his town of 1,200 people isn’t too hard. David has served on the Community Memorial Hospital Foundation Board in Sumner, IA for the last two years and recently joined the Big Rock Country Club Board in Fayette. David has been a member of IPA since returning to Iowa in 2014 and Scott Pharmacy is an IPA Platinum Business Partner. There are many benefits to membership, but

MEMBERS SECTION

most important to him is the up-to-date information on rules, regulations and laws the association provides; as well the role the association plays in advocating on behalf of the pharmacy profession. In addition to his involvement with IPA, David tries to stay involved with NCPA and IPC, as it is these organizations that keep him informed about the opportunities and threats that continue to evolve for independent community pharmacies. Looking toward the future, David says the next 5-10 years will be critical for independent community pharmacies as a whole. In those critical 5-10 years, half of the existing independent pharmacies in the country will have owners looking to retire and will be searching for the next generation of pharmacists to carry the torch. Many Iowa communities have lost their pharmacies due to closure and it is imperative to keep healthcare accessible to rural Iowa.

“Make sure your voices are heard!” David encourages IPA members to get involved with local and state government to direct change. A quick phone call or email is sometimes all you need to get the lines of communication open. If you desire more involvement there is always lobbying or even running for office! David believes, “it is unrealistic to think that our elected officials can fix our problems when they don’t see our day-to-day struggles to help our patients.” That’s why it is important to build relationships with local legislators and inform them about the challenges facing the profession. Help them see the positive impact pharmacy has on improving the healthcare of Iowans. Get involved, stay active and most importantly, “Make sure your voices are heard!” ■

WELCOME NEW IPA MEMBERS! JULY 1 - SEPTEMBER 30, 2018: Carrie Galvan, Boone Joanna Hodder, Cedar Falls Amber Johnson, Cedar Rapids Kaley Miller, Atlantic Dane Nealson, Nevada Maggie Rice, Lenox

MEMBER MILESTONES Barry Carter, PharmD, FCCP, BCPS, FAHA, was named 2018 ACCP Paul Parker Medalist. Congratulations, Barry! Congratulations to Amy Farlinger, RPh, as she begins in her new role as a clinical pharmacist at Arizona Complete Health, a Centene Corporation, in Mesa, Arizona. Congratulations to Patty Kumbera, RPh, for being named chief operating officer of PrescribeWellness. Congratulations to Shane Madsen, PharmD, BCPS, who was appointed to ASHP’s Section of Specialty Pharmacy Practitioners Executive Committee. Bob Osterhaus, RPh, retired from the Community Pharmacy Foundation board of directors. Congratulations, Bob, and thank you for your service on this important board. Congratulations to Matt Osterhaus, BSPharm, FASCP, FAPhA, for being named to the Community Pharmacy Foundation board of directors. Congratulations to Kelly Percivel, PharmD, BCPS-AQ ID, as she starts her new role as Clinical Pharmacy Specialist – Infectious Diseases at University of Iowa Health Care! Congratulations to Sarah Sorenson, PharmD, as she begins her career alongside her father (Bill Drilling) and uncle (Don) at Drilling Pharmacy in Sioux City. Congratulations to Megan Snyder, PharmD, the new Director of Pharmacy at Greene County Medical Center in Jefferson. Welcome back to Iowa, Andy Spurgin, PharmD! Andy is working as a staff pharmacist at Estherville Drug – back in his home town. Congratulations to Toni Sumpter, PharmD, as she retires from ownership of Sumpter Pharmacy and Wellness in Adel.

Lindsay Stinson, Des Moines Daniel Vande Voort, Montezuma

THANK YOU FOR SUPPORTING IPA!

Congratulations to Farah Towfic, PharmD, on her new position as senior manager of CEO engagement for the United States Pharmacopeia (USP). If you have a member milestone to share, please submit it to ipa@iarx.org OCT.NOV.DEC 2018 |

IPA IN ACTION Diabetes Prevention Plan

IPA staff is collaborating with a coalition led by the Iowa Department of Public Health (IDPH) to assist in a Diabetes Prevention Plan. This plan outlines different initiatives from several stakeholders including different healthcare associations, health-systems, pharmacies, academic institutions, and IDPH. The four pillars of the diabetes prevention action plan include improving awareness of prediabetes and prevention efforts, increasing availability of diabetes prevention programs, improving screening, testing, and referral to diabetes prevention programs, and increasing coverage of diabetes prevention programs by employers and insurance plans.

Mental Health First Aid Trainings

Throughout 2018, IPA conducted seven Mental Health First Aid trainings in conjunction with the IPA Goes Local events. Throughout the year, IPA has trained almost 90 pharmacists, pharmacy technicians, and student pharmacists combined.

IPA’s New Website Launches

The Mental Health First Aid training is one piece of a larger approach by IPA to achieve something bigger for pharmacy and behavioral health in order to counteract Iowa’s low-ranked behavioral health system. A new look, a much-improved mobile experience, and more arrived to members’ screen of choice on September 17, 2018, with IPA’s new website. In addition to aesthetic changes, site navigation and content is more intuitive, making it easier to find information and resources. Additional content updates and features will be unveiled in the coming weeks. Explore the new site and stay tuned for more!

Technician Roles Spotlighted at 2018 NACDS Total Store Expo

Touted as the industry’s “finest front-end trade show,” the NACDS Total Store Expo is designed to meet the marketing and merchandising needs of both NACDS retailer and supplier members by offering a productive atmosphere in which to discuss business issues, conduct product reviews, and introduce new products. While the large exhibit hall was a place for Iowa pharmacies to network with various vendors, the educational programming was a chance to spotlight the innovative efforts of Iowa pharmacists and pharmacy technicians. Held from August 25-28, 2018 in Denver, Colorado, NACDS spotlighted the work of Iowa’s New Practice Model initiative, which has been researching the implementation of technician product verification across community pharmacies in Iowa. IPA staff presented on the initial results of the research and its impact on pharmacy practice settings and optimizing patient care services.

| The Journal of the Iowa Pharmacy Association

In the pharmacy-specific role-playing scenarios that are part of the training course, the focus is on recognizing issues that a pharmacy staff member might be experiencing and what to do about it. While many pharmacy professionals will know how to recognize when someone is struggling, the training provides the confidence to act. For example, people are generally nervous to ask someone if they are suicidal because they don’t know what to do if the person says “yes.” The training helps participants know the appropriate follow-up if the answer is “yes.” More to Come in 2019 Based on the success of the program this year, IPA is working to schedule more throughout the state in 2019. So far IPA has scheduled three trainings: January 15, 2019 - Burlington January 17, 2019 - Fort Dodge February 13, 2019 - Sioux City For more information or to register for an upcoming training, visit www.iarx.org/mhfatrainings.

IPA IN ACTION

2018 Recap

Through a partnership with the Iowa Behavioral Health Association (IBHA), the 2018 IPA Goes Local program provided insight into how the profession of pharmacy can improve the patient’s journey through the behavioral healthcare system. Attendees at each of the eight local association meetings heard from either Jason Haglund from YSS, Sharon Heckathorn from Heartland Family Service, or Katelyn Wyss from UCS Healthcare. Each event included discussions on local-based strategies to collaborate to improve mental health care in Iowa. IPA would like to thank IBHA for their partnership and helping pharmacists identify ways to bridge the gaps in mental health care in Iowa.

Coming in 2019 Burnout and Resiliency Programming: Awareness. Management. Care. A lot of things can get in the way of being happy and healthy at work. While you may not be able to wave a magic wand and create a perfect workplace, you can make decisions that enable you to more successfully traverse the real-world organization that is your workplace today. This educational program, co-hosted by the Iowa Pharmacy Association and Iowa Medical Society (IMS) in conjunction with Meyvn Group, will explore what you can do to prevent burnout and how to recognize the warning signs; help you identify changes that can mitigate burnout; and explore simple, evidence-based solutions to enhance your joy in practicing medicine and reduce stress. With our partnership with IMS, the IPA Goes Local events have expanded to 12 meeting locations throughout Iowa in 2019.

Jason Haglund from YSS presents at the North Iowa Pharmacy, Inc. meeting on May 10, 2018 in Mason City.

January 22 – Dubuque February 5 – Mason City March 5 – Council Bluffs April 9 – Quad Cities April 24 - Waterloo May 15 – Fort Dodge June 11 – Cedar Rapids August 13 – Atlantic September 11 – Ottumwa October 8 – Sioux City November 5 – Iowa City December 3 – Ames For more information and to register for the nearest event, visit www.iarx.org/GoesLocal

Katelynn Wyss from UCS Healthcare presents at the Central Iowa Pharmacy Association meeting on April 5, 2018 in Des Moines.

OCT.NOV.DEC 2018 |

IPA ACTION

CALENDAR OF EVENTS Find additional details to these events and more at www.iarx.org. Click on the “Calender of Events” link under the Events tab.

JANUARY 2019

MARCH 2019

8 IPA 2/2/2 Webinar: Impact of New EPA Rules on Your Practice

IPA Goes Local: Burnout & Resiliency Council Bluffs, IA

Iowa Board of Pharmacy Meeting - Des Moines, IA

IPA 2/2/2 Webinar

Mental Health First Aid Training - Burlington, IA

Iowa Board of Pharmacy Meeting - Des Moines, IA

Mental Health First Aid Training - Fort Dodge, IA

21-22 ASCP Geriatric Pharmacist Boot Camp - Seattle, WA

IPA Goes Local: Burnout & Resiliency - Dubuque, IA

22-25 APhA Annual Meeting - Seattle, WA

IPA Legislative Day & Capitol Screenings - Des Moines, IA

25-28 AMCP Managed Care & Specialty Pharmacy Annual Meeting - San Diego, CA

FEBRUARY 2019

APRIL 2019

IPA Goes Local: Burnout & Resiliency - Mason City, IA

IPA 2/2/2 Webinar

6-9

American College of Apothecaries Annual Conference and Expo - St. Pete Beach, FL

IPA Goes Local: Burnout & Resiliency - Quad Cities, IA

8-10 Midwest Pharmacy Expo - Des Moines, IA

23-24 Iowa Governor’s Conference on Public Health Des Moines, IA

2/2/2 Webinar

Mental Health First Aid Training - Sioux City, IA

IPA Goes Local: Burnout & Resiliency - Waterloo, IA

27-3/2 NCPA Multiple Locations Pharmacy Conference - Clearwater, FL

SAVE THE DATE

IPA’s free monthly webinar series held on the second Tuesday of every month at 2:00 p.m. CST. December 11, 2018 Assist Patients with Access to Services – Understanding their Rights January 8, 2018 Impact of New EPA Rules on Your Practice February 12, 2018 TBD Register for an upcoming 2/2/2 or view previous webinars at www.iarx.org/222.

New Thursday-Friday Agenda! June 20-21, 2019 | Cedar Rapids Marriott New Format • Engaging Programming • Home for the Weekend!

| The Journal of the Iowa Pharmacy Association

PHARMACY TIME CAPSULE

19 65

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

JANUARY

The Iowa Drug Information Service was developed by William Tester at the University of Iowa. This service took articles and placed them on microfiche. This service allowed pharmacists and clinicians to search literature more rapidly.

FEBRUARY:

The Fort Dodge Pharmaceutical Association was the first local or county association to petition for affiliation with the Iowa Pharmaceutical Association. This began a culture that strengthened organized pharmacy from the local level to the state and national level.

APRIL:

Bob Gibbs, Executive Secretary of the Iowa Pharmaceutical Association was elected as the Vice President of the American Pharmaceutical Association. Max Eggleston (past president on the Iowa Pharmaceutical Association) of Waverly, IA was installed as a Counselor on the APhA counsel at the 112th Annual Convention. This furthered Iowa’s presence on a national scale.

MAY:

A group of pharmacists from Mason City and surrounding areas organized a new local association, the “North Iowa Pharmaceutical Association.” Formation of new local associations allowed for greater grass roots efforts when advancing the profession.

JULY:

The Drug Abuse Control Amendments were signed into law on Thursday, July 15. The purpose of this amendment was to gain effective control of and eliminate the illicit trafficking in stimulant and depressant drugs for non-medicinal purposes. Medicaid was authorized on July 30 by the Title XIX Social Security Amendment of 1965. The US Senate authorized an amendment suggested by APhA to adopt freedom of choice of pharmacist and pharmacy.

North Iowa Pharmacy Association; Left to right in the picture: President Gordon Rosenthal, Vice President Dale Sargent, Secretary-Treasurer Allan Kelly, and Public Relations Chair Justin Schares

NOVEMBER:

The first meeting of the Commission on Pharmacy and Veterinary Medicine met in Chicago. This meeting developed college courses that fostered relationships between pharmacists and veterinarians to better community health. Ko Kuei Chen was the Remington Medalist and Sister Mary Berenice was the Whitney Lecturer. President Lyndon B. Johnson signs Medicaid into law

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.

OCT.NOV.DEC 2018 |

ADVERTISER

Your Next Great Hire is Here Post your next open position to reach our top-level talent pool of active and passive job seekers to join your practice today!

www.iarx.org/CareerCenter

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.

| The Journal of the Iowa Pharmacy Association

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