IPA Journal Apr/May/Jun 2023

A Peer-Reviewed Journal | Vol. LXXVIII, No. 2 | APR.MAY.JUN. 2023

AI: FRIEND OR FOE? INSIDE:

IPA Pharmacist Day on the Hill PharmaCE Expo 2023 IPA Board of Trustees Election

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

Allison Hale, Managing Editor Kate Gainer, PharmD Emmeline Paintsil, PharmD, MSLD, BCPS Elizabeth Orput, PharmD Kellie Staiert, MPA Laura Miller

COVER STORY AI: Friend or Foe? pg. 16

OFFICERS CHAIRMAN Christopher Clayton, PharmD, MBA – Manchester PRESIDENT Cheri Schmit, RPh – Ames PRESIDENT-ELECT John Hamiel, PharmD – Evansdale TREASURER CoraLynn Trewet, PharmD – Ankeny SPEAKER OF THE HOUSE Heather Ourth, PharmD, BCPS, BCGP – Ackworth VICE SPEAKER OF THE HOUSE Wes Pilkington, PharmD – Waterloo

TRUSTEES REGION #1 Robert Nichols, PharmD, BCPS – Waterloo REGION #2 Pamela Wiltfang, PharmD, MPH, BA, CHES – North Liberty REGION #3 John L'Estrange, PharmD, RPh, BCACP – Des Moines REGION #4 Grant Houselog, PharmD, CSPI – Sergeant Bluff AT LARGE Micaela Maeyaert, PharmD, BCPS, DPLA – Spirit Lake Morgan Herring, PharmD, BCPS, FAPhA – West Des Moines Jackie Gravert, PharmD, MPH – Cedar Rapids Angie Spannagel, PharmD, BCACP – Dubuque HONORARY PRESIDENT Betty Grinde, RPh – Story City PHARMACY TECHNICIAN Tammy Sharp-Becker, CPhT, CSPT – Des Moines STUDENT PHARMACISTS Nirjan Bhattarai – Drake University Sidney Vancil – 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/journal.

“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 Mittera; Graphic design done by the Iowa Pharmacy Association.

IPA Day on the Hill pg. 6

PharmaCE Expo 2023 pg. 12

FEATURES IPA Board of Trustees Election . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 IPA Annual Meeting 2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Student Spotlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 IPA Executive Interns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Iowa Legislative Session Recap . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Support IPPAC & LDF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Eggleston-Granberg Golf Classic . . . . . . . . . . . . . . . . . . . . . . . . 28 2023 Outcomes Grant Recipients . . . . . . . . . . . . . . . . . . . . . . . . 29 2022-23 IPA Foundation Scholarships . . . . . . . . . . . . . . . . . . . 30 IPA Policy & Advisory Committees . . . . . . . . . . . . . . . . . . . . . . 31

IN EVERY ISSUE President’s Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Practice Advancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Public Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Technician Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 IPA Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Members Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Calendar of Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Time Capsule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Mission Statement The Iowa Pharmacy Association empowers the pharmacy profession to improve the health of our communities.

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PRESIDENT’S PAGE

THE FUTURE IS YOU. THE FUTURE IS NOW.

O Cheri Schmit, RPh IPA President Senior Manager, Product & Solutions Marketing, Cardinal Health

ne of the things I enjoy most about both my job and serving as IPA President is the opportunity to meet pharmacists in a variety of practice settings across Iowa and the U.S. I get to learn about their unique practice sites and the innovative things they are doing. I hear the challenges and struggles, what they’ve tried, and what resources and tools they need. Most importantly, I hear their ideas for the future of pharmacy, and I get to ponder, ‘How can I make a difference? How can my company make a difference? And how can IPA make a difference?’

I have seen practice sites that are struggling and practice sites that are thriving. I wish there was space to tell you about all of the creative, innovative, and amazing services pharmacists are providing for their communities that often go above and beyond healthcare. I could tell you so many stories! And while the stories are personal, there are consistent themes that I hear from pharmacists in all practice settings.

Burnout and mental health issues are real. Adequate, trained staff is a luxury. Product shortages are growing, lasting longer, and creating extra stress and work. Everyone is concerned about product reimbursement; it’s bad and getting worse.

I have noticed that I meet with two kinds of pharmacists.

The second type of pharmacist acknowledges all these issues; but they have also decided that if they want to survive, they must start transforming their practice and force new revenue streams. These pharmacists want to talk about how product is an important core of pharmacy, but it’s just the start.

They have thought about what the future of pharmacy looks like in their practice and are doing their best to engineer this reality.

They are not just preparing for the future, they are forcing their practices to transform and become the future.

Pharmacists should be fairly compensated for their knowledge and expertise, not just for the product they may dispense or administer. We all agree, but how do we make this happen?

How do we force this transformation and change in OUR practice setting? What steps can we take as individuals?

“

As a good first step, I encourage you to get more involved with IPA and attend the Annual Meeting in June. At An“[These pharmacists] nual Meeting, we vote on policy are not just preparing that guides every aspect of the work of the Iowa Pharmacy Asfor the future, they are sociation. This is one small way forcing their practices to to have a voice and learn how you can make change and transtransform and become form practice. Bring a friend, or, the future.” better yet, bring a student!

The first wants to talk about reimbursement and fix reimbursement issues. This is critical work, as there are plenty of problems and unfair practices with product reimbursement that need to be fixed. No industry should be routinely “compensated” for less than their cost of the product. Period. And we could talk for hours about the issues with vertical PBM integration controlling essentially every aspect of healthcare. It’s not fair, and it’s not a level playing field. Pharmacies will go out of business, patients will suffer, and problems in all practice settings will be compounded if we don’t have meaningful reform and protections. We must have PBM

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regulation, but is this our future? Does PBM reform fix all of our problems and allow us to practice the way we envision the future of pharmacy? How DO we envision the future of pharmacy?

Those of you who know Emmeline Paintsil on IPA staff know that she loves vision boards. (I don’t think she will mind that I have shared this tidbit of info about her.) A vision board is a collection of images, words, and sayings that represent your goals and dreams. It is meant to serve as motivation and inspiration to help you prioritize tasks to manifest your goals and dreams. A vision board can you help imagine a positive future, as well as

PRESIDENT’S PAGE

President Schmit discusses payment and practice advancement opportunities with Senator Chuck Grassley alongside fellow IPA members and staff at Medical Associates Pharmacy in Boone.

increase positive emotions and optimism. And as we know, a positive attitude often creates opportunities and results in success.

Maybe that’s what the second type of pharmacist has done. They have envisioned their future and prioritized tasks to stay motivated and to find new innovative ways to practice pharmacy. Sure, there are barriers and external factors outside an individual’s control, and sometimes it feels like your voice is not heard by people with power. But have you stopped to envision what the future of pharmacy looks like to you?

Do you know what steps you could be taking now to move towards that future? Because we are the future of pharmacy, and it’s up to us to create it and manifest it, whether working individually, collectively, with providers, with stakeholders, or as an association. And yes, we need more than a vision. There are barriers, but we can’t stand by and wait for others to do it for us or give us THEIR version of OUR future.

What if we all envision “our” future of pharmacy, make a plan, and do what we can within our own practice settings to make change happen?

As I drafted this article, I realized that within my role, I have unknowingly been creating a vision board for the future of pharmacy by visiting and listening to pharmacists. Their stories motivate me to help them make their future a reality. So, I challenge all of you to honestly spend at least 15-20 minutes thinking about what the future of pharmacy looks like for you and your practice setting and what steps you can start taking today to make this a reality.

Let’s make a vision and take one step at a time to make it reality because we can’t wait any longer. The future is now. ■­

The Iowa Monitoring Program for Pharmacy Professionals (IMP3) is excited to welcome two new committee members, Sarah Grady, PharmD, BCPS, BCPP, from Drake University College of Pharmacy & Health Sciences, Des Moines, IA, and John Vallandingham, RPh, BCGP, from Henry County Health Center, Mount Pleasant, IA. IMP3 believes the skills and reputation of pharmacy professionals and student pharmacists can be maintained if monitoring and supportive services are put in place at an early stage. IMP3 can assist pharmacy professionals and student pharmacists in obtaining the necessary support for healthy recovery from substance use, mental health, and/or physical conditions.

Once an individual contacts IMP3 with a self-report, IMP3's program coordinator will gather information about the individual’s situation. This may result in referral for further evaluation and/or treatment, if indicated. The IMP3 committee meets quarterly to review current participants and self-reports to determine whether or not the pharmacy professional would benefit from ongoing support and monitoring. If so, an individualized contract is developed that includes safeguards designed to allow the individual to continue/return to practice. It’s IMP3’s hope that participants in the program are able to continue to practice pharmacy. Email Program Coordinator Becky Carlson at rebecca.carlson@iowa.gov for more information.

https://pharmacy.iowa.gov/iowa-monitoring-program-pharmacy-professionals-imp3

APR.MAY.JUN. |

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IPA DAY ON THE HILL

PHARMACIST DAY ON THE HILL

O

n Wednesday, January 25, 2023, IPA welcomed nearly 230 pharmacists, student pharmacists and pharmacy technicians for Pharmacist Day on the Hill in Des Moines. After breakfast and welcoming remarks from IPA President Cheri Schmit, RPh, programming began with a legislative briefing from IPA’s Advocacy Team, including IPA lobbyists Matt Eide and Kate Walton. The panel described the current make-up of the Iowa Legislature, IPA’s 2023 legislative priorities, as well as what to expect at the State Capitol.

Next, IPA welcomed 2023 keynote and State Medicaid Director, Elizabeth Matney, to the stage. Director Matney addressed the ongoing healthcare workforce shortage and the need for adequate reimbursement.

After the Director’s keynote, IPA presented its 2023 Legislative Awards to Senator Mike Klimesh (District 32) for his support of the PBM reform bill in 2022, and Linda Grimm, RPh, for her efforts as a Champion Advocate during last year’s Legislative Session.

Following a legislative panel featuring Representative John Forbes, RPh (District 44), Representative Brian

6 | The Journal of the Iowa Pharmacy Association

IPA DAY ON THE HILL Best (District 11), and Senator Mike Klimesh (District 32), attendees boarded buses and headed to the Iowa State Capitol. There, attendees discussed the need for an updated Pharmacy Practice Act, transparent Iowa Medicaid reimbursement, and enforcement of PBM regulation with their legislators. The day concluded with a reception and rave comments from Iowa legislators. Thank you to all who attended! ■­

GOOD GOVERNANCE AWARD Senator Mike Klimesh, District 32

LEGISLATIVE CHAMPION

Linda Grimm, RPh, Missouri Valley

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IPA BOARD OF TRUSTEES

2023 IPA BOARD ELECTION The following individuals will be installed at the 2023 IPA Annual Meeting, June 15-16 in Des Moines. In addition, John Hamiel, IPA’s current President-Elect from Evansdale, will be installed as the association’s 145th President. Hamiel is the Regional Director of Pharmacy for MercyOne Northeast Iowa and was elected to the position last spring. IPA thanks all candidates for their willingness to run and serve the profession in this capacity.

PRESIDENT-ELECT

“

Jim Hoehns, PharmD, BCPS, FCCP

As an educator and practitioner, I want to ensure we are doing our best to inform the next generation of potential pharmacists about the expanding practice opportunities within our profession. As young learners are choosing their paths forward, I want them to keep pharmacy on their short list.

TRUSTEE AT-LARGE

“

Brett Faine, PharmD, MS

On the Board of Trustees, my goal will be to work with members of IPA and the legislature to continue to advocate for pharmacist provider status. I believe that pharmacists and pharmacy technicians should practice at the highest level and be adequately reimbursed for the services that are provided.

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TRUSTEE REGION 2

“

Natalie Hunter, PharmD

Being involved in a web of pharmacists, technicians, and others whose common goal is to continue to advance the pharmacy profession has been refreshing. There are certainly barriers to overcome with growth. I am interested in a leadership position with IPA to share, hear, and help with those barriers.

TRUSTEE AT-LARGE

“

Cory Garvin, PharmD

To change the pharmacy experience for patients, it is necessary to listen to all players, including pharmacists, pharmacy technicians, other providers, as well as other professions to shape our future. My intention as a Board member is to do this and advocate not only for our profession but also the patients we serve.

TRUSTEE REGION 4

“

Wendy Kinne, PharmD

I am a community pharmacist and pharmacy owner of two independent pharmacies. I am passionate about patient education, student mentorship, wellness collaboration with local employers, sustainment of independent pharmacies in our local communities, and advocating for pharmacist provider status.

PHARMACY TECHNICIAN

“

Connie Bentrott, CPhT

I have witnessed the challenges in the pharmacy industry, which escalated during the COVID pandemic, and have always challenged myself to identify solutions to improve the service we are able to provide. The field of pharmacy continues to evolve, and I am excited for the opportunity to represent pharmacy technicians from across the state.

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IPA ANNUAL MEETING 2023 June 15-16 Des Moines, IA Hilton Des Moines Downtown

TUESDAY, JUNE 6 6:00-8:00 PM

House of Delegates: Session I (Virtual)

THURSDAY, JUNE 15 8:00-8:50 AM

Registration, Continental Breakfast & Exhibit Hall

8:50-9:00 AM

Welcome

9:00-10:00 AM

KEYNOTE – Pharmacy of the Future: Future is Now, Deloitte

10:00-12:00 PM

House of Delegates: Session II

12:00-12:30 PM

Exhibit Hall

12:30-1:45 PM

Leadership Luncheon

1:45-2:45 PM

CPESN-IA Meeting

1:45-3:00 PM

Exhibit Hall

3:00-5:00 PM

Resident Research Presentations

6:00-7:00 PM

President’s Reception

7:00-9:30 PM

IPA Annual Awards Banquet

9:30-10:30 PM

IPA Foundation Silent Auction & Dessert Reception

FRIDAY, JUNE 16 6:30 AM

2023 STEP, CYCLE, SWING Kick-off

7:30 AM

Registration

8:00-8:45 AM

Breakfast, Poster Presentations & Committee Conversations

8:45-9:00 AM

Break

9:00-11:00 AM

Resident Research Presentations

11:00-11:30 AM

Poster Presentations & Committee Conversations

11:30-12:30 PM

Lunch & Open Networking

12:30-1:30 PM

KEYNOTE – Active Leadership, Liz Nead

1:30-3:30 PM

House of Delegates – Session III

3:30 PM

Adjourn

www.iarx.org/IPAAnnualMtg 10 | The Journal of the Iowa Pharmacy Association

PRACTICE ADVANCEMENT

1815 UPDATE

To recognize the work of pharmacists in ambulatory clinics, community, and hospital pharmacies, IPA is providing technical assistance and support to twenty-one pharmacies across the state on initiatives surrounding diabetes, hypertension, and hyperlipidemia. The next fiveyear iteration of this grant program will be focused on heart disease and stroke. Additionally, there will be a focus on the pharmacists’ role on multi-disciplinary teams, development of policies and procedures for health information utilization to support patient care, and training and inclusion of community health workers in all practice settings.

FY24 is expected to begin recruiting this fall. If you are interested in this project or wish to be notified of future opportunities to work with IPA and Iowa HHS on these initiatives, please contact IPA’s Director of Professional Affairs, Emmeline Paintsil, at epaintsil@iarx.org.

VACCINE EQUITY GRANT

At the end of last year, IPA was awarded an additional $75,000 in funding and a grant extension through December 31, 2023. IPA continues to work on all four activities under the grant including: Promote Vaccine Confidence; Develop Messaging; Engage Trusted Messengers; and Support Grassroots Style Outreach. While the public health emergency (PHE) ended on May 11, IPA plans to continue sharing resources and educating members on PHE unwind implications for patients and pharmacies. As part of the vaccine equity grant with Iowa HHS, IPA is seeking to develop a Health Coach Certification Program for pharmacy that incorporates cultural humility and motivational interviewing skills.

HEALTH DISPARITIES GRANT

IPA staff have been focused on providing tools and resources to support mental health and well-being as a part of the Iowa Initiative to Address COVID-19 Health Disparities. In April, Sandy Eimers, RPh, C-IAYT, ERYT500, TIYT™, led April’s 2/2/2 webinar on Trauma Conscious Care in Pharmacy Practice, which provided background on the science of stress and trauma as well as tools to help self-regulate and co-regulate with patients to help move out of fight-or-flight responses.

Additionally, IPA is partnering with NAMI (National Alliance on Mental Illness) to bring the NAMI Provider program to eight cities across the state as the main feature of IPA Goes Local 2023. The NAMI Provider seminar training utilizes an evidence-based curriculum and

storytelling from a teacher panel consisting of a mental health provider, a family member of someone living with a mental illness, and a person in recovery. With a severe shortage of mental health providers in the state of Iowa, this training is vital in helping educate health care professionals on the lived experiences of individuals living with mental illness navigating care and recovery. This seminar training assists pharmacists, technicians, nurses, physicians, and other healthcare professionals in providing more competent, compassionate, and person-centered care for patients living with mental illness as well as their families. We believe that all health care professionals should be educated, and this is a great opportunity for interdisciplinary learning and engagement.

NAMI Provider for IPA Goes Local is ACPE-accredited, providing four hours of live CE for pharmacists and pharmacy technicians. To learn more about this project or collaborate with IPA, contact Emmeline Paintsil at epaintsil@iarx.org.

HIV & HCV PHARMACY TESTING PROJECT

The HIV Testing Project, in collaboration with Iowa HHS Bureau of HIV, STI, and Hepatitis, marked its five-year anniversary with a virtual site visit. IPA staff presented highlights of the project’s progress from the past five years to HHS staff. IPA and HHS discussed the challenges and opportunities related to leveraging the expertise of the pharmacy profession to address the HIV and hepatitis epidemics in Iowa. IPA was awarded an additional five years of funding to continue this testing project. This long-standing relationship with public health has opened doors to additional grant funding, such as the HCV surveillance project. Iowa HHS Bureau of HIV, STD, and Hepatitis has been a strong advocate of pharmacy, and IPA looks forward to working with them in years to come!

HCV Surveillance Grant: IPA is analyzing data received from a recent survey of pharmacies inquiring about policies and procedures around syringe sales and naloxone distribution. Based on this data, the goal is to create technical assistance and capacity building programming for pharmacies across the state.

If you are interested in learning more about the partnership with HHS or about the HIV testing and HCV surveillance projects, please contact Kellie Staiert, IPA’s Lead Project Manager, at kstaiert@iarx.org.

APR.MAY.JUN. |

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PHARMACE EXPO

P

harmacy professionals across the state and country came together February 3-5, 2023 for a jam-packed PharmaCE Expo weekend in Des Moines. On Friday, attendees took part in skills assessments for point-of-care testing and immunizations, as well as two tracks of clinical programming.

Featured topics on Friday included managing opioid use disorder, creating effective SOPs, implementing test-to-treat services, as well as clinical guideline updates for the management of HIV, breast cancer, asthma and chronic disease.

On Saturday, PharmaCE Expo keynote Sarah Noll Wilson, MS, presented on Adaptive Leadership, teaching us how to lead others to not only survive change but thrive. Following the keynote, attendees split into two tracks, featuring sessions on creating a great work culture, meeting the needs of others through servant leadership, understanding research

IPA staff and leadership with keynote Sarah Noll Wilson

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PHARMACE EXPO

statistics, and much more. The day concluded with an evening networking reception.

On Sunday, PharmaCE Expo attendees gathered in the ballroom once more for annual favorites, including New Drug Update and Gamechangers in Pharmacy. Throughout the weekend, attendees donated over $200 and 100 food items through a Pharm to Tables fundraiser for the Food Bank of Iowa.

Thank you to all who attended this year’s PharmaCE Expo! ■­

PHARMACISTS IN ATTENDANCE

131 TECHNICIANS IN ATTENDANCE

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APR.MAY.JUN. |

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'

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Everything graduates and new­ to-Iowa pharmacists need to prepare for the Iowa Multistate Pharmacy Jurisprudence Examination, including:

CopyrightMay 2022, all righis reserved Iowa Pharmacy Association 851SDouglasAve,Suite 16 �esMoines,IAS0322 ma@ianco!& I www.Jarx.org . . lnd1v1du als wishing to reproduce portions

IOWA PHARMACY

of this tcx1,must obmin express writ1en

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pennission to do so by writing 10 the ..low .. a PhannacyAssocrnuo n."

• Information on how to register for the exam • Questions in a table format to fill in your answers • Answers to each question with references to information in Iowa code and administrative code • Terminology section of key terms to know

Original Price: $75

Discounted Price: $40

IPA members enjoy a substantial discount!

For INFORMED Pharmacists and Non-members

For Student Pharmacists, ENGAGED Pharmacists, CONNECTED Pharmacists, and Business Partners

STUDENT SPOTLIGHTS

STUDENT SPOTLIGHTS

“

My name is Savannah Anderson, and I am a P3 student at the University of Iowa College of Pharmacy (UICOP) with plans to pursue a Pharmacy Administration and Leadership Residency following my completion of rotations this upcoming year. Much of what has inspired me to pursue this specific path stems from empowering conversations I’ve had with mentors and seeing the impact my peers and I have made on the UICOP via our various leadership roles. What initially drew me to pharmacy was the relationships I saw pharmacists build with patients and the vital role they play in healthcare teams. Although I do not have a specific dream position in mind for myself, I do hope to end up in a role where I can be a leader and mentor for others in the same way so many pharmacists have been for me.

As a student pharmacist, I have made it a top priority of mine to stay actively engaged in my school, local, professional and social communities. At the UICOP, I am the president of my class; I serve as a mentor to current and incoming students through our Pharmacy Student Ambassador Network; I serve on the Admission’s Committee; and I maintain active memberships in APhA and Rho Chi. In the past, I held leadership positions as Co-Chair of the Engagement Committee and Secretary of the Student Leadership Council, both of which served as stepping stones for building relationships with other student leaders in the college.

I work at Hy-Vee Pharmacy and the University of Iowa College of Dentistry Pharmacy, where I get ample opportunities to interact with patients and apply the concepts I learn throughout the day in classes.

Outside of school, I enjoy spending my time discovering new music, attending sporting events, and playing volleyball on a team with some of my classmates. In addition to that, I often spend weekends filming weddings and managing my own photography business.

“

My name is Stacia Humphrey, and I am a second-year student pharmacist at Drake University College of Pharmacy and Health Sciences.

I am from Chicago, Illinois, where I attended Lindblom Math and Science Academy. Growing up, I was raised around people who always gave back to their community and others. Serving others has been a big part of my life since I can remember. This being one of my core values pushed me to pursue a career in the pharmacy profession. I saw a need in communities with a lot of health disparities, as they were lacking representation.

Being a Black woman, I want to provide a personalized, safe space for all people to ensure pharmacy stays a trusted profession. This aspect of my professional identity will serve in many spaces of health disparities, such as those that do not have a supportive community or safe space. Currently, I am interested in psychiatric and ambulatory care pharmacy.

Outside of the classroom, I work at Medicap Pharmacy and Broadlawns Medical Center as a Pharmacy Intern.

I previously worked in the Community Engaged Learning office at Drake University as the Food Security Community Engaged Peer. In addition to IPA’s Student Pharmacist Advisory Committee, I am also involved in Lambda Kappa Sigma Pharmacy Fraternity, and I am the President of the Eta Tau chapter of Alpha Kappa Alpha Sorority.

Last spring, I participated in the IPA Bill Burke P1 Student Pharmacist Leadership Workshop. The skills I learned and connections I made at the workshop motivated me to get further involved with IPA.

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ARTIFICIAL INTELLIGENCE

AI: FRIEND OR FOE? Dalton Fabian, PharmD, RPh, Data Scientist, UnityPoint Health The use of artificial intelligence (AI) in healthcare has been a hot topic for many years. Companies using computer vision for radiology services and machine learning to predict patient adverse health outcomes is becoming more commonplace. However, the conversation around AI has hit a fever pitch recently with the introduction of the newest AI entrant, ChatGPT. ChatGPT is a powerful tool that can write code, summarize long text, and help answer questions without requiring the user to dig through a bunch of links. Needless to say, there is a lot of promise that we're seeing from AI currently. What then is the main question that pharmacy professionals should be asking themselves about AI? I’d argue that it’s, ‘Is AI going to be my friend or a foe?’ Let's dig in a bit.

AI: OUR FRIEND

AI will be a friend to pharmacy professionals in many ways. AI like ChatGPT can understand medical concepts to an extent. To see this in action, just ask the most recent update of ChatGPT (that uses GPT-4), ‘What is the first line therapy for diabetes?’ It will describe the nuance between type 1 and type 2 diabetes while also discussing basal and

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bolus insulin treatment for type 1 diabetes and lifestyle modification as first line therapy for type 2 diabetes. It also mentions metformin as a common first medication after lifestyle modification. When you review the response, it’s clear that ChatGPT has a decent grasp on medical concepts.

With this understanding of healthcare (and more future healthcare-specific training), AI can help us to be more efficient professionals.

A future example could include typing a drug information question into a healthcare-focused chat interface and getting an answer back instead of manually searching through a book or web resource where you endlessly scroll. Additionally, research summarization is a feature that is already available in ChatGPT derivatives that can summarize research papers for you. These programs allow you to “talk” to the research papers to better understand the findings. Uses like these will help us get clinical and medication questions answered quicker and spend more time doing what we love: patient care.

AI can also assist clinicians by helping to find patients who require the most attention for better prioritization and more specific interventions. AI can help clinicians identify which patients are most likely to

ARTIFICIAL INTELLIGENCE

have an adverse health outcome, and these patients can be surfaced automatically. In my work as a Data Scientist and incorporating machine learning, I've built dashboards that highlight patients most likely to readmit within 30 days or those most likely to have emergency room or inpatient stays in the future to help nurses and pharmacists prioritize follow-ups or enroll patients in care management. This will help clinicians save time prioritizing patients and allow more focus on interventions.

AI: A GAME CHANGING OPPORTUNITY

The current moment in healthcare is shaping up to be one of the most impactful in modern history, thanks to AI. We have the opportunity to make our work as pharmacists, pharmacy technicians, pharmacy students, or other support personnel exponentially more impactful to the patients we serve. By being aware of the evolving AI landscape, we can make sure that we are using it in ways that improve outcomes while minimizing any negative impacts. ■­

AI: A POTENTIAL FOE

However great AI can theoretically be, it also has the potential for unforeseen consequences. Our pharmacy profession must be clear about any possible negative impacts of AI and identify solutions to these problems ahead of time. For example, AI can worsen inequalities in healthcare. AI is only as good as the data and patterns from the past that it’s trained on. If these models are trained on homogenous populations and then used for patient care in diverse settings, the system can perpetuate current inequalities. One solution can be to ask vendors about the breakdown of the patient population the AI used when it was built and consider if that population matches the patients that you care for.

Dr. Fabian presented IPA’s September 2022 2/2/2 webinar on this topic. Scan the QR code to watch!

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IPA EXECUTIVE INTERNS

2023 IPA EXECUTIVE INTERNS The IPA Max W. Eggleston Summer Executive Internship Program is a twelve-week program held each year at IPA Headquarters in Des Moines.

The Executive Internship was developed in 1978 to provide student pharmacists with experience in professional association management. In 2023, the Executive Internship program was renamed and expanded to accept two student pharmacist interns, one from each of Iowa’s colleges of pharmacy. Please help us welcome our 2023 Executive Interns!

“

My name is Stephen Presti, and I am excited to serve as a 2023 Max W. Eggleston Executive Intern in Association Management for the Iowa Pharmacy Association.

I grew up in Janesville, Wisconsin and have been living in Iowa for eight years. I graduated from Coe College in Cedar Rapids with Bachelor’s degrees in Chemistry, Neuroscience, and Spanish. I am currently finishing up my second year at the University of Iowa College of Pharmacy. I serve as a student member of the college’s curriculum committee and as the Policy Vice President in our APhA-ASP chapter. Outside of school, I work as a pharmacy intern at the University of Iowa Hospitals & Clinics Specialty Pharmacy, where I complete benefits investigations and contact patients to monitor medication adherence and screen for side effects.

My experiences with the APhA-ASP policy process and IPA’s Pharmacist Day on the Hill have developed my interest in political advocacy for the profession of pharmacy. I hope to share the knowledge and skills I will develop during this internship with my peers to work together to push the profession of pharmacy forward and positively impact the health of our communities.

LEARN MORE about the Max W. Eggleston Summer Executive Internship Program: www.iarx.org/ExecIntern

18 | The Journal of the Iowa Pharmacy Association

“

My name is Kaitlyn Thomas, and I will serve as a 2023 Max W. Eggleston Executive Intern in Association Management for IPA this summer!

I am from the Houston, Texas area, but I am currently residing in Phoenix, Arizona. I am a second-year PharmD student at Drake University with a concentration in Global and Comparative Public Health.

I currently intern at the Iowa Capitol building with Representative John Forbes, where I attend meetings to discuss potential bills, review legislative and regulatory documents, and research policy areas in support of the goals of the Democratic Party. Additionally, I serve as the President-elect of the Nu chapter of Lambda Kappa Sigma Pharmacy Fraternity, and I am the Fundraising Chair of the Rho Phi chapter of Zeta Phi Beta Sorority Inc. My goal is to serve as a pharmacist, dedicated to improving the quality of life of marginalized individuals by having my skills and degree translate into a career that affords me the opportunity to work for industry and policy changes in healthcare and prescription drugs. In an attempt to support a humanitarian effort and to pursue my sole purpose in life, I remain committed to providing service in the healthcare profession. Moreover, with social collaboration among pharmacy professors and students alike, I concluded that my love for the profession is as immutable as the overall need. I hope to use the skills gained through this internship to continue advocating for marginalized communities and the pharmacy profession overall.

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PUBLIC AFFAIRS

BOARD OF PHARMACY: REGULATORY UPDATE COMPREHENSIVE RULE REVIEW

Now that the 2023 Iowa Legislative Session has concluded, attention shifts from the gold dome to the various state offices that house regulatory bodies tasked with implementing approved legislation. Unlike past years, these bodies—including the Board of Pharmacy—have the additional task of reviewing current Iowa Administrative Code chapters as part of Governor Kim Reynolds’ intent to overhaul state government in Iowa through Executive Order 10.

Executive Order 10, signed by Governor Reynolds on Tuesday, January 10, requires each administrative agency in the state to analyze their respective rule sections for unnecessary, redundant, or restrictive language. “Iowa's Administrative Code contains over 20,000 pages and 190,000 restrictive terms, putting undue burden on Iowans and the state's economy, increasing costs for employers, slowing job growth, and impacting private sector investments,” stated Governor Reynolds.

The Board of Pharmacy must complete a comprehensive evaluation and cost benefit analysis of existing rules to evaluate public benefits, whether these benefits justify the cost, and whether there are less restrictive alternatives. The Board has requested IPA’s assistance in reviewing proposed drafts. IPA appreciates the opportunity to provide feedback on pharmacy regulation during this pivotal shift in regulation.

The Board must complete their rewrite for review by the legislature’s Administrative Rules Review Committee by December 31, 2024. A tentative timeline can be found on the Board’s website (pharmacy.iowa. gov/rules-laws/executive-order-10-rule-making-information).

During this time, the Board may only adopt new rules in limited circumstances, such as to reduce regulatory burden, remove duplicative statutory language, comply with a new statutory requirement, or prevent a well-documented threat to public health. Members should expect decreased rulemaking during this period.

If you have any questions or comments in the meantime, please contact Seth Brown at sbrown@iarx.org or Brett Barker at bbarker@iarx.org.

Scan the QR code to visit the BOP’s website.

Tune in to IPA’s BOP: What, Why & How podcast following each Iowa Board of Pharmacy meeting to recap the Board’s actions and earn Pharmacy Law CE! Each episode will focus on WHAT actions were taken by the Board, WHY the Board took the actions it did, and HOW Board action will impact practice in Iowa.

WWW.IARX.ORG/BOP_PODCAST

20 | The Journal of the Iowa Pharmacy Association

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3

PUBLIC AFFAIRS

2023 LEGISLATIVE RECAP On Thursday, May 4, Iowa legislators gaveled out for the 2023 Iowa Legislative Session. The session was busy and exceedingly unique, as Republicans held a strong majority in the House of Representatives and a supermajority in the Senate.

IPA’s Advocacy Team monitored more than 78 individual bills this session on a wide range of topics that impact IPA members and healthcare. When needed, IPA’s grassroots network showed up in force, and on short notice, to advocate for the Pharmacy Practice Act bill and other measures impacting the profession. Legislators noted pharmacy’s passion and willingness to provide impactful insight. Thank you to our grassroots!

entities, contract pharmacies and pharmacies that participate in the 340B drug program.

ADDITIONAL LEGISLATIVE WINS •

Bills that would limit a pharmacist’s professional autonomy by imposing penalties for dispensing certain FDA-approved medications, such as abortion-inducing drugs, did not advance.

•

Governor Kim Reynold’s legislative priorities included provisions expanding access to opioid antagonists. The bill allows pharmacists to dispense opioid antagonists to secondary distributors, such as law enforcement, EMS, health care providers, schools, and county health departments. It also amends SWPs to allow a pharmacist to administer opioid antagonists, instead of only naloxone.

IPA’S 2023 LEGISLATIVE PRIORITIES •

•

IPA’s Pharmacy Practice Act bill (HF 555) stayed in contention until the very end of the session, passing the House of Representatives with bipartisan support (86-10) and making it through the Senate Health and Human Services (HHS) Committee unanimously. The substance of the bill remains almost fully intact and will resume in the Senate HHS Committee in 2024. The last Pharmacy Practice Act reform bill took four years to pass, so we are wellpositioned for next year!

A 340B nondiscrimination bill (HF 423) providing for state-level protections passed both chambers and was signed into law by the Governor. The bill prohibits health plans and PBMs from discriminating against a covered entity or contract pharmacy for participation in a 340B program including contracting, patient provider choice, imposing restrictions, or reduced payment. The bill also prohibits the imposition of certain contract requirements on such covered

22 | The Journal of the Iowa Pharmacy Association

NEXT STEPS FOR IPA •

Explore avenues for funding the Medicaid cost of dispensing increase with stakeholders, legislators, and the executive branch.

•

Educate legislators and advocate for the Pharmacy Practice Act in the offseason.

•

Expand resources for members to submit PBM complaints and data to the Iowa Insurance Division (IID).

Continue working with IID and legislators to determine the best strategy for additional PBM regulation and enforcement.

STRENGTHEN ADVOCACY. STRENGTHEN PHARMACY.

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

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

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

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

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

Learn more donate online at www.iarx.org/IPPAC LEARN MORE ANDor DONATE: IARX.ORG/IPPAC IOWA PHARMACY ASSOCIATION 8515 Douglas Ave., Suite 16, Des Moines, IA 50322 515-270-0713 | www.iarx.org | IPA@iarx.org

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TECHNICIAN CORNER

DOS AND DON’TS OF INSECT REPELLENTS April 2023 Tech Tidbit Newsletter Summer is right around the corner, and as the weather gets nicer, people will be opting to spend more time outdoors. However, with the warm weather comes pesky insects that can bite. Although most bug bites are harmless, some can spread dangerous diseases like Zika virus, dengue, Lyme disease and malaria. The United States has recently seen an uptick in these vector-borne diseases, with illnesses from tick, mosquito and flea bites almost tripling since 2004.¹

PREVENTION

Wear long-sleeved shirts and long pants while outside. Those that must spend a lot of time outdoors for work or recreation should consider permethrin-treated clothing and gear (e.g., boots, pants, socks, tents).

Consider using a mosquito net to cover strollers and baby carriers or a tent if sleeping outdoors.² Environmental Protection Agency (EPA)-registered insect repellents are important for bite prevention. EPA-registered repellents are safe and effective against mosquitoes and ticks, even for women who are pregnant or breastfeeding.² Remind patients that if they are also using sunscreen, they should apply sunscreen first and insect repellent second because sunscreen may lower the repellent's ability to deter insects.³ DEET (N,N-diethyl-meta-toluamide) is a common active ingredient in insect repellent that makes it harder for biting bugs to smell humans.

DEET is available in a variety of formulations, including liquids, lotions, sprays, and other impregnated materials such as roll-on products or towelettes. DEET also comes in a wide range of concentrations, from 5% to 99%. Look for a product that contains 20-30% for the best results.²,³ Other active ingredients of insect repellents include IT3535, oil of lemon eucalyptus (OLE), para-menthane-diol (PMD), picaridin, and 2-undecanone. Products containing OLE or PMD are not safe for children younger than 3 years old.

DOS AND DON’TS OF INSECT REPELLENTS DO:

• Read and follow label instructions.

• Avoid over-application; use just enough to cover exposed skin and/ or clothing.

• Wash treated skin with soap and water upon returning indoors.

• Wash treated clothing before wearing it again.

• Spray on hands, then rub onto face avoiding eyes, nose and mouth.

DON’T:

• Apply over cuts, wounds or irritated skin.

• Let children apply the product themselves.

• Apply to children’s hands or near their eyes or mouth.

• Use under clothing.

• Spray in an enclosed area.

• Spray directly onto the face.

TREATMENT

For mild reactions: • Wash the bite with warm water and soap.

• To reduce swelling, apply a cool compress or ice to help decrease symptoms.

• For bites that itch, try over-the-counter (OTC) hydrocortisone cream, calamine lotion or Afterbite, which contain baking soda to soothe the skin. Another option is to take an OTC antihistamine, such as Benadryl, Claritin, Zyrtec or Allegra.

• For painful bites, take an OTC painkiller such as Tylenol or ibuprofen. Always follow the directions on the label and use the correct dose.

Educate patients on the signs of a serious reaction and instruct them to seek medical attention if any of the following signs/symptoms occur following a bug bite:⁴ • Trouble breathing • Swelling of the face, lips, eyelids or throat • Dizziness or fainting • Hives • Weak and rapid pulse • Nausea, vomiting or diarrhea References:

1. Illnesses from mosquito, tick, and flea bites increasing in the US. Centers for Disease Control and Prevention. May 1, 2018. https://www.cdc.gov/media/releases/2018/ p0501-vs-vector-borne.html 2. Avoid Bug Bites. Centers for Disease Control and Prevention- Travelers Health. Updated December 4, 2019. Accessed March 17, 2023. https://www.cdc.gov/zika/prevention/ prevent-mosquito-bites.html 3. DEET. United States Environmental Protection Agency. Accessed March 17, 2023. https://www.epa.gov/insect-repellents/deet 4. Insect bites and stings: First Aid. Mayo Clinic. Accessed March 21, 2023. https://www. mayoclinic.org/first-aid/first-aid-insect-bites 5. Manning JE, Cantaert T. Time to micromanage the pathogen-host-vector interface: considerations for vaccine development. Vaccines (Basel). 2019;7(1):10. doi:10.3390/ vaccines7010010

APR.MAY.JUN. |

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TECHNICIAN CORNER

TECHNICIAN SPOTLIGHT: TRACY KLEINSCHRODT, CPHT

T Tracy Kleinschrodt, CPhT DME Billing Specialist, GRX Holdings

racy Kleinschrodt’s entry into pharmacy began in the early 1990s while working as a clerk at Hy-Vee. In 1992, a pharmacy technician job opened at the Medicap Pharmacy in Pleasant Hill. Tracy secured this position and worked there until 1995, when she moved to Newton. Luckily, the pharmacy in Newton was also in need of a technician, and Tracy dutifully filled this role for twenty-five years. During her time with Medicap, Tracy greatly enjoyed the relationships she was able to build and maintain with her patients.

In the fall of 2021, Tracy accepted a position at GRX Holdings in West Des Moines as their DME (Durable Medical Equipment) Billing Specialist. GRX Holdings is the owner of twenty-four Central Iowa pharmacies, including Medicap, Oakland Pharmacy, and Midwest Compounding.

Within this role, Tracy’s main priority is to assist the twenty-four stores with successful billing of DME. When a GRX pharmacy receives a prescription for DME, they forward the information to Tracy, along with an inquiry, diagnosis, doctors notes, and insurance information. Tracy verifies this information and ensures that the pharmacy will be paid before the store actually bills it, ultimately saving time and money.

Early on in her pharmacy career, Tracy got involved with the Iowa Pharmacy Association (IPA) to be an advocate for her profession. In 2003, she was honored with the IPA Pharmacy Technician of the Year Award, recognizing an Iowa technician who has demonstrated outstanding involvement in the association and the profession. Currently, she serves on the IPA Technician Advisory Committee, where she is focused on getting technicians more involved in all aspects of their career.

When not working, Tracy stays actively engaged in her community. She is currently serving her sixth elected year on the Jasper County Agricultural Board. Additionally, Tracy is a member of her church board, Kellogg’s RAGBRAI Committee, and “If technicians are able stays involved with the East to see their position as Jasper County Food Pantry. Tracy’s hobbies consist of crafting, ‘more than just a job,’ DIY projects, and following her they will have improved kids as they go through college.

Tracy and her husband have two performance and show kids, a son and a daughter.

“

greater priority toward… caring for the patient.”

When asked what she enjoys most about her current role as a DME Billing Specialist, she says she appreciates being able to help both the store and the patient. Instead of a pharmacist taking the time to verify reimbursement for DME, Tracy’s work helps free up the pharmacist at the store level. This allows the pharmacist to perform more clinical services and process a higher quantity of prescriptions—something that is crucial for the survival of community pharmacy today.

Tracy shares the most challenging part about being a DME Billing Specialist is “getting the insurance on board with what is best for the patient.” The patient may be best suited for one type of equipment, but the insurance only pays for another type. She often has to be

26 | The Journal of the Iowa Pharmacy Association

an advocate for her patients to ensure they are getting the best treatment for their needs, while ensuring the dispensing pharmacy gets paid.

As Tracy reflects on what IPA can do to better support its technician members, she says she would like to see more outreach and encouragement for technicians to get involved. Tracy appreciates the scholarships offered by IPA for obtaining advanced technician credentials and would like to see those continue. Additionally, as a member of the IPA Technician Advisory Committee, she plans to work with IPA to bring back Pharmacy Technician Day and potentially restart Saturday Technician CE Day in Des Moines.

Tracy believes that if technicians are able to see their position as “more than just a job,” they will have improved performance and show greater priority toward the main goal of caring for the patient.

Thank you, Tracy, for your commitment to your patients, community, and Iowa Pharmacy! ■

TECHNICIAN CORNER

NEWLY CERTIFIED IOWA PHARMACY TECHNICIANS JANUARY 1-MARCH 31, 2023 James Abernathey Volta Adovor Kaylee Alvarez Mekarim Amro Kathleen Andreas Olivia Auderer Ashley Baker Tracy Bates Kaitlin Bosler Julie Brazil Jaimie Brouwer Gabrielle Brunner Camryn Bulian Skye Burnell Carrie Chaplin Nicholas Christensen Eryka Dickey Ethaniel Dies

Catherine Dill Tracy Dong Wanti Du Ashly Espinoza Kortney Etten Shawn Evarts KayCee Ewing Cline Erika Farrell Stefanie Gardner Tristesse Garvis Hunter Glenn Erin Halvorson Tracy Hanson Alicia Hanson Charity Harper Taylor Hayden Steven Hochstetler Danielle Holzmueller

Congratulations to the following technicians!

Jennifer Hoodjer Baily Hougham Blake Huebl Madison Hughbanks Samantha Hunt Sarah Imhoff Jean Marie Jensen Megan Jones Isaac Kim Alexa Kingbird Kallie Kolthoff Michelle Krum Evie Larson Anna Lauer Daniel Jongheon Lee Ronald Lidgett Erika Lundy Eileen Marshall

Kendall Mayne Monica McCart Skyler Meyer Ashleigh Million Rebecca Moffatt Mishkat Mohamed Kendal Mohr Denise Moore Emily Nguyen Jessica Norgart Caitlyn Nuehring Abigail Pape McKayla Pint Emily Quick Vanessa Ramirez Jimenez Rebeka Romano-O’Neill Julie Rosenkilde Heather Searles

Madison Sharp Kristina Simpson Geoffrey Smith Angela Speers Gabriel Stanforth Heather Stone Dezirea Stratton Maleah Toomey Hadlie Van Bemmel Miranda Verry Diego Villafana Guzman Sherlock Ward Mary Watson Emma Wells Phyllis Wheeler Beth Wold

IPA MEMBER BENEFIT Have You Accessed Your FREE Continuing Education Benefits Yet? WWW.IARX.ORG/ACCESSCPE

APR.MAY.JUN. |

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IPA FOUNDATION

Registration Now Open!

SEPTEMBER 21, 2023

The Legacy Golf Club, Norwalk, IA

Support the IPA Foundation by donating to the Silent Auction!

If you would like to donate to the IPA Foundation Silent Auction, please email Laura Miller at lmiller@iarx.org with a short description and approximate value of the item(s) you plan to donate.

You can also let IPA do the shopping for you! IPA is accepting monetary donations to purchase items to create auction baskets. Donations can be made in the amounts of $100, $250 or $500. Visit IPA's online Calendar of Events for the monetary donation portal.

28 | The Journal of the Iowa Pharmacy Association

GET YOUR T-SHIRT FOR SCS 2023!

June 16-July 31, 2023 www.iarx.org/Step_Cycle_Swing

IPA FOUNDATION

2022 OUTCOMES INNOVATIVE PHARMACY GRANT PROGRAM The IPA Foundation Outcomes Innovative Pharmacy Endowment was established by the original investors of Outcomes Incorporated to support innovative pharmacy initiatives in the state of Iowa. The Outcomes Innovative Pharmacy Grant Program provides financial support for research, education, and promotion of innovative pharmacy practice initiatives in the state.

New in 2022, there are now two funding pathways available for Iowa pharmacists—the original Outcomes Grant and the Outcomes Grant Entrepreneur Track. The Entrepreneur Track allows for year-round applications and greater funding opportunities.

Congratulations to the 2022 IPA Foundation Outcomes Innovative Pharmacy Grant Program recipients below!

PROJECT

SUBMITTED BY

AWARDED

Evaluation of a Community Pharmacist-Led Transition of Care Service Including Social Determinants of Health for Emergency Department Patients of a Critical Access Hospital

Kole Gallick, PharmD, University of Iowa PGY1 Community-based Pharmacy Resident, Osterhaus Pharmacy

$1,000

Patient Satisfaction with the Implementation of a Mobile Pharmacist in a MedicationAssisted Treatment Clinic

Emma Piehl, PharmD, University of Iowa PGY1 Community-based Pharmacy Resident, MercyOne Pharmacy

$2,000

Pharmacist-Led Behavior Health Screening and Intervention: Provider Acceptance Rates and Patient Outcomes

Shelby Reid, PharmD, University of Iowa PGY1 Community-based Pharmacy Resident, Greenwood Pharmacy

$2,000

Implementation of Clinical Pharmacist Services in a Rural Iowa Primary Care Clinic

Micaela Maeyaert, PharmD, BCPS, DPLA, Director of Pharmacy, Spencer Municipal Hospital

$12,300

2023 FUNDING CYCLE

Applications must be submitted by 11:59 PM on Friday, September 1. Applicants must then present their proposals at the November IPA Foundation Board of Directors Meeting. Awarded applicants must present a poster at the 2024 IPA Annual Meeting June 20-21 in Coralville. Learn more: www.iarx.org/outcomesgrant

APR.MAY.JUN. |

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IPA FOUNDATION

2022-2023 IPAF SCHOLARSHIPS IPAF Eggleston-Granberg Scholarships Ali Goldensoph, Drake University James Nichols, Drake University Emily Weyenberg, University of Iowa Keaton Higgins, University of Iowa

Christopher Decker Pharmacy Scholarship Keaton Higgins, University of Iowa

IPAF Mike & Terry Pursel Scholarship Paula Ornelas, Drake University

IPAF Russell E. Johnson Jr. & Lucille Johnson Scholarship Kaitlyn Thomas, Drake University

IPAF General Scholarships Anna Holden, Drake University Jana Kay Lacanlale, Drake University Isaac Ramos, Drake University Caesar Yeaman, Drake University Jack Dykema, University of Iowa Zach Nunemaker, University of Iowa

Health Mart is proud to support Iowa Pharmacy Association Health Mart® celebrates your independence. We’re committed to providing the solutions and support that enable you to grow your business, your way.

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30 | The Journal of the Iowa Pharmacy Association

IPA COMMITTEES

2022-2023 IPA COMMITTEES THE POLICY COMMITTEE ON PUBLIC AFFAIRS

LEGISLATIVE ADVISORY COMMITTEE

SENIOR CARE ADVISORY COMMITTEE

Nic Lehman – Chair Namaro Kone – Vice Chair Laura Knockel – Past Chair Samm Anderegg Kelly Andersen George Appleseth Jenna Beninga Allison Bich Ginelle Bryant Josh Davis Levi Gates Kyle Hillsebeck Anna Holden Matt Hubble Ben Jagow Olivia Lehman Wendy Mobley-Bukstein Kalyca Nardy Zach Nunemaker Lainie Thomas Jarek Vetter Kate Waack Andrew Wagner Mylo Wells

Mike Andreski Brent Bovy Mike Brownlee Bill Drilling Luke Ferguson Steve Firman Caitlyn Forrester Ben Fox Michelle Garvin Joe Greenwood Charlie Hartig Charlie Iles Candace Jordan Anders Landis Ed Maier Anne Nelson Nate Peterson Diane Reist Sydney Ross Michael Schweitzer Reed Timmer Andrew Wagner Braden Weiser

Mark Branum Grant Houselog Namaro Kone Kristin Meyer Jeff Reist Leeta Votsmier

THE POLICY COMMITTEE ON PROFESSIONAL AFFAIRS Brian Benson – Chair Nora Stelter – Vice Chair Emma Kraayenbrink – Past Chair Jen Alexandere Alice Callahan Sara El-Hattab Sarah Greiner Jill Guetersloh Spencer Heggen Cole Ludolph Alicia Lynn Aaron McDonough Alex Mersch Isaac Ramos Shelby Reid Andrew Stessman Casey Villhauer Meredith Wyland Ceasar Yeaman

HEALTH-SYSTEM ADVISORY COMMITTEE Jared Butler Ashley Cook Jackie Gravert Naomi Graves Mark Notz Hailey Steuber Jennifer Williams

COMMUNITY PHARMACY ADVISORY COMMITTEE Brandon Gerleman Jessica Johnson Kelly Kent Nick Lund Kayla Manning Wes Pilkington Chelsea Schott

AMBULATORY CARE PHARMACY ADVISORY COMMITTEE Bill Baer John L'Estrange Ashley Loeffelholz Deanna McDanel Chayla Morris Jamie Pitlick

EDUCATION ADVISORY COMMITTEE Eliza Dy-Boarman Morgan Herring Rick Knudson Kimerly Metcalf Matt Pitlick

PHARMACY TECHNICIAN ADVISORY COMMITTEE Macey Calderwood Tina Dotzler Meredith Drummond Lori Foster Lisa Gross Jake Klein Tracy Kleinschrodt Tammy Sharp-Becker

STUDENT ADVISORY COMMITTEE Savannah Anderson Nirjan Bhattarai Stacia Humphrey Paula Ornelas Sidney Vancil Emily Weyenberg

APR.MAY.JUN. |

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MEMBERS SECTION

PHARMACIST SPOTLIGHT: SARAH SORENSEN, PHARMD

F

or over fifty years, Drilling Pharmacy has been a staple of Sioux City, IA, providing healthcare services to the community and treating each patient as family; because at Drilling, family is integral to the pharmacy business. After graduating from the University of Iowa College of Pharmacy in 2018, Sarah Sorensen rejoined her father and uncle in Sioux City, making her the third generation to work for the family pharmacy.

Sarah Sorensen, PharmD Staff Pharmacist, Drilling Pharmacy

Besides being a third-generation pharmacist, Sarah’s career is unique because of the variety of services Drilling pharmacy provides. A few examples of these services include: a strong medication synch program with 1,300 patients enrolled; a free delivery service that routinely delivers over 150 prescriptions a day; and utilizing ScripTalk, an assistive technology for the visually impaired.

Recently, Drilling has implemented the Cardiovascular Practice Transformation Program (CPT), in collaboration with CPESN, which is a longitudinal service that focuses on blood pressure, cholesterol, and diabetes management. Sarah works closely with patients to educate them on how to properly take their blood pressure, their blood pressure medications, and lifestyle interventions.

She then follows up with the patient and collaborates with their primary provider to ensure the best course of therapy. The patient interaction is what Sarah finds the

Drilling Pharmacy Staff

32 | The Journal of the Iowa Pharmacy Association

most rewarding, particularly helping confused patients understand their medication regimen.

When asked about the proudest moment of her career thus far, Sarah states it was being part of a pharmacy team that stepped up when the community was in need during the COVID-19 pandemic. Drilling Pharmacy was able to administer over 10,000 COVID-19 vaccines and break down access barriers by immunizing patients in their homes.

Outside of pharmacy, Sarah enjoys attending Hawkeye sporting events, reading, traveling, and playing sand volleyball. As of late, Sarah and her husband, Eric, are staying busy in their new role as parents. The couple welcomed their daughter, Mia, in June of last year. Sarah makes time to be active in the community she calls home, serving as a Sunday school teacher and administering long-acting injectables for free.

As for the future of pharmacy in Iowa, Sarah envisions more legislation and statewide test-totreat protocols to provide patients greater access to healthcare and more hands-on clinical opportunities, as well as the expansion of the role for technicians. Undoubtedly, the future of Drilling Pharmacy is in good hands with Sarah as she builds upon tradition and continues the family legacy. ■

MEMBERS SECTION

MEMBER MILESTONES Congratulations to Connie Connolly, BS Pharm, BCACP, who was appointed by Governor Reynolds to the Iowa Board of Pharmacy!

www.iarx.org/join_renew

WELCOME NEW MEMBERS JANUARY 1-MARCH 31, 2023 CONNECTED

BUSINESS PARTNERS

Michelle Brandom

Ankeny Community Pharmacy Towncrest Compounding LLC Towncrest LTC Cornerstone Apothecary (Marengo) Cornerstone Apothecary (Belle Plaine)

ENGAGED Andrea Beuthien Jeremy Faulks Theresa Kramer Amanda Mull Mark Notz Hannah Thomas

Congratulations to Lisa Mascardo, PharmD, FASHP, who was recognized through the University of Iowa’s February 2023 Longevity Awards for 25 years of continuous service!

Congratulations to Jamie Pitlick, PharmD, who was approved for a promotion by Drake University College of Pharmacy and Health Sciences!

Congratulations to Laura Knockel, PharmD, BCACP, who won an APhA Merit Award for her poster at the 2023 APhA Annual Meeting and Exposition!

Congratulations to Jessica Nesheim, PharmD, BCPS, who was awarded the Young Alumni Achievement Award from Drake University College of Pharmacy and Health Sciences!

TECHNICIANS Christine Hare Lisa Healey Kennedy Soper

Congratulations to Bryce Jackman, RPh, BCNSP, who was recognized as a Fellow of the National Home Infusion Association (NHIA)!

IN MEMORIAM

Longtime IPA member and Iowa pharmacist Richard "Dick" Bloemke passed away on February 28, 2023. Dick served patients across the state at Denison Drug Store in Denison, Aageson Drug in Dows, and Kessler Pharmacy in Belmond. After sixteen years, Dick purchased Kessler Pharmacy and renamed it Bloemke Pharmacy, leaving a lasting legacy on his community and the pharmacy profession.

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CALENDAR OF EVENTS

UPCOMING IPA EVENTS Find additional details to these events and more at www.iarx.org. Click on “Calendar of Events” under the Events tab.

JUNE 2023 13

2/2/2 Webinar: Managed Care Organization (MCO) Panel

15

IPA Annual Meeting: Day 1 (0.3 CEU)

16

2023 STEP, CYCLE, SWING Kick-off

16

IPA Annual Meeting: Day 2 (0.3 CEU)

30

IPA Open Hours: Submitting PBM Complaints

JULY 2023 11

2/2/2 Webinar: Counterfeit Schemes & DSCSA Obligations for Pharmacists

12

Ask IPA Anything – Workforce Shortages & Working Conditions

14

IPA Open Hours: Submitting PBM Complaints

28

IPA Open Hours: Submitting PBM Complaints

29

Step Up for Students Fundraiser

AUGUST 2023 9 11

Ask IPA Anything – Grant Opportunities for Iowa Pharmacists IPA Open Hours: Submitting PBM Complaints

Currently scheduled events are subject to change.

Watch IPA communications regarding any updates.

34 | The Journal of the Iowa Pharmacy Association

Onnen Company has been serving our customers’ needs since 1964. Fourth generation owned and operated, we offer endless industry knowledge through dedicated sales reps, management and owners with well over 100 years combined experience. We have a knowledgeable, unparalleled, and dedicated customer service staff to help you through the order process. Thank you for trusting us to continue to serve your prescription packaging and pharmacy supply needs.

What can Onnen do for you?

Prescription Labels and Forms.

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Vials in most brands. Save money on Secure brand.

Free logo on Secure caps.

Wide selection of Prescription Equipment and Compounding supplies.

Pill Cards in both Cold Seal and Heat Seal versions.

Stock and Custom printed bags for pharmacy.

Rx Tape • Dosing Supplies • Custom Forms • Checks Envelopes • Padded Mailers • Shipping Supplies Toners • Printer Supplies • Pens • Calendars Magnets • Ad Specialties • and much more!

Phone Toll Free 800.373.7162 Local Phone 515.276.0479 Fax Toll Free 800.373.7163 Local Fax 515.276.8341 www.onnencompany.com email: sales@onnencompany.com

PHARMACY TIME CAPSULE

20 03

Issues & Events That Have Shaped Iowa Pharmacy (Or Are Fun to Remember!)

JANUARY:

The Iowa Department of Human Services implemented the “State Maximum Allowable Cost” (SMAC) list for multi-source prescription medications. The Department of Human Services worked closely with IPA to establish guidelines for the program to ensure products met basic criteria for therapeutic equivalence, consistent utilization, and were readily available at the determined pricing factor established by the department.

IPA’s 2003 Educational Expo was held January 17-19th at the Marriott Hotel in downtown Des Moines. Keynote presentations focused on the Lighten Up Iowa effort and pharmacists’ role in medication safety.

More than 500 pharmacists, pharmacy technicians, and student pharmacists attended.

FEBRUARY:

IPA’s annual Legislative Day was held February 18th. Over 140 Iowa pharmacists, pharmacy technicians, and student pharmacists attended the event. Former Iowa Governor Tom Vilsack (1999-2007) provided the keynote address.

MARCH:

The University of Iowa released results from a major three-year study that examined a new Former Gov. Tom Vilsack patient care payment system, wherein pharmacists and physicians were compensated for the additional care associated with drug therapy management services. The study found that the PCM program served to significantly improve medication safety, as well as improving patient outcomes without increased costs to Medicaid.

MAY:

A University of Iowa study published in The Journal of Human Pharmacology and Drug Therapy suggested that pharmacists can be an effective resource for smoking-cessation intervention.

SEPTEMBER:

The American Society of Health-System Pharmacists (ASHP) issued guidelines on the pharmacist’s role in immunizations. This guidance document helped pharmacists take an active role in improving national immunization rates and advancing the pharmacy profession.

OCTOBER:

The IPA House of Delegates adopted a policy calling for products containing pseudoephedrine to be removed from general public access to address the growing methamphetamine concern.

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

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