IPA Journal - Jan/Feb/Mar 2015

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

Collect Follow-up: Monitor & Evaluate

Assess

PatientCentered Care Implement

Plan PHARMACISTS’ PATIENT CARE PROCESS - pg 12

JAN.FEB.MAR 2015 Board of Trustees Election Legislative Priorities IPA Foundation Honor Roll of Giving

JAN.FEB.MAR 2015 | Vol. LXXI, No. 1

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

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

OFFICERS

CHAIRMAN Michele Evink, MS, PharmD, CGP, FASCP, Osceola 641.342.5322, mevink@clarkehosp.org PRESIDENT John Swegle, PharmD, BCPS, Mason City 641.428.7182, john-swegle@uiowa.edu PRESIDENT-ELECT Bob Greenwood, RPh, Waterloo 319.234.1589, bob@greenwoodpharmacy.com TREASURER Steve Firman, RPh, Cedar Falls 319.277.7540, steve@pmgrx.com SPEAKER OF THE HOUSE Connie Connolly, RPh, BCACP, DeWitt 563.652.5611, conniejconnolly@hotmail.com VICE SPEAKER OF THE HOUSE CoraLynn Trewet, MS, PharmD, BCPS, CDE, Ankeny 515.360.0065, coralynn.trewet@sanofi.com

TRUSTEES REGION 1 Kristin Meyer, PharmD, CGP, CACP, FASCP, Marshalltown 641.753.4580, kristin.meyer@drake.edu REGION 2 John Daniel, PharmD, Fort Dodge 515.573.3431, jfdaniel@frontiernet.net REGION 3 Erik Maki, PharmD, BCPS, Johnston 515.326.0171, erik.maki@drake.edu REGION 4 Ashley Dohrn, PharmD, Le Claire 563.324.5004, ashley.dohrn@me.com AT LARGE Justin Rash, PharmD, CGP, Ankeny 515.331.2594, rash.justin@gmail.com Felix Gallagher, PharmD, Des Moines 515.334.4293, fgallagher@pharmservstaffing.com David Weetman, RPh, Iowa City 319.356.2577, david-weetman@uiowa.edu Laura Knockel, PharmD, North Liberty 319.354.7121, lauraknockel@gmail.com HONORARY PRESIDENT Bruce Alexander, PharmD, BCPP, Iowa City bruce.alexander@va.gov PHARMACY TECHNICIAN G. Jean Gallogly, CPhT, Vincent crittersandstuff@yahoo.com STUDENT PHARMACISTS Grant Houselog, University of Iowa grant-houselog@uiowa.edu Carson Klug, Drake University carson.klug@drake.edu

FEATURES

President’s Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Year in Review Pictorial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Board of Trustees Election . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Midwest Pharmacy Expo . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Pharmacists’ Patient Care Process . . . . . . . . . . . . . . . . . . . 20

IN EVERY ISSUE

Health Care Hot Topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Iowa Pharmacy News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Advisory Committee Recaps . . . . . . . . . . . . . . . . . . . . . . . .

IPA Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Public Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Peer Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Member Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Technician’s Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

College of Pharmacy News . . . . . . . . . . . . . . . . . . . . . . . . . .

Student Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Calendar of Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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JAN.FEB.MAR 2015 |

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President’s Page

IT’S NEVER TOO LATE…..

T John Swegle

PharmD, BCPS, BCACP IPA President

hroughout the past several months in my role as IPA President, I’ve heard many perspectives on the changing healthcare landscape and how this will impact pharmacy. None of us know for sure how our profession will look in 5-10 years but there are some aspects that will certainly be different. We need to be ready for these changes and embrace them. The ability to prepare for uncertainty is always a challenging task.

Many years ago when I was working as a pharmacist in a traditional pharmacy setting, my role was different. I primarily dispensed medications and educated patients on safe and effective use. I felt good about the care I was providing however I wanted to gain more knowledge and advance my skills as a pharmacist.

The only problem was I didn’t know where to start. Added to this was my fear of exposing areas of weakness since I had been out of school for a period of time. I had a choice to make…either stay within my comfort zone or take a leap of uncertainty. I took that leap and have never regretted it. Why am I telling you this story? To let you know of the opportunities out there for our profession.

Opportunities I did not have 20 years ago.

“I had a choice to make… either stay within my comfort zone or take a leap of uncertainty. I took that leap and have never regretted it.”

ASHP and APhA have joined together in promotion of study materials for board certification through the Board of Pharmaceutical Specialties. This, in addition to what ACCP offers, allows

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pharmacists multiple venues to pursue materials needed to advance your skills.

Based on the number of pharmacists sitting for the exams, members of our profession recognize the importance of Board certification. By the end of this year, there will be approximately 15,000 pharmacists certified as Pharmacotherapy Specialists. Ambulatory Care was introduced as a specialty in 2011 and at the end of 2013, over 1,500 pharmacists had already become certified. The number of pharmacists sitting for these exams continues to grow at a rapid rate.

You may be asking yourself why you would consider studying and sitting for a Board certification exam. I know many of you already provide high quality care to your patients. I also realize a certificate that hangs on your wall is not what makes you a better pharmacist. However the preparation and learning that comes out of it will make you better at what you do.

And you will become more confident in your skills as a clinician. We will be asked to do more with patient care and I want us to be ready to answer that call. Advancing your skills through board certification is one of the more recognized means to do just that.

“...you haven’t been out of school for too long, your ability to learn is not gone, and yes you do have the time to prepare.”

It’s never too late to advance your skills as a pharmacist - you haven’t been out of school for too long, your ability to learn is not gone, and yes you do have the time to prepare. The Iowa Pharmacy Association is here to help if you are interested in learning more about Board Certification, the study materials available, or participating in a study group. ■

Year in Review

THANK YOU FOR A FANTASTIC 2014!

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board of trustees election

ELECTRONIC BALLOTS WILL BE SENT FEBRUARY 6TH Each candidate’s personal statement and bio will be available online with the electronic ballots. All IPA Pharmacist members vote for all elections. Ballots will close Friday, February 18th at 12:00 midnight.

To request a paper ballot, contact the IPA office at 515.270.0713.

SAVE THE DATE

May 12, 2015 at 2:00 2/2/2: Open Forum on Proposed IPA Policies Our May 2/2/2 webinar is your opportunity to share your opinion on the proposed topics for the 2015 Annual meeting taking place June 11-13, 2015.

Plan on attending and make sure your voice is heard!

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board of trustees election FOR THE OFFICE OF PRESIDENT Bob Greenwood, RPh, Waterloo

Robert Greenwood graduated from Creighton University College of Pharmacy in 1977 and moved to Waterloo, IA and has been involved in community pharmacy as a manager, partner, and owner ever since. Currently he and his wife Chery own three pharmacies, and are partners in two other practices.

Their pharmacies offer a range of services including retail, compounding, assisted living, immunizations, MTM, and a closed door long term care practice.

Bob has served 12 years on the Waterloo City Council, and as an officer, director, and past president of NCPA (2010-2011), and was installed as IPA’s president-elect in June 2014. He is an adjunct professor and preceptor for both The University of Iowa, and Creighton University Colleges of Pharmacy. In addition, Bob serves on the deans’ advisory committee at Creighton. In 2011, Bob served on the Policy Committee for APhA and the CPPA standards oversight committee.

Bob has been recognized with the Bowl of Hygeia in 2011 given

by IPA, and the Hubert H. Humphrey award from APhA in 2013.

Creighton University School of Pharmacy and Health Professions recognized Bob with the Alumni Merit Award in September of 2014, when he was also recognized by the University Of Iowa College Of Pharmacy with an Honorary Alumni Award. Bob and Chery Greenwood have been married for 32 years and have three children, Joe (Torie), Tim, Abby, and granddaughter Amelia.

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board of trustees election FOR THE OFFICE OF PRESIDENT-ELECT Rick Knudson, PharmD, BCPS, MS, MBA Clear Lake

Rick Knudson received his Doctor of Pharmacy degree from Drake University College of Pharmacy and Health Sciences in 1998. Following graduation he completed a Pharmacy Practice Residency at Avera McKennan Hospital in Sioux Falls, SD. Upon completion of residency training Rick returned to Iowa to practice pharmacy in Mason City where he served for five years as the Infectious Disease Clinical Pharmacy Specialist for Mercy Medical Center - North Iowa. In 2004 he joined the Premier healthcare alliance as Director, Pharmacy Consulting. This practice role affords Rick the opportunity to work with pharmacists and health care systems across the country on ways to improve the clinical and financial performance of many different types of pharmacy practice models. In the spring of 2013 Rick completed his Masters requirements in pharmacoeconomics through the University of Florida College of Pharmacy. The following year, 2014, he completed the requirements for a Masters of Business Administration degree from Stetson University in Deland, FL. Rick served on the IPA Board of Trustees from 2007-2009. He is a past participant of Leadership Pharmacy and has served on numerous IPA committees and task forces including the Health System Liaison Board, Membership Committee, the IPA House of Delegates and multiple terms with the Professional Affairs Committee including a term as chair. Rick has been active in various other roles with the association including serving as a peer reviewer for The Journal of IPA and a pilot participant for the continuing professional development program. In addition, he serves numerous committees and advocacy roles through his work with Premier.

Rick is a member of the Iowa Pharmacy Association, American Society of Health-Systems Pharmacists, American College of Clinical Pharmacy and the North Iowa Pharmacy Association with which he has served multiple terms as Treasurer and President. Rick has also been an active alumnus of Drake University serving as an Advisory Board Member for the DELTA Rx Institute, a member of the College of Pharmacy Assessment Committee and as a recurring judge in the Next Top Entrepreneur Competition. Rick is also Board Certified as a Pharmacotherapy Specialist through the Board of Pharmacy Specialties. Rick’s free time is spent with his wife Jennifer and their three children Nathan, Kaitlyn and Samuel as well as with various school and church activities in his home community of Clear Lake.

Personal Statement

First I would like to thank the IPA nominations committee for their consideration of myself as a candidate for President-Elect. It is truly humbling. Second I would like to say that I am truly proud to be a member of The Iowa Pharmacy Association and a pharmacist in the state of Iowa. The profession of pharmacy in Iowa, in large part because of our strong association, is truly a unique and special environment. I can tell you from first-hand experience this is not always the case for our fellow pharmacists around the country.

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We should all take pride in our continued efforts to advance pharmacy practice here at home as well as influencing practice on a broader scale.

Health care is truly a sector that is currently under rapid change.

The profession of Pharmacy is not immune to these on-going changes. I would argue that we as a profession, now more than ever, have a true opportunity to usher in major advances to our practices that will truly benefit the patients we serve. To be successful we must continue to focus our efforts on improving outcomes for our patients and doing so in a collaborative way with other providers and stake holders as well as aligning our own fragmented pharmacy care processes.

Over my years in practice I like to think that I have gained a few nuggets of wisdom. One thing I have come to realize is that no one person has all the answers but when you bring the collective expertise of an entire body of people together those answers will be found. Together we are so much more than the sum of our parts. Iowa pharmacy has a long-standing partnership between our colleges of pharmacy, the State Board of Pharmacy and our professional association. This partnership in conjunction with a motivated and capable group of professionals in our state has consistently provided those ‘necessary answers’. It is my hope that the Iowa Pharmacy Association can continue to be a catalyst for this powerful innovation engine - so much so that the output becomes even bigger and bolder than it has to date.

On various occasions I have been asked what my vision is for the practice of pharmacy - where should the profession be in 5 years, 10 years, etc.? My vision for the profession is not a final picture of what it ‘should look like’ but rather a hope that we continuously evolve in order to provide ever higher levels of care for the patients we serve. Ralph Waldo Emerson stated, “Life is a journey, not a destination” and that is how I feel about our profession. Each of us, no matter our role or practice setting, is essential to the ongoing evolution of the profession. We must take active roles as advocates, educators, researchers and practitioners. Our activities and efforts must continue to focus on the patients we serve and improving their outcomes.

As I mentioned above no one person will have all the answers and that is true for me as well. However, if elected to office for the association I will strive to make it my goal to serve as an advocate for all of you; a voice to deliver your message and your answers to the multitude of challenges and opportunities that will continue to face our profession both here in Iowa and beyond.

board of trustees election FOR THE OFFICE OF PRESIDENT-ELECT Lisa Mascardo, PharmD Coralville

Lisa Mascardo received her B.S. in Pharmacy and Pharm.D. Degrees from the University of Iowa College of Pharmacy. She is Director of Ambulatory Pharmacy Services at the University of Iowa Hospitals and Clinics (UIHC), where she oversees the provision of pharmacy services in six ambulatory pharmacies within UIHC and three off-site pharmacy locations. Lisa is responsible for the UIHC’s Investigational Drug Service, as well as the provision of clinical and specialty pharmacy services in the ambulatory clinics, including the pharmacistrun Anticoagulation Case Management Service and Pharmacotherapy Clinics. She participates on multiple hospital multi-disciplinary groups, including the P&T Subcommittee and Chemotherapy Subcommittee. Prior to her current position, Lisa was a pharmacy manager in Acute Care and a clinical pharmacist in oncology. She is an Adjunct Assistant Professor with the University of Iowa College of Pharmacy, and works with pharmacy students and residents on pharmacy management rotations.

Lisa is an active member of the Iowa Pharmacy Association, having served on the Board of Trustees from 2010-2012, and as Speaker of the H ouse of Delegates from 2012-2013.

She is a current member of the IPA Health-System Liaison Board, and was recognized as the 2013 IPA Health System Pharmacist of the Year.

change from inpatient to outpatient pharmacy, I relied on many leaders in IPA to help me learn what I needed to know.

There have been many challenges in the past ten years.

There have also been exciting new opportunities, including more pharmacists providing direct patient care in clinics, new payment sources for medication therapy management, increased applications for telehealth and telepharmacy, and the profession’s march toward provider status for pharmacists.

Some of the biggest opportunities yet hinge on how we define our role in a managed care environment. Pharmacists in all areas can put their clinical knowledge to use by partnering with other providers and ensuring transitions between care settings are safe and free from medication errors. It’s a prime rationale for requesting provider status, so let’s rise to the challenge.

If elected, I would look forward to working with the IPA staff, Board of Trustees, and pharmacists and technicians in Iowa to continue to address the challenges and opportunities faced by our profession. Our continued teamwork, vision and innovation will ensure we remain national leaders in all aspects of the profession.

Lisa is an active member of ASHP, having served numerous times as an Iowa delegate to the ASHP House of Delegates.

She is a member of the ASHP Council on Pharmacy Practice and Compensation and Practice Sustainability Section Advisory Group. She is also an active member of the University Health-System Consortium, currently serving as the vice-chair of the Ambulatory Pharmacy Development Committee.

Personal Statement

It is truly humbling to be nominated for the office of PresidentElect of the Iowa Pharmacy Association. It would be an honor to serve an organization that has done so much for pharmacists in Iowa. Through my involvement in national organizations, it’s become clear to me how unique and special IPA, and the Iowa pharmacy family, is. Pharmacists in other states often have a difficult time believing that our two schools of pharmacy, pharmacy association, and state board of pharmacy interact so well. It’s the Iowa Pharmacy Association, representing pharmacists in all areas of practice, which bolsters and leads these relationships.

I feel blessed to have the pharmacy experience that I do working in a robust ambulatory setting within a hospital/ health system environment. Back in 2005 when I made the

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board of trustees election FOR TRUSTEE - REGION 2 Ryan Jacobsen, PharmD, BCPS Iowa City

Ryan Jacobsen, PharmD, BCPS, received his Doctor of Pharmacy degree from the Creighton University School of Pharmacy in 2002 and completed an ASHP-accredited Specialized Residency in Primary Care at the University of Iowa Hospitals and Clinics (UIHC) in 2003. After residency, Ryan worked at UIHC as a Pharmacy Practice Specialist for 2 years and as Manager of Ambulatory Pharmacy Services for 3 years. He is currently a Clinical Pharmacy Specialist and Clinical Coordinator in Ambulatory Care at UIHC and Clinical Assistant Professor at the U. of Iowa College of Pharmacy.

His interests include interprofessional team-based delivery of patient-centered care, interprofessional education, and clinical pharmacist services. His primary practice sites include General Cardiology and Renal/Hypertension Clinics. He is certified by the Board of Pharmaceutical Specialties in Pharmacotherapy.

He is an active member of the IPA, ASHP, APhA, and Phi Lamdba Sigma Pharmacy Leadership Society.

In IPA, Ryan has served on the Legislative Affairs, Professional Affairs, and Public Affairs Committees and as Chair of the Public Affairs Committee. Ryan has served in the IPA House of Delegates. He has been active in the Educational Expo as a speaker and in the Cardiovascular Update Conference as a speaker and on the planning committee. He was instrumental in this past year’s Collaborative Conference with the U. of Iowa College of Medicine’s Progress in Internal Medicine. In his free time, Ryan enjoys competitive cycling and spending time on family bike rides with his wife, Melissa, and their three children, Aidan, Jocelyn, and Logan.

Personal Statement

Health care in the United States is in the midst of major change and with change comes significant challenges.

However, I live by “the glass is half full” attitude and I see these changes as tremendous opportunities for the pharmacy profession. The Iowa Pharmacy Association is our voice and essential to taking full advantage of these opportunities but the IPA cannot accomplish our profession’s goals without an engaged and dedicated membership. I am proud to be a member of IPA and thankful for our membership’s dedication and collective expertise. Even with our successes I know we can do more and it is an honor to be nominated to serve IPA on the Board of Trustees.

I am committed to helping advance our profession as members of the interprofessional team who contribute to patient outcomes by helping ensure safe and effective medication therapy. Medications have the potential to significantly improve patient outcomes but all too often, medications are the cause of problems and are not taken

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correctly or not taken at all. Pharmacists are uniquely positioned as the medication experts on the team to help address these issues and help patients achieve their healthrelated goals. In order for pharmacists to reach our full potential, we must be recognized as health care providers; we must be compensated for all of our contributions to patient care and medication management systems; we must demonstrate competence in interprofessional collaborative practice; we must bridge the gap between community pharmacies, outpatient clinics, and hospitals to improve transitions of care; and we must tell our story. I believe the Iowa Pharmacy Association and an engaged membership can accomplish these initiatives. If elected for this position, I will bring over 10 years of experience in ambulatory care clinical practice, academia, and health systems pharmacy; an open mind to all ideas and positions; and a passion for the pharmacy profession.

board of trustees election FOR TRUSTEE - REGION 2 Zach Pollock, MS, PharmD North Liberty

Zach Pollock currently serves as the Associate Chief of Pharmacy Operations at the Iowa City VA Health Care System.

He is a 2007 graduate of the University of Iowa College of Pharmacy and completed a PGY1/PGY2 Health System Pharmacy Administration Residency at the University of Minnesota Medical Center, Fairview in Minneapolis, MN. He also received his Master of Science degree in Social and Administrative Pharmacy from the University of Minnesota College of Pharmacy in 2012. In his current role, Zach is responsible for the oversight of clinical and operational services of both the inpatient and outpatient pharmacy areas.

His interests include pharmacy enterprise and health system management, process improvement, population health, transitions of care, oncology, and infectious disease.

and expertise. Pharmacy services are an essential part of the care delivery process and pharmacists are uniquely poised to not only be resources but leaders on the healthcare team.

When we align our efforts we can make a greater impact that improves care coordination. We need to be cognizant of the changing landscape around us and assess the opportunities that present themselves. Together we can capitalize on these opportunities and help Iowa continue to be innovative and progressive in its approach to pharmacy and the delivery of patient care. I look forward to the possibility of helping shape our future and thank you for this opportunity.

Zach is the Vice-Chair of the Health System Pharmacy Liaison Board for the Iowa Pharmacy Association and a member of the Board of Trustees for the Johnson County Pharmacy Association. He is an Adjunct Assistant Professor at the University of Iowa College of Pharmacy and precepts students and residents at the VA. Zach recently served on the American Society of Health System Pharmacists New Practitioners Forum Public Affairs and Advocacy Advisory Group and was a participant in the Pharmacy Leadership Conference.

Personal Statement

I’d like to first thank the nominations committee for the opportunity to be considered for the Board of Trustees. I feel fortunate in my career to have already worked in states with strong, nationally respected professional pharmacy organizations like Iowa, Minnesota, and Wisconsin. With each experience I have always been able to draw from my roots in Iowa and am excited to be home and work with you to move our profession forward. My goals in my formal management and leadership role are the same that I would have for the Iowa Pharmacy Association. Those goals are to ensure that my colleagues and staff are trained and have the tools necessary to perform at the top of their license, to promote the role of the pharmacist with key stakeholders, and to be a good steward of our resources to optimize high quality outcomes for our patients.

The healthcare landscape continues to change and is more complex than ever. Promoting quality outcomes for our patients remains our number one priority even though we may have more questions surrounding healthcare reform now than we did in previous years. Whether we choose to focus on drug shortages, reimbursement, provider status, care coordination, technician advancement or other initiatives we are all accountable for the care our patients receive. Patients and other health professionals look to us for our knowledge

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board of trustees election FOR TRUSTEE - REGION 4 Carol Anderson, PharmD Mason City

Carol Smestad Anderson earned her Bachelor’s Degree in Pharmacy from NDSU (Go Bison!) and Doctor of Pharmacy from the University of Iowa. She works as a clinical pharmacist at Mercy Medical Center North Iowa (MMC-NI) in Mason City, where her responsibilities include scientific member of Institutional Review Board (IRB), writer/editor of Pharmacy and Therapeutics (P&T) Committee’s monthly ‘Pharmation’ Newsletter, liaison to P&T regarding NPSG3E anticoagulation management, and preceptor of MMC-NI’s Pharmacy Residency oncology rotation. Her clinical duties include the patient care areas of ICU, Cardiology, Internal Medicine, and the Mercy Cancer Center.

Currently Carol serves as an IPA Delegate and is a member of IPA’s Health System Liaison Board, She has twice served as president of North Iowa Pharmacy, Inc. Carol holds adjunct faculty positions with Drake and the University of Iowa as a preceptor for her Oncology rotation. She is a long-time member of IPA, North Iowa Pharmacy, Inc, and ASHP. Carol is also active in the community as a volunteer pharmacist for the Cerro Gordo County Free Clinic and shares her gift of music by playing piano for worship in Mason City.

Carol and her husband Gary celebrated their 14th wedding anniversary this summer. They enjoy travel, cooking, and spending time with their family.

Personal Statement

First of all, I’d like to thank the nominating committee for considering me as a candidate for Trustee of Region Four.

Those of us in the Mason City area have been fortunate to live and work closely with IPA leaders such as Leaman Olson, Tim Becker, Rick Knudson and John Swegle. Their level of commitment to IPA and the profession of pharmacy is both exceptional and remarkable. It is in no small part due to their examples of leadership that I come before you as a willing participant, hoping to lead by example to my colleagues.

As my involvement with IPA has expanded, I’ve met pharmacists from across the State of Iowa who have shared insights that have proven invaluable to my practice as a hospital pharmacist. What I love about IPA is the diversity in its membership; voices from industry, education, specialty, and clinic pharmacies can be heard along with those of hospital and community pharmacies. We can accomplish so much more together than we can as individuals.

The changing climate of health care will continue to be at the forefront of our professional agenda. We will continue to work

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toward pharmacist provider status, sustained regulation of PBM’s and enhanced safety in compounding. I’d be honored to be a part of this team of pharmacy professionals as we work together to accomplish our goals. It would be a privilege to share my skills and time in serving the membership of IPA as a member of the Board of Trustees.

board of trustees election FOR TRUSTEE - REGION 4 Jerod Work, PharmD Souix Center

Born and raised in rural Iowa, Jerod Work attended Northwestern College in Orange City, Iowa, for his undergraduate studies in Business Administration and Finance. Following his BA, he went on to pharmacy school at the University of Minnesota College of Pharmacy and graduated with his Doctor of Pharmacy degree in 2004 as summa cum laude with distinction. As a pharmacy student, Jerod was inducted into Rho Chi (academic honors) and Phi Lambda Sigma (the student pharmacy leadership society).

Jerod worked for two years in Minnesota with Fairview Pharmacy Services before returning to Iowa.

Currently, he is the chief pharmacist and pharmacy manager for Lewis Family Drug in Sioux Center. As adjunct faculty, Jerod, along with a Lewis colleague (Lisa Doorenbos), developed and instructed a pharmacy technician degree and certificate program at Northwest Iowa Community College. He is also an adjunct professor at Northwestern College, his alma mater, teaching pharmacology to nursing students and senior biology/pre-med students.

As an active Iowa Pharmacy Association member, Jerod currently serves on the Medicaid & Pharmacy Benefit Program Advisory Committee. He was a 2009 participant of the Leadership Pharmacy Conference. Other affiliations include: APhA and NCPA member, Sioux Center Community School District Board of Directors, Sioux Center Community Hospital and Health Center Foundation board member, Kinsey Elementary Volunteer, Sioux Center Chamber of Commerce member, ViBella Serves mission board of directors, Mission Haiti pharmacy coordinator, Sunday school teacher, guest lecturer for several community health groups, preceptor, host for job shadowers, employer of pharmacy students and interns, and, most proudly, husband and father.

pharmacists can provide. Paramount in this challenge is that we are the leaders to define the profession and redefine the pharmacist’s role. Passionate, engaged leadership is the force that will guide the profession through these struggles and I am concerned about the next generation of leaders within the profession. Are we mentoring the next crop of legends?

Referencing their classmates, many of my recent interns confirm my fears of the growing number of pharmacy students who have entered the profession motivated solely by sizeable salaries. Too many people demonstrate a lack of devotion to or passion for the profession, and they do not inspire much confidence that they will fight for the profession or be involved in organizations or leadership. This leaves me wondering: where is the leadership going to come from? Who is the next Jack Van Norman, or Tom Temple, or Jerry Karbeling? Today’s pharmacists need to be cognizant of this issue and work toward mentoring the next generation of passionate leaders.

Before the ink is dry, have we done all we can to compose our future, our potential, and our opportunities?

I am honored to be nominated for a seat on the Iowa Pharmacy Association Board of Trustees. If elected as Trustee, I will endeavor to serve our members, represent our profession, and promote our abilities and opportunities with passion, dedication, and enthusiasm. Honor the past, serve the present, define the future. Thank you for your support.

Personal Statement

The future of pharmacy is being authored. Are we seizing the pen or allowing outside forces to write our story? For too long the profession has been associated too strongly with the product. Now that the market for this product faces so many potentially insurmountable forces (such as $4 prescriptions, increasing generic acquisition costs, mail order, PBMs, and shrinking margins and dispensing fees), we need to hasten the shift toward a value added, intellectual role as well as a fundamental, irreplaceable position in healthcare delivery. We need to strengthen and diversify the profession by seeking out unique opportunities and niches that allow pharmacists to add value and insight to the healthcare system. It is especially important that we spotlight the importance of pharmacy as a profession for the services and knowledge base that only

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board of trustees election FOR TRUSTEE - AT LARGE Rachel Digmann, PharmD, BCPS Ankeny

Rachel received her doctorate of pharmacy from Drake University in 2003 and completed a specialized residency in Primary Care at the University of Iowa in 2004. After residency, Rachel worked as a Clinical Pharmacy Specialist in Primary Care at Kaiser Permanente Colorado. In 2009, she and her family relocated back to Iowa where Rachel worked as the Director of Clinical Pharmacy for a health insurance company.

In 2011, she accepted a position as the Assistant Chief of Pharmacy at the Des Moines VA hospital where she practiced until she accepted the position as Telligen’s Clinical Pharmacy Specialist and began work on the CMS Quality Improvement Organization (QIO) contract with specific focus on medication safety, hospital readmissions, health-care acquired conditions, hospital associated infections and value-based purchasing for the state of Iowa Medicare beneficiaries.

Recently, she was chosen to work on a National CMS contract as a Technical Assistance Task lead for the National Coordinating Center (NCC) for the Quality Improvement Network-Quality Improvement Organization (QIN-QIO). She will continue her medication safety and quality improvement work nationally. The NCC works with all QIN-QIOs across the country to assist their quality improvement efforts, as well provide measure specification, data analysis and aggregation of results on National quality improvement efforts for CMS. This effort is aligned with promoting the triple aim: improved patient experience of care, improved health of populations, and reduced per capita cost of healthcare.

Personal Statement

I believe that the shift from fee-for-service to mixed qualitybased reimbursement models presents an opportunity for pharmacists to lead change on a national scale. Afterall, the profession of pharmacy has had to demonstrate quality outcomes and ROI for reimbursement for decades. As reimbursement rates for drug products continue to decline, it is imperative that pharmacists have additional, viable opportunities for revenue in order to provide quality healthcare services to patients in need.

Medication adverse events and uncoordinated care contribute to significant morbidity, mortality and excess healthcare costs. Likewise, the punitive culture in many systems focusing on “individual correction or punishment� decreases transparency and reporting of events that offer opportunities for systems/process improvement. I believe that pharmacists can spearhead a movement of change in collaborative care, medication safety reporting, and quality-based reimbursement.

I believe there are opportunities for revenue sustainment in this model of medication management that will be identified or

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created and this will need to be shared locally and nationally.

I also believe that Iowa is an innovative state and can be at the forefront of this revolution in has an opportunity to drive many of these projects forward. As a member of the Board of Trustees for IPA, this would allow strong alignment between state and national initiatives and position the state of Iowa and our Pharmacists to be national leaders in medication safety quality improvement and collaborative models of care.

board of trustees election FOR TRUSTEE - AT LARGE Stevie Veach, PharmD, BCACP Tiffin

Stevie is a as a Clinical Assistant Professor and Director of the PGY1 Community Pharmacy Residency Program at The University of Iowa College of Pharmacy. She practices in a joint appointment as a clinical pharmacist at CarePro Pharmacy in North Liberty and serves as CarePro’s Diabetes Education Program Coordinator. Stevie earned her Doctor of Pharmacy degree in 2006 from The University of Iowa and went on to complete a PGY1 Community Pharmacy Residency with the College of Pharmacy and Mercy Family Pharmacy in Dubuque.

Stevie has been an active member of the Iowa Pharmacy Association and has served on both the Public and Professional Affairs Policy Committees, Legislative Policy Committee, IPPAC Advisory Committee, Advisory Committee on Medicaid and Pharmacy Benefit Programs and has served as a delegate to the IPA Annual Meeting. Stevie completed the IPA Leadership Conference in 2009 and is the 2014 recipient of the Iowa Pharmacy Association Distinguished Young Pharmacist Award. Stevie is passionate about teaching, mentorship, and advocacy for the pharmacy profession.

Personal Statement

“I’m just a pharmacist.” This is a phrase that I have heard on a number of occasions in one form or another from colleagues or students. I find myself quick to correct the individual and say, “No, you are not just a pharmacist, but you are a pharmacist!”

Maybe it’s the humble nature of our profession that is focused more on others rather than ourselves, but as a collective group, we need to stand up and be proud of our profession.

It does not matter if you are an owner, a CEO, a manager or a staff pharmacist, if you have your Bachelor, Master or Doctoral degree, if you completed a residency, board certification or were just satisfied that you passed the state law exam, we are all pharmacists who have equally important responsibilities for safe and effective medication use and promoting health and wellness for the public. Pharmacists, student pharmacists, and pharmacy technicians should all be proud of the value they bring to the healthcare system and should not feel ashamed or intimidated to let others know their worth.

As a nominee to the Iowa Pharmacy Association’s Board of Trustees I hope to harness much of the pride and passion for the profession of pharmacy that I have encountered amongst our membership and relay it to others, including the public, policy makers, other healthcare providers, and those within our own profession that are currently not engaged in the IPA membership.

I would be honored to serve this delegation and proud to let everyone know why it’s great to be an Iowa Pharmacist!

JAN.FEB.MAR 2015 |

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board of trustees election FOR TRUSTEE - AT LARGE Brett Barker, PharmD Nevada

Brett Barker graduated from the University of Iowa College of Pharmacy in 2008. He lives in Nevada, Iowa with his wife, Tracy, and three daughters. Brett currently serves as the Vice President of Operations for NuCara Management Group overseeing the operations of 24 NuCara Pharmacy and Home Medical locations in 5 states. In Brett’s previous role as Director of Clinical Services, he was responsible for the development and implementation of services such as immunization clinics, medication therapy management, wellness programs, smoking cessation, and disease state management programs.

Brett has been an active member of APhA, the Iowa Pharmacy Association (IPA), NACDS, NCPA, and the Kappa Psi Pharmaceutical Fraternity. His offices held include Vice Chair of the Iowa Pharmacy Political Action Committee, IPA House of Delegates, IPA Legislative Advisory Committee, and Kappa Psi Iowa Graduate Chapter Regent. Brett has also served on multiple statewide task forces including the State of Iowa Epilepsy Treatment and Education Task Force, New Practice Model Task Force, and Telepharmacy Task Force. Brett’s professional areas of interest include practice management, innovative healthcare delivery models, and legislative and regulatory advocacy.

Personal Statement

I am grateful and honored to be nominated to further serve the Iowa Pharmacy Association and my profession on the IPA Board of Trustees. I passionately believe in IPA and the important work that it does to move our profession forward.

This is a very critical time for the profession of pharmacy.

The rapidly changing landscape is full of both threats and opportunities and it is vital that we unite as a profession to meet them. The Iowa Pharmacy Association is a national leader in assisting pharmacists with the enhancement of the profession of pharmacy, improving medication use, and advancing patient care. My involvement with IPA began early in my career as the student liaison at the UI College of Pharmacy responsible for driving student memberships and involvement at the college. I have since served on several task forces and committees in addition to attending annual meetings, expos, legislative days, and Leadership Pharmacy. My diverse involvement with IPA has given me unique insight into the operation and strengths of the organization.

The healthcare system needs pharmacists now more than ever and we must be ready to fill these needs. We have unique opportunities to significantly improve patient care through quality-based reimbursement models, accountable care organizations, and patient centered medical homes. We

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must provide pharmacists the tools necessary to practice to the top of our degrees and fully engage with our partners in the healthcare system. IPA should support and engage pharmacists for the expansion of pharmacist provided clinical services such as MTM, immunizations, and disease state management. IPA should continue its ambitious and progressive state legislative strategy so that Iowa pharmacy can remain a national leader. National legislative efforts such as provider status and any willing pharmacy provisions are also critical to the ability for pharmacists to care for patients in their communities. My diverse professional experiences with practice management, clinical services, and state and federal advocacy are valuable assets that I would bring to the IPA Board of Trustees if I am given the opportunity to serve in that capacity.

JAN.FEB.MAR 2015 |

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midwest pharmacy expo

WHY EXPO? What your peers are saying about the Midwest Pharmacy Expo

“An excellent, wide-range of CPE topics all weekend long. That’s why I love this weekend!”

“Knowledgeable and dynamic speakers. Very engaging!”

“Wow! Several involved studies were looked at and managed to distill down the pros and cons of each along with summarizing their results/conclusions well. Lots of material, but so well organized that I can come back and digest it later.”

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8 STATES 1 PHARMACY EXPO 17 HOURS OF CPE*

“I highly enjoyed this session.

It was technician based and I learned a lot from it. I felt like I could use the material in everyday cases and work.”

February 13-15, 2015 Iowa Events Center Des Moines, Iowa

“I’ve been attending Expo for almost 15 years. I can think of no other forum that offers as much timely, high-quality continuing education as Expo does and that includes many national pharmacy organization meetings.”

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*Pharmacists can earn up to 17 hours of CPE, technicians can earn up to 11.5 hours of CPE

FRIDAY, FEB. 13, 2015

SATURDAY, FEB. 14, 2015

SUNDAY, FEB.15, 2015

INTERPROFESSIONAL PALLIATIVE CARE CONFERENCE

KEYNOTE: A NEVER EVENT: DON’T LET IT HAPPEN IN YOUR FACILITY!

KEYNOTE: OBTAINING PROVIDER STATUS FOR PHARMACISTS

Palliative care practice encompasses all members of the health care team, including patients and their families.

This conference is a comprehensive discussion of the need, the practice, and the process of providing and offering palliative care.

In this keynote session, a survivor explains a “never event” in which 99 Nebraskans were infected with Hepatitis C when nurses reused syringes during chemotherapy administration. Other outbreaks due to unsafe injections are reviewed for root causes and resources for prevention as well as national efforts to prevent further outbreaks will be discussed.

In a joint presentation, Drs. Paul Abramowitz and Tom Menighan, will discuss the details of federal provider status efforts in the new Congress and describe how it will translate into practice for pharmacists. They will also provide an update on the PAPCC, discuss organizational and individual ways to advocate and get involved, as well as discuss efforts to enhance the public’s understanding of the vital role of the pharmacists in their care.

Join physicians, pharmacists, and nurses to explore the physical, mental, and spiritual aspects of palliative care practice.

CPE PROGRAMMING

Five sessions of CPE programming for pharmacists, technicians and students!

FRIDAY SCHEDULE

SATURDAY SCHEDULE

7:30-8:45am Registration

6:30-8:30am

Registration

7:00-8:15am

Pharmacy Political Leadership Breakfast

7:00-8:00am

Product Theater Breakfasts

9:00-10:00am

Keynote: A Never Event

9:00-9:30am

Keynote: Now is the Time

9:30-10:30am

Communication & Connectivity

10:45-11:45am Symptom Management 11:45-1:00pm Lunch 1:00-2:00pm

Caring for the Palliative Care Patient

10:15-11:15pm CPE Programming 1

EXPO FAVORITES

Two of Expo’s most popular sessions, New Drug Update and Game Changers in Pharmacy will follow this important keynote session.

SUNDAY SCHEDULE 7:00-7:30am Registration Keynote: Obtaining Provider Status for Pharmacists Yes, It’s Important!

New Drug Update

2:15-3:15pm Pain

12:30-2:00pm

Lunch & Exhibits Program

7:30-8:30am

3:15-4:15pm Palliative Care Program Development

2:00-3:00pm

CPE Programming 3

8:45-10:15am

3:15-4:15pm

CPE Programming 4

10:30-12:30pm Game Changers in Pharmacy

4:30-5:30pm

CPE Programming 5

12:30-2:00pm

4:15-4:30pm

Wrap Up & Adjourn

11:30-12:30pm CPE Programming 2

State Law Outreach Session

40 CHANCES: THE 2015 EXPO PHARMACY CELEBRATION Please join us for an inspiring evening at an inspiring place! The 2015 Expo Pharmacy Celebration titled “40 Chances” will be held at the World Food Prize Hall of Laureates in Des Moines. This year’s celebration is inspired by the photography exhibit at the World Food Prize titled 40 Chances – Finding Hope in a Hungry World. As the photographer, Howard G. Buffet, explains: Each of us has about 40 chances to accomplish our goals in life.

Embracing the 40 Chances mindset means that we must get outside of our comfort zones, that we have to break down barriers set up by others, and that we cannot always accept the status quo when it’s simply not working.

Approaching life with a 40 Chances mindset gives you reason to hope and take action, and it forces fresh approaches that our world desperately needs You are invited to celebrate the year in pharmacy, enjoy dinner and a beverage, and network with your colleagues from 8 states. Spouses and guests are welcome.

REGISTER TODAY AT MIDWESTPHARMACYEXPO.COM JAN.FEB.MAR 2015 |

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Feature

Joint Commission of Pharmacy Practitioners (JCPP)

Pharmacists’ Patient Care Process: Consistency is Critical Recognizing the need for a consistent process in the delivery of patient care across the profession, the Joint Commission of Pharmacy Practitioners (JCPP)1 recently released the Pharmacists’ Patient Care Process. The process is applicable to any practice setting where pharmacists provide patient care and for any patient care service provided by pharmacists. This article describes the development of the Pharmacists’ Patient Care Process, what the process is, why it’s important, and initial implementation steps.

The Foundation

JCPP’s vision statement for the pharmacy profession and strategic plan for reaching this vision were revised in July 2013 as part of a strategic planning retreat that included thought leaders from inside and outside the profession. The newly adopted vision, “Patients achieve optimal health and medication outcomes with pharmacists as essential and accountable providers within patientcentered, team-based health care,” reflects the need for pharmacists to be patient-centered and accountable for patient outcomes while working collaboratively with other members of the health care team.

Key drivers to achieving the JCPP vision identified by pharmacy thought leaders include: 1) a widely-adopted and consistently delivered pharmacist patient care process, 2) quality measures to measure the value of pharmacists’

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services, 3) robust health information technology to support patient care, and 4) payment for pharmacists’ services.

The need for pharmacists to use a consistent approach to patient care delivery has always been important.

However, with the increasing movement to outcomes-based payment models in the health care system, this need is becoming more urgent. Payment models are starting to emerge where health care professionals are paid for achieving desired outcomes for their patients (e.g., patients’ blood pressure at goal) instead of by the number of patient visits they complete. To measure the outcomes of pharmacists’ services in a meaningful way, a consistent process of care must be used to deliver the services. That way an “apples to apples” comparison can be made for the collective value that pharmacists provide within the health care system.

The Pharmacists’ Patient Care Process was developed by a group of national pharmacy organizations working under the direction of JCPP. The foundation for the process is embedded within the pharmaceutical care model developed by Hepler and Strand in the 1990s and was developed by examining a number of key source documents on pharmaceutical care and medication therapy management. These key documents were cataloged and compared to create a patient care process consistent with best practice models in pharmacy. The patient care process is articulated in

Feature a manner aligned with the patient care processes of other health care professionals while at the same time detailing the unique medication-related aspects of pharmacists’ training.

The development process included organizational comment periods and testing with clinicians to create the document approved by JCPP on May 29, 2014.

What is the Pharmacists’ Patient Care Process?

The Pharmacists’ Patient Care Process uses a patient-centered approach that depends first and foremost on the pharmacist having an established relationship with the patient. This relationship supports engagement and effective communication with the patient, family members, and caregivers throughout the process. The process also involves the pharmacist working with prescribers and other practitioners to optimize patient health and medication outcomes (see sidebar).

The follow-up step signals that patient care process is repeated with each and every patient encounter, and the frequency of follow-up depends on the acuity of the patient and the nature of their care. The level of intensity for each step will vary with the service provided, but the process should not vary. The process is intended to be used in all patient care settings, and while one pharmacist might be responsible for all the steps in some settings, in other settings, there may be more than one pharmacist involved at different stages of the process.

Pharmacist Involvement

National pharmacy associations are currently working to facilitate implementation of the process across the profession, including developing case examples for different practice settings. The Accreditation Council for Pharmacy Education (ACPE) has incorporated the Pharmacists’ Patient Care Process into the Draft Standards 2016 revision for the Doctor of Pharmacy curriculum. These Standards

PHARMACISTS’ PATIENT CARE PROCESS Using principles of evidence-based practice, pharmacists:

A. Collect

The pharmacist assures the collection of necessary subjective and objective information about the patient in order to understand the relevant medical/medication history and clinical status of the patient. Information may be gathered and verified from multiple sources, including existing patient records, the patient, and other health care professionals. This process includes collecting: • A current medication list and medication use history for prescription and nonprescription medications, herbal products, and other dietary supplements.

• Relevant health data that may include medical history, health and wellness information, biometric test results, and physical assessment findings.

• Patient lifestyle habits, preferences and beliefs, health and functional goals, and socioeconomic factors that affect access to medications and other aspects of care.

B. Assess

The pharmacist assesses the information collected and analyzes the clinical effects of the patient’s therapy in the context of the patient’s overall health goals in order to identify and prioritize problems and achieve optimal care. This process includes assessing: • Each medication for appropriateness, effectiveness, safety, and patient adherence.

• Health and functional status, risk factors, health data, cultural factors, health literacy, and access to medications or other aspects of care.

• Immunization status and the need for preventive care and other health care services, where appropriate.

C. Plan

The pharmacist develops an individualized patient-centered care plan in collaboration with other health care professionals and the patient or caregiver that is evidence-based and cost effective. This process includes establishing a care plan that: • Addresses medication-related problems and optimizes medication therapy.

• Sets goals of therapy for achieving clinical outcomes in the context of the patient’s overall health care goals and access to care.

• Engages the patient through education, empowerment, and self-management.

• Supports care continuity, including follow-up and transitions of care as appropriate.

D. Implement

The pharmacist implements the care plan in collaboration with other health care professionals and the patient or caregiver. During the process of implementing the care plan, the pharmacist: • Addresses medication- and health-related problems and engages in preventive care strategies, including vaccine administration.

• Initiates, modifies, discontinues, or administers medication therapy as authorized.

• Provides education and self-management training to the patient or caregiver.

• Contributes to coordination of care, including the referral or transition of the patient to another health care professional.

• Schedules follow-up care as needed to achieve goals of therapy.

E. Follow-up: Monitor and Evaluate

The pharmacist monitors and evaluates the effectiveness of the care plan and modifies the plan in collaboration with other health care professionals and the patient or caregiver as needed. This process includes the continuous monitoring and evaluation of: • Medication appropriateness, effectiveness, and safety and patient adherence through available health data, biometric test results, and patient feedback.

• Clinical endpoints that contribute to the patient’s overall health.

• Outcomes of care including progress toward or the achievement of goals of therapy.

JAN.FEB.MAR 2015 |

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Feature ONLINE FEATURE!

Read the JCPP Pharmacists’ Patient Care Process document.

will be considered for final approval at the January 2015 ACPE Board meeting and will be distributed professionwide shortly thereafter. With the ACPE Standards revision, schools and colleges of pharmacy will be working to incorporate the process into the curriculum. ACPE-accredited continuing education providers will also be encouraged to incorporate the process into continuing education programming for pharmacists.

You can play an important role in the adoption of this process. Start by reviewing the process and thinking about how closely the patient care process used in your practice mirrors this process. Talk to other pharmacists in your practice to make them aware of the process and to discuss how

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the practice as a whole can adopt a consistent process of care. Consider how pharmacy technicians can be incorporated into aspects of the process such as data collection to improve the efficiency of the process.

Share the process with other health care practitioners you work with to make them aware of it. Practice using the process and reflect on how effectively the process facilitated patient care.

resources to assist you in the implementation and assessment of the pharmacists’ patient care process.

Pharmacists are often called upon to describe the value they bring to the health care system. A unified, consistent patient care process is critical to measuring pharmacists’ value and advancing the profession as a whole in the evolving health system.

References

The Joint Commission of Pharmacy Practitioners (JCPP) includes the following organizations: Academy of Managed Care Pharmacy, Accreditation Council for Pharmacy Education, American Association of Colleges of Pharmacy, American College of Apothecaries, American College of Clinical Pharmacy, American Pharmacists Association, American Society of Consultant Pharmacists, American Society of HealthSystem Pharmacists, National Association of Boards of Pharmacy, National Alliance of State Pharmacy Associations, and the National Community Pharmacists Association. ■ 1

Share your experiences with other pharmacists in your practice, your colleagues, and at professional meetings. Incorporate the process into the teaching materials for students you precept on IPPEs, APPEs, and internships. Make sure that students have the opportunity to practice using the process in their patient care encounters. Students will be asking about the process so if you are a preceptor, it’s important to be prepared. Finally, watch for additional

health care hot topics THE PROFESSION OF PHARMACY AND HEALTH CARE CONTINUE TO CHANGE AND EVOLVE WITH EACH DAY THAT PASSES. HERE IS A SHORT SUMMARY OF EVENTS THAT HAVE HAD AN EFFECT ON OUR PROFESSION November Election Brings Pharmacist to Congress

Buddy Carter, Georgia state legislator, is the only pharmacist in the US Congress as he enters office in January 2015. As a pharmacist for more than 30 years, former mayor, and State Senator, Carter defeated opponent Brian Reese to win Georgia’s First Congressional District.

Genentech Changes Distribution Model for Cancer Drugs On September 16, 2014, in a letter to hospital pharmacy directors, drugmaker Genentech announced a change to the company’s distribution model for cancer drugs. Effective October 1, 2014, hospitals must contract with one of six authorized specialty distributors to receive Herceptin, Avastin, and Rituxan.

The Hematology/Oncology Pharmacy Association continues to monitor the situation and be involved in conversations with Genentech regarding concerns with the new distribution model.

More Iowa Pharmacists with PharmDs

According to the 2014 Report by the University of Iowa Carver College of Medicine’s Iowa Health Professions Tracking Center, Iowa pharmacist workforce shows for the first time the number of pharmacists with a PharmD degree (1,488 or 51%) practicing in the state outnumbers those with a non-PharmD degree (1,413 or 49%).

The 1999-2000 academic year was the last year Drake University and the University of Iowa offered a BS degree.

FDA Releases ‘Purple Book’ on Interchangeable Biosimilars

The FDA has released the first edition of the “Purple Book,” a list of biological products and interchangeable biosimilars approved by the Center for Drug Evaluation and Research and the Center for Biologics Evaluation and Research. The document, designed to be the biological equivalent of the “Orange Book,” was created to help state health agencies, pharmacists and prescribers determine which follow-ons can be used in place of a specific biologic product.

IID Puts Rehabilitation Order on CoOportunity Health

After CoOportunity Health (CoOp) ended its Iowa Marketplace Choice Plan (IMCP), Iowa’s Medicaid Expansion program, in November 2014, due to reported financial losses incurred through high utilization of health care services, the Iowa Insurance Division (IID) has put a rehabilitation order in place and will oversee operations for all aspects of the insurance company.

At this time, CoOp is no longer offering enrollments or applications for policies on the Health Insurance Marketplace for Iowa in 2015. The rehabilitation order is due to IID’s findings that show insufficient capitalization of CoOp, an inability to obtain additional capitalization from CMS, and CoOp cannot secure federal payments from risk mitigation programs. CoOportunity Health was developed as one of 23 CoOp health insurance companies under the Affordable Care Act in 2013.

Global Medication Spending to Exceed $1 Trillion in 2014

According to the IMS Institute for Healthcare Informatics, global spending on pharmaceuticals will exceed one trillion dollars in 2014. High priced new cancer and hepatitis C drugs along with fewer generic medications entering the market contribute to the observed record spending. In the U.S., total drug spending is projected to rise 11.7 percent this year alone before slowing to a 5 percent increase annually after 2015.

Ebola Update: Virus in US

By November 18, 2014, a total of 15,351 probable, suspected, and confirmed cases of Ebola virus disease (EVD) in eight countries (Liberia, Sierra Leone, Mali, Guinea, the United States of America, Spain, Senegal, and Nigeria) have been reported.

In addition, the Ministry of Health of Liberia, and Ministries of Health of Guinea and Sierra Leone have reported 5,444 total deaths between their respective countries.

In the US, four cases of EVD have been confirmed with one reported death as of November 28, 2014. In an effort to strengthen Ebola preparedness, 35 hospitals have been designated Ebola treatment centers by December 2, 2014, with the expectation of this number to grow.

Aetna/Coventry Medicare Part D Plan Issues

In an unwelcome New Year’s surprise, Medicare beneficiaries and caregivers discovered they were unable to fill prescriptions at their local pharmacy, after Aetna/Coventry Part D drug plans promoted their pharmacy as ‘in-network’ on the Medicare Plan Finder website during the Medicare open enrollment. IPA has been working closely with our national partners, the Regional CMS office, Senator Grassley’s office, and other organizations to address the concerns raised from this disaster – a disaster that is being called ‘the worst’ since implementation of Medicare Part D. The National Community Pharmacists Association (NCPA), who is working directly with CMS, has done a tremendous job in proposing and working towards solutions to this problem. As CMS worked with NCPA and Aetna/Coventry to resolve this situation, a few short-term remedies have been utilized. These remedies alleviated some stress, however many pharmacies experienced additional burden while providing pharmacy services to their patients. ■

JAN.FEB.MAR 2015 |

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iowa pharmacy news CEI to Launch FREE Relicensure/Recertification CPE Buckets with New Website CEI will be launching a new website in midSpring of 2015.

The exciting part about it other than a fresh look? IPA Pharmacist and Pharmacy Technician members will receive all the CPE they need for relicensure or recertification for FREE! Yes, FREE!

Pharmacist members will have access to the “Relicensure Bucket” which will include CPE in the areas of pharmacy law, patient safety, immunization administration, and clinical topics.

Pharmacy technicians will have access to the CPhT Recertification Bucket which will include technician-specific CPE in the areas of pharmacy law, patient safety, clinical topics, and other education related to technician practice – including the TEAM Series.

As soon as the Buckets are ready in the spring, IPA members will receive instructions on how to access their FREE CPE! Stay tuned…

Innovation in Iowa Revealed by Iowa Pharmacy Residents

Advanced practice opportunities are plentiful in Iowa, and pharmacists training across the twelve residency programs in Iowa continue to push for new opportunities. Whether it is innovation or advanced practice, resident pharmacists in our state came together to discuss pushing the profession forward at the Annual Resident’s Meeting on October 7, 2014

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at the Sheraton in West Des Moines.

This conference served as a platform for close to 40 residents across Iowa to come together to network, learn from each other, and interact with IPA leadership and staff.

Clarks Pharmacy - Cedar Rapids

Alternating locations back to Des Moines from Iowa City this year, and being held in conjunction with the College Night at Drake University, the Annual Resident’s Meeting also allowed residents to interact with over 100 student pharmacists interested in pursuing a residency. The partnership between IPA and residency programs in our state showcase the value in collaboration for the betterment of our profession. Lessons learned from the work of each resident and their yearlong projects help to inspire other pharmacy professionals to achieve the mission and vision of IPA! Quick stats: 2014 – 2015 PGY1 residents – 34 2014 – 2015 PGY2 residents – 6 12 residency programs New positions in 2014-2015: PGY1 Home Infusion (NuCara-Waterloo) PGY2 Infectious Disease (MercyDes Moines) PGY2 Psychiatry (VA Medical CenterIowa City)

Health Mart Healthy Living Tour Provides Over 190 Health Screenings at Six Iowa Community Pharmacies During the end of October 2014, six independently-owned community pharmacies in Iowa offered complimentary health screenings to more than 190 customers during stops from the Health Mart Healthy Living Tour. The Tour utilizes a 40-

foot mobile health screening unit and travels across the country to celebrate and recognize community pharmacists and the important role they play as trusted healthcare providers in their communities.

For Health Mart® pharmacists, these events exemplify Health Mart’s® effort to help independent pharmacies attract new customers and maximize the value of existing customers through marketing support. At each stop, Tour staff can conduct more than 35 screenings per visit, targeting risks associated with high blood pressure, diabetes, high cholesterol and obesity.

Osterhaus Pharmacy - Maquoketa

Locations in Iowa included: Osterhaus Pharmacy in Maquoketa, Clark’s Pharmacy in Cedar Rapids, George Jay Pharmacy in Shenandoah, Carroll Apothecary in Carroll, Maier Family Pharmacy in Mapleton, and Stangel Pharmacy in Onawa.

The Tour will conduct more than 170 health screening events at Health Mart® Pharmacies across the country.

Events are promoted via with Health Mart’s® new Local Marketing Support program, which puts marketing funds and new tools directly in the hands of pharmacists, helping to attract new patients and drive new revenue.

To learn more about the Health Mart Healthy Living Tour, visit www.healthmart.com/tour

iowa pharmacy news

2/2/2 is an IPA Program designed for you to stay engaged and stay informed on hot issues impacting the profession of pharmacy. These online webinars are free of charge to all pharmacy professionals in Iowa. 2/2/2 webinars are not accredited for CE. All previous 2/2/2 programs are recorded and available at no charge on IPA’s website.

When is it? 2nd Tuesday of every month at 2:00 pm CST. UPCOMING TOPICS YOU WON’T WANT TO MISS: February 10: Iowa Health Information Network (IHIN)-I Want In! March 11: Tracking & Tracing the Drug Supply Chain April 14: Pharmacy Residents Leading Practice Change May 12: Open Forum on Proposed IPA Policies Take advantage of these Virtual Engagement Opportunities by registering at www.iarx.org, click on “events” and “2/2/2 Virtual Engagement.”

Mary Greeley Medical Center, Ames

NuCara Pharmacy, Waterloo

IPA is Going Local Again in 2015 with an Interdisciplinary Focus!

Invite your colleagues – physicians, prescribers, and pharmacy team members Thank you to everyone that joined us for an IPA Goes local event in 2014. We had over 315 attendees from across the state at 8 events. IPA will once again be partnering with local associations in Iowa throughout the year.

This year IPA will be collaborating with Iowa Healthcare Collaborative on a multi-disciplinary program. As part of this partnership IPA will provide one hour of continuing pharmacy and medical education on patient safety for FREE to attendees.

Stay tuned and look for more updates this spring as locations in your area are finalized. Hope to see you there!

Central Iowa Pharmacy Association (Des Moines) - March 10, 2015 Quad Cities Area Pharmacy Association (Davenport) - April 16, 2015 Dubuque Area Pharmacy Association (Dubuque) - May 5, 2015 Black Hawk/Bremer Co Pharmacy Association (Waverly) - May 14, 2015 North Iowa Pharmacy Association (Mason City) - May 19, 2015 Southwest Iowa Pharmacists Association (Council Bluffs) - August 2015 Johnson County Pharmacy Association (Iowa City) - September 2015 Northwest Iowa Pharmacy Association (Spencer) - October 2015

Widner Pharmacy, Manchester

Mercy Medical Center, Cedar Rapids

CarePro Home Infusion, Cedar Rapids

JAN.FEB.MAR 2015 |

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iowa pharmacy news idea or two. IPA members and staff were able to connect with colleagues from around the country to discuss pressing issues in the profession, including struggles with PBM’s and Iowa’s lead on tackling PBM legislation and litigation between the state and PCMA (see page 38 for PBM/PCMA update in Iowa).

Mark your calendars now to attend the 2015 NCPA Annual Convention on October 10-14 at the Gaylord National Harbor near Washington, D.C. University of Iowa and Drake University Students at ASHP Midyear Clinical Meeting

ASHP 2014 – Pharmacists Laugh with Leno

At the ASHP Midyear Clinical Meeting held in Anaheim, CA, pharmacists, residents, and student pharmacists had a laugh with keynote speaker Jay Leno. Over 150 Iowa attendees were part of this meeting. As always, the Iowa reception – hosted by IPA, the University of Iowa, and Drake University colleges of pharmacy – was a popular event, with over 400 pharmacists and students attending. Iowa leadership in the profession was recognized at the event, and the future of the profession – each of the Drake and Iowa students – were asked to come forward to be recognized.

Wellmark Establishes Pharmacy Provider Workgroup

Wellmark CEO, John Forsyth, along with other leadership from Wellmark hosted over 30 IPA members at a pharmacy provider dinner forum in late 2014. This forum provided the opportunity for IPA members to learn about Wellmark’s vision for the future of healthcare and the role pharmacists will play in it. IPA leaders had the opportunity to discuss current concerns and opportunities facing pharmacists. In addition to hosting this forum, Wellmark committed to establishing a Pharmacy Provider Advisory Board which will meet throughout 2015, with the first meeting scheduled for February 10th. Eleven IPA members have been selected to serve on this advisory board.

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| JAN.FEB.MAR 2015

IDPH Convenes Iowa Medication Safety Task Force

IPA is collaborating with the Iowa Department of Public Health (IDPH), Iowa Healthcare Collaborative (IHC), Telligen, Wellmark, and other key stakeholders on the Iowa Medication Safety Task Force.

Co-Chaired by Gerd Clabaugh, Director of the IDPH, and Tom Evans, President and CEO of IHC, this task force focuses on development and implementation of medication safety protocols in Iowa.

This group has already worked to approve a Medication Safety Work Plan in 2013, which aligns Iowa’s work with the national action plan. The task force will meet four times (October 2014, and January, April, and July of 2015), and is charged with the development of an Iowa strategy by July 2015.

ONLINE FEATURE!

Click to read 2013 Medication Safety Work Plan

Austin Hosts 2014 NCPA Annual Convention

From October 18-22, 2014, over 20 Iowa community pharmacists and student pharmacists convened in Austin, Texas, at NCPA’s 116th Annual Convention and Trade Exposition.

Attendees took advantage of 20+ hours of continuing education, 240 vendors showcasing their latest products, services, and technology, and countless opportunities to network with peers and pick up a new business

Pharmacists Work to Reduce Hospitalizations in Pioneer ACO

It has been one year since the initiation of an MTM program conducted in north central Iowa in collaboration between the Trinity Pioneer ACO and community pharmacies across the 8-county ACO service area. Community pharmacists continue to provide a variety of MTM services to reduce overall hospitalizations and 30-day hospital readmissions to eligible Medicare ACO patients. With grant support from the Community Pharmacy Foundation and McKesson, IPA provides live group meetings and one-on-one pharmacy site visits to assist in successful implementation of this integrated ACO model with community pharmacists.

With additional support by the NACDS Foundation, The University of Iowa will conduct analysis of the data on the MTM program throughout 2015 and share it with the IPA members. With the MTM program projected to continue through June 2015, this analysis will assist IPA and other stakeholders to further promote the value of pharmacist services in an ACO model.

Top Participating Pharmacies in ACO MTM Program (% of paid claims per eligible ACO patients) 1. Hy-Vee Pharmacy, Fort Dodge 2. Wal-Mart Pharmacy, Fort Dodge 3. Wal-Mart Pharmacy, Storm Lake 4. Thrifty White Drug, Webster City 5. Daniel Pharmacy, Fort Dodge 6. Hy-Vee Drugstore, Fort Dodge

JAN.FEB.MAR 2015 |

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iowa pharmacy news IPRN Trains More Advocates & Educates IPA Membership

As a confidential resource, the Iowa Pharmacy Recovery Network (IPRN) assists impaired pharmacists, student pharmacists, and pharmacy technicians looking to return to the profession of pharmacy. IPRN works with clients on an individual basis and assists them in receiving the evaluation, treatment and aftercare support needed to remain a viable member of the profession.

Monthly client meetings occur on the first Sunday of the month at 6:00pm at the Des Moines Fellowship Church at 950 35th St. to provide direct support to recovering professionals. IPRN invites all interested IPA members to attend these meetings in Des Moines.

During the semi-annual committee meeting, IPRN trained new advocates to serve as mentors to impaired professionals. These advocates provide the ongoing support needed to ensure clients achieve the necessary requirements in their contract with IPRN. Pharmacists without any abuse or addiction history or those who are in recovery are welcome to become advocates. At the committee meeting, representatives from each college of pharmacy and IPA provided an update on mechanisms to educate pharmacy professionals on the role of IPRN including programs focused on medication abuse and misuse.

Representatives from IPRN volunteered to present the November 11th 2/2/2 webinar on the role of IPRN to further educate IPA members.

ONLINE FEATURE!

Click to view the 2/2/2 webinar from November 11, 2014 on the role of IPRN.

Recognizing addiction as a disease is no small task, but every bit of effort put into IPRN translates to positive outcomes for a person’s life. Plan to become an IPRN advocate today by contacting IPA at ipa@iarx.org. The next IPRN Advocate training is being planned for the spring of 2015.

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IPA Collaborates with IDPH to Advance the Role of the Pharmacist

IPA has entered into an agreement with the Iowa Department of Public Health as part the CDC’s 1305 Grant Program. The 1305 Grant Program will focus on state public health actions to prevent and control diabetes, heart disease, obesity and associated risk factors, and promote school health. As part of this collaboration, IPA will be conducting a survey in early 2015 of all community-based pharmacies to best understand the current utilization of advanced pharmacy service offering including: collaborative practice agreements, immunization protocols, and diabetes education programs.

The results of this survey will provide useful information for the development of a practice advancement forum that will occur in conjunction with the 2015 IPA Annual Meeting. IPA’s new Education Committee is assisting to finalize the agenda for this one-day event. Programming will be focused on capitalizing on the opportunities available in Iowa to showcase the value of pharmacy services. Watch IPA communications as the date and agenda are set!

New Practice Model Advances Pharmacy Practice

IPA’s New Practice Model (NPM) Initiative continues to work to demonstrate the reproducibility of a new workflow and business model across a variety of community pharmacy settings.

On November 19th, the Board of Pharmacy approved ten more locations to add to the original seven Phase 1 locations within the NPM. With support from the National Association of Chain Drug Stores (NACDS) and Community Pharmacy Foundation, pharmacies are implementing Tech-Check-Tech for refill prescriptions as means to provide advanced pharmacy services. Phase 2 locations plan to implement NPM starting February 2, 2015. Pharmacists and technicians at each location receive education, direct oversight, and support

by IPA to share successes, challenges, and ongoing ideas regarding implementation of the NPM. Phase 1 locations implemented NPM beginning on June 2, 2014. Preliminary data has shown sites are using TechCheck-Tech approximately 60% of the time. In addition, the preliminary overall error rate for technician-verified refills has shown a non-significant increase compared to baseline with pharmacist-verified refills. Although not yet statistically significant, the amount of time pharmacists spend in dispensing has been reduced with a corresponding increase in patient care activities. In just a short amount of time, the changes in the composition of the pharmacists’ day are trending towards significance. Preliminary data show the overall amount of both reimbursed and non-reimbursed patient care services per pharmacist per hour have increased. Throughout 2015, data analysis will be conducted on Phase 1 and 2 locations. IPA plans to share updated data analysis at the 2015 APhA and IPA Annual Meetings.

Phase 2 BOP-Approved NPM Sites: • Hartig Drug #3, Dubuque • Hy-Vee Pharmacy #1192, Fort Dodge • Main at Locust Pharmacy and Medical Supplies, Davenport • Medicap Pharmacy #8036, Indianola • Target Pharmacy, Cedar Rapids • Thrifty White Pharmacy #42, Spencer • Thrifty White Pharmacy #56, Denison • Walgreens Pharmacy #12108, Ames • Walgreens Pharmacy #07967, Clive • Wester Drug, Muscatine

Iowa Awarded $43 Million State Innovation Model Testing Grant The U.S. Department of Health and Human Services announced that Iowa was one of eleven recipients of the State Innovation Model (SIM) Testing grant, and will be awarded $43.1 million over a four year period. Iowa’s plan for health system transformation builds upon the ACO model that currently covers the Iowa Wellness Plan population. This population-

iowa pharmacy news based model also will align with quality measures and payment methodology utilized by the Wellmark commercial ACOs. In addition, the state will work with the same data analytics contractor as Wellmark so that provider organizations have consistent and usable data to transform their practice from volume-based reimbursement to value-based reimbursement.

By the end of the performance period, the Medicaid ACOs will be accountable for the long term care and behavioral health services of their attributed patients. Iowa will use SIM funding to integrate communitybased resources into the ACOs by providing technical assistance through various partners. The state also will leverage and spread existing community transformation initiatives focused on the social determinants of health. IPA will be coordinating with Iowa Medicaid Enterprise to integrate pharmacy services within the Medicaid ACO model.

The State Innovation Models initiative is one part of an overall effort to help lower costs and improve care through the Affordable Care Act. Initiatives like Accountable Care Organizations, the Partnership for Patients and others have helped reduce hospital readmissions in Medicare by nearly 8 percent between

2007 and 2013 – translating into 150,000 fewer readmissions – and quality improvements have resulted in saving 50,000 lives and $12 billion in health spending from 2010 to 2013, according to preliminary estimates.

Iowa’s TakeAway Program and the New DEA Regulations

Since 2009, the Iowa TakeAway program has been a successful mechanism for safe disposal of unused and unwanted non-controlled substance medications. To date, the Iowa program has collected over 97,000 pounds of medications with over 475 participating pharmacies.

With current support by the Iowa Board of Pharmacy, pharmacies have been able to participate in this program at no-charge to the pharmacy or their patients. With recent publication of new DEA regulations that enact the Secure and Responsible Drug Disposal Act of 2010, pharmacies and other locations may receive controlled substances for disposal effective October 9, 2014. However, the current Iowa TakeAway program is not compliant with the DEA regulations for disposal of controlled substances.

IPA will be surveying pharmacies that

are currently participating in TakeAway about their ability and desire to make the necessary adjustments for a new TakeAway program that would be able to accept controlled substances. While IPA works to assess if the TakeAway program will expand and obtain funding to adhere to the new DEA regulations, pharmacies can purchase DEA compliant pre-paid envelopes that can be provided or sold to patients for collection of controlled substances.

These envelopes are available on the IPA website at www.iarx.org/ipastore. **After January 1, 2015, funding is renewed to allow pharmacies to have access to current TakeAway disposal units. If your pharmacy should require a new unit, please contact IPA at IPA@ iarx.org or 515-270-0713.

Own the Day! The IPA Foundation has a unique opportunity to claim one day of the year as your own...at least on paper. With your charitable donation, you may purchase a “day’’ in the 2015 IPAF Annual Calendar to celebrate ANY occasion!

Down Town Pharmacy 50 years in business!

Price per 1.5” x 1.25” square: Text Only - $50.00, Photo & Text- $100.00 To reserve your day, contact David Schaaf at 515-270-0713 or dschaaf@ iarx.org before April 1, 2015! Donations are 100% tax deductable and will go to the Foundation.

Suggestions for Your Day: John Q. Pharmacist wishes Jane Smith a happy 40th birthday!

• Celebrate your birthday • Surprise a colleague on their birthday • Milestone for your pharmacy • Professional anniversary

• Make up a holiday • Celebrate your favorite “day” • National Donut Day • National Pet Day • Talk Like a Pirate Day JAN.FEB.MAR 2015 |

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Advisory Committee Recaps LONG-TERM CARE & SENIOR CARE COMMITTEE

Dialogue for Long-Term Care Occurs with DIA, IME, and Telligen

Health-System Liaison Board Discusses Key National Issues

The IPA Long-Term Care & Senior Care Committee met on September 4, 2014 for active conversation on regulatory affairs and quality initiatives affecting long-term care pharmacy practices. The Committee heard from representatives from Iowa Medicaid Enterprise, the Iowa Department of Inspections & Appeals (DIA), and Telligen as part of a full agenda and to make recommendations to the IPA Board of Trustees.

On October 9, 2014, members of the IPA Health-System Liaison Board (HSLB) met to address current issues affecting healthsystem and hospital pharmacy practice. While the newly formed Hospital Leadership Team engages in director-level discussions, the HSLB took the advice of these directors to have candid discussion on topics such as medication safety, ambulatory care practice, credentialing, and the 340B program. The Committee welcomed APhA President Matt Osterhaus for an update on the national provider status effort and what can be done at the local level for the profession to achieve it.

The opportunity to engage with LTC Bureau Chiefs of the DIA was found to be valuable, and served as a mechanism to educate these regulators about the role of pharmacists within LTC facilities. The Committee encouraged IPA to have follow-up meetings with DIA representatives to further address concerns about the use of collaborative practice agreements in LTC facilities and ensure the profession has a voice to this regulatory division.

Trending Topics:

• Medicaid ACO Development • Use of Collaborative Practice Agreements in LTC Facilities • Reduction of Readmission Rates • Best Practices for Provision of MTM

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HEALTH-SYSTEM LIAISON BOARD

The Committee discussed the recent partnership with the Iowa Healthcare Collaborative (IHC) to develop a statewide medication safety strategy. IHC is working with the Iowa Department of Public Health on achieving the Iowa Medication Safety Strategy. The Committee also reviewed the current development, quality measurements, and progress of ACO’s designed by Wellmark and Iowa Medicaid. The Committee discussed the standards of care throughout different hospital locations, and the benefit of the ACO model.

Trending Topics:

• Provider Status • Utilization of the ASHP PPMI Hospital Self-Assessment • 340B Drug Pricing Program • Credentialing and Privileging of Pharmacists

2014-2015 IPA Long-Term Care & Senior Care Committee:

2014-2015 IPA Health-System Liaison Board Members:

Kristin Meyer, Chair Mark McMullen, Vice-Chair Jenna Bender David Brothersen Frank Caliguiri Jennifer Elliff Anisa Fornoff Bryce Jackman Becky Kehoe Micaela Maeyaert Marcia McNulty

Holly Randleman, Chair Zach Pollock, Vice-Chair Carol Anderson John Beyer Alyssa Billmeyer Amanda Bushman Amy Dennis Alexa DeVita John Hamiel Kendra Holcer DeAnn Howard Sue Keller

| JAN.FEB.MAR 2015

Dick Michael Kristin Morrison Judy Neville Katie Olsen Jeff Reist Christine Bonfig Jess Smith Krystle Thai Amy Wadstrom Michael Williams Jr. Pamela Wong

Lisa Lambi Jackie Lee John L’Estrange Aaron Lott Lisa Mascardo Corey Melroe Andy Miesner Mary Mosher Emily Muehling Shiny Parsai Megan Snyder Geoff Wall

Advisory Committee Recaps MEDICAID & PHARMACY BENEFIT PROGRAMS

EDUCATION COMMITTEE

PCMA Lawsuit & Wellmark Discussion Engages IPA Advisory Committee

NEW Education Committee Provides Guidance to IPA and CEI

Members of the IPA Advisory Committee on Medicaid & Pharmacy Benefit Programs met at IPA Headquarters on September 30, 2014 to establich guidelines for actions needed on insurance company and PBM practices in Iowa.

The Committee heard from representatives from Wellmark, CoOportunity Health, and Catamaran. The Committee discussed concerns raised by members to these representatives while introducing key projects for collaboration to improve the care of Iowans through the use of pharmacy services.

As a mechanism to assess current IPA and CEI programming, the new IPA Education Programs Committee met on September 16, 2014. The Committee reviewed evaluations of every education program offered to IPA members and provided recommendations to IPA and CEI staff on new program topics and format delivery of these events. The Committee urged for the development of single events tied to current programs focused completely on one topic, such as: the 340B drug pricing program, innovative practice models, accredited technician education programs, and addiction and substance abuse.

The Committee had thorough discussion on the current status of the PBM legislation passed in 2014, and subsequent lawsuit filed by PCMA against the state of Iowa. While no representative from Iowa Medicaid was available, the Committee raised concerns on Medicaid’s handling of the 340B program and reimbursement for vaccinations. The Committee plans to reconvene in early 2015 to discuss changes to the Medicaid Part D program and learn of updates on MTM programs provided across Iowa.

Trending Topics:

• PCMA Lawsuit • Specialty Pharmacy Networks • Wellmark Pharmacy Committee • Medicaid ACO Development

Beginning in 2015, all IPA pharmacist and pharmacy technician members will be provided all necessary continuing education for relicensure or recertification, respectively. The Committee encouraged IPA to further educate members on these new benefits to membership in the association. The Committee plans to reconvene after Legislative Day and the Midwest Pharmacy Expo to evaluate the success of the 2015 program and plan for 2016.

Trending Topics:

• Leadership & Management Trainings • Accredited CE for BPS Recertification • Forum on Innovative Practice Models • Use of Technology in Education

2014-2015 IPA Advisory Committee on Medicaid & Pharmacy Benefit Programs:

2014-2015 IPA Education Committee:

Kim Spading, Chair Randy McDonough, Vice-Chair David Book Christina Bravos Neal Daley John Daniel Josh Feldmann Tara Feller John Forbes Jessica Frank Michelle Garvin Rachel Gean

Nic Lehman, Chair Emily Beckett, Vice Chair Gary Christensen Lisa Doorenbos Sarah Grady Allie Haight Steve Hoyman Ryan Jacobsen

Ryan Frerichs Jason Hansel Bridget Jermeland Sarah Morrow Wes Pilkington Mark Richards David Seiler Julia Strause Ben Urick Kristin Williams Jerod Work

Candace Jordan Craig Logemann Lindsey Ludwig Heather Ourth Chris Parker Shannon Peter Jordan Schultz

JAN.FEB.MAR 2015 |

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ipa foundation

THANK YOU FOR CONTRIBUTING TO THE IPA FOUNDATION IN 2014!

The Iowa Pharmacy Association Foundation sincerely thanks those members who make a contribution to the future of the profession by supporting the efforts of the Foundation…these contributions truly make a difference. The Honor Roll of Giving is a list of contributors for January 1, 2014 – December 31, 2014: PLATINUM LEVEL ($1000+) Gary Albers Tim Becker Jay and Ann Currie Jennifer Erbes Michele Evink Kate Gainer Bob Greenwood Kyle Hilsabeck Don Letendre Eugene & Susan Lutz Jim Miller Stephen Mullinex Bob & Ann Osterhaus Matt & Marilyn Osterhaus Lisa and Andy Ploehn Anthony Pudlo Kevin & Sue Purcell Jim Scott Jenelle Sobotka Bernard Sorofman Tom & Kathy Temple Jenny Tuttle GOLD LEVEL ($500-$999) Carl Chalstrom Bruce Alexander Rocky & Megan Anderson Brent Bovy Mike Brownlee Sharon Cashman Katie Cinnamon Connie & Chris Connolly John Daniel Wendy Duncan Steve Firman Felix Gallagher Mark Jones Julie & Roger Kuhle Erik Maki Leman Olson Morgan Sayler Rachel Smith Angie Spannagel Bob Stessman John and Sarah Swegle Ben Urick & Katie Owen SILVER LEVEL ($250-$499) Bill Baer Ray Buser John Forbes

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Tom Fox Melanie Furman Jim Hoehns Terry Jacobsen Dennis Jorgensen Barb Kelly Laura Knockel Rick Knudsen Randy McDonough Sharon Meyer Kate Pape Chuck & Janalyn Phillips Charles Porter Mike Pursel Michael Schnackenberg Marla Tonn Farah Towfic Amy Van Gorp Stevie Veach Jim Wallace BRONZE LEVEL ($100-$249) Nancy Alvarez Lowell Anderson Amber Baybayan Brian Benson Bill Blakesley Kelly Brock Ginelle Bryant Philip Burgess Paula Carlson Eric Carlson Mike Case Haub Christine Catney Renae Chesnut Cheryl Clarke Jonathan Clingman Nick Cole Kyra Corbett Nic Dahlke Ashley Dohrn Carmen Dunphy Richard Dykstra Darla Eastman Greg Evans Allen Fann Tom Farley Karen Farris Tara Feller Betsie Frey Eileen Gans Harold Godwin

Tom Greene Tom Halterman John Hamiel Jason Hansel Denning Helling Barry Hitt Michael Hogue Greg Hoyman Bryce Jackman Ryan Jacobsen Joseph Janela Danielle Kennedy Carson Klug Nicholas Lehman Lesley Leuwerke Stephanie Lingen Jeff & Shelley Longstaff Nic Lund Steven Martens Lisa Mascardo Kevin McClimon Karen Merrill Kristin Meyer Andrew Miesner Mary Milavetz Emily Muehling Brenna Neumann Phyllis Olson Heather Ourth Sherrill Phillips Mark Pilkington Wes Pilkington Gordon Reed Jeff & Diane Reist Frank Reznicek Doug Schara Lindsey Jo Schwartz Jim Semchism Al Shepley Susan Shields Pam Stierman Sarah Sorum Mary Starry Nora Stelter Breanna Sunderman Note Thanupakom Pat Thies Daniel Toal CoraLynn Trewet Tom & Sophie Vlassis Mary Vogt Susan Vos

Emily Vyverberg Brian Wall Alex Weirich Sara Wiedenfeld Justin Wilson Winston Wong David Wright Timothy Wright BUSINESS PARTNER CONTRIBUTORS Anderson Pharmacy APMS Bellevue Pharmacy Chris Connolly/Wells Fargo Advisors CEI Community Pharmacy Foundation Drake University College of Pharmacy Dubuque Area Pharmacy Association GlaxoSmithKline Great River Medical Center Greenwood Drug Johnson County Pharmacy Association Main on Locust Manning Pharmacy Martin Health Services McKesson Meyer Health Mart Pharmacy Miller-Purcell Northwest Iowa Pharmacy Association NuCara Corporation Pharmacists Mutual PharmServ Staffing Onyx Pharmaceuticals Osterhaus Pharmacy Quad Cities Pharmacy Association Taylor Pharmacy TEVA Pharmaceuticals Thrifty White Pharmacy Towncrest Pharmacy The University of Iowa College of Pharmacy Vogt Pharmacies Wasker, Dorr, Wimmer, Marcouiller

IPA FOUNDATION

SAVE THE DATES: 2015 IPA Annual Meeting June 12-13 Coralville Marriott Coralville, IA

IPA-F 2015 Silent Auction Donate and bid on great treasures, artifacts, unique items and amazing trips!

The Silent Auction will be held on Friday evening, June 12, 2015, following the IPA Annual Recognition & Awards Banquet held at the Marriott in Coralville, IA. All contributions are used to support student programming, leadership development, research and development projects.

Please contact Laura Miller at lmiller@iarx.org with a detailed description and estimated value of your contribution to contribute to the 2015 Silent Auction.

2015 IPA-F Eggleston/Granberg Golf Classic Friday, September 11, 2015 Otter Creek Golf Course 4100 Otter Creek Dr. Ankeny, IA 1:00pm Shotgun Start

Let’s Make This a Tradition

JOIN THE 2ND ANNUAL IPA-F RAGBRAI TEAM! The Register’s Annual Great Bicycle Ride Across Iowa (RAGBRAI) is scheduled for July 19-25, 2015 and once again, IPA-F is putting a team together to represent the pharmacy profession as they ride across the state.

Not a cyclist? No problem. IPA-F is looking for volunteers to help get the team from the Missouri River to the Mississippi River, as well as help with outreach efforts along the RAGBRAI route by providing screenings and other pharmacy promotions.

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

(by Mar. 1)

(by Mar. 31)

Pharmacist Member

$500

$600

Technician/Student Member

$400

$500

Non-IPA Members

$500

$600

$100/day

$100/day

Week-Long Rider

(includes spouses & children)

Daily Rider Donations to Support Individual Riders are welcomed!

Register Today at

WWW.IARX.ORG/IPA-FRAGBRAI JAN.FEB.MAR 2015 |

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ipa foundation

FOUNDATION INSTITUTE JOIN THIS GROUP OF PHILANTHROPIC LEADERS TODAY! Name(s):___________________________________ Address:__________________________________ City State Zip:_______________________________ Phone:____________________________________ Email:_____________________________________ Charge my credit card $___________ Annually/monthly (circle one) I authorize the IPA Foundation to charge my card on the schedule above until I notify the Foundation to cease payments._________(please initial)

Card Type (circle one): VISA MASTERCARD AMEX Card Number: __________________________________________ Exp Date: _________________________________ Code on back of Card:_______________________ Card billing address:

□ Check if same as above

Address:__________________________________ City State Zip:______________________________ Signature:_________________________________ Mail this card to: IPA Foundation 8515 Douglas Ave., Suite 16 Des Moines, IA 50322 If you have any questions, please contact the IPA office at 515-270-0713.

Under IRS regulations, the full amount of your contribution is tax deductible. The IPA Foundation is a 501(c)3 non-profit organization. EIN: 42-6075767. Unless otherwise noted, no goods or services were provided to you in return for your contribution.

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

Since its formation in 1960, the IPA Foundation has been dedicated to serving the pharmacy profession through support of a variety of programs including: • • • • • • •

Student Scholarships Professional Development Programs for Students Leadership Development Initiatives Cutting Edge CPE Programming Innovative Practice Projects Residency Training Pharmacy heritage Preservation

We are inviting you to join the IPA Foundation Institute because you are a leader in the profession and have been loyal to IPA and the IPA Foundation.

Your gifts and your service show us your respect for support of student pharmacists, leadership development, continuing pharmacy education, professional practice innovation, and the preservation of pharmacy’s rich heritage. When you invest in the Foundation Institute you invest in new concepts in pharmacy practice.

Membership in the Foundation Institute recognizes varying levels of ongoing, annual financial support for the IPA Foundation.

Platinum Membership Gold Membership Silver Membership Bronze Membership Sustaining Membership

$1,000 or more $500-$999 $250 to $499 $100 to $249 Up to $99

All contributions to the IPA Foundation, a 501(c) 3 charitable organization, are fully tax deductible.

Donate at www.iarx.org/IPAFwaystodonate

Current Foundation Institute Members: Tim Becker Connie Connolly Kyra Corbett John Daniel

Wendy Duncan Kristin Meyer Jim Miller Bob Stessman

IPA FOUNDATION

THOMAS R. TEMPLE LEADERSHIP ENDOWMENT GOAL IN SIGHT! For the past 27 years, the Leadership Pharmacy Conference has provided leadership training to over 300 new pharmacy practitioners. To ensure that the conference continues, an endowment campaign goal of $750,000 has been established. The original goal of $750,000 was divided equally among Iowa and Wisconsin and Iowa now has a goal of $375,000 to endow the conference. Through pledges and payments, IPA has been able to collect $320,000.

Thank you to those who helped grow the Endowment fund in 2014:

(Levels represent 2014 gifts only, see full campaign at www.iarx.org/ipaleadershipacademy)

Platinum Level ($1,000+) Kate Gainer McKesson Miller Purcell Stephen Mullenix NuCara Pharmacies Eugene Lutz Susan & Kevin Purcell Jim Scott Jenelle Sobotka Tom Temple Teva Pharmaceuticals Jenny Tuttle Gold Level ($500-$999) Bruce Alexander Tim Becker Michele Evink Mark Jones Don Letendre Erik Maki Lisa Ploehn Anthony Pudlo Silver Level ($250-$499) Gary Albers Carl Charlstrom Connie Connolly Jay Currie Bob Greenwood Laura Knockel Sharon Meyer Charles Porter Bob Stessman John & Sarah Swegle Farah Towfic Stevie Veach Jim Wallace

Bronze Level ($100-$249) Bill Baer Michael Brownlee Ginelle Bryant Paula Carlson Carmen Dunphy Darla Eastman Betsie Frey Jason Hansel Jim Hoehns Ryan Jacobsen Danielle Kennedy Julie Kuhle Nic Lehman Lesley Leuweke Stephanie Lingen Andrew Miesner Mary Milavetz Emily Muehling Phyllis Olson Robert Osterhaus Heather Ourth Wes Pilkington Mike Pursel Frank Reznicek Nora Stelter Sara Wiedenfeld

IPA Wins the Battle of the Foundations!

IPA and the Pharmacy Society of Wisconsin (PSW) once again held the Battle of the Foundations with IPA winning a decisive victory - $24,265 to $14,655.39.

Thank you to all who gave during the Battle of the Foundations.

2nd Annual Pharmacy Tailgate In conjunction with the Battle of the Foundations, pharmacists from both states participated in the second annual Pharmacy Tailgate prior to the game in Iowa City.

Copper Level ($99 or less) Amber Baybayan Leslie Olson Megan Snyder Brian Wall

Help us reach our goal by joining the list of contributors to the Pharmacy Endowment.

DONATE TODAY: www.iarx.org/ipaleadershipacademy

Donations to the Thomas R Temple Leadership Endowment are tax deductible.

JAN.FEB.MAR 2015 |

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IPA FOUNDATION

2014 Bill Burke Student Pharmacist Leadership Conference: The future of pharmacy is alive and well!

Through a partnership between IPA, Drake University, the University of Iowa, and grant support from Main at Locust Pharmacy in Davenport, Iowa, the 19th Annual Bill Burke Student Pharmacist Leadership Conference was held in Coralville on September 19-20, 2014. Twenty-nine student pharmacists participated in this energizing event and acquired leadership skills and lasting relationships which they can use throughout their remaining years as students and into their years as new practitioners.

Held in conjunction with the Eggleston-Granberg Golf Classic, this year’s conference provided the students with an opportunity to interact with a broader group of IPA members. Following the Golf Classic BBQ, conference attendees were greeted by Lisa Ploehn of Main at Locust Pharmacy, then heard from a panel of pharmacist leader, including: Bill Baer (Chariton), Carl Chalstrom (Anamosa), Mike Pursel (Kansas City), and Morgan Sayler (Des Moines).

The panelists spoke to their personal stories of leadership and advocacy as a pharmacist at the local, state, and national levels.

The second day included a full day of leadership programming, which was facilitated by Gary Keil, and focused on creating the successful ‘flow’ within an organization. The day was spent increasing their cognizance of the process to create ‘flow’ and how to apply it to every day real-life leadership roles. In the afternoon, student participants were joined by pharmacists Ashley Dohrn (Le Claire) and Mary Mosher (Cedar Rapids) to discuss issues currently facing student pharmacists and the profession of pharmacy. The students divided into groups and presented back their ideas on what pharmacy leaders can do to impact these current issues. It was an energizing and thought-provoking conference! ■

2014 Bill Burke Student Pharmacist Leadership Conference Participants Drake University John Maher, P4 Nashmi Albadarin, P3 Lauren Bricker, P3 Jacki Chorzempa, P3 Eric Liu, P3 Scott Morrett, P3 Hannah Stonewall, P3 Elizabeth Bald, P2 Dalton Fabian, P2 Kelsey Japs, P2 Aubrey Johnson, P2 Hannah Sauer, P2

University of Iowa Ashley Kappenman, P4 Natalie Blaine, P3 Anna Espeland, P3 Kaleb Fincher, P3 Tyler Heiderscheit, P3 Kathryn Hill, P3 Caitlin Lickteig, P3 Hilary McCants, P3 Shiny Parsai, P3 Laura Steinauer, P3 Eric Stephens, P3 Rachel Gean, P2 Chelsea Goldsmith, P2 Marshall Johnson, P2 Renu Johnson, P2 Robert Nichols, P2 Ashley Sabus, P2

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public affairs

Iowa PBM Update - HF 2297 SIGNED BY GOVERNOR - PCMA FILES LAWSUIT - IPA CONTINUES ADVOCACY EFFORTS Following unanimous passage and Governor Branstad’s signature of HF 2297 (Iowa’s PBM bill) into law last March, there has been significant activity in the state of Iowa regarding the practice and regulation of pharmacy benefits managers. IPA has been active on behalf of our members to work with the Iowa Insurance Division, Iowa Attorney General, state legislators, the Governor’s office, and partners across the country.

PCMA Lawsuit Filed Challenging HF 2297

On September 2, 2014, the Pharmaceutical Care Management Association (PCMA), the national trade association representing PBMs, filed a lawsuit in the U.S. District Court for the Southern District of Iowa against Tom Miller, in his capacity as Iowa’s Attorney General, and Nick Gerhart, in his official capacity as Iowa’s Insurance Commissioner. The complaint for declaratory and injunctive relief was filed on five grounds: • That ERISA expressly preempts HF 2297 • That ERISA preempts HF 2297 due to conflict preemption • That HF 2297 violates the Takings Clause of the US Constitution • That HF 2297 violates the Takings Clause of the Iowa Constitution • That HF 2297 violates the Dormant Commerce Clause of the US Constitution

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Since the filing of the complaint, the state of Iowa filed a Motion to Dismiss (October 23, 2014) and PCMA filed a Motion for Partial Summary Judgment (December 16, 2014). At the time of publication, both motions are awaiting the judge’s ruling.

Iowa Insurance Division Attempts to Implement and Enforce HF 2297

Following passage of the PBM bill, the Iowa Insurance Division (IID) attempted to implement and enforce the provisions of HF 2297 by conducting audits of the four largest PBMs. None of these PBMs complied with the auditors’ request, citing specious legal justifications for why they were not required to do so. The IID will be filing a public report of its findings.

Iowa pharmacies have the opportunity to submit complaints to the Iowa Insurance Division related to PBM practices, with a specific complaint form developed by IID. In 2014, the volume of pharmacy complaints against PBMs has reduced dramatically. IPA insists to the IID that this is not due to improvement in the pharmacy/PBM landscape, but rather pharmacists perception that PBM practices should be improving pursuant to new legislation. IPA has urged members to file complaints to the IID, and student pharmacists are able to assist if needed. (check www. iarx.org for more information)

ONLINE FEATURE!

Click to download instructions for filing a complaint to the Iowa Insurance Division

IPA’s Role in Litigation

The piece of legislation being challenged was IPA’s top legislative priority in 2014. Therefore, although not a party to the lawsuit, IPA is reaching out to those involved with defending the lawsuit to provide assistance in a manner that is helpful and desired. In the past few months, this has included meeting with and

providing information to the Iowa Attorney General’s office, Governor Branstad and staff, the Insurance Commissioner and staff, and Iowa legislators.

Coming up in 2015

While the PCMA lawsuit is still in its early phases and it is still unknown what direction it could take, we do know that there are things that can be done during the 2015 Iowa Legislative Session that began on January 12.

IPA has been encouraged through our ongoing discussions with Iowa legislators and key leaders leading up to and during the early days of session that the Commerce Committee in both chambers is interested in pursuing additional legislation. The goal will be to clearly provide the Insurance Commissioner with the authority to implement and enforce the provisions of HF 2297, passed in 2014.

Tying It All Together

The state of Iowa is in the ‘eye of the storm’ in combating PBMs. Across the country, pharmacy organizations, lobbyists, and state agencies are looking to Iowa to assess how the litigation is resolved and how our legislation is implemented. Not only is IPA reaching out to national, regional and local partners to raise money supporting a robust strategy around legal efforts and PBM legislation, but we are strongly encouraging all IPA members to become active grassroots advocates and support the strategy! (see page 43 for opportunities to lend your support) ■

GRASSROOTS ADVOCACY Actions you can take to support pharmacy practice in Iowa during the legislative session.

CONTACT YOUR LEGISLATORS

IPA encourages EVERY pharmacist to reach out with an email, phone call, or personal meeting at the capitol or back home to introduce yourself as a pharmacist. Let them know you are willing to be a resource and share information on pharmacy/healthcare legislation. If appropriate, you can invite them into your pharmacy practice when they are back home on the weekends. (Let us know if you host your legislator and if IPA can help! - email kgainer@iarx.org)

STAY INFORMED OF ISSUES IMPACTING PHARMACY

During the legislative session, IPA’s weekly TOP 5 Newsletter includes a +1 Legislative Recap each Friday. An easy to read tracking document will be included at the beginning of each TOP 5+1 newsletter. In addition to IPA’s top priorities: PBMs, Medicaid, TakeAway funding, and Board of Pharmacy legislation. IPA also tracks bills related to prescription drug abuse/PMP/ naloxone; telehealth; medical cannabis; and other issues that may arise.

READ ADVOCACY ALERT EMAILS

Your voice is needed! As IPA’s priorities move through the legislative process, IPA will send out ADVOCACY ALERT emails when grassroots advocacy is needed. In 2014, over 350 IPA members personally communicated with their legislators – and that led to the successful passage of HF 2297. Help IPA keep the strong momentum by contacting legislators!

FILE COMPLAINTS WITH IID

Focusing on IPA’s top legislative priority – further PBM regulation – the Iowa Insurance Division needs to know problems still exist. Pharmacies are URGED to submit their complaints to the Insurance Division. Filing these complaints is necessary to support passage of another PBM bill.

FINANCIALLY CONTRIBUTE

IPA has established a restricted fund to support the robust strategy related to regulating PBM practices. The Preserve Pharmacy Practice fund is specifically used for legal efforts related to the PBM lawsuit and ongoing legislative strategy to tackle PBMs in Iowa. (See page 35 for details)

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SUPPORT TRANSPARENCY & OVERSIGHT OF PBMs Pharmacy benefits managers (PBMs) negatively affect health care in Iowa.

WHAT’S HAPPENED

In 2014, HF 2297 was unanimously passed in the House (95-0) and Senate (49-0) and was signed into law by Governor Terry Branstad.

HF 2297 (the PBM bill) was written to provide greater transparency of PBM practices to the Iowa Insurance Division (IID) and implement fair pricing for pharmacies.

Six months later, PCMA (the national association of PBMs) filed a lawsuit against the state of Iowa’s Attorney General and Insurance Commissioner – stating HF 2297 was unconstitutional on 5 grounds. The state has filed a Motion to Dismiss in response.

IID has attempted to implement and enforce HF 2297 by conducting audits of the four largest PBMs, to which none complied, citing specious legal reasons. IID will be filing a public report of its findings.

WHAT’S NEXT

In 2015, IPA is working to pass HSB 68, a very short piece of legislation that clearly provides the Iowa Insurance Division with oversight and enforcement authority for PBMs to comply with existing legislation related to transparency, pricing, and exercising good faith.

Iowa Pharmacy closures:

=2014

=2013

71 IOWA PHARMACIES CLOSED Unfair PBM practices have closed 71 Iowa pharmacies over the past two years, limiting Iowans’ access to an important member of their health care team.

PBMs...

• INTERFERE WITH PATIENT CARE PBMs—not pharmacists or physicians—are sometimes deciding which medication and dosage a patient receives. PBMs accept payments from pharmaceutical companies to promote certain drugs, often increasing prescription costs for patients. We cannot allow insurance company bureaucrats to play doctor, change prescriptions and inflate costs.

• LACK TRANSPARENCY PBMs are using unacceptable and non-transparent business practices that limit community pharmacists’ ability to succeed and impacts prescription dispensing and patient care services.

• IGNORE IOWA LAWS Following passage of HF 2297 in 2014, the Iowa Insurance Division has been unable to enforce PBM regulations. PBMs refusal to comply, engagement in unfair business practices, and disrespect of Iowa’s laws is unacceptable. PBMs must adhere to the same standards as other insurance businesses.

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public affairs

Board of Pharmacy Addresses Healthcare Issues for Iowans Point of Care Testing

In response to inquiries from members, IPA presented an overview to the Board of Pharmacy on point of care testing (POCT) services that can be offered by pharmacists. As more pharmacists look to expand their POCT services through CLIA-waived tests for influenza and strep throat, IPA sought clarification from the Board as to whether these new tests are within the current scope of practice of a pharmacist. The Board encouraged pharmacists to conduct these tests in a similar fashion to current POCT, and ensure the testing devices are CLIA-waived. If a pharmacy were to utilize the results of these tests to initiate medication therapy, a formal collaborative practice agreement (CPA) will have to be established with a physician to initiate therapy for that physician’s patients.

Medical Cannabis

During the November 19th Board of Pharmacy meeting, the Board’s committee on medical marijuana presented draft recommendations to the full Board. The Board decided to table the proposed decision, and not adopt the committee’s recommendation. The committee provided several recommendations for consideration, including:

• The committee recommends removing marijuana from Schedule 1. It is currently classified as Schedule 1 and Schedule 2. This recommendation would align with the cannabidiol oil law passed last year.

• The committee recognizes high potential for abuse, but also potential medical use.

• The committee is not recommending the legalization of marijuana or the creation of a medical marijuana program in Iowa.

• The committee is also recommending, as the Board did in 2010, the formation of a coalition of the ODCP, Iowa Boards of Medicine and Pharmacy, law enforcement agencies, academia, addiction treatment specialists, patients and others.

At the January 5th Board of Pharmacy meeting, the Board adopted a recommendation as follows: (1) to deny a petition for Reclassification of Marijuana; (2) to recommend to the 2015 legislature that only cannabidiol (CBD) be reclassified as a Schedule II controlled substance; and (3) to recommend to the 2015 legislature that the Iowa Code be revised to remove current references to the medical use of marijuana pursuant to rules of the Board.

ONLINE FEATURE!

Click to view IPA’s Medical Cannabis Information Kit (Member login required)

Newly Adopted Regulations

Several regulatory changes were recently adopted by the Board of Pharmacy, and became effective on January 14, 2015. Two of these changes focus on pharmacistinterns providing immunizations and notification by non-resident pharmacies that cease business in Iowa. Through changes to IAC 657 Chapter 19 (Non-Resident Pharmacy Practice), notification to Iowa patients must occur within 30 days of when a nonresident pharmacy intends to cease business in Iowa. This rule change

also provides that a non-resident pharmacy may not cancel its license as a means of avoiding disciplinary action.

With changes to IAC 657 Chapters 4 (Pharmacist Interns) and Chapter 8 (Universal Practice Standards), clarification is provided that delegating immunization administration to an authorized pharmacist-intern under the direct supervision of the authorized pharmacist is allowed. This rule change also requires that an immunization protocol must identify, by name or classification, any pharmacists or other qualified health professionals that may administer immunizations pursuant to that specific protocol.

Preparation for Legislative Session

After the conclusion of task forces to address several practice-based issues, the Board of Pharmacy has proposed amendments to the Pharmacy Practice Act (Iowa Code 155A). The amendments being considered relate to supervision of pharmacy technicians in telepharmacy practices, the licensure and discipline of nonresident pharmacies and outsourcing facilities, and various definitions relating to pharmacy practice. Other amendments under consideration include the appointment of a pool of alternate board members, clarification of the authority of Board inspectors, and the sharing of inspection reports with other state boards of pharmacy through the NABP Inspection Network. To review the proposed amendments, visit the Board of Pharmacy website. IPA’s legislative priorities include supporting the BOP’s proposed amendments.

Licensing Fees Remain the Same for 2015

While analyzing their budget projections, the Board of Pharmacy voted to keep licensure fees at their current rate for 2015. In summary of those fees, a pharmacist biennial license renewal is $180, a pharmacy technician biennial registration renewal is $40, and a pharmacy biennial license renewal is $135. ■

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public affairs

2015 IPA Legislative Priorities The IPA Legislative Advisory Committee met on October 23, 2014 to develop recommendations for the Association’s legislative priorities in 2015. These recommendations were approved by the IPA Board of Trustees at their November Board meeting.

In addition to approving the legislative priorities as recommended, the Board discussed the opportunity for MTM to become a higher priority if there was support from the state for implementing a cost-saving program that would improve care to Iowa Medicaid beneficiaries.

Additionally, while medical cannabis is not a top priority of the Iowa Pharmacy Association in 2015, the Board did recommend that IPA develop a toolkit for members to become informed of medical cannabis proposals and the Association’s position, as pharmacists are often asked this question.

2014-15 Legislative Advisory Committee Steve Firman, Chair Erik Maki, Vice-Chair William Baker Elizabeth Bald Brett Barker David Book Robert Egeland Michael Fuller Meron Gartner Jennifer Goings Thomas Greene Robert Greenwood

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Thomas Halterman Harold Jackson Jennifer James Manda Johnson Marshall Johnson Joel Kurzman Hilary McCants Marra Pienta Susan Purcell Douglas Schara Andrew Spurgin

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STATE LEGISLATIVE PRIORITIES PBM Regulation

IPA supports PBM legislation that provides patient protection and allows the Iowa Insurance Division (IID) to fully regulate PBMs in the state of Iowa.

Following passage of HF 2297 in 2014, the Iowa Insurance Division has continually encountered barriers to enforcement of PBM regulations and new law. Pharmacy Benefit Managers (PBMs) have increasingly utilized unfair and non-transparent methodologies that impact the ability of community pharmacies to maintain prescription dispensing and patient care services to Iowans. These practices are now directly impacting patients.

DHS Appropriations

IPA supports the inclusion of funds in the Department of Human Services’ budget to meet the requirements of the statutorily required Medicaid dispensing fee. IPA supports the Board of Pharmacy’s request to increase the allocation to provide funding for a statewide medication disposal program.

Pursuant to the 2014 cost-ofdispensing survey, as of August 1, 2014, Iowa’s new dispensing fee is $11.73, an increase from $10.12 established in 2013.

Since 2009, the Iowa legislature and Iowa Board of Pharmacy have supported a statewide medication disposal program. The Iowa Board of Pharmacy has approved an increase in its level of funding for 2015 to meet the needs of program growth and expansion related to the DEA’s new rules on disposal of controlled substances.

Board of Pharmacy Legislative Proposals

IPA supports the 2015 legislative proposals pre-filed by the Iowa Board of Pharmacy related to nonresident

pharmacy, telepharmacy and outsourcing facility licensure, alternate board members, and definitions regarding pharmacy practice.

Pursuant to recommendations from the joint IPA/Board of Pharmacy task forces on Telepharmacy and Pharmacy Compounding, IPA supports the amendments to Iowa Code Sections 155A and 147 as pro-posed by the Iowa Board of Pharmacy.

POLICY POSITIONS Medication Therapy Management

IPA supports improved opportunities for Iowa pharmacists to provide MTM services to Iowa Medicaid or other third party beneficiaries as a tool to save overall healthcare expenditures by optimizing medication use.

Additionally, IPA will provide legislative support if opportunities to introduce or expand MTM services arise within the Iowa legislature, health insurance industry, and Iowa business community.

As momentum gains for improving medication use and reducing overall healthcare costs, efforts to expand coverage of MTM services that focus on patient care and positive outcomes will be continually assessed.

Emergency Medication Distribution

IPA supports the inclusion of pharmacists in legislative and regulatory efforts for the distribution of emergency medications, including naloxone as an antidote to opioid overdose.

As states react to the rising problem of prescription drug abuse and medication misuse, several states have enacted laws related to the distribution and payment for naloxone as antidote therapy. As Iowa considers this strategy, IPA believes pharmacists should be considered in collaboration with other stakeholders to implement communitybased public health programs concerning emergency medications.

public affairs Drug Product Selection

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

Collaborative Practice

IPA supports expansion of Board of Pharmacy rules related to Collaborative Practice Agreements.

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

Capitol Screening Day Save the Date!

YOUR SUPPORT IS NEEDED! PLEASE HELP KEEP IOWA PHARMACY A VIABLE, STRONG, AND ACTIVE PARTICIPANT IN THE LEGISLATIVE PROCESS. Every contribution, large and small, helps pharmacy maintain visibility and relationship with legislators.

IPA actively advocates on behalf of the profession- both during the legislative session and throughout the interim. We need your continued support in order to remain effective. Please consider making your contribution online today at www.iarx.org/ippac.

The IPPAC is funded through contributions by individual pharmacist, technician, or student pharmacist members, as well as member PACs of other organizations. IPPAC relies completely on the assistance of individuals as contributions to candidates from corporate sponsors are illegal. These funds are used to directly, and strategically, support candidates and legislators to promote the pharmacy profession.

Tuesday, April 7, 2015 10:00 AM – 1:00 PM Capitol Screening Day is an opportunity for pharmacists and student pharmacists to showcase the advancing role of pharmacists in the healthcare system. By providing screenings for blood pressure, blood glucose, cholesterol, and bone density, legislators can experience first-hand the value that pharmacists provide.

This important event provides insight to legislators while building rapport, which aids in IPA’s legislative efforts.

The Legislative Defense Fund consists of donations from corporate sponsors.

These funds are used to pay for advocacy and legislative strategy not relating to direct contributions to legislators and candidates. These may include Legislative Day and Capitol Screenings, contracted lobbyists and external consultants, and IPPAC administration and fundraising costs.

NEW! Preserve Pharmacy Practice Fund

IPA has established this restricted fund to support the robust strategy related to regulating PBM practices. This fund is specifically used for legal efforts related to the PBM lawsuit and ongoing legislative strategy to tackle PBMs in Iowa.

To participate in or support this event, contact Anthony at apudlo@iarx.org.

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peer review

The Pharmacy Technician Classroom: The Student Pharmacist’s Perspective Anna Shields PharmD/MBA Candidate 2016 Hannah Stonewall PharmD Candidate 2016 J.J. Zieminski PharmD Candidate 2016 Drake University College of Pharmacy & Health Sciences Corresponding Author: Tony Guerra, BA, PharmD Chair, Pharmacy Technician Program Des Moines Area Community College 515-965-7192 aaguerra@dmacc.edu

Abstract

Teaching is an essential part of a pharmacist’s role in the workplace and academia. However, most student pharmacists gain little teaching experience until their post-graduate residencies. This paper explores the benefits of involving three Drake University student pharmacists in the Des Moines Area Community College (DMACC) pharmacy technician classroom in Ankeny, Iowa. The experience included a three-week intraprofessional educational academic block in January of 2014 to gain experience in teaching, research, and

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administration. The intraprofessional education benefited both student groups, providing valuable interaction and learning.

Keywords: Pharmacy, Intraprofessional Education, Pharmacy Technician, Pharmacy Student, Student Pharmacist

Introduction

Pharmacists are educators. They counsel patients, mentor students, and communicate with other healthcare providers. Occasionally, pharmacists speak and educate large groups at local, regional, or national meetings. The number of pharmacy schools continues to grow nationally; therefore, the number of pharmacists focused on academia must reflect this increase. However, didactic teaching opportunities for student pharmacists are rare. Some students serve as teaching assistants (TA) in pharmacy school, but positions are limited. Students may also be exposed to some didactic experience during their last year of pharmacy school through Advanced Pharmacy Practice Experiences (APPE). Yet, teaching forms a significant part of many PGY1 and PGY2 residencies. According to Greco, et al., “many [clinical faculty members] have limited experience with classroom based teaching responsibilities” (Greco). Pharmacy technician classroom teaching can provide this experience.

One area student pharmacists can develop and refine their teaching abilities is through intraprofessional experiences with pharmacy technicians. Much research has focused on the impact of teaching between multiple professions through interprofessional collaboration.

“Interprofessional education is an approach to teaching in which students from two or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes. The purpose of interprofessional education is to emphasize and understand the roles of different disciplines for enhanced

collaboration, improved quality of care and patient centeredness”5. Similarly, this particular intraprofessional experience can provide learning and collaboration within the discipline.

Pharmacists and pharmacy technicians work in the same field, but training periods, student demographics, and educational foundations differ.

Recognizing this dissimilarity, intraprofessional education allows technicians and student pharmacists to gain a sense of comfort with their future colleagues and better understand their roles together. It can also promote trusting and collaborative relationships between future pharmacists and technicians.

To explore these concepts, we describe an intraprofessional teaching, research, and administrative experience between Drake University and Des Moines Area Community College (DMACC) students implemented in January of 2014.

The three-week experience included one week of curriculum development followed by two Friday morning classes, in which three Drake student pharmacists presented for two hours to DMACC students. While this example only includes one school of pharmacy and one technician diploma program, it provides a starting point to explore the benefit of pregraduate teaching experience in an intraprofessional setting.

Experience

Our primary focus as student pharmacists was to teach twenty DMACC pharmacy technician students in two introductory pharmacology class periods. Secondarily, we researched and helped develop a continuing education program for a Tech-Check-Tech (TCT) Education Module on dosage forms coordinated

by The Collaborative Education Institute. We also improved the administrative management of the program by creating a comprehensive internship manual to further guide the pharmacy technician students

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peer review through the experiential components of the technician program. The manual consolidated class syllabi and experiential forms for student rotations.

The teaching portion of the Drake/ DMACC experience consisted of four contact hours with the DMACC students. The primary emphasis of our teaching was pharmaceutical dosage forms. Exercises focused on learning objectives from pharmacology, pharmacy calculations, and compounding courses. Creating innovative learning environments, novel teaching methods, and diverse active-learning activities to learn about, from, and with one another is essential for individuals teaching in a collaborative learning environment3. Keeping this in mind, we used fill-in-the-blank PowerPoint presentations, small group case studies, prescription calculations, dosage form demonstrations, and curriculum related Jeopardy to create an active learning environment. We experimented with various forms of teaching to build this experience based on our own prior knowledge and research on Team-Based Learning4 and gaming pedagogy1. Our teaching style consisted of 15 minutes of lecture followed by a 30-minute activity. This approach held the students’ attention and helped them with hands-on learning. One student said, “I liked that we were able to take active notes so we were able to learn the content and didn’t miss anything important.

The actual hands-on activities were a great learning tool as well.” Most of the technician students surveyed echoed this sentiment.

While the primary intent of the experience was to provide interaction with pharmacy technician students, an opportunity to help develop a Tech-Check-Tech Education Module surfaced. We composed presentation materials covering dosage forms for the Collaborative Education Institute (CEI). The DMACC technician students saw an adapted version of this module.

After teaching, feedback from DMACC

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students helped develop further refinement to the slides, images, and organization for the CEI module.

The response from technicians who attended the CEI live webinar in March of 2014 was positive.

Reflection

While preparing for this experience, we reflected on major differences in curricular requirements and class sizes.

Drake’s doctoral program is six years, whereas the pharmacy technician diploma is one calendar year. In those Drake University graduate pharmacy courses with high enrollments, the class format is commonly lecture and requires significant prior self study.

In contrast, the pharmacy technician classroom of twenty students allows for a more interactive teaching environment. Many technician students balance family and full-time work and may not be able to complete lengthy homework assignments. This makes active, in-class learning essential.

Recognizing these differences, the pedagogy combined presentation as a structured conversation.

Our teaching began with some opportunities for improvement. One student stated, “Some of the material could have been presented more slowly. This is all new information to me as I am new to the pharmacy technician program.” Using closedended questions, speaking and moving through the material too quickly, disengaged the student audience. The preceptor collaborated with us during the first break to provide insight. With our pharmacy school training, it was easy to shift to open-ended questions, more frequent pauses, and to take note of student body language as a signal to refine points. This recognition of subtle cues, also noted in pharmacy practice while speaking to patients, families, or other members of the health-care team, helped us assess our effectiveness. The room then became an engaging learning environment.

Through this intraprofessional education experience, we discovered

benefits for all parties involved.

Both groups were able to learn new concepts from one another.

As student pharmacists, we had an invaluable opportunity to teach and grow professionally. Teaching student technicians forced us to look at the material innovatively. Student pharmacists need a comprehensive understanding of therapeutic medication information. However, pharmacy technicians need a more selective understanding of pharmacy and medication related information.

This created a gray line separating the knowledge required of technicians and pharmacists. This challenged us to think critically about the role of the technician, and what information they need to work effectively in the pharmacy environment.

The student technicians also found benefit from having student pharmacists as teachers in their classroom. One student said, “It was easy for me to relate to the pharmacy students. They were able to effectively communicate their ideas to the class at a level that was appropriate for our learning.” This intraprofessional education provided a secure environment to learn from a technician cohort and develop pedagogical best practices.

Conclusion

This intraprofessional education benefited students within one pharmacy school and one technician program. As future pharmacists, we will be responsible for educating pharmacy technicians in the work environment. Through this experience, we gained communicative practical teaching experience we may need in a residency, academic role, or in the workplace. Both the student pharmacists and student technicians gained an appreciation for the others specific line of work within pharmacy, leading to future intraprofessional gains. To further explore the benefits of pre-graduate teaching experiences, we recommend implementing programs similar to the one investigated here.

peer review Acknowledgments

We wish to recognize the collaborative efforts of Dr. Tony Guerra and Dean Wendy Duncan for organizing this intraprofessional experience. We also wish to thank Associate Dean for Academic and Student Affairs, Renae Chesnut, for facilitating the administrative challenges in the interinstitutional effort. â–

References

1. Grady S, Vest K, Todd T. Student attitudes toward the use of games to promote learning in the large classroom setting. Currents in Pharmacy Teaching and Learning; 5: 263-268. SciVerse Science Direct .1 Jan 2014. DOI 10.1016/j. cptl.2013.01.008 2. Greco AJ, Ferreri SP, Persky AM, et al. Characteristics of Postgraduate Year Two Pharmacy Residency Programs with a Secondary Emphasis on Academia. Am J Pharm Educ 2013; 77(7); Article 143. 1 Jan 2014 3. Ratka A. Transition of Pharmacy Educators to Pharmacy Educators to Faculty Champions of Interprofessional Education. Am J Pharm Educ 2013; 77(7); Article 136. 1 Jan 2014 4. Rondall A, Copeland J, Franks A, et al. Team-Based learning in US Colleges and Schools of Pharmacy. Am J Pharm Educ 2013; 77(6); Article 115. 1 Jan 2014 5. Vouri S, Grice GR, Roberts A, et al. Didactic and experiential interprofessional, inter-institutional courses at a private college of pharmacy. Currents in Pharmacy Technician and Learning; 5: 626-631. ScienceDirect. 1 Jan 2014. DOI 10.1016/j. cptl.2013.07.010

LOOKING TO GET PUBLISHED?

Consider submitting your research manuscript to be peerreviewed by the Journal of IPA. Please send articles to IPA@iarx.org.

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member section IPA Member Spotlight:

Committee and now serves on the Health Systems Liaison Board. Currently, she practices as the Director of Pharmacy at Jones Regional Medical Center, which is a 22-bed critical access hospital in rural Jones County. In this position, she balances staffing and clinical pharmacy with her responsibilities as director.

Pharmacists on the Healthcare Team

Mary Mosher, PharmD By: Christina Highley 2015 PharmD Candidate University of Iowa

Walk the Walk & Talk the Talk As the U.S. healthcare system adjusts to the Affordable Care Act, pharmacists have an opportunity to diversify their position. With active participation and leadership from pharmacists like Mary Mosher, we can bring our qualifications to the forefront, solidifying our position on the healthcare team.

Pharmacy as a Career

When her chemist position at RockwellCollins was eliminated after six and a half years, Mary made the best decision for her growing family and chose to enter the field of pharmacy. Mary enrolled at the University of Iowa College of Pharmacy in 2003, at the age of 30. Pharmacy provided a combination of further education, which Mary intended, with healthcare, which always interested her.

Joining IPA as a P1 provided yearly opportunities to build the framework to becoming a pharmacy leader. Upon graduation from the University of Iowa, Mary began her new career as a leader among Iowa pharmacists. She completed a Community Pharmacy Residency at Shepley Pharmacy in Mt. Vernon in 2007.

In 2013, Mary was selected to participate in the Leadership Pharmacy Conference.

She has also served on the Medicaid and Pharmacy Benefits Program Advisory

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While pharmacists look to become rightful members to the healthcare team, Mary is furthering pharmacy’s relationship on the healthcare team at Jones Regional Medical Center.

Pharmacists currently participate on multi-disciplinary rounds and work closely with hospitalists to provide excellent patient care. Interaction between pharmacists and patients is expanding, something Mary works to offer and provide. By increasing interaction and providing excellent care, Mary and her team hope to prevent readmissions as rules regarding reimbursement continue to become more stringent and challenging.

As the healthcare system becomes more dedicated to patient outcomes, pharmacy becomes even more integral to quality healthcare. Mary sees pharmacy becoming involved in direct patient care in both inpatient and outpatient settings.

For Mary, staying well-informed and involved is an excellent way for pharmacists to gain the skills needed to expand pharmacy’s role. Involvement with IPA and other professional organizations can vary from serving on a committee to being a delegate and attending meetings to collaborating with other disciplines through IPA events.

Simply wanting change is not enough.

Mary feels strongly that she doesn’t want others to decide our future. Instead, she wants pharmacy to “walk the walk and talk the talk” to demonstrate our

competencies to others. ■

Welcome NEW IPA MEMBERS THANK YOU FOR SUPPORTING IPA! OCT 1 - DEC 31:

Cornell Badura, Webster City Shari Bedard, Fairfax Katie Beerbower, Oskaloosa Kellie Boettger, Schleswig Timothy Bormann, Humboldt Peggy Bushore, Alden Cory Coburn, Elkhart Jacob Crimmins, Fort Dodge Shania Cubit, Oskaloosa Carolynn Dwight, Mt. Pleasant Amy Fenton, Oskaloosa Anna Fishel, Allison Amy Fitch, Spencer Grace Garrett, Bondurant Ann Gehring, Ottumwa Alfred Grabow, Dubuque Kate Grafel, Omaha Anna Graves, Oxford Junction Carmen Grimm, North Liberty Lynne Hainline, Mount Pleasant Betsy Henningsen, DeWitt Lisa Hubka, Sheffield Jillisa Legg, Beaman Rachel Levin, Des Moines Jill Link, Des Moines Holly Mastin, Waterloo Angela McKnight, Des Moines Debra McLaury, Jesup Miranda Mercer, Mason City Carol Mitchell, West Des Moines Terry Morris, Primghar Nancy Mueller, Bellevue Angie Nelson, Jefferson Trish Okamoto, Clarinda Emily Oltmanns, Rhodes Candace Prashad, Des Moines Charlene Reith, Marshalltown Heather Ricklefs, Titonka Maria Rivera Held, Oskaloosa Hollie San, Oskaloosa David Schlichtemeier, Spencer Karen Sedlacek, Spirit Lake Jill Stegall, Cedar Falls Janet Swanson, Hudson Amanda Toms, West Des Moines Stephanie Walker, Oskaloosa John Webb, Des Moines Timothy Weber, Denison Joyce Wheeler, Clive Robin Younge, Ventura

member section In Memorium: J. Patrick “Pat” McDonnell RPh

J. Patrick “Pat” McDonnell RPh, 71, of Charles City, passed away unexpectedly on Saturday, November 8, 2014 at his winter home in Chandler, Arizona. Pat was a 48 year member of IPA.

Last Call for 2015 IPA Awards Nominations

Help recognize your fellow IPA members for the outstanding work they do to serve their patients and our profession. IPA is seeking nominations for the 2015 IPA Awards Program.

Awardees will be notified at the 2015 IPA Annual Meeting in Coralville on June 11th. Please take a moment to nominate a colleague for one of the following IPA Awards (deadline for nominations 2/10/15):

• Innovative Pharmacy Practice • Distinguished Young Pharmacist • Robert G Gibbs Distinguished Pharmacist • Health-System Pharmacist of the Year • Pharmacy Technician of the Year • Patient Care Partner • Cardinal Health GenerationRx Award • Appreciation: Corporate & Individual • Honorary President

He began his career at Salsbury Animal Health and worked in several capacities for the company’s many corporate names. He retired in 2006 and recently was working part-time at Walgreen’s in Iowa and Arizona and Riceville Pharmacy in Iowa. He was a dedicated pharmacy professional and loved everything pharmacy.

Memorial contributions may be made to the Iowa Pharmacy Association Foundation. A named scholarship has been set up at the University of Iowa College of Pharmacy in Pat’s name and memory.

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member section

MEMBER MILESTONES PROFESSIONAL Congratulations to Laura Knockel, PharmD (North Liberty) as she begins her new role as Adjunct Assistant Professor in Pharmacy Practice and Science for the University of Iowa College of Pharmacy!

Gary Christensen, PharmD (Iowa Falls) accepted a new pharmacist role within HyVee at their Central Fill Pharmacy. Best of luck in your new position, Gary!

Julie Kuhle, RPh (Indianola) was promoted to Vice President of Measure Operations at the Pharmacy Quality Alliance. Congratulations, Julie!

Congratulations to Tom Kelly, PharmD (Johnston) on being named Pharmacy Manager at Walgreen’s Pharmacy in Fort Dodge!

Members of the Iowa State Board of Health voted unanimously to keep Michael Wolnerman, RPh (OutcomesMTM) as the Chairperson for the Board of Health.

Congratulations, Michael!

Kate (Oltrogge) Pape, an assistant professor (clinical) at the college and clinical pharmacy specialist at the UIHC Burn Treatment Center, was selected to be chairelect of the American Burn Association’s Pharmacy Special Interest Group.

Congratulations to Sandra Johnson, RPh on her retirement! Sandra has been associated with the University of Iowa College of Pharmacy for over 30 years, and most recently served as Associate Director for the Professional Experience Program.

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Eric Bickel, RPh (Des Moines) was promoted to Pharmacy Director at Dahl’s. He is also the pharmacy manager at the Dahl’s Pharmacy on Fluer Drive in Des Moines. Congratulations Eric!

PERSONAL Landon Michael Louis Bottenberg was born October 6, 2014 (7 lbs. 6.5 oz.) to proud parents Michelle, PharmD (Drake University) and Charlie Bottenberg, and little brother to Liam and Alaina!

Pierce Weldon Eastman was born September 30, 2014 (7 lbs. 14 oz.) to proud parents Darla, PharmD, BCPS (Drake University) and Eric Eastman, and big brother Cade!

POLITICAL Representative John Forbes, RPh (Medicap Pharmacy) was re-elected to the Iowa State House of Representatives for District 40. Congratulations, John!

Representative Scott Ourth (spouse of IPA member Heather, PharmD) was reelected to the Iowa State House of Representatives for District 26. Congratulations, Scott!

Send your member milestones to ipa@iarx.org for inclusion in the next IPA Journal.

• FREE CPE “relicensure” & “recertification” buckets

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technician’s corner

Lending my voice to the Compounding Task Force Tammy Sharp-Becker, CPhT Pharmacy Technician Iowa Lutheran Hospital Pharmacy

F

rom the time I became a pharmacy technician twenty some years ago, pharmaceutical compounding has changed immensely. With changes in the practice of compounding, come changes in the laws as well.

Approximately a year ago, a group of members from the Board of Pharmacy, the IPA, and pharmacists and technicians from around the state of Iowa, came together to form the Pharmacy Compounding Task Force. This task force was put together in part due to the compounding pharmacy mishaps (primarily NECC) that have taken place over the past few years.

“I have learned a lot about the different types of compounding that I never even knew existed.”

Being a pharmacy technician on this task force has been a wonderful experience.

I have learned a lot about the different types of compounding that I never even knew existed. Pharmacy isn’t just about the pharmacists and what they do.

Technicians play a very important role in the day to day activities of a pharmacy, especially compounding pharmacies.

One thing that everyone needs to remember is that compounding does not include mixing or reconstituting a drug according to the product’s labeling or to the manufacturer’s directions.

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Compounding, for example, is when you combine multiple ingredients to make one item.

The Compounding Task Force worked diligently over the past year to clean up the laws and procedures that are in place in the state already. We worked with the USP 797 and USP 795 guidelines, as well as three chapters of Iowa Board of Pharmacy rules – Iowa Administrative Code 657 - Chapter 20 Pharmacy Compounding Practices; Chapter 16 Nuclear Pharmacy; and Chapter 13 Sterile Compounding Practices. (see page 41 for an update on the proposal and Board of Pharmacy action).

A proposal was put together to send to the Board of Pharmacy for approval. The proposal had modifications to some of the laws like the Chapter 20 Compounding.

Definitions and some sections of the laws were reviewed and changed to make them more user friendly.

“Technicians don’t realize how important it is for them to be involved in the different committees that the IPA and Board of Pharmacy have available...”

To me, the most interesting part of serving on the Compounding Task Force was actually learning the laws that compounding entails. Being a part of this task force has been very educational.

Technicians don’t realize how important it is for them to be involved in the different committees that the IPA and Board of Pharmacy have available. Technicians’ voices need to be heard because we are the ones doing the jobs. ■

technician’s corner Technician Advisory Committee Engaged at 2014 Tech Forum

NICIAN CY TECH A M R A H UM P NAL FOR EDUCATIO

Pharmacy Technicians Learn from the Experts at Tech Forum

On October 25, 2014, ten members of the IPA Technician Advisory Committee discussed current pharmacy technician topics and the professional role of pharmacy technicians as a new future of pharmacy practice is forged. Held in conjunction with the 2014 Pharmacy Technician Education Forum, the Committee opened their meeting to other technicians in attendance and focused their discussion on creating demand for membership in IPA. The Committee provided a recommendation to the Board of Trustees to evaluate renaming the technician section of IPA as the Iowa Pharmacy Technician Association.

Over 50 pharmacy technicians attended the 2014 Pharmacy Technician Educational Forum on Saturday, October 25th at Stoney Creek Hotel & Conference Center in Johnston. Topics for this year’s educational forum, specifically developed for pharmacy technicians, focused on healthcare in the 21st century, quality measures and patient care outcomes, medication therapy management, practical applications of OTC products, antibiotic update, and professional career engagement.

In addition, three technicians were honored by OutcomesMTM as the Top Technicians in Iowa for billing MTM services as part of Technician Involvement Month. These technicians included: Amanda Fortune – Mercy Family Pharmacy Kim Schaeffer – Hy-Vee Pharmacy Emily Wilson – Mercy Family Pharmacy

Trending Topics: • Technician Membership in IPA • Tech-Check-Tech & Telepharmacy Programs • Future of the Pharmacy Technician Educational Forum • Accreditation of Technician Education Programs

2014-2015 IPA Technician Advisory Committee Members: Lori Foster, Chair Jean Gallogly, ViceChair Neisha Benson Connie Bentrott Jessica Burge Carmen Dunphy Meg Finn Anna Fishel Michelle Garvin Sonya Jones

Kelly Komen Rachel Levin Steven Martens Judy Mentzer Kay Moeller Mary Mosher Tammy Sharp-Becker Jessica Sinning Alyce Steig Julia Strause

2015 TEAM Topics Help Achieve Recertification

Pharmacy Technician Education for Association Members

The Committee encouraged IPA to continue to educate technicians regarding their role as a healthcare professional as well as new opportunity for advanced practices of technicians. The Committee provided direction to IPA staff on the format and structure for the future programs at the Midwest Pharmacy Expo and the Technician Forum. The Committee plans to hear details about emerging opportunities for pharmacy technicians across Iowa at upcoming meetings as members discussed the importance of technicians to be part of the healthcare transformation as evidenced by Tech-Check-Tech (TCT) and telepharmacy programs.

IPA and CEI are again partnering to provide pharmacy technicians with 10 hours of continuing pharmacy education in 2015. The CPE articles, TEAM (Technician Education for Association Members), are provided free for all IPA pharmacy technician members.

2015 TEAM Topics • Contraception: A Review for Pharmacy Technicians • General Burn Care • The Technician’s Role in PharmacyBased Vaccination Programs • The Role of Pharmacy Technicians in Patient Care Services • Navigating the Non-Prescription Medication Aisle • Introduction to Dietary Supplements • Helping Patients Make Medications Affordable • Calculations Review • Controlled Substances Federal Law • Medication Adherence: Opportunities for Pharmacy Technicians JAN.FEB.MAR 2015 |

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technician’s corner

Newly PTCB Certified Iowa Technicians July 1, 2014 through Dec 28, 2014 Please join IPA in congratulating the following pharmacy technicians on become PTCB-certified!

Rebekah Achenbach Taylor Adam Janet Adams Jason Bailey Curran Bardill Sarah Bechtel Olivia Bell Freda Blinks Sarah Borland Chelsea Brandt Mackenzie Breese Kristen Burton Allissa Carlson Raemi Chavez Cheri Childress Susan Church Katelyn Coffman Caryn Corbin Deborah Craig Emily Crowley Norma Cruz-Rodriguez Shania Cubit Kelsey Dankert Monica De La Vega Lori DeHart Tammy Dickinson Jaime Dirks Akmal Djumaev Kaylee Dochterman Amy Dunleavy Courtney Dunn Alexis Duttweiler Stephanie Eberly Tricia Edwards Geraldine El-Tall

Meredith Espenscheid Breanne Evans Katherine Everett Amy Fangman Tara Felix Alaina Feltes Vanessa Fiechtner Lacey Fischer Laura Fontanini Kari Frantzis Shannon Gehrig Krystal Giebelstein James Glass Megan Goetzl Jenna Green Marcia Gruman Angella Guengerich Brittany Gustafson Jordayn Halstead Kayla Halverson Jessica Harford Kayla Harris Moriah Harris Elizabeth Harrison Jacqueline Henessee Alexander Herold Ryan Hill Alyssa Hobert Karin Hotchkiss Kelsie Houpt Julie House Jaime Hutchinson Mindy Icenbice Grant Jerkovich Melinda Jurgensen

Courtnee Kaecker Jacqueline Kannegieter Raymond Kent Bret Kinne Kimberly Kistler Britney Kleinhesselink Sarah Kleinwort Nicole Klomp Kaitlin Korleski Emily Kramer Elizabeth Krause Jean Laake Megan Lackas Kelly Lange Anna Larson Sandra Leimbacher Rachel Levin Jonathan Levsen Andrea Link Riley Liss Christina Lockard Joy Lohse Stacy Long Jorge Lopez Leslee Mackey James Markham Pamela MaroukasMatthews Dena Martin Erika May Matthew McCarty Carolyn McIntyre Amanda McKenney Danielle Menuey Brenda Miller

Elizabeth Miller Susan Miller Rachel Moran Brandi Morisette Angelia Morse Emily Mostaert Caylie Mueller Trisha Nelson Vi Nguyen Corbin Nichol Shane Nisly Arianna Norem Benjamin Oberender Morgan Olhausen Kelli O’Malley Samantha Owens Hunter Pagel Whitni Patterson Claire Penningroth Abbey Pieken Morgan Plender Steven Powers Destanie Pringle Shelby Rhiner Melissa Riniker Julie Rivera Amber Roe Michelle Roseman Ashley Ruble Karen Schell Donavin Schlosser April Schroder Kristine Schweizer Allissa Shoemaker Shelley Shoemaker

Katelyn Short Ruby Skarin Melissa Sloan Carrie Smith Meka Solis Jacqueline Sorenson Rhonda Stalkfleet sharon Stenum Kayla Sturm Dawna Swick Jeanette Tate Andrew Taylor Jonathan Taylor Tyler Tedford Haley Tessmer Amanda Toebe Kaleigh Uchytil Jennifer Utz Samantha Waldecker Amy Wear Diana Webb Robert Webb Joseph Weirather Megan Wellendorf Lindsey Wheeler Christina White Kristi Wieland Jourdan Winterhof Kayla Wisnousky Melissa Young Gabrielle Zimmer

CERTIFIED TECHNICIANS!

Looking for Quality Education?

If you, or the technicians who work with you, are looking for quality CPE (Continuing Pharmacy Education) – the search is over! IPA Technician Membership includes 10 hours of FREE Continuing Education each year.

The CPE included with membership will help technicians maintain their certification. Continuing education topics will follow the PTCB blueprint domains.

WWW.GOTOCEI.ORG (under Technician tab)

or connect directly through your member profile on www.iarx.org Pharmacy Technician Education for Association Members

JAN.FEB.MAR 2015 |

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college of pharmacy news

Expansion Will bring two additional programs to DRake Wendy Duncan

PharmD, PhD Drake University College of Pharmacy and Health Sciences Dean

T

he Drake University Board of Trustees recently approved new degree programs in mathematics, science, education, technology, and health sciences while taking initial steps to further enhance the University’s programming through $65 million in new construction and renovation to create what is being called the STEM@DRAKE complex. This action will allow the University to finalize architectural and construction plans in anticipation of receiving the board’s final approval as early as April 2015.

Fully implemented, STEM@DRAKE, with its “E” for education, will add two new buildings to create an interconnected six-building hub for Drake’s science, mathematics, computer science, and health sciences programs and the School of Education. This will afford much needed space for program growth while providing innovative spaces for learning, research, experimentation, and collaboration. The plans for which the board provided initial approval include completing renovations in Olin Hall, which provides classroom and research space for the biology, environmental science and policy, and psychology departments; and to Fitch Hall, Cline Hall of Pharmacy and Science, and Harvey Ingham Hall, which together house the College of Pharmacy and Health Sciences, chemistry department, and physics department.

Pending board approval, construction may begin as early as summer 2015 and conclude in fall 2017.

Two of the new academic programs will be housed in the College of Pharmacy and Health Sciences:

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• A five-year, accelerated Master of Science in Athletic Training (AT) program.

Students will enter into a three year preAT track from high school and, assuming they maintain appropriate academic standing, will enter into the AT Master’s program. They will be awarded the Bachelor of Health Sciences degree after the first year in the Master’s program and the AT Master’s degree upon successful completion of the second year.

• A five-year, entry-level, accelerated Doctor of Occupational Therapy (OTD) program. Students will enter into a twoyear pre-OTD track from high school and, assuming they maintain appropriate academic standing, will enter into the OTD program. The accelerated OTD program will operate year round, beginning in the summer following the second preOTD year. Students will be awarded the Bachelor of Health Sciences degree after the first four semesters in the OTD program and the OTD degree upon successful completion of the third year.

There is a shortage of occupational therapists in Iowa and the new program is being greeted with enthusiasm. There is a strong interest among students for both athletic training and occupational therapy, and their accelerated format will make them attractive.

Members of the Drake University College of Pharmacy and Health Sciences community are excited about the additional interprofessional education these new programs afford, both at the pre-professional and professional levels. ■

college of pharmacy news

New Facility Approved

The College of Pharmacy is pleased to report the Iowa Board of Regents approval of the schematic design, project description, and budget for the construction of a new facility during their recent meeting in Iowa City. The plan also includes a remodel of portions of the existing 1996 south tower, and the demolition of the 1961 building and Quadrangle Residence Hall.

The new facility will be constructed at the site of Quadrangle Hall and include many avant-garde features such as student learning spaces that allow for greater focus on small group, teambased learning and enhanced critical thinking skills; state-of-the-art research space; and, utilization of cutting-edge technology such as patient simulation and 3-D conceptual integration to better address the highly complex interface between pathophysiology and pharmacology.

The $96.3M project will be funded by state appropriations combined with University and College of Pharmacy contributions and investments.

Construction is scheduled to start in the spring of 2016.

New Curriculum Begins Fall 2015

The College of Pharmacy will implement the new Doctor of Pharmacy (PharmD) curriculum beginning with the class admitted in the fall of 2015. A committee of faculty members, led

by Associate Dean Hazel Seaba and Gary Milavetz, division head of Applied Clinical Sciences, has worked to transform the curriculum with a studentcentered approach to teaching.

Expected learning outcomes focus not only on knowledge but also on the development of personal and professional skills. Student pharmacists will demonstrate expert knowledge of medications and pharmacy practice, as well as effective decision-making, teamwork, and communication.

Developing these skills will prepare students to provide effective and beneficial patient-centered care.

with the Siouxland Medical Education Foundation Family Medicine Residency in Sioux City.

Alumni Recognition

Distinguished Alumni Awards • Dennis Erb, ’84 PhD • Stephen Mullenix, ’74 BSPh

TJ Johnsrud Celebrated

In a symposium held on Thursday, October 9, the College of Pharmacy celebrated Thomas J. Johnsrud, recipient of the 2014 Osterhaus Medal for Lifetime Achievement Award.

TJ Johnsrud is a 1966 graduate of the college and is the founder and president of NuCara Management Group, LLC, headquartered in Conrad, Iowa, which oversees pharmacy locations in Iowa, Illinois, Minnesota, North Dakota, and Texas. He has been honored for his commitment to excellence in pharmacy in Iowa with the 1991 Bowl of Hygiea, the 2001 Robert G. Gibbs Distinguished Pharmacist Award, and the 2003 Distinguished Alumni Award from the University of Iowa College of Pharmacy.

Alyssa Billmeyer is Pres. of GPSG College of Pharmacy student Alyssa Billmeyer was installed as president of the Graduate and Professional Student Government (GPSG) for the 2014-2015 academic year. GPSG represents the UI’s graduate and professional student body while seeking to improve their educational experiences overall. She will be the first College of Pharmacy student to serve as president of the organization.

Faculty and Staff Appointments • Guohua An joined the college as an assistant professor in the Division of Pharmaceutics and Translational Therapeutics on Sept. 23.

• Susan Barrett was appointed as the new UI Pharmaceuticals (UIP) senior accountant.

• Sara Wiedenfeld is an Assistant Professor (Clinical) in the Division of Applied Clinical Sciences as of May 5, 2014. She has a shared position

Honorary Alumni Awards • Robert Greenwood • James Otterbeck Genesis Awards • Kuberan Balagurunathan, ’00 PhD • Nora Stelter, ’00 PharmD

Nora Stelter, PharmD with Dean Lentendre

2014 Teachers of the Year • Susan Vos – Collegiate • DJ Murry – P1 • Gary Milavetz – P2 • John Swegle – P3

Preceptor Excellence Awards

Craig Clark, Clark’s Health Mart Pharmacy, Cedar Rapids, IPPE Preceptor Excellence Award Matt Porepp, UIHC, APPE Preceptor Excellence Award Mike Farley, Mercy Hospital, Iowa City, Faculty Preceptor Excellence Award

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STUDENT SECTION

Policy Development is Important for the Profession to Advance Carson Klug

PharmD Candidate 2016 Drake University College of Pharmacy and Health Sciences 2014-2015 IPA Board of Trustees

W

hat is the policy development process? Where do I fit into the policy development? Members of an organization often ask these questions. My role at Drake University College of Pharmacy and Health Sciences is to facilitate student involvement in policy development and provide answers to those questions. Policy development processes differ from organization to organization; however, the process starts with an idea. Members who believe a change is necessary within the profession develop these ideas. This first step is vital to the development of policy, but also the success of our profession.

“...the process starts with an idea.”

Once an idea has been formulated, the next step is often to gather feedback.

Feedback allows for a consensus to be formed on how other members feel about the topic. As members of the Iowa Pharmacy Association (IPA) or the American Pharmacists Association— Academy of Student Pharmacists (APhAASP), we have several opportunities to provide feedback. These organizations often focus on monthly meetings that create open dialogue, and spark debate on a topic. Members of policy committees take information gained from these meetings to draft language for proposed resolutions. Proposed resolutions are returned to the membership for a

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commenting period. IPA provides an open forum during the May 2/2/2 Webinar and during the 1st Session of the IPA House of Delegates. These opportunities allow members to speak in support or opposition of a proposed resolution. This also gives members the opportunity to make sure their original idea was not misconstrued. While this can be a lengthy process, these steps allow for resolutions to be well-organized and decrease the amount of debate before a vote.

The opportunity to a vote on a proposed resolution occurs at annual meetings.

This is an exciting moment for delegates and other meeting attendees to voice their opinion through an open forum format. The open forum gives all meeting attendees the opportunity to have his or her voice heard. Following the open policy forum voting occurs. While the IPA only allows appointed delegates to vote on resolutions, all IPA members have a chance to speak their opinion on proposed resolutions during the House of Delegates sessions. The process has now come full circle and the resolution is put to a vote. These resolutions have come a long way, but have one last step. The last step is putting the policy into action.

“The next time you have an idea about the profession, share it.”

The next time you have an idea about the profession, share it. Chances are that other members have similar ideas.

Understanding the process of policy development is the core to any successful association. It is never too early to become involved in policy development or an active member of your profession.

I look forward to hearing your thoughts and opinions during upcoming policy development process for IPA! To read current IPA policy statements, please visit www.iarx.org/ipapolicies (must use membership login to view).■

STUDENT SECTION

APply to the Bill Burke Student Pharmacist Leadership Conference September 11-12, 2015

Deadline to Apply – May 1, 2015

“I can count pills, pour liquids, and compound medications but this is just a small part of a being a pharmacist.

Being a consultant to my patients – that’s where I’ve used my education and where I have been of greatest service.”

- Bill Burke, RPh

• Encourage development of leadership skills and involvement in professional and community activities • Recognize pharmacy students who have displayed leadership potential • Improve communication and teamwork skills

The 20th Annual Bill Burke Student Pharmacist Leadership Conference is scheduled for September 1112, 2015, in Des Moines. The conference will be held in conjunction with the IPA Foundation’s Annual Eggleston-Granberg Golf Classic to provide additional opportunities for networking and learning. There are planned events scheduled on September 11th to be held at Otter Creek Golf Course after the Golf Classic. Online applications are now being accepted for current P1 through P3 student pharmacists from Drake University and The University of Iowa.

The Bill Burke Student Leadership Conference aims to: • Instill quality organizational leadership skills • Increase awareness of issues impacting the profession of pharmacy

Who was Bill Burke?

William A. Burke (1931-1988) grew up in St. Joseph, Missouri as one of 8 children, graduated from Drake University College of Pharmacy, married Julie Boone in 1952, and had 6 children of their own. His legacy lives on through his family and his love for pharmacy. He held positions in pharmacy as chief hospital pharmacist in Grand Island, Nebraska, yet most notably he bought and developed Main at Locust Pharmacy and Medical Supplies in Davenport.

Bill built a thriving business out of Main at Locust. His discipline towards the practice of pharmacy and instinct to know his customers’ needs helped the business grow.

These principles were exemplified when he was faced with the diagnosis of lung cancer. He lived his life leading others and that leadership lives on, annually through this conference.

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STUDENT SECTION

5th Annual IPA College Nights FOcus on the FUture IPA and the Colleges of Pharmacy at Drake and Iowa hosted “College Nights” to introduce student pharmacists to the role of IPA and the benefits of involvement. Hosted in West Des Moines and Coralville, student and faculty attendees heard from a panel of student pharmacists, one faculty, and one new practitioner that sought leadership roles in IPA over the past year.

After a welcome from IPA President John Swegle and the Dean of the College, the audience heard real life discussions that pharmacists have about the profession and its future direction. This candid look at the issues affecting our profession added to the night of networking and camaraderie.

With over 400 individuals combined attending College Nights in 2014, IPA would like to thank all student pharmacists and faculty members for their attendance and participation at this year’s College Nights!

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STUDENT SECTION

Max W. Eggleston Executive Internship in Association Management 2015 Midwest Pharmacy Expo February 13-15, 2015 Join student pharmacists from 8 states for the Midwest Pharmacy Expo at Community Choice Credit Union Convention Center (part of the Iowa Events Center) on February 13-15, 2015. IPA is excited to offer a new opportunity for student pharmacists to stay engaged and informed about pharmacy practice issues while helping to further develop your professional and leadership skills.

This regional pharmacy meeting is packed with high quality education, sought-after keynote speakers, exhibit theaters and much, much more! As a student pharmacist, this is an annual event you don’t want to miss!

Showcase Your Knowledge and Skills!

Capitol Screenings Day Tuesday, April 7, 2015, 10:00 AM – 1:00 PM

Student Programming Will Help Address These Questions: • How do I set myself apart from my classmates?

• How do I prepare for the NAPLEX & MPJE? • How do I dress for success?

• How can I make an impact on the profession?

Other Expo Highlights that Students Can Attend: • General Sessions on Healthcare Transformation with APhA CEO, Tom Menighan, and ASHP CEO, Paul Abramowitz and ‘A Never Event’ on the Hepatitis C Outbreak in Nebraska with Evelyn & Thomas McKnight • Interprofessional Education on Pain Management • Over 16 hours of continuing pharmacy education sessions

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

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

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

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

After a successful Legislative Day, join IPA again the Capitol to directly showcase your skills as a future pharmacist during Capitol Screenings Day! If you or your student organization is interested in participating, please contact Anthony at apudlo@iarx.org.

2014 Eggleston Executive Intern, Natalie Roy

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Calendar of Events 2015 CALENDAR OF EVENTS FEBRUARY 2015 10 2/2/2 - Iowa Health Information Network

(IHIN)-I Want In! 11 Log-in To Learn e-journal Club 13-15 Midwest Pharmacy Expo - Des Moines 19 IPA Board of Trustees Meeting

14 2-2-2 Pharmacy Residents Leading

Practice Change 16 IPA Goes Local- Quad Cities Area 23 IPA Board of Trustees Meeting, IPA Headquarters 25-28 NACDS Annual Meeting - Palm Beach, FL

MARCH 2015 3-4 ASHP Ambulatory Care Conference &

Summit - Dallas, TX 10 2/2/2 - Tracking & Tracing the Drug

Supply Chain 10 IPA Goes Local - Central Iowa Pharmacy

Association - Des Moines 12 Iowa Healthcare Collaborative Patient

Safety Conference 27-30 APhA Annual Meeting & Exposition San Diego, CA 29 Iowa Reception at APhA Annual Meeting -

San Diego, CA

MAY 2015 5 IPA Goes Local - Dubuque Area Pharmacy

Association - Dubuque 12 2-2-2 - Open Forum on Proposed

IPA Policies 14 IPA Goes Local - Black Hawk/Bremer Co

Pharmacy Association - Waterloo 19 IPA Goes Local - North Iowa Pharmacy

Association - Mason City

APRIL 2015 7 Capitol Screenings Day 7-10 AMCP 27th Annual Meeting & Expo San Diego, CA

ADVERTISE IN OUR PUBLICATIONS

JUNE 2015 3 Iowa Healthcare Collaborative Care

Coordination Conference 6-10 ASHP Summer Meeting and Exposition -

Denver, CO 9 2-2-2 Virtual Engagement Series 11-13 IPA Annual Meeting - Coralville, IA

NEED A RELIEF PHARMACIST?

CONTACT “JOSEPH IN RELIEF”

Joseph Thompson, RPh 9616 Quail Ridge Urbandale, IA 50322 1.888.278.0846 h. 515.278.0846 c. 515.991.2684

GARY COTTINGTON Relief Pharmacist

641.780.0642

gpscott@gmail.com

Place your ad/classified ad with us. All ads, contracts, payments, reproduction material and all other related communication

should addressed to David at dschaaf@iarx.org or call the IPA office at 515.270.0713 for more information.

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IOWA PHARMACY RECOVERY NETWORK

Assisting Impaired Pharmacists, Student Pharmacists, and Pharmacy Technicians

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

Providing support . . . through caring volunteers

HOPE FOR RECOVERY 1-877-890-IPRN

http://www.iowarecovery.org/