Pharmacy Practice Annual Report 2018

ANNUAL REPORT 2018

Department of Pharmacy Practice 833 S. Wood St., Rm 164 Chicago, IL 60612

Content MESSAGE FROM THE HEAD

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ABOUT THE DEPARTMENT

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RESEARCH AND SERVICE

08

EDUCATION

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PHARMACY SERVICES

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DRUG INFORMATION GROUP

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RESIDENTS AND FELLOWS

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IN THE NEWS

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GIVING

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MESSAGE FROM THE HEAD Some obvious changes occurred in 2018 for the Department of Pharmacy Practice. Noticeably, I was appointed the Interim Head, again (previously in this role 2006-2007), and it is my honor and pleasure to serve in this leadership role. Dr. Janet Engle is to be congratulated as the former Department Head for the past 11 years, and she will transition to a new role in the College as the Senior Associate Dean for Professional and International Affairs. Another major change includes Dr. Frank Paloucek finishing his role as the Director of the Postgraduate Year One (PGY1) residency program, which he has spearheaded for the past 20 years. Dr. Kirsten Ohler has been appointed the new Program Director and will recruit the 20192020 PGY1 residents that will start in July 2019. Finally, our Annual Report has changed and hopefully you will enjoy the new format and design.

The Department research programs serve to optimize drug therapy and improve health outcomes through the generation, integration, and translation of scientific information between the bench and the bedside, the patient and the population. Here are a few recent examples to illustrate that mission. Dr. Jeremy Johnson has received a R37 National Cancer Institute (NCI) Merit Award for his grant entitled, “Defining the Role of Isoprenylated Xanthones from the Mangosteen for Enhancing Degradation of Full Length and Variant Forms of Androgen Receptor in Prostate Cancer”. This NCI’s Merit Award allows up to 7 years of National Institute of Health support in two segments: 5 years guaranteed funded at $ 1,762,100, and 2 years of additional funding after an expedited NCI administrative review. Dr. Zackery Bullman has also been successful in securing research grants from the Chicago Biomedical Consortium and UIC Clinical and Translational Science Scholars Award for his two studies entitled, “CarbapenemResistant Klebsiella pneumoniae Genomic Biomarkers that Predict Poor Outcomes” and “Tailored Aminoglycoside Therapy: New Strategies to Circumvent Carbapenem-Resistant Enterobacteriaceae”.

These activities represent only a few examples to illustrate the ongoing collaborative clinical and translational research programs within Pharmacy Practice. Post-doctoral research fellowships in infectious diseases, pharmacokinetics-pharmacodynamics, and academic/family medicine continue to prepare future professional and scientific leaders.

The vision of the Department also includes excellence in clinical and professional service, outstanding educational and training programs, and innovative entrepreneurship activities. Our pharmacy services continue to challenge the status quo and explore innovative modes to strengthen patient care as well as provide educational opportunities to students and residents. A few examples of these unique services include telemedicine for Illinois state prisoners affected by HIV and hepatitis C, minimizing errors in transitions of care (RxCARES), chronic disease management, and specialty pharmacy services. The patients

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‘‘ The vision of the Department also includes excellence in clinical and professional service, outstanding educational and training programs, and innovative entrepreneurship activities.

‘‘ at UIC continue to be best served by our pharmacists providing comprehensive medication management and collaborating with members of the healthcare team. I would like to thank Drs. Andy Donnelly and Sandra Durley for their endless leadership in hospital and ambulatory care pharmacy services.

Our faculty continue to engage students, trainees, and pharmacists (both locally and abroad) with outstanding educational and research opportunities that are integrated to clinical pharmacy services. The Department has maintained its history of offering a wide range of accredited PGY2 residencies in advanced patient care areas that include community, ambulatory, and inpatient pharmacy and academic settings. The clinical faculty have established and coordinated several local educational conferences that focus on pharmacotherapy issues in oncology, solid organ transplantation, critical care medicine, and the opioid crisis. In addition, our global leadership can be observed in our long-term pharmacy education programs at international locations such as Malta, Hong Kong, Thailand, and China.

UIC Drug Information Group (DIG), under the leadership of Dr. Michael Gabay and Mary Lynn Moody for the past two decades, continues to provide academic-based drug information services as well as unique entrepreneurial approaches in medical writing, professional training and educational programs, and consultative services for pharmacy and therapeutics committees. Services of DIG have been expanded to include the College’s continuing education programs.

Finally, enjoy this brief report that provides a snapshot into the productivity and highlights of our Department in 2018. Let me explicitly express my sincere gratitude to all the faculty and staff for your continuing support and contributions that have earned us the local, state, national, and international reputation of being leaders in pharmacy practice and outstanding

DR. KEITH RODVOLD INTERIM HEAD PHARMACY PRACTICE

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ABOUT THE DEPARTMENT The Department of Pharmacy Practice is an academic department within the University of Illinois at Chicago College of Pharmacy (Chicago and Rockford Campuses). The Department is also a service unit that provides pharmacy services within the University of Illinois Hospital & Health Sciences System and affiliated sites. Among the most comprehensive units of its type in the United States, the Department is composed of faculty and staff who are teachers, scholars and/or practitioners.

MISSION To serve the public, the University of Illinois at Chicago College of Pharmacy, the University of Illinois Hospital and Clinics, and affiliated sites through the provision of advanced pharmacy services, integrated with innovative and evolving pharmacy education, research, and entrepreneurship.

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VISION To be the global leader in the profoession of pharmacy through excellence in research, entrepreneurship, service, and educational and training programs, preparing pharmacists to provide comprehensive medication management across all healthcare settings.

GUIDING PRINCIPLES In order for the Department to be successful, we believe: yy Patients are best served when pharmacists collaborate with members of the healthcare team to provide comprehensive medication management yy Students and trainees are engaged in the profession when research, education and entrepreneurship are integrated with service yy Faculty excel when they have a significant role and are recognized and supported yy Change in the profession is driven by creating pharmacy leaders yy As a public institution, we have a commitment to disseminate knowledge

Members of the Department Clinical Professors 167

168 Support Staff

438

Clinical Instructors 85

34 Residents & Fellows

12 Tenure Faculty

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RESEARCH AND SERVICE

RESEARCH VISION The Department of Pharmacy Practice research themes emcompass three distinct areas and include: yy Clinical and translational research. The department research programs serve to optimize drug therapy and improve health outcomes through the generation, integration, and translation of scientific informaiton between the bench and bedside, the patient, and the population. yy Scholarship of teaching and pedagogy including developing, evaluating, and disseminating innovative educational methods for educating pharmacy leaders of the future. yy Assessment of innovative pharmacy practice models and health services outcomes with the dissemination of research findings to ensure optimization of patients’ medication-related outcomes.

2018 Presentations

83

28

Poster Presentations

57

8

9

5

3 Keynote Presentations

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10 3

Invited Presentations

Platform Presentations

8 27 7

6

1 Journal Consulting Other Board Reviewer Member Editor Editor

Editorial Boards

2017 2018

27

Book Publications Textbooks and Book Chapters published

94 Grants

Studies funded by outside organizations

164 Publications

172 Leaders

Leadership positions in Academic and Professional Organizations

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EDUCATION

The experiential education group which is comprised of Drs. Kristen Goliak, Sheila Allen, Allison Schriever, Louise Parent-Stevens, Latha Radhakrishnan, Marlowe Djuric-Kachlic, Jennifer Casamassimo and Rhonda Larkin had a very successful year.

In 2018, the Department of Pharmacy Practice continued major partnerships with Jesse Brown VA Medical Center, Northwestern Memorial Hospital, Rush University Medical Center, the University of Chicago Medical Center and Stroger Hospital for both IPPE and APPE students. We are extremely grateful of these relationships that we have built that help us to continue to maintain student placements.

In May, there were 200 P4 students whom graduated from UIC College of Pharmacy after completing 1200 APPE hours. The students each completed four core APPEs in the areas of Ambulatory Care, Community Pharmacy, Hospital and Adult Medicine as well as two elective APPEs in the area of their choice. We are very proud of these students and the successes they achieved while in pharmacy school. We are also extremely thankful to all of the faculty and external preceptors who accepted these students on their APPEs rotations and the opportunities and education that they were provided.

At the Class of 2018 graduate’s dinner, they proudly awarded the Golden Apple Award to Dr. Paul Pluta, the UIC Preceptor of the Year award to Dr. Michael Koronkowski and the UIC External Preceptor of the Year award to Dr. Tracie Jacobson. These distinguished pharmacists were honored for their dedication and commitment to the educational development of the graduates.

A Preceptor Conference was held in May and was well attended by outside preceptors as well as our internal faculty preceptors. There were 121 attendees on the Chicago campus and 17 attendees on the Rockford campus who attended via ITV. We had three sessions and the topics were: Super Star Preceptors, Painting 101: A Guide to Masterful Feedback and Advancing Pharmacy Precepting with Entrustable Professional Activities (EPAs). It was a great opportunity for our preceptors to acquire new knowledge and teaching techniques as well as to network with one another.

DR. KRISTEN GOLIAK ASSOCIATE HEAD FOR EDUCATION 10

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Thank you to all our preceptors

490,194 763 250

mentored 763 pharmacy students

during 490,194 hours of experiential education that allow UIC pharmacy students to make a significant impact on the profession of pharmacy.

at 250 IPPE and APPE Sites

575 and 575 Preceptors

6 6 Experiential Education Faculty

Immunization Update This past year, the Department of Pharmacy Practice continued to make a tremendous effort to increase immunization awareness and delivery at the college, university, community, the City of Chicago, and state levels.

26% Increase in Vaccinations 1,139 individuals immunized

For the twelfth straight year, the department partnered with the State of Illinois to administer seasonal influenza vaccines to all State of Illinois employees and retirees in October. In total, 1,139 seasonal influenza vaccines were administered over the course of two dates.

This was a 26% increase over the immunizations given in 2017.

In addition, the Department also collaborated with UI Health to vaccinate all medical center employees and eligible health science students on one day as part of a mass vaccination clinic.

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PHARMACY SERVICES

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harmacy Services had a very productive 2018. Hospital Pharmacy Services completed its strategic plan, including a new mission and vision statement, and will be implementing the various strategic initiatives contained in the plan in a stepped approach throughout 2019.

Our RxCares (transitions of care) and MoPhE (patient education) programs continue to be successful, helping the hospital in its efforts to keep readmissions low and to drive compliance with the patient education requirements of various regulatory agencies. Likewise, our UI Team Rx program, a patient centered coordination of care program embedded in our ambulatory pharmacies, continues to enroll patients but more importantly has demonstrated increased medication adherence for those participating in this program.

Our two longest standing pharmacy run clinics, Medication Therapy Management and Antithrombosis, continue to have a high volume of patients with our pharmacists in these clinics providing comprehensive patient-focused services. The Department’s Pharmacy Value Analysis Committee remains quite active, looking for opportunities to reduce medication-related expense for the organization. Given the high cost of many of the new medications being introduced onto the market, this committee continues to be an important one for the hospital. Since its inception, over $4 million in savings have been identified. There are now 37 protocols in place that address medication use or pharmacy practice within the organization, with 24 of these directly supporting independent clinical pharmacist activities. Protocol development continues to be a focus of the department. A number of our pharmacists were involved in initiatives to reduce opioid use in the hospital setting and to reduce the quantity of opioids prescribed to outpatients. Impressive improvements were made in both of these areas.

Specialty pharmacy once again had an excellent year. There was a 22% increase in prescriptions dispensed, with oral oncology medications topping the list in terms of revenue. In addition, we were able to add several new payer networks as well as gain access to a number of limited distribution medications.

We successfully recruited our third PGY2 resident in Health-System Pharmacy Administration, Isha Rana. She did a national survey comparing medication access services at 340B and non-340B hospitals for her major research project. The preliminary results of her survey demonstrate differences in these services between the two hospital types. Finally, from an operational perspective, our Hospital Pharmacy IT team led a successful conversion from the Omnicell G4 medication cabinets to the new XT cabinets.

DR. ANDREW J. DONNELLY ASSOCIATE DEAN FOR CLINICAL AFFAIRS

Number of current medicationrelated clinical care protocols.

322,845 Total prescriptions filled by our ambulatory pharmacies.

22%

Growth in prescriptions dispensed.

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2.5 Mill Doses dispensed by hospital pharmacy.

Number of current medicationrelated clinical care guidelines.

37

55

2050 Patient encounters in the Pharmacy run Medication Therapy Management (MTM) Clinic.

497 Patients enrolled in the hospital pharmacy’s RxCARES transitions of care program.

971 Patients currently in the UI TEAM RX coordinated care program run by our ambulatory pharmacies.

82% MTM Clinic patients recieve their medications in pillboxes.

29

Average patient visits per day to the Anti-thrombosis Clinic.

553 Consults provided by the hospital pharmacy’s Mobile Pharmacy Education Program (MoPhE).

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DRUG INFORMATION GROUP

180

1850

50

30

Formulary class reviews or in-depth drug information requests created or updated.

Healthcare providors attended the Third Concensus Conference on the Safety of Intravenous Drug Delivery Systems.

Drug information requests answered from healthcare practitioners.

Completed projects for ongoing clients.

The Drug Information Group (DIG) had a successful 2018 in both our fee-for-service business and our efforts in the PharmD curriculum.

During 2018, the DIG added a few new clients including Conduent through updating and creating class reviews for Missouri Medicaid and ConsortiEx in aiding in database development for their intravenous workflow management system.

Another notable change within the DIG in 2018 was absorbing the Continuing Education (CE) unit to our group. The first efforts of the CE unit were continuing to host on-site CE programs and resident presentations, designing CE programs for Chicago pharmaceutical sales representatives, and hiring an additional pharmacist to support these efforts.

Other noteworthy projects completed in 2018 include hosting a consensus conference on the safety of intravenous drug delivery systems in partnership with Fresenius Kabi, creating an antiepileptic drug pocket guide from Medical Insights Group, and creating a dossier for a newly launched product with Astellas.

Within the PharmD curriculum, the 2-credit hour Evidence-Based Medicine course was launched for the first offering in the new curriculum in Spring 2018 semester. The course was heavily redesigned to promote active learning and engagement and used team-based learning to help meet those goals. The group also continued with our Introduction to Drug Information core course in the first professional year and the elective course - Journal Club & Advanced Literature Analysis. The DIG also had an additional elective course approved in the fall, Medical Writing, and it will be offered for the first time in fall 2019.

DR. MICHAEL GABAY DIRECTOR 14

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PRIOR AUTHORIZATION 2006

The Prior Authorization (PA) Services Group began its’ contract with the Illinois Department of Healthcare and Family Services (IL-HFS) in 2006 and is currently comprised of 1 pharmacy technician and 16 pharmacists, 12 located in Chicago and 4 in Springfield. The group develops clinical based approval criteria for non-preferred medications and adjudicates PA requests in a consistent and timely manner for Illinois Medicaid Fee-For-Service programs. Approximately 500 requests are processed daily. In addition, the group provides customer service and education with regard to PA policies, determination appeals, and billing issues for pharmacies and healthcare providers through outreach via phone, fax, and our website .

The Prior Authorization (PA) Services Group began its’ contract with the Illinois Department of Healthcare and Family Services (IL-HFS) in 2006

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Approximately 500 requests are processed daily for Illinois Medicaid FeeFor-Service programs by 16 pharmacists and 1 pharmacy technician

MEDICATION REVIEW & ACADEMIC DETAILING 2012

The Medication Review and Academic Detailing Unit focuses on reviewing medications in higher risk patients in Medicaid. UIC Pharmacists review medications in those patients who are taking more than four prescriptions per month chronically. The patient’s prescriber is contacted and the pharmacist makes appropriate clinical recommendations to reduce unnecessary medications and prevent duplicate therapy. In addition to evaluating patients who may be taking too much medication, program pharmacists also identify patients who are non-adherent to chronic medications and reach out to prescribers to alert them to this potential problem.

ILLINOIS DocASSIST The mission of this service is to help primary care clinicians screen, diagnose, and treat the mental health and substance use problems of children, adolescents, and perinatal women through consultation, training and referral assistance throughout the State of Illinois. Illinois DocAssist is the second oldest collaborative care initiative in the country and celebrated its tenth anniversary.

The Medication Review and Academic Detailing Unit began in 2012 as a partnership with the Illinois Department of Healthcare and Family Services.

133

Completed Academic Detailing pilot project in Southern Illinois that provided 133 one on one educational sessions with prescribers targeting proper opioid prescribing and pain management.

414

In 2018, 414 DocAssist Consultations were conducted.

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DocAssist provided 33 educational programs that were attended by 736 prescribers PHARMACY PRACTICE

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RESIDENTS AND FELLOWS The past year was another very good year for the PGY1 Pharmacy Residency Program. After successfully recruiting and matching 13 residents from across the country, the program is proud to announce that all twelve who sought a PGY2 Residency program succeeded in doing so.

The program’s success rate over the past five years at placing PGY1 Pharmacy Residents into PGY2 program exceeds published national standards and is a very significant achievement in these very competitive times.

This past March we were pleased to hear that we once again matched all of our positions and look forward to another excellent year.

DR. FRANK PALOUCEK PGY1 DIRECTOR RESIDENTS & FELLOWS January 1, 2018 - June 30, 2018 PGY1 - Pharmacy Practice Residents

Jovan Borjan, PharmD Melika Fini, PharmD Marisa Brizzi, PharmD Kathryn Mundi, PharmD Devon Burhoe, PharmD Alisha Patel, PharmD Nicole Coglianese, PharmD Khushbu Tejani, PharmD Elizabeth Eitzen, PharmD Hannah Underwood, PharmD Sandy Ezzet, PharmD Emily Armgardt, PharmD Kristina Falk, PharmD Po-Hung Lin, PharmD - International

PGY2 - Specialty Residents

Nora Alkhudair, PharmD – Oncology Kaitlyn Craddock, PharmD – Ambulatory Care Karen Khalil, PharmD – Organ Transplant Mary Lacy, PharmD – Health Systems Admin Kathryn Loeser, PharmD – Drug Information-Takeda Tetyana Melnyk, PharmD – Oncology Jaclynne Metayer, PharmD – Cardiology Rachel Murdock, PharmD – Ambulatory Care Elena Nelson, PharmD – Drug Information Sana Said, PharmD – Pediatric Danielle Tompkins, PharmD – Critical Care Paa Kwesi Yanfui, PharmD – HIV 16

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PGY1 - Community Pharmacy Residents Stefanie Cisek, PharmD – University of Illinois at Chicago Lidiane Gabeira, PharmD – Jewel-Osco (not pictured) Brooke Kimmel, PharmD – Community Specialty, University of Illinois at Chicago (not pictured) Jelena Toro, PharmD – Walgreens

Fellows Mark Biagi, PharmD – Infectious Diseases David Butler, PharmD – Infectious Diseases

July 1, 2018 - December 31, 2018 PGY1 - Pharmacy Practice Residents

Enela Aliaj, PharmD Anastasia Rujevcan, PharmD Patricia Amundaray Miller, PharmD Shae Peter Ryan, PharmD Lauren Cunningham, PharmD Kaitlin Siela, PharmD Erin Pozzolano, PharmD Jamie Kalangara Thomas, PharmD Anesia Reticker, PharmD Benito Valdepenas, PharmD Karina Rudenberg, PharmD Hannah Whittemore, PharmD Lan-Hsi Lin, PharmD - International

PGY2 - Specialty Residents Marisa Brizzi, PharmD – HIV Devon Burhoe, PharmD – Emergency Kristina Falk, PharmD – Ambulatory Care Amanda Gerberich, PharmD – Drug Information Michelle Lee, PharmD – Pediatric Po-Hung Lin, PharmD – Oncology Jamie Micheletto, PharmD – Critical Care Brian Phan, PharmD – Critical Care Isha Rana, PharmD – Administration Robert Stafford, PharmD – Ambulatory Care Khushbu Tejani, PharmD – Organ Transplant

PGY1 - Community Pharmacy Residents Thao Hoang, PharmD – Jewel-Osco Ashley McClure-Wolfson, PharmD – Walgreens Samantha Otto-Meyer, PharmD – University of Illinois at Chicago Veranika Sasnovskaya, PharmD – Community Specialty, University of Illinois at Chicago

Fellows

Mark Biagi, PharmD – Infectious Diseases David Butler, PharmD – Infectious Diseases Brianna McQuade, PharmD – Academic/Family Medicine Samah Qasmieh, PharmD – Infectious Diseases Xing Tan, PharmD – Infectious Diseases

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IN THE NEWS Taking on Opiods: UIC Pharmacy Works to Slow the Epidemic

by Daniel P. Smith

As the opioid epidemic grips communities across the nation, pharmacists have a big role to play in finding a solution. And professionals at UIC Pharmacy have stepped up to help.

Read on to learn how UIC safety experts, researchers and educators are addressing the problem.

A nationwide epidemic touches Illinois Since 1999, the U.S. has seen 165,000 deaths from opioid overdose, the Centers for Disease Control and Prevention (CDC) reported. In the Midwest, these overdoses increased 70 percent from July 2016 to September 2017.

The sources of this problem “go back a long way,” said UI Health Medication Safety and Quality Coordinator Dr. Adam Bursua. In the past, guidelines and pharmaceutical companies wrongly assured providers that patients with legitimate pain weren’t at high risk for opioid addiction.

Even today, with updated guidelines, many healthcare professionals have the wrong information, said Rockford Pharmacy Vice Dean Dr. Kevin Rynn. At UIC, addressing those past errors is an important part of the solution, he said.

“There was misinformation that a lot of providers to this day still have,” Rynn said. “And without these types of programs, those misperceptions are still out there.”

A “nudge” in the clinic Working with the UIC Hospital’s Zero Harm Initiative, Bursua has endeavored to “nudge” providers toward safer opioid prescribing. The approach, he said, draws on the Nobel-winning “Nudge Theory” of behavioral economics.

That idea suggests that “if you nudge people towards the desired behavior, they’re likely to adopt it,” Bursua said.

The group’s accomplished that by, for example, changing the hospital’s default prescription options for the opioid Norco to a lower dose. This move reduced prescriptions of the hospital’s most commonly prescribed opioid by about 20,000 tablets every month, Bursua said. And the change happened within a month, he said.

“If the defaults are the safest choices, they’re more likely to make those choices,” he said. “One of our mantras is to make the safest thing to do the easiest thing to do.”

The group has also reviewed cases of administration of naloxone, used to treat opioid overdoses. They found, for example, a link between morphine overdoses and patients with kidney dysfunction, leading to an alert for prescribers who care for such patients.

In the future, the group wants to integrate information from the Illinois Prescription Monitoring Program (PMP) with the hospital’s computerized medical records. The PMP keeps tabs of prescriptions made across the state, so providers can see if a patient is getting opioids from another prescriber.

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All those approaches, Bursua said, require hospital professionals to work together. “At UI Health, it’s very important that we work as a team … to identify these solutions.”

A summit in Rockford Fighting the opioid epidemic means healthcare professionals need to communicate. That’s one lesson from a summit on opioid safety at UIC’s Rockford campus, said Rynn.

Rynn and Clinical Associate Professor Dr. Mary Moody worked with the College of Medicine and an outside physical-therapy group to put together the April half-day summit.

They also sought input from a taskforce of healthcare workers to determine how best to serve the community.

“The purpose of the group was to try to figure out what we can do as a community in Rockford to reduce inappropriate prescribing” of opioids, Moody said.

The answers included identifying patients who need opioids reduced, keeping people from starting opioids when they don’t need them and offering continued education, like the summit.

At the summit itself, discussions kept returning to the importance of communication, Rynn said. Pharmacists can play a big role in this by, for example, communicating drug-seeking behavior to patients’ providers, he said. Pharmacists who attend summits like this can also serve as educators back home, Moody said.

“As pharmacists become more knowledgeable about appropriate pain management … they can get more comfortable calling prescribers and being a source of education in their community pharmacy,” she said.

UIC Pharmacy Clinical Assistant Professor Dr. Laura Meyer-Junco addressed just that topic at the summit, sharing tools for pharmacists to better understand appropriate dosing and pharmacology for opioids.

Another presenter shared his experiences with opioid addiction and treatment and talked about ways people may attempt to get more opioids. A practitioner spoke about how to deal with those tactics, such as by using the PMP and performing random drug screening.

“It’s important for physicians to be cognizant of the risks of opioids and appropriately prescribe them, more judiciously,” Moody said.

Emphasizing the need for communities to work together on opioids, the summit also featured Dr. Sandra Martell, public health administrator for the Winnebago County Health Department, and Rockford Mayor Thomas McNamara.

The working committee will continue meeting regularly, with future educational initiatives planned, including utilizing student pharmacists to bring educational materials with the latest CDC opioid guidelines to clinics. The group also plans future summits.

“I hope that through education, we can make a dent in the opioid statistics in our county,” Rynn said. “We want to be part of the solution.”

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Dr. Maya Campara represents ACCP as Clinical Expert for BPS petition for Solid Organ Transplant Dr. Maya Campara, Clinical Assistant Professor and Clinical Pharmacist in Solid Organ Transplant, was the ACCP Clinical Expert member of the panel that submitted the petition to the Board of Pharmacy Specialties to recognize Solid Organ Transplantation Pharmacy as a specialty.

The public comment period is now open for the petition.

Read more at: go.uic.edu/CamparaACCP

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Dr. Maya Campara selected as American College of Clinical Pharmacy Fellow Dr. Maya Campara, Clinical Assistant Professor and Clinical Pharmacist in Solid Organ Transplant, has been selected as a Fellow of the American College of Clinical Pharmacy. She will be inducted at the Global Conference in October.

Dr. Jan Engle gives invited presentation in India

Dr. Jan Engle named 2018 - 2019 President’s Executive Leadership Program Fellow

Dr. Jan Engle, Senior Associate Dean for Professional and International Affairs and Professor, gave an invited presentation at the Indian As­sociation of Colleges of Pharmacy meeting in Hydera­bad, India.

Dr. Jan Engle, Senior Associate Dean for Professional and International Affairs and Professor, has been selected as a 2018-2019 University of Illinois System President’s Executive Leadership Program (PELP) Fellow. PELP is a unique professional development program designed to broaden participants’ understanding of higher education issues and to strengthen their leadership skills related to overseeing a public institution at the university or system level.

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A Distinguished Group

For more than 20 years, UIC’s Drug Information Group has provided unique value to industry partners and an undeniable boost to the College of Pharmacy.

By Daniel P. Smith Mary Lynn Moody and Michael Gabay make quite a productive team.

For the last two decades, the two UIC College of Pharmacy faculty members, both clinical associate professors in the Department of Pharmacy Practice, have guided the College’s Drug Information Group (DIG), shepherding its transformation from a traditional drug information services unit into a pioneering entrepreneurial force working with a diverse array of external partners. Today, the DIG serves as an accessible resource for clinicians, an innovative model for other aspiring academic-based drug information centers and a positive contributor to the College’s operations and its marketplace standing.

“This is a much different business unit than is typically found in a college of pharmacy,” confirms Moody, the DIG’s former director and current director of business development. “With our entrepreneurial approach, we’ve been able to bring new opportunities to the College, boost its profile and bring in revenue all while improving pharmaceutical services. It’s been a win all around.”

Evolution of UIC’s DIG In its earliest incarnation, the DIG provided basic drug information services ranging from a bimonthly newsletter to answering pharmaceutical-related inquiries from Chicago area providers and patients. In 1997, however, College leadership directed the unit to become a self-supporting entity, a charge that demanded the DIG embrace an entrepreneurial bent.

In its first significant external contract as a fee-for-service business unit, the DIG inked a long-term deal with Ohio-based Cardinal Health to provide drug information services to approximately 450 hospitals in the Cardinal enterprise. That 1998 contract immediately reshaped the upstart unit, compelling Moody, the DIG’s founding director, to add two drug information specialists to its initial staff of three and to expand the group’s operating hours. “That’s no small transition,” observes Gabay, who followed Moody as DIG director in 2008 after joining the group a decade prior.

Thus began the DIG’s steady ascent. The Cardinal Health deal underscored the unit’s potential to both internal and external stakeholders and launched a multi-faceted evolution that continues bringing the DIG into new corners of the industry.

Over the last 20 years, the DIG’s client list has expanded to include pharmaceutical powerhouses like Takeda and Astellas, healthcare giants such as Baxter and Scripps Health and civic-minded brethren such as the Illinois Department of Healthcare and Family Services. Its services continue to multiply as well, driven by a mix of client needs, marketplace realities and industry partners eager to leverage the DIG’s vast experience and wide-ranging expertise.

According to Gabay, the DIG’s most substantial business derives from its medical research and writing. These projects include standard response letters, dossiers on drugs, disease-specific 22

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treatment algorithms and patient-focused literature demystifying the often-complex language of science. In the last year, for instance, the DIG has updated approximately three-dozen standard response letters for Takeda related to gastrointestinal, diabetes and psychiatric medications.

“Initially, we did very little medication writing, but that piece of our business has grown immensely over the years as we’ve matured and fostered relationships,” Gabay says.

True to its roots, addressing requests from healthcare providers remains the DIG’s second core business. Each month, the group answers about 200 calls from healthcare providers and hospital-based pharmacists about an array of issues from managing tetanus exposure and the effectiveness of flu vaccines to evidence for the use of high-dose intravenous vitamin C for cancer treatment.

“People come to us when they need help getting information to practitioners,” Moody says, citing a client list that still includes Cardinal as well as Vizient and other individual hospitals and healthcare systems scattered around the U.S. “With this service, we’re helping pharmacists become better clinicians with the evidence and research to make better decisions.”

Other DIG services include: formulary reviews; consultative services for pharmacy and therapeutics committees; drug information slide kids; continuing education programs; advisory board guidance; drug information and literature evaluation courses; and training programs for sales representatives and medical science liaisons.

“A number of our clients don’t have a healthcare background or drug information support, so we provide that needed expertise and exposure on the clinical side,” Gabay says.

And there are, Moody says, those unique one-off projects that “come out of the blue.” About three years ago, for instance, Healthline, a San Francisco-based provider of health information, contracted the DIG to pen drug content for its site, the DIG’s first relationship with a healthcare startup.

“Many of our partners look to us for leadership in drug information and they appreciate that we function as an objective, balanced source that relies on the totality of evidence and research,” Moody says.

Read more at: go.uic.edu/DistinguishedGroup

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Dr. Zack Bulman receives CCTS 2018 KL2 CATS Scholars Award Dr. Zack Bulman was selected for the Clinical and Translational Science (CATS) Scholars Award by the University of Illinois at Chicago’s Center for Clinical and Translational Science. His project is titled “Tailored Aminoglycoside Therapy: New Strategies to Circumvent Carbapenem Resistant Enterobacteriaceae.”

Dr. Jeremy Johnson receives NCI Merit Grant The purpose of the project is to identify anti-cancer compounds from the southeast Asian mangosteen fruit for prostate cancer. The National Cancer Institute’s NCI MERIT award allows up to 7 years of NIH support.

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Department Faculty pass specialty exams Several faculty in the Department of Pharmacy Practice recently passed a Board of Pharmacy Specialties exam: • Dr. Erin Carson, Dr. Zane Elfessi and Dr. Laura Koppen passed the Pharmacotherapy Exam and are now board certified in pharmacotherapy (BCPS).

• Dr. Isaac Cha passed the psychiatry exam and is now a Board Certified Psyciatric Pharmacist (BCPP).

Dr. Eljim Tesoro named a Fellow by the Neurocritical Care Society Dr. Eljim Tesoro was awarded Fellow status by the Neurocritical Care Society for his contributions to the field of neurocritical care in the areas of professionalism and collaborative multi-professional practice, program development, scholarly activity, and leadership.

Dr. Eljim Tesoro gives presentation at a Neurointensive Medicine Workshop in Germany Dr. Eljim Tesoro, Clinical Associate Professor and Clinical Pharmacist in Neurosurgery, gave a presentation at the 2018 Workshop in Neurointensive Medicine held in Wurzburg, Germany. This was a part of a joint session between the German Society for Neuro-intensive and Emergency Medicine and the Neurocritical Care Society and included neuro pharmacist speakers from both Germany and the USA. The title of the presentation was, “Clinical Pharmacy Practice in the US”.

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UIC Tackles Eldercare Education, with Pharmacy in Key Role

by Daniel P. Smith

As America ages, healthcare providers need to adapt.

Unfortunately, many healthcare professionals and institutions fail to meet the unique needs of these older populations. Culprit number one? A lack of quality training. An interdisciplinary team at the University of Illinois-Chicago, including UIC-Pharmacy’s Michael Koronkowski, Pharm.D., is working to fill that gap.

Koronkowski, as co-investigator, heads up the pharmacy component of the UIC research team working to develop and disseminate geriatric education initiatives. The effort involves researchers from across UIC’s healthcare colleges, led by co-principal investigators Dr. Valerie Gruss (Nursing) and Dr. Memoona Hasnain (Family Medicine).

Earning a $2.5 million grant from the U.S. Health Resources & Services Administration (HRSA) in 2015, the team has worked for the past three years to develop training tools and curriculum for the next generation of primary care providers. The grant comes under HRSA’s Geriatric Workforce Enhancement Program (GWEP), which is designed to improve the interprofessional education of primary care clinicians (doctors, nurses, pharmacists, social workers and other healthcare providers) in comprehensive geriatric healthcare; UIC calls its effort ENGAGE-IL (ENhancement of Geriatric Care for All through TraininG and Empowerment). Visit the program site at http://engageil.com/.

This kind of work continues to grow more and more important in the United States, Koronkowski said.

“With 10,000 people turning 60 every day [in the U.S.], there’s an onslaught in primary care with patients who are older [and] more vulnerable, have multiple chronic conditions, and require integrated care,” he said. “Yet, the primary-care workforce isn’t necessarily as prepared as they should be to deal with this frail and complex older adult” population.

With a few months left on the initial grant period, the UIC team has helped address this need by developing several different tools and programs: a set of online continuing-education course sequences in eldercare education, an interprofessional-scholars’ education program, and several apps for use by clinicians and caregivers.

The guiding theme of this work is that older patients need a system of care designed specifically for their needs.

“One-size-fits-all healthcare doesn’t fit for older Americans,” Koronkowski said.

Read more at: go.uic.edu/EngageIL

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Dr. Michelle Martin receives American Liver Foundation Award The American Liver Foundation selected Dr. Michelle Martin, UIC Clinical Pharmacist in Liver, as a “Guiding the Journey” honoree. This award recognizes a medical professional who is “truly dedicated to helping liver disease patients access the best care and support possible.” From a slate of dozens of qualified professors and professionals, Dr. Martin was chosen for her amazing work and dedication.

UIC Phi Lambda Sigma Chapter receives National Award in Nashville

Thai Delegation from Naresuan University and Prince of Songkla University visit UIC Department of Pharmacy Practice

The UIC National Leadership Society, Phi Lambda Sigma Chapter, has received the national 2018 Chapter of the Year Award at the American Pharmacists Association Annual Meeting in Nashville. Dr. Jan Engle, Senior Associate Dean for Professional and International Affairs and Professor, is the Chapter’s faculty adviser.

The UIC Department of Pharmacy Practice hosted Thai pharmacists and faculty, Dean Chanthonrat, Dr. Paveena, Dr. Nanteetip and Dr. Ajana from Naresuan University and Dr. Sutthiporn and Dr. Thitima from Prince of Songkla University for two days to discuss curricular issues, experiential education and preceptor development.

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Dr. Vicki Groo Spearheads Safe Prescribing and Use of Sacubitril/ Valsartan Infographic

Dr. Shree Patel gives presentation at Clinical Pharmacy Conference in China

Dr. Vicki Groo and the American College of Cardiology CV Team have created an infographic to provide information for safe prescribing and use of Sacubitril/Valsartan (Entresto).

Dr. Shree Patel, Clinical Assistant Professor and Clinical Pharmacist in Solid Organ Transplant, recently spoke at The 6th Sino-America (East-China) Clinical Pharmacy Conference in Hangzhou, China. The presentation was titled: “The Role and Impact of a Clinical Pharmacist in Solid Organ Transplant.”

More information can be found at: go.uic.edu/Groo

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Chronic Disease Management: Tying patient health and financial inscentives

by Daniel P. Smith

Through a clinical incentive program offered by its largest commercial HMO payer, UI Health in the Internal Medicine Center pursued upwards of $700,000 in bonus earnings for hitting clinical benchmarks in diabetes and asthma. After some years of solid performance, financial earnings began sliding in 2013. That prompted UI Health leadership to bring Christine Foanio, a clinical pharmacist in Ambulatory Pharmacy Services, into the mix.

“The thinking was that a more interdisciplinary approach and the involvement of a clinical pharmacist could be particularly advantageous in managing these chronic disease states,” Foanio says.

She crafted a pragmatic program focused on direct interaction with the most vulnerable patients, including hour-long face-to-face visits, telephone calls and regular communication through a secure portal system.

“It’s difficult for physicians to manage these conditions in a brief 20-minute office visit, so we initiated more direct intervention with patients to get them the care, feedback and direction they needed in a much more targeted visit,” Foanio says.

Read more at: go.uic.edu/Foanio

RxCARES: Minimizing errors in transitions of care

by Daniel P. Smith

Under the direction of clinical assistant professor Mat Thambi, RxCARES addresses transitions of care for high-risk medicine in patients.

Established in 2011 to counter an unacceptably high number of discharge errors, the innovative program is designed to minimize medication errors and spur improved patient health. Once a program involving simple follow-up phone calls to patients, RxCARES has evolved into a more robust reconciliation program to ensure proper medication use during patients’ hospital stay and following their discharge.

“Transitions of care sound so easy, but can be so complicated,” Thambi says.

A six-week rotation for fourth-year Advanced Pharmacy Practice Experience students, RxCARES requires students to follow a specific medication management protocol for patients discharged from the hospital’s Internal Medicine service. The process includes creating detailed medication histories, resolving any medication list discrepancies, reviewing discharge plans and making follow-up phone calls to patients to assure medication and clinic adherence. Students also identify any potentially harmful interactions and suggest medication changes.

“Prior to RxCARES, errors just went unchecked,” says Thambi, who created the RxCARES program alongside colleague Adam Bursua.

In the 2016-2017 academic year, RxCARES served more than 450 patients, discovering some 1,000 errors and making more than 1,000 changes to patients’ pre-admission medication lists.

“We’re helping to ensure that patients are on the appropriate medications while in the hospital as well as at discharge, the latter being especially important given that patients will be taking those medications until their next doctor’s visit,” Thambi says.

Since its debut seven years ago, RxCARES has broadened its services to discharge counseling and prescription filling. while also integrating automatic referrals into pharmacy-run clinics.

Read more at: go.uic.edu/Thambi PHAMRACY PRACTICE

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Telemedicine: Addressing HIV and Hepatitis C in Illinois prisions

by Daniel P. Smith Since 2010, Melissa Badowski and Juliana Chan have been treating Illinois state prisoners affected by HIV and Hepatitis C with the help of modern video conferencing technology and other hightech tools. The Illinois Department of Corrections (IDOC) Clinic with UI Health Telemedicine Clinic currently serves all of IDOC’s 26 correctional facilities, providing care to some 600 HIV patients and 100 Hepatitis C patients each year.

While an IDOC physician directs the diagnostic decision-making, Badowski and Chan – HIV and Hepatitis C experts, respectively – take the lead on education and medication plans, providing medication counseling, managing side effcts and simplifying inmates’ regimens.

“We’re able to provide care to high-risk individuals who otherwise wouldn’t have had access to it,” Badowski says.

Those efforts have been, in a word, transformative.

Prior to the Telemedicine Clinic’s debut, most Illinois prisons relied on one general practice doctor overseeing care to these vulnerable patients, a practice that often produced inefficient care and exposed other prisoners and correctional staff to health risks. With Badowski and Chan offering specialized care, however, treatment and results have endured a dramatic shift. Prior to Badowski’s arrival, for instance, 58 percent of HIV patients in the IDOC system were virologically suppressed. Today, Badowski’s work has pushed that near 100 percent.

“We’re providing high-quality subspecialty care that has improved quality of life as well as efficacy, safety and treatment,” says Badowski, adding that the Telemedicine Clinic’s efforts have also saved IDOC millions in healthcare costs each year and decreased viral load when individuals leave prison.

In the fast-rising telemedicine field, UIC’s innovative work has emerged a prominent early example of telemedicine’s potential to revolutionize care and spurred other healthcare institutions to develop similar programs.

“We’ve proven ourselves a leader in this growing field,” Badowski says, who, like Chan, regularly presents the Telemedicine Clinic’s work in professional forums.

Badowski and Chan also expose UIC students to the novel world of telemedicine. Both faculty members regularly host UIC residents in their clinics, while pharmacy students can participate in a telemedicine rotation or take an elective course in telemedicine designed to educate students on the intricacies of the still-blossoming service.

“We’re graduating students familiar with telemedicine and have many telling us that it’s proving to be a differentiator for them in the working world,” Badowski says.

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Dr. Matt Gimbar interviewed

by CBS Chicago News Dr. Matt Gimbar, Assistant Director, Hospital Pharmacy and Clinical Assistant Professor, was interviewed about generic drug pricing on the CBS Chicago 10pm news for a story discussing prices in 2018.

The interview can be viewed here: go.uic.edu/GimbarInterview

Dr. Nazia Babul appointed President of the Associate Board at Community Health Dr. Nazia Babul, Clinical Assistant Professor and Clinical Pharmacist in Community Practice and Ambulatory Care has been appointed President of the Associate Board at CommunityHealth, the largest volunteer-based free clinic in the nation.

Dr. Shiyun Kim interviewed

by Chicago Tribune Dr. Shiyun Kim, Clinical Assistant Professor, was interviewed by the Chicago Tribune for an article about deadly drug interactions between Xanax and opioids.

The interview can be viewed here: go.uic.edu/KimInterview

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Dr. Melissa Badowski selected as a Fellow of ACCP Dr. Melissa Badowski, Clinical Associate Professor, has been selected as a Fellow of the American College of Clinical Pharmacy. She will be inducted at the Global Conference in October.

Dr. Jennie Jarret named Deputy Editor Dr. Jennie Jarret, Assistant Professor and Clinical Pharmacist in Family Medicine, was named Deputy Editor, PURLs Section, Family Practice Inquiries Network (FPIN).

Dr. Ajna Hamidovic appointed Chair of ACCP Committee Dr. Ajna Hamidovic, Assistant Professor, has been named Chair of the American College of Clinical Pharmacy’s Research Institute Junior Investigator Grant Award Review Committee

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JoAnn Stubbings appointed Chair of ASHP Committee

ASHP announced the Section of Specialty Pharmacy Practitioners Executive Committee appointments. The new section will support ASHP’s efforts to help its members provide optimal patient care and comprehensive medication management in the specialty pharmacy environment in hospitals and health systems.

The Executive Committee is composed of five ASHP members who practice in broad and diverse specialty pharmacy areas. JoAnn Stubbings was named the Chair of the Committee for the 2018-2019 term.

Read more at: go.uic.edu/StubbingsASHP

Drs. Bursua and Bauman appointed to State of IL Task Force Dr. Adam Bursua and Dean Emeritus Jerry Bauman were appointed to the State of Illinois Collaborative Pharmaceutical Task Force that was recently established discuss how to further advance the practice of pharmacy in a manner that recognizes the needs of the healthcare system, patients, pharmacies, pharmacists, and pharmacy technicians.

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Faculty from Mahidol University in Thailand visit Pharmacy Practice Drs. Mullika Chomnawang and Stlaporn Youngkong from the Faculty of Pharmacy at Mahidol University in Thailand visited the UIC Department of Pharmacy Practice. As a result of their visit the Mahidol University pharmacy faculty will be hosting three UIC P4 Pharmacy Students for an elective clerkship.

Dr. Juliana Chan receives community service award Dr. Juliana Chan, Clinical Associate Professor, and Clinical Pharmacist in Liver, was awarded the Outstanding Community Service Award from the Midwest Asian Health Association for her work with the Hepatitis Clinic in Chinatown.

ASHP Midyear Clinical Meeting Presented Dr. Marianne Pop had the opportunity to present at this year’s ASHP Midyear Clinical Meeting in Anaheim, CA. She co-facilitated the EM Networking Event and Poster Session.

Dr. Mike Gabay appointed to ASHP Committee Dr. Mike Gabay, Clinical Associate Professor and Director of the Drug Information Group, has been appointed to the ASHP Section of Clinical Specialists and Scientists’ Educational Steering Committee.

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GIVING The Department pf Pharmacy Practice extends heartfelt thanks to the donors listed below. All of them targeted their donations to the Department of Pharmacy Practice or the Residency Program, and for that the department is very grateful.

The Department of Pharmacy Practice is proud that the number of gifts directed to the department and its programs has increased over the last few years. Thank you for your growing support and rememer that every gift of any size truly does make a positive difference for the residency program, students, and department faculty. If you would like to donate to the department and help further strengthen programs, you can do so online at: go.uic.edu/pharmgive

Thanks To Dr. Adam Bursua and Dr. Vika O. Gylys Dr. Robert H. Hoy and Mrs. Sharon Hoy Mrs. Rona Lukazewski and Mr. Alan A. Lukazewski, RPh, CGP Mr. Andrij Petrykiw and Dr. Christina Petrykiw Mrs. Deborah Zage and Mr. Garry J. Zage Mr. Charles Cannata

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