Archive for 2009

Your direct link to the White House

Thursday, October 8th, 2009

Pharmacists, please join me in making our collective voice heard at the White House! If you have an account on LinkedIn, log in and then click on the below link. Review APhA’s core messages on health care reform, and pick one or two points through which you can blend the big health care problems in your state with your professional experiences. Go back to LinkedIn and type a short passage that shows how important your patient care services are. Office of Health Reform Director Nancy-Ann DeParle is waiting to hear from practicing pharmacists about the key role we are playing as primary caregivers. Don’t let this opportunity pass us by!

Dear Tom,

LinkedIn is working with The White House to provide you with a unique opportunity to have your voice heard as a medical professional. The White House is interested in the most important perspective on health care: yours.

Office of Health Reform Director and Counselor to the President Nancy-Ann DeParle asks: “What is the biggest health care problem in your state?”

The President is asking for your feedback! Provide Ms. DeParle with your questions and concerns, and some of them will be addressed in an upcoming webcast.

Sincerely,
The LinkedIn team

Importation rising again: Act now!

Wednesday, October 7th, 2009

Sooner or later, the Senate will consider the controversial issue of prescription drug importation. Today, Senator McCain (R–AZ) called up an amendment to prohibit the use of any Department of Justice funds to investigate or enforce Federal laws related to the importation of prescription drugs. He later withdrew the amendment.

We also understand that Sen. Dorgan (D–ND) will present language during the health care reform debate (which could begin as soon as next week) to establish new authority (and a new bureaucracy) favoring importation.

APhA has long opposed importation and is making our concerns known about how importation can negatively impact the safety of the U.S. supply chain and the ability of pharmacists to care for their patients. We encourage you to do the same. Members can log in to pharmacist.com to use APhA’s Legislative Action Center to contact their Senators.

Hundreds of federal employees screened as American Pharmacists Month begins

Tuesday, October 6th, 2009

On Friday, we at APhA hosted hundreds of U.S. Department of State employees for American Pharmacists Month activities at 2215 Constitution Avenue.

Various information and screening stations were staffed by a crew of APhA staffers, but the real stars were 50 faculty and students from the pharmacy schools at Shenandoah, Notre Dame, Maryland, Virginia Commonwealth, and Howard universities. This team effort was led by Maria Gorrick, Professional Resources and Business Development, and Megan Sheahan, APhA Foundation Executive Resident.

My hat is off to these folks for the weeks of planning that led to their outstanding execution of this event. The benefits were many, as we not only increased awareness of pharmacists’ services for State Department staff who work in our building but also uncovered potential health issues with several participants–the normal goal for these events.

Please use this forum to let everyone know what you are doing to celebrate American Pharmacists Month. “Know Your MEDICINE, Know Your PHARMACIST” is our theme and core message for this month. Make sure this idea is presented to your patients and your colleagues on the health care team, and that they have a chance to recognize all that you do each day!

Limits on promotion of new drugs?

Wednesday, September 30th, 2009

In a policy paper, Improving FDA Regulation of Prescription Drugs, released Sept. 24, 2009, the American College of Physicians (ACP) proposed that FDA “be given the authority to require new drugs be labeled with a symbol that indicates it is a new drug and that direct-to-consumer advertising be limited for the first two years after a drug’s approval.”

The paper makes five other important recommendations. The one I’ve singled out above has broad implications and is worthy of some debate within pharmacy.

Promotion advocates would suggest that such a proposal would limit access to important advances in medicine, while opponents might argue that a 2-year “soft launch” would protect consumers by allowing greater experience with products before significant promotion occurs. APhA has numerous policies regarding direct-to-consumer advertising, but nothing that would guide us regarding whether pharmacy would support or oppose the ACP proposal.

What do you think?

MTM in Baucus/HCR proposal: Your voice is being heard!

Friday, September 18th, 2009

This week’s release of the long-awaited Senate Finance Committee health care reform (HCR) proposal sets the stage for an interesting study in lawmaking on Capitol Hill. As the process moves forward, pharmacy and medication therapy management (MTM) are exactly where we hoped at this point: MTM is in both Senate bills and the key House HCR proposal, and the profession is engaged and being heard by legislators.

I do believe that APhA’s focus, focus, focus on MTM, as well as advocacy from others, will pay off. This is truly a generational opportunity for pharmacists. The fact that these sound MTM provisions, although not precisely identical, are in the proposals on both sides of the Capitol makes our chances of final passage much more likely.

Our hat is off to many other national and state pharmacy associations that have worked diligently to help secure these provisions. Many pharmacy organizations have promoted MTM along with other concerns, but APhA has been focused on MTM. As members of a stakeholders’ coalition, we have supported in letters and deeds an AMP fix and DMEPOS surety bond relief, and I give our partners credit for their successes.

Please stay tuned and informed. If debate takes a negative turn for pharmacists, we will need your aggressive and immediate calls of support. Meanwhile, we can smile, knowing that the Hill is listening to pharmacy.

Survey says… We have some work to do.

Thursday, September 17th, 2009

In October (American Pharmacists Month, or “APhM”), we will release the results of a survey APhA commissioned to gain insight into consumers’ medication habits and the relationship they have with their pharmacist. Results suggest we have some work to do as a profession to ensure that our patients see us as a partner in their health care. APhM is a perfect vehicle to get out that message. We’ll do our part with the media. I hope you will help us by letting your patients know that you are eager to become more involved in their health and to help them use their medications correctly.

“Know Your Medicine, Know Your Pharmacist” will again be the theme and call to action for this year’s campaign. Our consumer outreach efforts will place a special emphasis on using a personal medication record (PMR) to help patients get to know their pharmacist. Survey results revealed that only 28% of consumers carry an up-to-date list of their medications. The most common reason, the survey showed, that patients did not use medication lists was, “I never thought about it (49%).” Encourage your patients to keep a list and share it with all of their health care providers to minimize the risk of improper dosing, duplicating medications, and harmful drug interactions and side effects. I challenge all APhA members to get involved this APhM to help carry out APhA’s mission of improving medication use and advancing patient care. I’d also like to give a special thanks to McNeil Consumer Healthcare for their continued support of American Pharmacists Month.

Yesterday’s surgical strike

Wednesday, September 16th, 2009
APhA Takes to the Hill for Health Care Reform
Nancy Alvarez (APhA Board of Trustees) and Patricia Epple (Executive Director, Pennsylvania Pharmacists Association) with Rep. Tim Holden (D-PA).
APhA Takes to the Hill for Health Care Reform
Florida Pharmacy Association Executive Director and CEO Michael Jackson and APhA President Ed Hamilton in front of the U.S. Capitol

On Tuesday, a group of 18 APhA Trustees, representatives, and state pharmacy association executives spent the day on Capitol Hill conducting what one executive director described as a “surgical strike.” The group was selected based on their Senators’ and Representatives’ membership on key committees. We spent the day working with members of the Senate and House to assure that the key MTM provisions are secure as currently present in the Senate HELP proposal and the House Energy and Commerce proposal. We also worked on an AMP fix, DMEPOS Surety Bond relief, workforce support, and other key pharmacy issues.

This group of motivated folks volunteered their time to be here on behalf of all American pharmacists. For that I am grateful, as all readers of this blog should be. Also, I would like for you to commit to making contact with your own representatives STAT should we get word that any of our provisions are in trouble in the coming debate. We’ve made this plea in the past, and we may make it again in the future. Nothing is assured until legislation is passed. Of course, we will then gear up our work with CMS to assure that regulation is workable and in the best interests of our patients as the statute is operationalized through regulations.

Sept. 11, 2001, at 9:37 a.m.

Friday, September 11th, 2009

September 11, 2001, at 9:37 a.m. That was the exact moment of the 9/11 attack on the Pentagon. Today marks eight years since that day. Thanks to our country’s response to those attacks, I can safely look out my office window and see the site where American Airlines Flight 77 hit the Pentagon. I am grateful to the troops who voluntarily put themselves in harm’s way every day in Iraq, Afganistan, and around the world to ensure we can live freely and safely. 

A good historical account of the 9/11 attack on the Pentagon can be found on CNN . What I remember from that day is watching the events on my computer screen from my office in Rockville, MD, just a few miles from APhA. I was the APhA President at the time. Last night, I called John Gans, and we recalled together the events of that day here at APhA. I have always been proud of John for his focus, and the focus of the senior staff on the safety of our staff here at the building. That day, they had no doubt that the staff had to be evacuated quickly and safely. I’m sure many of our staff have memories. I hope those who were here will share them. Let’s never forget.

International Pharmacy Federation: The world stage

Thursday, September 10th, 2009

Yesterday, I returned from the International Pharmacy Federation meeting in Istanbul, Turkey. The FIP meeting was attended by nearly 2,000 pharmacists and scientists from literally all around the world. As I spoke with pharmacists from Turkey, Australia, Japan, the Netherlands, Portugal, China, Canada, the UK, Sweden, India, and many other countries, I noted the influence American pharmacy has had on the world stage. In many countries, pharmacists are far more politically effective than we are, and there are certainly innovative practice leaders who shine and lead their country’s practitioners to higher ground. American pharmacy too can be proud of our innovations and the interest others have in what we’re going to do next. 

Despite our current apoplexia over health care reform, or health insurance reform as it is now being called by the White House, we are blessed in the US with resources well beyond those enjoyed in most countries. Together with other developed countries, we need to continue to lead and listen, as others show us new and better ways to help our patients get the most from their pharmacist experience.

Obama speech heads up

Wednesday, September 9th, 2009

Check your local listings. According to Politico, President Obama is “set to strongly endorse a public insurance option before Congress tonight but stop short of an ultimatum, leaving room for negotiation. Reaching out to the GOP, he plans to acknowledge a problem with malpractice litigation.” For APhA’s coverage of the speech, watch your Twitter feed and Facebook page, or check pharmacist.com about an hour after the President completes his address from the chamber of the House of Representatives.

Next Monday and Tuesday (September 14 and 15), APhA will host a Hill “fly in” with a group of nine state pharmacy association executives and a number of our elected leaders. We will carry the message again to our own Congressmen and Senators that pharmacists’ services must be a part of any health reform package.