Archive for the ‘Federal Pharmacy’ Category

Surgeon General supports USPHS report on pharmacists as providers

Saturday, January 21st, 2012

The U.S. Public Health Service (USPHS) recently released a landmark report identifying a “rationale and compelling discussion to support health reform through pharmacists delivering expanded patient care services.”

In an exciting development for the pharmacy profession, U.S. Surgeon General Regina Benjamin, MD, MBA, released a letter publicly supporting the report. It is notable that a high-ranking government official would get behind a report that advocates pharmacists as health care providers.

The USPHS report is already generating a buzz within the profession, and APhA will be using the report in our advocacy and practice development work. The report and the letter from the Surgeon General are available on pharmacist.com.

The report, “Improving Patient and Health System Outcomes through Advanced Pharmacy Practice: A Report to the Surgeon General 2011,” was coauthored by several USPHS pharmacists and led by U.S. Assistant Surgeon General Scott Giberson.

APhA Board of Trustees member and student pharmacist Sara McElroy is currently on rotation with RADM Giberson and was instrumental in developing communication strategies for the report and interfacing with APhA so that we were ready with a public statement and news article as soon as the report was made public.

Iraq War ends

Thursday, December 15th, 2011

Today marked the final stage in the 9-year war in Iraq. Soon all of our soldiers will be home. I’d like to take a moment to once again thank them for their service, and also thank those uniformed pharmacists who support them in so many ways. My visits to our military hospitals and their pharmacies have impressed me with the commitment we are so blessed to have from these outstanding professionals. Let’s pray that this new beginning for the Iraqi people is highly successful, and thank those who gave so much for their sacrifice in helping the Iraqis achieve the opportunity for freedom.

 

Visiting Walter Reed for APhM

Wednesday, October 19th, 2011

I had the pleasure of visiting the pharmacy team—both pharmacists and pharmacy technicians—at Walter Reed National Military Medical Center (WRNMMC) last week to celebrate American Pharmacists Month (APhM). CDR Gary West and LTC Aatif Sheikh lead this group of dedicated individuals as they provide medication therapy services to service members, military retirees, and their families. As you may know, Walter Reed Army and Bethesda Naval Medical Centers are merging on one campus. Despite the challenges of building construction and renovation, the team provides inpatient and outpatient medication needs and services for the large number of beneficiaries within the national capital region and those returning home from combat.

I am always humbled when I visit our military hospitals; I’m so grateful for our service personnel’s willingness to serve our country. I was impressed with the multidisciplinary approach and their significant contributions to achieve positive medication outcomes for warriors with devastating injuries and often complicated medication regimens. Pharmacists such as Dr. Chengqing Li (she calls herself CiCi), Clinical Coordinator, serve as valued members of the care TRIAD Team that includes the nurse case manager, the primary care physician, and the service member’s supervisor, squad leader, and family, to ensure oversight and management of complicated drug regimens, pain management, monitoring medication adherence, and coordination of care.

Dr. Lisa Oh, the Patient Safety and TJC Pharmacist, explained the Department of Defense’s new Patient Safety Reporting System (PSR). The PSR is a Web-based tool that enables military health system–wide reporting of both medication and nonmedication-related patient safety and adverse events. The tool will provide critical information on how to effectively improve patient care through data analysis and enhanced data collection, ultimately improving patient safety in the military health system.

We all know of the challenges associated with transitions of care from hospital to home. This particular issue is a major focus in the Affordable Care Act (the health care reform law). WRNMMC is addressing the issue with discharge pharmacy counseling as an important aspect of Walter Reed’s medication therapy management process. Pharmacist Diana Lalchan works with various health professionals involved in patient care to reconcile previous outpatient and inpatient medications with those received at discharge. She also provides in-depth bedside counseling to patients prescribed and dispensed discharge medications to reach their in-house goal of medication reconciliation for 75% of discharges.

Harold Vizian serves as the patient advocate pharmacy technician, the first-line responder to resolve the patient’s questions and concerns related to their medication. His goal is to ensure patients have a safe, informative, and positive pharmacy experience. In the military system, technicians are empowered to provide many functions not yet available to them in the private sector.

This was my third year to visit at least one of our military hospitals. The highly motivated spirit of our wounded warriors and the health care personnel who serve them should be an inspiration to us all. I come away from these visits with a renewed drive to share their stories as examples of how collaborative care can work.

Hopefully, as we embark on consensus building of community pharmacy standards, we can use the insights gained from our military colleagues to inform the process.

Thank you to all who serve in the military, Public Health Service, Indian Health Service, Department of Veterans Affairs and other federal programs that support our public servants.

Happy American Pharmacists Month!

 

Where’s Tom? Not with Waldo, but on the road

Friday, April 15th, 2011

Last week was a busy week for me. I was on the road promoting business and policy interests.

On Monday, April 4, I flew to Denver for the Department of Veterans Affairs (VA) National Pharmacy Conference. That evening, APhA hosted a reception for attendees. Then on Tuesday, April 5, I participated on a panel with several of my national colleagues, including Judy Cahill of the Academy of Managed Care Pharmacy, Lucinda Maine of the American Association of Colleges of Pharmacy, Mike Maddux of the American College of Clinical Pharmacy, and Henri Manasse of the American Society of Health-System Pharmacists (ASHP). I had the opportunity to paint the broad picture of APhA’s initiatives on the profession’s behalf and collaborations with the other organizations.

Henri announced that his successor at ASHP will be named in the next couple of weeks. I noticed he completed his comments 5 minutes early, so I claimed to be the first to diagnose him as suffering from “short-timer’s syndrome.” This meeting was probably the last time I’ll share a stage with him. He’s a real pro, and an excellent leader.

Following the VA conference, I flew to Philadelphia for the first annual PharmEHR Summit, sponsored by PDR Network. I participated on a panel on the morning of Wednesday, April 6, with Roger Pinsonneault from RelayHealth/McKesson to discuss pharmacists, electronic health records (EHRs), and e-prescribing.

This was a great opportunity to talk with vendors, insurers, and physician groups about the need for pharmacists to be “plugged in” to EHRs as well as the reductions in errors and rework associated with e-prescribing. This invitation was an important component of the growing business relationship we have with the PDR Network and the iHealth Alliance. I had a chance to discuss the “interruptions” that physicians experience in the course of their days related to pharmacy calls about e-prescriptions. When I shared with them that those calls often stop errors, I think they saw their concept of “interruptions” in a new light. I also had a chance to talk about the prospects of practice accreditation with several payers, who saw the effort as valuable. It was a very productive exchange, and I think the alliance is doing excellent work.

From Philadelphia, I briefly returned to APhA on Thursday, April 7, as we wrapped up a half-day Days of Learning session for our staff. Then, we conducted a debriefing on the 2011 APhA Annual Meeting & Exposition and the Board of Trustees meeting before I boarded my last plane of the week for Columbus, OH. There, I surprised APhA President Marialice Bennett at the Ohio Pharmacists Association (OPA) Annual Conference & Trade Show. Marialice was presented with OPA’s highest honor, the Beal Award, for her outstanding contributions to the advancement of the pharmacy profession. This trip was the highlight of my week as I had the honor of introducing Marialice at the awards ceremony where she received her recognition.

The Beal Award is named for James Hartley Beal, a pharmacist–educator who had strong ties to both APhA and Ohio. He was born and educated in Ohio, where he was active in state pharmacy activities. He was also active in APhA, where he ultimately made two significant contributions. He was not only instrumental in the founding of the House of Delegates. He also called for the establishment of “an Association home” to house its archives, library, and a “suitable laboratory for the National Formulary.”

The afternoon of Friday, April 8, after the OPA awards luncheon, I drove from Ohio to West Virginia, where I attended an immunization certificate training program in Huntington. I did my home study on airplanes in preparation for the course and took great pleasure in passing the final exam and the hands-on portion of the training. Now, I can tout that APhA has trained 147,001 pharmacists to immunize.

House set to vote on ACA repeal

Thursday, January 6th, 2011

As you may be aware, the U.S. House of Representatives will vote on January 12 on the repeal of the Affordable Care Act (ACA; the health care reform law). We have reported, commented, and lobbied from the inception of debate on HCR about the absolute necessity for pharmacists to be relevant players in the provision of services whenever medicines are involved in patient care. We believe today there are common-sense provisions embodied in the ACA that should be retained, despite the politics and regardless of actions or efforts to repeal the Act.

The House, now under Republican control, may very well vote to repeal ACA. However, most observers do not believe that will result in a successful repeal of the law. Repeal requires approval of both Houses and the signature of the President. The Democratic-controlled Senate would not likely vote for repeal. If it did, President Obama would likely veto the action. Overturning that veto would require a two-thirds majority in both houses, which is likely unattainable.

However, the actions of the House could have an impact on funding and other important aspects of our efforts to maintain the MTM provisions of the law and the inclusion of pharmacists in accountable care organizations.

We urge you to monitor these situations and to continue developing relationships with your Representatives and Senators. We may be calling on you soon for specific actions. Meanwhile, thanks for your continued support of APhA and the other Health Care Reform Stakeholder Coalition members.

Celebrating America’s veterans

Wednesday, November 11th, 2009

We marked Veterans Day with a ceremony at APhA headquarters, one made all the more meaningful by the events of last week at Fort Hood.

Reflecting on those who are serving or have served our country, I recalled an October visit I made with APhA staffer and former Navy pharmacist Duane Tackitt to the National Naval Medical Center in Bethesda, MD. For the American Pharmacists Month celebration, we were hosted by NNMC Pharmacy Chief, Commander Tingh (Tin) Ha, MSC, USN.

After a tour of the pharmacy facility and a visit with some troops in the BTC (Brain Trauma Center), I met with the NNMC Commander, Rear Adm. Matthew Nathan, Medical Corps, USN. Nathan is in charge of NNMC and also the merger of the Walter Reed Army Medical Center and NNMC. The logistics, personnel, and systems issues are daunting, but I was impressed with Nathan’s clear understanding and direction.

Back at NNMC, we had lunch and a follow-up meeting with the pharmacy leadership, including Cmdr. Ha; Lt. Ben Schwartz, Assistant Chief, HMC (Chief Petty Officer); and Robert Wagenman, Pharmacy Technician Advisor to the Pharmacy Specialty Leader. Together with a number of volunteers from all walks of life — including pharmacists and technicians — these sailors provide excellent pharmacy services to active duty and retired Navy personnel and families in the area. To a person, they exuded pride in their work and a determination to serve their patients and our country.

Many of the professionals I met have been or will be in harm’s way to support our troops, who are themselves in danger wherever they are serving. Our colleagues in uniform deserve our continued support. It was a privilege to meet them last month and to honor America’s veterans today.

Old Glory, and a tribute to Mary Fong

Wednesday, August 26th, 2009
Mary_Fong

I apologize for the longer than usual blog.  However, as promised, here is an important part of Mary Fong’s retirement ceremony held at APhA last week.  This flag ceremony involved her mates passing the flag slowly and ceremoniously from one to the next and finally to Mary.  I get choked up just writing about it.  The following needs no further introduction or explanation.

***

I am the flag of the United States of America.  My name is “OLD GLORY.”

I fly atop the world’s tallest buildings.  I stand watch in America’s Halls of Justice.  I fly majestically over great institutions of learning.

I stand guard with the greatest military power in the world.  LOOK UP!  AND SEE ME!

I was there in June of 1986 when you, MARY FONG, started your career with the United States Public Health Service, and were commissioned as a Lieutenant Jr. Grade.  I was there when you reported as a staff pharmacist to your first assignment to Chinle, AZ, in the heart of Navajo country. In 1987 I watched proudly as you were promoted to Lieutenant, and subsequently transferred from “Quiet to Riot” by accepted an assignment in New York serving as a pharmacist for Immigration Health Services, in the heart of Greenwich Village.
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