Archive for the ‘Pharmacy Practice’ Category

Thank you to students, residents

Wednesday, September 14th, 2011
CEO Tom Menighan with U.S. Surgeon General Regina Benjamin, head of CDC Dr. Tom Frieden, and students from DC-area pharmacy schools

Yesterday was a good day for raising America’s consciousness about the value of pharmacists with U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius and many others in the Obama administration. My blog post yesterday provided some background on the Million Hearts Initiative that HHS launched with our support. Today’s photo shows how well pharmacy was represented at the meeting. You’ll notice, in front of the group of students and residents, U.S. Surgeon General Regina Benjamin, MD, MBA, and Tom Frieden, MD, MPH, the head of CDC. Both were impressed that we got so many students to the event, and both had great things to say about the essential role that pharmacists play in the promotion of cardiovascular health in this country.

I’d like to thank each of the students and residents who participated. As is always the case in advocacy work, just showing up is huge! I listened to a number of conversations that were going on around me after the formal event, and I was highly impressed with how well our students can speak about patient services with Don Berwick, MD, MPP, from CMS and Janet Wright, MD, a cardiologist who has been tapped to lead this initiative. Here’s a tip of the hat to all those who have a role in teaching these wonderful representatives of our profession.

Million Hearts Initiative: Call to action

Tuesday, September 13th, 2011

APhA received the call from the U.S. Department of Health and Human Services (HHS), CMS, and CDC to partner with them on the Million Hearts Initiative, a program launched today to prevent 1 million heart attacks and strokes over the next 5 years. In turn, I’m calling on pharmacists to support this initiative and save people’s lives.

As part of the Million Hearts Initiative, pharmacists can help monitor blood pressure and cholesterol medication refill patterns, as well as alert physicians and patients when patients stop following their prescription regimen. Cardiovascular disease causes one of every three deaths. We need to teach people about the ABCS (aspirin for people at high risk, blood pressure control, cholesterol management, smoking cessation).

Pharmacists can play an important role in the prevention and management of cardiovascular disease. Studies have shown the value of pharmacists in improving cardiovascular outcomes. In 2009, a trial published in the Archives of Internal Medicine demonstrated that pharmacists collaborating on a health care team with physicians and nurses resulted in better blood pressure control. And an article published yesterday in the Archives of Internal Medicine highlights the “Impact of Pharmacist Care in the Management of Cardiovascular Disease Risk Factors” in a very positive way.

Here at APhA, the Academy of Student Pharmacists takes the lead on a national patient care program called Operation Heart in which students go out into the community to address and prevent cardiovascular disease. Our APhA Foundation in June started a 1-year demonstration project with Wayne State University in Detroit involving adherence to medication therapy for hypertension, Project ImPACT: Hypertension. More than 90 patients are enrolled and receiving care from pharmacists.

We are pleased to partner with the federal government and numerous other stakeholder and fellow health professionals on the Million Hearts Initiative, and excited about mobilizing pharmacists to support this important 5-year program.

It will be important for us to capture information on your efforts. So, for now, please let us know about your practice. What current or new initiatives do you have that would support the overall goal of improved heart health? Meanwhile, we’ll be working on other ways to promote all the good things that pharmacists do to save lives every day.

Curtis Woods celebrates 25 years at Pace Alliance

Friday, September 9th, 2011

This month, an old friend celebrates 25 years as the leader of the Pace Alliance, a corporation owned by 19 state pharmacy organizations, in Lawrence, KS. Curtis J. Woods, who began his career with Pace in 1986, has been instrumental in shaping thousands of pharmacies’ business practices, and along the way has also encouraged excellence in pharmacy practice, and active participation by pharmacists in their associations. During his tenure, he has served on special committees for the National Community Pharmacists Association (NCPA), provided expert testimony to the Federal Trade Commission, and worked with APhA. He was selected as the Kansas Pharmacist of the Year in 2004 and received the Spirit of Independence Award from NCPA. I’m proud to know him. Congratulations, Curtis!

Pharmacogenomics continues to emerge

Friday, September 2nd, 2011

A recent article in the Wall Street Journal summarizes how Pfizer is targeting use of a new cancer drug to patients with a particular genetic anomaly. Are you listening, pharmacists? This is an opportunity for us! I’ve written about this before, as I believe we’re the ones who can help patients understand the implications for them, and we can, through developing systems, help find patients who will be candidates for certain drug therapies. In late November, APhA, together with several other pharmacy organizations, will be working with the National Institutes of Health on strategies for pharmacy education in genomics. The long-term implications for our profession are huge. I would welcome your thoughts on the topic.

The debt deal made simple

Thursday, August 11th, 2011

The New York Times website has a flow chart and other charts that simplify and bring some semblance of understanding to the various plans that were considered and what the upcoming stages are in the budget discussions. What happens over the next few months is extremely important to pharmacy because of our efforts around medication therapy management and potential cuts to Medicare and Medicaid that are embedded in the fine print. Please continue to monitor our APhA Legislative and Regulatory Updates on pharmacist.com and stay in touch with your Members of Congress.

Pharmacy e-HIT Collaborative call for action

Tuesday, August 9th, 2011

The Pharmacy e-Health Information Technology (HIT) Collaborative was formed by nine national pharmacy organizations and has grown to include others. We continue the work of getting pharmacists access to and “functional use” of electronic health records (EHR).

The most important thing practicing pharmacists can do is to look for ways to adopt the EHR into their pharmacy management systems without delay. Pharmacists should participate in vendor user groups and push for greater access to EHR functionality and connectivity. Write, call, and otherwise bug your system vendors. Work with physicians, hospitals, other health care providers, and health information exchanges in your area to understand their systems’ functions so you can be specific in your requests to them.

There are activities going on in your community about which you may not be aware. Call your hospitals and physician practices to ask how you might support their efforts. Let us know how we can help.

Resisting innovation is futile

Monday, July 18th, 2011

Our own Mariam Bederu, a graphic designer on staff here, recently interviewed me for her business class assignment on entrepreneurship. The following thoughts are adapted from those I shared with her.

In this country, you don’t need a license or permission to be entrepreneurial. And you don’t necessarily need to be innovative. Kids with paper routes are entrepreneurs. Franchisees are entrepreneurs, and there are hundreds, if not thousands, of franchise opportunities in this country, where one (the franchisee) can work with the ideas and the plan of another (the franchisor) to establish, grow, and eventually sell a business. Remember, no small business is worth anything without an exit strategy.

First, one has to be “infected” with the drive to be self-sufficient, a major attribute of entrepreneurs. And one has to be confident in one’s own abilities. Certainly, one needs to be a lifelong learner. When skills are learned is a function of exposure, rather than age. I’m sure the averages are that skills come after age 21, but the drive may be planted much earlier. I had a paper route at the age of 7 and did yards and other work until age 13 when I got a job in a local pharmacy. Most of my role models in my small town owned their own businesses and I can name them. The grocer, bankers, men’s store, pharmacy, jeweler, cleaners, tailor, and various merchants were all entrepreneurs who influenced people.

Today, franchises are quite commonly the entry point for entrepreneurs and certainly for pharmacists. I opened my own pharmacy at age 25, stepped away to join APhA at age 35, and was inspired through experiences here to complete an MBA at age 38, and to launch or support additional start-ups after that. Throughout the process, I’ve been learning and hope to continue the learning process until I stop breathing. My move to APhA was an opportunity to continue building on a large scale for the greater good. I still see the need for us to be entrepreneurial. Some might call it “intrapreneurism.”

Business researchers tell us that the normal business cycle is one of innovation, growth, maturation, and decline. None of those steps are etched in stone, and each can be altered with perspective, awareness, and by outside, unexpected changes or disruptions. APhA is 159 years old, yet we’re trying to reinvent our business model to disrupt the delivery of health care through increased use of pharmacists’ services. Our “upstart” PharmacyLibrary could disrupt much larger players if we first find our niche and then grow it. We’re working on other initiatives to reshape our business model as well.

Innovation is how you get the odds in your favor. It may seem trite, but garbage bags are a very simple but great example. In my lifetime, we used paper grocery bags to collect kitchen garbage. Then, someone invented a plastic bag and the rest is history. In our “business” of pharmacy, it means improving patient care in ways that get better outcomes. Immunization and medication therapy management services are areas where pharmacists are in a major stage of innovation. We’re also on the cusp of great things in solving issues with transitions of patient care from hospital to other facilities or to home. These are fertile areas for entrepreneurs and innovators.

I’ve always felt that resisting innovation and the advancement of technology was futile. Rather, we need to embrace it and use it to our advantage, much like martial artists use an opposing force. These opposing forces can be opportunities, because most of the world wants things to stay the way they are and will resist change. The really successful entrepreneurs will find those inflection points and insert a solution to make a difference, large or small.

What innovations are you working on? Where do you get your ideas?

AMA adopts resolution to evaluate expanding scope of pharmacists’ practice

Wednesday, July 6th, 2011

As discussed at a recent Board of Trustees meeting, the American Medical Association (AMA) House of Delegates met last month in Chicago and passed a resolution aimed at evaluating pharmacists’ scope of practice issues. APhA spearheaded a joint comment letter that nine other pharmacy organizations cosigned. I do believe that our efforts to draft the comment letter, our efforts to offer other pharmacy organizations the opportunity to cosign, and our presence and testimony at the AMA meeting helped to soften the tone of the resolution. We can use this opportunity to continue our ongoing collaboration with AMA staff as they consider next steps to implement the policy and provide information back to their AMA House of Delegates.

Our pharmacist.com news article does a good job of further discussing the resolution. Thanks again to APhA staff Anne Burns, Brian Gallagher, Ben Bluml, Mitch Rothholz, and Marcie Bough for their efforts to work with me on this important issue. I also appreciate that our Margaret Tomecki could be at the meeting to support Marcie as she testified.

Back in business: Joplin’s Medicine Shoppe 620 reopens

Thursday, June 16th, 2011
David Starrett, BSPharm, stands in front of his old Medicine Shoppe Pharmacy in Joplin, MO
David Starrett, BSPharm, stands in front of his old Medicine Shoppe Pharmacy in Joplin, MO

I wanted to share with you the incredible story of Medicine Shoppe 620 in Joplin, MO, based on firsthand accounts I’ve read. The pharmacy, owned by David and Sheree Starrett, was destroyed by a tornado on Sunday, May 22. Six days later, the pharmacy filled its first prescription order in a new location.

“Store gone,” read the text that David received from one of his employees. The destructive path of the tornado was 1 mile wide and 6 miles long. Three employees of the store lost their homes and automobiles.

By the next afternoon, May 23, David and Sheree decided to relocate their store. An entire store set-up of fixtures and a pharmacy counter was donated through a contact of Bob Kloeppel, a Franchise Business Consultant for Medicine Shoppe/Cardinal Health. That evening, David and Sheree received a call from a friend in Joplin who offered them a chance to lease a retail space.

On the morning of May 24, it was determined that the offered space was less than ideal for a retail business but that another location across the street was perfect. David found the owner, who was working through debris on another property across the road, and they agreed on a lease with a handshake. Around 10:00 am, a locksmith showed up at the new location, replaced the locks, and gave David keys to his new store.

On Wednesday, a U-Haul was driven to the new store with the donated fixtures and pharmacy counter. It was discovered that the PDX server from the old store had no damage and actually ran end-of-day reports when started up. A disaster recovery service retrieved the safe containing controlled substances and brought it to the new location. The next day was spent following up on phone, cable, security, and countless other items. Bob worked the entire day on computer- and pharmacy system–related issues.

On the afternoon of May 27, Sheree placed a $153,000 order for 1,153 lines of product. At 8:00 am on Saturday, May 28, the order arrived. Within the hour, the items were stickered by three pharmacy techs and four others. That afternoon, the products were set on shelves. At 7:18 pm, Bob sent the following text: “Store opened this afternoon … filled Rx … leaving for home.”

This abbreviated version of events came from firsthand accounts by David Burnett, ISF Pharmacy Business Consultant for Cardinal Health; Bob; and Patrick Clay, APhA Science Officer. So many people were involved in the rebirth of Medicine Shoppe 620. Their help and support will never be forgotten, those involved said.

When I opened my Medicine Shoppe 290 in 1978, it took me months to get ready. My hat is off to the team that did this! What an accomplishment!

APhA to be featured in NQF case study

Thursday, May 26th, 2011

Anne Burns, our Senior Vice President of Professional Affairs, reports that the National Quality Forum (NQF) has officially accepted a PQA/APhA case study as one of five case studies to be profiled in a national evaluation of the NQF National Priorities Partnership. PQA is a pharmacy quality alliance headquartered in Fairfax Station, VA.

Our case study highlights the work of the PQA Population Health Workgroup (on which APhA representatives Kelly Goode and Brian Hille served as Co-Chairs) and APhA’s immunization program. The submission was selected from 20 nominations overall, and it’s notable that a pharmacy submission is in the mix of accepted case studies for this important quality-related organization. In early May, representatives from NQF spent several days at APhA headquarters to interview PQA and APhA representatives for the case study. We will let you know when the case study is published.