Archive for the ‘Tom’s Travels’ Category

Iowa pharmacy road trip

Wednesday, November 9th, 2011

On Friday, October 28, I was hosted by APhA Trustee Matt Osterhaus on an outstanding tour of Iowa pharmacies. After watching an exciting sixth game of the World Series on Thursday night, we had breakfast with Bob and Ann Osterhaus before visiting Osterhaus Pharmacy in Maquoketa. From there, we headed to Mount Vernon to visit Shepley Pharmacy and pharmacist Amy Jackson, and then to a Hy-Vee pharmacy and pharmacist Thane Kading in Iowa City.

While in Iowa City, we visited Randy McDonough’s pharmacy (see his great column in October Pharmacy Today on page 50). We also stopped for lunch at the University of Iowa College of Pharmacy with Bernard Sorofman, Executive Associate Dean; Mike Kelly, Associate Dean; Susan Vos, the APhA-ASP advisor; Brandon Patterson, a former APhA-ASP President and current APhA New Practitioner Advisory Committee member; and two student officers, Page Crew and David Huhtelin.

From Iowa City, we drove to Drake University in Des Moines, where we participated in a panel discussion with a large student group on career pathways. The panel included Becky Snead, National Alliance of State Pharmacy Associations; April Shaughnessy, Academy of Managed Care Pharmacy; and Mindy Smith, APhA Foundation. Thanks to Associate Dean Renae Chesnut and Dean Raylene Rospond for hosting us.

We took a breath, and then finished the evening celebrating with almost 300 Tom Temple well wishers at his retirement fête in West Des Moines. The event was a celebration of Tom’s lifetime of service and accomplishment. It was also a fundraiser to support an outstanding leadership development program that the Iowa Pharmacy Association and the Pharmacy Society of Wisconsin have been doing for years. I was so grateful to be there to support the event and to recognize the many contributions of my friend, Tom Temple, to our profession.

Throughout the day, I was impressed with the sophistication and focus each pharmacist had on the provision of medication therapy management and other patient care services. While the pharmacies were efficient, high-volume operations, they were each definitely focused and structured to provide excellent patient care. I’d like to extend my thanks to the Osterhaus clan for being such gracious hosts.

Visiting the University of Florida MTM call center

Tuesday, November 8th, 2011

As I’ve visited and talked with pharmacists all over America, I’ve learned that there are many delivery models for medication therapy management (MTM). I visited one novel operation on October 26 in Gainesville, FL, where the University of Florida College Of Pharmacy operates a freestanding business and simultaneously trains students to deliver comprehensive medication reviews under contract with a major benefits manager. (Pharmacy Today profiled the program in February 2011.)

Dean Bill Riffee and David Angaran, Director, Medication Therapy Management Call Center, hosted me. I met with the MTM team, including Heather Hardin, Teresa Roane, Anna Hall, and Michele Lawson. I also heard from Karen Whalen, Vinita Patel, and Kim Barimo (a student and veteran of the program).

Students from the University of Florida rotate through the call center on 10-week rotations, with the first 2 weeks spent in training and the remaining 8 weeks spent telephonically conducting approximately 80 comprehensive 45-minute medication reviews with patients referred to them by their health plan client. Students are monitored and supervised by pharmacists and faculty, and numerous techniques are employed to ensure effective oversight and excellent service. The supervising pharmacist can be summoned by the student through various “channels” that allow everything from a back-channel “chat” to the pharmacist taking over the call if issues arise beyond the student’s capabilities.

These intense interviews teach many aspects of patient care, while establishing a relationship between the student and the patient. At the same time, early results suggest great outcomes in working with the most complex patients in the plan’s program. I look forward to hearing more as results get published.

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!

 

Renewing our sense of patriotism and unity

Monday, May 2nd, 2011

By now, everyone on the planet has probably heard that Osama bin Laden was killed in a U.S. operation in Pakistan. Most of us will remember exactly where we were when we first learned of the 9/11 attacks, and now we’ll remember exactly where we were when we heard this most recent news. I was with colleagues attending the NACDS annual meeting in Scottsdale, AZ.

As we all reflect on the meaning of this event—and its impact on situations around the world, including the unrest in the Middle East and North Africa—I pray our country can refocus on how fortunate we are for the freedoms we enjoy, and how thankful we should be for those who put their lives in harm’s way every day to protect those freedoms for people of all ethnicities and religions.

Let’s pray for and celebrate a renewed sense of patriotism and unity.

Made my day!

Wednesday, April 20th, 2011

I was in the middle of a 2-week odyssey that started right after the 2011 APhA Annual Meeting & Exposition in Seattle, and has taken me from coast to coast, to Canada, and to New Jersey and New York.

Then, I received the message below:

APhA Membership Committee:

I just renewed my membership for 2011–12 today with a contribution to APhA–PAC [Political Action Committee]. Thank you for all you do for the profession of pharmacy and its future practice!

I have to tell you, it made my day! Thanks to this member, and to all the others who support us every day with your membership as well as your support of our advocacy work. I assure you that Team APhA is doing everything we know to do to protect and defend our profession.

Every day is not like that. Here’s my response to an old friend who shared some negative comments about how poorly the profession was faring:

Nice to hear from you … I don’t dispute that the folks you quote feel the way they do. They have a right to their feelings and beliefs. Yet, I see thousands of folks who ARE getting it done, and who ARE enthusiastic about their present AND our profession’s future. I’m not discouraged by the concerns below. They just make me more determined to make a difference …

We’re doing our best at APhA to support pharmacists and their provision of services. We won’t always be appreciated by those who want us to do it faster or differently. That’s OK. I still listen carefully to them. If they participated with us, things might change to their liking. We’re a VERY inclusive organization. We don’t have nearly enough members, given the 300,000 practicing pharmacists in America! Yet I’m proud that we amplify the membership dollars we do get with complimentary work that both serves the profession and garners additional dollars to support our advocacy. Every penny that comes in goes back out to support pharmacists and our profession, whether these folks know it, or support us or participate.

I would enjoy having a conversation with any one of these folks. I’m guessing we would both learn something, and that’s a good thing.

More than 147,000, plus 1

Tuesday, April 19th, 2011

The number of pharmacists trained to immunize has recently been increased by one more person—me! More than 147,000 pharmacists have been trained to immunize in the United States. On April 9, I completed my training in Barboursville, WV, in a program licensed from APhA and conducted by the West Virginia University School of Pharmacy Office of Continuing Education.

As APhA CEO, I knew that we had an outstanding program, but had not had the opportunity to complete the training. I was impressed with the rigor of the program. So impressed—that I was the last person to finish the test at the end. The good news is that I passed! I was so relieved that I wasn’t going to embarrass my organization by failing. It just would not have looked good.

Our clinical pharmacist instructor, Dani Dolin, and Adrienne Tucker, did a great job of teaching the 26 participants the material, as well as providing real examples where pharmacists can make a difference. Most of the participants in the program were students rounding third and headed toward graduation, although there were a few veterans who were looking at ways to change their practice to provide greater access for consumers to vaccines.

So, as the most recently trained pharmacist immunizer, I applaud the more than 147,000 pharmacists who came before me for the important work you do every day to promote public health, awareness, and access to vaccines. Keep up the good work!

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.

Three-breakfast mornings

Thursday, March 31st, 2011

I’m sitting in my office a couple of days after our 2011 APhA Annual Meeting & Exposition in Seattle. Several staff are already working on APhA2012 in New Orleans so we can capture all our learnings from this year and make 2012 even better. Meanwhile, I’m processing what just happened in the various “orbits” that attract pharmacists and technicians in the first place.

On the front end of the meeting, our Board of Trustees met, as did the APhA Foundation board to conduct the business of the Association. We said thanks to several retiring board members, including Ed Hamilton, Valerie Prince, Kelly Goode, Dan Kennedy, and Steven Zona, and we bestowed Honorary Membership on Roger Browning, my retiring Chief Financial Officer. On Thursday, APhA and the American Society of Health-System Pharmacists (ASHP) also conducted a sellout exam prep course for pharmacists interested in sitting for the Board of Pharmacy Specialties (BPS) Ambulatory Care exam this fall. It was exciting to see over 250 very smart-looking folks as they finished the day. We’re off to a very good start with this new specialty. The next exam prep courses are at the American College of Clinical Pharmacy meeting in April and at the ASHP meeting in June.

Unfortunately, I only got 1 credit hour for continuing education (CE), so I didn’t capture a lot of firsthand insight into the 80-plus hours of educational programming conducted, but I did hear from hundreds of pharmacists, including my Israeli friends Ilan and Sami, who thought the sessions they attended were the best ever.

In my humble opinion, the General Sessions were awesome! Clayton Christensen, author of The Innovator’s Prescription (a “must read”) did a marvelous job describing opportunities for pharmacists as disruptive innovators in health care. He and his wife were kind enough to visit with a group of us before and after his Opening General Session presentation. From that interaction, I’m sure he “gets” the upside of pharmacists’ inclusion in any medication-use discussion. We’re just beginning our relationship with this well-respected thought leader, but it promises to be a productive one. Likewise, Carolyn Clancy’s presentation at our Second General Session was equally thought provoking, and described a very supportive attitude about roles in primary care for pharmacists. As head of the Agency for Healthcare Research and Quality, Clancy is a visible and influential policy maker, so her alignment with our goals is critical. She acknowledged something I’ve been saying for 2 years—that we have a “medication-use crisis” in this country right now as the system throws millions of meds at patients with precious little help to optimize their use. Pharmacists have a role to play in any reformed health care system.

The APhA Academy of Student Pharmacists (APhA–ASP) had a major set of orbits going as well. The APhA–ASP General Opening Session, awards presentations, and the student House of Delegates were all highly productive. Our profession is in good hands with the new generation of leaders and practitioners.

In addition to the business and CE orbits at our Annual Meeting, the policy-making machine was working well too. At our final House of Delegates session on Monday, we swore in our new leaders, including Marialice Bennett as President, Jenelle Sobotka as President-elect, Brad Tice as Speaker of the House, Michael Hogue, Academy of Pharmacy Practice & Management President, Sara McElroy as ASP President, and Jonathan Marquess, Trustee. The House voted to support APhA’s leadership in the development of practice standards. We’ve been looking at this prospect for over 3 years, so it was good to see the House so engaged. While the policy passed, there were those who weren’t sure we needed standards. We’ll be sure that as the process unfolds, all voices will be heard and considered carefully.

The social and recognition (awards) orbits were in full swing. We attended dozens of receptions where I was able to reconnect with hundreds of old friends. The Remington Medal Honoree was Paul Lofholm from California, a pharmacist leader for decades who broke important ground on several fronts, including CE for pharmacists and compounding.  Our Honorary President this year is Hazel Pipkin from Texas, who blazed her own trail for women in pharmacy as a pharmacy owner who became a professor so she could preach what she practiced in a way that inspired many to assume leadership roles not only in Texas but throughout the United States. You can read about all the honorees by going to www.pharmacist.com/awards.

Finally, and perhaps most importantly, the political action orbit was outstanding! Each of the advocacy presentations the Government Affairs staff and policy makers conducted throughout the program was well attended by enthusiastic crowds. And the Political Leadership Breakfast was sold out with more than 400 attendees. We honored stellar leaders of our advocacy efforts—all exemplary pharmacists who not only make their own voices heard, but inspire others to get involved as well.

You might gather from this blog post that I thought we had a good meeting, and you would be right.  Even after the multiple late-night receptions each night, the weeklong succession of “three-breakfast mornings” was invigorating! I’m so pleased with our staff and leadership, who all worked flawlessly as a team to execute a year’s worth of planning. We came back with dozens, if not hundreds, of follow-up action items and a better sense of where our profession is going. Judging by the way thousands have embraced the provision of pharmacists’ services as the practice model of the future, I think we’re on the right trajectory. If you weren’t there this year, you missed a good one!

Off the grid

Wednesday, November 24th, 2010

Happy Thanksgiving this week to everyone. We have a lot to be thankful for. For me, this week means time “off the grid” while I get some quality family time at home. I get to fix three of the dishes for our traditional Thanksgiving dinner that my mother used to fix for us. In her later years, I shadowed her in the kitchen to learn her tricks. Despite my best efforts, my attempts don’t quite match her quality, but we have fun trying.

While I’m giving thanks this week, I’ll include thanks for being affiliated with so many awesome fellow APhA staff members, and for being a part of this wonderful profession we share. I’m thankful too for the lasting friendships I’ve developed during my years associated with APhA. Thanks to you for reading, and for your support. I’m even grateful that when you disagree with something, we hear about it. That’s just as important, if not more so, than a pat on the back.

Soon, we’ll be announcing a big media blitz that will put pharmacists in the center of the media universe. We hope you enjoy the publicity. Meanwhile, have a great holiday!

Upbeat crowd in Atlantic City celebrates NJPhA’s 140th

Friday, November 12th, 2010
New Jersey Pharmacists 140th Annual Meeting

Last Saturday, I had the privilege to keynote the 140th meeting of the New Jersey Pharmacists Association (NJPhA) in Atlantic City, NJ. It was great to reconnect with so many old friends and to meet new ones. I was impressed with the upbeat, enthusiastic buzz at the meeting. Attendance was very good, the sessions I attended were excellent, and I got really provocative questions during my discussion of health care reform and what pharmacists can do to optimize our opportunities. Thanks to Harvey Maldow and his staff for their hospitality. Congratulations to President John Colaizzi Jr. and to incoming President Linda Gooen.

It was great to be there for the awards program. I’m always energized by the award winners and by the passion for our profession exhibited by both young and seasoned recipients. These programs are essential for encouraging continued innovation and growth. Congrats to all.

Finally, I’d like to give a shout-out to Al Geser, the retired Executive Director of NJPhA, and his wife, Sylvia. It was great to see him still engaged and supportive of his old organization. In my previous career as APhA’s State Affairs Director 20 years ago, I was the recipient of Al’s support and good advice on many occasions. I always appreciated that about him.

New Jersey is one of the states that APhA is working with to promote association membership. If you’re a New Jersey pharmacist who belongs to APhA, we encourage you to also belong to NJPhA. New Jersey is reciprocating by encouraging New Jersey pharmacists to belong to APhA. We greatly appreciate this partnership as we work together to improve medication use and advance patient care. Our profession needs the full support of every pharmacist if we are to be successful in optimizing the opportunities we’ve created in the Affordable Care Act. Our collaboration with other organizations, which is vital to that success, has never been greater. Let’s keep it up.