Archive for the ‘Tom’s Travels’ Category

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.

University of Texas College of Pharmacy

Tuesday, November 2nd, 2010

On October 14–15, I participated in Dean Lynn Crismon’s Advisory Council meeting at the University of Texas (UT) College of Pharmacy in Austin. This is one of two College of Pharmacy advisory committees on which I serve in order to maintain a close-up perspective of issues and opportunities with students and educators.

Following this meeting, at the invitation of Diane Ginsburg, the current President of the American Society of Health-System Pharmacists, I spoke at the convocation of about 200 pharmacy students that included the P2 and P3 classes at UT–Austin. Thanks to Diane and her classes for their hospitality and great questions.

During my talk, and during a similar talk a couple of weeks ago at the University of Maryland, I asked the students about their concerns about life after graduation. Did they worry about getting a job? Did they expect they could get their dream job? Did they know and buy into the Joint Commission of Pharmacy Practitioners 2015 vision statement?

Our students today are getting a phenomenal education, and are well trained to serve current roles as well as new, perhaps even unimagined roles in the future. We must keep supporting them and their growing demand for quality experiential training and support, and for residencies that will help them prepare for these new roles. We are very aware of the challenges and changes in the workforce. Yet I was energized by these students’ understanding of those challenges and their enthusiastic outlook toward the future.

The profession is growing and has created opportunities in all practice settings for growth and the assumption of new responsibilities in patient care. It’s natural that there are and will continue to be growing pains and pressures. Systems and organizations are feeling the pressures of declining margins and reimbursement on products, and the drive to increase service offerings in an uncertain payment environment. We must keep pulling together.

Shaking the hand of a hero during American Pharmacists Month visits

Monday, October 25th, 2010

On October 13, I visited Walter Reed Army Medical Center (WRAMC) in Washington, DC, where I received a briefing on pharmacy operations and visited with soldiers in the Army Wounded Warrior Program during a tour of outpatient and inpatient pharmacy operations at the Warrior Transition Unit. During the hospital tour, I watched severely wounded soldiers engage in physical therapy sessions and shook the hand of a hero. PFC Dave (not his real name) is a patient at the hospital where he is recovering from major traumatic wounds suffered in an IED (improvised explosive device) blast in Afghanistan. His pharmacist, Clinical Pharmacy Coordinator Dr. Chengqing Li, introduced us and gave me the chance to thank the soldier and his family for their service and sacrifice for our country. I can’t describe how these visits make me feel, other than to say we should be so grateful for our soldiers and their willingness to preserve freedom around the world, through essential support here at home. We should be thankful for everything that freedom affords us.

Duane Tackitt joined me on my rounds at WRAMC. We were hosted by four outstanding pharmacists, including COL John Spain, Deputy Commander of Clinical Support, and LTC Rick Nannini, Chief, Department of Pharmacy. We were joined by CPT Alex Shilman, a PGY1 (postgraduate year 1) resident, and Dr. Li, who is the pharmacist attending to the direct patient care needs of the wounded warriors, including PFC Dave, whom I described above.

You may recall I reported last year on my visit to the Center for the Intrepid at Brooke Army Medical Center in San Antonio. I continue to be amazed and in awe of the contributions these pharmacists make. I’m also impressed with the innovative uses of technology being developed to meet the special needs of our troops, who may be recovering from traumatic brain injuries and other wounds. Keep up the good work. You have our wholehearted support!

Reaching out during American Pharmacists Month

Tuesday, October 12th, 2010
American Pharmacists Month 2010 - Live from New York
St. John’s University APhA-ASP chapter participates in APhM: Live from New York

Recently, I let you know about APhA’s plans for reaching out to the broader public through the media. These campaigns saw tremendous success, with more than 200 students from 10 schools of pharmacy participating in the American Pharmacists Month (APhM) “Live from NY” day and, so far, 27 interviews completed by APhA’s media advisors Adam Welch and Kristen Binaso. While reaching out to the public at large with our message is important, we all know that focusing on your immediate community is also a key facet of the “Know Your Medicine—Know Your Pharmacist” consumer outreach campaign.

To reach out to our local community, APhA recently organized a health fair for our staff and our neighbors, the U.S. Department of State. Staffed by APhA pharmacists and about 50 student pharmacists from five area schools, the fair offered attendees a chance to learn why knowing their pharmacist is important. Through interactive exhibits and presentations, the more than 100 attendees had the opportunity to learn about:

  • Maintaining a healthy lifestyle through proper diet and exercise
  • Ways to store and dispose of unused medications
  • Heart health awareness and blood pressure screenings
  • Tobacco awareness
  • Heartburn awareness
  • Immunization awareness
  • Topics of their Choice—Ask the Pharmacist!

As always, I will be conducting personal pharmacy visits in the DC area to meet and get to know a few local pharmacists. On October 13, I will be visiting Kaiser Permanente in Largo, MD, and Walter Reed Army Medical Center’s Wounded Warrior Clinic in Bethesda, MD.

An event new to the APhA lineup this year is the USA Science & Engineering Festival. Held on the National Mall, October 23–24, the expo is a huge exhibition of the wonders of the science world. Thanks to a partnership with Walgreens, we will have an APhM booth right on the National Mall. The booth will feature hand-washing demonstrations for the kids and blood pressure screenings for the parents. This event is open to the public, so if you are in DC, you should go visit.

If your monthly events aren’t finalized yet, hopefully we can offer a little inspiration. And as always, you can visit www.pharmacist.com/aphm and the APhM Planning Guide.

Good Neighbor Pharmacy

Monday, September 27th, 2010
IMG_0271

Here’s a shout-out to the Good Neighbor Pharmacy (GNP) owners who achieved top honors in the J.D. Power and Associates 2010 U.S. National Pharmacy Study, released September 21. The study, now in its fourth year, measured customer satisfaction with pharmacies in two segments: brick-and-mortar and mail-order. The study includes chain drugstores, supermarkets, and mass merchandisers. Five key factors that contribute to customer satisfaction with brick-and-mortar pharmacies were examined, including prescription ordering and pickup process, store, cost competitiveness, nonpharmacist staff, and pharmacists. Among chain drugstore pharmacies, GNP ranked highest in customer satisfaction, followed by Health Mart and The Medicine Shoppe Pharmacy.

Pictured here is the audience of owners and AmerisourceBergen Corporation/GNP leadership and staff, in whose meeting I participated last week at National Harbor in Maryland. We talked about the Affordable Care Act and opportunities for innovation in practice. It was a real treat for me to spend some quality time with them.

Motivation to change?

Friday, September 17th, 2010

There are lots of reasons why people make changes in their lives or their careers. The drive to try something new can be a significant motivator. Similarly, but for a much more negative reason, downsizing at a large company forces many to figure out “what’s next” involuntarily. For entrepreneurs, it can be maturation of one business and an interest in growing the existing business or launching a new idea. As I learned in business school, business cycles are just that—cycles—with ups and downs. Currently, and for some time, purchasing of prescription drugs has consolidated to the point where now the government and a few large payers purchase the majority. Their collective-buying approaches continue to aggregate purchasing power and thus push reimbursement for product costs lower—approaching actual acquisition costs for health care providers.

We’re not alone in the world. At the end of August, I met with my counterparts from countries around the world at the International Pharmaceutical Federation meeting. My takeaway was that there is a meltdown of the pharmacy business model underway all around the globe. Countries that had pharmacy ownership and margin protections and whose citizens are afforded national health coverage have implemented severe austerity measures in the face of the world economic downturn. As a result, pharmacists in these countries, like us, are looking for ways to survive. I’ve run enough pharmacies to know that you can’t make losses on sales of products up on volume. The answer isn’t selling more medications.

Like us, many nations’ pharmacists are turning to the provision of a higher level of patient care and services as the answer. So, as pharmacists consider their businesses, practices, and careers, I believe patient care services will be a keystone. As I shared with my colleagues in Europe, I don’t believe there is any turning back—the bridge from the past that we crossed to get here is no longer there. Whether you’re self-actualizing at the top of Maslow’s hierarchy of needs or considering change out of fear, there are opportunities ahead. Our organization is focused on helping pharmacists differentiate with services and cope with the change. Hang on—we’ll take the ride together!

Is your pharmacy an outpost?

Saturday, August 28th, 2010

Recently, I received an e-mail from a new practitioner whose family I’ve known a long time. This young pharmacist was frank enough to share the following observation with me:

About ways to improve my chain pharmacy, I think one of the main components that is missing is professional connection. I think a lot of pharmacists like me feel isolated out in the field, with no one to bounce ideas off of except your partner. Maybe my chain could hold continuing education programs or meetings within the market to discuss pharmacy issues so that the pharmacist has the opportunity to build relationships with other pharmacists who do the same job. I think that hospital pharmacists get this already because they are in daily contact with health care staff, whereas the community pharmacist usually works solo.

Here’s what I shared with this new practitioner:

I hear your comments about feeling isolated as aspirational—you aren’t complaining, but rather aspiring to find a better way, and you’ve got some ideas about how that could happen. Your view is your own, and you are entitled to it. As you consider how you might lead change within your organization, acknowledge other perspectives too. It makes your own opinions more influential. But you don’t need a title to lead. With the right approach, and if others feel the same way, you can make a difference.

Also, when I was in chain practice, and for that matter when I practiced by myself in my Medicine Shoppe, I found my connection to my peers when I was in practice first through my local (Huntington) association, the Southern West Virginia Pharmacists Association, through the West Virginia Pharmacists Association, and through volunteer groups. From there, I got involved in APhA and have really enjoyed all aspects of our profession through those venues.

As I’ve thought more about my response to this new practitioner, I might have also shared that I recognize how busy folks are just living—raising a family, having a life outside of work, paying new bills or a mortgage, or helping aging parents. I hear from many that their employer doesn’t give them time off or pay their way to meetings. Clearly, in my role today, I’m a fan of employer-supported professional activities. However, there is room for another way of thinking. I submit that not having employer support is not a reason to drop out of or not participate in the profession. Every networking opportunity can teach things that may help in a career or may help in the care of patients. Local association meetings, state association meetings, and our own APhA Annual Meeting & Exposition are tremendous ways to learn (or teach) how others’ experiences can help you grow as a professional. There are also tremendous networking opportunities on the Internet. You can find many of them at Pharmacist.com.

I’ve also seen major growth in the professional opportunities available to pharmacists, often through their employers, for certificate programs or other ways to differentiate oneself in an increasingly competitive job market. We at APhA try to do our part to create those opportunities. While it’s not always possible or available, we get industry support for these programs when we can to help pharmacists lower their costs of participation.

On Tuesday of this week, I had the privilege of participating in the Duquesne University Mylan School of Pharmacy White Coat Ceremony in Pittsburgh. I gave a speech to 2010 first professional year pharmacy students and their families. It was a wonderful opportunity for me to feed off their energy, and hopefully I helped Dean [Dr. J. Douglas] Bricker and his team at Duquesne launch a new generation of professionals in the right way. During a faculty and leadership dinner, I also gained some insights into programs that the school is engaged in. I invited some folks to write to me about their experiences so I could share them. I hope they took me seriously.

Finally, I also looked this week at the lineup of educational sessions being planned for the 2011 APhA Annual Meeting & Exposition in Seattle this coming March. Thanks to the many volunteers who have worked with our staff to develop what I can only describe as a phenomenal array of opportunities. I truly hope you will join us as you continue on your own professional path. You won’t be sorry.

Independence Day at APhA

Friday, July 9th, 2010

Happy post-July 4th! The APhA staff and families enjoyed the fireworks and a pre-blast day of camaraderie on the terrace at 2215. In the midst of our revelry, we took the time to reflect on our blessings and to thank those who gave some or all for our freedom. I hope you and your family had a wonderful 4th. Enjoy a few photos.

Fourth of July at APhA Fourth of July at APhA Fourth of July at APhA

Time–and Tom–will fly through the Fourth

Tuesday, June 22nd, 2010

On July 1, I will complete my first year of service as APhA’s CEO. I am eternally grateful for the opportunity to serve, and I hope the pharmacists reading this see, as I do, that our profession is advancing, albeit not as quickly as we would like, and not without significant challenges. This first year has been an incredible privilege.

The next couple of weeks will be filled with opportunity and meetings. Yesterday, the Joint Commission of Pharmacy Practitioners (JCPP) CEOs met to discuss how we can stay together in Health Care Reform Implementation, as we did throughout the debate and passage of the Accountable Care Act. Today I meet with the Joint Chiefs (pharmacist heads of each armed services, VA and Public Health Services) and then head to Chicago for a meeting at the American Medical Association (AMA). The AMA meeting on Wednesday is important as we’ll be talking about more ways for medicine and pharmacy to collaborate.

That afternoon and evening, we meet with ACPE (the pharmacy education accrediting body) to evaluate how we’re doing and what we can do to improve, both in undergraduate education and in continuing education for pharmacists.

I get back to Washington on Thursday morning and start meetings with the APhA board, beginning with Finance and Strategic Directions committees and then with the whole board. We’ll work through the weekend. Monday, we finish with the APhA Board and begin two days of meetings with the APhA Foundation Board. In the middle of that we celebrate the Pinnacle Awards and recognize the successes of some of our profession’s most innovative practitioners.

The morning after the Foundation Board meetings end, I get on a flight to the Florida Pharmacy Association meeting in Marco Island. I come back to APhA on the Fourth of July for a staff celebration at our great headquarters on the National Mall.

Somewhere in there, I hope to get a little sleep once in a while.

Meanwhile I will do everything I know to help the organization succeed, and I’m always willing to listen if you have ideas.

I look forward to hearing from you!

Commencement remarks from West Virginia University

Wednesday, May 26th, 2010

At the request of a graduating student pharmacist, here is video of my commencement remarks from West Virginia University.