A SEASON OF LEADERSHIP AND ACTION - IN THIS ISSUE: CPHA LEGISLATIVE DAY STUDENT PHARMACISTS AND NEW PRACTITIONER'S SUMMIT MANAGING CARE AT THE END ...
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A Peer Review Publication of the California Pharmacists Association Vol. LIV, No. 3 Summer 2007 A Season of Leadership and Action In This Issue: CPhA Legislative Day Student Pharmacists and New Practitioner’s Summit Managing Care at the End of Life
from the e ditor W EXECUTIVE EDITOR elcome to the summer issue of California Pharmacist in Lynn W. Rolston which CPhA is pleased to show off how engaged mem- bers have been in advancing the profession. It has been MANAGING EDITOR a busy season of leadership and activism, for which pharmacists Cathi Lord all over California can be proud. CPhA Legislative Day at the Capitol made an impact. The Student Pharmacist and New Editors/Proofreaders Practitioner Summit advanced some careers. Grassroots legisla- Vic Boisseree, Leslie Bailey tive campaigns generated significant results. This issue of the journal highlights those events and more, provides continuing EDITORIAL REVIEW COMMITTEE education; lightens the load with a little humor; and showcases Craig Stern, Chair members who continually make a difference. Marshall Abdullah, Student Representative In the clinical body of the journal, we tackle the issue of Colleen Barnes, Student Representative end of life care. Bradley Williams, Pharm. D., FASCP, from Sarica Cohen, Los Angeles the University of Southern California Schools of Pharmacy Jeff Goad, Los Angeles and Gerontology, acts as our Guest Editor. Dr. Williams and the Karl Hess, Los Angeles authors he has assembled, form an impressive group of experts Hilda Ilanjian, Los Angeles who share their insights into the palliative care of adults as well Lisa Johnson, Manhattan Beach as children and their families. It’s a difficult topic for most people Quynhlam Tran, Orange County to discuss and this collection of articles clearly demonstrate the Debbie Veale, Fullerton many ways in which pharmacists not only help elevate the quality Graphic Design of care for patients in the final stages of life, but are also deeply Creative Directions valued in the process. Dr. William begins with an overview of palliative care, then provides a very informative article about CALIFORNIA PHARMACISTS ASSOCIATION advance directives. In her article, “Symptom Management at BOARD OF TRUSTEES the End of Life, Palliative Care in Community Pharmacy,” Gerald Mazzucca, President Dr. Rosene Pirello B.S. Pharm, R. Ph., Director of Pharmacy Brian Komoto, Immediate Past President Services at San Diego Hospice & Palliative Care, provides sub- Paul Lofholm, President-Elect stantial details on how pharmacists can positively affect the Lynn Rolston, Secretary outcome of a patient’s care during this very sensitive time. Pro- Kenny Scott, Treasurer viding a thoughtful viewpoint to the art and science of caring Phil Banks, Speaker of the House of Delegates for pediatric patients at the end of their lives, Teresa Rushing, Eric Gupta, Speaker-Elect of the House of Delegates Pharm. D., BCPS, with Childrens Hospital in Los Angeles, delves Merliyn Ross, Region 1 Trustee into symptom management in palliative care. Her article is titled Edward Sherman, Region 2 Trustee, Trustee at Large “Pediatric Palliative Care: The Pharmacist’s Perspective.” Our Dana Nelson, Region 3 Trustee thanks go to all three authors for their thought-provoking, peer- Drew Donovan, Region 4 Trustee reviewed articles that help us all to better prepare for the future. Mark Gilbert, Region 5 American Pharmacists Month is coming in October and Rebecca Cupp, Region 6 Trustee CPhA encourages all members and local associations to actively Kathleen Besinque, Region 7 Trustee engage in promotional activities during the month. The goal Victoria Aldridge, Region 8 Trustee is to educate the public about the value of pharmacists and Geraldina Afkari, AEP Trustee demonstrate capabilities. We showcase how effective the San Candace Fong, AHP Trustee Mateo County Pharmacist has been with their annual “Talk Shirley Fender, ALTC Trustee With a Pharmacist Day.” In addition, we offer a host of promo- Patrick Robinson, AMC Trustee tional ideas and resources that will enable any member to get Dennis Witherwax, APO Trustee started with their plans. Whatever activity appeals to you in your Nancy DeGuire, APS Trustee practice setting, plan now and share your stories and pictures Dan Wills, APT Trustee with CPhA. It will make for a lively issue of California Pharmacist Nkeonyenaso Emuh (LLU) in the winter. Shannon Bradley (UCSD) Paul Takamoto (UCSF) Happy Reading, Michael Hua (UOP) Sheena Patel (USC) Andrew Khosho (WU) Richard Duenas (TU) Summer 2007 California Pharmacist 3
Vol . LIII, No. 7 SUMMER 2007 CALIFORNIA PHARMACIST 17 22 37 COLUMNS 28 Symptom Management at the End of Life 6 From the CEO and President by Rosene Pirrello , B.S. Pharm., R. Ph. 8 Summit Coverage 37 Pediatric Palliative Care for Community Pharmacists 10 Legislative Day by Teresa Rushing , Pharm. D., BCPS 12 Membership News 14 Insurance News FEATURES 16 PAC Report 22 On the Lighter Side, A Humorous Look at Pharmacy 17 CPhA Elections by Barry Pascal, Pharm. D. 18 CPhA Awards 40 CPhA Member Profile: Jeana Colabianchi, Pharm. D. 20 Editorial News by Cathi Lord 54 Financial Forum 43 CPhA Board Member Profiles: Shirley Fender, 56 Campus Reports Pharm. D., Drew Donovan, Pharm.D. 45 American Pharmacists Month: Your Chance to Shine DEPARTMENTS 48 Locals in Action: A Profile of the San Mateo County Clinical Knowledge, Research, Therapeutics Pharmacists Association by Cathi Lord Clinical knowledge and expertise that pharmacists need to provide the services and outcomes that their customers desire. Also In This Issue 52 Member Recognition 24 End of Life Introduction 60 Museum Quarterly by Bradley Williams, Pharm. D., FASCP 64 Continuing Education: Natural Products 25 Helping Patients Plan for the Future 68 Publications & Products by Bradley Williams, Pharm. D., FASCP 69 Classified Advertising 70 CPhA Master Calendar California Pharmacist (ISSN 0739-0483) is published quarterly on or about January 1, April 1 July 1, and October 1 by the California Pharmacists Association, 4030 Lennane Drive, Sacramento, CA 2007, California Pharmacists Association 95834. California Pharmacist is distributed as a regular membership service, paid for through allocation of membership dues. Subscription rate is $50 per year domestic; single copies are $15. The 4030 Lennane Drive, Sacramento, CA 95834 international rate is $75 per year, $25/ single copy. Subscriptions are not available to non-member pharmacists, licensed and practicing in California. Periodicals postage paid at Sacramento, California. Phone (916) 779-1400 Postmaster: send address changes to California Pharmacist, 4030 Lennane Drive, Sacramento, CA 95834. Publisher assumes no responsibility for unsolicited material. Manuscripts, artwork and Fax (916) 779-1401 photographs must be accompanied by stamped, self-addressed envelopes, if return is desired. Letters to the editor are encouraged; publisher reserves the right to edit and publish, in whole or in part, http://www.cpha.com all letters received. Bylined articles express the opinions of the authors and do not necessarily reflect the view or policies of the California Pharmacists Association. Nothing in this publication may be publications@cpha.com reproduced in any manner, either in whole or in part, without specific written permission of the publisher. ISSN0739-0483 California Pharmacist, the official publication of the California Pharmacists Association, is a professional journal devoted to informing pharmacists and enabling them to better serve the health and welfare of the general public. Summer 2007 California Pharmacist 5
from the ceo A ND PRES IDE NT At the Helm Action and Leadership DHS implementation of greater use of tamper resistant-paper for Medi-Cal prescriptions pur- Steady and By Lynn Rolston suant to Federal law. E-Pedigree is scheduled Consistent Growth CPhA Chief Executive Officer to be implemented in January of 2009 in order By Jerry Mazzucca D ear Members, to drive counterfeit drugs out of the drug sup- 2007 CPhA President I don’t need to tell any of you ply chain, again at the expense of pharmacists’ about the many valuable services that time and resources. Membership Growth H pharmacists provide for their patients. As We covered many of these issues at Outlook elping to grow the membership base you can see, this issue of California Pharmacist and then again, at both California Pharmacists of the Association has been one of covers a critical and growing area of greater Association Legislative Day and the Student my top priorities as your President. pharmacy involvement at a very sensitive Pharmacists and New Practitioner’s Summit. To that end, I’m happy to report that the juncture in the healthcare continuum of a Many more issues have come up since those CPhA Membership team has been on the patient’s life – end of life care. There are events and there are more to come. We are in- road touching base with local associations so many important and needed roles and spired by many of your colleagues (highlighted and important member groups. We’re ac- responsibilities that pharmacists can and later in this issue) for their personal action and tively listening to member concerns in order should take on in significant numbers. The initiative. You to improve benefits and ultimately recruit question is, are you? Do you have the time? can be among them. What is needed is leader- more members. Is reimbursement available? Do laws and ship and action. Get up from your chair regulations support these new areas of prac- and be one of those who steps forward ready Summer Renewals tice? What will it take to move to this next to help with ideas, a plan, money, phone calls, Over the summer, CPhA members will level of collaborative practice? circulating petitions and telling legislators and be hearing about online membership re- My answer to the questions above is ac- others about what you do every day that makes newal. Now you can save precious time tion and leadership. There are so many issues you so valuable to the healthcare team. Phar- and renew your membership online! The facing pharmacy practice today that without macy needs you now, perhaps like never before. online renewal system is accessible through rapid resolution of each of them, there will While the contributions described in this www.cpha.com and very easy to use. Mem- be no time or money to practice even very issue are so needed and necessary, there may ber information is pre-loaded so the process basic pharmacy- let alone to expand the never be an opportunity to really practice in is quick as well. pharmacists’ role. You may have heard calls the way you were trained and educated to do. to action like this before, but I assure you Let’s not be the ones to witness the end of life Local Associations that this current set of pending crises will for pharmacy as we know it. Step up! There’s good news to report on the lo- have unprecedented impact on your pharma- Lynn Rolston can be contacted via email at: cal front with the reactivation of the Santa cy career. CPhA can help to organize your lrolston@cpha.com. Clara County Pharmacists Association. efforts and provide important information Thanks go out to local President, Bruce and lobbying expertise. Only you can lead Uyeda, and other members of the local the way for your profession and speak for CPhA is looking for inspired who have stepped up to take on leadership your place in healthcare. ideas to share with the readers roles in the rebuilding process. Significant Pharmacy reimbursements for dispens- of California Pharmacist. Who growth was also achieved in the central val- ing will be steadily reduced over the next are your heroes, your mentors, ley with the merger of the San Joaquin and couple of years from Medicare Part D, AMP and people in the profession of Central Valley Pharmacists Associations. By drug cost methodology, and then, from pharmacy who you want to emu- combining their efforts, the group is sure to the changes in AWP that First Data Bank late ? Share a brief paragraph of make a more dynamic impact in the area for will make sometime next year as a result who the person is and what they pharmacy. Kudos also go out to the Alame- of a recent court action. We will be facing do in their day to day practice, or da County Pharmacists Association for all greater dispensing regulation through the in the lifestyle they lead that has their renewed level of activity. Board of Pharmacy - including changes to captivated your attention. We’ll the label to accommodate the blind, illiterate print a few each quarter. Collaborations Continue or non-English speaking populations- and In my travels back east over the spring, I 6 California Pharmacist Summer 2007
was able to visit with various groups of phar- to provide pharmacists with the training they just a small sampling of the strength we can macy professionals at the American Pharma- will need to implement an MTM practice in demonstrate when we all work together. cists Association (APhA) Annual Meeting. I their pharmacies. Which leads me to promote CPh-Political attended a meeting of Association Presidents Collaborations with other pharmacy or- Action Committee contributions. In the from around the country and felt energized ganizations continue to be a high priority for same vein, when members pool their dollars by the progress we are making in California. advancing CPhA’s agenda of unifying the into the PAC fund, the Association and the In May, I attended the National Community profession. We are continuing to work with profession as a whole will have a stronger, Pharmacists Association Legislative Confer- CSHP on issues of importance. more effective voice. You can download a ence in Washington D.C. Both Lynn and contribution form when you visit the Gov- I were appreciative of the opportunity to Push for the PAC ernment Affairs page of the CPhA website. meet with representatives from Congress- In the aftermath of the recent AMP legi- For more in-formation, contact Theresa woman Matsui’s (D) office. Back home in slative Call to Action that CPhA issued, I Andrews at tandrews@cpha.com. Sacramento, CPhA recently met with APhA would like to take the time to thank all the I wish you all a prosperous and healthy to discuss the possibility of rolling out MTM members who responded by sending letters to summer. If you have any issues you would CE programs that are being piloted around their legislative representatives. The response like to discuss, feel free to reach me person- the country. The goal of the CE program is from the membership was incredible and is ally by email at jmazzucca@prodigy.net. The CPhA Academy of Long Term Care and the Pharmacy Foundation of California Present… Long Term Care Weekend 2007 •E arn up to 10 hours of ACPE accredited continuing pharmacy September 15-16 education. Pasadena, CA •T ake advantage of the Networking Reception on Saturday evening and chat with your fellow Long Term Care pharmacists. Hilton Pasadena ACPE Accredited CE Programs Include: (800) 445-8667 ask for the Saturday, September 15, 2007 California Pharmacists Association • CE Program: Alzheimer’s Disease: Differentiating Symptoms & Appropriate group rate. Treatments, (Sponsored by Forest Labs) • CE Program: New Medications/Indications for the Geriatric Patient Important deadlines: August 15 • CE Program: Metabolic Syndrome Reserve room at • CE Lunch Program: Immunization Toolkit Update Pasadena Hilton • CE Program: MTM Services & the LTC Pharmacist, (Sponsored by Humana) September 1 Sunday, September 16, 2007 Register for discounted rate 8:00-12:00 pm Visit www.cpha.com and • CE: Diabetes & the Geriatric Patient, (Sponsored by Novartis) click on the Events tab, then • CE: Federal & State Regulatory Update Long Term Care Weekend to download a registration form. Summer 2007 California Pharmacist 7
SUMMIT COVER AG E The 2nd Annual Student Pharmacist and New Practitioner’s Summit By Theresa Andrews Director of Membership Workshop and Program Sponsors Thank you to our Sponsors and Donors, without whom the Student Pharmacist and New Practitioner’s Summit would not be possible. Walgreens Rite Aid Ralph’s Pharmacy Asereth Valley Wholesale Rx relief RSF Pharmaceuticals McKesson AmeriSourceBergen Exhibitors Walgreens Marsh Ralph’s Rite Aid Walmart Asereth Pharm-Aid McKesson Valley Wholesale Target Student Loan Doctors Rx relief Donors T he 2nd Annual Student Pharmacist and graduation. One of the more popular Saturday New Practitioner’s Summit has come workshops was Wine Tasting 101. Speakers Pharmacists Professional Society of the and gone, but it was another successful Bob and Julie Campbell, Brian Komoto, Art San Fernando Valley year that proved to be both educational Presser, Larry Rolston and Carolyn Toy all Inland Empire Pharmacists Association and fun for all attendees. This year, we brought various varieties of wines from spar- Sacramento Valley Pharmacists Association had eight different workshops that were kling varieties to dessert wines. San Diego County Pharmacists Association spread out over a two-day period. The work- Another of the “fun” aspects of the week- Leader Pharmacies shops included: Financial Planning, Career end was the Young Professionals Night at Orange County Pharmacists Association Roundtable, Developing Your CV/Resume, the Red Circle Café. Rite Aid sponsored this San Gabriel Valley Pharmacists Association NAPLEX/CPJE Review, Wine Tasting 101, event and reserved an area in the night club Southeast Los Angeles Pharmacists Leadership Development, Cultural Sensitiv- so that all could get to know one another and Association ity and Residencies. The programs were well have a great time. Brian Komoto attended with over 100 student pharmacists Sunday rounded up the weekend with dis- and new practitioners in attendance. Trying cussions on what it takes to be a leader, infor- Steering Committee Members to mix things up this year, the Student Sum- mation on various cultural differences and the CPhA would like to thank the individuals mit Committee scheduled the lunch break value of a residency after pharmacy school. on the Student Summit Steering Committee as its own function so that all the attendees CPhA would like to thank all the Student for taking time out of their schedules to co- could have more time to visit with exhibi- Support and Summit Committee members ordinate another spectatular Student Summit. tors. This proved to be a terrific change as for putting together another successful year. In particular, CPhA wants to thank Larry the attendees and exhibitors had a great time Plans are already in the works for the 3rd An- Rolson for spearheading the Student Sum- getting to know one another. nual Student Pharmacist and New Practitio- mit and making it a reality. This was Larry’s The Saturday workshops taught attendees ner’s Summit in 2008. So mark your calendars last year as the Chair of the Student Summit everything from student loan consolidation for April 25 – 27, 2008. Steering Committee and CPhA is grateful to selecting a pharmacy career in various If you would like to serve on the next for his dedication to putting together such practice settings, to helpful tips on tak- Student Summit Steering Committee, contact a valuable event for student pharmacists and ing the NAPLEX and CPJE tests upon Theresa Andrews at, tandrews@cpha.com. new practitioners. 8 California Pharmacist Summer 2007
We’d also like to thank Eddie Bubar for pioneering the Student Support Committee and helping make the vision of the Summit a reality. Student Support Committee Eddie Bubar, PharmD Summit Chairman Larry W. Rolston, PharmD New Practitioners Karl Hess, PharmD Amy Keller, PharmD Top Left: Cultural Sensitivity Jarrod Mills, PharmD Workshop participants. Front Jason Kim, PharmD Row: Nicholas Berry, Kevin Komoto, and Kenny Vinh Touro University Back Row: Melanie Ziman, Charlene Chiu Carolyn Toy, Ngan Huynh, Ricardo Duenas Bao Chau Tran, Nazaneen Raouf, Marie Tran,Chau Loma Linda University Phan, Danielle Colayco, and Jennifer Young Nancy De Guire.Top: Brian Stacia Noel Komoto manning a tasting Tam Trieu station at the Wine Tasting event.Below, Lynn Rolston, University of the Pacific Larry Rolston and Art Marie Tran Presser enjoying the Wine Chau Phan Tasting event. University of Southern California able to make this event as affordable as it is Art Presser, Pharm.D., AMP & Garrett Ow for student pharmacists and new practitioners Associates Sheena Patel to attend. Larry Rolson, Pharm.D., Chair Summit Stephanie Laing Steering Committee Jennifer Chen Speakers Caroly Toy, Pharm.D. Candidate 2009, University of the Pacific University of California, San Francisco Colin McGuire, Pharm.D., Veterans Bob and Julie Campbell Matthew Browne Affairs San Diego Daniel Zlott, Pharm.D., University of Blake Bartlett Edward Sherman, Pharm.D., Rx Labels California, San Francisco Grace Lin of California Nancy DeGuire, Pharm.D., University Ed Fox, Asereth Medical Services of the Pacific University of California, San Diego Sam Baxter, Marsh Affinity Group Services Karl Hess, Pharm.D., Western Jennifer Lai Amy Nguyen Alex Teodoro, LPL Financial Services University of Health Sciences School of Mike Rooney, Pharm.D., Student Loan Pharmacy Western University of Health Sciences Doctor Marie Martinez, Pharm.D., University Vi Le Chen Chen Conrad Bio, Pharm.D., Rite Aid of Southern California Minh Dang, Pharm.D., CVS Jarrod Mills, Pharm.D., Veterans And of course CPhA cannot forget the Tom Maez, Pharm.D., Rx relief San Diego speakers who took their time and money to Amy Keller, Pharm.D., University of Kristin Lunghi, Pharm.D., University attend the Student Summit and pass along California, San Francisco of California, San Francisco their knowledge. If it were not for the gener- Brian Komoto, Pharm.D., Optimal Kaman Chung, Pharm.D., Cedars Sinai ousity of the speakers, CPhA would not be Health Services Medical Center Summer 2007 California Pharmacist 9
LEG IS L ATIVE DAY Tackling the Issues, Visiting Legislative Representatives CPhA Members Make an Impact at the Capitol Editor’s Note: In light of the recent Lynch, the CPhA Lobbyist and CPhA-led Grassroots Action Campaign Vice President of Government Af- that generated over 5,000 letters to fairs. Kathy focused the discussion legislative representatives about the very on the key legislative issues for the important, average manufacturer price 2007 Legislative Session, including: (AMP) issue, this story takes on new average manufacturer price (AMP), relevance and bears repeating. It first health care reform, bills on changing appeared in the May issue of the CPhA prescription labels and disposal of APO Newsletter. expired medications. Hrant Jamgo- chian, the Director of State Rela- T he 2nd Annual California tions and Political Action for APhA Pharmacists Association presented issues from the national Legislative Day had a great level. John Tilley, the President turn out, nearly doubling last of the National Community Phar- year’s attendance. Dressed in macists Association (NCPA) and their white coats, pharmacists and former CPhA President, spoke student pharmacists showed up about issues being addressed by in force to learn more about the NCPA in Washington D.C. prevalent issues facing pharmacy The keynote address was de- this year and to meet with their livered by Assembly Member Dr. legislators to discuss those issues. Edward Hernandez (D) Baldwin Members had the opportunity to Park who stressed the importance meet with many key legislators, of CPhA members being involved as CPhA arranged for 29 Senate in the legislative process by stating: appointments and 50 Assembly “you are in a legislated profession.” Member appointments. He shared his own experience as a CPhA Legislative Day kicked off member of the Optometric Associa- with an issues briefing from Kathy tion, and the efforts that were put CPhA members take to the Capitol steps, dressed in white coats, demonstrating the strength of CPhA and Legislative Day. 10 California Pharmacist Summer 2007
forth to secure the ability of optometrists to to visit individually with legislative repre- prescribe medications. It took a lot of hard sentatives to make their voices heard, and work by a committed group of members to reiterate the importance of the issues in the Association, but in the end, they ac- facing pharmacy. Feedback from members complished their goal. More importantly, about their experiences was very encourag- Assembly Member Hernandez emphasized ing. These one-on-one opportunities were that politics is a “relationship business” and a valuable step in continuing the education encouraged members to continue to build of legislators about pharmacists and their relationships with their legislative represen- key issues. tatives throughout the year. CPhA Legislative Day ended with a Taking an opportunity to promote the reception at the Hyatt that provided mem- PAC immediately following Assembly bers with a great opportunity to share their affect change, and ultimately, achieve better Member Hernandez’ presentation, Brian Ko- experiences from their day. outcomes for patients. moto, CPh-PAC Co-Chairperson, and CPhA By working together, the members of To stay on top of important legislative Past-President, stepped up to the podium, CPhA, and other pharmacy organizations issues, look for the weekly Legislative and reiterated the importance of the access such as NCPA, NACDS, APhA, CRA, and Update, each Monday via Email or visit that political contributions help to provide. CSHP, we can broaden the scope of the mes- the CPhA website at: www.cpha.com and One of the most important aspects of sage to legislators detailing the pharmacists’ click on the Government Affairs Tab for the day was the opportunity for members value in the health care system in order to more information. Summer 2007 California Pharmacist 11
MEMBER S HIP Membership Activities By Theresa Andrews, Director of Members and A Busy Season forTodaro-Smith, Annette Locals, Student Vice President ofGroups and Recruitment Business Development W ow!! This year has started off with goes out to all the sponsors, exhibitors and the CPhA membership team run- speakers who helped support this event again ning full force with putting to- Your membership, no this year. Planning efforts for the 3rd Annual gether an online renewal system for current matter your practice set- Student Pharmacist and New Practitioner’s members. The new online format will make Summit has already begun. Mark your calen- it much easier for members to renew their ting, is important to us. dars for April 25 – 27, 2008 as it promises to membership and update contact information. We are always looking be bigger and better than ever before. Membership Team on the Road for tangible ways to pro- Attention 2007 Pharmacy Graduates CPhA was invited to exhibit at the An- vide value. For example, There is no better way to start your suc- nual Ralph’s Pharmacy Seminar in Yorba cessful career as a New Practitioner than Linda, CA May 1 and May 3, 2007. Annette pharmacy technicians with membership in CPhA. We will be your Todaro-Smith, Vice President of Business and students can now advocate and protection regarding the critical Development, and Theresa Andrews, Direc- legislative issues facing the profession in tor of Membership, attended on behalf of the receive student pricing California, while you are beginning your CPhA membership team. Ralph’s Pharmacy on membership rates. career and taking your next steps as a young provides their employees with a day of con- professional. You will be able to network tinuing education and company and legisla- with professional pharmacists throughout tive updates. In addition, Ralph’s employees of each month at 7:00 pm; see the event calen- California. In addition, you will have access have time to meet with exhibitors, such as dar at www.PPSSFV.org for location. A ll are to our nation-wide career center, a wealth CPhA, to learn more about what is happen- welcome to attend. of discounted services - including loan ing in their profession. The event was a great consolidation services and unparalleled way to meet most of the Ralph’s pharmacists Santa Clara Pharmacists Association professional liability insurance, continuing and talk about the benefits of being a mem- Annette and Theresa also attended the education and state-wide leadership opportu- ber in CPhA. Santa Clara County Pharmacists Association nities when you are ready for them. As continuing education program on AMP. John a graduation gift to you, CPhA would like Local Visits Cronin, Pharm.D, JD did an outstanding job to offer to you a one-year complimentary Pharmacists Professional presenting information on this difficult topic. membership, including local association dues, Society of San Fernando Valley Bruce Uyeda, President, was successful in usually valued at $390 for full pharmacist Annette Todaro-Smith, Vice President recruiting several members to become in- members. All you need to do to receive this of Business Development attended the volved in revitalizing this important local. complimentary membership is visit www. Professional Pharmacists Society of San Fer- There’s no time like the present to get in- cpha.com/students and fill out the easy on- nando Valley Local Association (PPSSFV) volved! Please contact Theresa Andrews at line application. meeting in May and was impressed by the tandrews@cpha.com for more information. active involvement of the Board of Directors. Lexi-Comp ON-HAND- Confidence Each Board Member is on a committee and Successful Summit in the Palm of Your Hand gave a quick update on what they have been We are always talking about the future of In addition to great student programming, working on. In addition, Aileen DeRevere, pharmacy legislatively. But who will be there CPhA has renegotiated with Lexi-Comp to the current PPSSFV President, presented in the future? Current student pharmacists provide student pharmacists, pharmacy tech- the Community Outreach opportunity to and recent graduates, that’s who! With the col- nicians and new practitioners with another form a PPSSFV team to fundraise for “Relay laboration of the Student Support and Student year of great software and prices from Lexi- for Life.” PPSSFV is one of the largest and Summit Committees, we kicked off the spring Comp. Student pharmacists and technicians strongest local affiliates of the California season with the 2nd Annual CPhA Student who are members, or who become members Pharmacists Association. The PPSSFV Pharmacist and New Practitioner’s Summit on of CPhA between now and December 31, Board of Directors is comprised of some April 27 – 29 in San Diego, CA. Over 100 stu- 2007, have the opportunity to purchase Lexi- twenty people representing industry, student dent pharmacists and new practitioners attend Select ON-HAND for only $25.00 or Lexi- pharmacists, and practicing pharmacists. this weekend event. See pages 8 - 9 for more Complete ON-HAND for $85.00. This is Board meetings are held the first Wednesday coverage of this year’s event. A big thanks a huge savings off retail prices. Any student 12 California Pharmacist Summer 2007
or new practitioner who wishes to purchase with free professional liability coverage. This of employee pharmacists throughout Cali- this software can log onto www.cpha.com/ additional insurance covers student pharma- fornia. CPhA would like to request that all students. Once an order has been placed and cists who are providing health screenings and members and local association officers, membership verified, a code to download other community outreach while at school extend a warm welcome to former CEPA the software will be sent via email. and has proven to be a worthwhile safety net. members during this transitional time to help them quickly adapt to CPhA. matter Lexi-COMP- Not Just for Students New Members Welcome! the practice setting you are in, is important All CPhA members are eligible for the Recently, the California Employee to us. Through various avenues, we are al- great discounts! Current members can Pharmacists Association (CEPA) closed ways looking for ways to provide tangible receive Lexi-Select ON-HAND for only its doors and CPhA was sad to see this as- value to our members. Whether it is protect- $30.00 or Lexi-Complete ON-HAND for sociation dissolve. In an effort to make sure ing your profession in the legislative arena, $100.00. Log onto www.cpha.com/lexi for employee pharmacists of CEPA still have an providing cost-saving services for your more details and to purchase Lexi-Comp association looking out for their best interests, business, or on-going continuing education On-Hand for your PDA today. CPhA has created a special membership offer programs, we are always thinking of you. that extends through 2008 with some built in If you know someone who is not a member, Protect Your License “getting to know you” time included in the let them know what CPhA is doing to make CPhA has teamed up with Marsh Affin- annual membership. We hope that former a difference in your practice, and encourage ity Group Services to provide all student members of CEPA will join forces with them to join at www.cpha.com. pharmacists, who are members of CPhA, CPhA and actively represent the interests Summer 2007 California Pharmacist 13
insurance Quarterly Insurance Strategies For Members of the California Pharmacists Association to discuss your questions Action Plans for July • Submit your application to Marsh 1 – September 30, • Once approved, take the on-line 2007 risk management course Workers’ Compensation Did you know: There are still sav- • The number of individuals cov- ings available to mem- ered by a qualified high deductible bers through the sponsored health plan increased by 1.3 million to Workers’ Compensation Program. 4.5 million by January, 2007? Among the factors to be consid- • You may pay your Medicare ered when evaluating your workers’ premiums from your health savings compensation coverage: account? Has your insurer provided as- • With Family coverage, you may sistance with on-site visits or loss deposit up to $5,650 each year into control newsletters highlighting an HSA? ways to improve workplace safety • Members receive a 5% premium and minimize your losses. discount with MetLife and John Experience Modification Factor – Do harassment and wrongful termination Hancock Long Term Care policies? you know what it is, if you have actions. It provides for defense costs and • The average national cost of a single one, how it affects your premium and if any judgments against you for a covered year in a private nursing home is $74,806 your insurer filed your most recent loss loss. The two types of policies identified ($204 per day)? information prior to renewal so you above exclude coverage for these types • A 65 year old couple retiring today will receive policy credits to further reduce of actions. need approximately $215,000 to cover medi- your premiums? Special First Time Buyers Program – cal costs in retirement? Does your insurer provide online You qualify: Call a Marsh Client Service Representa- claims reporting and access to loss • If you have less than 50 employees, tive at 888-926-CPhA for more information control information? have not had an EPL related claim in the on these and any of the other California past 5 years and do not presently have EPLI Pharmacists Association-sponsored insur- Action Plan: coverage (stand-alone policy) ance programs. • Check your policy renewal date • Web-based risk management training for • 60 days prior to renewal contact Marsh members, supervisory and employees Affinity Group Services, Inc. for a pre- • 800 number staffed by labor attorneys 2007 CPhA Insurance Committee mium indication and an application for employment advice at no extra cost Frank Cable, Director • Obtain currently valued loss runs for • Limits of $250,000, $500,000 or Robert Duey, Director the prior three years $1,000,000; $2,500 per claim retention Kathy Hillblom, Director • Submit the application and loss runs to ($5k in LA) Richard Kane, Director Marsh Affinity Group Services, Inc. • Low minimum premium beginning at Kenneth Ross, Director • Compare results and make a change if $750 annually ($1,000 in LA) there are savings and or improved services • Includes third party coverage Gary Thomas, Chairman Wayne Woods, Director Employment Practices Liability Action Plan: Lynn Rolston, CPhA Staff Liaison Program (EPLI) • Contact Marsh Affinity Group Services, Veronica Van Orman, EPLI provides protection against Inc. for a premium indication form and bro- CPhA Staff Liaison employees who file a claim against you chure and application for employment-related discrimination, • Call Marsh Affinity Group Services, Inc. 14 California Pharmacist Summer 2007
pac report Political Action, At the Grassroots Level By Brian Komoto & Walter Cathey CPh-PAC Co-Presidents I t has been a very busy year for CPhA’s John Cronin, Fredrickson, Mazeika Vice President of Government Affairs, & Grant Kathy Lynch. With the huge success of One of the biggest issues Larry & Lynn Rolston, Freehart Farm Legislative Day on April 16, 2007 combined to ever face pharmacy Marin County Pharmaceutical Association with Kathy’s efforts at the Capitol, we are Merilyn Ross, Palco Pharmacy helping legislators better understand the is Average Manufacturer Orange County Pharmacists Association value and importance of pharmacists be- Price (AMP). When we Paul Rohrer, Professional Pharmacy ing involved in the overall healthcare of Alliance of California patients. Because these efforts take a lot of come together, our voic- Pharmacists Society of San Francisco time and money, the CPh-PAC has a fund- es become louder, our Robert Graul, Rancho Santa Fe Pharmacy raising goal of $150,000 for 2007. San Diego County Pharmacists Fundraising efforts this year started off cause more noticeable. Association with a bang, collecting contributions of Unity is the key. San Mateo County Pharmacists $22,100 at Outlook 2007. However, con- Association tributions in the months afterwards have Santa Barbara Pharmaceutical Association dropped significantly. To date, the CPh-PAC South Bay Pharmacists Association has raised just over $35,000 toward our goal those individuals who have contributed and United Pharmacists Network, Inc. of $150,000. If there was ever a time to step keep contributing to the PAC. Please encour- Walter Cathey, Institute for Community up to the plate and contribute to the PAC, age your friends, patients, customers, col- Pharmacy now is that time! leagues and associates to participate. Wayne Woods, Burns Drugs One of the biggest issues to ever face The future of your profession will be pharmacy is Average Manufacturer Price greatly affected by the activities of our legis- Total Contributions from Above (AMP). This issue will be a big component lators. It is up to you and your fellow phar- $28,670.00 of the 2007-2008 budget discussions at the macists to take an active role in keeping our Total Contributions Collected Year-to- Capitol. If pharmacists do not pull together elected officials informed of the value that Date $35,515.00 and unite as a front, the financial hit for all pharmacists bring to the healthcare team and Contributions Needed to Meet Goal types of pharmacies; retail, independent, to healthcare reform. Your dollars are need- $114,485.00 hospital, long term care, etc. could be disas- ed today! trous. When we come together, our voices become louder, our cause more noticeable. CPh-PAC Board Members The key is unity. Thank you to our Supporters! Walter Cathey, Co-President To that end, we will continue to work Brian Komoto, Co-President with local associations to enhance fund- The following have contributed $500 or more to Rebecca Cupp, Vice President raising activities in a variety of ways. The the PAC since January 2007. CPh-PAC board members have created a Alameda County Pharmacists Association Dennis Vermillion, Treasurer PowerPoint presentation that the locals can Brian Komoto, Komoto Pharmacy Victor Law, Member use to increase awareness of the PAC and Brenda Johnson, Calabasas Pharmacy Clarence Lloyd, Member CPhA’s grassroots legislative activities dur- & Healthcare Paul Rohrer, Member ing monthly meetings. In addition, the CPh- Clark Gustafson, Optimal Health Services Lynn Rolston, Member PAC Board members will be attending local David Smith, A&O Clinic Pharmacy Jerry Shapiro, Member meetings in their respective areas to answer Dennis Vermillion, Town Center questions and provide additional details on Pharmacy, Inc. David Wilcox, Member the CPh-PAC’s activities. Gary Avent, Sayre Medical Pharmacy Theresa Andrews, CPh-PAC Manager Both Walter and I would like to thank Gerald Mazzucca, Mazzucca & Associates 16 California Pharmacist Summer 2007
elections CPhA Elections Coming Soon Leaders and Voters Wanted By Theresa Andrews Director of Membership W ebster’s dictionary Academy of Employee defines leadership Pharmacists - 3 Seats as 1) the office Academy of Long Term or position of a leader; Care - 2 Seats 2) capacity to lead; or Academy of Pharmacy 3) the act or an instance Owners - 2 Seats of leading. Academy of Pharma- Electing a leader is cy Specialties - 1 Seat what YOU, the mem- Academy of Pharma- bers of CPhA, will be cy Technicians - 2 Seats doing beginning on Academy of Managed September 1, 2007. Care - 2 Seats The election ballot will be coming to you so that To become one of those you can determine who leaders who is willing to fight, will lead CPhA in the com- willing to listen, and willing ing years. It is said time and to take a stand, submit your “De- time again, pharmacy is at a sire to Serve” form either online at crossroads but now, more than ever, www.cpha.com or download and send pharmacy IS at a crossroads. Average it in to: Manufacturer Price is threatening to CPhA change the profession of pharmacy. CPhA 4030 Lennane Drive, needs YOU, our members, to elect leaders Sacramento, CA 95834. who will fight for your profession, leaders County, San Francisco, San Mateo, Santa who will listen to you and leaders who will Clara, Tri County Not Ready to Run for Office? take a stand to protect your livelihoods. REGION 6: Central LA, Long Beach, Consider volunteering for one of the many South Bay, Southeast LA, and Orange County CPhA committees now being formed. The Open Candidate Positions Include: REGION 8: Imperial County, Inland Em- following is a partial list of committees in President-Elect pire, Palm Springs-Coachella, and San Diego which you can connect with your Association (3 year commitment) on a meaningful level: Academy Trustees (one 2-year term Treasurer each): • Editorial Review Committee (2 year commitment) Academy of Employee Pharmacists • Legislative Review Committee Academy of Hospital Pharmacists • Membership Committee Regional Trustee (one 2-year Academy of Long Term Care • Policy Committee term each): Academy of Pharmacy Owners • House of Delegates Nominating REGION 2: Sacramento Valley, Committee San Joaquin, and Central Valley Open Academy Board Positions (3-year • Reference Committee REGION 4: Alameda, Contra Costa terms, New Practitioner 1-year term): • Student Support Committee Summer 2007 California Pharmacist 17
AWARDS Annual CPhA Awards 2008 Call for Nominations The California Pharmacists Association’s • Current full curriculum vitae or detailed added to the scope of pharmacy practice, Awards Program is dedicated to honoring resume of the nominee creat-ed a new type of pharmacy specialty, individual pharmacists who have dedicated • 3 – 5 letters of support introduced a concept that has altered the their lives to the profession of pharmacy in • All letters of support must be signed by view of the pharmacist, or has invented a the State of California. Pharmacists, techni- the author. Emailed letters must contain an new chemical composition, method of deliv- cians, students of pharmacy and CPhA Local electronic signature. ery, raw material or machinery related to the Affiliate Associations are recognized for their • All letters of support must by on 8 1/2 x field of pharmacy. lifelong support, innovative contributions, 11 white paper. leadership and mentorship to the profession Bowl of Hygeia and the community. Optional This award should serve to recognize a • Newspaper clippings pharmacist for outstanding and continuing T he 2008 CPhA Awards and honors will • Photos of nominee activity in the community outside of the be presented at Outlook 2008 Annual Nominations will be accepted until profession. The recipient should be a person Conference & Expo, February 7 – 10, October 31, 2007. The criteria for each who has demonstrated how pharmacists can 2008 in Sacramento, CA. award follows. elevate themselves and their profession in the eyes of the public through participation in Selection Process Pharmacist of the Year community civic programs or participation The CPhA Awards Committee is respon- This award should serve to recognize a in government activities at the local or state sible for selecting all qualified award winners, CPhA member pharmacist for outstanding level. The person must be a CPhA member which is based upon careful review of all activities in the profession of pharmacy. pharmacist of his professional society and qualified applicants. Upon receipt of a nomi- The recipient must be an individual who has have contributed to the advancement of the nation package, CPhA staff reviews for com- demonstrated leadership at more than one profession through his/her activities. pleteness and then forwards onto the CPhA level of organized pharmacy. He/she should Awards Committee. If a nomination package be an energetic leader who has stimulated Distinguished New Practitioner is incomplete, a CPhA staff member will others to actively participate in professional, This award will recognize the most out- follow up with the nominator to obtain the political, and/or community affairs related standing new practitioner who has demon- missing information. to the practice of pharmacy. The person strated leadership at more than one level of should be well recognized by his colleagues organized pharmacy. He/she should be an Nomination Requirements for his/her professional advancements. It energetic leader who has stimulated others For all CPhA Awards, the nominator is would be desirable if the activities or quali- to actively participate in professional, politi- responsible for gathering and submitting all fications of the recipient were to result in an cal, and/or community affairs related to the supporting documentation by the designated especially successful project or long-term practice of pharmacy. The person should be deadline. All nominations should be submit- effort on behalf of the profession. It should well recognized by his colleagues for his/her ted with the following information unless be noted that this highest award of the As- professional advancements. The pharmacist specified. sociation is not for a “one time flash” or to must be licensed, a member of CPhA, and The CPhA Awards Committee requires be used as a retirement recognition. The graduated less than 10 years prior. the following supporting documentation for person’s continued activities and efforts all awards. are essential. Pharmacy Student of the Year Any student enrolled in a college of Required Innovative Pharmacist pharmacy who is a current member of ASP/ • Completed nomination form This award recognizes a CPhA member CPhA is eligible to be nominated for this • A letter from the nominator detailing pharmacist that is directly involved in a award. The person nominated should be why nominee meets the criteria of the speci- project or practice of pharmacy that has active in the student chapter and demon- fied award. either significantly improved patient care, strate a willingness to become involved in 18 California Pharmacist Summer 2007
the future of the profession as evidenced CPhA Fellow Membership Award by involvement in CPhA and APhA pro- This prestigious designation signifies fessional activities. The person nominated that this individual has achieved a balance should be involved in community projects of successful activities in their profession or other programs designed to bring credit that exceeds regular pharmacy practice. and public acceptance to the profession. Ad- To become a FCPhA, you must be a ditionally, the student should be involved in California licensed pharmacist for at least advancing his/her school academically and 5 years and accomplish activities in the professionally. Each California Pharmacy various categories such as Leadership, University is requested to submit nomina- mentorship, civic activities, awards, tions for students from their graduating certifications, political activities, just to class that meet the above qualifications. name a few. Technician of the Year 2007 #1 Club Recruiters This award recognizes a CPhA mem- For the past several years, CPhA has rec- ber Pharmacy Technician for outstanding ognized those members who have taken on activities in the profession of pharmacy. the challenge of recruiting new mem-bers The individual demonstrates exceptional into the Association. As a way to show our capabilities, raising the standard of excel- appreciation to members who actively re- lence within the community of pharmacy. cruit their colleagues, CPhA started the #1 The recipient’s vision has contributed Club. First-time #1 Club qualifiers must re- to the profitability and productivity of to earn a total of 100 points. Minimum cruit five new pharmacist members between their employer. point values would have to be earned in January 1st and December 31st and, in re- each listed category. turn, they receive a #1 Club shirt and one Chapter of Excellence complimentary registration to the next The California Pharmacists Association Hall of Fame Outlook conference. has annually recognized two local chapters The California Pharmacy Hall of Fame for distinguished levels of activity, contribu- is designed to recognize individuals who are, 2007 Lifetime Membership Awards tion, and participation in their profession or have been, an inspiration to the practice Each year the California Pharmacists and community. The methodology of this of pharmacy in California, as exemplified by, Association takes great pride in presenting award process was amended to recognize but not limited to, the following: a long and Lifetime Membership Awards to individu- all local chapters who meet a minimum distinguished history of service, achievement als who have been a registered pharmacist standard of participation. This award will in several arenas, character, innovation, trend for at least 50 years, and who have been a be known as the Chapter of Excellence setting and altruism. Any individual who member of CPhA for at least 15 years. These (COE) Award. It is a designation of achieve- has been an inspiration to the practice of pharmacists have devoted their lives to the ment earned by those local chapters meeting pharmacy in California is eligible for nomina- practice of pharmacy and to the delivery of the criteria. tion. The nominee need not be a CPhA mem- good healthcare. The criteria for the Chapter of Excellence ber or a pharmacist. The nominator need Award is based upon activities that the local not be a CPhA member. Self-nominations are Please fill out the online nomination association participates in as a sponsor or in- not accepted. form and send all supporting documenta- cludes at least three members as volunteers. For further information regarding awards tion via email to tandrews@cpha.com. The activity may be philanthropic and/ please contact Theresa Andrews, tandrews@ If submitting by mail, please download or disease state related. An activity may be cpha.com or (916) 337-8877. the nomination form from the CPhA web- counted one time per category. For example, CPhA will be accepting nominations for site and send along with all supporting if a local is performing both hypertension 2008 Awards beginning April 1, 2007. All documentation to: and diabetes management health screen- awards, with the exception of CPhA #1 Club, ings at one health fair, it may not be used are submitted for review either electronically CPhA Awards Committee as a health faire participation and a diabetes or via U.S. Postal Service. Attn: Awards Manager screening. In order to earn a Chapter of Deadline for 2008 CPhA Award Nomina- 4030 Lennane Drive Excellence award, each chapter will have tions is October 31, 2007. Sacramento, CA 95834 Summer 2007 California Pharmacist 19
Editorial News California Pharmacist Reaches New Heights of Credibility By Craig Stern, Pharm. D., MBA Chair of the CPhA Editorial Review Committee C PhA and its Editorial Review Com- Evidence-Based Medicine: Students mittee are pleased to announce that and other interested practitioners will The California Pharmacist Journal is evaluate original research articles using now a Peer Reviewed Journal. This is a goal a standard evidence-based review tool that the ERC has been working towards for known as the Delfini study Validity some time because it elevates the status of and Usability tool. They will publish their the publication as a destination for authors summary analyses of each article along seeking a credible journal to publish their with a standardized grade to allow the research in. It also adds integrity to the read, readership to understand the impact of knowing that clinical expertise is a priority. applicable articles to patient care. We Time spent reading the publication is an are very excited to announce that Dr. investment in your profession. Michael Stuart and Sheri Strite of Delfini Group, LLP will be the Guest Editors The Peer Review Process of this department. Their expertise in A Guest Editor and/or three content ex- this area will provide readers with a high perts critically review every clinical knowl- level of expertise in evidenced-based medi- edge article to ensure accuracy and edito- cine reviews. rial integrity. In addition, members of the Editorial Review Committee (ERC) review Editorial Departments the articles for readability. All of this occurs The ERC has directed that every issue will These developments add a new dimen- before our usual in-depth editorial process. have continuing education units (CEU) avail- sion to the structure of California Pharmacist While the Editorial Review Committee able for one of our clinical knowledge articles. that was introduced two years ago when has been working toward this achievement Now when you read the journal you can re- the ERC conceptualized, and actualized, a for the last few years, peer review status is ceive CE as well. departmental structure for the journal. Our only one of the many enhancements that goal was to provide an organized structure the ERC has made to the journal. Witness New Additions in the Works that would provide both ease of readability the following: In addition to these developments, the and navigation through the topics of inter- The journal is on the web (current and ERC has plans for two new departments to est. The departments include: archived issues) for indexing by Google join our portfolio of offerings that will im- and IPA. prove the reader’s clinical understanding on Columns The web copies of the journal are various topics. These new departments will This department provides various articles searchable by author and content. recur on a regular basis as content becomes that are not specifically related to the theme, Each clinical knowledge article will have available. We are excited to announce the new but offer multiple opportunities for profes- a disclosure statement at the end identify- departments: sional development and connection with ing the author’s affiliations. Clinical Practice Capsules: Clinical CPhA activities and staff. This department The ERC and CPhA staff have built a experts will update the latest changes in their contains topics such as legislative advocacy, peer review matrix of individual content clinical fields of interest such as hypertension, leadership, finance, and CPhA news. experts. We are always looking for addi- diabetes, cardiovascular disease, etc. These tional content experts. Contact Cathi Lord short updates will give our readers a fast read Clinical Knowledge/Research Articles at CPhA for more information: clord@cpha. and keep them up-to-date as well as clinically (3-4 articles of 1500 words) com or (916) 779-1400, ext. 317. current on the latest issues of importance for Each journal has now been conceptual- The journal added a Business Model treating their patients. Dr. Karl Hess, from ized around a central subject area introduced Department where students interview pro- Western University of Health Sciences Col- by a Guest Editor who also has respon- fessionals who are involved in innovative lege of Pharmacy, will be the Guest Editor sibility for development of article topics, practices. and coordinator of this department. recruitment of authors and peer reviewers. 20 California Pharmacist Summer 2007
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