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Volume 37 Issue 04 April 2011 ichpnet.org Official Newsjournal of the Illinois Council of Health-System Pharmacists KeePosted Do you work Pharmacy Practice Legislative Day 2011 Model Reform with a pharmacy Photo Gallery pg 15 superstar? pg 20 pg 18
Illinois Council of Health-System Pharmacists 2010 - 2011 Officers and Board of Directors CARRIE SINCAK JERED BAUER SAMIA SYED SCOTT MEYERS President Director, Government Affairs President, Student Chapter Executive Vice President, ICHP 630/515-7658 618/402-7416 Chicago State University Office csinca@midwestern.edu jered.bauer@ C.O.P. 815/227-9292 preferencegroup.com ssyed@csu.edu scottm@ichpnet.org AVERY SPUNT Immediate Past President JAIME BORKOWSKI CHINTAN BRAHMBHATT JACOB GETTIG Chairman, Nominations Director, Professional Affairs Student Representative Editor and Chairman, Committee 815/227-2345 Chicago State University KeePosted Committee 630/515-6100 jaimbo1@gmail.org C.O.P. 630/515-7324 fax: 630/515-6958 aspunt@midwestern.edu cbrahmbh@csu.edu jgetti@midwestern.edu CHRIS RIVERS LINDA FRED President Elect Director, Organizational JACQUELINE HARTFORD JULIE KARPINSKI 708-202-7240 Affairs President, Student Chapter Assistant Editor criversrx@gmail.com 217/383-3253 Midwestern University C.O.P. KeePosted linda.fred@carle.com jacqueline.hartford@ julie.karpinski@cuw.edu KATHY KOMPERDA mwumail.midwestern.edu Secretary DAVID TJHIO ICHP Affiliate Presidents 630/515-6168 Chairman, Committee on XIN YANG kkompe@midwestern.edu Technology Student Representative MCKENZIE FERGUSON 816/885-4649 Midwestern University C.O.P. President, Metro East Society MIKE WEAVER david.tjhio@cerner.com xin.yang@ 618/650-5142 Treasurer mwumail.midwestern.edu mcfergu@siue.edu 815/599-6113 ROCHELLE RUBIN mweaver@fhn.org Chairman, New Practitioners NICOLE ARNOLD MICHELLE MARTIN Network President, Student Chapter President, Northern IL Society ANN JANKIEWICZ 630/515-7293 SIUE School of Pharmacy 312/996-9993 Chairman, House of Delegates rrubin@midwestern.edu narnold@siue.edu mmichell@uic.edu 312/942-5706 ann_m_jankiewicz@rush.edu BEVERLY TUCK HALEY WOOLRIDGE SCOTT BERGMAN c HOLLY M MASTER Regional Director North Student Representative President, Sangamiss Society Technician Representative 708/684-5274 SIUE School of Pharmacy scbergm@siue.edu 815/756-1521x153346 beverly.tuck@gmail.com hwoolri@siue.edu hmcmaster65@hotmail.com ED RAINVILLE JENNIFER ELLISON LEIA ROEGES President, West Central MICHAEL FOTIS Regional Director Central President, Student Chapter Society Director, Educational Affairs 309/655-2285 University of IL C.O.P. 309/655-7331x 312/926-0751 jennifer.c.ellison@ lroege2@uic.edu ed.c.rainville@ mfotis@nmh.org osfhealthcare.org osfhealthcare.org ANITA LAMMERS SHEILA ALLEN MARK LUER Student Representative Vacant — President, Rock Valley Director, Marketing Affairs Regional Director South University of IL C.O.P. Society; Southern IL Society; sallen7@uic.edu mluer@siue.edu ashlim1@gmail.com Sugar Creek Society 2011 Calendar Upcoming Events Regularly Scheduled Conference Calls Regularly Scheduled Network Meetings May 19 • New Practitioners Network – 6:00 pm • Chicago Area Pharmacy Directors • Directors Network 2nd Monday of each month Network Dinner Meeting Trattoria Gianni Chicago, IL • Government Affairs – 5:00 pm 3rd Thursday of odd months at 5:30 pm 3rd Monday of each month • Clinical Practice and Research Network May 19 • Organizational Affairs – 1:00 pm Dinner Meeting • CPRN 1st Tuesday of each month 3rd Thursday of odd months at 6:00 pm TBD • Executive Committee – 7:00 pm May 25 2nd Tuesday of each month • NISHP • Marketing Affairs – 8:00 am Roosevelt University Schaumberg, IL 3rd Tuesday of each month • Educational Affairs Committee – 11:00 am May 30 3rd Tuesday of each month • ICHP Office Closed • Professional Affairs – 12:00 noon June 11-15 3rd Thursday of each month • ASHP Summer Meeting • Technology Committee – 8:00 am Denver, CO 2nd Friday of each month 2 April 2011 | KeePosted | www.ichpnet.org
Illinois Council of Health-System Pharmacists 4055 North Perryville Road Loves Park, IL 61111-8653 Phone: (815) 227-9292 Fax: (815) 227-9294 www.ichpnet.org KeePosted Volume 37, Issue 04 Contents Official Newsjournal of the Illinois Council of Health-System Pharmacists EDITOR Jacob Gettig ASSISTANT EDITOR Julie Karpinski Columns MANAGING EDITOR 4 President’s Message Scott Meyers ASSISTANT MANAGING EDITOR 5 Directly Speaking Trish Wegner 6 GAS From Springfield DESIGN EDITOR Stephanie Lammi 14 Marketing Affairs: ICHP Leadership Profile 15 New Practitioners Network ICHP Staff EXECUTIVE VICE PRESIDENT 16 Board of Pharmacy Scott Meyers 22 ICHP Pharmacy Action Fund VICE PRESIDENT - PROFESSIONAL SERVICES Trish Wegner 24 Educational Affairs DIRECTOR OF OPERATIONS Maggie Allen 30 Hi Tech INFORMATION SPECIALIST 31 College Connection - SIUE Heidi Sunday CUSTOMER SERVICE AND 32 College Connection - MWU PHARMACY TECH TOPICS TM SPECIALIST Jo Ann Haley 33 College Connection - UIC ACCOUNTANT Jan Mark 34 College Connection - CSU COMMUNICATIONS MANAGER Stephanie Lammi LEGISLATIVE CONSULTANT Jim Owen Features ICHP Mission Statement 11 Are You Ready to Take the Next Step? ICHP Advancing Excellence in the Practice of Pharmacy Leadership Could Be in Your Future! ICHP Vision Statement 17 CPE Monitor Is Coming and Will Impact All ICHP dedicates itself to achieving a vision of pharmacy practice where: • Pharmacists are universally recognized as health care Pharmacists and Pharmacy Technicians professionals and essential providers of health care services. • Patients are aware of the training, skills, and abilities of 18 2011 Pharmacy Legislative Day Photo Gallery a pharmacist and the fundamental role that pharmacists play in optimizing medication therapy. 20 Pharmacist of the Year Nominations Sought • Formally educated, appropriately trained, and PTCB certified pharmacy technicians manage the medica- tion distribution process with appropriate pharmacist 27 2011 ICHP Best Practice Award: Call for Entries oversight. • Pharmacists improve patient care and medication safety 28 IPC: “Bath Salts” and “Plant Food”: The Latest Legal through the development of effective public policies by interacting and collaborating with patients, other health Street Drug to Appear in Illinois care professionals and their respective professional societies, government agencies, employers and other concerned parties. • Evidence-based practices are used to achieve safe and • effective medication therapies. There are an adequate number of qualified pharmacy Employment/Volunteer Opportunities leaders within the pharmacy profession. • Pharmacists take primary responsibility for educating 26 Select Pharmacy Staffing pharmacy technicians, pharmacy students, pharmacist peers, other health professionals, and patients about 29 Community Health appropriate medication use. KeePosted Vision KeePosted is an official publication of, and is copyrighted by, the Illinois Council of Health-System Pharmacists (ICHP). As an integral publication of the Illinois Council of Health- KeePosted is published 10 times a year. ICHP members received KeePosted as a member benefit. All articles published System Pharmacists, the KeePosted newsjournal will reflect its herein represent the opinions of the authors and do not reflect the policy of the ICHP or the authors’ institutions unless mission and goals. In conjunction with those goals, KeePosted specified. Advertising inquiries can be directed to ICHP office at the address listed above. Image disclaimer: The images will provide timely information that meets the changing on pages 1, 9, 14, 16, 20, and 36 are the property of © 2011 Thinkstock, a division of Getty Images. professional and personal needs of Illinois pharmacists and technicians, and maintain high publication standards. Copyright © 2011, Illinois Council of Health-System Pharmacists. All rights reserved. April 2011 | KeePosted | www.ichpnet.org 3
President’s Message Responsibility by Carrie Sincak, ICHP President “It’s not my job” or “it really doesn’t affect me” It was great to see so many attendees converging at the may be phrases that you have encountered Capitol to meet with their leg- in your professional career. And have you islators. Some also took part in touring the House and ever worked with someone who complains or Senate as well as observing committee hearings. Following the legislator visits, Randy Wells, the Department of Human criticizes but then offers no solutions? You may Services Director of Legislative Affairs, presented a sum- feel as though you are one of the few fighting mary of the changes to the Illinois Controlled Substances the good fight. Act and then answered questions from the audience. I am proud to say that was not the case in Springfield, IL at The legislative reception was full to capacity at the State the 5th Annual ‘Under the Dome’ Pharmacy Legislative Day House Inn. Many State Senators and Representatives, who on March 16, 2011 as we collectively lobbied and educated were not available earlier in the day, were at the reception. our legislators on serious pharmacy and health care issues This provided another opportunity for their constituents to facing the state of Illinois. Over 225 pharmacists, phar- meet with them to discuss important bills. It was a great macy students, and pharmacy technicians demonstrated way to network and relax after a long day of lobbying and our desire to advance our profession from a grassroots level. education. Senator Pam Althoff started off the day discussing the New or modified health care and pharmacy bills are valuable input we can provide legislators by allowing continuously being brought forth to the Capitol, them to hear what we think, gaining insight to those who and our Division of Government Affairs and lobby- will be affected, and providing further details to issues of ist, Jim Owens, do a fantastic job keeping our orga- which they were not well informed. This was followed by a nization on the forefront of pharmacy legislation continuing education legislative orientation in which Scott and its impact on our health systems and profession. Many Meyers, ICHP Executive Vice President and Mike Patton, of these bills, particularly the Pharmacy Practice Act, should IPhA Executive Director “ offered the group key talk- ing points to discuss with their State Senators and Many of these bills, particularly the Pharmacy Practice Act, Representatives. The focus should stop one from taking the misguided of the discussion was HB 2028, which is sponsored by “it doesn’t affect me” or “it’s not my job” attitude. “ Representative Dan Reitz and is intended to amend the Pharmacy Practice Act. The amendment would define stop one from taking the misguided “it doesn’t affect me” or “pharmacist clinician”, “prescriptive authority”, and “it’s not my job” attitude. If you don’t quite believe me, then “appropriately trained”. It would clearly define services a plan to attend Legislative Day next year. If you are unable, pharmacist may provide such as prescribing, modifying, or please make a visit to your legislator in their home office to terminating medication therapy under written guidelines carry out the efforts on behalf of our profession. or protocols from a physician. Others discussed were HB 2017 “Illinois Insurance Code”, which would create more Thank you to all who attended this year’s Legislative Day. stringent provisions concerning audits and HB 3090 “The This year was another resounding success! ■ Illinois Food, Drug, and Cosmetic Act”, which addresses pharmaceutical waste and management. 4 April 2011 | KeePosted | www.ichpnet.org
Directly Speaking Tech-Check-Tech - Are We There Yet? by Scott A. Meyers, Executive Vice President Last month we reported on the Board of Pharmacy Practice only to begin with. Eventually, there may be expansion into Off-site Institutional Pharmacy Pharmacy presentation by three energetic Practice but not with the initial change. Use of Tech-Check- first-year pharmacy residents from North- Tech in Community Practice is not anticipated because western Memorial Hospital on their project to medications dispensed in that setting do not normally have demonstrate the safety and effectiveness of a another registrant or licensee of the Department involved with the administration of the medications. Until automa- Tech-Check-Tech pilot project. tion becomes broadly used and consistently has a high safety rating, it is not anticipated that the Department will allow We also reported that SB1305 had been introduced to movement in that direction. provide a vehicle for a potential pharmacy practice act change to allow for this practice in institutional settings. I want to recognize that the Department staff has one Sara McEnany, Clinical Specialist at Rush University responsibility in this process – to protect the citizens of Medical Center and former resident at Froedert Memorial Illinois. They are not concerned with advancing the profes- Hospital in Milwaukee also reported on the implementation sion of pharmacy unless it provides improved safety and of their Tech-Check-Tech last year during her residency in effectiveness of medication therapy. I whole-heartedly last month’s issue. So we have set the stage and have been agree with that mission. It should be our profession’s mis- receiving a number of eager inquiries since as to when and sion, too. We should never advance a practice that does not how Tech-Check-Tech will become a reality in Illinois. improve or enhance patient care. We should support efforts that move the pharmacist closer to the patients to provide Since the last issue of KeePosted, we haven’t sat still. The the kind of care we are trained to provide. Government Affairs Director-elect and I met via confer- ence call with Department of Financial and Professional In the first draft that is being studied by the Division Regulation attorneys, Daniel Kelber and Scott Golden, of Government Affairs, pharmacies may only implement and Pharmacy Coordinator, Dr. Yash Amin, to determine Tech-Check-Tech if they have an on-going clinical phar- if a Pharmacy Practice Act or Practice Act Rules change macy program with the goal of maintaining or expanding would make Tech-Check-Tech happen and whether the that program by moving distributive pharmacists into clini- Department would work with or against our efforts. cal roles. The first draft is based on rules developed from California and recognizes that this type of program can only Here’s the great news, the Department is willing to work work if pharmacists are on the floors and in the patients’ with us to make this happen. The best news from the call rooms. is that a rules change should be sufficient to make Tech- Check-Tech a reality. That’s the easiest option of the two There’s no guarantee that we will be able to begin imple- and is very encouraging. But now the real work begins. mentation of Tech-Check-Tech by this fall, but there was certainly less of a chance that we would be able to do it if a The ICHP Division of Government Affairs has agreed to legislative change was needed. We thank the Department create the first draft of the proposed rules and provide them of Financial and Professional Regulation staff for working to the Department staff for their review later this spring. with us to begin this process, and we look forward to their The Department staff asked us to wait until after the end efforts this summer as we roll up our sleeves and really dig of the regular legislative session before pressing to work on in. I encourage anyone interested in implementing a Tech- these rules, and we have agreed. We will provide a first draft Check-Tech program to get involved with Government prior to the end of session but will wait to hear from the Affairs’ work in this area, so that when these rules are Department once the General Assembly adjourns. finalized, you will know what is expected in order to imple- ment a compliant program. We’re not there yet, but we are In our discussion, we agreed that the proposed rules will definitely on our way! ■ be incorporated into Section 1330.530 On-site Institutional April 2011 | KeePosted | www.ichpnet.org 5
GAS from Springfield The First Deadlines Have Passed , but We’re Not Out of the Woods! by Jim Owen, Legislative Consultant, and Scott A. Meyers, Executive Vice President March 17th, St. Patrick’s Day is always a reason medical assistance for someone who is experiencing a drug- related overdose. Makes other changes. Held in Criminal to celebrate! And this year there was another Law Subcommittee on Special Issues. reason. It marked the deadline for substantive bills in both the House and Senate to be passed SB0808 – Amends the Senior Citizen and Disabled Per- sons Property Tax Relief and Pharmaceutical Assistance out of committee or be returned to the Rules Act – John Cullerton. Makes a technical change in a Section (House) or Assignments (Senate) Committees concerning administration of the Act. Placed on third read- ing for March 29, 2011. to languish and hopefully die a quiet death. SB1305 – Amends the Pharmacy Practice Act – Pamela What you will see as you review the bills below is that many Althoff. Amendment 1 to this bill now amends the Nurse have been moved out of committee and await second read- Practice Act to allow Illinois to participate in the Nurse Li- ing. Others have moved to the other chamber, and many censure Compact. The Compact is a multi-state licensing have been referred back to Rules or Assignments. agreement to allow nurses to be licensed in one state that is a member of the Compact but work in other Compact mem- Some of the bills have been amended to make them more pal- ber states. The bill is now on second reading in the Senate. atable. New additions to our bill monitoring list are HB1338, HB2056, HB2917 and HB3090. There’s a lot to continue to SB1540 – Amends the Medical Practice Act – Iris Marti- watch for the rest of this spring, and we encourage you to nez. Amends the Medical Practice Act of 1987 to reenact become informed and involved in the pharmacy profession’s certain provisions of Public Act 94-677, which was declared advocacy efforts! to be unconstitutional. Includes explanatory, validation, and severability provisions. Makes certain changes relating to the SB56 – Amends the Alcoholism and Other Drug Abuse reenactment. Amends the Regulatory Sunset Act. Extends and Dependency Act – Ira Silverstein. Provides that the Di- the repeal date of the Medical Practice Act of 1987 from No- rector of the Division of Alcoholism and Substance Abuse of vember 30, 2011 until December 31, 2021. Further amends the Department of Human Services shall (rather than may) the Medical Practice Act of 1987. Makes changes in provi- establish or authorize programs for prescribing, dispensing, sions concerning definitions; civil penalties for unlicensed or distributing naloxone hydrochloride or any other simi- practice; exemptions; the Medical Disciplinary Board; the larly acting and equally safe drug approved by the U.S. Food Complaint Committee; the Medical Licensing Board; mat- and Drug Administration for the treatment of drug overdose. ters concerning advanced practice nurses; applications for Amends the Cannabis Control Act, the Illinois Controlled licenses; criminal background checks; education standards; Substances Act, and the Methamphetamine Control and temporary licenses; visiting professor, physician, or resident Community Protection Act. Provides that a person acting in permits; licensure without examination; continuing educa- good faith who seeks medical assistance for someone experi- tion; license renewal and fees; disciplinary action; reports encing a drug-related overdose or a person who experiences related to professional conduct and capacity; license suspen- a drug-related overdose and is in need of medical assistance sion; advertising; purchasing and dispensing legend drugs; shall not be charged or prosecuted for possession of canna- hearing officers; hearings and notice; disclosure of informa- bis, a controlled or counterfeit substance or a controlled sub- tion; reports of the Disciplinary Board’s findings and rec- stance analog, or methamphetamine if the evidence for the ommendations; certification of record; prima facie proof; charge of possession of cannabis, a controlled or counterfeit restoration of licenses; authority of the Director and the De- substance or a controlled substance analog, or methamphet- partment; criminal penalties; and public nuisances. Repeals amine was obtained as a result of the person seeking medical a Section of the Medical Practice Act of 1987 concerning the assistance. Amends the Unified Code of Corrections. Pro- practice of medicine by persons licensed in any other state vides that it is a mitigating factor in sentencing that the de- who have applied to the Department for a license to practice fendant was making a good faith effort to obtain or provide medicine in all of its branches. Makes other changes. Effec- 6 April 2011 | KeePosted | www.ichpnet.org
tive immediately. Action postponed and remains in the Ju- Provides that the Department of Public Health shall develop diciary Committee. and disseminate educational information about the health risks associated with the abuse of cannabis and prescription SB1616 – Written Collaborative Agreements – Heather medications. Provides that the Department shall promulgate Steans. Amends the Nurse Practice Act. Removes references rules governing the manner in which it shall consider appli- to a written collaborative agreement throughout the Act. Pro- cations for and renewals of registration certificates for medi- vides that an APN’s scope of practice includes collaboration cal cannabis organizations. Provides that the provisions of and consultation with or referral to a physician or other ap- the Act are severable. Effective immediately. Amendment 1 propriate health-care professional for patient care needs that revises the bill substantially and was passed by the House exceed the APN’s scope of practice, education, or experience. Human Services Committee. Placed on second reading in Provides that as part of the professional scope of advanced the House. practice nursing, an advanced practice nurse possesses pre- scriptive authority appropriate to his or her specialty, scope HB0150 - Nurse Licensure Compact – Sandra Pihos. of practice, education, and experience. Such prescriptive au- Amends the Nurse Practice Act. Ratifies and adopts the thority shall include the authority to prescribe, select, order, Nurse Licensure Compact. Allows for reciprocity of licen- administer, store, accept samples of, and dispense over-the- sure of licensed practical nurses and registered nurses among counter medications, legend drugs, medical gases, certain the states. Provides for administration of the Compact by the controlled substances, and other preparations, including bo- Nursing Act Coordinator. Provides that the licensing board tanical and herbal remedies. Amends various other Acts to shall participate in a Compact Evaluation Initiative designed make related changes. Effective immediately. Action post- to evaluate the effectiveness and operability of the Compact. poned and remains in Licensed Activities Committee. Provides that the Compact does not relieve employers from complying with statutorily imposed obligations. Provides SB2046 – Amends the Medical Assistance Article of Illi- that the Compact does not supersede existing State labor nois Public Aid Code – Kirk Dillard. Provides that the De- laws. Makes changes relating to the purposes of the Com- partment of Healthcare and Family Services may by rule pro- pact. Effective January 1, 2012. Referred to the Rules Com- vide for reimbursement of the dispensing of a 90-day supply mittee. of a generic or brand name (rather than generic), non-nar- cotic maintenance medication in circumstances where it is HB0254 – Amends the Pharmacy Practice Act – Rose- cost effective. Placed on second reading in the Senate. mary Mulligan. In a provision concerning dispensing pre- scriptions, provides that if the physician or other authorized SB2255 – Amends the Nurse Practice Act – William prescriber prescribes a drug and the pharmacy dispenses a Haine. Provides that a collaborating physician or podiatrist generic, then the pharmacist must notify the patient or cus- may, but is not required to, delegate prescriptive authority tomer when he or she is dispensing a generic drug with the to an advanced practice nurse as part of a written collabora- same active pharmaceutical ingredient by a different manu- tive agreement of Schedule II (instead of III) through V con- facturer than most recently previously dispensed for the pa- trolled substances. Effective immediately. Action postponed tient by that pharmacy. Effective immediately. Referred to and remains in Licensed Activities Committee. the Rules Committee. HB0030 – Creates the Compassionate Use of Medical Can- HB0286 – Creates the Administration of Psychotropic nabis Pilot Program Act – Lou Lang. Provides that when Medications to Children Act – Mary Flowers. Requires a person has been diagnosed by a physician as having a de- prior approval from an authorized agent before the admin- bilitating medical condition, the person and the person’s pri- istration of psychotropic medications to children for whom mary caregiver may be issued a registry identification card the Department of Children and Family Services has legal by the Department of Public Health that permits the person responsibility. Requires authorized agents to receive train- or the person’s primary caregiver to legally possess no more ing on the list of psychotropic medications approved by the than 6 cannabis plants and 2 ounces of dried usable canna- Pharmacological Review Committee, a committee created bis. Amends the Cannabis Control Act to make conforming under the Act for the purpose of developing and publish- changes, including that any registered qualifying patient or ing a manual that lists all Committee approved psychotropic registered primary caregiver who distributes cannabis to medications, including the purpose of these medications, someone who is not allowed to use cannabis is subject to a the acceptable range of dosages, contraindications, and time penalty enhancement of not more than 2 years in prison or a limits, if any. Contains provisions on medication approval fine of not more than $2,000, or both, for abuse of the Com- standards; rules governing the administration of psychotro- passionate Use of Medical Cannabis Pilot Program Act. Pro- pic medications to children housed in residential facilities or vides that the Act is repealed 3 years after its effective date. facilities run by the Illinois Department of Corrections; on- Repeals the research provisions of the Cannabis Control Act. site inspections of residential facilities; required forms; train- April 2011 | KeePosted | www.ichpnet.org 7
ing requirements; penalties for violators of the Act; and other issue an electronic prescription for Schedule II, III, IV, and matters. Effective immediately. Placed on second reading in V controlled substances if done in accordance with federal the House. rules for electronic prescriptions for controlled substances. Provides that physicians may issue multiple prescriptions HB0311 – Creates the Illinois Universal Health Care Act (3 sequential 30-day supplies) for the same Schedule II con- – Mary Flowers. Provides that all individuals residing in the trolled substances authorizing up to a 90-day supply. Makes State are covered under the Illinois Health Services Program other changes. Passed out of the House; referred to Assign- for health insurance. Sets forth the health coverage benefits ments in the Senate. that participants are entitled to under the Program. Sets forth the qualification requirements for participating health HB1660 – Creates the Prescription Drug Repository Pro- providers. Sets forth standards for provider reimbursement. gram Act – Patricia Bellock. Requires the Department of Provides that it is unlawful for private health insurers to sell Public Health to establish a prescription drug repository health insurance coverage that duplicates the coverage of the program, under which a healthcare facility may donate a Program. Provides that investor-ownership of health deliv- prescription drug or supplies needed to administer a pre- ery facilities is unlawful. Provides that the State shall estab- scription drug for use by an individual who meets eligibility lish the Illinois Health Services Trust to provide financing criteria specified by the Department. Sets forth requirements for the Program. Sets forth the requirements for claims bill- that prescription drugs or supplies must meet in order to be ing under the Program. Provides that the Program shall in- accepted and dispensed under the program. Provides that clude funding for long-term care services and mental health no drugs or supplies donated under the prescription drug services. Provides that the Program shall establish a single repository program may be resold. Provides that nothing in prescription drug formulary and list of approved durable the Act requires that a pharmacy or pharmacist participate in medical goods and supplies. Creates the Pharmaceutical and the prescription drug repository program. Provides for civil Durable Medical Goods Committee to negotiate the prices and criminal immunity for drug and supply manufacturers of pharmaceuticals and durable medical goods with suppli- and pharmacists in relation to the donation, acceptance, or ers or manufacturers on an open bid competitive basis. Sets dispensing of prescription drugs or supplies under the pre- forth provisions concerning patients’ rights. Provides that scription drug repository program. Amends the Pharmacy the employees of the Program shall be compensated in ac- Practice Act, the Wholesale Drug Distribution Licensing cordance with the current pay scale for State employees and Act, the Senior Pharmaceutical Assistance Act, the Illinois as deemed professionally appropriate by the General Assem- Food, Drug and Cosmetic Act, the Illinois Controlled Sub- bly. Referred to the Rules Committee. stances Act, and the Cannabis and Controlled Substances Tort Claims Act to provide that persons engaged in donat- HB0753 – Amends the Illinois Public Aid Code – Michael ing or accepting, or packaging, repackaging, or labeling, pre- Madigan. Makes a technical change in a Section concerning scription drugs to the extent permitted or required under pharmacy payments under the Medicaid program. Placed the Prescription Drug Repository Program Act are exempt on second reading in the House. from provisions of those other Acts that might prohibit or otherwise regulate such activity. Referred to the Rules Com- HB1338 – Creates the Immunization Data Registry Act – mittee. Robyn Gabel. Provides that the Department of Public Health may develop and maintain an immunization data registry HB1682 – Written Collaborative Agreements – Robyn to collect, store, analyze, release, and report immunization Gabel. Amends the Nurse Practice Act. Removes references data. Sets forth purposes for which the registry may be used. to a written collaborative agreement throughout the Act. Sets forth provisions concerning the provision of immuniza- Provides that an advanced practice nurse’s scope of practice tion data to the registry, confidentiality, and the release of includes collaboration and consultation with or referral to a information. Establishes immunity for certain entities from physician or other appropriate health-care professional for civil and criminal liability for certain actions. Provides that a patient care needs that exceed the APN’s scope of practice, person who knowingly, intentionally, or recklessly discloses education, or experience. Provides that as part of the profes- confidential information contained in the immunization sional scope of advanced practice nursing, an advanced prac- data registry in violation of the Act commits a Class A mis- tice nurse possesses prescriptive authority appropriate to his demeanor. Makes other changes. Effective on July 1, 2011. or her specialty, scope of practice, education, and experience. Placed on third reading in the House. Such prescriptive authority shall include the authority to pre- scribe, select, order, administer, store, accept samples of, and HB1528 – Amends the Controlled Substance Act – Lou dispense over-the-counter medications, legend drugs, medi- Lang. Makes various changes relating to mid-level practitio- cal gases, certain controlled substances, and other prepara- ner registration. Provides that a prescriber who is otherwise tions, including botanical and herbal remedies. Amends authorized to prescribe controlled substances in Illinois may various other Acts to make related changes. Effective imme- 8 April 2011 | KeePosted | www.ichpnet.org
diately. Referred to the Rules Committee. reduce the public confidence in the ability, character, or in- tegrity of other pharmacies or pharmacists are unlawful. HB1877 – Amends the Illinois Controlled Substance Act Provides restrictions in advertising. Makes other changes. – Jason Brickman. Provides that the exemption from reg- Effective immediately. Referred to the Rules Committee. istration with the Department of Financial and Professional Regulation for a veterinary clinic or hospital operated by a HB2056- Amends the Illinois Finance Code – JoAnn Os- State-supported or publicly funded university or college shall mond. Amends the State Finance Act to create the House- not operate to bar the University of Illinois from requesting, hold Pharmaceutical Disposal Fund as a special fund in the nor the Department of Financial and Professional Regula- State treasury. Amends the Environmental Protection Act. tion from issuing, a registration to the University of Illinois Excludes from the definition of “pollution control facility” Veterinary Teaching Hospital under the Act. Provides that the portion of a site or facility used to incinerate only phar- neither a request for such registration nor the issuance of maceuticals from residential sources that are in the posses- such registration to the University of Illinois shall operate sion or control of a law enforcement agency. Authorizes a law to otherwise waive or modify the exemption. Effective enforcement agency to collect pharmaceuticals from immediately. Referred to Assignments in the residential sources and to incinerate the col- Senate. lected pharmaceuticals in a manner that is consistent with rules adopted by the HB2017 – Amends the Illinois Agency. Authorizes the Depart- Insurance Code – Franco Co- ment of State Police to use mon- ladipietro. Makes changes in What are ICHP’s eys in the Household Phar- the provision concerning Legislative Consultant, maceutical Disposal Fund to definitions. Provides that make grants to local law en- when an on-site audit or a Jim Owen’s responsibilities? forcement agencies for the desk audit of the records purpose of facilitating the of a pharmacy is con- collection and incinera- ducted by any entity, the Jim meets with Illinois legislators and attends tion of pharmaceuticals audit shall be conducted from residential sources. committee hearings on behalf of the Council. in accordance with cer- Defines “law enforcement tain criteria. Provides that He educates legislators, legislative staff and agency”. Amends the Uni- the auditing entity, admin- fied Code of Corrections. istrator, or its representative constitutional officers on ICHP’s position Requires a $20 assessment to must provide the pharmacy on pharmacy and health care be levied against persons who with a written report of the commit specified drug offenses. related bills. audit and comply with certain Requires the proceeds of those requirements. Sets forth provisions assessments to be collected by the concerning appeals processes, account- Circuit Clerk and remitted to the State ing practices, and applicability. Placed on Treasurer for deposit into the Household second reading in the House. Pharmaceutical Disposal Fund. Passed out of the Environmental Health Committee and placed on sec- HB2028 – Amends the Illinois Pharmacy Practice Act – ond reading. Dan Reitz. Defines “pharmacist clinician”, “prescriptive au- thority” and “appropriately trained”. Provides that a pharma- HB2193 – Amends the Criminal Code of 1961 – Susana cist clinician shall have on file at his or her place of practice Mendoza. Provides that it is unlawful for any person know- written guidelines and protocols authorizing prescriptive ingly to have in his or her possession or to carry about any authority. Provides that the guidelines and protocols autho- of the following substances in a form and amount that is ca- rizing prescriptive authority shall include a statement (i) pable of causing serious injury or distress to another: (i) any identifying the practitioner authorized to prescribe and the corrosive or caustic acid or alkali (including but not limited pharmacist clinician who is a party to the guidelines or proto- to sulfuric acid) or any solution or mixture of corrosive or col, (ii) of the types of decisions a pharmacist clinician is au- caustic acids or alkalis, (ii) elemental phosphorus, or (iii) hy- thorize to make, (iii) of the activities the pharmacist clinician drogen sulfide, valerianic (isobutyric) acid, ammonium va- is to follow in the course of exercising prescriptive authority, lerianate, valerianate of zinc, or any other nauseating, offen- and (iv) that describes appropriate mechanisms for reporting sive, or disgusting chemical of like or similar nature. Includes to the practitioner monitoring activities and results. Provides exceptions. Provides that a person shall not knowingly sell, that claims of professional superiority in filling prescriptions give away, offer to sell or give away, or have in his or her pos- or in any manner implying professional superiority that may session any stink ball or fire ball, or any bomb, ball tube, April 2011 | KeePosted | www.ichpnet.org 9
vial, or bottle made of thin glass or other easily breakable II and Schedule III though V monitoring programs into a material, containing any of those substances in a form and single program. Defines and prohibits medication shopping amount that is capable of causing serious injury or distress to and pharmacy shopping. Makes other substantive and tech- another. Makes violation a Class C misdemeanor. Also pro- nical changes. Effective January 1, 2012. Placed on second vides that a person seeking to acquire any corrosive or caus- reading in the House. tic acid must show identification and sign a log. Provides that a person shall not knowingly acquire more than one package HB3090 – Amends the Pharmacy Practice Act – Louis Ar- containing corrosive or caustic acid from a retail location royo. Amends the Illinois Food, Drug and Cosmetic Act. within a 24-hour period. Includes exceptions. Provides that Provides that notwithstanding any provision of law, any the Department of Public Health shall have the authority to person who is authorized to dispense prescription drugs in promulgate rules for the implementation and enforcement the State must accept, free of charge, expired or unwanted of this provision. Provides that a violation is a business of- prescription drugs for proper disposal. Provides that the fense for which a fine not exceeding $1,500 may be imposed. prescription drug dispenser shall make available to its cus- Placed on second reading in the House. tomers or patients a container suitable for use as a receptacle that only permits for the deposit of items and the contents of HB2413 – Amends the Pharmacy Practice Act – Tom which are locked and secured for the expired or unwanted Cross. Makes a technical change in a Section concerning li- prescription drugs. Provides that if a patient or customer is censure without examination. Placed on second reading in issued a prescription drug from a person who is authorized the House. to dispense prescription drugs in the State and that prescrip- tion drug causes an adverse reaction and the patient or cus- HB2917 – Amends the Controlled Substance Act – Bar- tomer returns the remainder of the prescription drug to the bara Flynn Currie. Changes defined terms. Makes numer- dispenser, then the dispenser shall refund the full cost of the ous changes relating to the scheduling, prescribing, and dis- prescription drug to the patient or customer. Amendment pensing of controlled substances. Changes the list of anabolic 2 to this bill has been sent to the Rules Committee for re- steroids. Adds various substances to the Schedules. Permits view. Amendment 2 would strip previous language and an authorized prescriber to issue electronic prescriptions for allow law enforcement to collect unused, unwanted and Schedule II through V controlled substances if done in ac- expired medications rather than dispensers. Original lan- cordance with federal rules. Makes changes relating to the guage has been placed on second reading in the House. ■ Prescription Monitoring Program; combines the Schedule Home-Study Continuing Education Modules for Pharmacy Technicians 2011 PTT Modules* January 2011 April 2011 July 2011 October 2011 Volume 16 No. 1 Volume 16 No. 2 Volume 16 No. 3 Volume 16 No. 4 The Federal An Overview of Pharmacy Medication Safety Controlled Depression Calculations Review in the Pediatric Substances Act: Population A Primer for the Pharmacy Order today! Technician www.pharmacytechtopics.com (815) 227-9292 *Tenative order of release 10 April 2011 | KeePosted | www.ichpnet.org
Feature Are You Ready to Take the Next Step? ICHP Leadership Could Be in Your Future! by Scott A. Meyers, Executive Vice President Have you ever considered running for an ICHP of Directors. Here are some of the details on the different of- office? Have you ever thought about what it fices that are open for election this year. would take to move to the next level of involve- Two of the offices, President-elect and Chair of the House of ment in ICHP? This spring is your chance to Delegates become immediate voting members of the ICHP think about taking that step and taking on a Board of Directors. The other five offices serve in an elect- little more responsibility for your profession. capacity from the time they are notified of the election re- sults until their installation at the Annual Meeting in the ICHP has seven offices open for election this fall. They are fall of 2012. The term lengths once they have been installed President-elect, Secretary-elect, Chair of the House of Del- are two years, the second year with an officer-elect working egates, Director-elect of Educational Affairs, Director-elect with them (unless they choose to run for a second term and of Marketing Affairs, Technician Representative-elect and win, in which case, they would be their own elect!). With the New Practitioners Network Chair-elect. A brief description last bylaws changes approved in 2010, ICHP has now imple- of each office is provided at the end of this article to give you mented term-limits of two terms, which may or may not im- an idea of what your responsibilities would be should you pact this year’s elections. The only exception to term lengths run and be elected. and limits is the Chair of the House, who may serve for up to three one-year terms. So why would anyone want to become an ICHP board mem- ber or officer? From countless discussions with current and We hope you will consider becoming an ICHP leader. It’s past members of the ICHP Board of Directors, I can safely rewarding in a variety of ways; it’s fun and it is definitely not say the list of reasons is lengthy. Some comments include: that hard! Come join Illinois Pharmacy’s finest leaders! If • You give back to the profession. you have questions or are ready to say yes, contact Avery • You learn new skills useful at work and in other areas of Spunt, ICHP Past President and Nominations Committee your life. Chair, at ASpunt@midwestern.edu, or call the ICHP office • You meet great people who love their profession and car- at (815) 227-9292. ing for their patients. • You have lots of fun while accomplishing a lot! President-elect • You make a difference for pharmacy in Illinois. • Develops knowledge and understanding of the duties • You can use this experience to become a leader in na- and responsibilities of the President, Board of Directors tional organizations. and key staff. • You learn about practice changes before most of your • Develops a strong working knowledge of the organiza- colleagues. tion and its current activities. • You see best practices on a regular basis. • Identify a leadership theme for term as President. • You develop a professional and personal network that is • Serves as a member of the Committee on Finance and larger than you can imagine. Executive Committee. • You learn just how small the pharmacy world really is. • Serves as a member and Vice Chairman of the Board. • Did I say you have fun? • Serves as a member of the House of Delegates. • It’s not that hard! • Performs the duties of the President when the President is unable to do so. There are probably a dozen more reasons, but I know current • Assumes other responsibilities as directed by the President. and past Board Members will agree, you will be better for the • Plans ICHP Board of Directors planning retreat with the time you serve as an officer or member of the ICHP Board Executive Vice President for Presidential Year. April 2011 | KeePosted | www.ichpnet.org 11
Secretary • Receives the results of the election from the Board of • Serves as a member and Secretary of the Board of Di- Canvassers and reports the results to the President and rectors and records the minutes of each meeting of the to the candidates prior to their being published in Kee- Board of Directors. Posted. • Presents an annual report at the House of Delegates de- • Conducts the Council’s correspondence as directed by scribing Secretary’s activities over the last year. the President. • Maintains a current listing of the officers of the Council and of its affiliated chapters; assures that the ICHP Ex- Chair of the House of Delegates ecutive Vice President reports any changes in Council • Serves as a voting member of the Council’s Board of Di- officers to ASHP and submits a list of the new members rectors. of the Board of Directors to ASHP. • Serves as a voting member of the Council’s House of • Assures that KeePosted has a timely call for delegates for Delegates. the ASHP House and the ICHP House. • Presides over the deliberations and actions of the House • Works with the Executive Vice President to carry out the of Delegates. election of delegates to the ASHP and ICHP House of • Provides a report on the previous year’s delegate recom- Delegates each year in October and November. mendations to the House of Delegates. • Prepares for each Annual Meeting and House of Del- egates meeting by directing ICHP office staff in: Director, Division of Educational Affairs o Preparing and distributing delegate kits. • Coordinates the activities of the Division and its sub- o Inviting new officers to the House of Delegates. committees. o Calls for reports of Board of Directors at least six (6) • Reports activities and recommendations to the Board. weeks before the Annual Meeting. • Prepares an annual report of Division activities and pres- o Distributes minutes of the House of Delegates to ents it to the House of Delegates at the Annual Meeting. each delegate within thirty (30) days of the last • Serves as a member of the Board of Directors and the session of the House. House of Delegates. • Works with the Executive Vice President to prepare and • Accepts assignments from the Board on specific matters distribute minutes of all Board of Directors meetings to for its consideration. all members of the Board of Directors and to the ASHP • Chairs the Educational Meeting Subcommittee to plan Member and Affiliate Relations Associate assigned to the ICHP Annual and Spring Meetings and other state- ICHP. wide educational activities as they are offered. • Understands chapter policies and procedures; serves as • Develops ICHP Position Statements related to pharmacy Council Parliamentarian upon request. education and training as determined by the Division, • Represents the Council through written correspondence the Board of Directors or the House of Delegates. (shared with Executive Vice President). • Monitors ICHP’s ACPE provider status and recommends • Trains the Secretary-elect. changes to related policies and procedures as identified • Oversees the distribution of all meeting notices. by the Division of Educational Affairs. • Assures that the ICHP office maintains a current mem- • Obtains approval from the Board of Directors prior to bership list. presenting themselves as acting on behalf of the Council • Maintains a current copy of the Official ASHP Chapter when contacting other organizations. Officer’s Manual. • Complies with Chapter 11.0 of the board manual “Per- • Serves as a member of the Committee on Finance and formance Requirements for Board Members, Officers Executive Committee which meets monthly via confer- and other ICHP Representatives”. ence call. • Provides immediate assignments and mentors for new • Certifies the results of the election of delegates and alter- Division members. nates to the House of Delegates. • Conducts an annual roster review of the division and • Assures that the ICHP office receives nominations from provides names of members to add or delete from the the affiliate Nominating Committees for the House of Division roster for the coming year. Delegates not less than ninety (90) days before the An- nual Meeting. Director, Division of Marketing Affairs • Oversees the distribution of an electronic ballot to each • Serves as a voting member of the Board of Directors. active member of the Council containing the names of • Oversees membership recruitment and retention efforts the candidates for office together with a brief review of of the Council. their professional backgrounds. This ballot is to be sent • Coordinates activities of the Division and its subcom- within thirty (30) days after the Annual Meeting. mittees. 12 April 2011 | KeePosted | www.ichpnet.org
• Reports activities and recommendations to the Board. Technician Representative • Prepares the annual report of the Division activities and • Shall attend meetings of the Council’s Board of Directors presents at the House of Delegates Annual Meeting. as defined in the Organization’s Bylaws. • Gives concurrence of presidential appointments of the • Serves as a voting member of the Council’s Board of Di- members to the Division of Council Affairs. rectors representing the Technician membership of the • Fills vacancies on the division of Marketing Affairs with Council and shall act as a liaison between the Board and the approval of the Board. the technician membership. • Brings to the attention of the Board all “votes to recom- • Coordinates all programs for the Technician member- mend” from each Division of Council Affairs meeting ship of the Council. with explanation of the sentiment at the meeting and • The Technician Representative serves as a voting mem- conveys back to the Division of Marketing Affairs the ber of the House of Delegates. results and action of the Board. • The Technician Representative provides a written annual • Serves as a voting member of the House of Delegates. report of technician activities within ICHP to the House • Accepts assignments from the Board on a specific matter of Delegates. for its consideration. • Provides regular contributions (each issue) related to • Obtains approval from the Board of Directors prior to technician issues to KeePosted. representing themselves as acting on behalf of the Coun- • Regularly reviews the ICHP website and recommends cil. additions and revisions of technician related materials. • Obtains approval from the Board of Directors to secure • Provides input into all technician related educational funds from sources outside the Council. programming offered by the Council. • Provides guidance to local affiliate officers in methods of • Recruits new members to the Council. successfully chairing an organization. • Oversees updating application form for membership. Chair of the New Practitioners Network • Coordinates membership recruitment and renewal pro- • Serves as a voting member of the Council’s Board of Di- gram. rectors. • Oversees administering of annual student awards. • Serves as a voting member of the Council’s House of • Monitors activity and brings recommended changes to Delegates. the Board for approval. • Oversees the activities of the New Practitioners Network. • Prepares annual budget for the Division of Marketing • Coordinates programming directed at new practitioner Affairs and submits it to the Finance Committee for ap- members of ICHP. proval in October of each year. • Carries out communications on behalf of the New Prac- • Complies with Chapter 11.0 of the board manual “Per- titioners Network. formance Requirements for Board Members, Officers • Recommends to the President appointments of new and other ICHP Representatives”. practitioner liaisons to ICHP’s Divisions and Commit- • Provides immediate assignments and mentors for new tees. Division members. • Provides an annual report of the New Practitioners Net- • Conducts an annual roster review of the Division and work to the ICHP House of Delegates. ■ provides names of members to add or delete from the division roster for the coming year. IPHP HELPLINE There is hope! — Call Illinois Professionals Health Program (IPHP) Helpline and receive support from your peers 24/7. If you know someone who needs assistance, share this information with them. Encourage them to call: 1-800-215-4357 www.advocatehealth.com/IPHP April 2011 | KeePosted | www.ichpnet.org 13
Marketing Affairs ICHP Leadership Profile Is there an individual you admire or look up to, or a Kristi Stice mentor that has influenced your career? There have been many individuals who have influenced me PharmD, BCPS, in my career thus far, but I will never forget the words of NPN Chairman-Elect Dr. Joe Haberle, who sat me down when I was a student and said, “Do what you love and everything else will fall into place.” Years later I am happy to say I couldn’t love what I Where did you go to pharmacy school? do more. I work with a great group of pharmacists, techni- St. Louis College of Pharmacy cians, and other healthcare professionals who truly care about patients and continuously strive for excellence. Trace your professional history since graduation: where have you trained/worked, any special accomplishments? As a newer practitioner, what is your vision for After graduation, I completed a pharmacy practice resi- pharmacy in the future? Or, what would you like to able to dency with a focus in clinical coordinating with Sentara see accomplished within pharmacy? Healthcare, which is a seven hospital system in the I think pharmacists and technicians alike will continue to Hampton Roads area of Virginia. This prepared me for have to reinvent themselves as the new healthcare legislation my current position as Clinical Development Coordinator takes effect. I am excited about ASHP’s Pharmacy Practice at Kishwaukee Community Hospital, a 100-bed facility in Model Initiative and look forward to the challenges it will DeKalb, IL where over the past four years, I have had the present to the profession. opportunity to establish the clinical pharmacy program. We offer a deployed pharmacist model, pharmacokinetic Do you have any special interests, hobbies, or accomplish- dosing, automatic renal dose adjustment and automatic ments outside of pharmacy? IV to PO switch for several antimicrobial and acid sup- I enjoy running and hope to eventually add a marathon pressants. We are currently working toward a formal TPN to my accomplishments. My craziest race to date was the monitoring program in conjunction with our registered Warrior Dash, an obstacle course stretched out over three dieticians, inpatient anticoagulant dosing, and antimicro- miles. My most memorable race was the Shamrock Shuffle bial stewardship. I am most proud of our department’s in Chicago. There is nothing like running a race with over multidisciplinary approach to patient care and our active 30,000 people all in green! involvement in ICU rounds, where we currently provide over 40% of the rounding recommendations. What is the most interesting/unique fact about you that few people know? What initially motivated you to get involved, and what I hiked the Grand Canyon in 2009 with my husband Eric. benefits do you see in being active in a professional What an amazing experience it was! association such as ICHP? I initially joined ICHP to meet other professionals in the Anything else you would like to share? area but then learned that ICHP offered so much more. It I am looking forward to the continued progression of the has been a great connection for me in terms of networking profession of pharmacy and am glad I am part of ICHP and staying up to date with current legislation and clinical whose members can help lead the way. ■ practice. Are you an ICHP pharmacist member who is within 10 years of graduating? What advice would you give to a new practitioner eager As a new practitioner, are you interested in to become more involved within ICHP? To the student? getting more involved in ICHP? Jump in! ICHP has so many opportunities and values input IT ’S AS EASY AS NPN! from practitioners of all levels. As a new grad it was a great way for me to make connections in the area. If you start as a Join the New Practitioners Network (NPN) Board Responsibilities include 2 conference calls per month student, the experience you gain could be your ticket to job If interested, please contact Rochelle Rubin, NPN Chair opportunities in this tough market. rrubin@midwestern.edu or 630-515-7293 14 April 2011 | KeePosted | www.ichpnet.org
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