Wednesday, March 21, 2018
April 2016
NJSHP Roars like a Lion in March
March was a great month for our Society and continued the trend of showing how much we can accomplish as an organization. Our 2016 Annual Meeting was a huge success and was well attended on both days. The change to a Thursday/Friday schedule appears to be very popular as the Thursday attendance was significantly greater than what we had been experiencing with our Saturday programs in the past. The educational offerings were very well received and I received numerous comments from attendees about both the professionalism and quality of the meeting. Probably no comment was more significant than the one I received from Gerald Meyer, Past President of ASHP. Gerry said that he has attended a number of state affiliate meetings and that our New Jersey meeting was something to be proud of. He also graciously accepted the responsibility of handing out the Annual Awards, which I’m sure was a special treat for the recipients.

Incoming President Paul Goebel used his Annual Meeting address to outline his direction for the coming year and his commitment to the NJSHP strategic plan. His dedication to our student members, NJSHP educational initiatives, and a more robust Board orientation process will continue to move our organization forward in 2016/2017.

The Annual Meeting also included the swearing in of the new state and chapter officers by Dean Joseph Barone of the Ernest Mario School of Pharmacy. I want to extend my congratulations and best wishes to all of the new officers and thank them for their service to the Society.

The month of March also presented the opportunity for Paul and me to meet with the Fairleigh Dickinson University School of Pharmacy Student Chapter. They engaged us with a number of well thought out questions and I would be remiss if I did not thank their President, Patty Szmuc for her hard work in making this happen. I had previously met with the Ernest Mario student chapter and I can assure you that we can all be very proud of both our FDU and Ernest Mario student chapters, their leaders and faculty advisors.

But that’s not the only exciting news we have that happened in March. I am also pleased to let you know that Carlo Lupano, NJSHP Director of the Council on Public Policy, was notified that he is being granted fellowship status by the ASHP Board of Directors. I hope that everyone will join me in congratulating Carlo on this significant accomplishment.

So, what now lies ahead? Quite a bit to be exact. We have the Transitions of Care practice-based program coming up on April 23, 2016 with almost 30 participants. Please stay tuned for another date to be released for the fall. We are also looking forward to both the launch of our new website and conducting a survey of the membership to ensure that we are meeting your needs.

In closing, I just want to say that the best part of NJSHP is its members. You are what makes us tick and drives us to want to do more and better things.

Thank you for your support, and for being members of NJSHP!

Steven Aragona
President, NJSHP

2016 Annual Meeting Highlights
2016 Annual Meeting Highlights This year’s Annual Meeting began with President Steven Aragona presenting his Welcome Address and introduced Incoming President Paul Goebel. The day ensued with credit-earning lectures on Drugs of Abuse presented by Daniel Abazia and Medical Marijuana by Rosario (Russ) Lazzaro. After a brief recess, attendees broke out to attend the acclaimed Reverse Expo and credited Top 8 Poster Research Projects presentation. The day closed with a felicitous celebration of St. Patrick’s Day with complimentary food, drinks, and prizes.

Day two of the event proceeded with Steve Aragona welcoming another host of attendees to additional credited lectures on Antimicrobial Stewardship presented by Esther King, Navaneeth Narayanan, and Safia Kuriakose; as well as Medication Reconciliation by Pharmacy Technicians presented by Darryl Margallo. The last of the morning’s lectures was on Alphabet Soup: 340B, 503b, CDTM presented by Robert Pellechio, Lou Diorio and Jennifer Costello. This intensive educational session broke out for lunch before awards were issued and the official installation of new Officers commenced.

The annual awards were presented during lunch. Assisting us this year was Gerald E. Meyer, ASHP. The NJSHP 2016 Annual Award Winners:

  • The APPEX Award (Advancing Pharmacy Practice Excellence)
    • Donald T. Allegra, MD, FACP, FIDSA, I.D. Care, Inc./I.D. Associates, P.A.
  • Gregory A. Santora Pharmacist of the Year Leadership Award
    • Nilesh P. Desai, B.S., RPh, MBA., Hackensack University Medical Center
  • Pharmacist Practitioner Award
    • Shing-Pung (Polly) Jen, Pharm.D., BCPS-AQ ID, AAHIVP, University Hospital
  • Preceptor of the Year Award
    • Kimberly A. Brandt, Pharm.D., Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, St. Joseph’s Regional Medical Center

A notable change took place regarding NJSHP’s Research and Grant Committee Awards this year: moving forward these awards will be called The Eric T. Hola Pharmacy Practice Awards. The purpose of these awards is to support demonstration projects related to the advancement of pharmacy practice, and this change clearly set the purpose of promoting the dedicated efforts that Mr. Hola himself had worked towards.

The College Bowl continues to be a popular event with 10 teams of students from Ernest Mario School of Pharmacy, Fairleigh Dickinson University School of Pharmacy, Temple University School of Pharmacy, and Long Island University School of Pharmacy.

At the same time as the College Bowl, a non-CE program, the Industrial Relations Committee Vendors’ Forum, took place with Joseph Alessandrini, Nilesh Desai, Lou Diorio, Chester Lau, Joseph Pinto, and moderated by Craig Dolan.

The Exhibit Hall this year featured 50 vendors, presenting everything from new treatment options to compliance solutions with many bringing sample tools, providing hands-on demonstration of their wares, and customizable features and options – there was something available for everyone. There were also 43 posters displayed in the hall, presenting innovations in pharmacy practices and services, clinical drug research and case studies all authored by members of NJSHP.

The final day of the event closed with the traditional cocktail reception and open networking opportunity for all attendees in the throng of the posters and vendors in the Exhibit Hall. This provided welcome time to relax, meet new people, and process the abundant information about NJSHP’s progress as an organization, its offerings, and anticipate what the next year will bring.

NJSHP Annual Meeting College Bowl 2016
As with previous years, the College Bowl was a popular event for students, residents and practitioners alike at the NJSHP Annual Meeting. This year, we had the pleasure of hosting 10 teams of students from 5 schools including Fairleigh Dickinson University School of Pharmacy, Ernest Mario School of Pharmacy, Long Island University School of Pharmacy, Jefferson School of Pharmacy and Temple University School of Pharmacy. Students competed in teams of 4 or 5 against their opponents to answer questions ranging from pharmacy practice and pharmacy law/regulations to pharmacokinetics and calculations. This year’s participants proved to be formidable competitors, evident through their ability to answer increasingly challenging questions over the course of 2 hours. The first place winners from the Ernest Mario School of Pharmacy were “The Fatties: ADEK”: Eleanor Danan, Danielle McDonald, Kelsey McIntyre, Alexander Mozeika, and Roshani Patolia. Second place winners were from Long Island University, “No We Do Not Have Yellow Norco”: Shujaat Bhatti, Serena Chew, Muhammad Effendi, Kamran Chowdhury, and Annemarie Mathew.
NJSHP Annual Meeting Platform and Poster Sessions 2016
The NJSHP Annual Meeting not only provides opportunities to share knowledge and network but also creates a venue to share scholarship activities. This year, 55 abstracts were submitted from institutions across the state, of which 43 were selected for poster presentation. The top 8 abstracts were selected by a panel of experts for platform presentations on the first day of the conference. Each research project identified unique opportunities for pharmacy involvement in positively impacting patient care. The judges evaluated each presentation and determined the top three winners. First place was awarded to Francia N. Kellner, MS, RPh from Saint Barnabas Medical Center for her research on the Impact of educational initiatives advocating appropriate fluid therapy in severe sepsis/septic shock. The second place winner was Jesse B. Sullivan, Pharm.D., BCPS of Fairleigh Dickinson University School of Pharmacy and Community Medical Center for his project on Retrospective evaluation of the utilization of phytonadione (Vitamin K1) in the management of excessive warfarin-induced anticoagulation. Third place as awarded to Joseph Cavanaugh, Pharm.D., from Community Medical Center for his research on the Pharmacist impact on advanced cardiac life support compliance during in-hospital cardiac arrest.
Tri-State Health-System Pharmacy Summit 2016 - Friday, September 30th
Please mark your calendar to attend our 4th annual Tri-State Summit (NJ, NY, CT), which will be convened on September 30th at the DoubleTree by Hilton Hotel Tarrytown, 455 South Broadway, Tarrytown, NY 10591. More details will follow.
Unused, Expired, or Unwanted Drugs….
The next Drug Enforcement Agency (DEA) Drug Take-Back Day will be held April 30, 2016 from 10 am to 2 pm. The previous drug take-back day on September 26, 2015 was very successful. Thousands of Americans in communities across the country discarded more than 350 tons of unused, expired, or unwanted drugs as part of the National Prescription Drug Take-Back Day Initiative. This is a day to encourage safe, convenient, and responsible disposal of prescription drugs, and help educate the public about the potential for abuse of medications. Check the DEA webpage to find the most convenient local collection sites near you or for additional information related to the drug take-back initiative.
ASHP’s Midyear Clinical Meeting Wins Multiple Trade Show Accolades
Trade Show Executive and Trade Show News Network Honor ASHP Meeting with Distinctions


ASHP recently received three accolades honoring its annual Midyear Clinical Meeting and Exhibition.

Trade Show Executive (TSE) awarded ASHP’s Midyear Clinical Meeting its coveted distinction of Trade Show Executive Fastest 50 Award, ranking the meeting among the 50 fastest-growing shows by growth of exhibit programs. TSE also honored the meeting by naming it a Fast Tracker, listing it among the so-called Next 50, an honor based on a meeting’s growth by total attendance. In addition, the Trade Show News Network (TSNN) listed the Midyear Clinical Meeting on its 2015 Top 250 Trade Shows List, ranking it at No. 172.

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ASHP Names 37 Members as ASHP Fellows for 2016

ASHP has recognized 37 of its members for their practice leadership with the designation “Fellow of ASHP” (FASHP).

Members who have achieved FASHP status have successfully demonstrated sustained commitment or contributions to excellence in practice for at least 10 years, contributed to the total body of knowledge in the field, demonstrated active involvement and leadership in ASHP, and have been actively involved in and committed to educating practitioners and others. The program has recognized 875 Fellows since it began in 1988.

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ASHP Publishes Third Edition of Guide to Compounding Special Formulations
Expanded Reference Includes More Than 40 New and Updated Monographs


To help practitioners treat patients who need medication dosages and forms that are not commercially available, ASHP recently published Extemporaneous Formulations for Pediatric, Geriatric, and Special Needs Patients. The third edition of this comprehensive resource includes evidence-based formulations for 197 medications, including 39 new and two updated monographs.

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Substances Doubtful for Bulk Drug Substances List Could Be INDs
[April 15, 2016, AJHP News]

Cheryl A. Thompson

BETHESDA, MD 24 Mar 2016 - Pharmacists, physicians, and advocacy groups that want patients to use substances unlikely to be on the upcoming "bulk drug substances list" for compounders should consider submitting "treatment" investigational new drug (IND) applications, FDA personnel recently suggested.

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Drug Disposal Kiosks Help Hospitals Serve Their Community
[April 15, 2016, AJHP News]

Kate Traynor

BETHESDA, MD 23 Mar 2016 - Patients who need to dispose of unwanted controlled substances and other medications are embracing the convenience of drug disposal kiosks managed by their local health-system pharmacies.

"We've collected a little over two tons, in the last year, of unwanted medications," said Buck Stanford, community pharmacy operations director for Intermountain Healthcare in Utah.

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Pharmacy News
How Hospital Pharmacists Improve Care Without Breaking the Bank
Hospitals & Health Networks (03/16) Aston, Geri
Health reform is motivating hospital pharmacies to improve care and expand services while curbing costs. At Lifespan, a Rhode Island health system, pharmacists visit patients who are at-risk of readmission while they are still in the hospital to discuss medications and how the drugs work in the body, says Christine Berard-Collins, director of pharmacy. A clinical pharmacist oversees the transitions-of-care program at Lifespan's Rhode Island Hospital and the Miriam Hospital, and three pharmacists make the patient visits that are followed-up by case-management nurses . Many hospitals are sending patients home with their outpatient medicines in hand to prevent the patient-provider disconnect that exists in the traditional model of hospital pharmacy services, Berard-Collins says. Mark Eastham at McKesson Pharmacy Optimization says rising interest in continuity of care into the outpatient setting is prompting more hospitals to create their own retail pharmacies. Access to patients' electronic health records means hospital retail pharmacists can check physicians' notes, what drugs a patient was on in the hospital, lab values, and the last time a patient visited a hospital clinic. Hospital-owned retail pharmacies also allow hospitals to capture revenue that otherwise would be lost to pharmacy chains. However, careful analysis needs to be done to determine whether a hospital-owned retail pharmacy is financially viable, such as by determining the baseline number of discharges and specialty services needed to cover expenses.
Hospitals See On-Site Pharmacies as Revenue Generators as Medication Management Pays Off
Healthcare Finance News (03/16/16) Lagasse, Jeff
More hospital systems consider on-site pharmacy services revenue generators as they seek more efficient and controllable medication delivery to patients. There are two benefits to this approach: the hospital collects more revenue from patients by letting them fill their prescriptions on-site, and it can reduce readmissions and help health systems save even more. "A lot of the initiative is more along the lines of hospitals making sure that patients can access and adhere to their medications," says Penn Medicine's Rick Demers. A key impediment for patients who want to fill prescriptions via a third-party vendor is that those pharmacies may not carry the desired medication, and this problem has grown with the pharmaceutical industry's increasing complexity. Stanford Health Care's John Cunningham says the current situation differs from the early 2000s, when hospitals with on-site pharmacies were beginning to close those operations due to medications being less costly and complicated, and there being little momentum in ambulatory care. The passage of the Affordable Care Act, which penalized hospitals for escalating readmission rates, was a driving factor in the reversal of this trend. On-site pharmacies permit more control on the hospital side, says the Medicines Company's Fred Pane. Such facilities give clinicians direct access to information such as who's prescribing which medications to whom.
Do Armed Guards Make Health-System Pharmacies Safer?
Pharmacy Times (02/29/16) Ross, Meghan
Slightly more than half (52%) of hospital security guards currently carry handguns, according to a 2014 International Healthcare Security and Safety Foundation report. This is an increase from a 2011 Hospital Security Survey that found 22% of respondents who were hospital officials in charge of security had their security officers carry a firearm or were considering the use of firearms. Back then, 78% of respondents said they had "no plans to use firearms." For some pharmacists, the question of safety in relation to armed guards depends on the hospital setting. Craig Cocchio, PharmD, BCPS, an emergency medicine clinical pharmacist at Trinity Mother Frances Hospital, has also worked in hospitals both with and without armed guards. He currently works in a health system that allows security guards to carry guns. He noted that the emergency department frequently has law enforcement officers present for a variety of reasons, in addition to the armed security. "Personally, I never thought of my safety being any different with or without armed security guards," Dr. Cocchio said. Beth Lofgren, PharmD, BCPS, who has practiced in home health, long-term care, and hospital pharmacy, said she currently works in a health system that has security guards whose guns are in plain view. "I feel much safer knowing that armed guards are located on our campus," Dr. Lofgren said. A 2015 Healthcare Crime Report released by the International Healthcare Security and Safety Foundation suggested that violent crime in hospitals is on the rise. According to the report, the violent crime rate per 100 hospital beds increased from 2 in 2012 to 2.8 in 2014.
Bridging Pharmacy Automation and EMRs
Drug Topics (03/10/16) Vecchione, Anthony
Amid rising consolidation of hospitals and health systems, hospital pharmacy directors must now address interoperability between pharmacy automation and electronic medical records (EMRs). Challenges facing pharmacy directors include connectivity and standardization issues, a shortage of resources, and funding problems. At Southampton Hospital in South Hampton, N.Y., for instance, the hospital's old legacy computer system was not able to transfer information to a new EMR, according to Jerard West, PharmD, director of Pharmacy. As a result, predefined common orders had to be built from scratch using a 1,600-medication item master. West adds that the pharmacy department also had to design its system to incorporate current workflow practices, perform a Pyxis conversion to the new EMR, implement bar-coding technology, and assist with order set development for the medical staff. Dave Swenson at CareFusion says the company's enterprise approach is to allow health systems to standardize using a single formulary and to manage users across a health system instead of on a hospital-specific basis. Rich Berner at Allscripts' Sunrise business unit says medication management is crucial because it can help reduce errors, provide savings, and prevent fraud. Aesynt's Kraig McEwen estimates that when multiple hospitals merge, "most health systems need to take 20 percent of their cost structure out over the next several years just to remain solvent, so standardization is one of the mechanisms they use to help become more efficient."
Local Pharmacy Partnership to Prevent Pediatric Asthma Reutilization in a Satellite Hospital
Pediatrics (03/16/16) Sauers-Ford, Hadley S.; Moore, Jennifer L.; Guiot, Amy B.
A recent study investigated whether a partnership with community pharmacies could help reduce pediatric asthma reutilization (readmissions and emergency revisits) when hospital resources are limited. In this case, the satellite hospital lacked an outpatient pharmacy on site, so the researchers teamed up with community pharmacies, aiming to reduce asthma reutilization by providing medications in-hand at discharge. The median percentage of asthma patients who received medications in-hand rose from 0% to 82% during the study period. Expanding the medication in-hand program to all patients was a key factor, the researchers note, but other changes include expanding the team to evening stakeholders, narrowing the number of community partners, and developing electronic tools to help key processes. Following the intervention, the mean percentage of asthma patients who were discharged from the satellite hospital who had a readmission or emergency department revisit within 90 days dropped to 11% from 18%. The authors report, "When hospital resources are limited, community pharmacies are a potential partner, and providing access to medications in-hand at hospital discharge can reduce asthma reutilization."
IU to Offer One of the First Data Science Courses to Use Real Clinical Trial Data
IU Newsroom (03/24/16)
Indiana University (IU) will partner with Eli Lilly to offer one of the first data sciences courses in the U.S. to use real-world clinical trial data. "Our goal is for students to gain a better understanding of the overall drug development process, and specifically the human clinical trial phases," says Eli Lilly clinical data associate Sara Bigelow. "This includes gaining knowledge on the data side of the process--where the data comes from, where it goes, how it's used, and why it's so important not only to clinical trial research but also the pharmaceutical industry as a whole. Another key takeaway will be awareness about the privacy process involved in working with patient data." The IU course will be offered as a four-week summer class starting May 2 via the data science master's degree program at the IU School of Informatics and Computing. The trial data will employ anonymized information collected from human subjects during the safe testing of potential new pharmaceuticals. Students enrolled in the new course will have an opportunity to gain hands-on instruction in understanding, refining, and analyzing real-world data of the type used by drug companies in making major business decisions on drug development.
EHR 'Gaps' Hinder Patient Medication Adherence
FierceEMR (03/24/2016) Hirsch, Marla Durben
Electronic health records (EHRs) and health IT are not improving patient medication adherence, according to a new report in JMIR Medical Informatics. Non-adherence can cost the health care industry large amounts of money, and EHRs have been considered as a possible solution. They can use certain tools to help improve adherence and better engage patients. But the report indicated four "gaps" that are stymieing efforts. First, interoperability is underdeveloped and does not allow patients to connect self-monitoring data to a doctor's EHR. Second, inconsistencies in data definitions make it difficult to determine the validity and efficiency of data sources. Third, National Drug Codes are not yet standardized in EHRs. And fourth, medication management therapy is not handled particularly well by EHRs. To fix the issues, the report outlined a system-based view of medication use, management, and patient adherence. Interoperablity should be improved and data definitions should be standardized. Doing so can create a collaborative environment that would benefit patients, physicians, pharmacists, and all others involved in the adherence process.
Hospitals Dealing With Drug Price Increases
Washington Post (03/14/16) Dennis, Brady
Hospitals nationwide are being forced to address higher drug costs. The increases often involved brand-name drugs with little or no competition as well as commonly used generics around for decades. "There's been a huge consolidation of these generic companies ... everybody is buying everybody else," says Gerard Anderson, a professor at the Johns Hopkins Bloomberg School of Public Health. "If there’s no competition, the prices go up. We are seeing a lot of [drug] shortages, and also price increases. That shouldn't happen, but it is." Jeff Rosner, senior director of pharmacy sourcing and purchasing at the Cleveland Clinic, says the "challenge is, you don't have a crystal ball." His organization last year faced an unexpected increase of more than $8 million after the prices of two heart therapies surged. Rosner says it is increasingly difficult to anticipate how much the institution will spend on the myriad drugs it buys annually. Hospital officials insist that even when sudden price increases occur, patients receive access to the medicines they need. However, the unpredictable increases wedge their institutions financially, as they cannot immediately pass on the cost if a drug gets more expensive because reimbursement rates for certain procedures already have been set by Medicare and private insurers. That means sharply higher prices can lead to losses.
New Naloxone Training Program for Pharmacists Takes Aim at Opioid Epidemic
Newswise (03/29/16)
The University at Buffalo School of Pharmacy and Pharmaceutical Sciences (SPPS) has partnered with the Erie County Department of Health and the Harm Reduction Coalition to create an online education program for dispensing naloxone. The free course trains community pharmacists about dispensing naloxone without a prescription to the public, including those at risk for opioid abuse, their friends, and families. "This program is a mechanism for getting the antidote out to reduce the number of deaths," says Edward Bednarczyk, PharmD, chair of the SPPS Department of Pharmacy Practice. "Rather than distributing the medication through police stations, schools, and hospitals, pharmacies provide the community with an instant, ready-made network for distributing medicine."
Mississippi Database Tracks Prescription Drug Abusers
Jackson Clarion-Ledger (Mississippi) (02/29/16) Fitzgerald, Robin
In Mississippi, the Prescription Drug Monitoring Program (PMP) is helping pharmacists, physicians, and law enforcement to combat the abuse of legal narcotics. Pharmacists were first to begin using the database of prescription drug records in 2005 and are the only profession legally obligated to enter information into it. At least once daily, they input details about prescriptions they have filled—data that can then help identify anyone who may be fraudulently obtaining drugs to feed an addiction or to sell on the street. Gulfport pharmacist Larry Knox, for example, contacts prescribing doctors if the PMP indicates that a person is already receiving the same medication from other providers or from multiple pharmacies. Doctors, similarly, will see the same data when mining the system themselves to check a new patient's prescription history. Prescription orders originating from outside of Mississippi also raise red flags, but the database can access records from most neighboring states. While a valuable resource for nabbing violators of prescription drug laws, the PMP also takes steps to avoid misuse of the system. Pharmacists who reach out to prescribers about suspicious orders or customers must take care not to trip federal privacy laws, and criminal investigators are prohibited from running checks unless the target is a person of interest in an active case.
April 2016
Boehringer Ingelheim
Bristol-Myers Squibb
GNYHA Services, Inc.
Grifols USA
H. D. Smith
Omnicell, Inc.
Pharmatek Systems
PharMEDium Services
Safecor Health
Silvergate Pharmaceuticals
The Medicines Company

To be visibly engaged in the enhancement of healthcare through professional development of our members in the practice of pharmacy.

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New Jersey Society of Health-System Pharmacists
760 Alexander Rd
P.O. Box 1
Princeton, NJ 08543-0001
(609) 936-2205

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About ASHP
ASHP is a 35,000-member national professional association that represents pharmacists who practice in hospitals, health maintenance organizations, long-term care facilities, home care, and other components of health care systems. ASHP is the only national organization of hospital and health-system pharmacists and has a long history of improving medication use and enhancing patient safety.

American Society of Health-System Pharmacists
7272 Wisconsin Avenue
Bethesda, MD 20814

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2016 ASHP Summer Meetings & Exhibition
6/11/16 - 6/15/16
Baltimore, MD
June 11–15, 2016
National Pharmacy Preceptors Conference
8/11/16 - 8/13/16
Washington Hilton, Washington D.C.,
August 11-13, 2016
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