Docstoc

Sheet1 - CSHP

Document Sample
Sheet1 - CSHP Powered By Docstoc
					                                                                                  a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                                                 Region 1                                                               Region 2                                                    Region 3
                                     Golden Gate, North Coast, Quatra,                                Central Valley, Cal No State, Diablo, Pacific,                    Channel Islands, Golden Empire,
                                          Touro University, UCSF                                           Sac Valley, Shasta Buttes, Sierra                        San Fernando Valley, Southern California

                      Logan Saito (NC), Scott Goodrich (NC), Lois Claridge (NC), Kali
                                                                                               Ken Perrin, Sian Carr-Lopez, Sylvia Banzon, Ian Ford,
                      Sommer (GG), Han Wang (T), Betty Jue (Q), Connie Ha (Q),
                                                                                               Dawn Benton, Pamela Tien, Martin Iyoya, Tracy Joy King,
                      Betty Lee(Q), Colleen Delizza(Q), Jennifer Cocohoba (GG),                                                                            Anisa Abu-Ramaileh , Rosemarie Boward ,
                                                                                               Jeanne Li, Michael Tran, Julianna Burton, Justin Seo , Bill
Attendance            Shital Kelslukian (GG), Christie Robinson (GG), Nancy Nguyen                                                                         Jim Caras , Evelyn Elliott , Paula Phongsamran ,
                                                                                               Yee, Paul Sabatini , Daniel Salas , Jennifer Cashman, Donna
                      (GG), Elaine Law (GG), Michael Nowicki (GG), Cheryl Sud (GG),                                                                        Lesli Fisher , Doreen Schneider, Vicky Ferraresi 8
                                                                                               Fitzgerald, Dennis Ong, Eunice Lee, Grance Ng
                      Heidemarie MacMaster (GG), Stacey Raff (GG), Dan Dong (GG),
                                                                                               20
                      Kethen So (GG), Judy Wu (UCSF)                       21


                      By removing the RPH Board of Director, will there be a loss of
                      pharmacist representation on TDEC? Will pharmacist related
                      issues and concerns be adequately discussed?
                      • EVP/CEO Dawn Benton and CSHP Staff member Phillip
                      Swanger also participate in all meetings
                      • Are the 2 pharmacist members helping or hindering activities of
                      TDEC?
                      • Stacey Raff who currently serves as the liaison feels if this
                      moves forward there will still be adequate pharmacist
                      representation w/ TDEC.

                      Is the RPH member at large a voting member of TDEC? YES

                      There are limitations within the bylaws on what TDEC can do
                      (see Section 5: Authority) and certain items must be reviewed
                                                                                                                                                           There was some discussion about the need for
Proposal A-TDEC       and approved by the BOD
                                                                                                                          none                             pharmacists on the Executive Committee, but the group was
Executive Committee
                                                                                                                                                           fine with this proposal. Support.
                      If we eliminate RPH BOD member and keep member at large on
                      TDEC, does the member at large have enough experience to
                      fully represent pharmacy at TDEC?
                      • The RPH member at large is selected by the President of
                      CSHP who should be looking at their breadth of experience
                      • It would be difficult to define experience or outline qualifications
                      of the RPH member at large? We should leave this responsibility
                      to the president, keeping in mind that putting language in to
                      define qualifications will probably restrict us more than help us.

                      Support w/ no amendments

                      Support with modifications to describe or list the qualifications of
                      the pharmacist at large member.




                                                                                                       Page 1 of 14
                                                                         a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                                           Region 1                                                       Region 2                                                          Region 3
                               Golden Gate, North Coast, Quatra,                        Central Valley, Cal No State, Diablo, Pacific,                          Channel Islands, Golden Empire,
                                    Touro University, UCSF                                   Sac Valley, Shasta Buttes, Sierra                              San Fernando Valley, Southern California



                                                                                 Strike Target item 4 as it isn’t addressed in the proposal.

                 Will give New Practitioners a voice on the board and hopes to   There was confusion on how the chair is replaced if he/she         Discussion on the STP was around definitions of new
                 further expand role and involvement of New Practitioners        has to step down. Dawn stated that it should be dealt with as     practitioners and whether if elected would they remain new
                                                                                 any other Board member stepping down. It was suggested            practitioners until their term of service expired. Example: if a
                 Increase value of membership and help in retention of           that this be stated in the STP somewhere, but we don’t feel it    5th year new practitioner was elected he/she would remain a
                 pharmacists early in their career                               needs to be explicitly stated in the language of the proposal.    new practitioner until their 7th year with the association. Or
                                                                                 • Add an item to Situation section: 7. If the chair of the NPEC   would they no longer be a new practioner (as a member
Proposal B-New
                 Student and Technicians currently have a vote on the board      needs to be replaced, the procedure is the same as the            classification)Does this matter? Some wondered if the new
Practioners
                                                                                 replacement of any other board member.                            practitioner board member should be within the New
                 There was an agenda item by CSHP a few years ago to help        • Research needs to be done on the current policy for this        practitioner definition their whole term (1 to 5 yr). The
                 create more new practitioner events                             process, and to whether the language is appropriate to cover      consensus was that the new practitioners should poll their
                                                                                 this situation.                                                   colleagues and be prepared to address this issue if it is
                 Support with no amendments.                                                                                                       brought up by other delegates. Agreed to support decision of
                                                                                 In the interest of clarity, there was a proposal to Amend         the new practitioners once the poll is completed.
                                                                                 Section XIII, 1, (A) to state: “The president-elect shall…
                                                                                 Executive Committee for a 1 year term.”




                                                                                         Page 2 of 14
                                                                               a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                                                   Region 1                                                       Region 2                                                        Region 3
                                       Golden Gate, North Coast, Quatra,                        Central Valley, Cal No State, Diablo, Pacific,                        Channel Islands, Golden Empire,
                                            Touro University, UCSF                                   Sac Valley, Shasta Buttes, Sierra                            San Fernando Valley, Southern California


                         2006-01: No issues discussed. Support.

                         2006-04: Does this conflict with Proposal E? Do we need both.
                         Or can we just delete old policy & approve new policy?            2006-01: Recommend to strike the link to the NABP website
                         Sent e-mail to Vicky Ferraresi to get explanation on purpose of 2 in section 1B, as it is not necessary
                         different proposals & give background.                            Amend the language to specify what the abbreviation, NABP,
Proposal C-5 year old                                                                      stands for
Professional Policies
                         2006-06: Has CSHP endorsed ASHP guidelines on off label use
                         already? If so wouldn’t this be redundant?                   2006-04: (proposed that we return to Vicky)
2006-01: Internet:                                                                    Recommended that this be merged with Proposal E                   2006-01: Support
                         • ASHP currently has a “Guidelines on the Pharmacy and
Pharmacy Practice                                                                     There was discussion on including language about CSHP
                         Therapeutic s and the Formulary System” (2008)
                                                                                      advocating for pharmacists in this role.                          2006-04: Support with background discussion by Vicky
2006-04: Precepts of                                                                  What is the Last Acts task force? When did they convene, is       Ferraresi
                        Do we adopt guidelines from ASHP as CSHP policy or just ASHP
PalliativeCare          policies as CSHP policy?                                      it still current, and who are they?
                                                                                      There was a discussion on whether CSHP should develop             2006-06: Support
                        • CSHP currently has policies, not positions or guidelines
2006-06: Off-Label Use                                                                educational materials for professional development in the
                        • CSHP policy 2010-04 states: “To adopt as CSHP policy all
of Medication                                                                         area of palliative care.                                          2006-07: Support
                        ASHP policy, Positions, Guidelines…”
                                                                                      Proposed adding a link to the ASHP clinical practice
                        • Should we submit a resolution to change existing policy to  guidelines on the web.
2006-07: Pharmaceutical revise to clarify adoption of guidelines / state- ments as an
Care                                                                                  Punctuation: two periods are missing.
                        endorsement vs a policy?
                                                                                        2006-06 1F: Amend language to state: “Encourages use of
                         Considering submitting a resolution to amend CSHP Policy 2010-
                                                                                        evidence-based… “
                         04

                         2006-07: Support.




                         Current wording: CSHP is a member-centric organization as
                         defined in the organization’s Mission, Vision and Values.
                         • Our current mission and vision doesn’t refer to us as a
                         “member centric organization”
Proposal D-Move                                                                          Recommended that we un-strike the
                         Support proposal in concept but will submit amendment for HOD                                                                  Support
Volunteers Policy                                                                        language “and supported” from the proposal.
                         consideration. Currently considering proposing amendment as:
                            “CSHP is a member centric organization. CSHP
                         promotes volunteerism in order to provide
                         opportunities for personal growth and advancing the profession”




                                                                                                 Page 3 of 14
                                                                                a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                                                 Region 1                                                          Region 2                                                        Region 3
                                     Golden Gate, North Coast, Quatra,                           Central Valley, Cal No State, Diablo, Pacific,                        Channel Islands, Golden Empire,
                                          Touro University, UCSF                                      Sac Valley, Shasta Buttes, Sierra                            San Fernando Valley, Southern California




                       See discussion within Proposal C.
                                                                                         We think it is may be duplicative with Proposal C
Proposal E-Hospice
                       Sent e-mail to Vicky Ferraresi to get explanation on purpose of 2 2006-04. Please send it back to Vicky for review and              Repetitive from Proposal C, 2006-4.
& Palliative Care
                       different proposals & give background.                            consolidation if necessary.




                       Title doesn’t reflect intent of proposal
                       • Appears restrictive, narrow, and maybe misleading
                       • Consider a re-title and move “CA Health Benefit Exchange” to
                       be used as an example.
                                                                                          We thought that the language from the target section better
                       Does ASHP have a policy on this? Yes, but it is more vague.        expressed the intent.
                       • ASHP Policy 0708: Pharmacy Pay for Performance
                       Reimbursement; Policy 0908 Pharmacist role in interstate           We recommend incorporating that language into the actual
                       pharmacy practice.                                                 proposal along the lines of:
Proposal F-CA Health   • ASHP Policy 1005: Medication therapy management.                    “CSHP supports and advocates for the compensation
                                                                                                                                                           In support of compensation for pharmacist services.
Benefit Exchg                                                                             of pharmacist-provided cognitive services, including MTM, in
                       Do we need this policy or can we submit a resolution to modify     the package of benefits provided by insurers in the California
                       CSHP has policy 2005-05 Reimbursement: Medicare and Medi-          Health Benefit Exchange”
                       Cal to include this?
                                                                                          Check ASHP policy for similar policy. Is this proposal even
                       What will be the status of this policy be if ObamaCare is not      necessary?
                       successful?

                       What is the purpose of this proposal? Is it meant to support MTM
                       in general or serve as a forum to support "California Health
                       Benefit Exchange".




                                                                                                  Page 4 of 14
                                                                                    a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                                                  Region 1                                                           Region 2                                                   Region 3
                                      Golden Gate, North Coast, Quatra,                            Central Valley, Cal No State, Diablo, Pacific,                   Channel Islands, Golden Empire,
                                           Touro University, UCSF                                       Sac Valley, Shasta Buttes, Sierra                       San Fernando Valley, Southern California




                       Last year at HOD, there was a proposal on “Assessing the Need
                       for Pharmacy Schools”
                                                                                            Remove the struck-out “a”.
                       • This current proposal was presented at 2nd HOD last year
                       (San Diego Chapter) and referred to committee
                                                                                            Note to Board: There is a need to address the concern that
                                                                                            there are too many pharmacy schools and whether there it is
                       The intent of this policy is not to limit pharmacy schools
                                                                                            prudent for CSHP to release a statement on this subject. This
                                                                                            topic prompted a lot of discussion.
                       Support concept and organizational relationship but how do we
                                                                                                                                                            Don’t we do this now?
Proposal G-Tailoring   implement or enforce this policy?
                                                                                            Dawn expressed her opinion that it is not our place to do this, What about CSHP members who are on faculty & Curriculum
Pharmacy
                                                                                            and the market will decide whether schools should open or       Review Committees?
Education              Considering proposed amendment (in bold):
                                                                                            close.
                       “The California Society of Health-System Pharmacists supports
                       collaborative relationships with Pharmacy Schools and proposed
                                                                                            The opposing view thought that since this is an issue that the
                       Pharmacy Schools that includes providing feedback on
                                                                                            membership is very vocal about, it might be good to at least
                       traditional, as well as emerging, roles of the pharmacist on
                                                                                            release a statement. The thought was that if there were
                       provisions of pharmaceutical care so that pharmacy students are
                                                                                            enough opposition from organizations to a new school, it
                       better prepared to meet the needs of the profession and the
                                                                                            might discourage its creation.
                       patients we serve.”




                                                                                                    Page 5 of 14
                                                                           a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                                             Region 1                                                        Region 2                                          Region 3
                                 Golden Gate, North Coast, Quatra,                         Central Valley, Cal No State, Diablo, Pacific,          Channel Islands, Golden Empire,
                                      Touro University, UCSF                                    Sac Valley, Shasta Buttes, Sierra              San Fernando Valley, Southern California



                   New vision is broader and talks about total health versus Old
                   vision that focused solely on medications

                   What was process used by Board to come up with these
                   statements?
                   • Lay person (non-pharmacy) was at that meeting and they
                   helped summarize
                   • Overall intent was to come up with something that general
                   public could understand – what is our organization about         The general consensus was that they liked it.
                   • Separated out goals of CSHP from the mission statement
Proposal H-New
                                                                                   Discussion was brought up about the fact that there is no
Mission & Vision
                   Should the statements mention that they support our members to mention of the word “pharmacist".
Statements
                   do the above mentioned items? Why is it only focused on public?
                                                                                   There were proponents on both sides of the issue.
                   Doesn’t mention pharmacy profession?

                   Considering proposing amendment (in bold):
                   MISSION: “ To provide leadership and support for the
                   profession of pharmacy’s role in promoting Wellness, Patient
                   Safety and Optimal Use of Medications”
                   VISION: “The Pharmacy Leader in Wellness, Patient Safety and
                   the Optimal Use of Medications”




Other Business




Other Business




                                                                                            Page 6 of 14
                                                     a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                             Region 1                                                Region 2                                       Region 3
                 Golden Gate, North Coast, Quatra,                 Central Valley, Cal No State, Diablo, Pacific,       Channel Islands, Golden Empire,
                      Touro University, UCSF                            Sac Valley, Shasta Buttes, Sierra           San Fernando Valley, Southern California


Other Business




Other Business




Other Business




Other Business




                                                                   Page 7 of 14
                                                     a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                              Region 4
             San Gabriel Valley, South Bay/Long Beach,                                      Region 5
                     Western University, USC


                                                                     Christine Antczak (SD), Victoria Serrano-Adams (SD), John
Nancy Reeve, Judith Nakao, Eunice Rhee, William                      Samimi (OC), David Pham (OC), Joy Jiang (UCSD), Michelle
Reeve, Steve Dohl, Ben Yu, Lisa Gunther Lum, Rich Levy, Nancy Lee,   Lew (UCSD), Michael Trillanes (Western U), Mark Nguyen
                                                                                                                               Attendance
Quan Ngo, Yi-hunh Eva Chung-Leuborg, Brian Kawahara, Kenn            (OC), Matthew Gutierrez (Loma Linda), Valentine
Horowitz, Nancy Korman                             14                Dekermendijan (Loma Linda), Christie Smith (Loma Linda),
                                                                     Susan Cho (UCSD)                  12




Discussion: Good idea, about time.

Technician Director – will be liaison to TDEC.

Is voting member of TDEC – discussion about being a voting member,                                                           Proposal A-TDEC
                                                                                              none
discussion about liaisons typically do not have a vote.                                                                      Executive Committee

Should the technician director be a voting member?

Consensus was YES.




                                                                     Page 8 of 14
                                                         a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                              Region 4
             San Gabriel Valley, South Bay/Long Beach,                                     Region 5
                     Western University, USC




Discussion: Initial reaction to proposal – No,

New practitioner members can run for office at regional chapter level.

Then after discussion – changed to YES,

A move to shared governance with students, technicians, and new                                       Proposal B-New
                                                                                             none
practitioners – an open organization moving forward, fostering                                        Practioners
governance.

Question: What is the source in the current bylaws for the “new” Article
XIII (New Practitioner Executive Committee: Section 1. Membership.
Section 2. Responsibilities, Section 3. Authority (Nancy K to check and
respond to delegates)




                                                                           Page 9 of 14
                                                           a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                             Region 4
            San Gabriel Valley, South Bay/Long Beach,                                                   Region 5
                      Western University, USC
2006-01: Typo in recommended wording: 1.d) should be 1.c)

2006-04: Current wording of precepts of palliative care SHOULD have
been included in the recommended wording – including the precepts
which were to be struck, created confusion about recommended
wording of the modification.

Should this policy have been deleted, rather than modify and reaffirm –
see Proposal E

If policy modified and reaffirm – need a period at the end of the first
sentence, ….for Quality Palliative Care #2006-

2006-06: What does: 1. b) Protects the pharmacist’s right of refusal of
                                                                                                                        Proposal C-5 year old
an off-label use of a medication ??? What is the context, concern that       Professional vs. administrative policies
                                                                                                                        Professional Policies
led to the development of this professional policy – background will be
helpful?
Is it akin to the right of the individual pharmacist to dispense e.g.
morning after pill, or is related to the use NOT being medically
appropriate, evidence based, or in patient’s best interest. Does it refer to
the individual pharmacist? To clarify – should it state: Protects the
individual pharmacist’s right of refusal …
Some said not necessary to add individual since refers to a pharmacist,
not a pharmacy department Does ASHP have a policy on off-label use?
is there ASHP policy on off-labeled use?There is the following: ASHP
Statement on the Use of Medications for Unlabeled Uses
www.ashp.org/DocLibrary/BestPractices/FormStUnlabeled.aspx

2006-07: Pharmaceutical Care: agree with delete




                                                                                                                        Proposal D-Move
OK – no questions or suggestions                                            none
                                                                                                                        Volunteers Policy




                                                                             Page 10 of 14
                                                           a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                               Region 4
              San Gabriel Valley, South Bay/Long Beach,                                                Region 5
                      Western University, USC

The STP title is To Adopt Professional Policy on Hospice and
Palliative Care while proposal states: Create new Professional Policy
(Why create versus adopt?)

Why duplicate policy with 2006-04? Modified 2006-04 and proposed
professional policy are similar – differences:
In modified 2006-04- ASHP statement on the Pharmacist’s Role in
Hospice and Palliative Care is referenced but not referenced in
                                                                                                                                        Proposal E-Hospice
proposed policy.                                                             Redundant from professional policy #2006-04?
                                                                                                                                        & Palliative Care
If modify and reaffirm 2006-04 (rather than delete 2006-04 and adopt E),
recommend delete the sentence: These guidelines are for all health care
professionals to help address the growing population of patients with
advanced illness.

Prefers wording in E, specifically, advocates for the active participation
of pharmacists …




Add a 2nd sentence to proposed policy: To advocate for inclusion
of Medication Therapy Management (MTM) compensated services by
pharmacists in the package of benefits provided by insurers in the           In case CSHP is approached regarding developing
                                                                                                                                        Proposal F-CA Health
California Health Benefit Exchange.                                          policies for MTM services, we have a professional policy
                                                                                                                                        Benefit Exchg
                                                                             that states our position.
The delegates felt that spelling out MTM was important for those
individuals unfamiliar with the term MTM.




                                                                             Page 11 of 14
                                                        a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                              Region 4
             San Gabriel Valley, South Bay/Long Beach,                                               Region 5
                     Western University, USC

Is there a “new ASHP” policy on this issue? Per Nancy Korman, there is
the following: ASHP Policy1108: Quality of Pharmacy Education and
Expansion of Colleges of Pharmacy
www.ashp.org/DocLibrary/BestPractices/EducationPositions.aspx

Would schools be interested in CSHP input?
Possible actions if adopt professional policy on “assisting pharmacy
schools on tailoring pharmacy education”: We NEED a PLAN/ Action
once policy approved

Should include in discussion about tailoring pharmacy school education
– the Board of Pharmacy

How engage schools and deans?
• Utilize current channel of California Pharmacy Council                                                                           Proposal G-Tailoring
                                                                           Discussion on whether the intent was to be vague or
• Create faculty-CSHP liaison – select/request faculty member who                                                                  Pharmacy
                                                                           specific regarding examples of emerging roles/topics.
serves on school’s curriculum committee                                                                                            Education
• Create Deans forum at Seminar
• At Seminar, suggest report by each school to House of Delegates,
highlighting how address needs of the graduating pharmacist in their
curriculum

CSHP needs to move STAT once policy adopted to support
collaborative relationship

Wording of policy should include health system practice needs.

Expect a Recommendation at HOD to develop professional policy:
Supporting collaborative relationships with pharmacy technician training
programs in California




                                                                           Page 12 of 14
                                                         a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                              Region 4
             San Gabriel Valley, South Bay/Long Beach,                                                 Region 5
                     Western University, USC




Consensus: These 2 statements are identical, Vision and Mission
Instead of Medication Safety – as pharmacists in organizations – “we”
are responsible for medication safety, not all aspects of patient safety.
Why not state Medication Safety?
What about Consumer Safety?
Use of Medications, and Medication Safety – should be stated – broken
out – separate and equally important concepts
                                                                            Discussion on reasons behind making the statements much
Suggested Rewording of Vision Statement:                                    more concise.
The Leader in Wellness and the Optimal and Safe Use of Medications
                                                                                                                                             Proposal H-New
The Leader in Promoting Wellness, Patient Safety, and Optimal Use of        Thoughts regarding “disease management” versus
                                                                                                                                             Mission & Vision
Medications                                                                 “wellness”.
                                                                                                                                             Statements
Helping Patients Improve their Health Status through Optimal Use of
Medications                                                                 Correcting “the” prior to “optimal use of medications” to keep
                                                                            the two statements the same.
Vision statement – use Patient Safety
Mission statement – use Medication Safety

Suggested Rewording of Mission Statement:
Leaders in assuring the safety and wellness of patients when using
medications




                                                                            Orange County Chapter--New Recommendation: issues
                                                                            with the increasing number of schools of pharmacy opening
                                                                                                                                            Other Business
                                                                            in California – should not be based on quantity, but on quality
                                                                            of the pharmacy education and training.




                                                                            UCSD Student Chapter-CSHP position on
                                                                            interdisciplinary education, e.g., student pharmacists and
                                                                            medical students? Need to come up with an outcome
                                                                            measure. Gives us a                                        Other Business
                                                                             professional venue for expansion because many times other
                                                                            practitioners are not aware of what our roles are. Need to
                                                                            promote ourselves in the field of hospital pharmacy




                                                                            Page 13 of 14
                                      a41c586b-d435-4c9e-bc28-4c521752e0b8.xls


                 Region 4
San Gabriel Valley, South Bay/Long Beach,                                    Region 5
        Western University, USC

                                                   Orange County Chapter-CA Board of Pharmacy not
                                                   scrutinizing pharmacy intern hours. Need for a balance        Other Business
                                                   between school hours and intern hours.



                                                   Orange County Chapter-Lack of patient counseling for
                                                   prescriptions at a community pharmacy. Law exists that all
                                                   new prescriptions must be given counseling. Sign-off sheet
                                                   should be available for patients who reject counseling but
                                                   should not be marketed as “signing off” to pick up the        Other Business
                                                   prescription. Some prescriptions should be a mandatory
                                                   consultation?
                                                   Work with other associations. For more services, there is a
                                                   need for FTE; need to hire pharmacists to do the work.



                                                   Orange County Chapter- PPMI – pharmacy practice model
                                                                                                                 Other Business
                                                   initiative. Will get an update at Seminar.



                                                   Loma Linda/UCSD Student Chapters--Discharge
                                                   counseling. Disease state-specific; disease management        Other Business
                                                   counseling. Need for a law in order to push for FTE.




                                                    Page 14 of 14

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:3/3/2012
language:
pages:14