American Pharmacists Association s2

American Pharmacists Association Academy of Student Pharmacists

Generation Rx Reporting Guidelines

Reporting Cycle:

January 1, 2016 through May 31, 2017

Reports must be submitted to APhA via each Chapter’s Dropbox Folder by 11:59pm (PST) on June 15, 2017

Generation Rx APhA-ASP Reporting Guidelines – Updated May 1, 2017 – Page 1 of 11 APhA Academy of Student Pharmacists Patient Care Programs Generation Rx

C H A P T E R R E C O G N I T I O N

The APhA Academy of Student Pharmacists (APhA-ASP) will recognize each chapter that implements a Generation Rx program in their community. Events may be conducted at any time throughout the reporting cycle (January 1, 2016 – May 31, 2017). Chapters must use the following reporting guidelines to submit their results, and may choose to be recognized in one of two ways:

1. Recognition of Participation: APhA-ASP Chapters who participated in the Generation Rx campaign, and would like to receive recognition of participation only should complete the brief, online executive summary. See Section IV for details on completing.

2. Awards Eligible and Recognition of Participation: APhA-ASP Chapter who wish to be recognized for participating and be considered for Regional and National award eligibility should complete the full report in addition to the online executive summary. See the information below to complete the report.

R E P O R T I N G G U I D E L I N E S

These guidelines outline how your chapter should write its report on the project(s) that were implemented as part of the Generation Rx program. Your chapter should also include photographs, videos, and examples of unique supporting materials from your projects and events. The Generation Rx Awards Selection Committee will review the report and may ask for supporting documentation or further clarification to aid in its decision.

Please complete and submit the following sections of the APhA-ASP Generation Rx Reporting Guidelines that outline your Chapter’s activities from January 1, 2016 to May 31, 2017:

• Section I: Chapter Contact Information • Section II: Essay • Section III: Chronological List • Section IV: Executive Summary (To be completed via Formsite) • Section V: Report Submission Confirmation and Advisor Signature Form (Appendix F)

*Please note that the reports for all APhA-ASP National Patient Care Projects are separate from the “patient care” section of the Chapter Achievement Awards Report (CAA), and the award selection processes are independent. For information on the CAA, visit http://www.pharmacist.com/apha-asp-awards-scholarships.

C R I T E R I A F O R A W A R D S E L E C T I O N

Collaboration (20 points): What is the extent of collaboration with other organizations? (e.g. state and local pharmacy organizations, local health departments, community pharmacies, law enforcement, school districts, senior citizens groups, community organizations, local addiction/mental health groups, student health organizations, etc.)

Participation (20 points): How many student pharmacists, college of pharmacy faculty and staff, and additional pharmacists were involved in planning or implementation?

Generation Rx APhA-ASP Reporting Guidelines – Updated May 1, 2017 – Page 2 of 11 Originality (25 points): How creative, innovative, and original were projects and programs related to Generation Rx?

Outcome (35 points): What effect did the project have in your community? How many people were surveyed, educated, or affected through this project?

N A T U R E O F T H E A W A R D S

The APhA-ASP Generation Rx Awards Selection Committee may consist of the following individuals:

 APhA-ASP Member Engagement Standing Committee  APhA-ASP National Executive Committee  APhA Institute on Alcoholism & Drug Dependencies Leaders  APhA New Practitioner Network Representative  APhA Student Development Staff Member  Cardinal Health Foundation Representatives

The following recognition will be given:

Generation Rx Award Recognition Program 8 winning chapters will be recognized during the APhA-ASP Midyear Regional Meetings and the 3 winning chapters will be recognized during APhA Annual Meeting & Exposition at the APhA-ASP Opening General Session. All winning chapters will be recognized in Student Pharmacist magazine and will receive the following monetary award:

o Generation Rx National Award - $1,000 o Generation Rx 1st Runner-Up Award - $750 o Generation Rx 2nd Runner-Up Award - $500 o Generation Rx Region 1 Award - $250 o Generation Rx Region 2 Award - $250 o Generation Rx Region 3 Award - $250 o Generation Rx Region 4 Award - $250 o Generation Rx Region 5 Award - $250 o Generation Rx Region 6 Award - $250 o Generation Rx Region 7 Award - $250 o Generation Rx Region 8 Award - $250

APhA Institute on Alcoholism & Drug Dependencies (or alternative meeting)  Opportunity for 2 students from each of the 1st, 2nd, and 3rd place chapters to attend the APhA Institute on Alcoholism & Drug Dependencies (June 2018).  Meeting travel, housing, registration, and incidentals included within prize.  Chapter representatives would present a poster on their project, as well as conduct a PowerPoint presentation/workshop.

Generation Rx APhA-ASP Reporting Guidelines – Updated May 1, 2017 – Page 3 of 11 Student Pharmacist Magazine  Generation Rx section of July/August issue will include a report from the 1st, 2nd, and 3rd place chapter projects.

All decisions made by the Generation Rx Awards Selection Committee are final.

E N T R Y R E Q U I R E M E N T S

Report Submission  Reports must be submitted by 11:59pm PST on June 15.  The online executive summary must be completed.  Reports, forms, photographs, supporting materials, and videos will only be accepted electronically via each Chapter’s Dropbox folder. (See instructions below.)  Send an email to [email protected] with the Report Submission and Advisor Signature (Section V) page attached to notify APhA Staff that the report has been submitted.

Formatting & Style  Reports may only be submitted as a PDF.  Reports should be double-spaced using a 10-point, Arial font, with 1” margins (left and right).  The header of each page of your report must contain your Chapter’s Name.  The end of the report essay must contain word count.  The footer of each page must contain Page X of Y.  Files must be labeled as “Chapter Name Generation Rx Report.pdf”.

S U P P O R T I N G M A T E R I A L S

Photographs

 Photographs must be submitted electronically through the Chapter’s Dropbox folder and must be labeled “Chapter Name GRx Pic #.jpg” (i.e. “U Arizona GRx Pic 1.jpg” or “SDSU GRx 2.jpg”).  Photographs should be submitted separately of the text document of the report.  Once photographs have been submitted electronically to APhA, the Association reserves the right to use these photographs in APhA publications, marketing materials, and during APhA meetings.  Up to 10 photographs may be submitted.

Supporting Materials

 Additional supporting materials may be included to illustrate the activities described in your essay. o Any submitted items should be documents/materials originally created or developed by the chapter.  All supporting materials must be scanned and submitted electronically to the Dropbox folder as a PDF. Files must be labeled “Chapter Name GRx SM #.pdf” (i.e. “U Arizona GRx SM 1.pdf” or “SDSU GRx SM 4.pdf”).  Up to 10 supporting materials may be submitted.

Generation Rx APhA-ASP Reporting Guidelines – Updated May 1, 2017 – Page 4 of 11 Videos

 Due to the large size of video files, only the URL, title, and 35-word synopsis of the video on the official APhA-ASP Video Submission Form (Appendix L of the CAA Report Guidelines) will be accepted.  APhA Student Development Staff may request the original file.  Once videos have been submitted electronically to APhA, the Association reserves the right to use or link these videos in APhA resources, marketing, and during APhA meetings. Only one copy of this form should be submitted per chapter.  Up to 2 videos may be submitted.

C H A P T E R D R O P B O X F O L D E R S

In an effort to improve file transmission, security, and ease of uploading reports, APhA-ASP will only accept reports, forms, photographs, supporting materials, and videos via each Chapter’s Dropbox Folder. Dropbox is a Web-based file hosting service that uses networked storage to enable users to store and share files and folders with others across the Internet using file synchronization.

1. During the 2012 reporting cycle, each Chapter President and Chapter Advisor received an email invitation from the [email protected] account to join a Dropbox Folder with the Chapter’s Name (example: University of Arkansas for Medical Sciences – Chapter Reports).

2. Each Chapter President and/or Chapter Advisor is responsible for ensuring the appropriate chapter leaders have access to the Dropbox account. To share the folder with current leaders, the Chapter President and/or Chapter Advisor would need to:

 Send an email invitation to the appropriate Chapter Co‐Advisor, and/or Chapter Student Leader who would be placed in charge of the Chapter Folder; and/or  Share the Chapter Folder with the necessary Chapter Executive Committee Members and Chapter Patient Care Project Chairs.

3. Each Chapter is responsible for all of the files, forms, photographs, and supporting materials uploaded to the Dropbox folder. Please use this as a method to transmit your files to APhA only, and not as your folder to store all of the original files. Once the files have been processed by APhA Staff, all files will be moved from the Dropbox Folder to APhA’s server. Therefore, please keep a copy of your original files stored elsewhere.

4. Create the following folders (if applicable) for the Chapter Achievement Awards and Patient Care Projects in the main folder (please see the following screen shot for further information):  Chapter Achievement Awards  Generation Rx  Operation Diabetes  Operation Heart  Operation Immunization  OTC Medicine Safety

5. Please note that there should only be two files in the main folder: Award Submission Confirmation Form (Appendix F) and the Video Submission Form (Appendix E). All other files should be listed in their respective folders.

Generation Rx APhA-ASP Reporting Guidelines – Updated May 1, 2017 – Page 5 of 11 6. Once completed, a copy of the completed Award Submission Confirmation Form (Appendix F) should be sent via email to [email protected], with the subject line “Chapter Name - CAR and PCP Reports”, notifying the APhA-ASP Awards Standing Committee and APhA Staff that you have uploaded your report(s), forms, photographs, and supporting materials to your Chapter’s Dropbox folder. The deadline for submitting this form via email is June 15.

7. Do not create sub-folders within the Chapter Achievement Report or Patient Care Project Folders. The APhA-ASP Awards Standing Committee and APhA Student Development Staff have found that multiple folders (while it may assist you with organizing the file) leads to reports, forms, photographs, and supporting materials either not being submitted, missed, or not copied over to APhA’s server correctly.

8. If you need assistance, have questions, or need more information, please contact APhA Student Development staff, by phone (800) 237-APhA ext. 7543, or via email at [email protected].

9. As a reminder, all reports must be received via the Chapter’s Dropbox Folder by 11:59pm (PST) on June 15. Dropbox provides a time/date stamp on each file. Files with a time/date stamp after the deadline will not be accepted.

S E C T I O N I : C O N T A C T I N F O R M A T I O N

Generation Rx Student Coordinator: ______

Generation Rx Student Coordinator E-Mail Address: ______

By signing this agreement, I attest that the following hold true to the best of my knowledge:

 I understand the laws of my state and am confident that participation in Generation Rx is within the guidelines of the law and has not violated any laws of my state (if applicable).

 I have ensured that all students participating in Generation Rx are properly trained with the knowledge of prescription drug abuse and misuse required for community outreach and education.

 I have followed the guidelines of Generation Rx and will submit all necessary documentation when needed. I understand that data submitted may be included for publication in aggregate with data collected from other APhA-ASP Chapters’ projects as well.

 I hereby state that the following materials are the work of our Chapter’s members and the activities represented in this report are an accurate portrayal of the work our Chapter has completed.

Signature of Student Coordinator: Date:

DEADLINE: Entries must be submitted electronically via the Dropbox folder no later than 11:59pm PST June 15.

S E C T I O N I I : E S S A Y

Please describe the planning, implementation, and outcomes of your chapter’s Generation Rx activities, specifically highlighting the significance of your accomplishments and how they affected your chapter members, community, and/or the profession of pharmacy. Please do not list dates of events, activities, and programming, as this is already addressed by the chronological list.

Information provided in the essay may include, but is not limited to:

 Planning o Committee structure indicating chair, vice chair o Chapter member recruitment and participant training o Budget and fundraising to support events o Details of Generation Rx planning sessions o Your Chapter’s Goals and Objectives for Generation Rx

 Implementation o Promotion of the activities, including media coverage and materials unique to your Generation Rx program o Education and information provided to the public (e.g. teens, parents, educators, local community groups, elementary school children, etc.) o Collaboration with the community and other professional health care organizations for your Generation Rx program o How your activities met the goals and objectives of Generation Rx o Innovative or unique aspects of your Generation Rx program o Explanation of your project sites and settings

 Outcomes o Describe the impact your Generation Rx program had on student pharmacists, the profession of pharmacy, and most importantly the public you served o Describe how your chapter achieved its goals and any possible improvements that could be made for next year

Report Essays may not exceed 3000 words. If your essay exceeds 3000 words, only the first 3000 will be submitted to the Awards Selection Committee.

 A final word count is required at the end of the report essay.

 The footer of each page must contain Page X of Y.

 Files must be labeled as “Chapter Name Generation Rx Report.doc or .pdf”.

S E C T I O N I I I : C H R O N O L O G I C A L L I S T

Please include a chronological list of all Generation Rx activities that occurred during the January 1, 2016 – May 31, 2017 reporting cycle. The list should not be lengthy, but a brief record of all chapter projects, community programs, meetings, and activities related to Generation Rx. Activities may include, but are not limited to, health fairs, community centers, school districts, education programs, chapter meetings, committee meetings, executive committee meetings, legislative or policy events, community service projects, professionalism programming, American Pharmacists Month programming, social events, etc.

There is no word limit (except for the brief synopsis – less than 50 words) or page limit for the Chronological List. The following template must be used for the Chronological List:

 Presentation/Activity/Event/Meeting/Project(s):  Date(s):  Location(s):  Target Audience:  Type of Media/Promotional Materials:  Faculty and Staff Present:  Additional Pharmacists (non-faculty) Present:  Chapter Members Present:  Adults Attended Presentation(s)/Event(s): o Adults Reached Through Education/Presentation(s):  Teens Attended Presentation(s)/Event(s): o Teens Reached Through Education/Presentation(s):  Children Attended Presentation(s)/Event(s): o Children Reached Through Education/Presentation(s):  College Students Attended Presentation(s)/Event(s): o College Students Reached Through Education/Presentation(s):  Individuals Reached Through Public Relations: (TV, Newspaper, Radio, Social Media, etc.)  Event Held in Collaboration with:  Event Type: Indicate whether the event is a new program or continuation of a previous initiative  Estimate of the Total Number of Hours for Project Planning:  Total Number of Hours of Event: Indicate the duration of the event (cumulative for multiple dates)  Synopsis (less than 50 words for each activity listed):

Please see APhA-ASP Chapter Achievement Awards guidelines (Appendix A) for additional information/examples on creating the chronological list. The guidelines provide examples of how to list an individual event, month long program, and reoccurring events. The guidelines can be found online in the APhA-ASP Awards & Scholarships section of www.pharmacist.com/apha-asp.

S E C T I O N I V : E X E C U T I V E S U M M A R Y

Please complete the online questionnaire at https://fs8.formsite.com/APhA-ASP/GenerationRx/index.html to provide answers to the questions listed below (this page is only for reference). All questions relate to the data within your Chapter’s Chronological List.

The online questionnaire must be completed/submitted by 11:59pm (PST) on June 15. You will receive an email confirmation with your submitted results.

Executive Summary Questions:

 Total number of Generation Rx presentations conducted.  Total number of non-presentations (activities/events/projects) conducted.  Total number of medication take-back events conducted.  Total number of hours spent planning events/projects.  Total number of hours spent conducting events/projects.  Total number of individuals reached through education. o Total number of adults educated. o Total number of teens educated. o Total number of children educated. o Total number of college students educated.  Total number of individuals that attended presentation(s)/event(s).  Total number of individuals reached through public relations initiatives. o Total number of television media impressions o Total number of radio media impressions o Total number of social/web media impressions o Total number of print media impressions o Total number of billboard impressions o Total number of other media impressions.  Total number of APhA-ASP chapter members involved in all activities/events.  Total number student pharmacists (non-member) involved in all activities/events.  Total number of faculty and staff involved in all projects.  Total number of pharmacists (non-faculty) involved in all projects.  Did your chapter receive any monetary awards, grants, or donations that helped your chapter conduct Generation Rx programming throughout the reporting cycle? o If yes, please disclose the name of the organization/individual, the amount (if >$1,000), and a brief description of why the award, grant, or donation was made to the school/chapter?  Describe the most innovative educational event or component of your Generation Rx campaign.  Share one example of how participation in Generation Rx had an impact on prescribers or other members of the health care team.  Share one example of an interaction that an APhA-ASP member experienced with a patient or participant during a Generation Rx medication take-bake or drug disposal event, and describe how that community member benefited from Generation Rx.  Share one example of an interaction that an APhA-ASP member experienced with a patient or participant during a Generation Rx educational event, and describe how that community member benefited from Generation Rx.

S E C T I O N V : R E P O R T S U B M I S S I O N A N D A D V I S O R S I G N A T U R E

Please refer to Appendix F of the Chapter Achievement Report Submission Guidelines for complete information on the required submission confirmation form. Only one submission form per chapter should be submitted. The guidelines can be found online in the Awards and Scholarships section of pharmacist.com.

Generation Rx APhA-ASP Reporting Guidelines – Updated May 1, 2017 – Page 11 of 11