Proceedings of the 67Th Annual Session of the ASHP House Of
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House of Delegates Session—2015 June 7 and 9, 2015 Denver, Colorado Proceedings of the 67th annual session of the ASHP House of Delegates, June 7 and 9, 2015 Proceedings of the 67th annual session of the ASHP House of Delegates, June 7 and 9, 2015 PAUL W. ABRAMOWITZ, SECRETARY The 67th annual session of the ASHP House of Delegates was James A. Trovato, Pharm.D., M.B.A., BCOP, FASHP, Associ- held at the Colorado Convention Center, in Denver, Colorado, ate Professor, University of Maryland School of Pharmacy, in conjunction with the 2015 Summer Meetings. Baltimore, MD First meeting Chair, House of Delegates 2015–2018 Amber J. Lucas, Pharm.D., BCPS, FASHP, Clinical Pharmacist, The first meeting was convened at 1:00 p.m. Sunday, June 7, Olathe Medical Center, Olathe, KS by Chair of the House of Delegates James A. Trovato. Chair Trovato introduced the persons seated at the head table: Gerald Natasha Nicol, Pharm.D., FASHP, Director of Global Patient E. Meyer, Immediate Past President of ASHP and Vice Chair Safety Affairs, Cardinal Health, Pawleys Island, SC of the House of Delegates; Christene M. Jolowsky, President of ASHP and Chair of the Board of Directors; Paul W. Abramowitz, Board of Directors, 2016–2019 Chief Executive Officer of ASHP and Secretary of the House of Debra L. Cowan, Pharm.D., FASHP, Director of Pharmacy, Delegates; and Susan Eads Role, Parliamentarian. Angel Medical Center, Franklin, NC Todd A. Karpinski, Pharm.D., M.S., FASHP, Chief Phar- Chair Trovato welcomed the delegates and described the macy Officer, Froedtert and the Medical College of Wisconsin, purposes and functions of the House. He emphasized that the Menomonee Falls, WI House has considerable responsibility for establishing policy Seena L. Haines, Pharm.D., BCACP, FASHP, BC-ADM, CDE, related to ASHP professional pursuits and pharmacy practice FAPhA, Professor of Pharmacy Practice, Associate Dean, Palm in hospitals and health systems. He reviewed the general pro- Beach Atlantic University, Gregory School of Pharmacy, West cedures and processes of the House of Delegates. Palm Beach, FL Jennifer M. Schultz, Pharm.D., FASHP, Clinical Pharmacy The roll of official delegates was called. A quorum was present, Supervisor and Residency Program Director, Bozeman including 196 delegates representing 49 states and the District Deaconess Health Services, Bozeman, MT of Columbia (no delegates from Hawaii or Puerto Rico were present), as well as the federal services, chairs of ASHP sections A “Meet the Candidates” session to be held on Monday, June 8, and forums, ASHP officers, members of the Board of Direc- was announced. Chair Trovato announced the candidates for tors, and ASHP past presidents (see Appendix I for a complete the executive committees of the five sections of ASHP. roster of delegates). Policy committee reports. Chair Trovato outlined the process Chair Trovato reminded delegates that the report of the 66th used to generate policy committee reports (Appendix IV). He annual session of the ASHP House of Delegates had been announced that the recommended policies from each council published on the ASHP Web site and had been distributed to would be introduced as a block. He further advised the House all delegates. Delegates had been advised earlier to review this that any delegate could raise questions and discussion without report. The proceedings of the 66th House of Delegates session having to “divide the question” and that a motion to divide the were received without objection. question is necessary only when a delegate desires to amend a specific proposal or to take an action on one proposal separate Report of the Committee on Resolutions. President Jolowsky from the rest of the report; requests to divide the question are presented the Report of the Committee on Resolutions granted automatically unless another delegate objects. Chair (Appendix II). Debate and action on the Report took place at Trovato reminded delegates that policies not separated by divid- the second meeting of the House. ing the question would be voted on en bloc before the House considered the separated items. Report of the Committee on Nominations. Chair Trovato called on Robert Adamson for the report of the Committee Chair Trovato also announced that delegates could suggest on Nominations (Appendix III).a Nominees were presented minor wording changes (without introducing a formal amend- as follows: ment) that did not affect the substance of a policy proposal, and that the Board of Directors would consider these sugges- President 2016–2017 tions and report its decisions on them at the second meeting Lisa M. Gersema, Pharm.D., M.H.A., BCPS, FASHP, Director of the House. of Pharmacy, United Hospital, St. Paul, MN 1 (Note: The following reports on House action on policy com- oughly inspected and tested to establish that they have not been mittee recommendations give the language adopted at the first adulterated or misbranded and (2) patients will not receive meeting of the House. The titles of policies amended by the improperly labeled and packaged, deteriorated, outdated, House are preceded by an asterisk [*]. Amendments are noted counterfeit, adulterated, or unapproved drug products; further, as follows: italic type indicates material added; strikethrough marks indicate material deleted. If no amendments are noted, To encourage FDA and relevant state authorities to develop and the policy as proposed was adopted by the House. For purposes implement regulations to (1) restrict or prohibit licensed drug of this report, no distinction has been made between formal distributors (drug wholesalers, repackagers, and manufacturers) amendments and wording suggestions made by delegates. from purchasing legend drugs from unlicensed entities and (2) ensure accurate documentation at any point in the distribu- The ASHP Bylaws [Section 7.3.1.1] require the Board of Direc- tion chain of the original source of drug products and chain tors to reconsider an amended policy before it becomes final. of custody from the manufacturer to the pharmacy; further, The Board reported the results of its “due consideration” of amended policies during the second meeting of the House; see To advocate for the establishment of meaningful penalties for that section of these Proceedings for the final disposition of companies that violate current good manufacturing practices amended policies.) (cGMPs) intended to ensure the quality, identity, strength, and ___________________ purity of their marketed drug product(s) and raw materials; further, Kathleen S. Pawlicki, Board Liaison to the Council on Public Policy, presented the Council’s Policy Recommendations 1 To advocate for improved transparency so that drug product through 9. labeling include a readily available means to retrieve the name and location of the facility that manufactured the specific lot *1. Pharmacist Participation in Health Policy Development of the product; further, To urge advocate that pharmacists to participate with policy- makers and stakeholders in the development of medication To advocate that this readily retrievable manufacturing infor- health-related health policies at the national, state, and com- mation be available prospectively to aid purchasers in determin- munity levels; further, ing the quality of a drug product and its raw materials; further, To develop tools and resources to assist pharmacists in fully To urge Congress and state legislatures to provide adequate participating in health policy development at all levels. funding, or authority to impose user fees, to accomplish these objectives. *2. Pharmacist Recognition as a Healthcare Provider To advocate for changes in federal (e.g., Social Security Act), (Note: This policy would supersede ASHP policy 0907.) state, and third-party payment programs to define pharmacists as healthcare providers; further, 4. Patient Adherence Programs as Part of Health Insurance Coverage To affirm that pharmacists, as medication-use experts, provide To advocate for the pharmacist’s role in patient medication safe, accessible, high-quality care that is cost effective, resulting adherence programs that are part of health insurance plans; in improved patient outcomes; further, further, To recognize that pharmacists, as healthcare providers, improve To advocate those programs that (1) maintain the direct patient access to patient care and bridge existing gaps in healthcare; pharmacist relationship; (2) are based on the pharmacist’s further, knowledge of the patient’s medical history, indication for the prescribed medication, and expected therapeutic outcome; (3) To collaborate with key stakeholders to describe the covered use a communication method desired by the patient; (4) are direct patient-care services provided by pharmacists; further, consistent with federal and state regulations for patient confi- dentiality; and (5) permit dispensing of partial fills or overfills To advocate for sustainable compensation and standardized of prescription medications in order to synchronize medication billing processes used by payers for pharmacist services by any refills and aid in medication adherence. all available payment programs. (Note: This policy would supersede ASHP policy 0116.) (Note: This policy would supersede ASHP policy 1307.) *5. Statutory Protection for Medication-Error Reporting *3. Pharmaceutical Product and Supply Chain Integrity To collaborate with other healthcare providers, professions, and To encourage the Food and Drug Administration (FDA) and stakeholders to advocate and support state