Winter 2017 Inside this Issue

Register Now for Pharmacy Legislative Day! Page 11

Has Obamacare Been Trumped? Page 8

Postpartum Depression and Medications Page 16 Winter 2017 INSIDE Volume 71, Number 1 UPFRONT VIEWS AND NEWS

President’s Desk ...... 4

Message from the Interim Executive Director ...... 5

NATIONAL NEWS

Has Obamacare Been Trumped?...... 8

Help Keep Pro-Pharmacy Provisions of ACA...... 17

CLINICAL ISSUES

Postpartum Depression and Medications...... 16

MPhA NEWS

MPhA Pharmacy Advocacy Fund...... 7 On the Cover Register Today for Minnesota Pharmacy Legislative Day 2017...... 11 The newly renovated State Member Spotlight: Heather Leigh Bibeau...... 13 Capitol will make this year’s

Midwest Pharmacy Expo...... 15 Minnesota Pharmacy Legislative Day a special one! Register Today for APhA’s Delivering MTM Services...... 20 Join us there! MPhA News & Notes...... 21

Get Smart about Your Student Loan Repayment Options: Find us on Facebook... New MPhA Member Benefit ...... 35 Minnesota Pharmacists Association Technicians: Get a Discount on Power-Pak Continuing Education...... 35 You’ll find quick updates about what is MINNESOTA NEWS happening at MPhA and more photos Looking Forward to the 2017 Legislative Session...... 6 from our events! Message from the Dean ...... 18 ...or Follow us on Twitter Minnesota Hospitals Are on Par with, or Better than, National Averages. . . . . 19

Changes in the Pharmacist and Technician Workforce in Licensed Minnesota You can find us at Pharmacies between 2006 and 2016...... 22 www.twitter.com/minnpharmassoc

MPhA RESOURCE GUIDE

MPhA Resource Guide...... 29 Network on LinkedIn

You can find us at www.linkedin.com/groups/ MPhA-Minnesota-Pharmacists- Association-4268388 MPhA Board of Directors Upcoming Events President: Molly Ekstrand Past President: Jeff Lindoo Pharmacy Legislative Day APhA’s Pharmacy-Based President-Elect: Michelle Aytay February 15, 2017 Immunization Delivery Certificate Secretary-Treasurer: Doug Lobdell Best Western Plus Capitol Ridge, Training Program Speaker: Kati Dvorak St. Paul April 30, 2017 Rural Board Members: Registration is now open! See pages 11-12 Ewald Conference Center Reid Smith for more details Registration is open until April 23, 2017 Michelle Johnson Metro Board Members: Allyson Schlichte Midwest Pharmacy Expo APhA’s Delivering Medication Ann Byre February 17-19, 2017 Therapy Mgmt. Services – Twin At-Large Board Members: Holiday Inn Des Moines-Airport & Cities Sarah Anderson Conference Center, Des Moines, IA May 4, 2017 Amanda Brummel See page 15 for more information! Ewald Conference Center Ben Aronson Registration is open until April 1, 2017 Heather Bibeau MPhA Virtual Coffee Break: Jessica Lind Specialty Medications and Student Representation Emerging Biosimilars Duluth MPSA Liaison: Kate Elwell March 15, 2017 Minneapolis MPSA Liaison: Ryan Chaffee Online Webinar Ex-Officio Registration is now open! Vice Speaker: Tony Olson, Burnsville College of Pharmacy Representative: Bruce Benson, Minneapolis The Minnesota Pharmacists Pharmacy Technician Representative: Cheryl Hetland, Andover Foundation collaborates with and invests in the profession Minnesota Pharmacist of pharmacy for the Official publication of theMinnesota Pharmacists Association. MPhA is an affiliate of the American Pharmacists enrichment of public health. Association, the American Society of Consultant Pharmacists, the Academy of Managed Care Pharmacy, and the National Community Pharmacists Association. VISIT MNPHARMACISTS. ORG FOR MORE Editor: INFORMATION. Laurie Pumper, CAE Managing Editor, Design & Production: Jillian Blanc

The Minnesota Pharmacist journal is published quarterly by the Minnesota Pharmacists Association, 1000 Westgate Drive, Suite 252, St. Paul, MN 55114-1469. Phone: 651-697-1771 or MPhA Mission: 1-800-451-8349, 651-290-2266 fax, [email protected]. Serving Minnesota Pharmacists Send address changes to Minnesota Pharmacist, 1000 to advance patient care. Westgate Drive, Suite 252, St. Paul, MN 55114-1469. The Minnesota Pharmacists Association is a state professional ARTICLE SUBMISSION/ADVERTISING: For writer’s guidelines, article submission, or advertising association, whose membership is made up of pharmacists, opportunities, contact Laurie Pumper at the above address or email [email protected]. pharmacist students, pharmacy technicians, and those with a

Copyright 2016-2017. Bylined articles express the opinion of business interest in pharmacy. MPhA will be the place where the contributors and do not necessarily reflect the position of the Minnesota Pharmacists Association. Articles printed in pharmacists go first for education, information and resources this publication may not be reproduced in any manner, either in whole or in part, without specific written permission of to become empowered to provide optimal patient care. MPhA the publisher. Acceptance of advertisement does not indicate will be the recognized and respected voice of pharmacy with endorsement. legislators, regulators, payors, media and the public.

Minnesota Pharmacist • Winter 2017 • 3 UPFRONT VIEWS AND NEWS

President’s Desk A Message from the MPhA President By Molly Ekstrand

Developing Your Shameless Self- The next step is developing our skills to shamelessly promote what we do. Admittedly, we are not taught how to Promotion Skills sell and market what we do. For me, perhaps this passion Last week, I was doing an interview with a woman from comes from a family background in marketing. Anyone a health care policy think tank. I was talking about the who enjoys TED talks will appreciate Simon Sinek’s 2009 role of pharmacists in our organization and our advanced talk, “How great leaders inspire action.” He shares the payment models. I was sharing the history of why and how secret of how to effectively sell and market. Basically, it’s we built our program; how we, as pharmacists, fit into the not what you do, it’s why you do it. Why do we do what we health care team; how we identify and do outreach to the do? How can you articulate that in a passionate way to a right patients to receive our clinical pharmacists services. non-pharmacy audience? I talked about the financial models and potential obstacles Another of my goals this year was to partner with to wider adoption of clinical pharmacists’ services. In our members to produce a couple of external-facing follow-up, I sent the woman some information that I publications, or even press releases. There are many referred to in our call — some of our data and metrics. She health care related professional and public newsletters. said, “In all the interviews I have done studying innovative This does not mean producing a manuscript for a peer successes in advanced payment models, I am impressed reviewed journal. There are real opportunities to highlight with the way that you were able to passionately articulate your practice. How have you partnered with health care what you do and why you do it.” Her email reply got me colleagues, improved quality of care, eliminated a public thinking. health risk? We are doing great work on medication-related Now, I think our program is great and I’m very proud of policy at MPhA. We need to get this information out! If what we’re doing. There is no doubt that I am passionate you’re interested in shamelessly self-promoting our work about what we do at Park Nicollet and HealthPartners. at MPhA or your own practice, please reach out to let us But I also know that many of you are doing equally know. And thanks in advance to all of you for shamelessly great things. How are you getting the word out? How self-promoting our profession in a variety of ways. are you shamelessly self-promoting your programs? There are countless opportunities to share our stories at professional conferences, community groups and public forums. For many of these, all they cost is time. I know we have amazing members who are doing radio shows, writing newspaper columns, presenting at conferences. I commend you! But, we can’t be dependent on our colleagues, our colleges of pharmacy, or our professional organizations. We must each own our public relations campaign.

Have You Visited the MPhA Website Recently?

You can find information to become a more effective advocate for pharmacy and get the latest news about state and federal legislation affecting pharmacy! www.mpha.org

4 • Minnesota Pharmacist • Winter 2017 UPFRONT VIEWS AND NEWS

Message from the Interim Executive Director

By Marsha Millonig

Happy New Year! 2017 holds great promise for MPhA and speak up for the issues. Even if you have never talked its members, the pharmacy profession and the patients we with, called or written your legislators before, this event serve. will give you the tools you need to do so! Minnesota Pharmacy Legislative Day is the one annual event that Top of mind is the kick-off to the 2017 Legislative Session represents the voice of all pharmacy settings in Minnesota! and the tremendous collaboration that is taking place It is your opportunity to learn about the issues, gain the on pharmacy’s advocacy agenda through the Pharmacy tools you need to advocate, and network with colleagues Advocacy Task Force (PATF) under the leadership of and the policymakers who will be supporting pharmacy’s Tamara Bezdicek and Jill Strykowski. The addition of issues. In addition to the PATF and the MPhA Public lobbyist Buck Humphrey to the team has given us great Affairs Committee, I’d like to thank Pharmaceutical Care focus and an intensive agenda for the session. MPhA is Leadership Residents Lara Kerwin, Natalie Roy, Stephanie addressing numerous other issues outside that agenda Swanson and Heidi Le for their ongoing leadership that impact members. We appreciate your continued calls in many phases of the event, including guiding the and emails about what is happening in your areas and appointment process working with MPSA liaisons Ryan crafting strategy to address the issues. I invite you read Chaffee and Kate Elwell and MPSA Policy Advocacy the 2017 Legislative Report from Public Affairs Committee Liaisons Callahan Clark and Derek Borowski. It takes a Co-Chair Jeff Lindoo in this issue for a good summary of village and we are lucky to have such a great one! where we are headed. I also want to thank all MPhA members, committee and In addition, I hope you’ll consider supporting the Pharmacy board leadership, and the MPhA staff team from Ewald Advocacy Fund, which is how MPhA will pay its share Consulting for their continued insight and assistance in of the lobbying services in 2017. As fellow members of keeping MPhA on track with its strategic and financial plan. MPhA, I know you also have a vested interest in the health As a result of that financial stewardship, I am pleased to of our Minnesota communities and all that pharmacists report that MPhA’s Virtual Coffee Break Webinar series can do to add to the health of our communities. Although will be complimentary to all members, student pharmacists advocacy work has always been important to us, we do and residents in 2017. We’ve got a fabulous line up of not have the resources in our operating budget and we cutting-edge topics and speakers for these programs that must raise additional funds to devote specifically to these are held the third Wednesday of every month from 11:30 contracted advocacy efforts. We pledge that funds raised am to 12:30 pm and are archived for up to two years. through this campaign will be specifically allocated to our legislative and advocacy efforts. Visit https://mnpha.site- I continue to be impressed and proud of all the volunteers ym.com/page/advocacy_fund to contribute today or turn to who give their time, talent and energy to all that is part page 7 for a printable form. of MPhA from advocacy to learning to networking and connecting. MPhA is truly a volunteer-driven organization I hope you are making plans to participate in Minnesota and one that I am so fortunate to work with. If you have Pharmacy Legislative Day with our partners the an interest in serving in any capacity with the association, Minnesota Society of Health-System Pharmacists I’d like to hear from you! Feel free to call me at any (MSHP), the Minnesota Retailers Association (MnRA) time or email me with any input you may have for your and the Minnesota Grocers Association (MGA). We association. My number is 651-366-6094 and my email anticipate another record breaker and are so pleased to is [email protected]. My personal goal is to ensure be right at the Capitol within easy walking distance of all your needs are met in a responsive and positive manner appointments. With the aggressive advocacy agenda we and we can direct you to the right resources in an easy have, it is critical that all pharmacists, student pharmacists to access way. I think 2017 holds great promise for and other pharmacy professionals get involved and

Interim Executive Director continued on page 6

Minnesota Pharmacist • Winter 2017 • 5 Interim Executive Director continued from page 5 UPFRONT VIEWS AND NEWS shameless self-promotion of what pharmacists contribute We have a chance to make a major positive impact on to the health care team and to patient care. President patient care and the profession in 2017. Are you ready to Molly Ekstrand’s message is worth reading and reflection. join us in making that happen? It reminds me of Alison Knutson’s challenge to all of us Best regards, at the 2016 Leadership Summit and House of Delegates Marsha meeting to “Choose it. Do it. Share it.”

MINNESOTA NEWS Looking Forward to the 2017 Legislative Session By Jeff Lindoo, MPhA Public Affairs Committee Co-chair

Now that the 2017 legislative session about this initiative and will solicit prior authorizations and legislation is here, MPhA legislative issues, both your support in several ways through allowing pharmacists to substitute proactive and reactive, are coming the legislative session and perhaps biological drug products that into view. Our highest priorities beyond. have been designated by FDA as come from the PATF, or Pharmacy interchangeable. We have also seen a Advocacy Task Force. The principal As you may be aware, MPhA has not recommendation from MDH requiring organizations in the task force are had the resources in recent years to pharmacy systems to integrate with MPhA, Minnesota Society of Health- engage a lobbyist on behalf of the the PMP and recommendations in a System Pharmacists (MSHP) and the association. With the exciting agenda report from the Minnesota Attorney College of Pharmacy, with the Duluth ahead of us this year, MPhA made General that would require prescribers Area Pharmacists and the Minnesota the good-faith commitment to the and pharmacists to use the PMP on College of Clinical Pharmacy also financial support of this effort with controlled substance prescriptions; providing support. Members of the the belief that you will step up and require continuing education on opioid task force have worked year-round on provide the needed financial support abuse; require pharmacists to provide efforts to remove barriers to pharmacy to the association. By now you have certain information with controlled practice and have joined together likely received information about our substance prescriptions; require in engaging Buck Humphrey as our appeal to support MPhA’s Pharmacy MDH to provide a statewide naloxone lobbyist to advance the authority for Advocacy Fund and, hopefully, you protocol for pharmacists and require pharmacists to provide patient access have contributed. If not, we hope that pharmacists to fill prescriptions under for several groups of medications. you will do so. Any funds contributed the protocol whenever requested by While exact details are still being to the MPhA Pharmacy Advocacy an individual; require pharmacies worked on, the groups most likely Fund will be used exclusively to to maintain collection boxes for to be included are medications for support direct costs of our advocacy medication disposal and shorten smoking cessation, travel medications at the Capitol. Of equal importance the allowable time between when a and self-administered contraceptives. in our efforts to expand your practice controlled substance prescription is We still await details from the opportunities is that legislators hear written and when it is filled. We will Minnesota Department of Health from pharmacists in their district about watch for legislation on these and (MDH) on how widely the protocol for how these changes will benefit their other issues to appear and work to naloxone prescribing will be available patients. More on that to come. assure that the interests of you and through Community Health Boards, your patients are protected in any as established through last year’s Other issues that we expect to see language that is advanced. legislation. If it appears the protocol at the Capitol, coming from other will not be available in many areas interests, are continued efforts from of the state, naloxone will be added the Minnesota Medical Association to the list. We are extremely excited (MMA) to resolve issues around

6 • Minnesota Pharmacist • Winter 2017 Minnesota Pharmacist • Winter 2017 • 7 NATIONAL NEWS Has Obamacare Been Trumped? The Potential Impact of the New Administration on the Affordable Care Act

By Jesse A. Berg and Julia C. Reiland, Gray Plant Mooty Health Law Alert, Dec. 7, 2016. Reprinted with permission of the authors.

Throughout his campaign Donald of the U.S. health care industry. care cost curve downward. Trump repeatedly said he would Among other things, it established “repeal and replace” the Patient health insurance marketplaces, Can the ACA Be Repealed? Protection and Affordable Care required individuals to obtain health Despite Trump’s promise to dismantle Act (ACA, aka “Obamacare”). insurance or face a tax penalty (the the ACA, his ability to achieve a full With Republican majorities in the “individual mandate”), increased the repeal will be challenging. To repeal Senate and House, he appears to government’s ability to combat health the ACA in its entirety and replace have Congress on his side. But care fraud and abuse, expanded it with new legislation, Republicans important questions remain: Can the coverage and eligibility under would have to secure sixty votes to ACA actually be repealed? What Medicaid, and prevented insurance overcome a Democratic filibuster in will happen to the current health companies from denying coverage or the Senate. Even with a Republican insurance system and the millions increasing costs due to pre-existing majority in the Senate, experts believe of Americans that rely on it? And conditions. securing 60 votes (which would while issues like the ACA’s “individual require eight Democratic votes) will mandate,” Medicaid expansion, and The ACA has been subject to constant be very hard, if not impossible, to the existence of the internet-based challenge since it was first passed accomplish. health insurance marketplaces in March 2010. Congressional (the “exchanges”) hold the media Republicans have voted over sixty Alternatively, Republicans could spotlight, health care providers are times to repeal the law and many pick apart the law through a left wondering whether the shift governors have fought against legislative process known as “budget to value- and performance-based its implementation in their states. reconciliation.” This permits the reimbursement ushered in by the ACA Controversy in recent years has Senate to pass certain revenue and will stay in place. been fueled by an increase in health spending measures with only a simple insurance premiums for plans sold on majority (i.e., 51 votes). Through this Although the new administration the ACA’s exchanges. In Minnesota, method, Republicans could repeal does have the ability to dramatically for example, individuals have seen key ACA financial aspects, such as alter the current system and repeal a 59 percent increase in premium the individual mandate, the employer significant ACA provisions, a complete rates for plans sold on MNSure. mandate, the so-called “Cadillac tax,” repeal is unlikely. Meanwhile, as the Opponents also note that many Medicaid expansion, and even the nascent administration begins to counties (particularly in rural areas) marketplace subsidies that make take shape, Trump’s nominations for have seen health plans withdraw health care affordable for low-income Secretary of the Department of Health from the market, leaving many individuals. However, other important and Human Services (HHS) and the marketplace consumers with only one parts of the ACA are not subject to Director of the Centers for Medicare plan option. Supporters of the ACA, budget reconciliation, such as the and Medicaid Services (CMS) shed however, note the law’s success in prohibition on insurance companies some light on strategies that are dramatically reducing the uninsured using pre-existing condition likely to be followed by the ACA’s rate. Approximately 20 million people limitations. Repeal of this and related opponents. obtained insurance due to the ACA provisions would require 60 votes in and the U.S. uninsured rate dropped the Senate. The Affordable Care Act to 8.6 percent this year, the lowest on A hugely complex law, the ACA record. Supporters also point to the Finally, the new administration could has touched nearly every aspect law’s success in bending the health Has Obamacare Been... continued on page 9

8 • Minnesota Pharmacist • Winter 2017 Has Obamacare Been... continued from page 8 NATIONAL NEWS

impede many aspects of the ACA And while Rep. Price voted in favor Trump himself has expressed support simply through adopting enforcement of 2015’s Medicare Access and Chip for this and several other important priorities that ignore ACA objectives. Reauthorization Act (MACRA), which ACA insurance reforms. The new For example, the new administration repealed the Part B sustainable administration may prefer to keep the could halt the Obama administration’s growth rate and implemented the “good” aspects of the ACA, such as efforts to market the availability merit-based incentive payment system this expanded coverage for young of health insurance sold on the for physician services, he remains adults, but ditch the “bad” aspects, exchanges, or cease defending critical of the law. such as the individual and employer the ACA in controversial lawsuits mandates. While this may sound (including the Zubik v. Burwell case Following the release of MACRA final appealing to the new administration, on contraceptive coverage). While regulations in October, Rep. Price many industry observers point out this approach is less dramatic than stated he is “deeply concerned about that the insurance reform provisions a full repeal, it would thwart the ACA how this rule could affect the patient- were premised on health plans being nonetheless. doctor relationship.” For providers able to spread risk among a much who have spent countless hours and larger population base (through the Key ACA Issues for the New huge amounts of money planning implementation of the individual Administration and adopting care delivery models mandate). Forcing insurers to Due to the challenges with a full that conform to CMS’ quality- and continue offering enhanced benefits repeal, Congress is likely to only value-based reimbursement, the new under their health plans without repeal certain parts of the law. There leadership at HHS and CMS raise the ability to control costs through is significant debate about whether questions about the direction in which an expanded pool of consumers is they will introduce replacement the Medicare program is headed. untenable. legislation to fill in the gaps or whether they will permit a hollowed-out version With respect to other types of Insurance Exchanges and of the ACA to remain on the books. Medicare reform, House Republicans Subsidies Either way, the following will be high have proposed to create a premium It is unclear whether Trump will priority issues: support program under which attempt to eliminate insurance Medicare beneficiaries make an exchanges and subsidies. Trump has Implications of HHS and CMS income-adjusted payment toward indicated he would allow individuals to Leadership on ACA and MACRA their plan of choice, with Medicare fully deduct health insurance premium Reforms subsidizing the cost. The goal is to payments from their tax returns and Trump’s choice to head HHS, expand participation in Medicare make contributions into health savings Representative Tom Price, R-Ga., is managed care and shift away from accounts (HSAs) tax-free, with the a longstanding opponent of the ACA. traditional Medicare. Rep. Price has ability to pass HSAs on to heirs Rep. Price has also been critical at also supported turning Medicare into without estate tax. times of Medicare’s shift to a value- a premium support system as well and quality-based reimbursement as proposals to expand the ability of The House Republicans would, model. For example, Rep. Price physicians to “opt out” of Medicare however, support a repeal of the has publicly opposed Medicare’s and enter into private contracts with insurance exchanges (as indicated Comprehensive Care for Joint Medicare beneficiaries. in the “A Better Way” platform). Replacement reimbursement model, Because Trump and Congress Medicare’s cardiac bundled payment Can We Keep the ACA’s “Good would work together on health care model, and the very existence of the Parts” and Ditch its “Bad reform, a repeal of the exchanges Center for Medicare and Medicaid Parts”? is a possibility. House Republicans Innovation (an ACA reform that Although many ACA provisions are also support providing a tax credit created a sub-agency within CMS controversial, some aspects are in the form of a monthly payment to that is tasked with designing, testing, widely accepted. For example, the use toward purchasing insurance and implementing care delivery and ACA reform that permits young coverage. reimbursement reforms). Rep. Price adults to stay on their parent’s health has been particularly critical of CMS’ insurance plan until they are 26 Has Obamacare Been... continued on page 10 mandatory demonstration projects. years old has proved popular. Donald

Minnesota Pharmacist • Winter 2017 • 9 Has Obamacare Been... continued from page 9 NATIONAL NEWS

Medicaid Reforms Provider Fraud and Abuse and at risk for losing coverage, Trump Medicaid expansion is a key aspect Program Integrity may be less willing to pull the plug on of the ACA. By increasing the income The fraud and abuse portions of the significant Obamacare provisions as levels through which individuals ACA were passed with bipartisan time goes on. qualify for coverage, states can support and are unlikely to change. provide coverage for a greater The government’s efforts have been If you have questions about the ACA number of its residents. Trump has very successful; for every dollar spent or health care reform, please contact indicated he will turn Medicaid into a on combating health care fraud and Jesse Berg at jesse.berg@gpmlaw. block-grant program, giving states an abuse, the federal government (via com (612-632-3374) or Julia Reiland annual lump sum payment that can be the Department of Justice and HHS) at [email protected] (612- used toward their Medicaid programs. recovers $6.10. This commitment to 632-3280). Rep. Price has also supported this reducing fraud, waste, and abuse approach. The House Republicans’ will likely continue with the new plan is similar. There would be two administration. options for Medicaid funding: (1) block-grant funding, similar to Trump’s Ultimately, dismantling the ACA and plan; or (2) a per-capita payment developing a workable alternative that is determined according to four may take years, setting this up to be eligibility categories (aged, blind and an issue for the 2020 presidential disabled, children, and adults). election. With millions of Americans

10 • Minnesota Pharmacist • Winter 2017 MPHA NEWS Register Today for Minnesota Pharmacy Legislative Day 2017 Wednesday, February 15 | Best Western Plus Capitol Ridge

Are you ready to make a difference to and the orchestrator of the strategic Evening Program advocate for your professional interests RxIMPACT grassroots event each Participants will meet back at the and for pharmacy’s interests to advance year in Washington, D.C.) will give you Best Western Capitol Ridge at 4:30 patient care? Come to Minnesota tips to build your grassroots advocacy p.m. for a networking and social hour Pharmacy Legislative Day and learn skills through an exciting nonpartisan with colleagues. MPhA President- how! Even if you have never talked program that will educate about the Elect Michelle Aytay will moderate with, called or written your legislators power of grassroots engagement, the a debriefing about your visits. Then before, this event will give you the policymaking process, the varying Century Mortar Club Endowed Chair tools you need to do so! Minnesota roles of our nation’s policymakers and PRIME Institute Director Steven Pharmacy Legislative Day is the one and how to use effective verbal and Schondelmeyer will facilitate a panel annual event that represents the voice written communications to influence discussion with key legislators who of all pharmacy settings in Minnesota! policy outcomes. This program will will impact pharmacy’s 2017 issues It is your opportunity to learn about give you the tools you need to talk with and health care in Minnesota. After the the issues, gain the tools you need to policymakers — whether you have done panel discussion, Steve will bring his advocate, and network with colleagues so before or not. insider insights to a fast-paced program and the policymakers who will be looking at how health care reform will supporting pharmacy’s issues. The A series of Roundtables will follow to be revisited in Washington, D.C., and day is broken into a morning session, brief you on and provide talking points what the potential impact will be on afternoon at the Capitol and an evening on the key issues being advocated with Minnesota health care. The day will reception and program, complete with policymakers to advance Minnesota wrap with Dr. Cody Wiberg providing meals throughout the day and more pharmacy practice to improve patient an update from the Minnesota Board of than 5 hours of continuing education! care — including expanded pharmacist Pharmacy on their key legislative issues Best yet, this year’s event is right on the scope of practice such as prescribing and those impacting your professional Capitol grounds at the newly renovated of contraceptives, travel medications, practice. Best Western Capitol Ridge with smoking cessation products, and other complimentary parking and within an issues. See full details at mpha.org easy walk of all your meetings. Afternoon Visits with Your Thank you, Sponsors & Partners Morning Program Senators and Representatives at Platinum Sponsor Pharmacists Mutual Companies This year’s program has been the Minnesota Capitol Gold Sponsors designed to bring you the latest After enjoying a networking lunch, Boehringer Ingelheim Pharmaceutical briefings on Minnesota pharmacy’s you will walk to your visits with your Company advocacy agenda from leadership of Senators and Representatives at the National Association of Chain Drug Stores the Pharmacy Advocacy Task Force, Minnesota Capitol, sharing key points (NACDS) lobbyist Buck Humphrey and the MPhA on the issues you’ve heard about Silver Sponsors Cardinal Health and MSHP Public Policy Committees. during the morning session using the MN Society of Health System Pharmacists Briefings on the Task Force’s legislative advocacy tips you’ve learned. You will Exhibitors agenda and other issues of interest have the opportunity to go on visits Navigate, LLC will be provided, including where each with colleagues or student pharmacists Novo Nordisk issue is in the legislative process, which by requesting appointments through Partnering Organizations Minnesota Grocers Association committees will be key to moving them the registration process. So even Minnesota Pharmacists Association forward and specific requests for your if you have never met with your or Minnesota Retailers Association meetings with policymakers. another legislator before, you’ll get the Minnesota Society of Health-System tools you need to talk with them and Pharmacists The ever-popular and very those policymakers who will impact Educational Sessions Supported by: knowledgeable Heidi Ann Ecker pharmacy’s legislative agenda in the The University of Minnesota College of Pharmacy’s Century Mortar Club (Director of Government Affairs and coming years. Grassroots Programs for NACDS Minnesota Pharmacist • Winter 2017 • 11 MN Pharmacy Legislative Day Attendee Registration February 15, 2017 | 7:45 a.m. to 8:00 p.m. | Best Western Plus Capitol Ridge

Name: ______Organization: ______Please provide your home address so we can correctly identify your district Home Address: ______City: ______State: ______Zip: ______Phone: ______Cell Phone: ______Email: ______Fax: ______NABP ePID number: ______Date of Birth (in MMDD format, no year): ______For any accessibility and/or special dietary requirements contact [email protected]

FULL DAY Schedule a Visit Continental breakfast, lunch and hors d’oeuvres buffet r Pharmacist/Resident ...... $90 ($100 after February 1) MPhA will schedule meetings with legislators during the afternoon portion of the day. If you would like to participate and have MPhA r Student/Technician ...... $30 ($40 after February 1) schedule a meeting for you please make that notation when you register for the event. MORNING ONLY r Yes, please have MPhA schedule a meeting with a legislator for me! Continental breakfast and lunch r I will schedule my own meeting with my legislator. r Pharmacist/Resident ...... $60 ($70 after February 1) r I do not plan to take part in a meeting with a legislator. r Student/Technician ...... $20 ($30 after February 1) Have you met with a legislator at any time prior to this event? EVENING ONLY r Yes Hors d’oeuvres buffet and cash bar r No r Pharmacist/Resident ...... $50 ($60 after February 1) Representative accompaniment r Student/Technician ...... $20 ($30 after February 1) r I would like an MPhA representative to accompany me on a visit r I am willing to accompany an attendee on a visit with their All registrations received after February 1, 2017 will Late Registration: representative be charged a $10 late fee. *Pharmacists are encouraged to invite their legislators to the evening reception. However, under Minnesota Ethics laws, it is illegal for associations to pay for legislators’ meals. Therefore, legislators must pay for their food cost. The cost for the evening reception is $50.

Grand Total: $ ______PAYMENT: q Check q Visa q Mastercard q Discover q American Express If paying by credit card, all fields below are required.Note: Full payment must accompany order to reserve your space. Card Number: ______Exp. Date: ______Security Code: ______Cardholder Name (Print): ______Billing Address (if different than above): ______City/State/Zip: ______Cardholder Signature: ______Due to PCI Compliance, please do NOT provide any credit card information via email. Call, mail, or fax it in only. (For office use only) Mail registration and payment to: initials fin. Minnesota Pharmacists Association date 1000 Westgate Drive, Suite 252 CK/CC St. Paul, MN 55114 amt. paid ph. 651-697-1771 • fax 651.290.2266 bal. due

MN The Minnesota Pharmacists Association is accredited by the Minnesota Board your legislator for participants registering February 1st or later. BOP of Pharmacy as a provider of continuing pharmacy education. Following Cancellations/No Shows: Cancellations received prior to February 1, 2017 will be attendance, completion and submission of evaluation forms, certificates will charged a $25 administration fee. No refunds will be given after February 1, 2017. be available on the Minnesota Pharmacists Association website. No refunds will be given to those registered who do not attend the meeting. Those Satisfactory Completion for Credits: All attendees must have signed in as required, registered who have not prepaid will be invoiced for the full registration amount. completed and turned in a course evaluation form prior to leaving the conference. Each session claimed for credit must be attended in its entirety. Any person who attends an MPhA event grants permission to MPhA to record his or her visual/audio images, including but not limited to photographs, digital images, voices, Late Registration: All registrations received after February 1, 2017 will be charged a sound or video recordings, audio clips, or accompanying written descriptions, and for $10 late fee. While every attempt will be made, we cannot guarantee an appointment MPhA to use his or her name and such recorded material without notification for any with purpose, including advertisements for future programs and MPhA. MPHA NEWS Member Spotlight: Heather Leigh Bibeau

By Laurie Pumper, MPhA Communication Director

Minnesota Department of Corrections As Heather tells it, “As a new (DOC). She had been providing pharmacist practicing in a remote pharmacy services to DOC’s remote location, providing care to my rural Thistledew program in Togo, Minn., patients was one of my biggest and was approached to consult for the challenges. It became apparent that program. “I perform quarterly inspections the neighboring rural communities of for their non-violent offender program,” Big Falls, Floodwood, and Northome she says. “These offenders have a needed access to a pharmacist, but very limited medication formulary with were located quite a distance from no access to controlled substances or the nearest pharmacy. Many [of my stock medications. With my consultation Heather Bibeau, PharmD, is Director patients] suffer from debilitating and services, the DOC is considering of Retail Pharmacy at Bigfork Valley chronic pain, pulmonary disease, heart the addition of stock medications to Hospital in Bigfork, Minn. (population disease, diabetes or depression. As better provide treatment and improve 445). She has been in the pharmacy the new pharmacist-in-charge (PIC) at outcomes for the offenders.” profession for 10 years total, 6 as a Bigfork Valley Pharmacy, I worked with pharmacist. Asked why she chose a the Minnesota Board of Pharmacy to career in pharmacy, Heather says, develop policies and procedures and “I love learning about science and implement licensed limited-service medicine and was able to combine the telepharmacies following the guidelines two with pharmacy.” of the Board of Pharmacy. Now our Two years ago, Heather felt the need patients are able to receive medications to become more involved with industry Heather says of pharmacy, “What I love for acute health care needs before standards and make an impact on the most is getting to know my patients even leaving the clinic. I can also send future of pharmacy. “I applied for a and making an impact on their health prescriptions to be delivered to the position on the Minnesota Pharmacists care outcomes. I am motivated every office of the provider to further reach Association board and was elected day by the memory of my dear friend my rural patients. This immensely as an At-Large member. Through and pharmacy school classmate, Dr. helps those patients who are elderly, this position, I have become actively Teresa Johnson, who passed away not do not have transportation, or cannot involved in important legislative issues, long after beginning her career as a afford to travel over 30 miles to the changes affecting reimbursement pharmacist.” next pharmacy. Many of my patients for rural pharmacies, collaborative receive government assistance or are practices, networking, and educational She received a Bachelor’s degree in without health insurance and cannot opportunities. I have enjoyed bringing Biochemistry with a minor in Biology afford the medication necessary to treat back my knowledge to improve my from the College of Saint Scholastica their serious health conditions. I visit practice in Bigfork.” and then went on to the University of each telepharmacy site every month to Minnesota College of Pharmacy in ensure compliance. I received special Heather’s newest challenge is taking Duluth, graduating in May 2010. variances from the Board of Pharmacy on the job of coordinator of the Grand to allow myself to be the PIC of four Rapids Area Pharmacists group Heather’s first job in pharmacy was rural licensed pharmacies and operate (GRAPh). working as an intern at Walmart three telepharmacies. I am able to Pharmacy in Hermantown, Minn. After counsel my telepharmacy patients via When asked about topics she would graduation, she worked at a long-term a two-way audio-visual link and am like MPhA to cover in an upcoming care closed door Thrifty White pharmacy elated to be providing quality access to journal or meeting, Heather explains, in Duluth as a staff pharmacist. She pharmacy services in these areas.” Member Spotlight: Heather Leigh Bibeau then moved on to Bigfork Valley continued on page 14 Pharmacy, where she found some Heather also recently began working challenges. as a Consultant Pharmacist for the “My pharmacy is a contract pharmacy

Minnesota Pharmacist • Winter 2017 • 13 Member Spotlight: Heather Leigh Bibeau continued from page 13 MPHA NEWS for the 340B program. Through this program, I can “I am currently reading a very morbidly curious book called ensure that my low-income patients do not go without Funerals to Die For: The Craziest, Creepiest, and Most their potentially life-saving medications. [340B] is a very Bizarre Funeral Traditions and Practices Ever. This is an complex and challenging program and I would like MPhA informative book that opens your eyes to different cultural to provide more education, resources, and networking for practices in a funny and lighthearted way.” contract pharmacies.” She adds that she is excited to see that MPhA’s January Virtual Coffee Break is on this topic, and that the association is providing information via the Small Doses newsletter. She is also looking forward to the pharmacy legislative work that will be taking place over the coming months.

On the personal side, here’s something that may surprise other MPhA members. “I have a twin sister who is also a pharmacist at Bigfork Valley Hospital. She is the Director of the Hospital Pharmacy,” Heather says.

Since graduation, Heather has been able to get back into her favorite hobbies. “My favorite hobby is knitting.

My hobby has taken off and I have created my logo Heather and her twin sister Sara ‘WildernessKnits’ to sell my items! I also enjoy crafting, Elioff, PharmD, both work at reading, snowmobiling, hunting, boating, and going for Bigfork Valley Hospital. motorcycle rides with my husband. There just isn’t enough time!”

Join your colleagues in San Francisco, CA and experience comprehensive programming, captivating speakers, and professional networking opportunities.

REGISTER TODAY! aphameeting.org 15696

14 • Minnesota Pharmacist • Winter 2017 FEBRUARY 17-19, 2017 DES MOINES, IOWA

The Midwest Pharmacy Expo brings FEATURING: together pharmacists, pharmacy technicians and student pharmacists from • Ambulatory Care Advancement Conference across the Midwest for the region’s premier (Friday, February 17) live CE event. • Saturday Keynote by Bob Chiusano, author of Mediocrity is Not an Option The weekend features high quality live • Four CPE Tracks continuing education, engaging networking • Current Headlines opportunities, and inspiring keynote • Clinical Pearls speakers in a professional and relaxed • Management Midwest atmosphere. • Technician • Sunday Favorites including Gamechangers in Pharmacy & New Drug Update 15.5 hrs of CPE for Pharmacists & 10 hrs for Technicians including Patient Safety & Federal Law

NEW LOCATION! Holiday Inn Des Moines-Airport & Conference Center 6111 Fleur Dr, Des Moines, IA 50321

Eat, sleep, park and enjoy Expo all in the same location!

Learn, Connect & Be Inspired with Your Colleagues from Across the Midwest! www.MidwestPharmacyExpo.com

Minnesota Pharmacist • Winter 2017 • 15 CLINICAL NEWS Postpartum Depression and Medications

By Tessa Wetjen, Minnesota Department of Health, Elizabeth M. LaRusso, MD, Perinatal and Reproductive Psychiatrist, and Tina Welke, LICSW, Mother Baby Mental Health Program, Allina Health

The Minnesota Department of Health’s Maternal Mental Consider that the risks of untreated depression or Health Advisory Group encourages all pharmacists to anxiety for a pregnant woman may include: continue to broaden their understanding of the intricacies of care plans created for pregnant and breastfeeding • Higher likelihood of preterm birth, low birth weight, and women experiencing mood or anxiety disorders. preeclampsia; • Decreased compliance with health care Pharmacists often have concerns about the potential fetal recommendations; and neonatal risks of antidepressant medications used by • Increased high-risk behaviors, such as chemical pregnant and breastfeeding women. Frequently, however, abuse; the risks of untreated psychiatric illness are overlooked, • Thoughts of self-harm, suicidal ideation, suicide; and women may receive conflicting information from • Poor impact on healthy attachment and bonding their prescribing physicians and pharmacists filling the between mom and baby. prescriptions. In an effort to provide consistent information to patients, we outline some key considerations related For a breastfeeding mom, please consider: to the risk/benefit analysis of the use of antidepressant medications in the perinatal period. • While all medications are transmitted in breast milk, it is generally at much lower levels than in trans- Having a mental illness or facing a mental health crisis placental circulation; while pregnant or parenting a baby is frightening and • Case reports exist of colic, somnolence, fussiness, often also stigmatizing. Being questioned about treatment decreased neonatal weight gain, and very rarely, decisions made in the context of a doctor-patient seizures; relationship can contribute to the stigmatization that • Breastfeeding increases attachment and promotes a women who require psychiatric medications in pregnancy variety of positive health outcomes, for both mothers often experience. When a woman arrives at a pharmacy and babies; to fill a prescription to treat her mental health condition, • The majority of studies reveal an absence of side recognize that this decision was likely not an easy one effects in breastfed infants exposed to antidepressant and was made within the context of an informed care plan. medication; If you have questions about that care plan or about the • The benefits of breastfeeding significantly outweigh appropriateness of the prescription, consider contacting the risks for mothers who choose to breastfeed. the provider rather than questioning the mother.

Recent changes to the FDA labeling practices make the risks of the medications more prominent:

16 • Minnesota Pharmacist • Winter 2017 Postpartum Depression and Medications continued on page 17 Postpartum Depression and Medications continued from page 23 CLINICAL NEWS

If you’d like more information about the use of • LactMed: a lactation medication database through medication during pregnancy or while breastfeeding, National Institutes of Health for patients and providers; please visit: type in names of medications to retrieve up-to-date information on lactation profile: https://toxnet.nlm.nih. • Massachusetts General Hospital, Center for Women’s gov/newtoxnet/lactmed.htm Mental Health: a perinatal and reproductive psychiatry information center for patients and providers offered by Massachusetts General Hospital/Harvard Medical School: www.womensmentalhealth.org

NATIONAL NEWS Help Keep Pro-Pharmacy Provisions of ACA

From the National Community Pharmacists Association: Improve Medicare Part D medication therapy management Urge your U.S. Senators and Representatives to support (MTM) programs, including an annual comprehensive bipartisan pro-pharmacy provisions of the Affordable Care medications review, and build upon it to further integrate Act (ACA). Congress is moving toward repeal of the ACA, pharmacists into the health care delivery system. and the following measures would no longer be available unless they are included in replacement legislation: Keep transparency provisions requiring pharmacy benefit managers (PBMs) serving exchange plans and Medicare Preserve prescription drug coverage as an essential Part D to disclose HHS basic information to help facilitate benefit to help reduce overall health costs. program oversight and integrity.

Require a robust pharmacy network that includes Congress intends to move swiftly on this issue, so make meaningful access to retail pharmacies, including your voice heard today! Visit the NCPA Legislative independent pharmacies, for patients to fill their Action Center — you’ll be able to send messages to prescriptions and promote proper adherence. both Senators and your Representatives with just a few keystrokes! Maintain current definition for Average Manufacturer Price (AMP) that is used to determine Medicaid fee-for-service pharmacy reimbursements.

Complimentary On-Demand Virtual Coffee Break Webinars Available to MPhA Members

MPhA offers educational webinars that provide you with education from experts on best practices, trends, effective solutions, and quality resources to help you advance your career as an pharmacy professional. E-learning is ideal for those who are unable to travel or are looking for educational opportunities in between conferences. The program provides opportunities to obtain CEs from the comfort of your home or office with both live and on-demand options. These webinars are free for MPhA members — another benefit of membership!

Minnesota Pharmacist • Winter 2017 • 17 MINNESOTA NEWS Message from the Dean

By Marilyn K. Speedie, Dean, University of Minnesota College of Pharmacy, [email protected]

As you probably have heard, in December 2016 Development of a Clinical Precision Medicine Program President Obama signed the 20th Century Cures Act, a in Ovarian Cancer as a Paradigm for 21St-Century bill that contains provisions to fund and enhance medical Tailored Health Care Solution innovation at the National Institutes of Health and the Food A key barrier to developing better treatments for ovarian and Drug Administration. cancer, the deadliest of all female malignancies, is the ability to stratify the disease into clinically meaningful The Cures bill authorizes $4.8 billion over 10 years to subtypes. This in part explains why the current therapeutic support priority innovation projects, including the Cancer regimen for treating ovarian cancer has had such a low Moonshot, BRAIN Initiative, regenerative medicine success rate; we are treating a heterogeneous collection of research, and a Precision Medicine Initiative. tumors with a “one size fits all” regimen. Despite significant progress in genomics and disease biology, ovarian I am proud to share that the Cures bill closely aligns cancer has not yet moved into the arena of precision with research that is being conducted at the College medicine. Professor Pamala Jacobson, PharmD, FCCP, of Pharmacy, particularly work being done in precision and colleagues are working to integrate comprehensive medicine. Here are a few examples of our projects in genomic platforms into a coherent structure and develop precision medicine, which also were recently funded a tool to stratify ovarian cancers into specific biological through the University’s Grand Challenges Research subtypes. They have proposed to prospectively enroll Grants: ovarian cancer patients and stratify them into molecular subtypes to develop a precision medicine program to A Community-Based Approach Toward Advancing individualize treatment. This universal clinical precision Personalized Medicine in Underserved Populations medicine platform can then be applied to other cancers and Professor Robert Straka, PharmD, FCCP, is a co-PI on disease processes. this project that brings local and statewide relevance to the nationally supported NIH Precision Medicine Initiative. The Minnesota Precision Medicine Collaborative: impact of recent advances in the genomic era will be fully Transforming Health and Advancing Equity realized only if genetic knowledge is equally accessible Jacobson is also working on the Minnesota Precision and fully understandable to all members of society. Medicine Collaborative (MPMC), a transformative initiative By partnering with members of the Minnesota Hmong to use 21st century technologies –– including genomics, community, and using community-based, linguistically and informatics, bioengineering, analysis of environmental culturally sensitive approaches, Straka and his colleagues exposures, and behavioral sciences –– to tailor health care aim to increase inclusion and understanding about to the challenges facing individuals and their communities. variations of genes that influence medication effectiveness, This ambitious approach will fundamentally alter our called very important pharmacogenes. As these select understanding of health, disease prevention and treatment. pharmacogenes modulate response to drug therapy, the Core to this project is partnering across the state of overall goal is to mitigate the otherwise growing health Minnesota with citizens, patients and health care providers disparities of knowledge, significance and application of to understand and effectively address major health this information to members of the Hmong community and problems. the clinicians who treat them. Advancing our knowledge of genomic data in unique populations is expected to MPMC will create a living laboratory, starting with improve clinical decision-making for the selection and use demonstration projects on Alzheimer’s disease, lung cancer of common therapeutic medications that impact clinical and depression. All three are diseases whose incidence, outcomes. burden and mortality rates reveal disturbing health disparities. This focus will enable us to leverage University of Minnesota research strengths across many disciplines and to engage with partners in the health industry and Minnesota’s underserved communities. Together we will

Message from the Dean continued on page 19

18 • Minnesota Pharmacist • Winter 2017 Message from the Dean continued from page 18 MINNESOTA NEWS create affordable, mobile tools to speed research, better health through more precise understanding of the factors deliver health information, and advance health for all. contributing to health and disease. MPMC aims to make a unique contribution through collaborative research, By investing in the development and delivery of precision cutting-edge innovation, responsible policy, and sustained medicine, the University of Minnesota will contribute to the commitment to improving health equitably across our national effort to transform science, medicine and public communities. Minnesota Hospitals Are on Par with, or Better than, National Averages

From a press release by Minnesota Community Measurement, October 25, 2016

MN Community Measurement National Average/Minnesota hospitals different than the national (MNCM) has announced the Average average. All other Minnesota hospitals availability of new results for five were similar to the national average hospital-based health care quality Heart attack 14.1%/13.5% for the pneumonia measure. measures. This information can be Heart failure 12.1%/12.1% used to compare hospitals within Pneumonia 16.3%/15.9% The remaining two measures are Minnesota with state and national composites, meaning they combine averages. The results are available For the heart attack measure, Mayo two or more components of care and at MNCM’s public reporting website, Clinic Hospital in Rochester performed wrap them into one comparable result. MNHealthScores.org. significantly better (lower), at 11.6 This is a common way health care is percent, than the national average analyzed nationally and in Minnesota. “These measures are relevant for of 14.1 percent. Mayo Clinic Hospital patients seeking health care and was the only Minnesota hospital Readmission Reduction also have value for hospitals as they different than the national average. All Program (RRP) Results strive to improve their quality of care,” other Minnesota hospitals were similar said Jim Chase, MNCM President. to the national average for the heart The RRP measure is a hospital’s “Hospitals have been submitting attack measure. readmission ratio. The goal is to avoid outcome data for years, and it’s readmissions for the same condition important to draw attention to what For the heart failure measure, Mayo within 30 days of discharge from they are reporting and to put it into Clinic Hospital in Rochester performed the hospital. Two examples include context for patients.” significantly better (lower), at 9.4 pneumonia and Chronic Obstructive percent, than the national average Pulmonary Disease. A ratio of less Three of the measures are based of 12.1 percent. Mayo Clinic Hospital than 1.0 means there were fewer on mortality or death rates that was the only Minnesota hospital readmissions across conditions occur within 30 days following different than the national average. All than the national average. A ratio hospitalizations for heart attack (acute other Minnesota hospitals were similar greater than 1.0 means there were myocardial infarction), heart failure to the national average for the heart more readmissions than the national and pneumonia. For these measures, failure measure. average. For this measure, lower lower rates of death are better. On readmission ratios are better. all three measures, the statewide For the pneumonia measure, Park average was the same or lower than Nicollet Methodist Hospital (13 The statewide readmission average the national average. These results percent) and Mayo Clinic Hospital is .97 or 3 percent below the national show that Minnesota hospitals had (12.3 percent) performed significantly average. Four hospitals performed average or better than average better (lower) than the national significantly better than the statewide performance compared to hospitals in average of 16.3 percent. Park Nicollet average in readmissions: Mayo Clinic other parts of the nation. Methodist Hospital and Mayo Clinic Hospital were the only two Minnesota Minnesota Hospitals... continued on page 20

Minnesota Pharmacist • Winter 2017 • 19 Minnesota Hospitals... continued from page 19 MINNESOTA NEWS

Hospital in Rochester, Lakeview results are better. in Park Rapids, Cuyuna Regional Memorial Hospital in Stillwater, Mayo Medical Center in Crosby, Essentia Clinic Health System in Mankato and One hospital, Essentia Health in Health in Fosston, Mayo Clinic Health HealthEast Woodwinds Hospital in Fosston, scored 100 percent on System in Cannon Falls, Pipestone Woodbury. this measure. The statewide EDTC County Medical Center in Pipestone, average was 62 percent. This means Redwood Area Hospital in Redwood Emergency Department Transfer that 62 percent of patients transferred Falls, Riverwood Healthcare Center Communication (EDTC) results from hospital emergency departments in Aitkin, Sanford Jackson Medical to another health care facility had the Center, Sanford Tracy Medical Center One element of hospital quality can be required documentation forwarded and Windom Area Hospital in Windom. seen in how hospitals communicate within 60 minutes of leaving the when transferring patients. The hospital. Hospital-based health care EDTC measure was developed to quality measures are available at track communications and facilitate Thirteen Minnesota hospitals MNCM’s public reporting website care coordination. It measures the performed significantly better than MNHealthScores.org. percentage of patients with complete the statewide EDTC average, medical record documentation including: Bigfork Valley Hospital in communicated to another health Bigfork, CentraCare Health in Sauk care facility prior to the patient being Centre, CHI St Gabriel’s Health in transferred. For this measure, higher Little Falls, CHI St Joseph’s Health

MPHA NEWS Register Today for APhA’s Delivering Medication Therapy Mgmt. Services – Twin Cities Thursday, May 4 | Ewald Conference Center

Certificate training program (3rd The goals of this program are to: Facilitators: Edition) presents a systematic Jordan Wolf, PharmD, Certified approach for developing, • Advance public health and patient Geriatric Pharmacist, Consultant implementing, delivering, and care through improved medication Pharmacist, Thrifty White Pharmacy sustaining MTM services. It includes use an overview of the marketplace for • Provide training to enhance Michelle A. Johnson, BCACP, delivering MTM services, guidance pharmacists’ ability to effectively Pharmacist, Fairview Pharmacy for implementing MTM services in provide MTM services Services pharmacy practice, a review of the • Motivate increased numbers of essential skills and knowledge needed pharmacists to establish MTM See mpha.org for more details for performing MTM successfully, and services an organized process for identifying • Communicate benchmark medication-related problems. The practices for providing MTM purpose of this certificate training services program is to prepare pharmacists to improve medication use through the delivery of MTM services in a variety of practice settings.

20 • Minnesota Pharmacist • Winter 2017 MPHA NEWS MPhA News & Notes

MPhA Member Shannon Reidt longtime MPhA member) on being KARE-11 TV Report Includes Quoted in Pharmacy Practice named a Fellow of the American Interview with MPhA Member News Epilepsy Society. Tim Gallagher

From Pharmacy Practice News: Thrifty White Named Pharmacy Internal pharmacy records obtained by Shannon Reidt, PharmD, MPH, an Innovator KARE-11, along with two newly filed assistant professor at the University class-action lawsuits, raise questions of Minnesota College of Pharmacy, in Drug Store News has named Thrifty about whether some popular insurance Minneapolis, has expressed concerns White Pharmacies its Pharmacy plans are overcharging customers for about the severity of illness seen Innovator of the Year. The award was prescription medicines and pocketing in patients discharged to Skilled announced in the December issue of the profits. Nursing Facilities (SNFs). That’s why the magazine. The magazine cited she is confident that “[SNF-focused] Thrifty White’s ability to adapt to Watch the investigative report. transitions of care initiatives are changes in the industry, its medication In the report, MPhA Member Tim going to become more common. With synchronization program, its Affiliate Gallagher, president at Sterling hospital stays getting shorter and Pharmacy program and its work toward Specialty Pharmacy Services, says he shorter, people are getting pushed out delivering healthy patient outcomes saw insurance overcharges first-hand into SNFs a lot more often. They are while controlling costs. when he worked as a pharmacist. coming to us sicker.” National Community Pharmacists Thrifty White President and CEO Bob Association CEO Doug Hoey was also In addition, the Minnesota Pharmacists Narveson is quoted, “It’s not good interviewed; Hoey explains how copays Foundation (MPF) is delighted to enough to just be a drug store on the set by PBMs were much higher than welcome Shannon to its Board of corner of First and Main — anyone can the cash price at the same pharmacy. Directors. do that. If you’re not bringing value to the health care system and reducing Shannon, who was recently a clinical overall health care spend, others will pharmacist at Hennepin County be… You have to be continuously Submit Your News or Medical Center in Minneapolis, is working at how you’re going to exceed Article! part of a multidisciplinary team that expectations in those areas, otherwise conducts medication reviews for you’re not going to have a seat at the Hennepin patients who are transferred table.” The Minnesota to Augustana Health Care Center, a local nonprofit SNF. The team, Ilo Leppik’s Work Featured in Pharmacists Association which includes geriatricians, nurse Star Tribune welcomes information on practitioners and pharmacists, uses Ilo Leppik, MD, a professor in the several strategies for detecting University of Minnesota College of career milestones, awards, potential problems. One or two days Pharmacy and an MPhA member, has etc., for our News & Notes before discharge from the SNF, for dedicated his career to searching for section of the example, the pharmacist on the ways to improve treatment for seizures Minnesota team will review electronic health that affect people with epilepsy. Dr. Pharmacist. We also records to assess the indications Leppik was featured in a Star Tribune welcome articles on clinical for, effectiveness of, and safety of all article on Nov. 8, discussing his work in prescriptions and over-the-counter getting Minnesota’s medical marijuana topics and other issues medications. Read the full article law passed two years ago. He is now related to any pharmacy pushing to amend the law to allow Angela Birnbaum Named Fellow veterinarians to prescribe cannabis pills setting. of American Epilepsy Society to animals — in part, to help test the effects on dogs with epilepsy, which Congratulations to Prof. Angela may eventually lead to a breakthrough Contact Laurie Pumper at Birnbaum of the University of for human patients. Minnesota College of Pharmacy (and [email protected]. Read the full article

Minnesota Pharmacist • Winter 2017 • 21 MINNESOTA NEWS Changes in the Pharmacist and Technician Workforce in Licensed Minnesota Pharmacies between 2006 and 2016 By Jon C. Schommer, PhD, RPh, Professor; Sim (Net) Youk, Pre-pharmacy Student; Caroline A. Gaither, PhD, RPh, Professor; Oscar W. Garza, PhD, Assistant Professor; Ronald S. Hadsall, PhD, RPh, Professor; Tom A. Larson, PharmD, RPh, Professor; Stephen W. Schondelmeyer, PhD, RPh, Professor; Donald L. Uden, PharmD, RPh, Professor. All with University of Minnesota College of Pharmacy, Minneapolis

Background and Study Purpose hospital, institutional, and specialty practices. Outpatient To help track changes in the Minnesota pharmacy pharmacies included pharmacies that were determined as workforce, the objectives of this study were to describe being reasonably accessible by any ambulatory patient/ the pharmacist and technician workforce in licensed client for receiving prescription medications and associated pharmacies during the years 2006, 2008, 2010, 2012, services. 2014, and 2016 in the state of Minnesota in terms of: (1) the demand for pharmacists and pharmacy technicians, Data were collected from key informants (i.e. owners, (2) the degree the demand for pharmacists and pharmacy directors, or managers) at each pharmacy. The key technicians is being met, (3) the stability of the pharmacist informant was mailed a cover letter, a postage paid return and pharmacy technician market, and (4) the wage rates envelope, and a questionnaire. Approximately four weeks the pharmacy market is willing to offer pharmacists and after the initial mailing, another survey form and postage pharmacy technicians. This study builds upon earlier paid return envelope were mailed to non-responders. research in which we reported workforce changes on a biennial basis1-7. For the years 2006 to 2014, all pharmacies were included in survey samples. For 2016, all inpatient pharmacies (n Methods = 174) and a random sample of one-third of outpatient Each pharmacy location in Minnesota (as recorded by pharmacies (363 out of 1,089) were included in the survey the Minnesota State Board of Pharmacy) was used sample. as the unit of analysis. Inpatient pharmacies included

Results

Year Overall Response Rate Number of Usable Surveys Number Inpatient Number Outpatient

2006 733 / 1,213 = 60% 716 100 616

2008 783 / 1,239 = 63% 766 124 642 2010 673 / 1,213 = 55% 657 130 527 2012 613 / 1,233 = 50% 613 113 500 2014 438 / 1,257 = 35% 434 74 360 2016 242 / 530 = 46% 242 98 144

Changes in the Pharmacists... continued on page 23

22 • Minnesota Pharmacist • Winter 2017 Changes in the Pharmacists... continued from page 22 MINNESOTA NEWS

Out of the 537 surveys mailed in 2016, 530 were care reform, (3) the extent of new job opportunities in deliverable. The overall response rate for the 2016 survey organizations that are not licensed as pharmacies, (4) was 46% (242 out of 530). Sample sizes and response future work contributions of various pharmacist cohorts rates for each survey year are summarized below: (such as pharmacists of child-rearing age and pharmacists of retirement age), (5) the use of technicians as less Table 1 summarizes findings for inpatient pharmacies expensive substitutes for some pharmacist work activities, and Table 2 summarizes findings for outpatient-type and (6) abrupt adjustments in business models and pharmacies. Results from the 2016 survey show that practices for existing pharmacies in Minnesota. inpatient Minnesota pharmacies realistically expected to hire 37 full-time (at least 30 hours per week) and 30 part- The results of this study should be viewed within the time pharmacists over the next year. Outpatient Minnesota context of the study limitations. Workforce data were pharmacies realistically expected to hire 53 full-time and 68 collected from licensed Minnesota pharmacies and do par-time pharmacists over the next year. In 2016, inpatient not include other work settings in which pharmacists are Minnesota pharmacies realistically expected to hire 39 employed. There is evidence from the 2014 National full-time and 46 part-time technicians over the next year. Pharmacist Workforce Survey8 that potential short-term job For outpatient pharmacies, 234 full-time and 461 part-time growth for pharmacists may reside in organizations that are technicians were expected to be hired in the next year. not licensed as pharmacies. Since we only collected data from licensed pharmacies, our findings do not represent We tracked the stability of the pharmacist and pharmacy job growth in other settings. technician market by monitoring the number of full-time and part-time pharmacists and the number of full-time and Also, we received responses from only a portion of the part-time technicians who left the employ of pharmacies pharmacies in Minnesota. When making estimates for during the pharmacies’ most current fiscal year. In terms the whole state of Minnesota, we made the assumption of these indicators, we suggest that the pharmacist and that respondents to our survey were representative of all pharmacy technician market was “dynamic” for the years pharmacies in Minnesota. Also, the number and mix of 2006 through 2016. various types of pharmacies that were coded as inpatient or as outpatient pharmacies could have changed from Finally, the wage rates that the licensed pharmacy market year to year to the point where our comparisons could be was willing to offer pharmacists and technicians rose each biased. However, if one keeps these important limitations biennium from 2006 to 2016 with starting salaries for full- in mind, the findings provide evidence that the pharmacy time pharmacists working in inpatient settings increasing labor market remains dynamic in Minnesota but balance 23% from 2006 to 2016 and starting salaries for full-time was maintained in the supply and demand for pharmacists technicians also increasing 23%. In outpatient settings, between 2006 and 2016. These findings contribute to starting salaries for full-time pharmacists from 2006 to our understanding of the demand for pharmacists and 2016 increased by 19% and starting salaries for full- technicians, the degree the demand is being met, the time technicians in these settings increased by 26%. For stability of the market, and the wage rate the licensed reference, the Consumer Price Index (CPI) between 2006 pharmacy employment market is willing to pay in and 2016 rose 18%. Minnesota.

Conclusions The pharmacist and pharmacy technician workforce in Minnesota between 2006 and 2016 can be characterized as balanced in terms of supply and demand but dynamic in terms of changes that took place. The pharmacy labor market remained dynamic in terms of dependence on part time labor, relatively high turnover, fluctuations in hourly Changes in the Pharmacists... continued on page 24 wages, and changes in expectations for pharmacy hiring of pharmacists and technicians over time. We expect this labor market to remain dynamic in light of uncertainty surrounding (1) the U.S. economy, (2) effects of health

Minnesota Pharmacist • Winter 2017 • 23 Changes in the Pharmacists... continued from page 23 MINNESOTA NEWS

Table 1: Workforce Estimates for Inpatient Minnesota Pharmacies

2006 Inpatient 2008 Inpatient 2010 Inpatient 2012 Inpatient 2014 Inpatient 2016 Inpatient N = 171a N = 179a N = 178a N = 156a N = 214a N = 174a Minnesota Pharmacist Workforcea Number of licensed pharmacists employed 1,397 1,595 1,592 1,552 2,128 1,158 Number who work full time (at least 30 hrs/wk) 956 1,221 1,189 1,195 1,709 865 Total pharmacist hours per week 33,123 42,452 45,941 43,074 55,218 33,687 Ideally, number of additional full time pharmacists 90 117 63 78 113 73 that pharmacies would like to hire over the next year Realistically, how many additional full time pharma- 60 65 34 49 75 37 cists that pharmacies expect to hire over the next year Ideally, number of additional part time pharmacists 92 101 67 53 90 53 that pharmacies would like to hire over the next year Realistically, how many additional part time phar- 42 40 33 24 32 30 macists that pharmacies expect to hire over the next year Maximum hourly wage rate (not including weekend $46.02 $49.74 $51.62 $53.72 $54.56 $56.42 or overtime rates) pharmacies would be willing to pay a newly hired full time pharmacist Maximum hourly wage rate (not including weekend $46.90 $49.61 $51.66 $53.91 $54.65 $56.34 or overtime rates) pharmacies would be willing to pay a newly hired part time pharmacist Currently open positions for a full-time (> 30hrs/ 31 58 21 18 78 23 wk) pharmacist Currently open positions for a part-time (< 30hrs/ 34 40 12 10 9 11 wk) pharmacist Number of full-time pharmacists (at least 30 hours 63 82 72 92 165 50 per week) who left the employ of pharmacies during the pharmacies’ most recently completed fiscal year? Number of part-time pharmacists (< 30 hours per 25 25 32 22 55 21 week) who left the employ of pharmacies during the pharmacies’ most recently completed fiscal year? Degree of difficulty (1 = not difficult at all to 5 = 3.7 3.5 2.8 2.6 2.6 2.9 extremely difficult) to hire pharmacists Degree of difficulty (1 = not difficult at all to 5 = 2.4 2.3 2.1 2.0 2.0 1.9 extremely difficult) to retain pharmacists % Pharmacist Time spent in Dispensingb 58% 55% 52% 49% 54% 48% % Pharmacist Time spent in Patient Care Servicesb 24% 25% 28% 29% 26% 35% % Pharmacist Time spent in Other Activitiesb 18% 20% 20% 22% 20% 17% 24% 18%

Changes in the Pharmacists... continued on page 25 24 • Minnesota Pharmacist • Winter 2017 Changes in the Pharmacists... continued from page 24 MINNESOTA NEWS

Minnesota Pharmacy Technician Workforcea

Number of technicians employed 1,487 1,810 1,800 1,659 2.368 1,250 Number who work full time (at least 30 hrs/wk) 911 1,278 1,249 1,160 1,813 902 Total technician hours per week 32,049 48,923 51,559 43,130 66,450 34,430 Ideally, number of additional full time technicians 92 100 54 74 139 76 that pharmacies would like to hire over the next year Realistically, how many additional full time techni- 51 80 43 42 93 39 cians that pharmacies expect to hire over the next year Ideally, number of additional part time technicians 102 80 78 67 81 80 that pharmacies would like to hire over the next year Realistically, how many additional part time techni- 64 61 50 39 46 46 cians that pharmacies expect to hire over the next year Maximum hourly wage rate (not including weekend $12.71 $13.81 $13.88 $14.53 $14.41 $15.59 or overtime rates) pharmacies would be willing to pay a newly hired full time technician Maximum hourly wage rate (not including weekend $12.53 $13.56 $13.42 $14.35 $14.36 $15.57 or overtime rates) pharmacies would be willing to pay a newly hired part time technician Currently open positions for a full-time (> 30hrs/ 17 25 24 31 32 30 wk) technician Currently open positions for a part-time (< 30hrs/ 21 21 26 26 12 23 wk) technician Number of full-time technicians (at least 30 hours 83 125 124 98 117 144 per week) who left the employ of pharmacies during the pharmacies’ most recently completed fiscal year? Number of part-time technicians (< 30 hours per 77 96 86 68 26 71 week) who left the employ of pharmacies during the pharmacies’ most recently completed fiscal year? Degree of difficulty (1 = not difficult at all to 5 = 2.6 2.6 2.4 2.8 3.1 3.5 extremely difficult) to hire technicians Degree of difficulty (1 = not difficult at all to 5 = 2.2 2.2 1.9 2.2 2.4 2.4 extremely difficult) to retain technicians a Estimates for Minnesota pharmacies were based survey results that were assumed to be representative of all Minneso- ta pharmacies and extrapolated. Estimates were made from samples of 100 inpatient pharmacies in 2006; 124 inpatient pharmacies in 2008; 130 inpatient pharmacies in 2010; 113 inpatient pharmacies in 2012; 74 inpatient pharmacies in 2014; and 98 inpatient pharmacies in 2016. b Medication Dispensing: activities directly related to preparing, distributing, and administering medication products, includ- ing associated consultation and communication with patients about these products, selection and use of over-the-counter products, and interactions with other professionals during the medication dispensing process. Patient Care Services: activities directly related to services focused on assessing and evaluating patient medication-related needs, monitoring and adjusting patients’ treatments to attain desired outcomes, and other services designed for patient care management. Other: Any other activities not already described.

Changes in the Pharmacists... continued on page 26 Changes in the Pharmacists... continued from page 25 MINNESOTA NEWS

Table 2: Workforce Estimates for Outpatient Minnesota Pharmacies

2006 Inpatient 2008 Inpatient 2010 Inpatient 2012 Inpatient 2014 Inpatient 2016 Inpatient N = 1042a N = 1060a N = 1035a N = 1077a N = 1,043a N = 1, 089a Minnesota Pharmacist Workforcea Number of licensed pharmacists employed 3,097 3,299 3,187 3,143 3,470 3,027 Number who work full time (at least 30 hrs/wk) 2,123 2,324 2,241 2,173 2,351 2,118 Total pharmacist hours per week 93,902 85,706 89,501 100,139 101,404 91,555 Ideally, number of additional full time pharmacists 248 193 79 125 128 76 that pharmacies would like to hire over the next year Realistically, how many additional full time pharma- 92 114 37 41 55 53 cists that pharmacies expect to hire over the next year Ideally, number of additional part time pharmacists 481 391 245 420 283 333 that pharmacies would like to hire over the next year Realistically, how many additional part time phar- 194 162 93 108 102 68 macists that pharmacies expect to hire over the next year Maximum hourly wage rate (not including weekend $48.48 $52.30 $54.39 $55.84 $56.43 $57.65 or overtime rates) pharmacies would be willing to pay a newly hired full time pharmacist Maximum hourly wage rate (not including weekend $48.27 $51.86 $53.68 $55.60 $56.74 $57.46 or overtime rates) pharmacies would be willing to pay a newly hired part time pharmacist Currently open positions for a full-time (> 30hrs/ 107 124 22 26 38 61 wk) pharmacist Currently open positions for a part-time (< 30hrs/ 189 149 39 71 73 61 wk) pharmacist Number of full-time pharmacists (at least 30 hours 310 286 235 256 353 257 per week) who left the employ of pharmacies during the pharmacies’ most recently completed fiscal year? Number of part-time pharmacists (< 30 hours per 182 162 138 164 134 129 week) who left the employ of pharmacies during the pharmacies’ most recently completed fiscal year? Degree of difficulty (1 = not difficult at all to 5 = 3.7 3.3 2.5 2.5 2.6 2.5 extremely difficult) to hire pharmacists Degree of difficulty (1 = not difficult at all to 5 = 2.4 2.3 2.0 2.1 2.1 2.0 extremely difficult) to retain pharmacists % Pharmacist Time spent in Dispensingb 71% 69% 69% 69% 68% 70% % Pharmacist Time spent in Patient Care Servicesb 15% 16% 16% 16% 18% 19% % Pharmacist Time spent in Other Activitiesb 15% 15% 15% 15% 14% 11%

Changes in the Pharmacists... continued on page 27

26 • Minnesota Pharmacist • Winter 2017 Changes in the Pharmacists... continued from page 26 MINNESOTA NEWS

Minnesota Pharmacy Technician Workforcea Number of technicians employed 4,753 4,916 4,666 5,133 5,372 4,901 Number who work full time (at least 30 hrs/wk) 2,779 3,263 2,790 2,957 3,447 3,169 Total technician hours per week 128,410 119,930 126,089 144,871 157,126 142,583 Ideally, number of additional full time technicians 434 504 196 256 303 401 that pharmacies would like to hire over the next year Realistically, how many additional full time techni- 190 209 85 123 204 234 cians that pharmacies expect to hire over the next year Ideally, number of additional part time technicians 680 513 541 638 603 635 that pharmacies would like to hire over the next year Realistically, how many additional part time techni- 536 397 341 435 449 461 cians that pharmacies expect to hire over the next year Maximum hourly wage rate (not including weekend $10.77 $10.89 $11.72 $11.83 $12.88 $13.53 or overtime rates) pharmacies would be willing to pay a newly hired full time technician Maximum hourly wage rate (not including weekend $10.34 $10.44 $11.28 $11.60 $12.54 $13.33 or overtime rates) pharmacies would be willing to pay a newly hired part time technician Currently open positions for a full-time (> 30hrs/ 122 125 89 80 140 197 wk) technician Currently open positions for a part-time (< 30hrs/ 278 243 146 202 280 363 wk) technician Number of full-time technicians (at least 30 hours 483 522 349 450 635 718 per week) who left the employ of pharmacies during the pharmacies’ most recently completed fiscal year? Number of part-time technicians (< 30 hours per 627 606 366 457 612 635 week) who left the employ of pharmacies during the pharmacies’ most recently completed fiscal year? Degree of difficulty (1 = not difficult at all to 5 = 3.0 2.8 2.6 2.8 3.2 3.5 extremely difficult) to hire technicians Degree of difficulty (1 = not difficult at all to 5 = 2.4 2.3 2.2 2.3 2.4 2.5 extremely difficult) to retain technicians a Estimates for Minnesota pharmacies were based survey results that were assumed to be representative of all Minnesota pharmacies and extrapolated. Estimates were made from samples of 661 outpatient pharmacies in 2006; 642 outpatient pharmacies in 2008; 527 outpatient pharmacies in 2010; 500 outpatient pharmacies in 2012; 358 outpatient pharmacies in 2014; and 144 outpatient pharmacies in 2016. b Medication Dispensing: activities directly related to preparing, distributing, and administering medication products, includ- ing associated consultation and communication with patients about these products, selection and use of over-the-counter products, and interactions with other professionals during the medication dispensing process. Patient Care Services: activities directly related to services focused on assessing and evaluating patient medication-related needs, monitoring and adjusting patients’ treatments to attain desired outcomes, and other services designed for patient care management. Other: Any other activities not already described.

Author Biographical Sketches Biological Sciences, University of Minnesota. Caroline A. Gaither, PhD, is Professor in the Department Jon C. Schommer, PhD, is Professor in the Department of Pharmaceutical Care and Health Systems, College of of Pharmaceutical Care and Health Systems, College of Pharmacy, University of Minnesota. Pharmacy, University of Minnesota. Oscar W. Garza is Assistant Professor in the Department Sim (Net) Youk is a Pre-pharmacy Student in the College of of Pharmaceutical Care and Health Systems, College of

Changes in theMinnesota Pharmacists... Pharm continuedacist • Winter on 2017page •28 27 Changes in the Pharmacists... continued from page 27 MINNESOTA NEWS

Pharmacy, University of Minnesota. 4. Omar, Moustapha, Jon C. Schommer, Richard R. Cline, Ronald Ronald S. Hadsall, PhD, is Professor in the Department S. Hadsall, Tom A. Larson, Stephen W. Schondelmeyer, and of Pharmaceutical Care and Health Systems, College of Donald L. Uden, “Changes in the Minnesota Pharmacy Workforce between 2002 and 2008,” Minnesota Pharmacist, Spring 2009, Pharmacy, University of Minnesota. 22-25.

Tom A. Larson, PharmD, is Professor in the Department 5. Yusuf, Akeem, Jon C. Schommer, Richard R. Cline, Ronald S. of Pharmaceutical Care and Health Systems, College of Hadsall, Tom A. Larson, Stephen W. Schondelmeyer, and Donald Pharmacy, University of Minnesota. L. Uden, “Changes in the Pharmacist and Technician Workforce in Licensed Minnesota Pharmacies between 2002 and 2010,” Stephen W. Schondelmeyer, PharmD, PhD is Professor in Minnesota Pharmacist, Fall 2010, 16-21. the Department of Pharmaceutical Care and Health Sys- tems, College of Pharmacy, University of Minnesota. 6. Schommer, Jon C., Caroline A. Gaither, Ronald S. Hadsall, Tom A. Larson, Stephen W. Schondelmeyer, and Donald L. Uden, “Changes in the Pharmacist and Technician Workforce in Li- Donald L. Uden, PharmD, is Professor in the Department censed Minnesota Pharmacies between 2002 and 2012,” Minne- of Pharmaceutical Care and Health Systems, College of sota Pharmacist, Fall 2012, 26 and online at www.mpha.org. Pharmacy, University of Minnesota. 7. Schommer, Jon C., Caroline A. Gaither, Oscar W. Garza, Ronald S. Hadsall, Tom A. Larson, Stephen W. Schondelmeyer, References and Donald L. Uden, “Changes in the Pharmacist and Technician Workforce in Licensed Minnesota Pharmacies between 2006 and 1. Singh, Reshmi, Jon C. Schommer, Richard R. Cline, Ronald 2014,” Minnesota Pharmacist, Summer 2015, 23-28. S. Hadsall, Tom A. Larson, Stephen W. Schondelmeyer, and Donald L. Uden, “Changes in the Minnesota Pharmacy Workforce 8. Gaither, Caroline A., Jon C. Schommer, William R. Doucette, Between 2000 and 2002,” Minnesota Pharmacist , 2003, Vol. 57, David H. Kreling, and David A. Mott, “Final Report of the 2014 No. 6: 23-26,28. National Pharmacist Workforce Survey,” Presented to Pharmacy Manpower Project, Inc., March 15, 2014. 2. Gupta, Kiran, Phantipa Sakthong, Jon C. Schommer, Richard R. Cline, Ronald S. Hadsall, Tom A. Larson, Stephen W. Schon- Available at: http://www.aacp.org/resources/research/pharmacy- delmeyer, Donald L. Uden, “Changes in the Minnesota Pharmacy workforcecenter/Pages/default.aspx. Workforce between 2002 and 2004, Minnesota Pharmacist, 2005, Vol. 59, No.2, 21-23, 40-41.

3. Omar, Moustapha, Yingli Yuan, Yen-Wen Chen, Jon C. Schom- mer, Richard R. Cline, Ronald S. Hadsall, Tom A. Larson, Stephen W. Schondelmeyer, and Donald L. Uden, “Changes in the Minne- sota Pharmacy Workforce between 2002 and 2006, Minnesota Pharmacist, March/April 2007, 28-31.

APhA’s Pharmacy-Based Immunization Delivery Certificate Training Program Sunday, April 30, 2017 | Deadline to Register: April 23, 2017

APhA’s Pharmacy-Based Immunization Delivery certificate training program (13th Edition) is an innovative, intensive, and practice-based continuing pharmacy education, based on national educational standards for immunization training from the Centers for Disease Control and Prevention. This program is designed to educate pharmacists about the professional opportunities for vaccine advocacy and administration. This practice-based curriculum represents a fusion of science and clinical pharmacy. The program, which emphasizes a health care team approach, seeks to foster the implementation of interventions that will promote disease prevention and public health.

Visit mpha.org to register!

28 • Minnesota Pharmacist • Winter 2017 MPHA RESOURCE GUIDE

United States House & Senate/Minnesota Please note that mail delivery to Washington, DC, can be delayed by up to 10 days due to security screening. If your message is urgent, fax your letter to Washington, contact your representative’s district office, or send an email through his/her website.

Congressman Tim Walz Minneapolis Chisholm First Congressional District 2100 Plymouth Ave. N. Chisholm City Hall, 316 W Lake St., Room walz.house.gov Minneapolis, MN 55411 7 Washington, DC 612-522-1212 • fax 612-522-9915 Chisholm, MN 55719 • 218-491-3114 2313 Rayburn House Office Building Twitter @KeithEllison Duluth Washington, DC 20515 • 202-225-2472 11 E Superior St., Suite 125 Rochester Congressman Tom Emmer Duluth, MN 55802 1202-1/2 Seventh St NW, Suite 211 Sixth Congressional District 218-464-5095 • fax 218-464-5098 Rochester, MN 55901 • 507-388-2149 emmerforcongress.com Twitter @USRepRickNolan Mankato Washington, DC 527-1/2 South Front Street 315 Cannon House Office Building Senator Amy Klobuchar Mankato, MN 56001 • 507-388-2149 Washington, DC 20515 klobuchar.senate.gov Twitter @RepTimWalz 202-225-2331 • fax 202-225-6475 Washington, DC Otsego 302 Hart Senate Office Building Congressman Jason Lewis 9201 Quaday Ave. NE, Suite 206 Washington, DC 20510 Second Congressional District Otsego, MN 55330 202-224-3244 • fax 202-228-2186 jasonlewis.house.gov 763-241-6848 • fax 763-241-7955 Toll-free 1-888-224-9043 Washington, DC Twitter @RepTomEmmer Twin Cities Metro 418 Cannon HoB 1200 Washington Ave. S., Room 250 Washington, DC 20515 Congressman Collin Peterson Minneapolis, MN 55415 202-225-2271 Seventh Congressional District 612-727-5220 • fax 612-727-5223 Burnsville collinpeterson.house.gov Southern Office 350 W. Burnsville Pkwy, Suite 135 Washington, DC 1130-1/2 Seventh St NW, Room 212 Burnsville, MN 55337 2204 Rayburn House Office Building Rochester, MN 55901 888-216-4934 Washington, DC 20515 507-288-5321 • fax 507-288-2922 Twitter @RepJasonLewis 202-225-2165 • fax 202-225-1593 Northwestern/Central Office Detroit Lakes 121 Fourth St S Congressman Erik Paulsen 714 Lake Ave, Suite 101 Moorhead, MN 56560 Third Congressional District Detroit Lakes, MN 56501 218-287-2219 • fax 218-287-2930 paulsen.house.gov 218-847-5056 • fax 218-847-5109 Northeastern Office Washington, DC Marshall Olcott Plaza, Room 105, 820 Ninth St N 127 Cannon House Office Building 1420 East College Drive, SW/WC Virginia, MN 55792 Washington, DC 20515 Marshall, MN 56258 218-741-9690 • fax 218-741-3692 202-225-2871 • fax 202-225-6351 507-537-2299 • fax 507-537-2298 Twitter @AmyKlobuchar Eden Prairie Montevideo 250 Prairie Center Drive, Suite 230 100 N. First St. Senator Al Franken Eden Prairie, MN 55344 Montevideo, MN 56265 www.franken.senate.gov 952-405-8510 • fax 952-405-8514 320-235-1061 (Willmar office) Washington, DC Twitter @RepErikPaulsen Redwood Falls 309 Hart Senate Office Building 230 E Third St Washington, DC 20510 Congresswoman Betty McCollum Redwood Falls, MN 56283 202-224-5641 Fourth Congressional District 507-637-2270 Twin Cities Metro mccollum.house.gov Willmar 60 East Plato Blvd, Suite 220 Washington, DC 324 Third St. SW, Suite 4 St. Paul, MN 55107 2256 Rayburn House Office Building Willmar, MN 56201 651-221-1016 Washington, DC 20515 320-235-1061 • fax 320-235-2651 Duluth 202-225-6631 • fax 202-225-1968 Twitter @collinpeterson 515 W First St., Suite 104 St. Paul Duluth, MN 55802 165 Western Ave. N., Suite 17 Congressman Rick Nolan 218-722-2390 St. Paul, MN 55102 Eighth Congressional District Moorhead 651-224-9191 • fax 651-224-3056 nolan.house.gov 819 Center Ave, Suite 2A Twitter @BettyMcCollum04 Washington, DC Moorhead, MN 56560 2366 Rayburn House Office Building 218-284-8721 Congressman Keith Ellison Washington, DC 20515 • 202-225-6211 West Central Mobile Office Fifth Congressional District Brainerd Al Juhnke, Field Representative ellison.house.gov Brainerd City Hall, 501 Laurel St. 651-788-5100 Washington, DC Brainerd, MN 56401 • 218-454-4078 Rochester Office 2263 Rayburn Building Center City 1202-1/2 7th St NW, Suite 213 Washington, DC 20515 313 N Main St., Room 103 Rochester, MN 55901 202-225-4755 • fax 202-225-4886 Center City, MN 55012 • 218-491-3131 507-288-2003 Twitter @alfranken

Minnesota Pharmacist • Winter 2017 • 29 MPHA RESOURCE GUIDE

Minnesota’s Constitutional Officers Please note that mail delivery to Washington, DC, can be delayed by up to 10 days due to security screening. If your message is urgent, fax your letter to Washington, contact your representative’s district office, or send an email through his/her website.

Governor Mark Dayton Attorney General Lori Swanson Secretary of State Steve Simon Office of the Governor and Lieutenant 445 Minnesota St., Suite 1400 180 State Office Building Governor St. Paul, MN 55101 100 Rev. Dr. Martin Luther King Jr. Blvd 130 State Capitol Main Office:(651) 296-3353 St. Paul, MN 55155 St. Paul, MN 55155 Toll Free: (800) 657-3787 Main Office: (651) 296-2803 Telephone: 651-201-3400 TTY: (651) 297-7206 Toll Free: (877) 551-6767 Toll Free: 800-657-3717 Toll Free TTY: (800) 366-4812 TTY: (800) 627-3529 Minnesota Relay: 800-627-3529 Email: [email protected] Fax: (651) 297-7067 Fax: 651-797-1850 Website: www.ag.state.mn.us/ Email: [email protected] Contact information: http://mn.gov/ Website: www.sos.state.mn.us governor/contact-us/index.jsp State Auditor Rebecca Otto Business Services Website: http://mn.gov/governor/ 525 Park Street, Suite 500 60 Empire Dr., Suite 100 Twitter @GovMarkDayton St. Paul, MN 55103 St. Paul, MN 55103 Main Office: (651) 296-2551 Lieutenant Governor Tina Smith Fax: (651) 296-4755 Office of the Governor and Lieutenant TDD: (800) 627-3529 Governor Email: [email protected] 130 State Capitol Website: www.auditor.state.mn.us/ St. Paul, MN 55155 Telephone: 651-201-3400 Toll Free: 800-657-3717 Minnesota Relay: 800-627-3529 Fax: 651-797-1850 Contact information: http://mn.gov/ governor/contact-us/index.jsp Website: http://mn.gov/governor/dayton/ smith-bio.jsp Twitter @tinaflintsmith

Learn, Connect & Be Inspired with Your Colleagues from Across the Midwest!

FEBRUARY 17-19, 2017 DES MOINES, IOWA FEATURING: • Ambulatory Care Advancement • Great Networking Opportunities Conference (Friday, Feb. 17) • 15.5 Hrs of CPE for Pharmacists & • Keynote from Bob Chiusano, author 10 Hrs for Technicians of Mediocrity is Not an Option

NEW LOCATION: Holiday Inn Des Moines-Airport & Conference Center Eat, sleep, park and enjoy Expo all in the same location! www.MidwestPharmacyExpo.com MPHA RESOURCE GUIDE Legislative Directory Minnesota Senate

Jim Abeler 35 R 3215 Minnesota Senate Bldg. 651-296-3733 [email protected] Bruce D. Anderson 29 R 3209 Minnesota Senate Bldg. 651-296-5981 [email protected] Paul Anderson 44 R 2103 Minnesota Senate Bldg. 651-296-9261 [email protected] Thomas M. Bakk 03 D 2221 Minnesota Senate Bldg. 651-296-8881 Use email form Michelle R. Benson 31 R 3109 Minnesota Senate Bldg. 651-296-3219 [email protected] Jim Carlson 51 D 2207 Minnesota Senate Bldg. 651-296-8073 Use email form Roger C. Chamberlain 38 R 3225 Minnesota Senate Bldg. 651-296-1253 [email protected] Bobby Joe Champion 59 D 2303 Minnesota Senate Bldg. 651-296-9246 Use email form Greg D. Clausen 57 D 2233 Minnesota Senate Bldg. 651-296-4120 Use email form Richard Cohen 64 D 2301 Minnesota Senate Bldg. 651-296-5931 Use email form Steve A. Cwodzinski 48 D 2319 Minnesota Senate Bldg. 651-296-1314 [email protected] Gary H. Dahms 16 R 2111 Minnesota Senate Bldg. 651-296-8138 [email protected] D. Scott Dibble 61 D 2213 Minnesota Senate Bldg. 651-296-4191 Use email form Rich Draheim 20 R 3227 Minnesota Senate Bldg. 651-296-5558 [email protected] Kari Dziedzic 60 D 2203 Minnesota Senate Bldg. 651-296-7809 Use email form Chris A. Eaton 40 D 2403 Minnesota Senate Bldg. 651-296-8869 Use email form Justin Eichorn 05 R 3213 Minnesota Senate Bldg. 651-296-7079 [email protected] Kent Eken 04 D 2227 Minnesota Senate Bldg. 651-296-3205 [email protected] Michelle L. Fischbach 13 R 2113 Minnesota Senate Bldg. 651-296-2084 [email protected] Melisa Franzen 49 D 2229 Minnesota Senate Bldg. 651-296-6238 Use email form Nick A. Frentz 19 D 2415 Minnesota Senate Bldg. 651-296-6153 [email protected] Paul E. Gazelka 09 R 3113 Minnesota Senate Bldg. 651-296-4875 [email protected] Michael P. Goggin 21 R 3203 Minnesota Senate Bldg. 651-296-5612 [email protected] Dan D. Hall 56 R 3111 Minnesota Senate Bldg. 651-296-5975 Use email form Foung Hawj 67 D 3413 Minnesota Senate Bldg. 651-296-5285 Use email form Jeff Hayden 62 D 2209 Minnesota Senate Bldg. 651-296-4261 Use email form John A. Hoffman 36 D 2231 Minnesota Senate Bldg. 651-296-4154 Use email form Karin Housley 39 R 3217 Minnesota Senate Bldg. 651-296-4351 [email protected] Bill Ingebrigtsen 08 R 3207 Minnesota Senate Bldg. 651-297-8063 [email protected] Jason Isaacson 42 D 2321 Minnesota Senate Bldg. 651-296-5537 [email protected] John Jasinski 24 R 2101 Minnesota Senate Bldg. 651-296-0284 [email protected] Scott M. Jensen 47 R 3229 Minnesota Senate Bldg. 651-296-4837 [email protected] Mark Johnson 01 R 2105 Minnesota Senate Bldg. 651-296-5782 [email protected] Susan Kent 53 D 2325 Minnesota Senate Bldg. 651-296-4166 Use email form Mary Kiffmeyer 30 R 3103 Minnesota Senate Bldg. 651-296-5655 [email protected] Learn, Connect & Be Inspired with Your Colleagues from Across the Midwest! Matt D. Klein 52 D 2409 Minnesota Senate Bldg. 651-296-4370 [email protected] Mark Koran 32 R 3101 Minnesota Senate Bldg. 651-296-5419 [email protected] Carolyn Laine 41 D 2327 Minnesota Senate Bldg. 651-296-4334 [email protected] Andrew Lang 17 R 3205 Minnesota Senate Bldg. 651-296-4918 [email protected] Ron Latz 46 D 2215 Minnesota Senate Bldg. 651-297-8065 Use email form Warren Limmer 34 R 3221 Minnesota Senate Bldg. 651-296-2159 [email protected] Matt Little 58 D 3411 Minnesota Senate Bldg. 651-296-5252 [email protected] Tony Lourey 11 D 2211 Minnesota Senate Bldg. 651-296-0293 [email protected] John Marty 66 D 2401 Minnesota Senate Bldg. 651-296-5645 Use email form Andrew Mathews 15 R 3409 Minnesota Senate Bldg. 651-296-8075 [email protected] Jeremy R. Miller 28 R 3107 Minnesota Senate Bldg. 651-296-5649 [email protected] Carla J. Nelson 26 R 3231 Minnesota Senate Bldg. 651-296-4848 [email protected] Scott J. Newman 18 R 3105 Minnesota Senate Bldg. 651-296-4131 [email protected] Jerry Newton 37 D 2411 Minnesota Senate Bldg. 651-296-2556 [email protected] David J. Osmek 33 R 2107 Minnesota Senate Bldg. 651-296-1282 [email protected] FEBRUARY 17-19, 2017 DES MOINES, IOWA Sandra L. Pappas 65 D 2205 Minnesota Senate Bldg. 651-296-1802 Use email form Eric R. Pratt 55 R 3219 Minnesota Senate Bldg. 651-296-4123 [email protected] Jerry Relph 14 R 3211 Minnesota Senate Bldg. 651-296-6455 [email protected] FEATURING: Ann H. Rest 48 D 2217 Minnesota Senate Bldg. 651-296-2889 Use email form Julie A. Rosen 23 R 3235 Minnesota Senate Bldg. 651-296-5713 [email protected] • Ambulatory Care Advancement • Great Networking Opportunities Carrie Ruud 10 R 3233 Minnesota Senate Bldg. 651-296-4913 [email protected] Conference (Friday, Feb. 17) Dan Schoen 54 D 2413 Minnesota Senate Bldg. 651-296-8060 [email protected] • 15.5 Hrs of CPE for Pharmacists & David H. Senjem 25 R 3401 Minnesota Senate Bldg. 651-296-3903 [email protected] Erik Simonson 07 D 2417 Minnesota Senate Bldg. 651-296-4188 [email protected] • Keynote from Bob Chiusano, author 10 Hrs for Technicians Dan Sparks 27 D 2201 Minnesota Senate Bldg. 651-296-9248 [email protected] of Mediocrity is Not an Option David J. Tomassoni 06 D 2235 Minnesota Senate Bldg. 651-296-8017 Use email form Patricia Torres Ray 63 D 2225 Minnesota Senate Bldg. 651-296-4274 Use email form Paul Utke 02 R 3403 Minnesota Senate Bldg. 651-296-9651 [email protected] Bill Weber 22 R 2109 Minnesota Senate Bldg. 651-296-5650 [email protected] Torrey N. Westrom 12 R 3201 Minnesota Senate Bldg. 651-296-3826 [email protected] Charles W. Wiger 43 D 2219 Minnesota Senate Bldg. 651-296-6820 Use mail form NEW LOCATION: Holiday Inn Des Moines-Airport & Conference Center Melissa H. Wiklund 50 D 2323 Minnesota Senate Bldg. 651-297-8061 [email protected] Eat, sleep, park and enjoy Expo all in the same location! www.MidwestPharmacyExpo.com Minnesota Pharmacist • Winter 2017 • 31 MPHA RESOURCE GUIDE Legislative Directory Minnesota House

Albright 55B R 407 State Office Building 651-296-5185 [email protected] Susan Allen 62B D 229 State Office Building 651-296-7152 [email protected] Paul Anderson 12B R 369 State Office Building 651-296-4317 [email protected] Sarah Anderson 44A R 583 State Office Building 651-296-5511 [email protected] Dario Anselmo 49A R 579 State Office Building 651-296-4363 [email protected] Jon Applebaum 44B D 281 State Office Building 651-296-9934 [email protected] Jeff Backer 12A R 593 State Office Building 651-296-4929 [email protected] Cal Bahr 31B R 387 State Office Building 651-296-2439 [email protected] Dave Baker 17B R 539 State Office Building 651-296-6206 [email protected] Regina Barr 52B R 553 State Office Building 651-296-4192 [email protected] Jamie Becker-Finn 42B D 307 State Office Building 651-296-7153 [email protected] Peggy Bennett 27A R 507 State Office Building 651-296-8216 [email protected] Connie Bernardy 41A D 253 State Office Building 651-296-5510 [email protected] Matt Bliss 05A R 529 State Office Building 651-296-5516 [email protected] David Bly 20B D 301 State Office Building 651-296-0171 [email protected] Andrew Carlson 50B D 211 State Office Building 651-296-4218 [email protected] Lyndon Carlson Sr. 45A D 283 State Office Building 651-296-4255 [email protected] Drew Christensen 56A R 575 State Office Building 651-296-4212 [email protected] Karen Clark 62A D 273 State Office Building 651-296-0294 [email protected] John (Jack) Considine Jr. 19B D 323 State Office Building 651-296-3248 [email protected] Tony Cornish 23B R 365 State Office Building 651-296-4240 [email protected] Brian Daniels 24B R 551 State Office Building 651-296-8237 [email protected] Kurt Daudt 31A R 463 State Office Building 651-296-5364 [email protected] Greg Davids 28B R 585 State Office Building 651-296-9278 [email protected] Jim Davnie 63A D 393 State Office Building 651-296-0173 [email protected] Matt Dean 38B R 401 State Office Building 651-296-3018 [email protected] Raymond Dehn 59B D 279 State Office Building 651-296-8659 [email protected] Bob Dettmer 39A R 565 State Office Building 651-296-4124 [email protected] Steve Drazkowski 21B R 591 State Office Building 651-296-2273 [email protected] Rob Ecklund 03A D 311 State Office Building 651-296-2190 [email protected] Sondra Erickson 15A R 479 State Office Building 651-296-6746 [email protected] Dan Fabian 01A R 359 State Office Building 651-296-9635 [email protected] Kelly Fenton 53B R 525 State Office Building 651-296-1147 [email protected] Peter Fischer 43A D 201 State Office Building 651-296-5363 [email protected] Peggy Flanagan 46A D 309 State Office Building 651-296-7026 [email protected] Keith Franke 54A R 567 State Office Building 651-296-4342 [email protected] Mary Franson 08B R 545 State Office Building 651-296-3201 [email protected] Mike Freiberg 45B D 239 State Office Building 651-296-4176 [email protected] Pat Garofalo 58B R 485 State Office Building 651-296-1069 [email protected] Steve Green 02B R 413 State Office Building 651-296-9918 [email protected] Matt Grossell 02A R 429 State Office Building 651-296-4265 [email protected] Glenn Gruenhagen 18B R 487 State Office Building 651-296-4229 [email protected] Bob Gunther 23A R 563 State Office Building 651-296-3240 [email protected] Barb Haley 21A R 451 State Office Building 651-296-8635 [email protected] Laurie Halverson 51B D 233 State Office Building 651-296-4128 [email protected] Rod Hamilton 22B R 443 State Office Building 651-296-5373 [email protected] Rick Hansen 52A D 247 State Office Building 651-296-6828 [email protected] Alice Hausman 66A D 255 State Office Building 651-296-3824 [email protected] Josh Heintzeman 10A R 357 State Office Building 651-296-4333 [email protected] Jerry Hertaus 33A R 403 State Office Building 651-296-9188 [email protected] Debra Hilstrom 40B D 245 State Office Building 651-296-3709 [email protected] Joe Hoppe 47B R 543 State Office Building 651-296-5066 [email protected] Frank Hornstein 61A D 243 State Office Building 651-296-9281 [email protected] Melissa Hortman 36B D 267 State Office Building 651-296-4280 [email protected] Jeff Howe 13A R 527 State Office Building 651-296-4373 [email protected] Randy Jessup 42A R 477 State Office Building 651-296-0141 [email protected] Brian Johnson 32A R 421 State Office Building 651-296-4346 [email protected] Clark Johnson 19A D 289 State Office Building 651-296-8634 [email protected] Sheldon Johnson 67B D 259 State Office Building 651-296-4201 [email protected] Tony Jurgens 54B R 523 State Office Building 651-296-3135 [email protected] Debra Kiel 01B R 537 State Office Building 651-296-5091 [email protected] Jim Knoblach 14B R 453 State Office Building 651-296-6612 [email protected] Erin Koegel 37A D 213 State Office Building 651-296-5369 [email protected] Jon Koznick 58A R 367 State Office Building 651-296-6926 [email protected] Ron Kresha 09B R 531 State Office Building 651-296-4247 [email protected] Mary Kunesh-Podein 41B D 303 State Office Building 651-296-4331 [email protected] Sandy Layman 05B R 533 State Office Building 651-296-4936 [email protected]

32 • Minnesota Pharmacist • Winter 2017 MPHA RESOURCE GUIDE Legislative Directory Minnesota House

Fue Lee 59A D 223 State Office Building 651-296-4262 [email protected] John Lesch 66B D 217 State Office Building 651-296-4224 [email protected] Tina Liebling 26A D 237 State Office Building 651-296-0573 [email protected] Ben Lien 04A D 241 State Office Building 651-296-5515 [email protected] Leon Lillie 43B D 277 State Office Building 651-296-1188 [email protected] Diane Loeffler 60A D 349 State Office Building 651-296-4219 [email protected] Kathy Lohmer 39B R 501 State Office Building 651-296-4244 [email protected] Jenifer Loon 48B R 449 State Office Building 651-296-7449 [email protected] Bob Loonan 55A R 597 State Office Building 651-296-8872 [email protected] Eric Lucero 30B R 515 State Office Building 651-296-1534 [email protected] Dale Lueck 10B R 423 State Office Building 651-296-2365 [email protected] Tim Mahoney 67A D 345 State Office Building 651-296-4277 [email protected] Carlos Mariani 65B D 203 State Office Building 651-296-9714 [email protected] Paul Marquart 04B D 261 State Office Building 651-296-6829 [email protected] Sandra Masin 51A D 335 State Office Building 651-296-3533 [email protected] Erin Maye Quade 57A D 389 State Office Building 651-296-5506 [email protected] Joe McDonald 29A R 503 State Office Building 651-296-4336 [email protected] Jason Metsa 06B D 313 State Office Building 651-296-0170 [email protected] Tim Miller 17A R 415 State Office Building 651-296-4228 [email protected] Rena Moran 65A D 329 State Office Building 651-296-5158 [email protected] Erin Murphy 64A D 331 State Office Building 651-296-8799 [email protected] Mary Murphy 03B D 343 State Office Building 651-296-2676 [email protected] Jim Nash 47A R 557 State Office Building 651-296-4282 [email protected] Michael V. Nelson 40A D 351 State Office Building 651-296-3751 [email protected] Jim Newberger 15B R 371 State Office Building 651-296-2451 [email protected] Bud Nornes 08A R 471 State Office Building 651-296-4946 [email protected] Tim O'Driscoll 13B R 559 State Office Building 651-296-7808 [email protected] Liz Olson 07B D 221 State Office Building 651-296-4246 [email protected] Ilhan Omar 60B D 327 State Office Building 651-296-4257 [email protected] Marion O'Neill 29B R 549 State Office Building 651-296-5063 [email protected] Gene Pelowski Jr. 28A D 295 State Office Building 651-296-8637 [email protected] Joyce Peppin 34A R 459 State Office Building 651-296-7806 [email protected] John Petersburg 24A R 577 State Office Building 651-296-5368 [email protected] Roz Peterson 56B R 521 State Office Building 651-296-5387 [email protected] Nels Pierson 26B R 379 State Office Building 651-296-4378 [email protected] Dave Pinto 64B D 321 State Office Building 651-296-4199 [email protected] Jeanne Poppe 27B D 291 State Office Building 651-296-4193 [email protected] John Poston 09A R 517 State Office Building 651-296-4293 [email protected] Laurie Pryor 48A D 227 State Office Building 651-296-3964 [email protected] Cindy Pugh 33B R 411 State Office Building 651-296-4315 [email protected] Duane Quam 25A R 571 State Office Building 651-296-9236 [email protected] Jason Rarick 11B R 431 State Office Building 651-296-0518 [email protected] Paul Rosenthal 49B D 209 State Office Building 651-296-7803 [email protected] Linda Runbeck 38A R 417 State Office Building 651-296-2907 [email protected] Julie Sandstede 06A D 337 State Office Building 651-296-0172 [email protected] Duane Sauke 25B D 287 State Office Building 651-296-9249 [email protected] Joe Schomacker 22A R 509 State Office Building 651-296-5505 [email protected] Jennifer Schultz 07A D 215 State Office Building 651-296-2228 [email protected] Peggy Scott 35B R 437 State Office Building 651-296-4231 [email protected] Linda Slocum 50A D 207 State Office Building 651-296-7158 [email protected] Dennis Smith 34B R 375 State Office Building 651-296-5502 [email protected] Mike Sundin 11A D 315 State Office Building 651-296-4308 [email protected] Chris Swedzinski 16A R 409 State Office Building 651-296-5374 [email protected] Tama Theis 14A R 445 State Office Building 651-296-6316 [email protected] Paul Thissen 61B D 317 State Office Building 651-296-5375 [email protected] Paul Torkelson 16B R 381 State Office Building 651-296-9303 [email protected] Mark Uglem 36A R 569 State Office Building 651-296-5513 [email protected] Dean Urdahl 18A R 473 State Office Building 651-296-4344 [email protected] Bob Vogel 20A R 581 State Office Building 651-296-7065 [email protected] Jean Wagenius 63B D 251 State Office Building 651-296-4200 [email protected] JoAnn Ward 53A D 231 State Office Building 651-296-7807 [email protected] Nolan West 37B R 377 State Office Building 651-296-4226 [email protected] Abigail Whelan 35A R 439 State Office Building 651-296-1729 [email protected] Anna Wills 57B R 491 State Office Building 651-296-4306 [email protected] Cheryl Youakim 46B D 225 State Office Building 651-296-9889 [email protected] Nick Zerwas 30A R 433 State Office Building 651-296-4237 [email protected]

Minnesota Pharmacist • Winter 2017 • 33 34 • Minnesota Pharmacist • Winter 2017 MPHA NEWS Get Smart about Your Student Loan Repayment Options: New MPhA Member Benefit

When most pharmacists begin receive over 50% off regular Schedule your phone appointment practicing, they’ve incurred steep rates. A regular public service loan today. Take advantage of this education debt. When pharmacist consult would be $1,000 — but important MPhA member benefit! borrowers learn about loan relief MPhA members are able to receive programs and correctly implement this consult for $395. A regular loan them, they reduce a major source refinance consult would be $500 of stress and save thousands of but MPhA members are able to dollars on their student loans. MPhA receive this service for $195. That’s is partnering with Navigate, LLC for a savings of $305-$605 and provides student loan expert advice. an incredible return on your MPhA Schedule your student loan membership investment. Satisfaction consultation today. MPhA members is guaranteed!

Technicians: Get a Discount on Power-Pak Continuing Education — Earn Your Board- Required CE with Unlimited Two-Year Access

MPhA has entered a partnership Postgraduate Healthcare Education, activities across topics from patient with Power-Pak, one of the nation’s Power-Pak C.E. in conjunction with safety and new drugs to pharmacy leading providers of continuing faculty from leading colleges of calculations and drug storage. There education for pharmacy technicians pharmacy. The objectives for each are also live Webinars every month. and pharmacists. MPhA pharmacy T-designated course align with the technician members receive a 12.5% core competencies listed in PTCB’s MPhA pharmacy technician discount off the Power-Pak CE Pharmacy Technician Certification members are able to access the Pharmacy Technician Library where Examination Blueprint. So if you are a library for $34.95. In addition, MPhA you can earn your entire CE required Certified Pharmacy Technician (CPhT) pharmacy technician members will by the Minnesota Board of Pharmacy through the Pharmacy Technician receive a discount for the Power- during the two-year access period. Certification Board (PTCB) these Pak MTM Certificate Training resources will allow you to meet your Course for Pharmacy Technicians Power-Pak’s pharmacy technician PTCB CE requirements as well. — $24.95 rather than the $29.95 recertification courses were developed Normally the two-year access fee regular fee. by educational specialists from is $39.95. There are more than 20

Minnesota Pharmacist • Winter 2017 • 35 Dedicated to Our Members since 1909.

phmic.com 800.247.5930 Our Mission To help our customers attain peace of mind through specialized insurance products, risk management solutions, and superior personal service.

36 • Minnesota Pharmacist • Winter 2017 MINNESOTA PHARMACISTS ASSOCIATION 1000 Westgate Drive, Suite 252, St. Paul, MN 55114 p. 651.697.1771 | f. 651.290.2266 | [email protected]

MPhA Membership Gives You... OUR MISSION Serving Minnesota pharmacist providers to advance You are joining a strong professional organization patient care. whose mission is serving Minnesota pharmacist providers to advance patient care. OUR VISION We will be a vital organization of engaged Minnesota pharmacy professionals. We will be recognized for 01 leadership in advancing patient care. Keep Informed Weekly Small Doses OUR VALUES eNewsletter, Issue Professional Development • Engagement Annual Learning Alerts, Quarterly • Patient Care MPhA Journal, eBook 02 Networking Event, MTM library, Pharmacy Symposium, Annual • Inter-professional Collaboration News Flash Leadership Summit & • Economic Viability of Practice House of Delegates, Minnesota Pharmacy • Advocacy Advocacy Legislative Day, MTM & • Workforce You are represented 03 Immunization Certificate by a strong and Programs, Monthly • Lifelong Learning and Professional Development respected voice. Webinars, On-Demand • Pharmacy Teamwork Development See our recent Webinar Library, Statewide • Diversity in Membership accomplishments Town Hall Meetings, including expanded Online CE from the • Professional Collaborations and Relationships pharmacists scope of University of Minnesota practice and increased ACCOMPLISHMENTS technician ratios. Advocacy: We are actively engaged in advocacy efforts 04 Be Involved to ensure that laws and regulations keep pace with Public Affairs, Professional the evolution of the profession, and to increase public & Organizational Affairs, awareness of the role of pharmacists in advancing Networking patient care. Discuss pharmacy 05 Education & Events, issues and best Editorial and Awards This year MPhA members, partners and volunteers practices at programs Committees, MTM and worked tirelessly representing Minnesota pharmacists and events. Make other Academies. interests at the Capitol and at regulatory agencies. contacts with over 2,000 pharmacy Key accomplishments include: professionals. Online Expansion of pharmacists’ ability to immunize member directory of 06 Resources The ability to immunize to age 6 for influenza and to pharmacists. Online access to age 13 for all CDC vaccines resources to support Technician ration expansion Navigator Program your practice including Technician ratio language was modified to 3:1+1 from A new offering with MTM, immunizations former 2:1+1 MPhA is available to and pharmacy practice Supported and followed legislation on: Patient Choice help you navigate and management. of Pharmacy, Additional Board of Pharmacy Members, get the most out of Prescription Monitoring Program, Pharmaceutical your membership! Waste Disposal, DHS MTM Expansion, Expanded Access to Epinephrine Auto Injectors, the Healthy MN Initiative and Expanded Training & Support for Mental Health 07 Provision in Underserved Areas. Recognition Become a Pharmacist and industry leaders member recognized for their innovation, advocacy TODAY! and service.

Find out more and fill out a membership application at WWW.MPHA.ORGMinnesota Pharmacist • Winter 2017 • 37