808 Highway 18 W | Algona IA 50511 How does your Professional Liability measure up? Coverage Benefits Our Professional Liability Policy is specifically designed as excess coverage, yet it can become your first line of defense when Apply Online! no other coverage is available. Go to www.phmic.com, and choose the Pharmacist • Additional protection for you above that Liability Application under provided by your employer. the Online Services tab. • Covered 24 hours a day anywhere in the United States, its territories and possessions, Canada or Puerto Rico. • Covers compounding and immunizations (if legal in your state). For more information, please contact your local • On-staff pharmacist-attorneys are representative: available to counsel policyholders. • Risk management assistance that may reduce pharmacy professional Lee Ann Sonnenschein, LTCP exposure. 800.247.5930 ext. 7148 605.372.3277 Tom Nilsson, CIC, LTCP Endorsed by*: 800.247.5930 ext. 7115 952.949.0617 Sheila Welle, CIC, LUTCF, LTCP 800.247.5930 ext. 7110 218.483.4338 *Compensated Endorsement Not licensed to sell all products in all states. 2 Minnesota Pharmacist n MAY-JUNE 2013 Form No. PM PhL 196 808 Highway 18 W | Algona IA 50511 May-June 2013 INSIDE Volume 67. Number 3, ISSN 0026-5616 UPFRONT VIEWS AND NEWS President’s DESK: Reflections on an Interesting Journey . 5 VIEWPOINT: When Process Is the Goal, Is it Any Wonder that Outcomes Are Far Behind? . 6 CLINICAL ISSUES How does your Pharmacy and the Law: Discovery 101 . 10 Clozapine-Induced Neutropenia: A Review of Lithium and Other Currently Available Options . 17 On the Cover Professional Liability Report of Drug Insert Labeling Revisions . 21 Pronunciation of Active Ingredient Names . 22 Pharmacists Improving measure up? the Health Care System: INDUSTRY NEWS Implementing Stage 2 Coverage Benefits Pharmacists Improving the Health Care System: Implementing Stage 2 Meaningful Use Criteria Meaningful Use Criteria . 12 Our Professional Liability Policy is page 12 specifically designed as excess coverage, yet Smart Cards in Health Care . 15 it can become your first line of defense when Apply Online! no other coverage is available. Go to www.phmic.com, MINNESOTA NEWS and choose the Pharmacist Updates from the Colleges . 9 • Additional protection for you above that Liability Application under provided by your employer. the Online Services tab. • Covered 24 hours a day anywhere in the United States, its territories and MPhA NEWS possessions, Canada or Puerto Rico. Organization Member Profile: Thrifty White Pharmacy . 8 • Covers compounding and Report from the State Capitol . 11 immunizations (if legal in your state). For more information, please contact your local Foundation Wine Tasting . 18 • On-staff pharmacist-attorneys are representative: available to counsel policyholders. In Memoriam: Addie Elizabeth Whittemore . 19 • Risk management assistance that Is MPPS for You? . 19 may reduce pharmacy professional Lee Ann Sonnenschein, LTCP exposure. 800.247.5930 ext. 7148 605.372.3277 Tom Nilsson, CIC, LTCP Find us on Facebook... Endorsed by*: 800.247.5930 ext. 7115 952.949.0617 Minnesota Pharmacists Association You’ll find quick updates about what is Sheila Welle, CIC, LUTCF, LTCP happening at MPhA and more photos 800.247.5930 ext. 7110 from our events! 218.483.4338 *Compensated Endorsement Not licensed to sell all products in all states. Minnesota Pharmacist n MAY-JUNE 2013 3 Form No. PM PhL 196 MPhA BOARD OF DIRECTORS Executive/Finance Committee: President: Martin Erickson Upcoming Events Past-President: Scott Setzepfandt President-Elect: Jill Strykowski Secretary-Treasurer: Bill Diers Speaker: Meghan Kelly Executive Vice President: Vacant Visit www.mpha.org Rural Board Members: for more information and registration Eric Slindee Jeff Lindoo Metro Board Members: Cheng Lo 2013 MPhA ANNUAL CONFERENCE Brittany Symonds May 17-18, 2013 | Marriott Minneapolis Northwest, Twin Cities At-Large Board Members: Tiffany Elton Tim Cernohous Keri Hager Amy Sapola Not Your Mother’s MPhA Jason Varin Student Representation: 2013 MPhA Duluth MPSA Liaison: Brittany Novak Minneapolis MPSA Liaison: Amy Herbranson Annual Ex-Officio: Bruce Benson, COP Conference MPhA Executive Vice President (vacant) MSHP Representative May 17-18, 2013 Pharmacy Technician Representative: Marriott Minneapolis Barb Stodola Northwest MINNESOTA PHARMACIST Official publication of the Minnesota Pharmacists MPhA Mission: Association. MPhA is an affiliate of the American Pharmacists Association, the American Society of Serving Minnesota Consultant Pharmacists, the Academy of Managed pharmacists to advance Care Pharmacy, and the National Community Call for Articles Pharmacists Association. patient care. The Minnesota Pharmacist The Minnesota Pharmacists Editor: accepts articles for publication Laurie Pumper, CAE from its members and from non- Association is a state professional association, whose membership is Managing Editor, Design and Production: members. All content is subject Anna Wrisky to review by the MPhA Editorial made up of pharmacists, pharmacy Advisory Committee and MPhA students, pharmacy technicians, and The Minnesota Pharmacist (ISSN # 0026- Staff, who will determine wheth- those with a business interest in phar- 5616) journal is published six times per year by the Minnesota Pharmacists Association, 1000 er material is of interest to our macy. MPhA will be the place where Westgate Drive, Suite 252, St. Paul, MN 55114- readers. To submit an article or pharmacists go first for education, 1469. Phone: 651-697-1771 or 1-800-451-8349, 651-290-2266 fax, [email protected]. Periodicals an idea/abstract, please send an information and resources to become postage paid at St. Paul, MN (USPS-352040). email to Communication Director empowered to provide optimal patient POSTMASTER: Send address changes to Laurie Pumper at lauriep@ewald. Minnesota Pharmacists Association, 1000 Westgate care. MPhA will be the recognized com . Drive, Suite 252, St. Paul, MN 55114-1469. and respected voice of pharmacy with ARTICLE SUBMISSION/ADVERTISING: For writ- legislators, regulators, payors, media er’s guidelines, article submission, or advertising opportunities, contact Laurie Pumper at the above and the public. address or email [email protected]. Copyright 2013. Bylined articles express the opin- ion of the contributors and do not necessarily Moved, graduated, or have a name change? reflect the position of the Minnesota Pharmacists Association. Articles printed in this publication may not be reproduced in any manner, either in whole Update your profile through your online MPhA Member Portal page or in part, without specific written permission of the publisher. to continue receiving important association updates. Acceptance of advertisement does not indicate endorsement. 4 Minnesota Pharmacist n MAY-JUNE 2013 UPFRONT VIEWS AND NEWS President’s Desk Reflections on an Interesting Journey By Martin A. Erickson, III, RPh, Director of Professional Services and Regulatory Affairs, Fagron Dear colleagues, hope you join me in celebrating this change, the third step. The opportunities for It is often noted by one ending an improved practice and new elected term of office that time passed The fourth step is not so simple: It quickly. No less was my experience requires sharing feelings, both posi- models are before us. Let this year. The intense, intentional and tive and negative, with open ears and exceptional work of volunteers and minds. In our context, I see this as a us build on the foundations staff made the work light, however. requirement for clear, honest, direct laid by our pharmacist- dialogue between the leave-taker and We have been on an interesting jour- the organization. For me, it is an ancestors, finding the ney this year. Your board of directors opportunity for all of us to express our courage and conviction took a bold step last Spring by institut- views and work together to envision a ing lower membership fees and initiat- bright future for the Association and they taught us. ing a process to gain members and the profession. Your board of directors financial support through corporate and House of Delegates each provides To this end, let us engage deep- memberships. I reflect on this move an excellent forum for exchanging ly in dialogue, expressing our ideas, and others in this column. ideas about how our many and varied impressions and feelings freely in practices and settings can interact in the sure knowledge that, as we were I must begin this reflection by thanking positive, fruitful ways. taught, the profession and MPhA will my friend, Rev. Howard Bell, for his experience increased vitality. inspiration. Rev. Mr. Bell, in a recent The opportunities for improved prac- sermon, suggested several steps that tice and new models are before us. During the past year, MPhA saw Julie must occur in a leave-taking. These Let us build on the foundations laid by Johnson move from 12 years with us I adapt and adopt for your consider- our pharmacist-ancestors, finding the to the University of Minnesota College ation . courage and conviction they taught of Pharmacy, a move that will surely us. Our theme this annual meeting is strengthen our profession. I thank her The first step was taken many years “Not Your Mother’s MPhA,” which is deeply for her guidance and support ago when the president’s term was apt: MPhA is different than it was for in the past, especially in this presiden- set as one year, from annual meeting our mothers, but simultaneously it is tial year. I am confident that our next to annual meeting. One difference this our mothers’ — and fathers’ — MPhA, leader will live up to the standard Julie year is the earlier meeting date. because it has the heart and soul they set to continue building the associa- and previous generations of pharma- tion. I thank Ewald Consulting, espe- The second step is announcing the cists prepared for us. It is incumbent cially David Ewald, Bill Monn, Laurie leave-taking. Your board announced upon us to continue the tradition: bold- Pumper, and Jacquie Jaskowiak for an earlier meeting date several months ly expressing ourselves to lawmakers; their work and advice along the way.