guest speakers 7 th annual ncpps application workshops pharmacy hot topics

PILLS 6th General Meeting

Trends in Pharmacy

Thursday, February 7th 20137:00-8:30pm

20 Barrows

Welcome (back)!

Guest speakers 7th Annual NCPPS Application workshops Pharmacy hot topics

Who are we?

President: Leanne Thai Vice President: Trung Ky Secretary: Rachelle Roxas Treasurer: Laney Luong Internal Affairs: Devin Erbay External Affairs: Louis Owen Public Relations Chair: Deepika Loomba NCPPS Chair: Judy Ma Webmaster: Yu Jin

Who are we?

Our Public Relations Committee:

Vincent Man

Thao Nguyen

Priya Vallabh

Yuen Ng

Clifton Ng

Irene Chang

Grace Go

Irene Dang

Rachael Park

Ice Breaker!

Membership Updates

Fall membership has been updated, see website for complete list› Email devinerbay@gmail.com for

questions/concerns T Shirt Prize! Requirements for this semester

› 2 meetings, 1 social, 4 hours volunteering› Membership form & fees

8th Gen Raffle!

Upcoming Volunteer Event

Red Cross Blood Drive› 2/8, 2/11, 2/12

Hot meals for Hunger, Saturday 2/16› St. Marks Church› 15 people

Look out for email

Spring Socials!

Thank you!

Socials Come out to meet fellow members and

the PILLS board and have a good time!

Meet members from other health clubs

1 social required for active membership› only 4 socials this semester

First Spring Social Fashion Show!

› we'll be creating outfits out of outrageous materials, which will be provided

› Feel free to contribute your own too! Ex: garbage bags,

construction paper, make-up, markers, etc.

› Tuesday, 2/12 @ 7-8:30pm

PhRENDs Meet with your PhRENDs

Family for February! PhRENDs of PhRENDs

Joint Social around March.

Point System still ON! Prize will be given at the end of semester.

New to PhRENDs? Ask for a PhRENDs questionnaire form.

SIBLING Update Paired up based on interests

› All about bonding/making a personal connection, SO DON’T BE SHY

Come talk to us if:› You’re interested in joining!› Having difficulty reaching your

mentor/mentee.

NCPPSApril 6th, 2013

8:45AM – 4:30PM$16 General Admission

$13 Active PILLS MembersRegistration Opens April 9th, 2013

NCPPS

Workshops› Pediatrics,

Interview, Geriatrics & Health Policy, Psychiatric, Ambulatory Care, Clinical, Panels and More!

Info Sessions› UOP, UCSF,

UoMinn, Michigan, Touro, and Others

Publicity

T-Shirt Updates

Upcoming Opportunity: Pharmacy Clerk

Applications for Abbotts Compounding Pharmacy are opening in the next few weeks

1-2 shifts per week, M-F,1-5:30pm Cover letter, resume Two rounds of interviews More Details to follow

Questions? Email rachelleroxas@berkeley.edu

Current Trends in Pharmacy

Pharmacist Statistics #3 Best Healthcare Job according to US News National median salary: $113,390

› California has the highest average salary: $122,800

272,320 employed nationally (2011 Bureau of Labor)› California also has the highest number employed: 22,960

Projected 25.4% growth by 2020, 69,700 new jobs

Retail

Clinical

Misc

Female

Male

More statistics (Information from Bureau of Labor and AACP)

Dual Degree

None PharmD/PhD PharmD/MBA PharmD/MSPharmD/JD PharmD/MPH Other

Residency

MBA

Fel-lowship

Nothing

Other

Post-Graduation

PharmD/PhD

PharmD/MBA

PharmD/MS

PharmD/JD

PharmD/MPH

Other

Yes

No

No Comment

If you could start over, would you still choose pharmacy?

Job Outlook demand for trained pharmacy

professionals has increased in past years

number of pharmacists in healthcare services is also growing

pharmacists who pursue additional graduate study and/or residency experience have greater mobility within the profession

HealthcareWhat does it is means for the future of

pharmacy?

Healthcare

Ability to access services to maintain physical and mental health.

Government programs:› Medicare

Age 65 and older and disabled. Medicare Part D covers prescription drugs.

› Medicaid Families with low incomes. Programs varies by

state.

Patient Protection and Affordable Care Act (Obamacare) 2010

Mandatory to have healthcare by 2014 or will be fined.

Restricts insurance companies to make healthcare more accessible.

Don’t allow companies to deny coverage based on pre-existing conditions or gender. (Women cost more)

2014 able to stay on parent’s health plan until age 26.

The role of the Pharmacist

Pharmacists are not considered as healthcare providers.› Cannot be

reimbursement by Medicare for MTM or consultation services.

› Role of pharmacist is turning more to consulting.

Pharmacy Benefit Management (PBM)

Major component of the healthcare system and medications › 3rd party middlemen between the drug

companies and you Responsible for:

› Calculating cost for consumer › Developing formularies › Electronic prescriptions › Mail-order services

Pharmacy Benefit Management (PBM)

Pharmacy Benefit Management (PBM)

Express Scripts – MedCo Merger › $29 billion merger › Finalized April 2012› Resulted in the nations #1 PBM

Handles ~ 1 in 3 Rx written in the U.S. Pros & Cons

› Pros: Cheaper prices, decrease waste, improve healthcare

› Cons: Antitrust laws – unhealthy competition and the creation of a monopoly

Medicaid in the News

Medical provider billing for services that were never gave

Double billing Falsifying symptoms

› Unnecessary tests/Rx

$155M black market prescription HIV drugs from a Long Island-based pharmacy

Pharmacy in Obamacare Do not change status

of pharmacist. Predictions are that the

number of prescriptions will increase.› Potential increase in

number of jobs. Will change regulations

on reimbursements and pricing.

How to get Involved

Join Pharmacy associations such as APhA – Academy of Student Pharmacists.

Pay attention to politics and be active.

Petitions, letters, etc. Stay Informed.

Medication Therapy Management (MTM)

Service that optimizes drug therapy to improve outcome for patients

Includes comprehensive medication review, monitoring safety of therapy, and communicating MTM results to prescribers

Medication Therapy Management (MTM)

MTM targets patients with multiple chronic conditions:› diabetes, asthma, hypertension

Unique niche for pharmacy profession allowing application of extensive medication knowledge

Medication Therapy Management (MTM)

Reflects expanding role of nation’s pharmacists and represent a new source of revenue for profession

Health plans view pharmacists as having the education, expertise, and time to talk to patients and monitoring cholesterol or blood glucose levels more closely than physicians

Medicaid Expansion

Medi-Cal, paid by federal AND state Health program for people with low

income and resources New changes:

› Newly Eligible Individuals age 19 up to 65› Many previously uninsured people will be

covered› Simplified application and renewal process

through Health Benefit Exchange (automated data-match process)

How it Impacts Pharmacy

Anticipated new insured people in the first year around 500,000

More pharmacists needed for consultation, drug management, preventative services (screening) and chronic disease management

Community pharmacy is still the main job market for new pharmacy students

Medication Safety

Medication Safety: Meningitis Outbreak

Medication Safety: Meningitis Outbreak

Compounding pharmacy & sterility

Specialized medications

Medication Safety: Meningitis Outbreak

New England Compounding Center (MA)

Mold & Bacteria Improper temperature

regulation & Dust Killed 39 people 100s inflicted with

meningitis

Qualities of a Good Pharmacist

How to make yourself competitive in the field

Universal Characteristics Being a good team player

› Greater integration into a team of healthcare workers like physicians and nurses.

› A “cure for errors”, accountability Critical and innovative thinking

› Thinking from patients’ perspective by understanding background

› Can help formulate a plan to help adherence i.e. elderly people

Universal Characteristic Being willing to learn and adapt to

changes› Processes - i.e. drug distribution› Technological – i.e. ROBOT-Rx, electronic

health records› Policies – Healthcare Reform, drug

regulation› Demographics – depending on

environment

The Toppings Picking up a language

› Top 4 in California: Spanish > Vietnamese > Cantonese > Tagalog

Good memory› Not only pills and policies, but also patients

Cultural competency› Medication may not be the preferred

choice of treatment Calm and Patient

For more information

Languages - http://www.cde.ca.gov/ds/sd/cb/cefelfacts.asp

“Megatrends in Pharmacy” - http://www.pharmacytimes.com/publications/issue/2011/December2011/Megatrends-in-Pharmacy-What-the-Future-Holds

“The Next Generation Pharmacist” - http://www.pharmacytimes.com/publications/issue/2010/September2010/NGP_Future_of_Pharmacy-0910

“Cure for errors” - http://www.acpinternist.org/archives/2000/03/collab.htm

Game

Game

Get in groups of 5

Question 1

What is the estimated growth for the pharmacist job market by 2020?

Answer 1

25.4%

Question 2

Name 2 conditions that MTM services monitor

Answer 2

Hypertension, asthma, diabetes, high cholesterol, multiple medications, other chronic conditions

Question 3

What is the most common dual degree program?

Answer 3

PharmD/MBA

Question 4

In 2012, a meningitis outbreak occurred in a compounding pharmacy in which state?A. MassachusettsB. MarylandC. MississippiD. Michigan

Answer 4

Massachusetts

Question 5 What are 2 examples of changes that a

future pharmacist may have to adapt to?

Answer 5 Many Answers:

› Technological changes› Policy changes› New roles & responsibilities› New settings› Changes in patient population› Etc.

Question 6

What is the main target audience of medicaid?

Answer 6

People with low income and resources

Question 7 What are the two most common

languages in California other than English?

Answer 7 Spanish Vietnamese

Question 8 What does PBM Stand for? 

Answer 8 Pharmacy Benefits Manager 

Question 9

Which of the following was NOT a reason for the meningitis outbreak in the New England Compounding Center?A. MoldB. Improper temperature regulationC. Employees failing to wear glovesD. All of the above contributed to the

meningitis outbreak

Answer 9

C. Employees failing to wear gloves

Question 10Starting in 2014, to what age can someone stay on their parents healthcare plan?

Answer 10

With Obamacare, in 2014 the age limit for staying on parents healthcare is age 26.

PILLS 7th General Meeting

Application Workshop

Thursday, February 28th 20137:00-8:30pmLocation TBA