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May 12, 2017
Ambulatory Care Advancement Coaching 

Looking to enhance or implement ambulatory care practice at your pharmacy? PSW's Ambulatory Care Advancement Coaching (ACAC) 
series  will provide you   customized support and coaching!  A series of six interactive workshops (1.5 hours each) will focus on targeted implementation and advancement of ambulatory care practice. Each workshop will be led by practice experts who deliver didactic content followed by facilitated, interactive group discussions. Sessions will assist participants in overcoming barriers and will provide a venue for sharing successes to promote high-quality networking and participant recognition as Ambulatory Care Practice Leaders.

Ambulatory Care Practice Leaders 
will commit to a fast-paced, targeted ambulatory care practice advancement project at their site. Leaders will complete specific activities between sessions over the course of the 3-month program. Focus on peer-to-peer diffusion and collaborative sharing will be leveraged. This program speeds ambulatory care project implementation and instills the leadership skillset necessary to propel practice advancement into the future.

Register now to be at the forefront of pharmacist driven ambulatory care practice. Join ACAC to   learn, develop, implement, and spread!
Call for Posters! Present at the 2017 PSW Annual Meeting! 

Come share your practice ideas, programs, or experiences with colleagues at the 
  2017 PSW Annual Meeting ! We are currently accepting poster abstracts for the Poster Session scheduled on Friday, September 15th at 11:30 am - 1:00 pm. Poster topics may cover any area pharmacy practice and submissions by pharmacists, residents, students and pharmacy technicians will be considered. Posters will be chosen and accepted for presentation after review of the abstract submissions. All abstracts must be submitted electronically with a completed abstract form by July 30, 2017. Forms are available under Additional Material on the PSW Annual Meeting  website . Any questions may be directed to  Sophia Voelker , PSW Project Coordinator.
PSW Legislative Update 
Three pro-pharmacy bills passed houses of the Wisconsin States Legislature on May 10th.
  • AB 125, which allows pharmacists to extend a prescription without prescriber authorization in certain circumstances, passed the State Senate unanimously. It previously passed the State Assembly unanimously, and now moves on to the Governor's desk to be signed into law.
  • SB 126, which updates outdated pharmacy laws and regulations, passed the State Senate and State Assembly unanimously. It now moves to the Governor's desk to be signed into law.
  • SB 172, which allows pharmacy interns to immunize patients ages 6 and older, passed the State Senate unanimously. It now moves to the State Assembly for a vote.

Stay engaged with PSW advocacy efforts by signing up for PLAN or contributing to the Friends of Pharmacy Fund.  

Non-Vaccine Injection Administration Training
While pharmacists are currently able to administer non-vaccine injectable medication under an emergency rule (as allowed by Wisconsin 2015 Act 290), a permanent rule is in development. PSW expects this permanent rule from the Pharmacy Examining Board will outline the following required components of training in order to administer non-vaccine injections: 
  • Safe injection practices to prevent infections
  • Anatomy
  • Proper injection techniques
  • Five rights of administration (right patient, right drug, right dose, right route, right time)
  • Patient reassessment after administration including signs and symptoms of adverse drug reactions
  • Best practices in documentation of the medication administration
While pharmacists who have been trained to provide immunizations (through PSW's program or through another immunization training) are currently able to administer non-vaccine injectable medications under the emergency rule, PSW expects that the permanent rule training requirements (as listed above) will necessitate that pharmacists receive additional training. PSW, in partnership with the University of Wisconsin-Madison School of Pharmacy Division of Pharmacy Professional Development (DPPD), has developed such a training program that was recorded at the PSW Educational Conference on April 6 and is now available online. The emergency rule will be in effect until July 3, 2017 (with an extension expected through September 3, 2017), or the promulgation of a permanent rule, whichever is sooner.

*Those pharmacists that have previously completed immunization training and have provided immunizations in Wisconsin, will be qualified to provide non-vaccine injections under the permanent rule if they complete the PSW-DPPD course either at the PSW Educational Conference or online.

Additional drug-specific training modules as well as training modules that complement the minimal requirements are being developed by PSW and the UW-Madison School of Pharmacy DPPD as well.
Click here to register for the one-hour supplemental program.
Programs to Target Prediabetes Increasingly Supported by Payers
More health care payers, including large employer groups and state employee health plans, are covering evidence-based National Diabetes Prevention Programs. The CDC offers an impact toolkit to help employers see their potential return-on-investment from supporting such programs. These lifestyle-based programs include a trained coach who meets with participants in person, online or through telehealth over a one-year period, and have been shown to result in a 27% decrease in risk of development of diabetes after 15 years.  To read more, please access: Managed Healthcare Executive.
Revised ISMP Antithrombotic Medication Safety Self-assessment Available 
A self-assessment tool for antithrombotic therapy has been updated by the Institute for Safe Medication Practices (ISMP) to include newer oral anticoagulants. The tool also addresses current strategies for the use of antithrombotic agents, many of which are on ISMP's list of high-alert medications. The goal of the 2017 ISMP Medication Safety Self-Assessment for Antithrombotic Therapy is to help health care organizations evaluate their current systems related to the use of antithrombotic agents, proactively identify potential improvement areas, and track their efforts over time.   Read More 
Use of "Validated" Blood Pressure Kiosks Emphasized by CDC 
New guidance from the Centers for Disease Control and Prevention (CDC) provides   recommendations  regarding pharmacists' use of blood pressure (BP) kiosks. The recommendations emphasize the use of "clinically validated" set-ups vs. nonvalidated machines which are found more commonly in community pharmacies nationwide.
Pharmacy Residents Feel More Stress

According to a recent article
published in AJHP, researchers found that pharmacy residents who worked more than 60 hours/week had higher perceived stress levels than residents who worked 40-60 hours/week. Residents having the longer work week also had higher scores of depression, hostility, and dysphoria.
Fast Facts Focus Series: Workplace Culture

Each Friday in this 4-week series focused on pharmacy technician engagement and satisfaction we will share what we have learned from our survey of nearly 1,000 pharmacy technicians from around the state of Wisconsin.

28% of technicians in Wisconsin report they have left a job due to workplace culture or interpersonal relationships.

Workload balance, 51% of technicians state that coworkers not completing their share of work is one of the most stressful factors about their work environment.

Avoid the sound of silence. According to polls in the Harvard Business Review, when individuals do not speak up they tend to participate in unproductive behaviors such as complaining to others (78%) or doing extra or unnecessary work (66%).  

Follow this link for strategies on how to avoid the sound of silence in your pharmacy along with other proven strategies to improve workplace culture.

Have a success story you would like to share? Click here to share what you have done to improve the workplace culture at your pharmacy.
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