January/February 2019 Newsletter
In this issue:

  • Tony's Tenets: A Message from the President
  • Board Update
  • Public Policy Update
  • Board of Pharmacy Update
  • Research and Education Foundation Update
  • Pharmacist Continuing Education Opportunities
  • From DOACs to ROACs: Strategies for Reversing Oral Anticoagulants
  • A Review of Current Treatment Guidelines for Invasive Aspergillosis 
  • Special Feature: Navigating Phase II of the ASHP Residency Match
  • Featured Clinical Topic – Endocrinology
  • A Case for NPH Insulin as Preferred Basal Insulin Therapy in Type 2 Diabetes Mellitus
  • Optimal Duration of Bisphosphonate Therapy and Implementation of a Drug Holiday
  • Student Chapter Updates
  • Affiliate Chapter News and Events
  • Upcoming Newsletter Info
Tony’s Tenets: A Message from the MSHP President
Winter Tenet - Educate for the Future

Education is the most powerful weapon which you can use to change the world.
-Nelson Mandela

What’s another word for thesaurus?
-Steven Wright

Connect with Us on Social Media
We would love for you to connect with us on social media on one of three social media channels. We are just getting started with Instagram.
Board Update
Elaine Ogden, PharmD, BCPS, BC-ADM
MSHP Secretary/Kansas City VA Medical Center

November Updates
  • The board reviewed and updated this year’s strategic plan to ensure timely completion of high priority initiatives.
  • The board discussed medical marijuana and will be sending out a survey in January to gain insight to how MSHP membership feels about its use – watch out for the survey!! This will help the board in preparing positional statements in the future.
  • The board is beginning the process for an external audit.

December Updates
  • The board conducted an in-depth review of upcoming events, e.g. House of Delegates voting, call for nominees for 2019-2020 board members, poster submissions for Spring meeting, award nominees for Spring meeting, and legislative day on 3/27/19 to name a few.
  • Logo reveal and Midyear were discussed.
  • The board discussed proposed bylaw changes to be voted on in January by membership.
Public Policy Update
Changes Coming to the EPA Rules Regarding Pharmaceutical Waste Disposal

The Environmental Protection Agency (EPA) governs the Resource Conservation and Recovery Act (RCRA), which defines hazardous versus non-hazardous waste and describes how each must be disposed of. Pharmaceutical waste was added to the hazardous wastes managed by the EPA in 2008. These regulations apply to any entity that generates “hazardous pharmaceutical waste”. 1,2
Board of Pharmacy Update
In December 2018, Governor Parsons appointed two new members to the Missouri Board of Pharmacy. Below is the information about the appointees from the press release: 

Dr. James Gray III , of Des Peres, was appointed to the  State Board of Pharmacy .

Dr. James Gray III, of Des Peres, was appointed to the State Board of Pharmacy. Dr. Gray is the Executive Director of Pharmacy at Barnes-Jewish Hospital. He is responsible for operations, drug use policy, regulatory compliance, program development, and financial performance of the pharmacy department. Dr. Gray received a Bachelor of Science in Pharmacy from the University of Pittsburgh. He earned a Doctor of Pharmacy at Duquesne University and completed an American Society of Health-System Pharmacists accredited residency in pharmacy practice at Mercy Hospital. He also has his MBA from Washington University in St. Louis. 

Dr. Colby Grove, of Springfield, was appointed to the State Board of Pharmacy.

Dr. Grove is a pharmacist and co-owner at The Pharmacy @ Pleasant Hope. He graduated with a Bachelor of Arts in Biology and Chemistry from Drury University and a Doctor of Pharmacy from Lake Erie College of Osteopathic Medicine School of Pharmacy. Dr. Grove is one of nine pharmacists in his family, and his family’s history in the pharmacy business dates back to over eighty years.

Additionally, the Missouri Board of Pharmacy has updated and published the Pharmacy Practice guide as of December 2018. The updated guide can be accessed at: http://pr.mo.gov/boards/pharmacy/practiceguide.pdf
Research & Education Foundation Update
Author: Jackie Harris, PharmD, BCPS
R&E Foundation Chair/St. Louis College of Pharmacy/Christian Hospital Northeast

This year at the ASHP Midyear Missouri Reception we awarded the Clinical Skills Competition winners from STLCOP and UMKC. Allie Oxford and Alexander Spillars represented STLCOP at the Clinical Skills Competition at Midyear this year. Kaily Kurzweil and Michelle Sproat represented UMKC. Congratulations for their hard work!! 

In addition to providing financial support to these pharmacy students to attend the ASHP Midyear Clinical Meeting and participate in the Clinical Skills Competition, the R&E Foundation also provides several awards at the MSHP Spring Meeting. We hope that you were able to submit your poster abstracts and award nominations for the Spring Meeting. 

Currently, the foundation is reviewing nominations and submissions for the Thomas J. Garrison award, Best Practice Award, Preceptor of the Year, and Best Residency Project Award. These award winners will be recognized at the Spring Meeting. 
Pharmacist Continuing Education
From DOACs to ROACs: Strategies for Reversing Oral Anticoagulants

Authors: Emily Shor, PharmD; Alex Meyr, PharmD
PGY-1 Pharmacy Practice Residents
Mentor: Davina Dell-Steinbeck, PharmD, BCPS
SSM Health St. Mary’s Hospital – St. Louis

Program Number: 2019-01-06
Approval Dates: February 4 - July 4, 2019
Approved Contact Hours: One (1) CE(s) per LIVE session.

A Review of Current Treatment Guidelines for Invasive Aspergillosis  

Authors:   Robin Yang, PharmD and Sophia Huynh, PharmD
Mentors:  Tyson Lotz, PharmD, MBA and Melissa Mays, PharmD
SSM Health St. Clare Hospital – Fenton, MO 

Program Number: 2019-01-05
Approval Dates: February 4 - July 4, 2019
Approved Contact Hours: One (1) CE(s) per LIVE session.

Special Feature: Navigating Phase II of the ASHP Residency Match
Whether you are chasing your dreams of completing a pharmacy residency or serving as a mentor for an aspiring student, navigating through Phase II of ASHP’s Pharmacy Residency Match can be challenging. The process is quick, and if you are unprepared you may find yourself scrambling at the last minute. Here are some tips I learned along the way that helped me successfully tackle Phase II of the Match.

Featured Clinical Topic:
A Case for NPH Insulin as Preferred Basal Insulin Therapy in Type 2 Diabetes Mellitus
We are entering a period in which Americans are living longer with type 2 diabetes mellitus (T2DM) and patient-centered care is paramount. 1 Consequently, quality of life, medication adherence, and cost become particularly important considerations. Unfortunately, drug costs continue to rise for mainstay T2DM therapies (or not drop quickly enough, despite an approved biosimilars for glargine U-100), and patients feel the crunch.

Optimal Duration of Bisphosphonate Therapy and Implementation of a Drug Holiday
Osteoporosis is a disease characterized by loss of bone mass and increased bone turnover. Approximately 10 million Americans have osteoporosis and 44 million have low bone mineral density, meaning half of all adults 50 years of age and older are at an increased risk of fractures. 1 Fractures caused by osteoporosis can lead to mortality and negative impacts on quality of life. Osteoporosis related fractures are also costly, and it is estimated that by 2025, $23.5 billion will be spent annually on fracture-related costs. 1  
Student SSHP Chapters Updates
St. Louis College of Pharmacy
Throughout the Fall Semester of the 2018-2019 academic year, the STLCOP SSHP chapter aimed to build upon its current initiatives and create new goals with regards to community outreach and health-system service, professional development, and networking opportunities for its student members. 
UMKC School of Pharmacy
At the beginning of the Fall semester, UMKC's SSHP chapter held a membership drive from August to September 21st. Members of the executive team attended the Class of 2022 Orientation Day in Kansas City on August 15th where they participated in the Student Organization Fair.

Affiliate Chapter News & Events
Greater Kansas City Society of Health-System Pharmacists (GKCSHP)

Upcoming Events:
February 21, 2019: Impact of Rapid Molecular Diagnostics with Pharmacy Stewardship
Time 6:00 pm
Location: JJ's Restaurant

Congratulations to the 2019 Greater Kansas City Society of Health System Pharmacists Executive Board Members! There are several positions open for appointment. Please contact the 2019 President,  Lauren Mishler  if you are interested in an appointed position.
President  – Lauren Mishler
Past President  – Katie Korte
Treasurer  – Rachel Howland
Membership Chair  – Kerra Cissne
Newsletter Editor  – to be appointed
Resident liaison  – Angela Kaucher
KU liaison  – Audrey Wenski
President Elect  – Mel Smith
Secretary  – Theresa Lockwood
Programs   – to be appointed 
Programs Elect  – to be appointed
Technician Liaison  – to be appointed
UMKC Student Liaison  – Anna Parker
GKCSHP is on Instagram! Follow us @gkcshp!

President: Lauren Mishler, PharmD, BCPS, BCACP
Mid-Missouri Society of Health-System Pharmacists (MMSHP)

Call for Officer Nominations - President-Elect

President: Carmen Smith , PharmD, BCPS
Saint Louis Society of Health-System Pharmacists (STLSHP)

February 21, 2019: Andexxa®
(coagulation factor Xa (recombinant), inactivated-zhzo)
Time 6:30 pm
Location: Capital Grill

President: Carmen Smith , PharmD, BCPS
Southeast Missouri Society of Health-System Pharmacists (SEMSHP)

The member networking event will be scheduled in February. A continuing education opportunity will be scheduled in the Spring and will be put on by pharmacy residents from Southeast Hospital.

To join SEMSHP: http://moshp.org/join-us

President:   Ashley McCormick , PharmD, BCPS
Upcoming Newsletter Info
March/April 2019 Newsletter

Featured Clinical Topic:   Psych/Neuro/Pain

Submit to: Sarah Cook
Upcoming Featured Clinical Topics

May/June: Critical Care/Pulmonology/Emergency Med
July/Aug: Cardiology/Anticoagulation
Sept/Oct: Oncology
Nov/Dec: Infectious Disease/Vaccines 
Newsletter Submission Guidelines
  • Pharmacists, pharmacy technicians, and pharmacy students in Missouri are eligible to submit content for publication in the MSHP Newsletter. Student submissions need to include pharmacist oversight.
  • Submit content to the current Newsletter Committee Chair on or before the established deadlines.
  • CE and Featured Clinical Topics must be approved by the Newsletter Committee Chair in advance of article submission, to prevent duplicates. Duplicate articles submitted without advanced approval may not be published.
  • Recommended length of submissions for committee, affiliate, college/schools of pharmacy, and student chapter reports is half to one page in length.
  • Recommended length of submissions for featured clinical topics is 1 to 2 pages, without references.
  • Recommended length of CE articles is individualized, based on the amount of CE provided.
  • Recommended length of submission for other categories is 1 to 2 pages.
Newsletter Submission Deadlines
  • March/April 2019: March 11th
  • May/June 2019: May 13th
  • July/Aug. 2019: July 8th
  • Sept./Oct. 2019: September 9th
  • Nov./Dec. 2019: November 11th
Is there a Pharmacy Best Practice happening at your institution? Would you like to share your successes with MSHP Membership? We'd love to highlight your institution in a future MSHP Newsletter!

Please contact the MSHP Newsletter Chair, Sarah Cook
Interested in becoming a MSHP member or need to renew? It's easy! Click the above button or visit the MSHP website: www.moshp.org/join-us

Membership Dues:
Pharmacist: $110
Joint Pharmacist: (Married Couple) $155
Technician: $35
Associate Member: $110
Recent Graduate (within 24 months): $45
Student: $25
Retired Pharmacist: $35
MSHP Board of Directors
2018 - 2019
President: Tony Huke
President-Elect: Alex Oschman
Immediate Past President: Jeremy Hampton
Secretary: Elaine Ogden
MSHP Committee Chairs
Vendor Relations Board Liaison -  Evanna Shopoff
Membership Committee -  Ashley Evans
Communications Committee -  Elaine Ogden
Public Policy Committee -  Sarah Cox
Newsletter Committee -  Sarah Cook
Education and Programming -  Elizabeth Englin
Website Committee -  Kathryn Burnett
If you have any questions, comments, or wish to submit an article to for MSHP Newsletter, please contact the Newsletter Committee Chair:
Sarah Cook or another Newsletter Committee member.

2018-2019 MSHP Newsletter Committee Members
Sarah Cook, PharmD, BCPS (Chair)
Laura Challen, PharmD, MBA, BCPS, BCACP (Vice-Chair)
Barb Kasper, PharmD, BCACP
Hannah Pope, PharmD, BCPS
Emily Shor, PharmD