January/February 2020 Newsletter
In this issue:
  • President's Message from Alex Oschman
  • Board Update
  • Research & Education Foundation Update
  • Public Policy Update
  • Pharmacist Continuing Education Opportunities
  • Optimizing the Initiation of Anticoagulation after Atrial Fibrillation Associated Ischemic Stroke
  • Vancomycin dosing: Area Under the Curve Versus Trough
  • Featured Clinical Topic – Endocrinology
  • SGLT2 Inhibitors and Renal Outcomes
  • Perioperative Glycemic Management Throughout the Surgical Continuum of Care
  • The First Oral Glucagon-like Peptide-1 Receptor Agonist - Rybelsus®
  • Assessing Care Plans for Patients with Type 2 Diabetes Practicing Religious and Cultural Fasting
  • 2020 Spring Meeting
  • Registration
  • Affiliate Chapter News and Events
  • Upcoming Newsletter Info
President's Message
from Alex Oschman
"You do not like them, so you say. Try them! Try them! And you may!"  – Dr. Seuss

As the new year starts, many of us are setting new goals for the year, both personal and professional. An article recently reported that January 19th is the day most people are likely to give up on their New Year’s Resolutions. While there are lots of ways to build new habits and implement changes, one way to help be successful in your goals is to engineer your environment to set you up for success.

Board Update
Author: Davina Dell-Steinbeck, PharmD, BCPS
MSHP President Elect/SSM Health St. Mary's Hospital

  • Alex Oschman, Davina Dell-Steinbeck, and Jim Andrews attended ASHP Presidential Officers Retreat and got many good idea on strategic planning and advancing advocacy efforts.
  • Keynote speaker for KCHP/MSHP Meeting will be Paul Walker, PharmD, FASHP, ASHP Board of Directors.
  • We had a very successful and well attended Missouri Reception at the ASHP Midyear Clinical Meeting
  • UMKC Clinical Skills Competition team placed in the top 10 at the ASHP Midyear Clinical Meeting
  • President-elect and treasurer-elect will be the open positions on the board election ballot. Submissions portal for nominations will be open soon.
Research & Education
Foundation Update
Author: Becca Nolen, Pharm.D., BCPS, BCIDP, AAHIVP Member, MSHP Research and Education Foundation 

The local ASHP Clinical Skills Competition winners from both the St. Louis College of Pharmacy and the University of Missouri-Kansas City were recognized during the MSHP reception at Midyear. Congratulations to William Miller & Blake Robbins from STLCOP and Amelia Gooch & Garrett Matthews from UMKC! Thank you for representing Missouri!

Public Policy Update
Advocacy: Leadership In Action for Pharmacists and Technicians

Author: Nathan Hanson, PharmD, MS, BCPS

Legislative Day is April 1st - will you be joining us? No, this isn’t a practical joke…advocacy is our job! Why? Because advocacy is leadership in action.

The playoffs are here, and what a year it’s been already! And like most years, this year we have been reminded how important the rules are. We see games decided and seasons completely changed because of one rule and one referee’s interpretation...

Pharmacist Continuing Education
Optimizing the Initiation of Anticoagulation after Atrial Fibrillation Associated Ischemic Stroke

Author: Emily Shor, Pharm.D.

Program Number:  2019-12-02
Approval Dates:  January 1, 2020 – June 1, 2020                  
Approved Contact Hours: One (1) CE(s) per LIVE session

Vancomycin dosing: Area Under the Curve Versus Trough

Author: Miriam Chikodili Oguejiofor, Pharm.D
Program Number:   2019-12-01
Approval Dates:  January 1, 2020 – June 1, 2020                  
Approved Contact Hours: One (1) CE(s) per LIVE session

Featured Clinical Topic:
SGLT2 Inhibitors and Renal Outcomes

Authors: Kathryn M. Holt, PharmD, BCPS, University of Missouri-Kansas City School of Pharmacy, Clinical Assistant Professor Meritas Health North Kansas City;
Amanda M. Stahnke, PharmD, BCACP, University of Missouri-Kansas City School of Pharmacy, Clinical Associate Professor Kansas City VA Honor Annex
Diabetes mellitus remains one of the leading causes of chronic kidney disease (CKD) and occurs in 20-40% of people with diabetes.1 With the continued increase in prevalence of CKD in diabetes, limited pharmacologic therapies exist to assist in decreasing the development and progression outside of renin-angiotensin-aldosterone system (RAAS) agents.1-2 Recent clinical trials with sodium-glucose cotransporter 2 inhibitors (SGLT2-Is) have demonstrated their potential role in this much needed area.

Perioperative Glycemic Management Throughout the Surgical Continuum of Care

Author: Diari Gilliam, PharmD Candidate 2020-Xavier University of Louisiana and Rachel Wolfe, PharmD, BCCCP, Clinical Pharmacist-Barnes-Jewish Hospital
Diabetes is a metabolic disorder characterized by hyperglycemia due to impaired insulin secretion, insulin action, or a combination of both.1 In the United States, it is a frequently encountered disease state with an estimated incidence of 30.3 million in 2015. 2  While it is well known that chronic hyperglycemia is associated with poor long term outcomes, such as retinopathy, nephropathy, and neuropathy, acute hyperglycemia in the surgical setting has also been associated with poor outcomes.

The First Oral Glucagon-like Peptide-1 Receptor Agonist - Rybelsus ®

Author: Angelou Song, PharmD Candidate 2021-UMKC School of Pharmacy

Mentor: Barb Kasper, PharmD, BCACP; Clinical Assistant Professor-UMKC School of Pharmacy
The U.S. Food and Drug Administration (FDA) approved oral semaglutide tablets (Rybelsus ® ) in September 2019. 1  Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist analog and the first oral agent developed in the drug class. Oral semaglutide is indicated to lower A1C in patients with Type II Diabetes (T2DM). According to the American Diabetes Association’s recommendations for pharmacological therapy, GLP-1 receptor agonists are used when A1c levels are over 1.5% above the glycemic target, as one of the agents for dual combination therapy.

Assessing Care Plans For Patients with Type 2 Diabetes Practicing Religious and Cultural Fasting

Author: Lourdes M. Vega, PharmD; St. Louis College of Pharmacy/Department of Public Health PGY1 Pharmacy Resident

Mentor: Justinne Guyton, PharmD, BCACP; St. Louis College of Pharmacy Associate Professor of Pharmacy Practice, PGY1 Pharmacy Residency Program Director
Fasting practices vary significantly between religious and cultural backgrounds, regions, families, and persons, ranging from giving up a specific food or ingredient to abstaining from food and water entirely. A prolonged fast is defined as abstinence from all food for greater than eight hours while awake. This prolonged fast comes with risk when practiced by patients with type 2 diabetes and is an opportunity for a pharmacist to reevaluate pharmacotherapy selection. 1

MSHP Awards Nominations
The  2020 KCHP/MSHP Annual Spring Meeting  will feature a ceremony to recognize this year’s MSHP Award Winners.

Please submit your nominations for the following awards via the online form by  Saturday, February 15, 2020 . The 2020 Annual Meeting is themed  Past Reflections and Future Visions . We look forward to seeing you on  April 3 – 4, 2020  at the Sheraton in Overland Park, KS.

  • Pharmacist of the year Award
  • Outstanding Volunteer Award
  • Rising Star Award 
  • Outstanding Collaborator of the Year Award

2020 Spring Meeting
Educate. Network. Advocate.    The Health-System Pharmacy event of the YEAR   in Kansas and Missouri designed for pharmacists, residents, technicians and students!

When and Where:
The Sheraton
Overland Park, KS
April 3-4, 2020

Past Reflections, Future Visions

MSHP will also be celebrating our   50th Year  as an association.
HELP NEEDED: Do you have pictures from your time in MSHP? Any archives from the past 50 years? We would love to have them for a special 50th Anniversary project! Please email anything you have to mshp@qabs.com.
Affiliate Chapter News & Events
Greater Kansas City Society of Health-System Pharmacists (GKCSHP)
Upcoming event:
FERAHEME® (ferumoxytol) and new advances in iron replacement therapy 
Speaker: Suresh Ratnam, MD, FACP

The Capital Grille
4760 Broadway Blvd
(816) 531-8345 
Thursday, February 20th 2020
Arrival: 6:00PM
Presentation: 6:30PM

GKCSHP is on Instagram! Follow us @gkcshp!

President: Bradley Bingham, PharmD
Mid-Missouri Society of Health-System Pharmacists (MMSHP)

President: Emily Wiederanders , PharmD
Saint Louis Society of Health-System Pharmacists (STLSHP)

Dear STLSHP members,

Please see the details below for our February meeting. We look forward to seeing you there!

STLSHP Executive Board
Date: Thursday, February 20 th
Time: 6:30PM
Location: Bonefish Grill, 8780 Eager Road, Brentwood, MO 63144
Topic: A Multi-modal Approach to Increase Mean Arterial Pressure in Distributive Shock
Speaker: Kevin Betthauser, PharmD, BCCCP; Critical Care Clinical Pharmacy Specialist (Medical ICU, Barnes-Jewish Hospital)
Hosted by:  La Jolla Pharmaceutical Company.

Please RSVP to Kelly Gentry at kgentry@ljpc.com  or call (913)-220-0119 by February 17 th at 5:00PM. 

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

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

President:   Julie Haase , PharmD, BCPS, BCCCP
Upcoming Newsletter Info
March/April 2020 Newsletter

Featured Clinical Topic:  
Psych/Neuro/Pain - FULL

Submit to: Laura Challen
2020 Featured Clinical Topics
May/June – Critical Care / Pulm / Emergency Med - FULL
July/Aug – Cardiology / Anticoagulation
Sept/Oct – Pediatrics
Nov/Dec – ID/Vaccines  
Newsletter Submission Deadlines:
March/April 2020: March 9th
May/June 2020: May 11th
July/August 2020: July 13th
Sept/Oct 2020: September 14th
Nov/Dec 2020: November 9th
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.
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, Laura Challen
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
2019-2020 Board of Directors
President: Alex Oschman
President-Elect: Davina Dell-Steinbeck
Immediate Past President: Tony Huke
Secretary: Barb Kasper
Treasurer: Christina Stafford
MSHP Committee Chairs
2019-2020 Committee Chairs
Vendor Relations Board Liaison -  Evanna Shopoff
Membership Committee -  Erin Hennessey
Communications Committee -  Barb Kasper
Public Policy Committee -  Sarah Cox
Newsletter Committee -  Laura Challen
Education and Programming -  Elizabeth Englin
Website Committee -  Lori Rio
If you have any questions, comments, or wish to submit an article to for MSHP Newsletter, please contact the Newsletter Committee Chair:
 Laura Challen or another Newsletter Committee member.

2019-2020 MSHP Newsletter Committee Members
Laura Challen, PharmD, MBA, BCPS, BCACP (Chair)
Sarah Cook, PharmD, BCPS (Vice-Chair)
Rebecca Nolen , PharmD, BCPS, AAHIVP
Hannah Pope, PharmD, BCPS
Emily Shor, PharmD
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