March/April 2019 Newsletter
In this issue:

  • Tony's Tenets: A Message from the President
  • Board Update
  • Public Policy Update
  • Research and Education Foundation Update
  • Best Practice Spotlight: Long-Acting Injectable Clinic
  • Pharmacist Continuing Education Opportunities
  • Overview of Vaspressors and Current Place in Therapy of Angiotensin II
  • Special Feature: Preceptor Development
  • Featured Clinical Topic – Psych, Neuro, and Pain
  • Novel Migraine Prevention Medications Target New Pathway
  • Ketamine Infusion for Treatment Resistant Depression and Suicidal Ideation
  • Affiliate Chapter News and Events
  • Upcoming Newsletter Info
Tony’s Tenets: A Message from the MSHP President
Spring 2019 Tenet-Advocate for your team
“Do what you can, where you are, with what you have.”
-Theodore Roosevelt
“The task of leadership is not to put greatness into people, but to elicit it, for the greatness is there already.”
                                                                                                -John Buchan

Board Update
Elaine Ogden, PharmD, BCPS, BC-ADM
MSHP Secretary/Kansas City VA Medical Center

January Updates
  • The House of Delegate nominees were reviewed and voted on by membership! Dr. Emily Owen will join Dr. Joel Hennenfent and Dr. Laura Butkievich as our HOD with Dr. Tony Huke and Mrs. Amy Sipe as our alternates. It will be an exciting year! 
  • Bylaw updates and changes were reviewed and voted by membership to allow for transition time for the board each year.
  • In depth discussion regarding new survey to be sent out to membership regarding medical marijuana. The board will review the results soon to allow for official position statements in the near future.
  • The board selected a technician liaison to serve for the remainder of this board term – Nikki Hernandez! Check out the March eBlast to get to know Nikki a little better.

February Updates
  • Planning for Legislative Day on March 27, 2019 in Jefferson City, MO. Follow this link for more information:
  • Spring meeting planning is humming along! See you on March 29-30 in Collinsville at the Gateway Center!
  • MSHP is looking to widen their social media footprint…look for more postings in the next few months.
Public Policy Update
Updates on the 100 th General Assembly

The General Assembly Kicked off its 100 th year on January 9, 2019 and will close its session at 6pm on May 17, 2019. Since the kickoff, lawmakers have been entrenched in the policy process in which a bill becomes a law. And this year, a number of bills have been introduced in both the house and senate that would impact pharmacy and the care of our patients. In this article, we list the pharmacy-related bills and walk through how a bill becomes a law. 

Research & Education Foundation Update
Author: Rebecca Nolen, PharmD, BCPS
MSHP R&E Foundation Member/SSM Health St. Mary’s Hospital – St. Louis

The MSHP Research and Education Foundation is excited to announce the 2019 Garrison Award and Preceptor of the Year Award Winners! Congratulations to Amy Sipe who is the 2019 MSHP Garrison Award Winner. Amy currently practices as a Clinical Pharmacy Specialist in the Anticoagulation Clinic at the VA in Kansas City, and she is an Adjunct Clinical Assistant Professor in the Division of Pharmacy at UMKC. Amy has served in several leadership roles, including as MSHP president in 2006-2007 and as a Missouri delegate for the ASHP House of Delegates. Amy was chosen for this award because of her dedication to practice excellence and demonstration of leadership skills in her clinical roles, volunteer roles, and through preceptorship. Throughout her career, Amy has significantly contributed to patient care and health system pharmacy in Missouri and beyond. We thank Amy for her service to the profession!!

Congratulations to Besu Teshome who is the 2019 MSHP Preceptor of the Year Award Winner. Besu is an Assistant Professor of Pharmacy Practice at the St. Louis College of Pharmacy and an Internal Medicine Clinical Pharmacy Specialist with the VA St. Louis Healthcare System. Besu demonstrates several key traits of an excellent preceptor such as a strong passion for educating future pharmacists, approachability, and tailoring rotations based on student goals. He has created an environment on rotation in which students are easily incorporated into the Internal Medicine team, and gives his students opportunities to be independently involved with patient care. Besu is also the current Treasurer of StLSHP and serves as the faculty adviser for the Student National Pharmaceutical Association.
Best Practice Spotlight:
Long-Acting Injectable Clinic
Long-acting Injectable (LAI) medications have seen an increase in the variety of options and use in recent years, particularly in the psychiatric population. SSM Health DePaul Hospital in St. Louis recognized an opportunity to improve the care of this patient population by establishing an outpatient Long-Acting Injection Clinic. Clinical pharmacists and pharmacy residents collaborated with other healthcare providers to design and launch the LAI Clinic which has resulted in significant improvements in the quality of care for patients. 

Pharmacist Continuing Education
Overview of Vasopressors and Current Place in Therapy of Angiotensin II

Authors: Brandon Reynolds, PharmD, PGY1 Pharmacy Practice Resident
 Dalena Vo, PharmD, PGY2 Critical Care Pharmacy Resident
Mentor:  Erin Pender, PharmD, BCPS, BCCCP
Truman Medical Centers - Kansas City, MO

Program Number: 2019-03-01
Approval Dates: April 1, 2019 - October 1, 2019
Approved Contact Hours: One (1) CE(s) per LIVE session.

Special Feature:
Preceptor Development
The Perfect Recipe for Handling Difficult Student Situations

It's Friday, the last day of a rotation, and I get a phone call that starts with “I’m so sorry to bother you, but I need some advice about my current student”. The preceptor proceeds to describe how the student has not met any of the deadlines for the rotation, has been late multiple times, absent a handful of times for various reasons, and was caught sleeping during a meeting, all the while seemingly disengaged from the rotation in general. A recipe for disaster.
Featured Clinical Topic:
 Psych, Neuro, and Pain
Novel Migraine Prevention Medications
Target New Pathway
Migraine is a disease that affects over 36 million Americans. The disabling disease affects almost three times as many women as men. 1 Patients with episodic migraine may experience a few migraine days per month, and those with chronic migraine spend 15 or more days per month with debilitating pain and neurologic symptoms. 2

Ketamine Infusion for Treatment Resistant Depression and Suicidal Ideation
Mental illness is both prevalent and debilitating among adolescents and adults in the United States. Over the past decade, ketamine has been increasingly discussed as a useful tool in the management of treatment resistant depression (TRD) and eminent suicidal ideation (SI), and upon recent revelations esketamine seems to provide clinical benefit.

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

Upcoming Events:
April 18, 2019: Biosimilars (presented by Merck)
Time: 6:30 pm
Location: Grand Street Cafe

May 16, 2019: Bleeding Disorders (presented by Takeda)
Time: 6:30 pm
Location: Capital Grille
GKCSHP is on Instagram! Follow us @gkcshp!

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

Upcoming Events:
April 11, 2019: Patiromer (Veltassa)
Time: 6:00 PM
Location: C.C. City Broiler

April 18/May 16, 2019: Resident Presentations (CE Pending)
Time: 6:00 PM
Location: Shakespeare's Pizza

President: Colleen Patton , PharmD
Saint Louis Society of Health-System Pharmacists (STLSHP)

Upcoming Events:
April 26, 2019: Annual Night at the Ballpark - Cincinnati Reds vs St. Louis Cardinals
Time: Game starts at 7:15 PM
Location: Busch Stadium

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

Congratulations to the 2019 Officers!
  • President: Julie Haase, PharmD, BCPS, BCCCP
  • President-Elect: Janice Bueter, PharmD, BCPS
  • Treasurer: Stuart Greaser, PharmD, BCPS, BCIDP
  • Membership Chair/Programs Coordinator: Jera Tuetkin, PharmD, BCPS, BCCCP

Upcoming Events:
April 16, 2019: Andexanet Alfa (Andexxa)
Time: 6:15 PM
Location: 36 Restaurant and Bar

June 1, 2019: Live CE Presentations by Residents
Time: TBD
Location: Southeast Hospital

To join SEMSHP:

President:   Julie Haase , PharmD, BCPS, BCCCP
Upcoming Newsletter Info
May/June 2019 Newsletter

Featured Clinical Topic:  
Critical Care/Pulmonology/Emergency Medicine

Submit to: Sarah Cook
Upcoming Featured Clinical Topics
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
  • 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:

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
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