November/December 2019 Newsletter
In this issue:
  • President's Message from Alex Oschman
  • Board Update
  • Research & Education Foundation Update
  • Public Policy Update
  • Pharmacist Continuing Education Opportunities
  • To Push or Not to Push? Vasopressors Outside the Operating Room
  • MSHP History Notes: When Women Rule the World
  • Featured Clinical Topic – Infectious Disease/Vaccines
  • Hepatitis B Virus Vaccines in Dialysis Patients
  • Linezolid vs. Daptomycin for Vancomycin-resistant Enterococcal Bacteremia
  • Diagnosis and Treatment of Adults with Community-acquired Pneumonia: 2019 Clinical Practice Guidelines
  • 2019 CDC Vaccine Schedule Changes
  • Combatting Vaccine Hesitancy
  • 2019 ASHP Midyear - Missouri Reception
  • 2020 Spring Meeting
  • Save the date
  • Poster Submissions
  • Award Nominations
  • House of Delegates Nominations
  • Affiliate Chapter News and Events
  • Upcoming Newsletter Info
President's Message
from Alex Oschman
"Think and wonder, wonder and think." – Dr. Seuss

November and December are always busy months, with the holidays, friend and family gatherings, and for those of us with pharmacy residents, the start of the recruitment season.

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

September Updates
  • The date and location for KCHP/MSHP Spring Meeting was announced: April 2-4, 2020 at Sheraton Overland Park.
  • Special events are being planned to celebrate MSHP’s 50th anniversary at Spring Meeting.
October Updates
  • The board discussed how we were going to promote Pharmacist Month and Pharmacy Week.
  • The board is working updating the MSHP Operational Manual. Our goal is to have this completed by the end of the year.
Research & Education
Foundation Update
MSHP R&E Call for Award Nominations

Author: Jackie A. Harris, Pharm.D, BCPS, Executive Director, MSHP Research & Education Foundation

MSHP R&E Foundation is currently accepting submissions and nominees for several awards, including MSHP R&E Best Practice Award, MSHP R&E Best Residency Project Award, and the Garrison Award.

Public Policy Update
Drug Shortages: Legislative opportunities

Author: Sarah Cox, PharmD, MS

Impact of Drug Shortages: The number of drugs impacted by shortages nearly tripled over a five-year period (2007-2012). 1 

Today, drug shortages continue to pose a threat to health-systems and patients. A survey conducted in collaboration with ASHP and sent to 1300 directors of pharmacy nationwide, indicated that 99% of health-systems had experienced at least one shortage in the past 6 months and about a third or respondents stated having shortages with over 30 different drugs. Costs were estimated to be near $216 million from labor resources allocated to preventing or preparing for shortages. 2 Another survey of directors of pharmacy estimated that drug shortages account for one to five percent of medication errors. 3 

Pharmacist Continuing Education
To Push or Not to Push? Vasopressors Outside the Operating Room

Authors: Caitlynn Tabaka, PharmD; Livia Allen, PharmD, BCCCP

Program Number:  2019-10-03
Approval Dates:  November 1, 2019 - April 1, 2020
Approved Contact Hours: One (1) CE(s) per LIVE session

MSHP History Notes
When Women Rule the World

Author: Bert McClary

In early April I saw a news segment titled “When Women Rule the World,” featuring Tina Brown discussing her 10 th annual “Women in the World” conference. Just a week before I had seen four women on the stage, and no men, taking the MSHP oath of office, administered to them by a fifth woman. It was the first time that had occurred.

Featured Clinical Topic:
Hepatitis B Virus Vaccines in Dialysis Patients

Authors: Ellisa Zhang, PharmD Candidate 2020; April Pottebaum, PharmD, BCPS
Based on a national health survey, an estimated 850,000 people are living with hepatitis B in the United States. 1  However, this number could be an underestimate since studies evaluating migration data and prevalence of hepatitis B in foreign countries estimate that this number could be as high as 2.2 million.  1

Linezolid vs. Daptomycin for Vancomycin-resistant Enterococcal Bacteremia

Authors: Harrison Yoon, Pharm.D. Candidate 2020;
Julianne Yeary, Pharm.D.
Vancomycin-resistant enterococcus (VRE) is an emerging drug-resistant organism responsible for increasing numbers of hospital-acquired infections. It readily colonizes the intestines without any symptoms, which can serve as an infection reservoir and spread quickly among hospitalized patients. 1  In 2013, the Centers for Disease Control and Prevention (CDC) estimated 20,000 cases of nosocomial VRE infections in the United States with 1,300 cases resulting in death. 2

Diagnosis and Treatment of Adults with Community-acquired Pneumonia: 2019 Clinical Practice Guidelines

Authors: Mary Thorne, PharmD, PGY1;
Kathryn Lincoln PharmD, BCPS, BCIDP
The American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA) developed updated guidelines for community-acquired pneumonia (CAP) and were released in October this year. The 2007 CAP guidelines were preceded by the 2005 ATS Guidelines for the Management of Adults with Hospital-acquired (HAP), Ventilator-associated (VAP), and Healthcare-associated Pneumonia (HCAP).

2019 CDC Vaccine Schedule Changes

Authors: : Colton Frazer, PharmD Candidate 2022;
Paul Juang, Pharm.D, BCPS, BCCCP, FASHP, FCCM
Vaccines are an imperative part of the success of the modern health system. However, vaccines are only effective when utilized correctly. Due to the intricacies of the vaccination schedule, and the continually evolving contraindications, reviewing the Center for Disease Control’s vaccination schedule can be a valuable method of staying up to date from year to year. In this review of the CDC’s 2019 vaccination schedule, a few recent changes will be highlighted, Shingrix and Pneumococcal guidelines will be refreshed, and the new hexavalent vaccine, Vaxelis, will be discussed.  

Combatting Vaccine Hesitancy

Author: Cara Carter, PharmD
As we delve deeper in to flu season, we are reminded of one of the greatest public health advances but also one of the biggest controversies of our time: immunizations. In the aftermath of Andrew Wakefield’s falsified article linking the MMR vaccine to autism as well as the support of the anti-vax movement from celebrities like Jenny McCarthy and Jim Carey, we are seeing a resurgence of diseases once deemed to be eradicated. 1 As the winter season sets in and people spend more time indoors, they will be in close quarters with many people whose immunization and infection status may be unknown to them. It is important that we, as healthcare providers, are diligent in protecting our patients and doing our part to help prevent outbreaks. We can be actively involved in this effort by being prepared to mitigate vaccine hesitancy.

2019 ASHP Midyear
Missouri Reception
Missouri will have their annual reception at the  2019 ASHP Midyear  in Las Vegas, NV

Monday, December 9th
6:00 pm - 8:00 pm
Mandalay Bay Hotel
Room: South Pacific IJ
UMKC, St. Louis College of Pharmacy, and MSHP are co-hosting a reception at the ASHP Midyear Clinical Meeting on Monday December 9   th   at the Mandalay Bay from 6-8pm in the South Pacific IJ room. Please plan to attend the Missouri reception to meet with friends and colleagues from across the state and to hear updates from each of the host organizations. Awards will be presented to two students from UMKC and two students from St. Louis College of Pharmacy who won their local Clinical Skills Competition at their colleges earlier this fall. These students will represent their respective colleges by competing in the ASHP Clinical Skills Competition at the ASHP Midyear Clinical Meeting on Saturday December 7   th   . The MSHP R&E provides the $150 award for each of the students to offset their travel cost to the competition. 

This year the MSHP R&E will be providing free drink tickets for donations made to the R&E Foundation. These donations go directly to providing support to these awards as well as the Best Practice Award, Garrison Award, Best Resident Project, and poster awards presented during the MSHP Spring Meeting. For every $25 donation made to the MSHP R&E prior to the reception, you will be given a ticket for a free drink at the reception. Please go to the  MSHP website   to  make your donation today   to benefit students and to receive a beverage to enjoy as you catch up with friends at the Missouri Reception. Donations will also be accepted onsite. We can't wait to see you at the reception!
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.
It’s time to start thinking about submitting an abstract for the 2020 Spring Meeting! Individuals wishing to present a poster should submit the information through the MSHP website by  December 20, 2019  .
House of Delegates Nominations
Missouri has three (3) delegates in the ASHP House of Delegates (HOD). Delegates are elected by ASHP members in the state of Missouri. MSHP facilitates the nomination and election process for the state of Missouri and submits names of the elected delegates to ASHP. We currently have one (1) open delegate position available.

Nominations Due: December 20, 2019
Affiliate Chapter News & Events
Greater Kansas City Society of Health-System Pharmacists (GKCSHP)

Congratulations to GKC's very own Dr. Katie Korte on being awarded ASHP's New Preceptor of the Year!

Happy Holidays!
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)

The St. Louis Society of Health-System Pharmacists (STLSHP) held a co-hosting a Networking Happy Hour event with the Gateway College of Clinical Pharmacy (GCCP) on November 8th. Thank you to all that attended!

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

To join SEMSHP:

President:   Julie Haase , PharmD, BCPS, BCCCP
Upcoming Newsletter Info
January/February 2020 Newsletter

Featured Clinical Topic:  
Endocrinology - FULL

Submit to: Laura Challen
2020 Featured Clinical Topics
Mar/Apr Psych/Neuro/Pain 
May/June – Critical Care / Pulm / Emergency Med
July/Aug – Cardiology / Anticoagulation
Sept/Oct – Pediatrics
Nov/Dec – ID/Vaccines  
Newsletter Submission Deadlines:
Jan/Feb 2020: January 13th
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:

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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