Pharmacy News

The pharmacy news section of the MPA Web site is designed to provide members with immediate access to timely and relevant information about pharmacy and our Association. In this section, you will find information on MPA activities, Association members, the latest issues impacting the pharmacy profession and press releases from MPA and its affiliates.

Members are also encouraged to join the conversation by following MPA on Twitter @MIPharmacists for the latest breaking news. For more information on MPA's presence on social networking sites, visit our social media page.

Michigan Department of Health and Human Services Antimicrobial Stewardship (AMS) Activities


Anne Haddad, MPH, antimicrobial stewardship coordinator, Michigan Department of Health and Human Services, Surveillance for Healthcare-Associated Resistant Pathogens (SHARP) Unit, Lansing, Mich.


The Michigan Department of Health and Human Services (MDHHS) Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit has been partnering with the Michigan Society of Health-System Pharmacists (MSHP) on promotion of antimicrobial stewardship (AMS) in the state. Members of the MSHP AMS Committee have been active participants in the AMS Subcommittee of the Healthcare-Associated Infections (HAI) Prevention Advisory Group led by MDHHS. The subcommittee is a multidisciplinary group of representatives in AMS across the state. Members include pharmacists, infectious disease physicians, epidemiologists, insurers, infection preventionists, veterinarians, quality representatives and the Michigan Health and Hospital Association (MHA). Members convene bimonthly to discuss current projects in AMS and to identify areas for collaboration and coordination. 

The AMS Subcommittee has been integral in planning the upcoming One Health Antimicrobial Resistance Summit which will be held on Sept. 18, 2019, at the Henry Ford's Lovett Hall in Dearborn. The Summit is intended to bring together leaders in AMS from all areas in Michigan, including human health, animal health, agriculture and regulatory authorities. Sessions will cover the Antimicrobial Resistance (AMR) work already being done in each area to increase cross-sector awareness and knowledge and further promote work from a One Health perspective. The conference will be used as a kickoff for the development of a Michigan-specific AMR Action Plan based on the five-year National Action Plan for Combating Antibiotic-Resistant Bacteria. Building on the cross-sector collaboration of the Summit, the Plan will be used as a roadmap for Michigan AMS activities.

Current MDHHS' SHARP Unit Activities

MDHHS' SHARP Unit has been presenting HAI and AMR trainings titled "SHARP Symposiums" across the state. The daylong conferences provided AMR epidemiology updates, current reporting requirements, analysis assistance and stewardship resources for practitioners, including information on AMS in practice. Members of MSHP volunteered to provide local expertise for these sessions at each symposium. MSHP speakers served as knowledgeable resources for attendees and have been very well-received.

Additionally, the SHARP Unit is working on several data mining projects to determine the status of outpatient prescribing in the state. Outpatient claims data for antibiotic prescriptions will be obtained from Blue Cross Blue Shield of Michigan and Michigan Medicaid. The data will be used to identify areas of high prescribing to target and develop prescribing interventions. The SHARP Unit is also working with Ferris State University and Western Michigan University on the Collaboration to Harmonize Antimicrobial Registry Measures (CHARM) project. This project creates a dashboard containing antibiotic prescription rates for participating outpatient facilities and compares each prescription to the Infectious Diseases Society of America (IDSA) guidelines as a measure of appropriateness. MDHHS is supporting the expansion of this project to better implement tracking and reporting for outpatient antibiotic stewardship programs and identify areas for improvement.

Data is also being gathered through National Healthcare Safety Network (NHSN) Antimicrobial Use (AU) Module reporting. The SHARP Unit is working with MSHP on promotion of the AU Module. Currently, Michigan has 26 hospitals regularly reporting into the module and sharing with MDHHS. The SHARP Unit is beginning to analyze this data and will work on developing reports to share with participating facilities and partners.

MDHHS works closely with many partners on stewardship activities and education, including the Lake Superior Quality Innovation Network (LSQIN), MHA Keystone Center and the Michigan Antibiotic Resistance Reduction Coalition (MARR). These organizations are members of the AMS Subcommittee and work with MDHHS regularly on education programs, outreach, webinars and other projects to increase AMS. MARR develops school-age curriculum for antimicrobial resistance educational programs in Michigan and across the country. MARR's Executive Director also leads a dental stewardship initiative designed to target appropriateness in dental antibiotic prescribing. Michigan is one of the few states that focuses on antibiotics in dental practices.

Through these partner collaborations with the SHARP Unit, antibiotic prescribing practices in Michigan will continue to improve. If you have any questions or are interested in collaborating on a project with the MDHHS SHARP Unit, please contact Anne Haddad, antimicrobial stewardship coordinator, (517) 284-4944.
Posted in: Member News
Northern Michigan Society of Health-System Pharmacists
Brad Beaman, Pharm.D., BCPS, clinical pharmacist, Munson Medical Center, Traverse City, Mich.


The Northern Michigan Society of Health-System Pharmacists (NMSHP) has recently held two meetings following the winter season. The first meeting, on April 18, held at MidMichigan Alpena featured a presentation by Chelsey Bruski, pharmacist at MidMichigan Alpena, educating the members on commonly used anesthesia medications. The May 16 meeting at Munson Medical Center in Traverse City featured the residents of Munson Traverse City presenting their yearlong research project results. At these meetings, the organization decided to move forward with broader education to certify more pharmacists in northern Michigan with the skill to administer Penicillin Allergy Assessment Skin Testing. This certificate program is planning to be offered at the end of summer/early fall to members of NMSHP.

As the summer season rolls along, our incoming president, Celine Quevillon, will take charge of the organization. Plans will be made for potential social gatherings during the summertime. Meeting information will also be disseminated as the summer progresses.

For more information on upcoming meetings, please contact NMSHP president Celine Quevillon at cquevillon@mhc.net.
Posted in: Member News
Making the Transition
Catlin Page, Pharm.D., PGY-1 resident and Sandra Youssef, Pharm.D., PGY-1 resident, Henry Ford Macomb Hospital, Clinton Township, Mich.


As the school year comes to an end, many students celebrate the start of summer and the relief of completing another year of school. For some, the end of this school year is a celebration of completing a program and entering a new profession. This can be a scary transition, especially for those graduates starting their new careers as pharmacists.
 
The most important part of this transition is knowing that you will not know everything and that is okay! School has provided you with the foundation of your knowledge, but practice provides you with the experience. Through experience you will see so much more than school can provide, and as a young pharmacist, know your limits and don't be shy to admit when you don't know something. Ask the questions, because your preceptors and colleagues can expand your knowledge base through their own experiences. Continue to push yourself to self-teach and expand your knowledge base even when the schooling stops.
 
As you begin this journey, realize that you may have a lot of questions and be slower than the other seasoned pharmacists around you. Patient safety should not be compromised at the cost of not feeling embarrassed or a nuisance. With that being said, it is important to know that you are going to make mistakes throughout your career. These mistakes don't define your skills as a pharmacist. Instead, learn from these mistakes and use them as opportunities to grow.
 
In your career you are going to have plenty of opportunities to give back, not only in the community, but also to other student pharmacists. Reflect on your time as a student and remember the preceptors who helped you along the way. Learning from good preceptors and the "bad" preceptors will help you develop a teaching style that is all your own. It is important to know that even if you don't think you have an effect on someone during your time as a pharmacist, even just taking a second to talk to a struggling student may help them in ways you never thought possible.
 
Through transition we find challenge, but only through this challenge do we find our purpose. This transition period is short compared to a life full of accomplishments. Use this period to learn and grow into the pharmacist you want to be. "Understand that the hardest times in life to go through are when you are transitioning from one version of yourself to another"-Sarah Addison Allen.
Posted in: Member News
Opportunities to Meet Residency Preceptor Qualifications
Laura Hencken, Pharm.D., BCCCP, clinical pharmacist, Henry Ford Hospital, Detroit, Mich.

The ASHP Accreditation Standards for PGY-1 Pharmacy Residency Programs contains a standard for requirements for the residency program director and preceptors.1 This standard specifies six preceptor qualifications that preceptors should meet to demonstrate the ability to precept residents' learning experiences.Preceptors need to meet one of the qualifying characteristics in each of the six preceptor qualifications. The six preceptor qualifications are:1


  1. Demonstrating the ability to precept residents' learning experiences by use of clinical teaching roles (instructing, modeling, coaching, facilitating) at the level required by residents
  2. The ability to assess residents' performance
  3. Recognition in the area of pharmacy practice for which they serve as preceptors
  4. An established, active practice in the area for which they serve as preceptors
  5. Maintenance of continuity of practice during the time of residents' learning experiences
  6. Ongoing professionalism, including a personal commitment to advancing the profession
Programs and preceptors may find it difficult to meet these qualifications for all preceptors within their program. In fact, 69 percent of PGY-1 programs are cited as not meeting this standard.2 Therefore, there is room for residency programs to improve in meeting preceptor qualifications.

The Michigan Pharmacists Association (MPA) and Michigan Society of Health System Pharmacists (MSHP) provide multiple opportunities for preceptor development and professional development. The MSHP Residency Committee reviewed the preceptor qualifications to identify ways the organizations might be able to help individual preceptors and PGY-1 programs meet requirements. Below is a table that details how each preceptor qualification can be met through MPA and/or MSHP. Residency program directors and preceptors can use this information to enhance preceptor training and to provide activities which foster professional growth.

Preceptor Qualification
Opportunity Through MPA or MSHP
Clinical Teaching Role & Ability to Assess Performance
MPA and MSHP provide education sessions and webinars directed at improving preceptor teaching skills and assessing a trainee's performance. See the Education and Events section of the MPA website for more information at www.MichiganPharmacists.org/Education-Events
Recognition in Area of Practice
MPA and MSHP provide opportunities for preceptors to be recognized for their area of practice and their service at the local, state and national levels. The Fellow of MPA Award recognizes an individual's achievements and dedication to the practice of pharmacy and the community. Additionally, active participation in MPA and MSHP help fulfill the ASHP qualifications for Fellow status with ASHP.

More information about MPA and MSHP recognition opportunities can be found on the MPA website in August 2019.
Active in Established Practice Area
MPA and MSHP committees and task forces provide opportunities for active involvement in one's established areas of practice. A list of volunteer opportunities and applications can be found at the MPA website in August 2019.
Professionalism
For a list of opportunities within MPA and MSHP for preceptors to demonstrate continued professional development please see information at the MPA website in August 2019.

If you are interested in volunteering to present an education session in your area of expertise, submit an education session application found at www.MichiganPharmacists.org/education/cosponsorship

Since this article is being published near the start of the new residency year and MSHP committee interest forms are due, it may be helpful for your preceptors to evaluate how they want to get involved with MSHP. The committee interest form can be found at 
www.MichiganPharmacists.org/mshp/committees. You must be a member of MSHP and logged in to the website to view the form. There are also multiple opportunities to recognize Michigan preceptors by nominating them for an award. Additionally, preceptors or program directors might not be aware of the Fellow of MPA Award, recognizing individual achievement and dedication to pharmacy practice. Please visit the website to learn more about these opportunities at www.MichiganPharmacists.org/awards.
  
References
 
1. ASHP Accreditation Standard for Postgraduate Year One (PGY-1) Pharmacy Residency Programs. American Society of Health-System Pharmacists. 2016. https://www.ashp.org/-/media/assets/professional-development/residencies/docs/pgy1-residency-accreditation-standard-2016.ashx. Accessed May 31, 2019.
2. The Communique. American Society of Health System Pharmacists. Spring 2019. Volume 22. Issue 1. https://www.ashp.org/-/media/assets/professional-development/residencies/docs/ASO-Communique-Spring-2019-02.ashx?la=en&hash=55C3A9C8BAB3F7F73F5E72B9492D0C2F96B5D75D Accessed May 31, 2019.
Posted in: Member News
Measuring Member Engagement
By Alice Chen, Pharm.D., PGY-1 pharmacy resident, Bronson Methodist Hospital, Kalamazoo, Mich.

Member engagement is crucial to the achievement of an organization's goals and can lead to higher member retention. However, member engagement itself is not readily defined. Generally, member engagement involves members investing time and other resources to make use of the benefits they receive by being members of the organization. What member engagement actually looks like depends on the organization in question.1,2 It also depends on the type of member; for example, newer members may be easily engaged through an email campaign introducing them to certain member benefits each week, while experienced members may feel more engaged when invited to share their knowledge through more active participation in the organization.3
 
Measuring member engagement can provide information that may be helpful in improving an organization's performance and identifying opportunities to provide value for members. Some tools assign points to certain activities that signal engagement in the organization.4 However, creating a tool to measure member engagement can be challenging, in part due to the lack of a standard definition for member engagement.Furthermore, engagement methods may not be accurate. Some activities that should be included in the measurement may be inadvertently excluded, and certain patterns of engagement may skew the data overall, making it more difficult to identify true trends. For example, some members may be very actively engaged through activities that correlate with low point values as assigned by the measurement tool while others may have participated in an activity several years ago that garnered many points but may not currently be engaged at all within the organization. The scores of these two different types of members may not differentiate between their particular patterns of engagement.4
 
The Membership Committee was tasked this year with defining member engagement within our association and developing a sustainable system to measure member engagement. We are currently working to refine our engagement scoring tool, which assigns points to activities that signal engagement in accordance to the level of engagement that each activity entails.4 The first step is to identify activities that signal engagement within our organization. Activities that we may be evaluating as part of our system of measuring member engagement include event attendance, education, email engagement, website logins, committee participation, donations, social media activity, participation in the Pharmacy Mentoring Network and speaking/authoring contributions over a period of 12 months.
 
The purpose behind measuring member engagement is to analyze how members are engaged in our association and find ways to further improve member engagement. Having at least 10-20 percent of members engaged beyond occasional email engagement, annual conference attendance and utilization of only some of the association's benefits (rather than all of its benefits) can significantly enhance an association's success.1 Ultimately, by defining member engagement and creating a system to measure it, our goal is to determine how the Michigan Pharmacists Association and Michigan Society of Health-System Pharmacists can better provide value for members of all levels of experience and expertise.
 
References

 

1. Five Key Steps to Define, Measure and Manage Member Engagement. Stratford Managers Corporation [Internet]. April 2018. Available from: https://stratfordmanagers.com/five-key-steps-define-measure-manage-member-engagement/

 2. Sisson C. Member Engagement Scoring Made Easy. Walsworth® [Internet]. March 2017. Available from: https://www.walsworth.com/blog/member-engagement-scoring-made-easy

 3. Green C. 5 Easy Actions to Take to Increase Member Engagement Next Year. Higher Logic All Together [Internet]. Dec. 2015. Available from: https://blog.higherlogic.com/2015/12/16/5-easy-actions-to-take-to-increase-member-engagement-next-year

 4. Dietz J. 5 Myths About Measuring Member Engagement. Higher Logic All Together [Internet]. Aug. 2016. Available from: https://blog.higherlogic.com/2016/08/24/5-myths-about-measuring-member-engagement

Posted in: Member News
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