SD Board of Pharmacy - June 2011 meeting minutes

Board Meeting Minutes

Minutes of Meeting

South Dakota Board of Pharmacy

Friday, June 3, 2011

Members present: President Arvid Liebe, Jeff Nielsen and Lisa Rave. Excused: Arlene Ham-Burr and Marla Hayes.

Staff present: Executive Director Randy Jones; PDMP Director Ron Huether; and Inspector Earl McKinstry.

Others present: Earl Hinricher, and Sue Schafer, SD Pharmacists Association; Dana Darger, Rapid City Regional Health; Deb Cummings and Lynna Brenner, Southeast Tech; Quenton McEntee and John Wilbur, CIGNA Home Delivery; Gary Karel, Mike Duncan and Doug Smith, Sanford Medical Center; Tracy Haan and Jessica Brandel, SDSU College of Pharmacy; Ron Johnson, Avera Queen of Peace; Dennis McAllister, Medco; Bill Ladwig, Lewis Drug.

The meeting was called to order by President Liebe at 9:30 a.m. with introductions of board members and others in attendance. The meeting was held at the Sioux Falls Convention Center.

Minutes:

Minutes from the March 15, 2011 Board meeting and Rules hearing were posted on the Board of Pharmacy website after preliminary electronic approval by the board members. Nielsen moved to approve those minutes, seconded by Rave. Motion carried.

REPORTS

Financial Reports:

The financial was presented by Jones. He reported that revenues and expenses for the remaining period of the fiscal year are consistent with budgeted estimates. Huether described how expenses and federal reimbursement for PDMP will be reported in these reports.

Staff Reports:

Jones discussed the status of our current staffing needs. He reported that two candidates will be interviewed this afternoon for the full time inspector position. We have received applications from very good candidates for the Senior Secretary position. We expect the individuals hired for these positions to begin work in July. As Huether has agreed to continue working full time until these positions can be filled, the current staff is able to keep up with those duties that need immediate attention. Once the staffing plan becomes complete, we hope to catch up with our inspections schedule, routine office activities, and responsibilities of the PDMP within a few months.
The Inspector report was presented. There was discussion on encouraging pharmacies and non-prescription drug licensees to move products containing dextromethorphan “behind the counter” because of the increase abuse of these products.
The License Summary report was reviewed. We continue to see an increase in the numbers of licensed pharmacists, registered pharmacy technicians, non-resident pharmacies and wholesalers.

Other Reports:

SD Pharmacists Assn. – Hinricher and Schaefer reviewed Association activities and financial reports.
SDSU College of Pharmacy - Dean Dennis Hedge submitted a written report. Sixty-seven students graduated with the Doctor of Pharmacy degree on May 6, 2011. Eighty students have been admitted to the P1 class for this fall. Budget reductions required that staff has been reduced by 1.5 position.

Approvals:

Automated Mechanical Dispensing Devices

Weskota Memorial Hospital – Wessington Springs

Health Mart Pharmacy – Brandon

Medicine Shoppe – Rapid City

Complaints and Investigations:

Recent complaints have involved patient dissatisfaction with insurance plans. Investigation of these complaints did not identify any non-compliance by pharmacies or pharmacists.

OLD BUSINESS:

Prescription Drug Monitoring

Huether gave an update implementation of this program.

Vendor selection for data collection, data storage and data reporting should be accomplished this month.
Collection of prescription data may begin in September, 2011 if no further delays occur.
We have requested approval to hire the Administrative Assistant (1.0 FTE) soon. This position is needed soon so that we can develop numerous required forms for the program – i.e. applications for data access, waiver request forms, profile report forms, website application forms and procedures, etc.

Mandatory Education and Certification for Pharmacy Technicians

Staff presented a draft of proposed changes to sections of ARSD 20:51:29 Registered Pharmacy Technicians. The changes would make requirements for national certification and completion of a board approved accredited educational program for all pharmacy technicians. We will contact the Legislative Research Council to determine if these requirements can be implemented by rule rather than law. Rave moved to approve this plan after several minor changes are made in the draft. Seconded by Nielsen. Motion carried. Staff will make changes to the draft and obtain final approval from the board members before submitted the plan to LRC.

Nielsen made the following motion – The Board Staff is directed to develop a plan for providing educational programs to pharmacy technicians to help with their preparation for the national certification exam. The plan should include funding provided by the Board to cover the cost of conducting these programs. Seconded by Rave. Motion carried.

Pharmacy Licenses

Jones discussed staff concerns related to operating more than one pharmacy location under one permit (i.e. a hospital operating an inpatient pharmacy and a retail pharmacy in separate spaces at the same address). The members agreed that when distinctly different services are offered, two licenses should be required.

Rapid City Regional Health Pharmacy Automation

Dana Darger, Director of Pharmacy, reported the progress toward initiation of bar-code scanning for purchasing and administration of medications. He reported the process is being delayed in order to develop policies and procedures for quality control.

Sanford Medical Center Pharmacy Automation

Gary Karel, Director of Pharmacy, and Mike Duncan, Assistant Director of Pharmacy, presented a request for approval of the policies, procedures and quality assurance plan for the dispensing process that utilizes extensive bar-code scanning for purchasing and administration of medications. The process required pharmacist order entry for all medications but does not require that each dose is checked by the pharmacist when leaving the pharmacy. Board members and staff have participated in a thorough demonstration of the process in the pharmacy at Sanford. The board members agree that the process insures a higher level of accuracy and safety than traditional systems. Nielsen moved to approve the Sanford process. Seconded by Rave. Motion carried.

Sanford will submit a detailed report of the medication variances based on an analysis of the first 50,000 doses dispensed.

Sanford Network/Cardinal e-Source After Hours Service

Doug Smith presented a report and discussed this service. Currently nine rural facilities are served with plans to add two additional locations during the next year. Pharmacist review of all new medication orders occurs as a result of this service.

NEW BUSINESS:

Pedigree Requirement Extension

Jones and Huether discussed SDCL 36-11A-40. This law included a requirement for an electronic pedigree for all prescription drugs provided by manufacturers and wholesalers. The law allows for extensions of the implementation date by one year increments until the technology to track this information is universally available. Jones recommended that implementation of this requirement be extended to July 1, 2012 because the technology does not exist that would enable manufacturers, wholesalers and pharmacies to comply. Motion made by Nielsen. Seconded by Rave. Motion carried.

Board Policy Statement – Pharmacist Modifying Quantity Dispenses

The Board recognizes that pharmacists should be allowed to exercise professional judgment when dispensing prescriptions. At times this involves changing quantities of medications dispensed when it is in the best interest of the patient. Board Staff with advice from practicing pharmacists developed a Policy Statement for discussion. Several minor modifications were recommended. Rave moved to adopt this Policy Statement with the changes discussed. Seconded by Nielsen. Motion carried.

NABP MOU

Jones presented the Memorandum of Understanding (MOU) from the National Association of Boards of Pharmacy (NABP) required to continue our participation in the North American Pharmacist License Exam (NAPLEX) and the Multi-State Jurisprudence Exam (MPJE). Nielsen moved to approve the agreement and Rave seconded. Motion carried.

OTHER BUSINESS:

Meeting Reports

NABP Annual Meeting – Liebe and Jones gave brief reports on this recent meeting.

NABP Item Writing Workshop – Jones gave a brief report on his participation in the meeting at NABP headquarters for the purpose of working on questions for the MPJE.

Alliance of States with Prescription Drug Monitoring Programs North Regional Meeting– Huether reported highlights of topics included during this meeting.

Board Meeting Schedule - Meeting dates for 2011 (pending)

September 16, 2011 – Rapid City

December 9, 2011 – Sioux Falls

Future Meetings

Other meetings of interest to Board members and staff were discussed.

The meeting was adjourned at 12:45 p.m.