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 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.
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.
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.
Prescription Drug Monitoring
Huether gave an update implementation of this program.
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.
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.
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.
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.
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
Other meetings of interest to Board members and staff were discussed.
The meeting was adjourned at 12:45 p.m.