Members present: President Jeff Nielsen, Arlene Ham-Burr, Steve Statz, Marla Hayes, and Arvid Liebe.
Staff present: Executive Secretary Ron Huether; Inspectors Earl McKinstry and Randy Jones, Senior Secretary Rene Hixon.
Others present: Sue Schaefer, Director, SD Pharmacists Association; Cole Davidson, SD Pharmacists Association; Chris Sonnenschein, SD Pharmacists Association; Deb Cummings, Southeast Technical Institute; Eric Kutscher, SD Society of Health System Pharmacists; Dan Hansen, SDSU College of Pharmacy; Jodi Wendte, SD Society of Health System Pharmacists; Ann Oberg, National American University; Dana Darger, Rapid City Regional Hospital; Sheila Zweifel, Avera McKennan; Andrea Darr, Avera Health; Jim Clem, SDSU College of Pharmacy.
The meeting was called to order by President Nielsen at 10:05 a.m.
The meeting agenda was approved by the board members.
Ham-Burr moved for final approval of December 12, 2008, meeting minutes. Seconded by Statz. These have been posted on the Board of Pharmacy website after preliminary electronic approval of the board members. Motion approved.
The Board financial reports were reviewed and approved.
Huether reported on requests:
Return and Credit of Unit Dose Packaged Medications –
Kim Ammerman, Lynn’s Dakotamart Pharmacy, Belle Fourche.
Joe Weber, Sanford Oncology Clinic Pharmacy, Sioux Falls.
Kristin Goehring, Goehring Pharmacy, Clear Lake.
Cody Carstensen, Cenerville Community Pharmacy, Centerville.
Starter Packs --
Jerome Kappes, Flandreau medical Center/Avera Health.
Off-site Hours Hospital Pharmacy Services --
Dana Darger, Lead-Deadwood Regional Hospital, Deadwood/Rapid City Regional Hospital, Rapid City
Immunization Administration Training Program --
The Collaborative Education Institute – Iowa Pharmacy Association
Collaborative Practice Agreement
Anticoagulation Clinic, Brown Clinic, Watertown – Deidra Van Gilder
Liebe moved to validate the approval of these requests. Seconded by Statz. Motion carried.
President Nielsen called a recess for lunch at 12:00 noon. After lunch, there was a brief tour of the University Center North facility. The meeting reconvened at 1:12 p.m.
Intern Ratio – A variance to the ratio was requested by Dan Hansen, SDSU College of Pharmacy. There is a need to place an additional intern at two Sioux Falls sites for two weeks this summer in order to accommodate students during IPPE and APPE rotations. The Board approved this request.
Internship Requirements – Foreign Pharmacy Graduates - Huether requested guidance for setting standards when dealing with non-traditional internships for foreign pharmacy graduates and reciprocity applicants. Hansen commented that the College of Pharmacy measures their IPPE and APPE rotations against a list of competencies to assure each student meets the internship requirements. The Board directed Huether to review these competencies and develop a plan that will provide an objective measurement of these “non-traditional” internships.
Huether discussed a complaint initiated by Prime Therapeutics regarding the arrangement between a retail pharmacy and a grocery store in order to provide patient convenience when picking up prescriptions. Prime Therapeutics dismissed complaint after being informed of the Board’s Policy Statement on Remote Pick-Up Sites.
Multi-State Pharmacy Jurisprudence Examination (MPJE):
Huether reported that discussions and planning is on-going to meet the timetable for adopting the NABP MPJE by January 2010. We will have secure on-line access to the NABP pool of questions for several weeks during May and June. We will select the applicable questions so that the MPJE – South Dakota can be developed.
Huether presented the following rules changes for approval by the Board:
Huether reported that work continues on drafting new rules related to sterile compounding (USP 797). Hospital pharmacists from across the state are assisting with this work.
Other chapters that need attention after the previous rules changes are completed include:
ARSD 20:51:28 Administration of Influenza Immunizations
ARSD 20:67 Wholesale Drug Distributors
Prescription Drug Monitoring Program
Huether and Statz have been asked to serve on a subcommittee of the South Dakota Health Care Commission to study the development of a prescription drug monitoring program in South Dakota. A motion was made by Ham-Burr, seconded by Statz, to affirm this Board’s support of Prescription Drug Monitoring. Motion carried.
SDCL 36-11A-40 Electronic Track and Trace Pedigree Technology
This law requires that “the board shall determine by July 1, 2009, a targeted implementation date for electronic track and trace technology”. Current information indicates that this technology will not be ready for several more years. The law states the Board has the authority to extend the implementation day in one year increments. Ham-Burr moved that we re-set the target date from “no sooner than July 1, 2010 to no sooner than July 1, 2011”. Seconded by Hayes. Motion carried.
Mandatory Background Checks
Huether reported that many Boards of Pharmacy have implemented mandatory background checks for licensing pharmacists and registering technicians. The SD Board of Nursing has this requirement and several other health-related boards are giving this consideration. Liebe moved that the Board of Pharmacy should seek legislation enabling us to adopt rules for mandatory background checks for pharmacist, technician, and intern applicants. Seconded by Hayes. Motion carried.
Policy Statement on Repackaging Patients Own Medications
Huether presented this policy statement for discussion and approval. The board members expressed concern that this is in conflict with existing regulations and directed Huether to consult with the Attorney General’s office.
Guidelines for Off-Site After-Hours Hospital Pharmacy Services
Huether presented these guidelines for discussion and approval. Andrea Darr reported on the e-pharmacy services being developed within the Avera Health System. Dana Darger discussed similar efforts at Rapid City Regional. Darr and Darger spoke in support of the proposed guidelines. Liebe moved to adopt these guidelines. Seconded by Ham-Burr. Motion carried. Staff will continue to work with hospital pharmacists as they implement these services.
“Country of Origin Labeling” Resolution from State Medical Association
The SD Medical Association requested the Board’s opinion on a resolution related to country of origin labeling on prescription drugs. Schaefer reported that the SDPhA was also contacted for their opinion. Huether and Schafer recommended that we respond jointly. The members agreed that a letter drafted by Schaefer provided a good response that represented concerns of the Board of Pharmacy and the pharmacists.
Statz made a motion to approve the following out-of-state meeting expenses for board members and staff:
The motion was seconded by Ham-Burr. Motion approved.
Board Meeting Dates: August 6 in Sioux Falls; October 2 in Rapid City; and December 11 in Sioux Falls. Meeting times and locations are to be determined.
President Jeff Nielsen adjourned the meeting at 3:45 p.m.