Members present: President Steve Statz, Arvid Liebe, Jeff Nielsen, Arlene Ham-Burr and Marla Hayes.
Staff present: Executive Secretary Ron Huether; Inspectors Earl McKinstry and Randy Jones, Senior Secretary Rene Hixon.
Others present: Sue Schafer, Executive Director, SD Pharmacists Association, Pierre; Chris Sonnenschein, President, SD Pharmacists Association/Avera Health, Sioux Falls; Chad Sherard, CIGNA Tel-Drug, Sioux Falls; Gary Karel and Douglas Smith, Sanford Health, Sioux Falls; Brian Lounsbery, Walgreens, Sioux Falls; Tomson George, Walgreens, Illinois; Jerri Ann Haak, Sanford Mid-Dakota Medical Center, Chamberlain; Larry Ritter, K-Mart, Sioux Falls; Dean Dennis Hedge, Stacey Kutil and Dan Hansen, SDSU College of Pharmacy, Brookings;
The meeting was called to order by President Statz at 9:00 a.m. with introductions of board members and others in attendance.
On a motion by Ham-Burr and a second by Liebe, the meeting agenda was approved by the board members. Motion carried.
Hayes made a motion, seconded by Ham-Burr to approve the consent agenda. Motion carried.
Minutes
Minutes from the April 16, 2010, meeting were posted on the Board of Pharmacy website after preliminary electronic approval by the board members. Liebe moved to approve. Seconded by Nielsen. Motion approved.
Reports
Financial Reports
The financial reports for the current fiscal year were reviewed. Revenues and operating expenses are on budget.
Activity Reports
The Inspector’s Activity Reports were reviewed. Discussion included: the DEA’s recent rules for electronic prescribing of controlled substances; the Multi-state Pharmacy Jurisprudence Exam; USP 797 compliance in critical access hospitals; the NABP resolution on national technician certification; and security for pharmacies to prevent break-ins and diversion.
The Statistical Report of licensing activities was reviewed and discussed.
SD Pharmacists Assn. – Chris Sonnenschein, President, discussed Association activities, financial reports and ideas for promotions during Pharmacist’s month in October. The 124th annual convention of SDPhA will convene later today.
Dean Dennis Hedge, SDSU College of Pharmacy, reported that 69 graduates received their Pharm.D. on May 7, 2010. The College of Pharmacy will be relocating into their new building the end of June. The Board plans to hold the October 1st meeting at SDSU and will have an opportunity to tour the building and interact with students and faculty. Nielsen mentioned that North Dakota State University pharmacy students gave poster presentations at the NABP annual meeting in Anaheim. Their participation is funded by the ND Board of Pharmacy. Board members expressed interest in supporting this project for SDSU students.
Approvals
Doug Smith, Sanford Health, described plans and requested approval for Sanford Health to contract with Cardinal Health pharmacy services for after hours remote order entry in rural hospitals. Jerri Ann Haak, Sanford Mid-Dakota Medical Center provided additional comments on patient care benefits of this service. Patient medication safety will be enhanced by providing timely pharmacist review of all medication orders. Motion by Nielsen to approve this service. Seconded by Liebe. Motion carried. Huether stated that the Cardinal Health pharmacy and eight pharmacists are licensed by our board.
Applications have been submitted and the following sites have been approved for after hours order entry: Sanford Hospital Canton-Inwood; Deuel County Memorial Hospital, Clear Lake; Sandford Mid-Dakota Medical Center, Chamberlain; Douglas County Memorial Hospital, Armour; Avera Sacred Heart Hospital, Yankton; Marshall County Hospital, Britton; St. Michael’s Hospital, Tyndall; Avera St. Luke’s Hospital, Aberdeen; Avera Queen of Peace Hospital, Mitchell; and Wagner Community Memorial Hospital, Wagner.
Avera McKennan Hospital Pharmacy submitted a revised policy for dispensing starter packs from an AMDD at the new Avera Ambulatory Surgery Center. A motion was made by Ham-Burr, seconded by Hayes to approve the policy. Yes votes by Liebe, Ham-Burr and Hayes; Statz and Nielsen abstained. Motion carried.
Investigations
Huether reported that a response was received from CVS Caremark incident reported at the last board meeting. We have received more details including – patients, prescribers and medications involved in the inappropriate dispensing of expired prescriptions. Board staff will follow up to determine if CVS Caremark properly notified patients and prescribers.
Old Business
Prescription Drug Monitoring – Huether reviewed the timeline for implementation of the prescription drug monitoring program. The announcement of funding for our grant request is anticipated in October. We expect to complete the process of adopting administrative rules in October. Pharmacists and other stakeholders will be kept informed and will have opportunities to comment. We will prepare the RFP for selecting a software vendor and be ready to solicit proposals as soon as funding is confirmed.
Tomson George from the Walgreens Corporation gave a short presentation of his experience with the prescription drug monitoring in the 34 states who have implemented the program. After the software vendor is selected it usually takes three to four months to for pharmacies to be ready to submit data. He explained the common elements of the reporting fields. The choice of vendor and the data elements required are important factors in the implementation.
Software Updates – Staff will continue to work with Bureau of Information Technology and Department of Health on this project. The prescription drug monitoring program implementation will take priority over general office software.
New Business
Immunization Authority for Pharmacists – Chris Sonnenschein, President, SD Pharmacists Association, explained the withdrawal of a request for a ruling on immunization authority for pharmacists. The Association will continue to evaluate the proper way to advance the pharmacists’ authority for providing immunizations.
DEA Correspondence – On June 1, 2010, the DEA revised regulations providing practitioners with the option of prescribing controlled substances (Schedule II-V) electronically. The regulation permits pharmacies to receive, dispense, and archive controlled substance prescription orders. Huether submitted a letter for board approval in response to a physician who had concerns about recent DEA interpretations related to long term care facilities.
Other Business
Alliance of States with PMP (ASPMP) Regional Conference – Inspector Randy Jones attended this conference held May 10-12 in Portland, OR, as a representative of the Board of Pharmacy and the Attorney General’s Office. Presentations included information on implementing a prescription drug monitoring program. He reported that the opportunity to network with individuals from other states that have implemented PDMP was very beneficial.
NABP Annual Meeting – Statz, Nielsen and Huether attended this meeting May 23-25 in Anaheim, CA. The group reviewed the resolutions passed at the meeting. The NABP model rules related to discipline were presented.
Meeting Dates -- The next board meeting is set for Friday, October 1 at SDSU in Brookings. The December 10 meeting will be held in Sioux Falls.
Other Meetings -- upcoming meetings are:
National Harold Rogers PDMP Meeting – June 28-30, Washington, D.C.
District V NABP/AACP Meeting – August 5-7, Williamsburg, IA
NASCSA Conference – October 19-22, Charleston, SC
Nielsen made a motion to adjourn the meeting, seconded by Ham-Burr. Meeting was adjourned at 11:45 p.m. by President Statz.
