July/August 2019 Newsletter
In this issue:

  • President's Message from Alex Oschman
  • Board Update
  • Annual Report of Activities
  • Annual Survey Results
  • College & School of Pharmacy Annual Updates
  • Student Society of Health System Pharmacy Chapter Updates
  • Pharmacist Continuing Education Opportunities
  • Piperacillin/tazobactam as a First Line Antibiotic in Critically Ill Patients: End of an Era?
  • Featured Article: EPA's in EE - A New Addition to the Alphabet Soup of Pharmacy Education
  • Featured Clinical Topic – Cardiology/Anticoagulation
  • The Use of Aspirin in the Primary Prevention of Cardiovascular Disease
  • PCSK9 Inhibitors for Secondary Prevention of Cardiovascular Disease
  • Statin Use in the Elderly for Primary Prevention: Risks vs. Benefits
  • Affiliate Chapter News and Events
  • Upcoming Newsletter Info
President's Message
from Alex Oschman
Think left and think right and think low and think high. Oh, the thinks you can think up if only you try! 

- Dr. Seuss

Welcome summer (maybe, it still feels pretty spring-like outside)! July often brings about change for a lot of us as we welcome in new residents and bid farewell to our former residents. Children are out of school and many are planning summer vacations. As we move into summer, I hope you are all taking some time to enjoy the outdoors with friends and family. 

Board Update
Davina Dell-Steinbeck, PharmD, BCPS
MSHP President Elect/SSM Health St. Mary's Hospital



May Updates
  • Public Policy Committee updated regarding policies to be discussed at ASHP House of Delegates at Summer Meeting
  • Membership Committee sent out survey, will have results to discuss soon
  • Discussed itinerary for Strategic Planning meeting in June

June Updates
  • The board met in person to complete Strategic Plan for 2019-2020
  • Anne Policastri from ASHP joined us
  • We focused on 1-3 year goals focusing on membership, education, and advocacy
  • We approved a budget for July 2019- June 2020
2018-2019 Annual Report
of Activities
Under the leadership of President Tony Huke, MSHP experienced another successful year! The Board of Directors, which also included President-elect Alex Oschman, past-President Jeremy Hampton, secretary Elaine Ogden, and treasurer Davina Dell-Steinbeck, began the year by developing a strategic plan and worked diligently throughout the year to carry it out. Key accomplishments included:
  • Inducting the first officers of Southeast Missouri Society of Health-System Pharmacists (SEMSHP).
  • Renewed collaboration with the Missouri Pharmacy Association (MPA), most notably collaborating to host a joint fall conference in 2018. This collaboration will continue with the fall conference in St. Louis in 2019! (Visit https://www.morx.com/conference for more info!)
  • Hosting a contest for a new MSHP logo that better reflected the society. The new logo was revealed at the MSHP Midyear Reception!
  • Lobbying on behalf of the membership in key legislative decisions regarding the profession. MSHP partnered with various groups, including MPA and the Missouri Hospital Association (MHA), to work towards further enhancing technician roles within Missouri. Mid-level practitioner status was also a focus of MSHP’s legislative efforts.
  • Development of a New Practitioner Workgroup to further engage and involve this large portion of MSHP’s membership. 
  • Improved communication with the membership, including an enhanced social media presence.
  • Expanded CE opportunities, including multiple technician-centered CE webinars and an extended window for newsletter CE.

The various MSHP committees and the R&E Foundation were also hard at work throughout the year. Read more for highlights of their accomplishments:

2019 ASHP House of
Delegates Summary
At the 71st meeting of the ASHP House of Delegates, Missouri delegates, Joel Hennenfent, Emily Owen, Laura Butkievich and alternate delegate, Amy Sipe, were part of approximately 200 ASHP delegates with the responsibility to establish ASHP policy on health-system pharmacy practice and medication use in society. ASHP delegates demonstrated that the development of good policy requires thoughtful consideration and constructive debate. During the first meeting on Sunday, delegates collectively considered 19 policy recommendations, 14 of which were amended or edited. Nearly three-quarters of the policies on the agenda were modified, resulting in 18 new ASHP policy positions and one revised statement. The Missouri delegation was very active in the policy process and are pleased with the policies approved by the House and the ASHP Board of Directors.
 
Delegate service also includes helping to communicate the outcome of the ASHP policy process to colleagues. The new policies, as approved by the House and the Board, are available through this link. If you have any questions about the approved policies or the ASHP policy process, please do not hesitate to reach out to one of your elected delegates at Missouri Society of Health-System Pharmacists.
2019 Annual Membership
Survey Results
Author: Erin Hennessey, Pharm.D., BCPS (Membership Chair)

The Membership Committee is pleased to share some of the results from the 2019 MSHP Annual Survey. This year 52 members responded to the survey. 

The majority of members indicated that they feel they receive a good value for their membership dues.

We want to thank all the members that took the time to fill out the survey. These results will be used during the next strategic planning meeting to guide organization initiatives.

We are excited about all the changes that have been happening within MSHP over the past year and look forward to continuing to improve your membership experience!

College & School of Pharmacy Annual Updates
St. Louis College of Pharmacy
Author: Bruce Canaday, Pharm.D., FASHP, FAPhA; Dean and Professor, School of Pharmacy

On May 11, St. Louis College of Pharmacy capped off the end of the 2018-19 academic year by celebrating its 151 st Commencement. During this year’s ceremony, 253 students were awarded a Doctor of Pharmacy, and 166 students were awarded a Bachelor of Science. These talented and dedicated individuals represent the future of the pharmacy profession, and we were thrilled to recognize their achievements. 
University of Missouri- Kansas City
Author: Russell Melchert, Ph.D.; Dean and Professor, School of Pharmacy

Wow, I can’t believe we just wrapped up another very busy at the UMKC School of Pharmacy, and yet the new academic year is almost upon us! Thank you for the opportunity to provide an update, and thank you to all MSHP members who have had a huge impact on the education of UMKC student pharmacists! Although it would be impossible to describe everything going on, I would like provide a brief update on recent happenings at the school.
Student Society of Health System Pharmacy Chapter Updates
St. Louis College of Pharmacy- SSHP Update
Author: STLCOP President, Hubert Kusdono; President-Elect, Lauren Busch

Throughout the Spring Semester of the 2018-2019 academic year, the STLCOP chapter of SSHP focused on expanding its core mission with regards to providing community outreach and health-system service activities, professional development, and networking opportunities for its student members. 
University of Missouri- Kansas City- SSHP Update
Author: Hope Bronn (Kansas City President) and Madison McLaughlin (Columbia President)

UMKC’s SSHP chapter had a productive spring semester! In January, we kicked off the semester with a new event. KSHP and KU School of Pharmacy invited us to join their Pharmacy Forecast Workshop. Students learned about emerging healthcare trends and future opportunities of pharmacy practice. Time was also spent working in groups to discuss current practice problems and solutions. 
Education and Programming
Committee
2018-2019 Chair: Elizabeth Englin
Throughout the Spring Semester of the 2018-2019 academic year, the STLCOP chapter of SSHP focused on expanding its core mission with regards to providing community outreach and health-system service activities, professional development, and networking opportunities for its student members. 
Pharmacist Continuing Education
Piperacillin/Tazobactam as a First-Line Antibiotic in Critically Ill Patients: End of an Era?

Authors: Adham Mohamed, PharmD and Timothy Berry, PharmD, BCPS
Saint Luke’s Hospital of Kansas City

Program Number:  2019-05-09
Approval Dates:  June 5, 2019 – December 4, 2019
Approved Contact Hours: One (1) CE(s) per LIVE session

Featured Article:
EPA's in EE - A New Addition
to the Alphabet Soup of
Pharmacy Education
Author: Diane McClaskey, RPh, BCPS; UMKC School of Pharmacy at MSU

Do you ever feel like you are swimming in acronyms when you are precepting pharmacy students? Does this look like you?

Today we are going to discuss the latest addition to our alphabet soup, EPA! An EPA is an entrustable professional activity, and are utilized across Schools and Colleges of Pharmacy to ensure consistency in new pharmacy graduates to perform core tasks. Please allow me to explain further.  

Featured Clinical Topic:
Cardiology & Anticoagulation
The Use of Aspirin in the Primary Prevention of Cardiovascular Disease
Author: Jesse Smith, 2021 Pharm.D. Candidate; St. Louis College of Pharmacy
Mentor: Laura Challen, Pharm.D., MBA, BCPS, BCACP; Associate Professor, St. Louis College of Pharmacy

According to the Center for Disease Control, cardiovascular disease (CVD) is the leading cause of death in the United States for both men and women, responsible for 1 in every 4 deaths. 1  This means as pharmacists we will encounter patients on a daily basis that are not only at risk for CVD, but suffer from the condition as well. Understanding primary preventative steps we can recommend as medication experts is imperative to combating this deadly disease.

PCSK9 Inhibitors for Secondary Prevention of Cardiovascular Disease
Cardiovascular Disease (CVD) is the leading cause of death for adults in the United States, with approximately 610,000 deaths due to CVD per year. 1  Patients with hyperlipidemia are at roughly twice the risk of developing CVD compared to those with normal cholesterol levels. 2  Over 95 million adults aged 20 or older in the United States have hyperlipidemia with total cholesterol greater than 200 mg/dL. 3  

Statin Use in the Elderly for Primary Prevention: Risks vs. Benefits
HMG CoA reductase inhibitors, or “statins”, soon became the mainstay of treatment for secondary prevention in atherosclerotic cardiovascular disease (ASCVD) after their introduction to the prescription market in 1987. Their benefit has been primarily attributed to the reduction of blood cholesterol, specifically the LDL-C component, though other mechanisms have been proposed and are being investigate d. 1 After the publication in 2008 of Justification for the Use of Statins in Primary Prevention: an Intervention Trial Evaluating Rosuvastatin (JUPITER), primary prevention was added as an indication for the first time. 2  

Affiliate Chapter News & Events
Greater Kansas City Society of Health-System Pharmacists (GKCSHP)

We have a busy end to the Summer.

Upcoming Events:
August 15th, 2019: Membership Appreciation Event
Location: Chicken N Pickle - 1761 Burlington St, North Kansas City, MO 64116
 
August 29th, 2019: August Meeting 
Time & Location: TBD
Topic:  “The Role of the Health Systems Pharmacists in Safely and Effectively Treating Direct Oral Anticoagulant Bleeding with Novel Reversal Agents” 
CE:  1.0 hours continuing education credit will be provided through Pharmacy Times
 
September 20th, 2019: Residency Research Day
Location: St. Luke's Hospital - Kansas City
GKCSHP is on Instagram! Follow us @gkcshp!

President: Bradley Bingham, PharmD
Mid-Missouri Society of Health-System Pharmacists (MMSHP)

MMSHP Fall Membership Drive Trivia Night scheduled for August 29 th. It’s a joint MMSHP/SSHP event.


President: Emily Wiederanders , PharmD
Saint Louis Society of Health-System Pharmacists (STLSHP)

There are no upcoming events planned in the next couple months so members can focus on spending quality time with friends and family – we hope you all have a wonderful summer!

President: Erin Hennessey , PharmD, BCPS
Southeast Missouri Society of Health-System Pharmacists (SEMSHP)

To join SEMSHP: http://moshp.org/join-us

President:   Julie Haase , PharmD, BCPS, BCCCP
Upcoming Newsletter Info
September/October 2019 Newsletter

Featured Clinical Topic:  
Oncology

Submit to: Laura Challen
Upcoming Featured Clinical Topics
Nov/Dec: Infectious Disease/Vaccines 
Newsletter Submission Guidelines
  • Pharmacists, pharmacy technicians, and pharmacy students in Missouri are eligible to submit content for publication in the MSHP Newsletter. Student submissions need to include pharmacist oversight.
  • Submit content to the current Newsletter Committee Chair on or before the established deadlines.
  • CE and Featured Clinical Topics must be approved by the Newsletter Committee Chair in advance of article submission, to prevent duplicates. Duplicate articles submitted without advanced approval may not be published.
  • Recommended length of submissions for committee, affiliate, college/schools of pharmacy, and student chapter reports is half to one page in length.
  • Recommended length of submissions for featured clinical topics is 1 to 2 pages, without references.
  • Recommended length of CE articles is individualized, based on the amount of CE provided.
  • Recommended length of submission for other categories is 1 to 2 pages.
Upcoming Featured Clinical Topics:
Sept/Oct 2019: Oncology
Nov/Dec 2019: Infectious Disease/Vaccines
Jan/Feb 2020: Endocrinology
March/April 2020: Psychcology/Neurology/Pain
May/June 2020: Critical Care/Pulmonary/Emergency
July/August 2020: Cardiology/Anticoagulation
Sept/Oct 2020: Pediatrics
Nov/Dec 2020: Infectious Disease/Vaccines
Newsletter Submission Deadlines:
Sept/Oct 2019: September 9th
Nov/Dec 2019: November 11th
Jan/Feb 2020: January 13th
March/April 2020: March 9th
May/June 2020: May 11th
July/August 2020: July 13th
Sept/Oct 2020: September 14th
Nov/Dec 2020: November 9th
Is there a Pharmacy Best Practice happening at your institution? Would you like to share your successes with MSHP Membership? We'd love to highlight your institution in a future MSHP Newsletter!

Please contact the MSHP Newsletter Chair, Laura Challen
Interested in becoming a MSHP member or need to renew? It's easy! Click the above button or visit the MSHP website: www.moshp.org/join-us. 

Membership Dues:
Pharmacist: $110
Joint Pharmacist: (Married Couple) $155
Technician: $35
Associate Member: $110
Recent Graduate (within 24 months): $45
Student: $25
Retired Pharmacist: $35
MSHP Board of Directors
2019-2020 Board of Directors
President: Alex Oschman
President-Elect: Davina Dell-Steinbeck
Immediate Past President: Tony Huke
Secretary: Barb Kasper
Treasurer: Christina Stafford
MSHP Committee Chairs
2019-2020 Committee Chairs
Vendor Relations Board Liaison -  Evanna Shopoff
Membership Committee -  Erin Hennessey
Communications Committee -  Barb Kasper
Public Policy Committee -  Sarah Cox
Newsletter Committee -  Laura Challen
Education and Programming -  Elizabeth Englin
Website Committee -  Lori Rio
Questions/Comments
If you have any questions, comments, or wish to submit an article to for MSHP Newsletter, please contact the Newsletter Committee Chair:
 Laura Challen or another Newsletter Committee member.

2019-2020 MSHP Newsletter Committee Members
Laura Challen, PharmD, MBA, BCPS, BCACP (Chair)
Sarah Cook, PharmD, BCPS (Vice-Chair)
Rebecca Nolen , PharmD, BCPS, AAHIVP
Hannah Pope, PharmD, BCPS
Emily Shor, PharmD
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