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|2003 Call for Nominations is OPEN!
Paul G. Rogers/ NCPIE Medication
Communicator Awards Program --
Click here for details.
THE HONORABLE PAUL G. ROGERS
NCPIE Chairman, 1982-1998
Paul G. Rogers,
whose insights and dedication on behalf of consumers led NCPIE since its
founding in 1982, resigned as Chairman in 1998. The Paul G. Rogers / NCPIE
Medication Communicator Awards program was named in his honor. Under
Mr. Rogers' tenure, NCPIE grew from just two dozen members to an international
coalition of nearly 200. In 1997-1998, he oversaw and guided NCPIE's strategic
planning and assessment that resulted in a restructuring developed to
promote consumer representation on the NCPIE Board.
of Mr. Rogers' chairmanship are NCPIE's activities to stimulate health
care professional / patient medication communication, and its multi-disciplinary
approach to improving medicine compliance through better communication.
a distinguished 24-year career in the U.S. House of Representatives, where
he represented Florida's 11th district and earned the name "Mr. Health"
while serving as Chairman of the House Subcommittee on Health and the
Environment, Mr. Rogers joined the Washington, DC law firm of Hogan &
Hartson, L.L.P. Presently, he serves as Chairman of: The Scripps Research
Institute, Research America, National Foundation for Infectious Diseases,
National Osteoporosis Foundation, and Friends of the National Library
of Medicine. He is also co-chairman of the National Leadership Coalition
on Health Care.
serves on many other health-related boards, and is a member of the Institute
of Medicine of the National Academy of Sciences.
|2000 Medication Communicator Award Recipients
RECIPIENT PROFILES : INDIVIDUALS
Linda R. Bernstein, Pharm.D.
Bernstein maintains dual roles as a corporate marketing manager for Safeway Inc.'s pharmacy operations (Pleasanton, CA), and as President and CEO of Vita Media Corporation (San Francisco, CA). Over the past 15 years, she has hosted radio programs such as "In the Medicine Cabinet," produced a series of travel health tips for the United Airlines Inflight Video Network, and has received awards for her videos on Alzheimer's disease and for public service announcements.
For Safeway, she writes a weekly column distributed in 19 states; she directs the "To Do Kids Crew," a new club for children that promotes health, safety, and community service; and she has produced the musical "Big To Do" tips for children that are broadcast weekly on PBS. She has authored over 100 articles about safe, appropriate use of medicines in health professional and consumer publications. Bernstein is also the author of The Family Vacation Health and Safety Guide (Berkley Publishing, 1995).
Bernstein served as Clinical Professor and Senior
Pharmacist at the School of Pharmacy, University
of California, San Francisco from 1979-1996,
where she continues as a volunteer faculty member.
Robert W. Boyce, B.S. & Richard N. Herrier, Pharm.D.
Nominated by the American Society of Health-System Pharmacists, Boyce and Herrier "have made an outstanding contribution by developing an educational program for pharmacists unique for developing patient counseling techniques." Nearly three decades ago, the Indian Health Service (IHS) required their pharmacists to counsel all patients regarding proper use of prescription medications. In 1983, to help pharmacists meet this mandate, Boyce developed the IHS "Clinical Pharmacy training Program."
Later, Boyce and Herrier together developed (for non-IHS pharmacists) the Pharmacist-Patient Consultation Program. This program, funded by Pfizer, was provided at no cost to each College of Pharmacy. Pfizer also funded two sequels to train 500 facilitators nationwide, to encourage widespread dissemination of effective medication counseling techniques.
Since 1990, over 100,000 licensed pharmacists and many pharmacy students have participated in one or more of the PPCP workshops. Boyce and Herrier remain active in pharmacy education at their respective universities.
Tina Penick Brock, M.S., R.Ph. - (HONORABLE MENTION)
Brock serves on both on the faculty of the School of Pharmacy, The University of North Carolina at Chapel Hill, and on a multidisciplinary clinic at UNC Hospitals. She has "a longstanding interest in effective communication and counseling regarding patients' medications, specifically related to patients with asthma and other lung diseases," noted her UNC colleague Dennis Williams, Pharm.D., who nominated her.
She "assumed a leadership role in the evaluation and assessment of a brochure to educate patients about changes occurring with their inhalation drug therapy," continued Williams. The original brochure was developed through the National Heart, Lung and Blood Institute's National Asthma Education and Prevention Program. However, it was not pre-tested for readability and comprehensibility, and it proved to be inappropriate for a large segment of its intended population, according to Brock's research. She proceeded to revise the brochure, now under review at NHLBI, which performed better in both readability and comprehensibility.
RECIPIENT PROFILES : ORGANIZATIONS
American Pharmaceutical Association Foundation
In October 1999, the APhA Foundation (Washington, DC) concluded its Project ImPACT (Improve Persistence and Compliance with Therapy): Hyperlipidemia. The two-year study demonstrated that pharmacists, working with patients and their physicians, had a significant impact on the health outcomes of patients being treated for cholesterol problems. By sharing treatment data and relevant lifestyle and clinical information, the regular communication between pharmacists, patients and physicians resulted in timely adjustments in patients' treatment plans.
Of the nearly 400 patients who participated in the study for the full two years, over 62% achieved and were maintained at their National Cholesterol Education Program lipid goal by the end of the project. Further, 94% of patients on lipid medication therapy continued on their therapy. "These outcomes are truly remarkable and exceed any other credible report on the topic," observed James McKenney, Pharm.D., Professor Emeritus at the Medical College of Virginia, who nominated the APhA Foundation. Twenty-six community-based pharmacies in 12 states participated in the study.
McKenney attributed the results of Project ImPACT to the "interaction between the study pharmacists and the patients. The key ingredient was good communication about the patient's medication." The study results have been broadly disseminated to consumers and to health care providers. Currently, the APhA Foundation is replicating the Project ImPACT model in other areas of chronic disease treatment.
Institute for Safe Medication Practices
The mission of the Institute for Safe Medication Practices (Huntingdon Valley, PA) is to provide the health community with information about adverse drug event prevention methods. Working closely with the U.S. Food and Drug Administration, United States Pharmacopeia, the pharmaceutical industry and others, ISMP encourages safe medication use through education and improvements in drug distribution, naming, packaging, labeling, and delivery system design.
The ISMP publishes regular medication safety columns in many health care professional journals, and produces videos and CD-ROMs. The Institute also provides postgraduate training in safe medication management through a 12-month fellowship. Further, ISMP staff conduct on-site reviews of medication delivery systems at community, teaching, and specialty hospitals, and then provide safety recommendations. Since April 2000, ISMP has worked with the American Hospital Association to develop and distribute a Medication Safety Self Assessment® to the nation's hospitals. The experience of each hospital that completes the tool can be compared with the aggregate experience of demographically-similar hospitals.
|1999 Award Recipients
David J. Blair, R.Ph.
ASSOCIATION / VOLUNTARY HEALTH AGENCY
Alliance for Aging Research
Iowa Center for Pharmaceutical Care
Des Moines, Iowa
Health Resource, Inc.
St. Louis, Missouri
California State Board of Pharmacy
PROFILE: INDIVIDUAL WINNER
David J. Blair, R.Ph.
Blair, a practicing community pharmacist in Indiana for nearly 20 years,
founded Medical Care & Outcomes (Indianapolis) in 1996. Its mission
is to provide health care professionals with patient data on compliance,
adverse effects and therapeutic outcomes following an office visit or
hospital stay."The better educated the patient is about his/her medications
and what medication can accomplish if taken correctly, the more proactive
the patient will be concerning his health," notes Mr. Blair.
patient contact / physician-feedback program, which has involved over
250 patients, embodies NCPIE's concept of the medicine education team.
Following a physician office visit, pharmacists contact patients to ask
about their prescribed medication, about any adverse reactions, and if
symptoms are improving. Other prescription and/or non-prescription medications
are also reviewed. Dosing schedules are discussed, and patients' questions
about their medication(s) are answered. The results of pharmacists' contacts
are faxed directly to the patient's physician for entry into the patient
record. If the patient's situation shows no improvement or has deteriorated,
the physician's office is alerted and the pharmacist, if requested, can
discuss possible reasons for therapeutic failure.
the 250 patient contacts, pharmacists found 69 patients requiring immediate
medical attention, representing a 27% intervention rate. Further, over
one-fifth of all patients reported that their situation was unchanged.
has presented his program to a pharmaceuticals manufacturer, the Indiana
Department of Health, a third-party administrator, and the Midwest Center
for Rural Health. This additional outreach is indicative of Blair's commitment
to broader implementation of his program. A graduate of Millikin University
and Butler University, Blair operates Medical Care & Outcomes while
serving full-time as a CVS pharmacist in New Castle, Indiana.
RECIPIENT PROFILE: ORGANIZATIONS
Alliance for Aging Research
June 1998, the Alliance for Aging Research issued a report that highlights
the importance of appropriate medication use among one of the most vulnerable
populations: the elderly. When Medicine Hurts Instead of Helps: Preventing
Medication Problems in Older Persons was released at a Capitol Hill press
conference with Senator Bill Frist, M.D. (R-Tenn.). With wide dissemina-tion
of the report, the Alliance aims to educate policymakers, health care
professionals, the media and others about the extent of medication-related
problems in older adults, and motivate them to implement some of the report's
adults represent about 13% percent of the U.S. population, but they consume
over 30% of prescription and non-prescription medications. As the Alliance
noted in their report, demographics of the elderly boom make it critical
to ensure appropriate medication use is "a priority in policy debates
regarding quality of care, cost containment, and appropriate use of health
care dollars.² They also observed that medication-related problems "continue
to be poorly understood - especially with regard to the older population."
addition to presenting a thoughtful, well-researched overview of the problem,
the Alliance convened an expert, multi-disciplinary panel of health care
professionals, economists, and geriatricians to develop recommendations
for a solution. These were published as part of the report. Among their
Provide geriatrics-relevant use information on labels of non-prescription
Encourage the Agency for Health Care Policy and Research, the NIH and
other appropriate agencies to fund research to determine which medications
are potentially most troublesome for older adults;
Provide incentives to pharmaceutical manufacturers to include the frail
elderly and "oldest old" persons in pre- and post-marketing
Direct graduate medical education dollars to training in geriatric pharmacotherapy.
One of the report's recommendations was recently implemented by the Health
Care Financing Administration when it included a list of inappropriate
medications for the elderly in its new draft guidelines for drug regimen
Alliance for Aging Research, an independent, non-profit research organization
founded in 1986, developed When Medicine Hurts Instead of Helps with a
grant from the American Society of Consultant Pharmacists' Research and
Education Foundation. The complete report is available on the Internet
Iowa Center for Pharmaceutical Care
Des Moines, Iowa
Iowa Center for Pharmaceutical Care (ICPC) represents a collaborative
service supported by the joint efforts of the Iowa Pharmacy Association,
University of Iowa College of Pharmacy, and Drake University College of
Pharmacy and Health Sciences. Stimulated by the professional concerns
of pharmacists, since 1994 the ICPC has provided resources for the development,
promotion, and evaluation of pharmaceutical care. The various programs
promote enhanced medication outcomes via improved pharmacist / patient
communication, understanding and compliance with medication regimens.
pharmacists had the education and training needed to advance general patient
care skills, ICPC developed certificate programs in specialized areas
such as osteoporosis, immunization, women's health, smoking cessation,
dyslilpidemia and diabetes. Over 200 pharmacists have been granted certificates.
Further, nearly 400 pharmacists have undertaken additional training in
such fields as asthma, ischemic heart disease and hypertension.
a result of the ICPC activities, the universities' pharmacy curricula
have been reorganized to incorporate updated and new courses on pharmaceutical
care, case evaluation, and problem-solving. Clinical clerkships have also
been developed to support comprehensive methods that optimize patient
outcomes. Related research programs document positive cost savings, as
well as methodology supporting the organizational infrastructure needed
to implement pharmaceutical care.
ICPC's efforts are chronicled in a book that instructs pharmacists about
collecting patient-specific data, and evaluating information to identify
potential drug therapy problems. The book also helps pharmacists implement
documentation systems, referral procedures to other professionals, and
monitoring systems. (A Practical Guide to Pharmaceutical Care by Rovers,
J.P. and Currie, J.D. et. al. was published by the American Pharmaceutical
Association in 1998.) These comprehensive tools have been pilot-tested
and implemented in a 16-week site-specific consultation, regional work
group meetings, and group training sessions throughout eastern Iowa.
St. Louis, Missouri
Resource, Inc. provides pharmacy customers with a newsletter of condition-specific
information on a patient's prescribed medication, based on a customer's
prescription drug purchase. The laser-printed, color tri-fold leaflet,
approximately 8 x 4 inches, is personalized with the patient's name and
is given out by the pharmacist when the patient obtains his/her prescription.
The lead panel includes medication use and storage information, and side
effect profiles. Targeting is based on the National Drug Code, age, gender,
third-party payer, or first script / refill.
in its fifth year of operation, Health Resource, Inc.'s newsletter will
accompany more than 250 million prescriptions in 1999 more than 10%
of all retail prescriptions. Among pharmacy customers who receive the
newsletter are those who purchase their prescriptions at Rite Aid, Kroger,
and Duane Reade.
the Health Resource system is separate from the pharmacy's computer system,
restricted or confidential information (such as the patient profile) remains
intact. The Health Resource system uses the patientıs age or gender, NDC,
payment information and new / refill classification to "trigger"
patient-specific health information. In addition to patients benefiting
from the individualized information, they receive coupons for pharmacy
items, and retailers can advertise health screenings and promotions. Further,
manufacturers can target patients with specific medical conditions.
1997-1998, Health Resource, Inc. conducted a compliance and persistence
program for a potassium supplement. Nearly 300 pharmacies that used the
Health Resource system were used for this study. Patients in these stores
who received a potassium supplement prescription received the H.R. Newsletter
containing a message about why supplements are necessary. This intervention
resulted in a 9% increase in the number of refills sold in the test stores
over the 5,000 control stores.
RECIPIENT PROFILE: ORGANIZATIONS
State Board of Pharmacy
part of its five-year strategic plan adopted in 1995, the California State
Board of Pharmacy adopted as a primary goal the (1)
education of Californians about appropriate medication use, and (2)
promotion of a proactive role for pharmacists in providing drug information
to patients. Although state funds were unavailable for this public information
program, the Board successfully implemented many programs to accomplish
this strategic goal. Among these programs were the following:
Adoption of a new logo that incorporates two communicating faces and the
slogan, "Be Aware & Take Care...Talk to Your Pharmacist!"
A "Get the Answers" campaign resulted in over 3.5 million consumers
receiving patient information leaflets produced by the State Board which
pharmacies could personalize with their store's logo;
Kaiser Permanente reproduced and enlarged the leaflet, and posted them
in their pharmacies state-wide;
Since 1995, the Board began cosponsoring with local television stations
"Talk to a Pharmacist" media events. Stations in San Diego,
San Francisco and Los Angeles participated, with a combined audience of
15 million. Over a dozen such events have been held, including a Jan.
1999 diabetes screening event conducted by students from all four California
schools of pharmacy. This recent event was covered by a Los Angeles television
Since 1996, the Board has published a consumer health education column
that has appeared in English and Spanish-language newspapers on such issues
as the importance of reading directions and asking questions about medicines;
and a "patient's bill of rights" for pain management.
Radio public service announcements (in English and Spanish) aired in 1997,
reaching approximately 13 million listeners.
well as these outreach efforts to California pharmacists, their customers
and the general public, the Board also contributed to advancing public
policy to support improved medication communication via their "Summit
of Health Care Payers and Providers" held in April 1998. Designed
to open and enhance lines of communication between payers and health plans
about pharmaceutical care and improved health outcomes, the summit attracted
representatives from the U.S. Department of Health and Human Services,
California's Health and Welfare Agency, and the State Board of Pharmacy.
1997, the Board received the National Association of Boards of Pharmacy's
"Mahaffey" award for demonstrating outstanding leadership in
protecting the public.