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Last Updated
March 8, 2017
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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.

Cornerstones 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.

Following 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.

He 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

INDIVIDUAL
David J. Blair, R.Ph.
Indianapolis, Indiana

PROFESSIONAL ASSOCIATION / VOLUNTARY HEALTH AGENCY
Alliance for Aging Research
Washington, DC
Iowa Center for Pharmaceutical Care
Des Moines, Iowa

BUSINESS / GOVERNMENT
Health Resource, Inc.
St. Louis, Missouri
California State Board of Pharmacy
Sacramento, CA


RECIPIENT PROFILE: INDIVIDUAL WINNER
David J. Blair, R.Ph.

David 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.

His 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.

Of 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.

Blair 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
Washington, DC

In 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 recommendations.

Older 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."

In 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 recommendations are:

  • Provide geriatrics-relevant use information on labels of non-prescription medications;
  • 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 clinical trials;
  • 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 review.

The 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 at: http://www.agingresearch.org


RECIPIENT PROFILE: ORGANIZATIONS

Iowa Center for Pharmaceutical Care
Des Moines, Iowa

The 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.

Once 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.

As 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.

The 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.


RECIPIENT PROFILE: ORGANIZATIONS

Health Resource, Inc.
St. Louis, Missouri

Health 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.

Now 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.

Because 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.

From 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

California State Board of Pharmacy
Sacramento, California

As 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 station.
  • 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.

As 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.

In 1997, the Board received the National Association of Boards of Pharmacy's "Mahaffey" award for demonstrating outstanding leadership in protecting the public.