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MSHP Public Policy, Practice Advancement Initiative & Legislative Session

12 Jan 2018 9:45 AM | Deleted user

MSHP Public Policy Committee
Author: Amy Benson, PharmD, MHA
MSHP Public Policy Chair/Director of Pharmacy at Liberty Hospital

The MSHP Public Policy Committee has been receiving monthly reports from the Hospital Advisory Committee (HAC). The following information was submitted by Greg Teale, on behalf of the HAC:

  • In the past three months, the HAC has worked with the Board of Pharmacy, Department of Health and Senior Services and Missouri Hospital Association (MHA) to review the DHSS pharmacy regulations. Senate bill 501 required the removal of duplicative language from the DHSS regulations. The committee reviewed the current language and compared it with the CMS conditions of participation. The committee reviewed the current language and made recommendations to remove several sections that are already covered by CMS language.
  • The HAC was also provided language on expanded pharmacy technician roles developed in collaboration with MHA. This language would allow for hospitals to implement pharmacy technicians and/or pharmacy interns to check the work of another pharmacy technician or intern. There are requirements around quality assurance and patient safety. In addition, there was recommended language added to allow for electronic supervision of pharmacy technicians utilizing camera or video technology.
  • All of these changes were submitted in December to meet the deadline required by DHSS.
  • All of these recommendations will be open for comment in early 2018, with an expected implementation of July 2018.

Practice Advancement Initiative
Author: Daniel H. Good, MS, FASHP
Regional Executive Director of Pharmacy-Mercy

Do you remember the Medication Therapy Services (MTS) statute from 2007?

Landmark Legislation for Missouri to grant pharmacists more opportunity to affect positive patient outcome in medication therapy?

For the past 10 years, pharmacists across the state have been training and practicing MTS to the benefit of Missouri citizens. This past year, a coalition of pharmacists from MSHP, MPA, BoP, MHA and the Colleges of Pharmacy have been working together to take the MTS practice to the next level with a legislative proposal. The coalition has identified some best practice settings that maximize the MTS opportunities as well as identify additional professional services pharmacists could provide to patients if the regulations allowed. The coalition has asked the legislative pundits at MHA and MPA to work together to identify a Bill Sponsor in the Legislature and prepare a bill for consideration. The coalition is currently working on writing some short narratives and case studies to describe the benefits and potential benefits of pharmacy services in the current model and in the proposed future state. These narratives can be shared with key stakeholders and elected officials to gain support for this proposal. We are asking pharmacists to attend the Pharmacy Legislative Day on March 28th in Jefferson City and support this effort in your local communities.

2018 Missouri Legislative Session
Author: David Wolfrath, PharmD, MS
Inpatient Pharmacy Manager: University of Missouri Hospital

We are a little over a week into the 2018 Missouri Legislative session and there are many pharmacy-related bills that have been introduced. Representative Holly Rehder is again sponsoring her prescription drug monitoring program bill (House Bill 1619) which would establish the Narcotics Control Act. Another bill of interest is House Bill 1870. HB 1870 bill is sponsored by Representative Jay Barnes. HB 1870 would allow certain medications in multi-dose containers used by a patient during a hospital stay to be sent with the patient at discharge. As it remains very early in the legislative session, a hearing for this bill has not been filed yet. The language was derived from suggestions from several years ago from the DHSS Hospital Pharmacy Working Group draft rule that was not acted on. During recent Board of Pharmacy Hospital Advisory Committee review of the DHSS rules, the language was modified. This amended language is not included in the current version of the bill. HB 1870 can be found at: http://www.house.mo.gov/billtracking/bills181/hlrbillspdf/5479H.01I.pdf.

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