- Email: [email protected]
APhA Honors Outstanding Pharmacists
Koop Says U.S. Health Care System Is 'Badly Broken'
T
he health care system of the United States needs major correction and the needed reforms must come from all segments of society, according to former U.S. Surgeon General C. Everett Koop, the 1990 Parke-Davis Keynote Lecturer for the American Pharmaceutical Association (APhA) Annual Meeting. ''America's health care system is badly broken," said Koop. "It must be fixed, and band-aid [cures] will no longer do." Koop, who served as U.S. surgeon general from 1981 to 1989, said the current system is in such disarray that "sometimes I wonder if there should be another surgeon general's warning that would read, 'Warning: the American health care system itself can be hazardous to your health.' " One reason for our failing health care system is that the nation is engaged in a debate between aspirations and resources. "We have a clear gap in our society today between what we would like to see happen in health care, and what can realistically happen," said Koop. Our inflated expectations are coupled with inflated health care costs caused by the lack of self-regulation and competition in the health care system, said Koop. This system "does not respond at all to some 12% to 15% of the population," said Koop. Pressure for radical change is coming from all sides, noted Koop. "I hear it from Congress, business, labor, and from the general public," he said. One major area needing reform is corporate America, as businesspeople recognize that high health care costs undermine their profits. Koop believes that positive changes can be made with an alliance between businesses and employees. "Two-thirds of our population, about 160 million Americans, are covered by employer-purchased health insurance," he said. "There-
40
Joseph A. Oddis, executive director of the American Society of Hospital Pharmacists, is 1990 Remington Honor Medalist. He was honored for sustained and distinguished service on behalf of American pharmacy.
James B. Powers was this year's recipient of the Hugo H. Schaefer Award. He was recognized for outstanding voluntary contributions to society as well as to the pharmacy profession.
fore employers and employees together must bring health care costs under control." Koop noted that such an alliance has already been formed and is growing, and that as this reform takes place, there must be "further joining of forces with government at federal and state levels." Koop believes the process will take a decade, but that the system will improve year by year. But, he concluded, no matter what changes take place, the nation's health care depends on two factors: prevention of disease and promotion of good health. "These approaches to health are the primary responsibility of each individual," said Koop. "In the future, Americans will simply not have the dollars to pay the high price exacted by thoughtlessness and high risk."
cipient of the American Pharmaceutical Association (APhA) Remington Honor Medal. The medal, the most prestigious award in pharmacy, was presented to Oddis in recognition of his "sustained and distinguished service on behalf of American pharmacy." Also receiving awards during the Annual Meeting were the following: James B. Powers, chief executive officer of the Florida Pharmacy Association from 1969 to 1989, was awarded the APhA Hugo H. Schaefer Award, recognizing his long record of exemplary and dedicated service to the profession of pharmacy. The first recipient of the new APhA-State Pharmacy Association Good Government Award, sponsored by Glaxo, Inc., is the Wisconsin Pharmacists Association (WPhA). WPhA was honored for its legislative campaign that culminated in the permanent enactment of Wisconsin Senate Bill 396, the "Open Panel Pharmacy HMO Access Law." The 1990-91 APhA Honorary President is George B. Griffenhagen, recognized for his 38 years of "distinguished and dedicated public service and contributions to the profession" as a member of the APhA staff.
APhA Honors Outstanding Pharmacists oseph A. Oddis, ScD, executive JSociety vice-president of the American of Hospital Pharmacists (ASHP) since 1960, is the 1990 re-
American Pharmacy, Vol. NS30, No.6 June 1990/344
Ghee Teng Tan received the Kilmer Prize, cosponsored by APhA and the American Society of Pharmacognosy. A graduate student at the University of Illinois at Chicago College of Pharmacy, she was recognized for her paper, "Evaluation of Natural Products as Potential Inhibitors of Human Immunodeficiency Virus (HIV) Reverse Transcriptase." Recipients of the APhA-Academy of Pharmacy Practice and Management Merit Awards were David L. Laven, a nuclear pharmacist at the Veterans Administration Medical Center in Bay Pines, Fla., and Rose M. Sparks, a hospital pharmacist at the South Coast Medical Center in Laguna Beach, Calif. Laven was cited for his "untiring efforts on behalf of nuclear pharmacy"; Sparks was cited for her efforts to involve California pharmacists in the fight against AIDS and for her efforts in forming the first state pharmacy association AIDS task force. Receiving the 1990 APhA Ebert Prize were the authors of the paper, "Transdermal Iontophoretic Drug Delivery: Mechanistic Analysis and Application to Polypeptide Delivery," which appeared in the May 1989 issue of the Journal of P harmaceutical Sciences . The prize recognizes the best report of an original investigation of a medicinal substance published in the journal during the past year. The authors are Srinivasan Venkateshwaren, PhD, William I. Higuchi, PhD, Sandra M. Sims, and Abdel-Halim Ghanem, PhD, who are all with the Department of Pharmaceutics at the University of Utah College of Pharmacy, and Charanjit R. Behl, PhD, a research investigator in the Pharmaceutical R&D Department of HoffmanLaRoche, Inc. The APhA H .A.B. Dunning Award was presented to SmithKline Beecham Pharmaceuticals for the company's longstanding support of the William S. Apple Memorial Program in Community Pharmacy Management. Lee Timothy Grady, PhD, director of the Drug Standards Division of the U.S. Pharmacopeial Convention, Inc., received the APhA Justin
~
Jose Rey was the winner of the APhA National Patient Counseling Competition, sponsored by the United States Pharmacopeial Convention, Inc. Rey (l) was one of 70 candidates who were judged on their patient counseling skills. To win, he successfully counseled an illiterate patient on how to use oral contraceptives.
The Academy of Students of Pharmacy elected its new leadership for the 1990-91 term. Pictured (l to r): Member-at-large Robert Mauch, Jr., Speaker of the House Monique Jackson, President Marc Watrous, President-Elect Mechelle LaWarre, and Member-at-large Artee Vashee.
L. Powers Research Achievement Award in Pharmaceutical Analysis. He was recognized for outstanding, meritorious achievement in the fields of bioanalytical and pharmaceutical analysis. John M. Cassady, PhD, dean and professor at the Ohio State University College of Pharmacy, received the 1990 APhA Research Achievement Award in Natural Products for his "outstanding accomplishments in the chemistry ofbiologically active natural products." The APhA Daniel B. Smith Award for 1990 was presented to community pharmacy owner and therapeutic consultant Evelyn D. Timmons of Paradise Valley, Ariz. The award recognizes outstanding performance and achievements of a community
American Pharmacy, Vol. NS30, No.6 June 1990/345
practitioner in both the practice setting and the community. Selected 1990 fellows of the APhA Academy of Pharmaceutical Research and Science were James Blanchard, PhD, professor of pharmaceutics/pharmacy, University of Arizona; J. Arthur deSilva, PhD, editor of the APhA Journal ofPharmaceutical Sciences; and Francis L. S. Tse, PhD, group leader, Drug Metabolism Department, Sandoz Pharmaceuticals. The APhA Friend of the Academy of Students of Pharmacy (ASP) Award, recognizing long-term services and contributions that have benefited APhA-ASP and pharmacy students, was presented to Alice E. Kimball, USP Director of Professional Affairs, for her longstanding
41
and exemplary dedication and service in the development and operation of the United States Pharmacopeia (USP)-APhA National Patient Counseling Competition. The recipients of the APhA-Nor-
wich Eaton Student Leadership Award for outstanding academic achievement and leadership ability for 1990 were Dawn Marie Bell, University of Florida; Robert P. Mauch, Jr., Mercer University;
Remarks by Remington Medalist hen pharmacists convey to the public and to other health professionals their value in health care, pharmacy will "manifest the strength many have fought hard to build," 1990 Remington Medalist Joseph A. addis, ScD, told APhA Annual Meeting attendees. That time will come, he concluded. addis was honored by APhA during its Annual Meeting for his contributions to pharmacy during his 30 years as executive vicepresident of the American Society of Hospital Pharmacists. In his remarks on receiving phannacy's highest honor, addis challenged pharmacists to find ways to improve patient drug use. Following are excerpts from his remarks.
liferating managed-care systems. This is a tremendous opportunity for these practitioners to broaden pharmaceutical services beyond the dispensing of prescriptions. "Individual phannacists can offer to perform drug-use reviews for health-plan administrators and to provide patient consultations as a plan benefit. They can offer to help a health plan's medical staff develop a formulary. And in concert with the medical staff, they can develop policies and procedures for ensuring the quality of drug therapy. "Providing such semces is within our grasp - today. And it is in providing such services that we can preserve the trust Americans have in their pharmacists."
The Public Trust
"The question of the moment is, Should the American Council on Pharmaceutical Education (ACPE) revise its accreditation standards to focus on the PhannD as the only professional degree program? "Today, we need to consider education in the context of pharmacy manpower needs as a whole, including the issues of technical personnel and specialization. '~CPE is embarking on a crucial mission for our profession an exploration to determine the appropriate educational standards for practice in the 21st century. "In the months of discussion that lie ahead, I urge all sectors of pharmacy to participate in a spirit of cooperation, open-mindedness, and objectivity. And after we have all had our say, I urge the profession to base its decision on an image of the role phannacy should be fulfilling for society."
W
"Isn't the pharmacist's high standing largely a reflection of the public's low expectations of us? Are we really doing enough to justify the public's trust? Are we helping people make the best use of their medications? "Indicators such as the high incidence of adverse drug reactions and poor patient compliance suggest that we still have a ways to go to live up to a number one ranking with the public." For pharmacists to hold on to patients' high opinion, says addis, we must "let go of traditional methods of practice that squander our skills and embrace opportunities that the changing health care scene provides."
New Opportunities "With today's cost-containment pressures, community pharmacists are increasingly being brought into the nation's pro-
42
Education
Lisa A. Nepodal, South Dakota State University; and Lillian J. Yao, University of California-San Francisco. Receiving the APhA-ASP Membership Achievement Awards, which recognize the three ASP chapters achieving a high percentage of students recruited as APhA student members, were: first, Massachusetts College of Pharmacy; second, University of Houston College of Pharmacy; and third, University of Oklahoma College of Pharmacy. William A. Hopkins, Jr., PhannD, received the Outstanding APhA-Academy of Students of Pharmacy Chapter Advisor Award for promoting with distinction the welfare of pharmacy students through various professional activities. Hopkins is director of professional affairs and associate professor of phannacy administration at Mercer University. The APhA-ASP Chapter Achievement Awards for 1990 went to the University of California at San Francisco, South Dakota State University, and Mercer University. The APPM Presentation Merit Awards recognizing the best noncompensated poster or podium presentations at the Annual Meeting went to the following: • Nawarut Charupatanapong and Karen L. Rascati, Austin, Tex., for "Risk Perceptions of SelfMedication Practices." • Andrew J. Donnelly, Chicago, Ill., for "use of Refractometer to Monitor for Controlled Substance Diversion in the Operating Room." • Kuniko Kiriyama, Yoshihiro Namiki, Junichi Matsushita, Yoshihiko Okamoto, and Tsutomu Yasuda, of Osaka, Japan, for "Hydrolysis of a New Oral Cephalosporin, FK482." • David L. Laven and Steven J. Harwood, Bay Pines, Fla., for "Gastric Scintigraphy Utilizing Techneti um TC99m Albumin Colloid." • Sheryl L. Szeinbach and Benjamin F. Banahan, University, Miss., for "Use of Electronic Claims Processing by Retail Pharmacies in Mississippi, Alabama, and Western Tennessee."
American Pharmacy, Vol. NS30, No.6 June 1990/346
T
he health care system of the United States needs major correction and the needed reforms must come from all segments of society, according to former U.S. Surgeon General C. Everett Koop, the 1990 Parke-Davis Keynote Lecturer for the American Pharmaceutical Association (APhA) Annual Meeting. ''America's health care system is badly broken," said Koop. "It must be fixed, and band-aid [cures] will no longer do." Koop, who served as U.S. surgeon general from 1981 to 1989, said the current system is in such disarray that "sometimes I wonder if there should be another surgeon general's warning that would read, 'Warning: the American health care system itself can be hazardous to your health.' " One reason for our failing health care system is that the nation is engaged in a debate between aspirations and resources. "We have a clear gap in our society today between what we would like to see happen in health care, and what can realistically happen," said Koop. Our inflated expectations are coupled with inflated health care costs caused by the lack of self-regulation and competition in the health care system, said Koop. This system "does not respond at all to some 12% to 15% of the population," said Koop. Pressure for radical change is coming from all sides, noted Koop. "I hear it from Congress, business, labor, and from the general public," he said. One major area needing reform is corporate America, as businesspeople recognize that high health care costs undermine their profits. Koop believes that positive changes can be made with an alliance between businesses and employees. "Two-thirds of our population, about 160 million Americans, are covered by employer-purchased health insurance," he said. "There-
40
Joseph A. Oddis, executive director of the American Society of Hospital Pharmacists, is 1990 Remington Honor Medalist. He was honored for sustained and distinguished service on behalf of American pharmacy.
James B. Powers was this year's recipient of the Hugo H. Schaefer Award. He was recognized for outstanding voluntary contributions to society as well as to the pharmacy profession.
fore employers and employees together must bring health care costs under control." Koop noted that such an alliance has already been formed and is growing, and that as this reform takes place, there must be "further joining of forces with government at federal and state levels." Koop believes the process will take a decade, but that the system will improve year by year. But, he concluded, no matter what changes take place, the nation's health care depends on two factors: prevention of disease and promotion of good health. "These approaches to health are the primary responsibility of each individual," said Koop. "In the future, Americans will simply not have the dollars to pay the high price exacted by thoughtlessness and high risk."
cipient of the American Pharmaceutical Association (APhA) Remington Honor Medal. The medal, the most prestigious award in pharmacy, was presented to Oddis in recognition of his "sustained and distinguished service on behalf of American pharmacy." Also receiving awards during the Annual Meeting were the following: James B. Powers, chief executive officer of the Florida Pharmacy Association from 1969 to 1989, was awarded the APhA Hugo H. Schaefer Award, recognizing his long record of exemplary and dedicated service to the profession of pharmacy. The first recipient of the new APhA-State Pharmacy Association Good Government Award, sponsored by Glaxo, Inc., is the Wisconsin Pharmacists Association (WPhA). WPhA was honored for its legislative campaign that culminated in the permanent enactment of Wisconsin Senate Bill 396, the "Open Panel Pharmacy HMO Access Law." The 1990-91 APhA Honorary President is George B. Griffenhagen, recognized for his 38 years of "distinguished and dedicated public service and contributions to the profession" as a member of the APhA staff.
APhA Honors Outstanding Pharmacists oseph A. Oddis, ScD, executive JSociety vice-president of the American of Hospital Pharmacists (ASHP) since 1960, is the 1990 re-
American Pharmacy, Vol. NS30, No.6 June 1990/344
Ghee Teng Tan received the Kilmer Prize, cosponsored by APhA and the American Society of Pharmacognosy. A graduate student at the University of Illinois at Chicago College of Pharmacy, she was recognized for her paper, "Evaluation of Natural Products as Potential Inhibitors of Human Immunodeficiency Virus (HIV) Reverse Transcriptase." Recipients of the APhA-Academy of Pharmacy Practice and Management Merit Awards were David L. Laven, a nuclear pharmacist at the Veterans Administration Medical Center in Bay Pines, Fla., and Rose M. Sparks, a hospital pharmacist at the South Coast Medical Center in Laguna Beach, Calif. Laven was cited for his "untiring efforts on behalf of nuclear pharmacy"; Sparks was cited for her efforts to involve California pharmacists in the fight against AIDS and for her efforts in forming the first state pharmacy association AIDS task force. Receiving the 1990 APhA Ebert Prize were the authors of the paper, "Transdermal Iontophoretic Drug Delivery: Mechanistic Analysis and Application to Polypeptide Delivery," which appeared in the May 1989 issue of the Journal of P harmaceutical Sciences . The prize recognizes the best report of an original investigation of a medicinal substance published in the journal during the past year. The authors are Srinivasan Venkateshwaren, PhD, William I. Higuchi, PhD, Sandra M. Sims, and Abdel-Halim Ghanem, PhD, who are all with the Department of Pharmaceutics at the University of Utah College of Pharmacy, and Charanjit R. Behl, PhD, a research investigator in the Pharmaceutical R&D Department of HoffmanLaRoche, Inc. The APhA H .A.B. Dunning Award was presented to SmithKline Beecham Pharmaceuticals for the company's longstanding support of the William S. Apple Memorial Program in Community Pharmacy Management. Lee Timothy Grady, PhD, director of the Drug Standards Division of the U.S. Pharmacopeial Convention, Inc., received the APhA Justin
~
Jose Rey was the winner of the APhA National Patient Counseling Competition, sponsored by the United States Pharmacopeial Convention, Inc. Rey (l) was one of 70 candidates who were judged on their patient counseling skills. To win, he successfully counseled an illiterate patient on how to use oral contraceptives.
The Academy of Students of Pharmacy elected its new leadership for the 1990-91 term. Pictured (l to r): Member-at-large Robert Mauch, Jr., Speaker of the House Monique Jackson, President Marc Watrous, President-Elect Mechelle LaWarre, and Member-at-large Artee Vashee.
L. Powers Research Achievement Award in Pharmaceutical Analysis. He was recognized for outstanding, meritorious achievement in the fields of bioanalytical and pharmaceutical analysis. John M. Cassady, PhD, dean and professor at the Ohio State University College of Pharmacy, received the 1990 APhA Research Achievement Award in Natural Products for his "outstanding accomplishments in the chemistry ofbiologically active natural products." The APhA Daniel B. Smith Award for 1990 was presented to community pharmacy owner and therapeutic consultant Evelyn D. Timmons of Paradise Valley, Ariz. The award recognizes outstanding performance and achievements of a community
American Pharmacy, Vol. NS30, No.6 June 1990/345
practitioner in both the practice setting and the community. Selected 1990 fellows of the APhA Academy of Pharmaceutical Research and Science were James Blanchard, PhD, professor of pharmaceutics/pharmacy, University of Arizona; J. Arthur deSilva, PhD, editor of the APhA Journal ofPharmaceutical Sciences; and Francis L. S. Tse, PhD, group leader, Drug Metabolism Department, Sandoz Pharmaceuticals. The APhA Friend of the Academy of Students of Pharmacy (ASP) Award, recognizing long-term services and contributions that have benefited APhA-ASP and pharmacy students, was presented to Alice E. Kimball, USP Director of Professional Affairs, for her longstanding
41
and exemplary dedication and service in the development and operation of the United States Pharmacopeia (USP)-APhA National Patient Counseling Competition. The recipients of the APhA-Nor-
wich Eaton Student Leadership Award for outstanding academic achievement and leadership ability for 1990 were Dawn Marie Bell, University of Florida; Robert P. Mauch, Jr., Mercer University;
Remarks by Remington Medalist hen pharmacists convey to the public and to other health professionals their value in health care, pharmacy will "manifest the strength many have fought hard to build," 1990 Remington Medalist Joseph A. addis, ScD, told APhA Annual Meeting attendees. That time will come, he concluded. addis was honored by APhA during its Annual Meeting for his contributions to pharmacy during his 30 years as executive vicepresident of the American Society of Hospital Pharmacists. In his remarks on receiving phannacy's highest honor, addis challenged pharmacists to find ways to improve patient drug use. Following are excerpts from his remarks.
liferating managed-care systems. This is a tremendous opportunity for these practitioners to broaden pharmaceutical services beyond the dispensing of prescriptions. "Individual phannacists can offer to perform drug-use reviews for health-plan administrators and to provide patient consultations as a plan benefit. They can offer to help a health plan's medical staff develop a formulary. And in concert with the medical staff, they can develop policies and procedures for ensuring the quality of drug therapy. "Providing such semces is within our grasp - today. And it is in providing such services that we can preserve the trust Americans have in their pharmacists."
The Public Trust
"The question of the moment is, Should the American Council on Pharmaceutical Education (ACPE) revise its accreditation standards to focus on the PhannD as the only professional degree program? "Today, we need to consider education in the context of pharmacy manpower needs as a whole, including the issues of technical personnel and specialization. '~CPE is embarking on a crucial mission for our profession an exploration to determine the appropriate educational standards for practice in the 21st century. "In the months of discussion that lie ahead, I urge all sectors of pharmacy to participate in a spirit of cooperation, open-mindedness, and objectivity. And after we have all had our say, I urge the profession to base its decision on an image of the role phannacy should be fulfilling for society."
W
"Isn't the pharmacist's high standing largely a reflection of the public's low expectations of us? Are we really doing enough to justify the public's trust? Are we helping people make the best use of their medications? "Indicators such as the high incidence of adverse drug reactions and poor patient compliance suggest that we still have a ways to go to live up to a number one ranking with the public." For pharmacists to hold on to patients' high opinion, says addis, we must "let go of traditional methods of practice that squander our skills and embrace opportunities that the changing health care scene provides."
New Opportunities "With today's cost-containment pressures, community pharmacists are increasingly being brought into the nation's pro-
42
Education
Lisa A. Nepodal, South Dakota State University; and Lillian J. Yao, University of California-San Francisco. Receiving the APhA-ASP Membership Achievement Awards, which recognize the three ASP chapters achieving a high percentage of students recruited as APhA student members, were: first, Massachusetts College of Pharmacy; second, University of Houston College of Pharmacy; and third, University of Oklahoma College of Pharmacy. William A. Hopkins, Jr., PhannD, received the Outstanding APhA-Academy of Students of Pharmacy Chapter Advisor Award for promoting with distinction the welfare of pharmacy students through various professional activities. Hopkins is director of professional affairs and associate professor of phannacy administration at Mercer University. The APhA-ASP Chapter Achievement Awards for 1990 went to the University of California at San Francisco, South Dakota State University, and Mercer University. The APPM Presentation Merit Awards recognizing the best noncompensated poster or podium presentations at the Annual Meeting went to the following: • Nawarut Charupatanapong and Karen L. Rascati, Austin, Tex., for "Risk Perceptions of SelfMedication Practices." • Andrew J. Donnelly, Chicago, Ill., for "use of Refractometer to Monitor for Controlled Substance Diversion in the Operating Room." • Kuniko Kiriyama, Yoshihiro Namiki, Junichi Matsushita, Yoshihiko Okamoto, and Tsutomu Yasuda, of Osaka, Japan, for "Hydrolysis of a New Oral Cephalosporin, FK482." • David L. Laven and Steven J. Harwood, Bay Pines, Fla., for "Gastric Scintigraphy Utilizing Techneti um TC99m Albumin Colloid." • Sheryl L. Szeinbach and Benjamin F. Banahan, University, Miss., for "Use of Electronic Claims Processing by Retail Pharmacies in Mississippi, Alabama, and Western Tennessee."
American Pharmacy, Vol. NS30, No.6 June 1990/346