Idaho Pharmacy Law: Developments and Practical Applications Alex J. Adams, PharmD, MPH Executive Director Idaho State Board of Pharmacy Alex.Adams@bop.idaho.gov @alexadamsrph In support of improving patient care, Idaho State University Kasiska Division of Health Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Disclosure The planners and presenter of this presentation have disclosed no conflict of interest, including no relevant financial relationships with any commercial interests
Learning Objectives Discuss the 2017 statutory changes impacting the profession in Idaho Discuss the 2017 rules changes impacting pharmacy practice in Idaho Describe potential law changes for 2018 and beyond
Scope of Practice A legal construct in which the activities that a health professional is permitted to engage in are defined by laws and regulations of the state Determined by the political process Geographical differences Applies to all professionals in class Static (aside from law changes) Clinical Ability The true competence and ability of the health professional Determined by education, training, career experience, and practice environment National education standards; applies to individuals Dynamic; advances with new education, accrued experiences, new technology, etc. MAY CAN
Learning Objectives Discuss the 2017 statutory changes impacting the profession in Idaho Discuss the 2017 rules changes impacting pharmacy practice in Idaho Describe potential law changes for 2018 and beyond
2017 Proposed Law Changes Prescriptive authority for: Smoking cessation medications TB skin tests Enhance PMP Enable student access Require pharmacist registration
2017 Proposed Law Changes Tobacco Cessation Prescribing (House Bill 4) complete a course on tobacco cessation therapy use a screening procedure based on clinical guidelines to identify appropriate candidates for treatment Documentation A follow-up care plan shall be developed Notification within five (5) days Recommend the Idaho QuitLine.
2017 Proposed Law Changes TB Skin Testing (House Bill 3) complete a course from the CDC follow the recommendations for Mantoux tuberculin skin testing from the CDC Documentation Positive reading coordinate a timely referral
Learning Objectives Discuss the 2017 statutory changes impacting the profession Discuss the 2017 rules changes impacting pharmacy practice in Idaho Describe potential law changes for 2018 and beyond
2017 Rules Changes Ability to extend any chronic medication beyond the initial quantity to synchronize medications Rule 116 upon patient request, a pharmacist may extend a maintenance drug, other than a controlled drug, compounded drug, or biological product, for the limited quantity necessary to coordinate a patient s refills in a medication synchronization program.
2017 Rules Changes Expand partial filling of Schedule IIs Enable drug take-back programs for disposal Allow delivery of controlled substances for direct administration Remove delineated security requirements Remove ER dispensing restrictions
2017 Rules Changes Enable prescriptions to be labeled for non-patient or facility Enable broader use of manufacturer expiration date Cap NAPLEX/MPJE attempts Streamline telepharmacy opening and remove unnecessary restrictions
Technician Advanced Roles Broad support for expanding the role of appropriatelytrained technicians Some pharmacists report concerns for their own liability Feel that as technician role expands, so should the technician s own liability Pharmacists report variability in technician qualifications for expanded duties Critical to ensure assignment of function rests with the pharmacist Technicians reflect excitement about new roles and career opportunities Express frustration that they ve maxed out Appreciate concept of a career ladder
Delegated Certified Technician Authority Medication Dispensing Support Accept a verbal prescription Clarify technical elements of prescription Transfer a prescription Search PDMP Perform final verification of medications that have previously undergone DUR by a pharmacist Technical Support for Pharmacist Clinical Services Administer immunizations
Learning Objectives Discuss the 2017 statutory changes impacting the profession Discuss the 2017 rules changes impacting pharmacy practice in Idaho Describe potential law changes for 2018 and beyond
Idaho Pharmacy Law: Developments and Practical Applications Alex J. Adams, PharmD, MPH Executive Director Idaho State Board of Pharmacy Alex.Adams@bop.idaho.gov @alexadamsrph