1. Opioid Focus & Membership Has Its Privileges
Penny S. Shelton, PharmD, BCGP, FASCP Executive Director North Carolina Association of Pharmacists

2. Topics To Be Covered 1 NCAP key initiatives 2
Opioid-related education & training 3
Collaborative practice bill
2018 convention and specific member benefits 4

3. Key Initiatives Build awareness Create value
About the Association & about the role of the pharmacist
Getting Pharmacy to the Table
Create value
Focus on what is meaningful and brings value to members
Generate a voice for the profession
Establish partnerships
Helping set policy
Advocating legislation and regulation

4. Public Health Initiatives
Naloxone dispensing CMS special innovation project
Smoking cessation CDC resources project
Pneumovax™ immunization high risk population
Opioid education, training and resources for pharmacists

5. Opioid-related education and training
Topic 2
Opioid-related education and training

6. NCAP Opioid Educational Initiative2
Advanced
Regional Workshops
Use of Collaborative Practice Agreements
Establishing Pain Contracts
Establishing permanent drop & takeback / Lock your meds
Establishing a syringe sells/ exchange service
Work w/MDs to estab MAT
SBIRT 1
Fundamental Modules
Online
Naloxone Eligible Candidates
Chronic Pain & Addiction
CDC Guidelines
CSRS & Pharmacist’s Responsibility
Safety, Disposal & Syringe Exchange
Treatment of opioid substance use disorders 3
Certificate Level
Recovery Specialist
Recovery Coach
Inter-Professional
MAT Training

7. Collaborative practice bill
Topic 3
Collaborative practice bill

8. How is collaborative practice authorized in North Carolina?
Clinical pharmacist practitioner statute which was enacted in 1998.
CURRENTLY: Gives certain pharmacists ability to engage in collaborative practice in which physicians can authorize the pharmacist to perform drug therapy management which includes
--implementation of predetermined drug therapy
--modification of prescribed drug dosages, dosage forms, and dosage schedules; and
--ordering tests
pursuant to a “physician, pharmacist, patient and disease specific” written agreement.

9. What is the state of CPP utilization in NC?
12,000 pharmacists, work & reside
193 active CPPs
Vast majority HS/Clinic
Vast majority of CPPs are in urban areas
Closely aligns w/ health systems
Few are located:
East of Wake County
Rural areas of the State
Community 26

10. Pharmacists Current State of Health Care Highly educated
Rapidly Increasing 65+ Population Growing Chronic Disease Burden
Current State of Health Care
NC to have 2nd largest nursing shortage by 2025
US Dept HHS projected physician shortage by 2020
NGA, CDC and CMS all in the past few years have put out statements or reports calling for greater utilization of pharmacists, the advancement of pharmacists in direct patient care and a call for practicing to the fullest of their degree.
What else do we have?
Highly educated
Highly accessible
Greatly underutilized resource
Pharmacists

11. Draft Legislation to Update NC CPA
Bill—entitled “An act to improve access to health care via collaborative practice agreements between physicians and pharmacists”
Purpose—"Update and enhance the current collaborative practice statutes pertaining to the clinical pharmacist practitioner to reduce restrictions, improve access to care, and facilitate collaboration between physicians and pharmacists in all practice settings.”

12. Collaborative Practice Enhancement
CPA pioneer in 1990’s—NC CPA statute pre-dates All-PharmD and Medicare Part D
Landscape of pharmacy has changed significantly in 2 decades. At the time a number of concessions were made to enable pharmacists to provide collaborative care
Our work we have been engaged in is seeking to:
Remove a number of the barriers which prohibit or create hurdles to collaborative care
Allow any physician and pharmacist in good standing to be able to engage in collaborative care
Seeking to remove the physician, pharmacist, patient and disease specific language
Allow NPs and PAs in practice with a physician to engage in a collaborative practice agreement
Seeking to change the process from an approval process to more of a registry process
Seeking to enable groups or institutions to create a single agreement for a service
Seeking to allow the MD to determine how many pharmacists can be supervised per agreement

13. Grass Roots: Collaborative Practice
Use of Video Vignettes
Use of Social Media & Muster Platform
Targeted Writing Campaign (Virtual Legislative Day)
MD & Pharmacist Teams Visits w/ legislators
Pharmacist & Stakeholder
Support
Draft Bill Content
Simple Talking Points
What CPA is
Why change is needed
How patients benefit

14. Topic 4
2018 Convention and specific member benefits

16. New NCAP Technologies

17. New Private & Public Online Communities

18. On-Demand CE

19. Member Benefit Partners

20. STANDING MEMBERSHIP CORPORATE RATE FOR NOVANT Pharmacists $155 ($40 or ~20% savings off membership rate of $195) PROMO CODE CHERYL18 Go online to and use the appropriate promo code or call for assistance

21. 158 members @ discounted rate just to support ….
$ 4.25
158 discounted rate just to support ….
$ 2.98/wk
~12,000 actively licensed pharmacists in NC
NCAP
< 1,000
$ 4.25