2007 Pinnacle Award Recipients Announced - American Pharmacists Association Foundation
The Pinnacle Awards are administered by the APhA Foundation's Quality Center and are made possible through a grant from Wyeth. These awards were inspired by and created in response to the increasing importance of the proper use of medications in today's health care environment. Morbidity and mortality associated with improper medication use area major public health problems, resulting in significant disability and up to 100,000 deaths each year. An estimated 177 billion dollars is spent annually on preventable hospitalizations, lengthened stays, and/or prolonged treatment as a result of prescribing contraindicated therapy, drug - drug interactions, adverse drug reactions, duplication of drug therapy, and/or errors in drug administration.
"This year's award recipients show that, despite the challenges we face in the U.S. health care system, significant improvements are possible," said William M. Ellis, APhA Foundation Executive Director and CEO. "One attribute that all of the 2007 Pinnacle Award recipients share is that they always put the patient at the center of the care process. They should be applauded for their tremendous commitment and dedication to improving our nation's health," he added.
The Pinnacle Awards recipients are recognized for pioneering innovative ways to improve the medication use processes that increase medication adherence, reduce drug misadventures, improve patient outcomes, and increase communication among all members of the health care team.
The 2007 Pinnacle Award recipients are:
Individual Award for Career Achievement
Dennis K. Helling, PharmD, DSc, FCCP, FASHP
Executive Director, Pharmacy Operations and Therapeutics
Kaiser Permanente - Colorado Region
Clinical Professor, University of Colorado at Denver Health Sciences Center, School of Pharmacy
Denver, CO
Dr. Helling is being honored for his innovative approaches to improve pharmacy services in managed care and for his longstanding commitment to patient care in each practice in which he has worked throughout his career. (Please see complete description below.)
Group Practice-Health System-Corporation Award
University of Southern California (USC) School of Pharmacy, Community Pharmacy Group Los Angeles, CA
USC School of Pharmacy, Community Pharmacy Group was chosen for its dedication to helping underserved populations in L.A.'s poorest areas by implementing a variety of programs and services that improve medication use quality. (Please see complete description below.)
Government Agency-Nonprofit Organization-Association Award
National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) Rockville, MD
NCC MERP is being recognized for its unprecedented collaborative efforts to maximize the safe use of medications and to increase awareness of medication errors through open communication, increased reporting, and promotion of medication error prevention strategies. (Please see complete description below.)
The APhA Foundation is affiliated with the American Pharmacists Association, the national professional society of pharmacists in the U.S. The APhA Foundation, a nonprofit organization based in Washington, D.C., works to design solutions to medication use problems in America. The APhA Foundation's mission is to improve the quality of consumer health outcomes affected by pharmacy.
Individual Award for Career Achievement
Dennis K. Helling, PharmD, DSc, FCCP, FASHP
Executive Director, Pharmacy Operations and Therapeutics
Kaiser Permanente - Colorado Region
Clinical Professor, University of Colorado at Denver Health Sciences Center, School of Pharmacy
Denver, CO
Dr. Dennis Helling has been the Executive Director of Pharmacy Operations and Therapeutics for Kaiser Permanente in Denver, Colo., since 1992. His Pharmacy Department employs more than 700 staff at its 24 pharmacies, emphasizing expanded roles for pharmacists and ambulatory clinical services. Helling's department is recognized nationally for innovative pharmacy services in managed care. The department has received numerous internal awards for resource management, quality, service, teaching, diversity, and patient safety.
Helling is a Clinical Professor with the University of Colorado at Denver Health Sciences Center, School of Pharmacy. He is a Fellow of the American College of Clinical Pharmacy (ACCP) and of the American Society of Health-System Pharmacists (ASHP). He served as President (2002-04) of the Accreditation Council for Pharmacy Education (ACPE). During his 19 years in academia, Helling was Associate Dean for Clinical Affairs/Professor/Chairman, Department of Pharmacy Practice, University of Houston (1988-92) and Associate Professor/Head, Division of Clinical/Hospital Pharmacy, University of Iowa (1973-88).
Helling received a BS in pharmacy from the St. Louis College of Pharmacy (1971) and a PharmD from the University of Cincinnati (1973) and completed an ASHP residency at Cincinnati General Hospital (1971-73). During 1993-94, Helling completed the Kaiser Permanente Executive Program at the Stanford University School of Business. He was awarded an Honorary Doctor of Science degree from Mercer University (2005). He has authored 88 journal articles and book chapters, presented 75 papers at scientific meetings, and lectured at 30 international meetings.
Helling previously served as President (1987) and Founding Member (1979) of ACCP; Chair of the ASHP Ambulatory Care Pharmacy Practice SIG, the Managed Care Advisory Group, and the Advisory Panel on Population-Based Medication Use; Chair of the APhA Academy of Pharmacy Practice and Management (APhA-APPM) Clinical Pharmacy Practice Section; and Chair of the American Association of Colleges of Pharmacy (AACP) Section of Teachers of Clinical Instruction. He also served on the AACP-PEW Commission Task Force on Managed Care's Impact on Pharmacy Practice and Pharmacy Education and the 2003 Argus Commission.
Helling is a past recipient of the ASHP Award for Achievement of Sustained Contribution to the Literature of Hospital Pharmacy (1985) and the St. Louis College of Pharmacy Distinguished Alumnus Award for Service to the Profession (1988) and was named the College of Pharmacy's Health Care Executive of the Year (1997). He was Visiting Professor at the National Defense Medical Center, Taipei, Taiwan (1987); Rho Chi Lecturer at the University of Texas (1991), University of Kentucky (1997), and University of Pittsburgh (2005); and was named Scholar in Practice at Auburn University School of Pharmacy (1997). Helling gave the University of Maryland School of Pharmacy Balassone Memorial Lecture (2004) and the University of Colorado School of Pharmacy Holden Lecture (2005) and Dean's Distinguished Lecture (2007). He received the 2002 Distinguished Coloradan Award from the University of Colorado School of Pharmacy, the 2002 ASHP Best Practice Award, the 2003 Distinguished Achievement Award in Specialized Pharmaceutical Services and the 2004 Daniel B. Smith Practice Excellence Award by AphA-APPM, and the 2003 Pinnacle Award (Group Practice Category) by the APhA Foundation's Quality Center. Helling was the first recipient of the ACCP Paul F. Parker Medal (2002) for Distinguished Service to the Profession of Pharmacy.
Helling is a member of the American Association of Medical Colleges Center for Clinical Care Improvement Advisory Committee and Editorial Board Chair for the Annals of Pharmacotherapy. He was the 2005 keynote lecturer at the Pharmaceutical Care Research Network of Europe (Copenhagen) and the 2005 commencement speaker at Mercer University Southern School of Pharmacy and received the 2007 Honorary Alumnus Award from the University of Iowa College of Pharmacy.
Group Practice-Health System-Corporation
University of Southern California School of Pharmacy, Community Pharmacy Group Los Angeles, CA
The University of Southern California (USC) Community Pharmacy Group is a specialty area of faculty practice in the Titus Family Department of Clinical Pharmacy and Pharmaceutical Economics & Policy at the USC School of Pharmacy. The Group is dedicated to the care and education of underserved populations in some of Los Angeles's poorest areas and, to that end, has developed and implemented a variety of programs and services that improve medication use quality. These programs serve as models for demonstrating pharmacist value in improving access to greatly needed services and improving health outcomes among the neediest populations in Los Angles County. The USC Community Pharmacy Group also supervises community practice residents in the only community residency program accredited by ASHP/APhA in California.
Los Angeles County is home to more than 2.7 million uninsured people, many relying on a safety net of community clinics for health care. In 2002, Dr. Melvin Baron identified the need for these safety net clinics to enhance their clinical services and to improve their organization of dispensaries and utilization of drug formularies. He recognized the potential for improved outcomes among clinic patients by providing increased access to quality health care and enhanced medication use. Baron, along with Drs. Kathleen Johnson, Steven Chen, Jeff Goad, and Edith Mirzaian, developed a pilot program designed to (1) provide disease management clinical pharmacist services to targeted high-risk safety net clinic patients, (2) assist clinics in purchasing drugs through lower cost 340B programs, and (3) organize dispensary formularies to take advantage of patient assistance programs. This pilot project, which began in three safety net clinics in 2002 and has received grant funding and evolved into a highly successful, ongoing program in eight clinics in the poorest neighborhoods of Los Angeles.
By implementing pharmacist-based disease management services and education at these clinic sites, the USC Community Pharmacy Group has demonstrated significant improvements in health outcomes directly attributed to pharmacist interventions.
Prior to the start of the project, none of the eight clinics had a pharmacist available to provide pharmaceutical care to patients in the clinic. This project made it possible for pharmacists to see physician-referred patients, making independent decisions to change or add medications under protocol. Pharmacists also reduced drug costs at the clinics by using patient-assistance programs and formulary products. In fact, dispensary savings from pharmacist formulary input to physicians and the use of patient assistance programs has allowed several of the clinics to hire pharmacists outside the grants. In addition, the data indicate that patients with chronic conditions have increased their use of appropriate medications and improved disease control.
Complementing the project is a student pharmacist volunteer program, called SHARE (Students Helping and Receiving Education), initially funded by the Merck Foundation. To date, more than 200 student pharmacists and pharmacy residents have participated in the SHARE volunteer program and other educational programs through early and advanced experiential rotations at these clinics.
The Community Pharmacy Group of the USC School of Pharmacy, serving as a national model, has developed a clinical pharmacy service in eight safety net clinics, caring for the homeless and other needy citizens of Los Angeles. This model has shown an effective way for pharmacists to enhance health outcomes and make a positive societal impact.
Government Agency-Nonprofit Organization-Association
National Coordinating Council for Medication Error Reporting and Prevention
Rockville, MD
The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP/the Council) is an independent body comprising 22 national organizations. The Council was formed to maximize the safe use of medications and to increase awareness of medication errors through open communication, increased reporting, and promotion of medication error prevention strategies.
The Council defined "medication error" and encouraged all stakeholders to use this definition to provide a uniform basis for medication error reporting and analysis across the health care continuum. The Index for Categorizing Medication Errors was also developed to classify an error according to the severity of its outcome. The Index for Categorizing Medication Errors Algorithm, which was created to facilitate the use of the Index, incorporated a series of "yes��"no" questions to guide health care professionals in determining the appropriate medication error category for the error they are reporting or evaluating.
From 1996 to 1999, the Council developed an extensive Taxonomy of Medication Errors. This important tool provides a detailed structure and standardized language to report medication error-related data for use in developing databases to analyze medication error reports. The Taxonomy's comprehensiveness reflects the complexity and systemic realities associated with medication errors.
Since its inception in 1995, the Council's mission has been to promote the reporting, understanding, and prevention of medication errors. To help reduce such errors, the Council has issued 11 sets of recommendations that span the medication use process; these include recommendations on prescribing, labeling and packaging, dispensing, administration, verbal orders, standard bar codes on medication packages and containers, and measuring medication errors, as well as recommendations to reduce medication errors in non-health care settings.
A key strength of the Council is its ability to convene interested stakeholders on important issues. The first such issue was the use of bar codes on medication packages and containers. The recommendations resulting from this conference called on USP and FDA to collaborate with appropriate stakeholders to establish and implement uniform bar code standards at the unit-of-use package level. Subsequently, FDA proposed, and then issued, final rules on bar coding.
The Council, in part because of the diversity and impact of its member organizations, has played a substantial role in changing the national and international culture on how medication errors are perceived and on how systems-based solutions are necessary to address this problem. Many countries including Canada, the United Kingdom, Australia, and others have incorporated the Taxonomy, the definition for medication error, or other components of the Council's work products into national reporting systems, patient safety best practices guidelines, and error reporting/analysis systems. In 2005, the Council submitted its Taxonomy to the World Health Organization for its unencumbered use in the World Alliance for Patient Safety project, which focuses on building international consensus on a high-level taxonomy that will support analysis, aggregation, and learning from patient safety data within and across countries.
The National Coordinating Council for Medication Error Reporting and Prevention has proved to be an important leader in promoting patient safety in the United States and abroad.
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