Tuesday, December 23, 2014

The Kinetics of Pharmaco-Politics: Absorption – Effectively Communicating Your Message to Your Legislator

by Susanna Joy, MA candidate, Health and Risk Communication, Michigan State University, and advocacy intern, Michigan Pharmacists Association

Our members are active, concerned citizens. We know you care about the role that politics plays in your practice settings; but we also know that sometimes it feels like there’s little you can do personally to affect that process. Additionally, we know that some members are interested in advocacy but are unsure of what to say or how to say it. With this in mind, let’s discuss the first and most foundational consideration: the basics of crafting messages to influence your legislator.

We will examine three primary considerations when communicating with your legislator for maximum impact: the source, the message and the intended audience. Since the last is arguably the most important, we will begin there.

Audience: Considering the legislative audience when crafting messages should be the first thing we do. It may be somewhat counterintuitive because what is likely in the forefront of our minds is the issue, bill or political action we want to address. Don’t worry, we’ll get to that! If we want to craft a message that our legislator responds to, however, we should consider his or her position before getting started. While each legislator is obviously unique, there are aspects of their position that can tell us a lot about their needs and hopes for our message.

  •  Your legislator wants to hear from you. Politicians gauge their success, in part, by how they are representing and engaging their constituency. This is why they have in-district days and hours, even when the Legislature is in session. Your visit, call or letter is not an inconvenience to your legislator. Quite the opposite: legislators have open doors for that very reason. So don’t be shy about communicating what you think is best for pharmacy.
  • Your legislator is an expert in policy. This may seem unnecessary to mention, but it is important to keep in mind. If you come to talk about a bill the legislator has introduced, rest assured that he or she is aware of what is in it. However, this may not be true for other legislators who did not introduce the bill. Include a summary of the bill or have it ready when you contact them as well as your talking points. Respect your legislator’s knowledge and expertise, and do not waste your time by going over the content of the bill in detail, which leads us to our next point.
  • Your legislator is busy. If you meet with him or her face to face, there is no need to fill up a half-hour time slot talking about the issue you care about. Simply informing the legislator or legislative staff of the basics — who you are, your opinion and your reasoning — is not simply adequate. They appreciate this kind of succinct approach.

Sender: When considering the sender — yourself— we want to ensure that a few things come across in your message. In fact, if they do not come across, your message may very well fall on deaf ears.

  • Credibility: Establish that you are a credible source of information—an expert. This can be as simple as sharing your job or title. Please realize that calling yourself by your earned credential is not bragging; and this may be one of the quickest ways to establish that you are a trustworthy source.
  • Constituency: Establish from the outset that the legislator represents you. If you call over the phone or visit in person, a staff member may ask you your address to ensure that you are in the correct office. If you are writing an e-mail or letter, however, make it clear at the outset, and make sure that your return address is easily found.
  • Investment: There are several ways to make clear to your legislator that you are concerned and invested in the outcome of a particular political action. You have contacted him or her, so that is a start! Still, the more you personalize a message to him or her, the more he or she will perceive that you are acting out of concern. In a letter, for instance, if you type and print it, make sure it has a real, pen-and-ink signature and post script. Little things like this show that you care.

Message: When it’s all said and done, this can be the trickiest part. We want to be thorough, without being wordy.

  •  Who: Introduce yourself, and establish your credibility and constituency in one sentence. Maintain your credibility by being respectful and polite, even if you disagree with the legislator.
  • What: State briefly the issue you are communicating about, and your position on the issue.
  • Why/How: Think of a two-sentence explanation or reasoning for the position you have taken. 
  • Be assertive: Speak clearly that you are for or against something. Leave nothing up to interpretation.
  • Provide a personal example. If possible, think of an individual case where the current issue is/was/could have been relevant. You do not need to share this over the phone with a staff member, but in a face-to-face setting or through written communication, it would be appropriate. It is valuable for legislators to know that the issues they discuss in an abstract way have real ramifications for individuals.

These guiding principles apply to whatever form of contact you choose to use when reaching out to your legislator. If you decide to call or visit the office in person, consider having a one-page summary of the concerns you have to either guide your conversation should the legislator or staff member ask for more information, or to leave behind for the legislator to review at his or her convenience.

Legislative Communication Methods and Benefits
Channel
Benefit
Phone Call


  •  Quick
  •  Easy way to inform staff of your position
E-mail
  • Quick
  • Opportunity for a well-crafted message
  • Provides quickest way to get a response if one is requested
Letter
  • Formal
  • Provides opportunity for a well-crafted message
  • Can provide a personal touch and reflect investment
Drop-in Visit
  • Personal way to share your position with legislative staff
  • A one-page position paper can be left for the legislator
Appointment
  • Most personal
  • Opportunity to establish a personal relationship
  • A one-page position paper can be left for the legislator


Below is a sample letter or e-mail communication that includes all of the audience, source and message considerations we discussed.


Another short paragraph could highlight additional benefits/concerns, but it is important to keep the communication tight and concise. If you add a second full paragraph, try keeping it to three sentences. Your legislators and their staff will be grateful that you respected their limited resource of time.


Next week, we will continue to build on this with “The Kinetics of Pharmaco-Politics: Distribution – Doing Your PART to Get the Message Out!” In the meantime, know that MPA is here to help you adjust to the realm of advocacy. If you have any questions about legislative outreach, policies or you are interested in MPA’s position on a particular bill, please don’t hesitate to call us. If you decide that advocacy communication interests you, we would be thrilled for your to join the Pharmacy Advocacy Response Team (PART)! If you are interested in becoming a PART of our advocacy efforts, please call Amanda Lick, manager of advocacy, governmental and regulatory affairs at (517) 377-0254 or Amanda@MichiganPharmacists.org.

Monday, December 22, 2014

Pharmacy Technician Licensure - Application Available Now

Michigan Pharmacists Association (MPA) met with the Michigan Department of Licensing and Regulatory Affairs (LARA) today regarding pharmacy technician licensure and other pharmacy issues. The Department has confirmed that enforcement of technician licensure will not occur until June 30, 2015.

MPA encourages all pharmacy technicians to begin the licensure process as soon as possible to allow adequate time for LARA to process applications. As of late last Friday, pharmacy technicians may now begin applying for licensure. To download the application and specific instruction for each type of license, visit the LARA Web site.

Important Information About the Licensure Process

  • Once you complete an application, send it to:
    • Michigan Department of Licensing and Regulatory Affairs, Bureau of Health Care Services, Board of Pharmacy, PO Box 30670, Lansing, MI 48909
  • If applicable, submit the Verification of Employment as a Pharmacy Technician form to your employer to complete and send directly to LARA’s address listed above.
  • Schedule your fingerprints to be taken 7-10 business days after you have mailed your application.
  • To obtain a limited license, pharmacy technicians practicing at multiple locations are required to complete page 9 for each pharmacy location at which they are employed.
  • If pharmacy technicians have been certified through the Pharmacy Technician Certification Board, the Department will access those scores and you do not need to provide that information. Pharmacy technicians who completed certification through the National Healthcareer Association (NHA) will need to contact NHA to ask for their scores to be transmitted to LARA (instructions for this process are included in the application).
  • Allow time to process your application before you call or e-mail the LARA office to check on the status. Applications may take up to two weeks to begin processing.

For the most up-to-date information, please use the following MPA resources online:


For more information from LARA, please use the following resources online:


In addition to the resources above, MPA is pleased to offer Pharmacy Tech Prep Online, your best resource to study all of the information you need to pass the Pharmacy Technician Certification Board exam required for licensure as a pharmacy technician in the state of Michigan. Learn utilizing on-demand educational videos covering important topics, including pharmacology, pharmacy law and regulations, medication safety, inventory management, billing and reimbursement, and pharmacy calculations. Pre-order now to receive a 10 percent discount! Pricing and order information is included online at www.MichiganPharmacists.org/techprep.

Technician Licensure Forms Available

As of Dec. 19, 2014, the Michigan Department of Licensing and Regulatory Affairs (LARA) has made the application forms for pharmacy technicians available online.


The following are pertinent excerpts from the application:

TO APPLY FOR FULL LICENSURE BY EXAMINATION:

  1. The Board must also receive passing Certified Pharmacy Technician examination scores directly from either the:
    • Pharmacy Technician Certification Board (PTCB), 2200 C Street, NW, Suite 101, Washington, D.C. 20037-2985,  1-800-363-8012, e-mail at contact@ptcb.org (PTCB scores will be obtained from their Web site.) OR
    • National Healthcareer Association (NHA), 11161 Overbrook Road, Leawood, KS 66211, 1-800-499-9092, e-mail at info@nhanow.com.

TO APPLY FOR A LIMITED LICENSE:

  1. You must also have your employer complete the Verification of Employment as a Pharmacy Technician form that is part of the application packet. The completed form must be sent to the Board of Pharmacy directly from your employer.
  2. The limited pharmacy technician license is only valid if you remain employed by the same pharmacy. If you are no longer employed, the limited license is not valid. If you begin employment at a different pharmacy, the limited license is not valid.

TO APPLY FOR A TEMPORARY LICENSE:

  1. The temporary pharmacy technician license will be issued upon receipt of the application, fee, proof of high school graduation or GED, and the fingerprint/criminal background check report.
  2. The temporary pharmacy technician license is issued so that the applicant may continue working while preparing to take the examination required for full licensure. The temporary license is only valid for 210 days and cannot be renewed.

TOP THINGS APPLICANTS SHOULD KNOW:

  1. NOTE: If you have ever been licensed in another state and you have a current disciplinary sanction on that license (even if the license is inactive), you are not eligible for licensure in Michigan according to the Public Health Code, PA 368, as amended, Section 333.16174 (2). Sanctions include probation, limitation, suspension, revocation or fine. Upon resolution of the sanction and verification that the license is active with no disciplinary action in effect, you can proceed with the filing of an application for a Michigan license or registration.
  2. Read the entire application before submitting it and DO NOT send the checklist to the Board of Pharmacy office.
  3. Applications and mail are processed as quickly as possible in date-received order.
  4. Please allow time to process your application before you call or e-mail the LARA office to check on the status. Applications may take up to two weeks to reach the office. Applications with fees are first processed through the central mailroom then through our payment processing office.
  5. Mail, including mail sent overnight, is first received by the central mailroom prior to reaching the Board.
  6. Supporting documentation will not be accepted if faxed into the office.
  7. Refund Policy: If you wish to withdraw your application, you must notify the Board of Pharmacy in writing to request a refund.
  8. If your name and/or address changes, please notify the Board of Pharmacy in writing. To change a name or address, you can download the Data Change/Duplicate License Request Form online at  http://www.michigan.gov/healthlicense and fax it ATTN: Applications Section to (517) 373-7179 or mail the form to: Licensing and Regulatory Affairs, Bureau of Health Care Services, Board of Pharmacy, PO Box 30670,  Lansing, MI 48909. Telephone calls are NOT accepted for these changes. After your license is issued, you can change your address online at http://www.michigan.gov/elicense.

Friday, December 19, 2014

Michigan Legislature Passes Pharmacy Technician Licensure Amendment

On Dec. 18, the Michigan Legislature passed an amendment that will push back the enforcement date of pharmacy technician licensure. According to the amendment, a pharmacy technician will not be able to practice as a pharmacy technician after June 30, 2015, unless they have been granted licensure by the Michigan Department of Licensing and Regulatory Affairs (LARA). This change, once approved, delays the date that all pharmacy technicians must be licensed by until June 30.

This amendment to Public Act 285 of 2014 was sought to give LARA additional time to make the application available, process applications received and begin enforcing the new law.

Please note that the amendment does not go in to effect until it is signed by Gov. Rick Snyder, which may not occur for several weeks. MPA recommends that you prepare to access the application on Dec. 22 when it is scheduled to be made available by LARA and begin the application process at that time until further notice.

For more information on technician licensure and pharmacy technician preparation, please visit www.MichiganPharmacists.org/techlicensure. Please note that this page is accessible to MPA members only.

MPA is also pleased to offer Pharmacy Tech Prep Online, your best resource to study all of the information you need to pass the Pharmacy Technician Certification Board exam required for licensure as a pharmacy technician in the state of Michigan. Learn utilizing on-demand educational videos covering important topics, including pharmacology, pharmacy law and regulations, medication safety, inventory management, billing and reimbursement, and pharmacy calculations. Pharmacy Tech Prep Online will officially be launched on Jan. 6, 2015, with the first round of content and will receive regular updates and content additions throughout the year. Those who pre-order before Jan. 6 will receive a 10 percent discount! Pricing and order information is included online.

If you have any questions, please contact either Amanda Lick, MPA manager of advocacy, governmental and regulatory affairs, at Amanda@MichiganPharmacists.org or Eric Roath, MPA director of professional practice, at Eric@MichiganPharmacists.org.

Friday, December 12, 2014

MPA Launches Pharmacy Technician Licensure Page Dedicated to Updating YOU!

The recent passage of Public Act 285 (pharmacy technician licensure) has raised many questions here in Michigan. The effective date of the legislation is quickly approaching. While we wait to see if the proposed amendment to postpone the enforcement date passes out of the Michigan Legislature, Michigan Pharmacists Association (MPA) has created a one-stop Web site page to assist with answering our members questions! Since this new legislation affects almost all of our members, we are responding by providing a central location where they can access resources to address their needs. We built the page based on the questions that our members have been asking. The page includes links and resources focused on the following:

  • Certification exams
  • Frequently asked questions
  • Application link (application will be available Dec. 22, 2014)
  • Information from the Michigan Department of Licensing and Regulatory Affairs
  • Duties of a technician
  • Latest news
  • Membership information

To access the page, please visit www.MichiganPharmacists.org/techlicensure and login as a member!

If you have any questions about this bill, please contact either Amanda Lick, MPA manager of advocacy, governmental and regulatory affairs at Amanda@MichiganPharmacists.org or Eric Roath, MPA director of professional practice, at Eric@MichiganPharmacists.org.

Monday, December 8, 2014

Pharmacy Technician Licensure Update

Last week, Michigan Pharmacists Association (MPA) was notified of an amendment that would change the effective date of the licensure requirement for pharmacy technicians in Michigan. The Michigan Department of Licensing and Regulatory Affairs (LARA) and Sen. Mike Green will be putting forth an amendment to Public Act 285 of 2014 (pharmacy technician licensure statute) to postpone the licensure enforcement date to June 30, 2015. This would allow the Department time to process applications, promulgate rules and effectively implement the overall process for pharmacy technician licensure. MPA supports this amendment, as it would provide everyone with additional time to clarify member questions and concerns, thus ensuring that the licensure process is handled effectively across the state.

MPA will know by the end of the legislative session on Dec. 18, 2014, whether or not this amendment has passed. We suspect that because this issue was driven by the Department that it is likely to be passed and signed by Gov. Rick Snyder. Whether this amendment passes or not, pharmacy professionals need to be prepared to begin the application process as soon as the application is made available on Dec. 22, 2014.

If you have any questions about the amendment or pharmacy technician licensure, please contact either Amanda Lick, MPA manager of advocacy, governmental and regulatory affairs, at Amanda@MichiganPharmacists.org or Eric Roath, MPA director of professional practice, at Eric@MichiganPharmacists.org.

Friday, December 5, 2014

Pharmaco-Political Kinetics: Why and How Your Involvement Makes the Profession Move

by Ashley Builta, Pharm.D.,MPA fellow of association management and business development

The idea for this series came to me within my first few weeks on rotation here at MPA. I was trying to figure out how to convey what the term “advocacy” means, how easy it is to practice advocacy and all the things that go on here at MPA that revolve around advocacy. Having recently graduated and passed my pharmacy boards, the term pharmacokinetics was still fresh in my mind. After a creative think-tank session and play on words, I decided to move forward with calling the series “Pharmaco-Politics: An Advocacy Regimen” and here’s why:

When you look at the definition of pharmacokinetics, it has to do with what the body does to the drug. An analogy along this line would then say that the “drug” is like a bill and the “body” is the Legislature and the legislative process.

Let’s walk through an example:
  • Absorption: the drug is swallowed = the bill is introduced into the House/Senate.
  • Distribution: the drug is absorbed in the stomach and released into the blood stream = the bill is assigned to Committee(s).
  • Metabolism: the drug goes to the liver, where it is either changed into something useful or prepared to be eliminated from the body = the Committee(s) review the bill and make recommendations. Based on Committee recommendations, wording may be changed. This bill is then voted on in the House/Senate, and, if passed, goes to the opposite chamber to be voted on.
  • Elimination: the drug is taken up in the tissues as something useful or eliminated from the body = the House and Senate pass the bill, and the bill makes its way to the governor’s desk, where it is signed. At this point, the bill is now “eliminated” from the legislative process by becoming a Public Act and is part of the Public Health Code. Or, if the bill doesn’t make it out of Committee to be voted on by the House/Senate, the bill dies in Committee and is scrapped at the end of the legislative session.
So, in my example above, the bill is the drug, the different Committees are the various organs of the body that metabolize drugs (in this case, the liver), and the elimination happens either when the bill dies in Committee or is signed by the governor into a Public Act.

The term kinetics really spoke to me because it moves. Advocacy isn’t typically a term that resonates with most people, but movement does. Advocacy is keeping a watchful eye on the legislative process and intervening at key points in the process. We keep a watchful eye on how a bill moves through the Michigan legislative process and try to help it along if it’s pharmacy-friendly or fix it if it’s not so friendly. We follow a bill (the drug in my analogy) through the various chambers of the House or Senate and the different Committees it ends up in (the body), the changes in wording that happen along the way (metabolism) and finally to its fate (elimination from the body). We report this information to MPA members, but that reporting is passive from most members’ perspectives. What really moves the profession is when pharmacists, pharmacy technicians, student pharmacists and other pharmacy professionals get involved in this advocacy process by intervening at critical times.

A lot of what we do with advocacy efforts (for example, in helping educate legislators on the affects of the bill or working with groups to help fix the wording contained in the bill) are akin to changing the delivery systems of drugs for better effect. We try to help speed up absorption through strategic meetings, while at the same time anticipating the harmful byproducts of metabolism of the bill in Committees. If a bill is introduced that is not friendly to pharmacy, but we can’t stop it from passing (think of a highly-toxic chemotherapy agent), we try to reduce the harmful side effects of the bill with our advocacy efforts (giving an anti-nausea medication).

The kinetics of pharmaco-politics is really all about using our pharmacy experts (you!) at critical times when an intervention is needed. But, then again, pharmaco-politics is also taking ideas that pharmacy professionals have (your ideas) and putting them into motion. This, to me, is the magic of MPA. There’s a whole team of people here who are able to listen to what members are saying and activate the advocacy efforts of staff and other members to make things move.

But MPA can only do so much; there are three people here working to represent the more than 15,000 pharmacists and student pharmacists, not to mention the many more pharmacy technicians, who practice here in Michigan. To really get things moving and capitalize on the kinetics, we need MANY members to be involved in the process, working together with a united purpose and message. That is the point of this series. If I could ask you one thing, it is to read this series so that you have a better understanding of the legislative process and advocacy efforts. Hopefully one day, you’ll remember a few of the lessons from this series and get the profession moving by participating in advocacy yourself!

Our next post entitled “The Kinetics of Pharmaco-Politics: Absorption – Effectively Communicating Your Message to Your Legislator”will be on how to effectively deliver your message to legislators. We hope to see you next time and look forward to any comments you have for us!