Why have a Leadership Symposium?
January 16, 2012
I have been asked this question a few times. Well, there are two reasons – member development and coordination of efforts. Notice that I didn’t say that “continuing education” was a reason. The CE part is just an additional benefit to attendees.
Reason #1 is more critical. Member (note that it’s singular) development is important to the future of pharmacy. YOU need to know what is happening to the profession, why it is happening and what YOU can do about it. The knowledge you will gain will strengthen your resolve and ability to protect your profession and your patients. And pretty much, that’s the spring meeting!
Does it really matter if you attend? Trust me — it does! This is a part of YOUR job. Being EFFECTIVELY involved in public policy is integral to your profession.
You may not like the political process, but it directly affects you every day. And it is impacting your profession more and more in areas such as license requirements, relationships with patients, the move to Medicaid Managed Care in March, audit and other insurance reimbursement challenges, pending mail order pharmacy mergers, record-keeping demands and mandated pharmacy procedures. These issues have resulted in growing financial pressures on the profession and have placed Texas pharmacy at a critical crossroads.
Reason #2 is less important. The various Association governance meetings that take place during the summer conference are being moved to this meeting for greater efficiency for members and staff. Hopefully, in 2013, the House of Delegates annual meeting and the installation of officers will move to this Leadership Symposium. These changes allow the Conference and its attendees to focus on continuing education and exhibits.
So, please join your fellow pharmacy leaders on March 23 and 24 for the TPA Spring Leadership Symposium in Austin. I promise that it will not be just another meeting! You’ll hear leaders from NACDS and the State, including Texas Comptroller Susan Combs, members of the Texas House Representatives and the Senate, Tom Suehs, executive commissioner of the Texas Health Facilities Commission, Texas Attorney General Greg Abott and experts in the field of politics and grassroots involvement.
Pharmacy needs you to be there. For more information go online to www.RXPERT.ORG.
More to come . . .
Joe DaSilva
Chief Executive Officer
Texas Pharmacy Association
He’s Back . . . .
January 1, 2012
Well, a new year starts and “Just My Thoughts” returns!
You have been enjoying a seven month sabbatical from my BLOG until now. One of my resolutions is to routinely communicate with you and one of my measures to do so is to have 3-4 posts each month. If you add your name as a follower, you will be notified when something new is posted.
This first entry of 2012 is a sentiment I came across recently. Since the author is anonymous, I made a number of changes so that the words better convey my thoughts. It is shared as my sincere wish for you.
May 2012 bring each of you
Warmth of love and comfort of home,
The joy of children and support of family and friends,
A patient attitude to accept others equally,
A caring heart that practices respect and compassion,
Enrichment of knowledge and richness of diversity,
Courage to seek and speak the truth even when standing alone,
A healing hand for the patients you serve,
A light to guide your path,
Resolve to strengthen unity,
Serenity, peace and balance,
Food for thought,
A hand to hold, and
An abundance of smiles.
May You have a Happy and Blessed New Year!
More to come . . .
Joe DaSilva
Chief Executive Officer
Texas Pharmacy Association
The Rodeo is Coming to Town!
May 28, 2011
In four weeks, the 2011 Rxpert Conference and Expo will be history. But it’s not too late to be a part of this TPA rodeo in Ft. Worth. Yep, we all are gonna be in Cowtown on June 23-35. There’ll be lot’sa learnin’ and lot’sa fun and lot’sa yappin’ with your podners! I sure hope that you can join us. And whether it’s your first rodeo or not, please find me and tell me what you need from your professional organization ’cause we’re not from the government but we ARE here to he’p!
Click here to learn more and see you in Ft. Worth!
Joe DaSilva
Chief Executive Officer
Texas Pharmacy Association
Ditto to what he said!
May 16, 2011
A few days ago, TPA’s president, Dennis Song, submitted an article for his column on our website. He titled it “A New TPA” and shared some of his perspectives about the future of this organization. But wait a minute! Haven’t you heard the “new TPA” phrase before? Probably. Haven’t you seen a few changes here and there regarding the “new TPA” during the past year? Probably. What about the last few decades? Probably. So what is different this time? What truly makes it “A New TPA” for you?
Obviously the answers in the past as well as today’s answers are different for different people. Change per se does not make the organization “new.” Heck, there have been a number (or as the new generation often states, a “ton”) of changes since I arrived at TPA less than two years ago. Cumulatively, I packaged them to indicate “the new TPA.” But was it really? To some yes, to most no.
What Dennis is talking about is different! It’s not a slight remodeling. It’s brand new construction. It really is A New TPA - a TPA that will address today’s changing organizational needs and structures; and most importantly, better address the changing needs and make-up of the pharmacy profession in Texas.
Many of the details still are under development, but most will be shared at Conference, and later this year, submitted to the House of Delegates for approval. I am confident that it will be an exciting leap forward for many of you.
More to come . . .
Joe DaSilva
Chief Executive Officer
Texas Pharmacy Association
Thanks, Chuck!
May 3, 2011
It has been a few weeks since we last spoke and there continues to be tough times for TPA. I know that many of you are experiencing some hardships too. On Monday of this week, I began implementing several undesirable but critically needed measures to reduce the Association’s expenses and improve our financial stability. One of those changes was elimination of the staff position of senior director of communications. Chuck Waters had served in that position for nearly four years. He did an outstanding job and delivered outstanding work products. I publicly thank him for his dedication and commitment to the Association and the profession of pharmacy. I know that along with me, you wish him well.
More to come . . .
Joe DaSilva
Chief Executive Officer
Texas Pharmacy Association
In the Texas Legislature nothing is final until it’s final. So it’s too early to be sure, but thanks to your grassroots lobbying and the professional work of those in Austin who represent your profession, there is BREAKING NEWS from the Senate Subcommitte on Medicaid. An hour ago, these elected officials have agreed to decrease the proposed $2.00 reduction in the Medicaid pharmacy dispensing fee by $1. If it holds, some may call this a victory. But is it success? What about the matter of the other dollar? Clearly, there is more work to do! Check our latest ALERT from earlier today and thank the Senators for what has been done so far, but please keep up the pressure.
Joe DaSilva
Executive Director/CEO
Texas Pharmacy Association
Spending your days in just a job! Maybe!
March 15, 2011
For most people, it’s tough to go from day-to-day in what may feel like is just a job. But is being a pharmacist or a pharmacy technician really more than “just a job” to you? Is it more than a career that serves as an income source? I don’t know what your answer is. I don’t know if your public and private answers to these questions are the same. I do know this – a great majority of you and your colleagues are dedicated to this profession because it is a perfect combination of the COLD sciences and the WARM caring. Each individual you serve becomes your patient. Every pain and health challenge they experience becomes your challenge to help resolve. And at times, your kindness is more effective than the medicine you dispense.
Too ideal? Too Norman Rockwellish? Maybe. But is it what you wish it were? Maybe. Too much work to do? Too high of expectations placed on you? Maybe. So, is it more than a job or not? Is it still a healing profession for you? Is your passion still a part of your profession? Are you willing to give of yourself and your resources to protect it? To advance it? Maybe.
So many questions. Such few answers. But know this: TPA needs you, my friend, so that together we can find better answers. Maybe?
Joe DaSilva
Executive Director/CEO
Texas Pharmacy Association
Ready! Set! Act!
March 8, 2011
You already know that TPA has more staff expertise and experience in the advocacy arena during this legislative session than ever before. It now is critical that you also become a member of TPA’s new public affairs team!
As you read in the TPA “News from the Dome RxAlert“ dated March 7, the Senate Finance Subcommittee on Medicaid has proposed an additional $2 cut in the Medicaid/ CHIP pharmacy dispensing fee. This move follows the two separate 1% cuts recently implemented by the Texas Health and Human Services Commission (THHSC) that reduced the original $7.50 fee to $7.35. The legislative proposal would result in a total reduction of 41.4% in the dispensing fee since August 2010. Clearly, the cumulative impact of these cuts is devastating!
Yes, the state has a $28 million dollar budget deficit. And yes, Medicaid is a very large portion of that amount. But a 41.4% reduction for pharmacy? Four times the rate of reduction for other health care providers? NO WAY! Time to show the power of Pharmacy and your personal commitment to being able to help all your patients.
Click here for the TPA RxAlert to view the list of key legislators that need to hear your strong opposition to the proposed $2.00 cut. PLEASE, you must ACT NOW!
Joe DaSilva
Executive Director/CEO
Texas Pharmacy Association
Why be a Member?
February 28, 2011
I recently sent an e-mail to TPA members who have not renewed their membership and asked “why?” This simple, direct question not only has resulted in a number of renewals – which is good - but it also has provided me with needed feedback – which is great. Their comments have helped me understand the many “why’s” and “what’s” that have derailed their interest in membership – why they have not renewed and what they want from the Association. However, my opportunity to learn should be broader than just asking non-members; so I am including some excerpts from my email because I need your feedback too.
By now, you may be tired of hearing from me and TPA. Yes, I am well aware that during the past three months, we have contacted you several times about your expiring membership and even sent you a brief survey prior to a final cancellation. But, still, no response. Maybe you don’t see enough value in membership or the dues are higher than you are willing to pay. Maybe your professional needs haven’t been met in the past or maybe our decisions and actions have not been what you wanted. Or maybe you just have been too busy to think about it. Regardless of the reason, TPA and I sure would benefit from your input.
You know, TPA is not here only for its members or to help the membership with their daily challenges. It exists and has existed for more than 130 years for your profession. What you do and the fact that you are even involved in pharmacy is due to the work of those who have preceded you – those leaders and members that through this Association guided your profession to what it is today. Texas pharmacists needed an effective organization to protect and advance their profession. They still do. Please know that tomorrow TPA could be stronger, more influential and more representative. But this will not happen without you and others joining the effort.
Hopefully, you know that TPA has been working very hard during the past year to strengthen its focus on core professional needs, lead advocacy efforts in the public policy arena, increase the value of membership and build the kind of Association that makes a real difference in your professional life. Yet, I must assume that we are not saying or doing the right things for you. How can you and many of your colleagues be convinced that $295 in TPA dues – less than $1 per day – is an important investment in yourself and your profession . . . . . I cannot understand why less than 9% of the pharmacists in Texas realize that this organization is critical to their profession. This is not an issue of where they work or what’s in it for them. It is about the profession, their profession, your profession! It’s about what each of you have sacrificed so much to become and to be able to do. If the foundation of the profession is not strong, the structure will weaken and so will the profession.
If you don’t believe that it’s worth less than $1 dollar a day to strengthen your profession and enhance your future, so be it! No need to join. No need to respond. But if you do, then please let me know what can be done to show you more value. Tell me how we can work together to make TPA what you need it to be. Let’s talk.
I encourage you to give me feedback. If you prefer to not place your comments on this BLOG, please email me at jdasilva@texaspharmacy.org
Joe DaSilva
Executive Director/CEO
Texas Pharmacy Association
Ominous Challenges in the Legislature.
February 22, 2011
It again has been too long since I shared my thoughts with you in this blog. And now that I do, I’m only confirming the sobering news you have been receiving for awhile through TPA’s News from the Dome newsletter.
You have charged TPA with protecting and advancing the profession. Unfortunately, the legislative session is getting “seriouser” by the moment and tougher to “protect” pharmacy. The state faces a crushing deficit of up to $27 billion and drastic actions will be taken to address the shortfall. State health-care costs are more than 20% of the budget, so health care is one of the biggest targets! As much as all of us would like to prevent it, it is a virtual certainty that Medicaid reimbursement to pharmacies will be cut MORE as the result of legislation and policy proposals that are currently under consideration.
The state already has implemented two separate 1% Medicaid dispensing fee reductions and recently, a proposed additional $1 reduction in the fees has surfaced. Other public policy decisions could further lower dispensing fees, “carve-in” the Medicaid vendor drug program into managed care or implement other financially destructive ideas. Obviously, there will be more discussion but when the time is right, TPA and our pharmacy friends will launch a strong grassroots campaign to clearly communicate the impact of pending policy decisions on our patients and businesses and forcefully voice our opposition. In the meantime, TPA has been working hard to prove the value of pharmacy services to key leaders by meeting with HHSC and legislators to propose a variety of cost-cutting alternatives that would save the state more with less damage to pharmacy revenue.
Please keep-up with our ongoing legislative battles through the newsletter. It’s e-mailed to you every week and can be accessed accessed here. Stay tuned!
And on a related note, don’t forget to register for our 2011 Conference & Expo by March 15 to capture the best rates. We’ll have a highly critical legislative panel discussion to wrap up what happened in the current session and get the expert insights of our three pharmacist legislators!
Joe DaSilva
Executive Director/CEO
Texas Pharmacy Association
IT’S CHRISTMAS!
December 25, 2010
As we gather today with families and friends, Laura and I wish each of you a very special day – one full of blessings and wonderful memories.
I again must apologize that this blog has been dormant for so long. Hopefully, I am through with the various association and personal health crises. Meanwhile, much is being done at TPA. The primary focus remains on efforts to address the continuing 2010 financial challenges, stabilize our 2011 budget, update and significantly modify the Association’s strategic plan and of course, prepare for the upcoming session of the Texas Legislature.
A couple of firsts to share with you. The Association hosted the initial meeting of the recently formed TPA Pharmacy Advocacy Group. The PAG consists of public affairs representatives from various Texas pharmacy organizations and creates a forum to coordinate legislative priorities and efforts. The group likely will meet onced a week during the session. The other first regards the new TPA Public Policy Council which holds its first meeting in a few weeks. The role of the PPC is to participate in the Association’s advocacy and policy development process; develop legislative and regulatory public policy recommendations to address issues of interest or concerns; and advocate public policy positions and priorities to the TPA Board of Directors.
By the way, many of my future blog entries will address current public policy issues and our advocacy efforts on behalf of all pharmacy professionals in our state. You should be aware that your Association will apply a broader interpretation of “advocacy” than commonly understood. Our advocacy will reach beyond the members and staff of the legislature or agency boards and staff. It will promote pharmacy among various segments of the population that directly or indirectlyare integral to your profession, including manufacturers, wholesalers, buying groups, the public, business and consumer organizations, medical and hospital associations, and the media. February meetings are being planned with TPA’s leadership and the leadersship of the Texas Medical Assocaition and the Texas Hospital Association.
And don’t forget that TPA also can help you meet your educational requirements. Check-out your Center for Excellence and the Rxpert Annual Conference & Expo in Ft. Worth in June.
Thanks for you strong support and patience since I arrived 18 months ago. It will be needed even more during the coming year. The best to you and happy new year!
It’s Been a While Since We’ve Talked!
July 31, 2010
Hope you are doing well. There is so much I want to share with you since my last post 60 days ago. First, the latest on me! I start by expressing my deep and sincere gratitude for the many prayers and good wishes directed at my recent health adventure. I am touched by your kindness and thoughtfulness.
You know, the word “challenging” truly best describes my first 13 months at TPA and, now, most especially the last 13 days concerning my health. As you may know, my appendix ruptured sometime during the last days of our Conference in Austin. The intensity of pain and discomfort increased on Sunday (July 18) and Monday. By Tuesday morning, the pain was severe and had localized in the lower right quadrant of my abdomen. I went to the ER on Tuesday afternoon and had emergency surgery Tuesday night. The surgeon uncovered a very “gnarly” and gangrenous appendix with significant infection all around. The laparoscopy quickly evolved into a much larger-scale procedure with a bigger surgical incision. Once in my hospital room, other health issues ensued, all while I was receiving high doses of antibiotics and fluids. I was hospitalized eight days. During this period, I lost intestinal flora and developed an additional infection. I started a new regime of NAUSEATING oral antibiotics.
I was finally discharged last Wednesday (July 28). Unfortunately, I had to return to the hospital ER the next day because my incision was infected. Since then, I have been recuperating at home. Although I am uncomfortable, I am still making progress but will likely will be at home for the next 10 days.
God indeed has blessed me with healing and has blessed me with friends — both within and outside of the Association. Please know that during the last few days, I have thanked Him often for both! Take care.
Joe DaSilva
Organizations Have Life Cycles Too
May 25, 2010
As time passes and needs change, so do organizations. Recently, three local pharmacy associations have informed me that they have reached the end of their life cycles and have decided to submit their remaining funds back to TPA. Once we receive these transfers, those dollars will be forwarded to the Texas Pharmacy Foundation for scholarships.
It should be acknowledged, however, that most organizations reaching this final decision, once were meeting an important need. Each provided a valuable forum for learning and networking in its area. Each had dedicated members and leaders. Each made a difference to the pharmacy profession. Each successfully met their goal for existence. I congratulate their past and present members and thank them for the many hours of voluntary work, dedication and love for the profession.
And remember, such ”endings” don’t always indicate failure and most certainly, don’t erase their past accomplishments! Just thought you would like to know.
Joe DaSilva
Meet You at the Corner Store?
May 21, 2010
It’s been a busy time since my last post, but I must remind you once more that the proposed TPA Bylaws still are available for your review and comment. Just check the website. And I also still am available to visit with you and your local association about the proposed changes. And if a group conversation at the local level can’t take place before the House of Delegates meeting at Conference in July, what if I meet you at your corner store or have a quick talk on the phone? And if that can’t happen, on June 3, Mary Klein (Speaker of the House) and I will be hosting a statewide membership conference call. More information about the time and other specifics for the call will follow next week. And if you can’t call in, I at least hope you feel that there have been ample opportunities for membership input and that you remain committed to advancing the Association as it advances your profession. Thanks and take care.
Joe DaSilva
No, This Isn’t My Travel Journal!
May 7, 2010
Ok, I know what you’re thinking. Why does Joe believe we want to know all this stuff he decides to share with us? Well, I understand, so I will make this brief. In the last few posts I talked about events at pharmacy colleges in Abilene, Austin and Kingsville. But before this week is over there is one more historic moment that you must know a little about. This one is happening in San Antonio.
On May 5, a series of firsts began at the Feik School of Pharmacy at the University of the Incarnate Word. The first graduation luncheon was held for its first graduating class, along with the commissioning of the Feik School of Pharmacy Alumni Association. Yesterday, the 67 pharmacy students of its 2006 inaugural class participated in the College’s first oath and hooding ceremony. Then this evening, Friday, May 7, commencement ceremonies will be held to award the first doctor of pharmacy degrees in the school’s history. This is another significant success story for the pharmacy profession in Texas. Congratulations to these new graduates, to the faculty and to the college’s visionary founding Dean, Dr. Arcelia Johnson-Fannin.
Joe DaSilva
Balanced Exposure
May 5, 2010
Last week, it was a UT College of Pharmacy student function in Austin. This week it was Kingsville, A&M College of Pharmacy students and yet another special opportunity for me. I was asked to come talk to a hundred or more P1 – P3 students. These are bright and focused individuals who are learning from highly experienced instructors, in a campus blessed with cutting-edge technology. But in the brief history of the Irma Lerma Rangel College of Pharmacy, this month of May is not like any other month of May. On the 15th, the college will graduate its first class and reach a major milestone in carrying out its mission.
For the college, this shinning moment in the proud history of the pharmacy profession honors the leadership of the late Irma Rangel as well as the vision of the Texas Legislature, A&M regents and the Kingsville community in 2001; the dedication and achievements of a trailblazing group of 70 students that arrived on a new campus in 2006; the contributions of a great faculty over the last four years; and the commitment and hard work by a highly caring dean. Congratulations to all and specially to you, Dean Indra Reddy.
Joe DaSilva
What Else?
May 4, 2010
I was recently honored to speak at the University of Texas College of Pharmacy Phi Lambda Sigma induction ceremony. Wow, what an impressive event. There were about 60 students in attendance, with 18 of them being inducted into the organization that night. I could easily sense how dynamic, smart and talented these young women and men are - their leadership skills were palpable. Your profession’s position in the health-care delivery system is in good hands.
However, one issue continues to concern me. My concern was reaffirmed at this UT event as it was reaffirmed during the West Texas Association meeting. So what’s the problem? . . . I sense a drifting away from the profession’s history; from the legacy that was built by those that gave so much in the past; from the hard-fought accomplishments that enhanced the role of pharmacists and technicians to what it is today. How do we acknowledge the past? How can we show appreciation for the many that did so much for the profession? How do we make pharmacy remain or, once again, become much more than just a job that provides dollars to support a lifestyle? The “now“ needs the “past” to create a better “future” for pharmacy. So how do we pass the legacy forward?
Joe DaSilva
What’s Been Happening?
May 3, 2010
Sorry that there has not been a post from me in a while. Then again, since only one of you has entered comments in response to my 14 posts to date, my guess is that no one has noticed. I just am glad that I am not sensitive!
Anyway, lately, it’s been even busier than normal. There have been various leadership and board meetings including the Association, the Foundation and the PAC as well as lots of travel, numerous meetings with pharmacy-related corporations, further development work on new programs and ideas, speeches, etc. During the next few days, I will briefly highlight a few of the more memorable events.
The first one is Abilene. Not just the city. Not just the pharmacy school there. Not just the pharmacy professionals. Not any other thing but the long-term successes of an organization named the West Texas Pharmacy Association. What a great group! What a great mission! If you don’t already know about them, you should. I have concluded that WTPA is focused on five simple goals: raising funds for scholarships, providing continuing education, twisting arms to get dollars for scholarships, networking and having fun, and getting more bucks for scholarships! Get the idea? Their target is helping those that are the future of the profession. During their annual meeting, more than 30 scholarships were awarded.
The WTPA materials state that the “West Texas Pharmacy Association is one of the oldest pharmacy associations in the State of Texas. The association was organized in 1921 to promote pharmacy in West Texas. West Texas pharmacists recognized the need to retain our West Texas students. Many were not returning to West Texas because there was more opportunity for them in larger cities around the state. The association has made its primary goal to offer scholarships to West Texas students that are interested in pursuing their profession in West Texas.”
Well done, WTPA!
Joe DaSilva
Is Anybody Worthy?
April 22, 2010
If you have a little time, I have a quick question. But first, you need to know that nominations for the 2010 TPA Awards have been slow in coming and that the deadline for nominations has been extended to April 26. You can do something about this. Please go to the TPA website to download the Nomination Form and submit the name of an individual you believe should be recognized by your Association for contributions to the profession. The award categories include the Bowl of Hygea, Pharmacist of the Year, Distinguished Young Pharmacist, Distinguished Pharmacy Technician, Distinguished Pharmacy Student and the Robert L. Hays Outstanding Consultant Pharmacist.
As for my question, . . . is anybody worthy?
Joe DaSilva
The Foundation for TPA’s Future
April 16, 2010
Finally! The proposed Association bylaws now are on the website and available for your review.
As you may be aware, the TPA Board of Directors has spent the last few months reviewing a comprehensive set of proposed changes to the Association’s Bylaws. The Board recently finalized the document, endorsed the proposed changes and approved release of the proposal to the membership. The document now is available on our website for your review and comment. It will be considered for adoption by the House of Delegates in July.
Generally, these proposed organizational, operational and procedural revisions are aimed at improving the efficiency and responsiveness of the association, as well as its inclusiveness, transparency and accountability. Among the more important changes being suggested are creation of a Academy of General Practice, size and composition of the Board of Directors and Public Policy Council, meetings of the House of Delegates, timeframe for elections, ability to conduct meetings by electronic means, remodeling the committee structure, processes to approve policy and bylaws changes, etc. The document on the website contains brief explanatory comments in the right-hand column that summarize the changes. A more detailed analysis of the key changes along with the related rationale will be discussed in this blog in the coming weeks.
It is so critical for you to review this document and provide feedback. I welcome and strongly encourage your input. And there will be various opportunities for you to do just that:
- A special forum has been set up in PharmTalk on the TPA website where you can post comments about the proposed changes and view the feedback posted by others.
- I will be traveling around the state in the next two months to meet with as many TPA members as possible to discuss the proposed changes. Joining me as her schedule allows will be House of Delegates Chair Mary Klein.
- A special Governance Forum conference call will be held on June 3 in which interested members can call in to ask me and Mary questions (more details to come).
- A dedicated e-mail address has been created for your input regarding these proposed changes - Bylaws Proposal.
Believe me, these changes will provide a stronger foundation for TPA’s future – but only if you also are a part of TPA’s future!
Joe DaSilva
Good Organization, Good Colleagues
April 11, 2010
I just returned to Austin a few hours ago from the 2010 TSHP Annual Seminar in Galveston. It was a great meeting! My congratulations for a productive, successful year to outgoing President Todd Canada (PharmD, BCNSP, FASHP), Clinical Pharmacy Services Director at the M.D. Anderson Cancer Center in Houston. I promise new TSHP President James Wilson, (PharmD, PhD, FASHP) Associate Professor at The UT College of Pharmacy in Austin, to build an even stronger alliance between our organizations — especially during the upcoming legislative session.
In case you don’t know, Paul Davis, R.Ph., TSHP’s organization’s longtime executive director, has been a highly effective pharmacy leader for many years. He is a good and longtime friend of mine; and some years back, served as TPA’s executive director. Congrats to Paul and his staff for delivering a good program to their members.
In a couple of weeks, TPA’s Rx Notes will include a list of TSHP’s award recipients recognized at this meeting.
By the way, if you are a pharmacy professional in Texas and work in a health-care facility, I hope you already are an active member of TSHP. If not, you should consider it. Much good can come from your participation in BOTH the Texas Society of Health-System Pharmacists as well as the Texas Pharmacy Association and our Academy of Health-Systems Pharmacists.
Joe DaSilva
Another April 15 Event You Should Note
April 8, 2010
Another update on the new Bylaws. On Thursday, April 15, TPA’s proposed and recently finalized changes to the Bylaws will be posted on www.rxpert.org. This release will be covered in Rx Notes earlier that week and there will be a specialnewsletter on the 15th to guide you to the website. Those without electronic access to the proposed bylaws will be mailed a copy on request. We will post the announcement on TPA’s Facebook page and will attempt to do the same on the Facebook pages and/or websites of local associations. There also will be an area in our PharmTalk Forum dedicated to sharing and exchanging thoughts and opinions on these changes. Additionally, I will travel to as many areas of the state as I can before the Annual Meeting in mid-July. TPA House of Delegates President Mary Klein will join me as her schedule permits.
So why such a big effort? Do the Bylaws have controversial issues? What’s the deal? – - – - Here’s my deal and here’s the Board’s deal. No, nothing in these changes are or should be perceived as problematic. There truly is NOTHING controversial in them, except for one thing: CHANGE! But as I said a couple of days ago, concepts like inclusiveness, transparency, accountability and value again must become an integral part of TPA and these “changes” take needed steps in that direction.
The true “big deal” is that members deserve and will be given adequate time to review and venues to provide comments on these changes – changes that will positively shape the future of your Association. And I firmly believe that after you review the proposal, your reaction will be, “This makes sense. I don’t see anything that really concerns me.” Still, please don’t neglect to share your feedback before your chance to do so ends on July 18 during the annual meeting, when the House of Delegates takes action on the proposed Bylaws. My plea to you and the rest of the membership is that by that time, the House’s action to adopt these changes is perfunctory and harmonious - not surrounded by controversy or upset members as last year. OK?
Joe DaSilva
Finally, here come the Bylaws!
April 6, 2010
Well, last year, I committed to implementing positive and broad changes at the Association. Many steps already have been taken to accomplish that goal and create the new TPA. Now comes one of the more critical and needed components of our joint effort to enhance the organization’s future – new bylaws!
I am well aware that many of you want the Association to reach the levels of success and services expected of a progressive professional membership organization. Your Board and I also want that, but to do so, significant organizational, operational and procedural changes are necessary. Concepts like inclusiveness, transparency, accountability and value again must become an integral part of TPA. The proposed changes to your bylaws that you will see soon take a very important step in that direction.
I much appreciate the confidence, patience and flexibility of TPA’s leaders to allow me to develop a comprehensive set of changes to the Association’s bylaws. I certainly have not done it alone. I have welcomed the input provided by many members, including past presidents, Board members and others.
Last week, after a few final tweaks, your Board endorsed the final proposed version as well as its unveiling to the membership. That will happen in the next few days. But first, here is how I plan and promise to handle this latest adventure. Please know that these are your bylaws! You deserve and will have adequate time and opportunity to review and provide feedback. Let me know what you think. Point out the changes you feel are good. Tell me what you don’t like. Ask questions. Give suggestions. Invite me to your local meetings. Hold me accountable. Just don’t sit back and wait for the annual meeting!
There will not be a repeat of last year’s bylaws ire! By the time the House of Delegates officially considers these changes, I promise that “the good, the bad and the ugly” will have been aired ad nauseum. Additionally, I will prepare a report for you and the House that will include EVERYTHING – any and all comments.
Got it? Getting curious? More to come on Wednesday about the unveiling plans.
Joe DaSilva
Joint Senate Committee Briefed – Challenges to Come!
March 31, 2010
Well, the joint hearing regarding health care reform’s impact on Texas took place. Four hours long. Lots of information. Lots of questions. Packed room. In addition to Kathy Barber (the Federation), Richard Beck (the Council), Dennis Weisner (H.E.B.) and me, numerous other health care provider and insurance representatives were in attendance. Invited testimony included Tom Suehs, executive commissioner of the Texas Health and Human Services Commission, Mike Geesling, commissioner of the Texas Department of Insurance and Ann Fuelberg, executive director of the Employee Retirement System of Texas.
The bottom line good news . . . of the more than 6 million currently uninsured Texans, about 4.5 million are expected to be added to the health insurance rolls. This includes 2.1 million new Medicaid covered individuals. With more coverage there will be more prevention and health care services, thus more need for meds and counseling; and thus healthier and more productive patients.
The bottom line bad news . . . the estimated increase in state cost is $27 billion through year 2024. Yes, that’s billions and how it may be funded places all providers at some risk.
Additionally, some of the existing programs at HHSC and TDI will have to be overhauled. Regulations will be flowing from federal and state agencies. The first key implementation date is six months from now. The next key thresh hold date is in 2014. Obviously, additional joint hearings of the Texas Senate Health and Human Services Committee and the Senate State Affairs Committee will be held in the coming months.
Joe DaSilva
State Senate to Learn Impact of Reforms on Texas
March 26, 2010
Now reform discussions come to the Texas Legislature! A special called joint meeting of the Texas Senate Health and Human Services Committee and the Senate State Affairs Committee will be held at 11:00 a.m. on Wednesday, March 31, 2010, in room E1.030 – the House Appropriations Hearing Room. The two committees will hear testimony concerning Senate Interim Charge #1 as follows:
Upon passage of federal legislation relating to reform of the health-care industry and health insurance industry,
- Study the implications of such legislation on Texas, the health-care industry, and public and private insurance.
- Study and monitor the implementation of the insurance regulatory changes, changes to high risk pool, and any other insurance mandates.
- Study the health care policy changes and the impact to the Medicaid and CHIP programs and the state budget.
- Assess the impact to all state uninsured and uncompensated care programs and county programs for the uninsured, including county property tax programs to pay for the uninsured.
- Make recommendations for the efficient implementation of programs.
The committee will receive invited testimony only. TPA staff will cover this meeting and provide a report to our members.
Joe DaSilva
More Reform Details Emerge
March 26, 2010
My thanks to the American Pharmacists Association for providing TPA with a COMPREHENSIVE 16-page breakdown of the Patient Protection and Affordable Care Act – HR 3590. It was prepared by their lobby firm Sonnenschein Nath & Rosenthal, LLP. You can read it on our website. There is a lot of information to digest with much more to come during the regulatory process. Ain’t change grand?
Joe DaSilva
Well, It Finally Happened!
March 24, 2010
As you certainly are aware due to the overwhelming news media coverage and information from various pharmacy organizations, the Patient Protection and Affordable Care Act (HR 3590) passed and was signed into law by President Barack Obama. The bottom line of this sweeping legislation – with a projected price tag of $938 billion over 10 years – is extension of insurance coverage to roughly 32 million more Americans and protection of current coverage to millions more! IF this really happens, the number of Americans who can afford prescription medications and other pharmacy services will expand dramatically.
Everyone knows that this new law contains numerous provisions affecting community pharmacy and prescription drug coverage. Many believe that it will be good for pharmacy, beneficial to patients and an effective step in improving access as well as the health of our citizens. Others believe that it will have an onerous impact on our health-care delivery system, the viability of businesses and our country’s fiscal health. The true answers will come as the regulatory process unfolds and provides more detail during the months and years to come. You can click here for more information about the legislation.
Joe DaSilva
Will the Next Few Days Bring a Reform Bill?
March 19, 2010
I wanted to share with you the latest update from the American Pharmacists Association regarding the pending federal health care reform initiative. The reconciliation bill finally was introduced yesterday, Thursday, March 18. This bill amends the Senate’s health-care reform (HCR) bill and by rule, can include only budget related provisions.
Various reports indicate that the House will take action this Sunday on a rule that “deems” the Senate-approved version of health-care reform to be passed by the House. If that happens, the Senate HCR bill goes to the President for his signature. However, for the Administration to incorporate desired or promised changes to this “signed” version, the House and Senate then must pass the reconciliation bill. There is no guarantee that the Senate will do so. Consequently, the House may decide instead to vote on a rule that “deems” the Senate bill passed only after the House and Senate both pass the reconciliation bill.
With all that said, there are a few areas worth noting in the reconciliation bill:
- MTM is not affected in any way.
- Sec. 1101. Closing the Medicare prescription drug “donut hole.” – Provides a $250 rebate for all Medicare Part D enrollees who enter the donut hole in 2010. Builds on pharmaceutical manufacturers’ 50% discount on brand‐name drugs beginning in 2011 to completely close the donut hole with 75% discounts on brand‐name and generic drugs by 2020.
- Sec. 1303. CMS‐IRS data match to identify fraudulent providers. – Allows the Secretary of Treasury to share IRS data with HHS employees to help screen and identify fraudulent providers or providers with tax debts, and to help recover such debts. Provides strict controls on the use of such information to protect taxpayer privacy.
- Sec. 1304. Funding to fight fraud, waste and abuse. – Increases funding for the Health Care Fraud and Abuse Control Fund by $250 million over the next decade. Indexes funds to fight Medicaid fraud based on the increase in the Consumer Price Index.
- Sec. 1305. 90‐day period of enhanced oversight for initial claims of DME suppliers. – Requires a 90‐day period to withhold payment and conduct enhanced oversight in cases where the HHS Secretary identifies a significant risk of fraud among DME suppliers.
- Sec. 1405. Excise tax on medical device manufacturers. – Delays the tax by two years to 2013 and converts the industry fee to an excise tax on the first sale for use of medical devices at a rate of 2.9 percent. Exempts from the tax Class I medical devices, eyeglasses, contact lenses, hearing aids, and any device of a type that is generally purchased by the public at retail for individual use.
- Sec. 2302. Drugs Purchased by Covered Entities. – Repeals the underlying 340B expansion to inpatient drugs and exemptions to GPO exclusion. Exempts orphan drugs from required discounts for new 340B entities.
Joe DaSilva
Hello! Is Anybody Out There?
March 18, 2010
I just returned to Austin after being gone for several days to various membership and organizational meetings. It was a productive — and, at times, disheartening — opportunity for me to listen to Texas pharmacists — both members and non-members of TPA. It was clear that many of your colleagues expect much from the new TPA. Others don’t want anything from this Association anymore. Some felt they play an important role in determining our future focus. Others don’t feel welcomed or needed and believe that there is no reason to be members. Fine! Let’s talk about it. Or do you care?
This is my third post on this blog and still not a single comment from any of you. Is anybody out there? If so, tell me what you want. Tell me what you need. Let’s see if maybe — just maybe — TPA can and will deliver for you.
If TPA’s past is a problem for you, why not try to get over it? Yesterday is gone and all the old baggage from those days should be, too. A lot has changed at TPA in the last six months and more change is on the way. So, if you feel that previous decisions by TPA leaders have done you wrong, it’s time that you forgive, forget and give this organization another chance!
Do you believe that more can be accomplished to strengthen your profession’s future if TPA once again became an effective, professional umbrella for ALL practice areas in pharmacy? Well, we can. . . . Isn’t it time you come home?
Joe DaSilva
Perceptions Are Interesting
March 9, 2010
In one conversation or another during the past few months, I have heard concerns that TPA has focused on the needs of only one segment of pharmacy practice in recent years. Many say it has been the independent practitioners. Others credit the chains. Some blame the compounders or consultants. While others say that it has been the professionals in the Dallas – Fort Worth area. I also have been told that TPA supports only older, urban practitioners. Some believe that health systems, new practitioners, technologists, government, academia, research, students, managed care and so forth have been ignored and disenfranchised. Well, maybe these contradictory perceptions about the past are correct – at least from your perspective.
However, your Association’s focus should, can and will be broader in the coming months and years. And to be successful in this effort, it is my ”perception” that each of you must play an active role in restructuring TPA’s future with your commitment, involvement and financial support. Otherwise, the future will not serve any of you or your profession very well; nor will we find success in our efforts to expand the role of pharmacists, classify pharmacists as health-care providers, enhance reimbursement and remove hurdles to you helping your patients improve their health.
Joe DaSilva
Just My Thoughts
March 1, 2010
The Changes Just Keep Coming
Welcome to the new TPA website and to my interactive column Just My Thoughts. I will use this new vehicle to complement the information provided on our new website – rxpert.org – and newsletter – Rx Notes. I will share my thoughts each week regarding TPA events, activities and structure; public policy issues affecting the pharmacy profession; key TPA advocacy efforts and Texas politics.
Please check Just My Thoughts for new entries or register on this site for new entry alerts. Most importantly, take time to add your comments. I want to learn from each of you. Comments will never be edited or deleted unless they are offensive in language or tone.
I’ll try to respond to every comment you leave and not establish an ongoing dialogue online. If you need a more extended exchange of opinions, I wecome you to follow up with me on the telephone or in person.
Well, here we go. Unlike those that will follow, this first entry addresses a very broad topic.
TPA is going through significant change. By now, you should be aware of the more monumental changes. Your Board and I believe that our Association has embarked on a much-needed journey. Though it may take awhile to reach our destination, we are heading in the right direction. Our goal is for TPA to become an organization that enhances your profession by providing quality education, timely communication and effective advocacy representation; that is vibrant and financially strong; that speaks as one voice for all of pharmacy; and that is recognized as a preeminent pharmacy association in Texas and the rest of our country. What do you think? What do you want?
Joe DaSilva
