Warm/fuzzy quote of the day !

warmfuzzy

When asked why we talk the talk but don’t walk the walk on patient safety in
the pharmacy, with regards to understaffing the pharmacists, this was the
response. It is the age old question of front-end vs. back-end. Do we pay
a pharmacist’s salary up front in hopes of preventing an error or do we just
accept that errors are going to occur and pay the lawsuit on the back-end?
Up front it is a definite expense to pay wages and benefits so it is better
to just cross our fingers and hope an error doesn’t occur. Makes you feel
all warm and fuzzy about going to the hospital doesn’t it?

Author unknown

Addictive personalities will never manifest themselves until pt is exposed to a “trigger” ?

Illinois Battles Prescription Pain-Pill Epidemic

http://www.nbcchicago.com/news/local/Illinois-Battles-Pain-Pill-Epidemic-293107921.html

“We need to make sure that we’re addressing these prescription painkillers and preventing people from getting addicted to them in the first place to keep them from moving to heroin,” said Debbie Hersman, president of the National Safety Council.

Felicia Micelli of suburban Medinah said her son, Louie, became addicted to pain pills following a sports injury. She said Louie’s opioid addiction led to heroin usage. But after rehabbing and staying clean for several months, Louie relapsed and died from an overdose in 2012.

Not to sound cold/heartless… but.. this Mother is blaming her son’s exposure to pain meds as  the gateway to Heroin addiction and his premature death. Perhaps if her son had not played sports .. he would have not been injured and would not have a need to have been exposed to pain meds…

The one interviewed said that the “pain meds” …”filled a VOID.. that he didn’t even knew existed ..but it filled that ”  That would – as best as can be described – an addictive personality – a mental health condition… that VOID was undiagnosed, untreated mental health issue.

Walgreens firing RPH’s for not being comfortable with certain categories of medications ?

Can you imagine this… WALGREENS cannot tell a Pharmacist to fill or not fill a control Rx that they are not comfortable with…but.. WALGREENS have fired Pharmacists who  are “not comfortable” providing vaccinations or Plan B ..

Does this suggest that Walgreens does have some influence over what prescriptions/products Pharmacists are allowed to fill or decline.. and since the above two categories do not include controlled meds.. would suggest that pts who have a medical necessity for controlled meds are being discriminated against ?

 

Walgreens Allowed to Fire Pharmacist Over Vaccine Stance

http://www.thelegalintelligencer.com/home/id=1202718497091/Walgreens-Allowed-to-Fire-Pharmacist-Over-Vaccine-Stance?mcode=1202617075166&curindex=0

Walgreens was within its rights to fire a pharmacist who had moral objections to administering flu vaccines, a federal judge has ruled.

Rodney Prewitt, a 66-year-old pharmacist who had worked at the company’s Oxford store for about five years, sued Walgreens after the pharmacy started a program in 2010 offering 20 vaccines, including one for the flu, to customers in its stores nationwide. It required pharmacists to complete a training program in order to administer the vaccines and immunize customers who asked for the service.

Prewitt, however, had moral objections to giving the vaccine since a close friend of his had gotten Guillain-Barre syndrome after getting a flu vaccine. The friend first became paralyzed and then died of complications from the disease, according to the opinion from U.S. District Judge Lawrence F. Stengel of the Eastern District of Pennsylvania.

Prewitt brought an age discrimination suit against the pharmacy, arguing that other, younger pharmacists who weren’t yet able to immunize customers had been able to maintain their regular work hours, whereas Prewitt wasn’t permitted to do that. Walgreens had offered him night shifts at a store farther away from his home than the Oxford location.

Prewitt was the only pharmacist working for Walgreens in Pennsylvania when it started the vaccine program who objected to participating, according to the opinion.

Prewitt “testified that he was not allowed to work because of his conscience objection,” Stengel said. “The plaintiff proceeded under the theory that his suspension/termination were ‘wrongful’ based on his moral objection up until he realized that this claim was legally deficient.”

He then brought the age discrimination claim.

Stengel granted that Prewitt had made an initial, prima facie case for age discrimination since he is over 40, was qualified for his job, suffered an adverse employment action, and the circumstances of that action could indicate age discrimination. Those are the four marks that a plaintiff must meet to make a case for an age discrimination suit.

However, when the burden shifted to Walgreens to show that it had a legitimate and nondiscriminatory reason to fire Prewitt, the company persuaded the judge that it did.

“He was demoted and later terminated because he refused to immunize customers,” Stengel said.

After the pharmacy started its vaccine program, administering those vaccines became a required part of Prewitt’s job, the judge said.

Referring to the change in scheduling—for both hours and locations—for Prewitt, Stengel said, “He was the only pharmacist to be placed on ‘floater’ status in Pennsylvania because he was the only pharmacist to object to administering vaccinations in Pennsylvania. The plaintiff did not work while being a ‘floater’ because he refused to work any shifts which were not his regular ones at the Oxford store.”

Further, Prewitt couldn’t show that Walgreens’ reliance on the immunization issue was a pretext for firing him for age discrimination.

“The plaintiff does not point to a single shred of evidence to support pretext,” Stengel said. “To the contrary, evidence in the record shows that the plaintiff himself agrees that his objection to immunize was the reason he was suspended and then terminated.”

Even if his age had played a role in the company’s decision to fire Prewitt, it hadn’t played a determinative role, Stengel said, addressing the theory of disparate treatment, which would require age to be the determinative factor.

However, here, it was Prewitt’s objection to vaccinating Walgreens’ customers that was the determinative factor, the judge said.

“Walgreens made a business decision to market vaccinations, specifically the flu vaccine,” Stengel said. “Mr. Prewitt did not agree with this decision and voiced a moral objection. He refused to perform an essential part of his job. Though Mr. Prewitt’s objection may have been genuine and sincere, he has not established any unlawful discrimination by his employer.”

Michael Ossip of Morgan, Lewis & Bockius in Philadelphia represented Walgreens and declined to comment.

John Gallagher of Gallagher Law Group in Berwyn represented Prewitt and couldn’t be reached for comment.

Saranac Hale Spencer can be contacted at 215-557-2449 or sspencer@alm.com. Follow her on Twitter @SSpencerTLI.

(Copies of the 36-page opinion in Prewitt v. Walgreens, PICS No. 15-0293, are available from The Legal Intelligencer. Please call the Pennsylvania Instant Case Service at 800-276-PICS to order or for information.) •

http://www.charismanews.com/us/42773-walgreens-fires-pharmacist-for-refusing-to-compromise-his-religious-beliefs-by-selling-plan-b

Walgreens Fires Pharmacist for Refusing to Compromise His Beliefs by Selling ‘Plan B’

$300 billion annual health-care expenses from non-medicine compliance” “It’s an epidemic.”

 CVS executive: More changes coming to healthcare

http://www.journalnow.com/business/business_beat/cvs-executive-more-changes-coming-to-healthcare/article_ed7d6a60-b966-11e4-8846-77b49becc7bf.html

The chief executive of CVS Health said Friday the United States is in the second or third inning when it comes to health-care changes and innovations.

Larry Merlo said that even though there have been significant breakthroughs in both areas recently, providers, consumers and employers remain caught in a “cost-quality-access conundrum.”

Merlo discussed CVS’ role in responding to those challenges in a speech to about 570 attendees at the Winston-Salem Chamber of Commerce’s annual state of the economy event.

That includes what Merlo called the “retailization of health care.”

He said CVS is playing a non-emergency role with in-store clinics operated by nurse practitioners, a pharmacy advisory initiative, and telemedicine offerings. Merlo called those services as “complementary and collaborative” with health-care systems.

Merlo said uncertainty lingers about the ultimate reach of the Affordable Care Act at a time when about 10,000 baby boomers a day become eligible for Medicare coverage and an estimated 30 million more Americans could be covered through health insurance exchanges, state Medicaid expansion and employers.

He said emphasizing preventive care is a big key to reducing overall health-care costs, such as accountable-care organizations promoting “whole body” evaluations, patient-centered medical homes offered though primary-care physicians, or simply digital reminders and prompts for people with chronic disease to take their prescribed medicines.

Merlo said about half of the patients that come to its MinuteClinic don’t have a primary-care physician.

“Pharmacies have a key role to play in health and with costs,” Merlo said. “It’s much more than just dispensing pills.

“There is about $300 billion in annual health-care expenses from unnecessary and avoidable costs from non-medicine compliance” by patients. “It’s an epidemic.”

Merlo said “employers needs to drive prevention, and CVS is walking the talk” by promoting consumer-driven high-deductible insurance plans and offering rewards to its employees “who take steps to improve their health.”

“Consumers will have more control and take more responsibility for their health care and health-care costs,” Merlo said. “We do have good reason to be optimistic.”

He cited as an example the waves of private-sector health-care innovations.

Another way CVS expanded its preventive care role was the decision to stop selling all cigarette and smokeless tobacco products in its more than 7,800 stores last October. It becomes the first national pharmacy chain to take that step.

“Put simply, the sale of tobacco products is inconsistent with our purpose” of better health outcomes, reducing chronic disease and controlling costs, Merlo said in February 2014 when announcing the decision.

“There are some significant and lasting changes on the way,” Merlo said.

“Health care will change more, and be managed differently, in the next 10 years than the previous 50 years combined

 

The cost of poor record keeping $300 K – even though nothing was diverted ?

hydrocodone

Huntsville drug distributor will pay record $300,000 federal settlement for faulty records of opiods

http://www.al.com/news/huntsville/index.ssf/2015/02/huntsville_drug_distributor_wi.html

A Huntsville pharmaceutical distributor will pay the federal government $300,000 to settle allegations it kept incomplete and inaccurate records of opiod painkillers like hydrocodone, federal officials said Friday. The company, Generics Bidco, will not face charges in federal court or civil liability.

“The $300,000 penalty in this matter represents the largest penalty collected in Alabama in a (Drug Enforcement Administration) compliance investigation,” U.S. Attorney Joyce White Vance said in a joint statement with Drug Enforcement Administration Special Agent in Charge Clay A. Morris.

Vance said companies must register with DEA and keep “clear and current records of receipt and distribution” of narcotics to prevent their diversion to the illegal street market.

DEA agents audited Generics for a 19-month period ending July 14, 2014. The audit “raised allegations” that the company violated the federal Control Substances Act by not keeping separate bi-annual inventories of Schedule II drugs and less-restricted Schedule III-V drugs. “DEA also charged that Generics did not keep records readily available, and that the audit showed substantial error in the accounting of the Schedule II and III drugs hydrocodone, carisoprodol, oxycodone and Meperitab,” the statement said.

Generics denied intentionally violating regulations, but said it has updated record-keeping procedures and taken other voluntary measures to comply with the law. The company “cooperated fully in the DEA audit and follow-up proceedings,” the statement said.

Maybe those within judicial system are fed up with DEA tactics ?

FedEx Scores Partial Wins In DEA Subpoena Fight

http://www.law360.com/california/articles/623777/fedex-scores-partial-wins-in-dea-subpoena-fight

Law360, San Francisco (February 20, 2015, 8:48 PM ET) — A California federal judge on Friday ordered the U.S. Drug Enforcement Agency to hand over records of its communications with FedEx Corp. in a criminal case accusing the company of helping online pharmacies ship drugs without prescriptions, saying he wants the case to be “an open book.”

U.S. District Court Judge Charles Breyer largely denied the government’s motion to quash a FedEx subpoena seeking records detailing the DEA’s meetings and communications with the shipper in which they discussed online pharmacies. Finding out what the DEA told…

How they try to use exceptions to prove their point. – pathetic !

HypeWatch: Researcher Claims Pot-Stroke Link on Limited Data

Conclusion based on analysis of 64 cases, no controls.

http://www.medpagetoday.com/Cardiology/Strokes/50109

A series of published case reports on 64 patients suggests that marijuana smoking may contribute to stroke risk in young and middle-age adults, a researcher asserted, although the reports were often incomplete and lacked controls.

Writing in the American Heart Association journal Stroke, Daniel Hackam, MD, of Western University in London, Ontario, summarized findings on the 64 cases, which ranged in age from 16 to 63, of which 52 appeared to feature a temporal association between marijuana smoking and ischemic stroke.

Also, in only half the cases were concomitant stroke risk factors identified in the reports, and 13 patients suffered recurrent strokes after re-exposure to marijuana, Hackam found. He argued that these went a considerable way toward fulfilling criteria in the so-called Naranjo probability scale for judging drug-related causality in adverse events.

“Given broad exposure to cannabis in the general population, it is striking that more strokes do not occur among cannabis users,” wrote Hackam, who has published extensively on cardiovascular risk factors. He speculated that frequency and intensity of marijuana smoking, the overall dose, genetic factors, and “coingestants” could play a role.

Although Hackam acknowledged that the study design could not prove causality — only “a prospective epidemiological study” could do that, he wrote — he nevertheless went on to imply that the relationship was indeed causal.

“It seems clear that physiological, clinical, and epidemiological data converge on an increased stroke risk from cannabis exposure,” Hackam concluded. “Heightened clinician awareness of this association, particularly in the treatment of young adults, is necessary for preventing recurrent events from future re-exposure to cannabis.”

Yet Hackam’s paper — published as a “Brief Report” — listed no limitations of the analysis, which was strictly observational, based on case descriptions from 33 separate groups with varied reporting styles.

All the reports included in the analysis indicated which vessel or brain region was affected, but for 19 of the patients other causes of stroke were not excluded, and data on other risk factors were missing for 23 patients.

Of the 13 with recurrent stroke, the reports indicated that all but one either had concomitant risk factors or their possible presence was unknown.

Hackam’s suggestion of causality also contradicts findings from a case-control study conducted in Baltimore reported last year — not cited in Hackam’s references — which found no difference in marijuana habits between stroke patients 14 to 49 years old and matched controls.

That there might be a connection is not wholly implausible. A French epidemiological survey, reported last year, found an association between marijuana use and cardiovascular complications in young adults, and an earlier case-control study in New Zealand had found that marijuana smoking was twice as common in middle-age stroke victims versus controls.

But the association seen in the New Zealand study disappeared when the researchers controlled for tobacco use, and the sample size was far smaller than in the Baltimore study.

From the American Heart Association

 

 

 

The 24 hr pharmacy.. a beacon in the night for criminals ?

walgreens stock 54e6583bc4ed5

 

 

Walgreens employees stabbed, beaten by teens in downtown San Francisco

http://www.securityinfowatch.com/news/11848650/walgreens-employees-stabbed-beaten-by-teens-in-downtown-san-francisco

Feb. 19–A Walgreens employee was stabbed and a security guard was beaten during an altercation early Wednesday in front of a downtown San Francisco store between Market Street and Union Square, police said.

Shortly after 2 a.m., four men between the ages of 17 and 19, one armed with a handgun, started to argue with the security guard in the doorway of the Walgreens on the 100 block of Powell Street, police said.

A suspect punched the security guard in the face, and when an employee came to help, two of the men attacked him, police said. One of the attackers pulled a knife and repeatedly stabbed the employee in the back before the group fled, said Sgt. Monica MacDonald.

Officers swarmed the area, detained three of the suspects and recovered a handgun, MacDonald said. The fourth suspect, who punched the security guard, remained at large. Both victims were hospitalized with injuries that were not considered life-threatening.

Police booked 18-year-old Damareay Mitchell and 19-year-old Antonio Rosales, both of San Francisco, on a raft of charges including attempted murder, conspiracy and illegal gun possession. A third 17-year-old suspect, whose name was not released, was in juvenile custody.

Evan Sernoffsky is a San Francisco Chronicle staff writer. E-mail: esernoffsky@sfchronicle.com Twitter: @EvanSernoffsky

 

Rumor on the street 02/20/2015

rumoronstreet

Former “LEGACY” CVS Health pharmacist awarded TWO + MILLION DOLLARS for age discrimination.

This makes the second lawsuit won against CVS Health with the same DM and Pharmacy supervisor with the same case age discrimination ….

Good-Guys 2

CVS 0…

twothumbsup

In other industries… this would be considered incompetence

cops-shoot-sleeping-man-16-times-no-charges

No Charges for Cops Who Broke Into Innocent Man’s Home While He Slept and Shot Him 16 Times

King County, WA — Dustin Theoharis was asleep in his bed when a Department of Corrections officer, and King County Sherriff’s deputy rushed into his house on February 11, 2012. The two cops busted into his bedroom and began to unload their pistols on this unarmed man.

It is estimated that the two officers fired over 20 rounds of which 16 landed in Mr. Theoharis. According to Theoharis’s attorney, Erik Heipt, “Theoharis suffered “a broken shoulder, 2 broken arms, broken legs, he had a compression fracture to his spine, damage to his liver and spleen.”

To add insult to attempted murder, Theoharis was not the guy the police were after. According to King 5 News Seattle, the King County Sheriff’s deputy and Washington Department of Corrections officer who shot him were at the house to arrest a man who’d violated his parole.

Cole Harrison, who was at the house, described it this way:  “They (the officers) rushed into that room like they were going to get somebody.  I mean they rushed down there and then all of a sudden. Boom, boom, boom, boom.”

King County reached a settlement with Theoharis in 2013, agreeing to pay him $3 million. But Theoharis brought a federal lawsuit against the officers.

Officers claimed that Theoharis was reaching for a gun. Although Theoharis would have been entirely justified reaching for a gun, as his life was clearly in danger, he denies this claim.

According to the Seattle Times, in his federal suit, Theoharis alleges Rongen and Thompson fired at him after asking for identification.  Theoharis contends he reached to the floor for his wallet and was turning back with it when he was struck with about 16 shots in the face, arm, legs and abdomen.

After hearing the details of this case on Feb. 6, 2015 US District Judge Richard Jones ruled Theoharis’ excessive-force claim in his suit should be heard by a jury in a trial scheduled for June 1.

But this week all that would change.

In a travesty of justice, reacting to Jones’ ruling that raised questions about the deputy’s and officer’s version of events, prosecutors said in statement that insufficient evidence remains that the two acted with malice or bad faith in violation of state law.

After reviewing the conflicting reports of that fateful evening, it is clear that prosecutors are either covering for their boys in blue or haven’t looked at any of the evidence.

A review was requested by Charles Gaither, a civilian watchdog of the Sheriff’s Office in July of 2013. The review was conducted by a police accountability expert, Merrick Bobb.

The review showed that the officers refused to be interviewed on the scene, and no internal investigation was ordered. In fact, Deputy Aaron Thompson didn’t even issue a statement until a month later. Presumably after he was able to fabricate the events of that evening.

The report also suggests that the Sheriff’s Office did more to cover for the two officers than it did to investigate the shooting; citing an apparent conflict of interest right from the start.

“Under KCSO policy, the first supervisor to arrive at the scene is obliged to assume control of the crime scene, direct involved personnel, and take on preliminary investigation responsibilities. (G.O. 6.02.015, subd. Clearly, given the sensitive issues that often accompany deadly force incidents, the neutrality of the supervisor needs to remain unquestioned. In this case, however, the first responding supervisor, KCSO Sergeant D, did not maintain the position of neutrality. Shortly after arriving on the scene, he switched roles from supervisor and neutral party to officer advocate.”

Also noted in the report is the severe incompetence or deliberate deficiency of the Sherriff’s Office when conducting the investigation.

“Nonetheless, we were deeply troubled by serious deficiencies in the underlying investigation and the apparent unwillingness of KCSO to question its own officers about the use of deadly force once it appeared that they have not committed a crime. For example, the involved officers were not immediately interviewed about their actions, but instead were given over a month to provide a written account of the shooting. In addition, physical evidence was overlooked or moved, witness interviews were not thorough, and inconsistencies were not adequately addressed.”

Meanwhile, Dustin Theoharis has undergone 12 surgeries and will never be the same again. This is a travesty of justice. And sadly it’s just another example of how police can shield themselves from crimes they commit by being the enforcement cog in the rusty bureaucratic machine that is the state.