American Pharmacists Association Academy of Student ...



American Pharmacists Association

Academy of Student Pharmacists

OTC Medicine Safety

Reporting Guidelines

Reporting Cycle:

June 1, 2016 through May 31, 2017

Reports must be submitted to APhA via each

Chapter’s Dropbox Folder by 11:59pm (PST) on June 15, 2017

APhA Academy of Student Pharmacists Patient Care Programs

OTC Medicine Safety

CHAPTER RECOGNITION

The APhA Academy of Student Pharmacists (APhA-ASP) will recognize each chapter that implements an OTC Medicine Safety program in their community. Events may be conducted at any time throughout the reporting cycle

(June 1, 2016 – May 31, 2017). Chapters must use the following reporting guidelines to submit their results, and may choose to be recognized in one of two ways:

1. Recognition of Participation: APhA-ASP Chapters who participated in the OTC Medicine Safety campaign, and would like to receive recognition of participation should complete the brief, online executive summary. See Section IV for details on completing.

2. Awards Eligible and Recognition of Participation: APhA-ASP Chapter who wish to be recognized for participating and be considered for Regional and National award eligibility should complete the full report in addition to the executive summary. See the information below to complete the report.

REPORTING GUIDELINES

These guidelines outline how your chapter should write its report on the project(s) that were implemented as part of the OTC Medicine Safety campaign. It is also encouraged to include photographs, examples of unique supporting materials, and videos from your projects and events. Remember to answer all questions with honesty and integrity. The OTC Medicine Safety Awards Selection Committee will review the report, and may ask for supporting documentation or further clarification to aid in its decision.

Please complete and submit the following sections of the APhA-ASP OTC Medicine Safety report that outline your Chapter’s activities the reporting cycle:

• Section I: Chapter Contact Information

• Section II: Essay

• Section III: Chronological List

• Section IV: Executive Summary (To be completed via Formsite)

• Section V: Report Submission Confirmation and Advisor Signature Form (Appendix F)

*Please note that the reports for all APhA-ASP National Patient Care Projects are separate of the “Patient care” section of the Chapter Achievement Awards (CAA) Report, and the award selection processes are independent. For information on the CAA, visit apha-asp-awards-scholarships.

CRITERIA FOR AWARD SELECTION

Collaboration (20 points):

What is the extent and type of collaboration with other organizations? (e.g. national, state, local chapter pharmacy organizations, elementary schools, health departments, hospitals, community pharmacies, grocery stores, senior citizens groups, nursing agencies, local physicians, student health organizations, etc.)

Involvement (20 points):

How many APhA-ASP members, student pharmacists, college of pharmacy faculty and staff, and additional pharmacists were involved in planning or implementation?

Innovation (25 points):

How creative, innovative, and original were projects and programs related to OTC Medication Safety?

Impact (35 points):

What effect did the project have in your community? How many individuals were educated through this project?

NATURE OF THE AWARDS

The OTC Medicine Safety Awards Selection Committee may include 5 to 7 individuals representing the following:

• APhA-ASP Member Engagement Standing Committee (1)

• APhA-ASP National Executive Committee (1)

• APhA-ASP Regional Member-at-large (2)

• APhA New Practitioner Network Representative (1)

• McNeil Consumer Healthcare Representative (1)

• Community Pharmacist (1)

The following recognition will be given:

8 winning chapters will be recognized during the APhA-ASP Midyear Regional Meetings and the 3 winning chapters will be recognized during APhA Annual Meeting & Exposition at the APhA-ASP Opening General Session. All winning chapters will be recognized in Student Pharmacist magazine and will receive the following monetary award:

• National Award - $1,000

• 1st Runner-Up Award - $750

• 2nd Runner-Up Award - $500

• Region 1 Award - $250

• Region 2 Award - $250

• Region 3 Award - $250

• Region 4 Award - $250

• Region 5 Award - $250

• Region 6 Award - $250

• Region 7 Award - $250

• Region 8 Award - $250

All decisions made by the OTC Medicine Safety Awards Selection Committee are final.

ENTRY REQUIREMENTS

Report Submission

• Reports must be submitted by 11:59pm PST on June 15.

• Reports, photographs, forms, supporting materials, and videos will only be accepted electronically via each Chapter’s Dropbox folder. (See instructions below.)

• Patient Care Project reports are submitted in conjunction with the CAA Report. Please review the CAA Reporting Guidelines for more details and to avoid sending duplicate report submission confirmation forms and video submission forms.

Formatting & Style

• Reports may only be submitted as a PDF and must be double-spaced using a 10-point font (Arial, Calibri, & Times New Roman are acceptable), with 1” margins (top, bottom, left, and right).

• When labeling your essays and forms, please use the following format: “Chapter Name Award/Form Name.pdf”. (i.e. “U Arizona Essay.pdf” or “SDSU Chronological List.pdf” or “Mercer Executive Summary.pdf”).

• All essays must include a word count at the end of each section in which limitations on word count have been outlined. Text found in headings and footers should not be included in the essay word count.

• The header of each report must contain your Chapter’s Name (first line) and the Report Name (second line). The footer of each page must contain Page X of Y.

• Draw attention to supporting documents and photos by referencing them in the OTC Medicine Safety Report Essay. Use a superscript endnote in the essay when referencing a document then list the items at the end of the section as shown in the example below. Note: The endnotes section will not count towards the official word count of the essay.

o Endnotes:

▪ 1U ASC Pic 3: Members at the pre-professional student pharmacist booth

▪ 2U ASC Pic 2: Students and attendees play “Name that Immunization” game

▪ 3U ASC SM 6: Twitter and Instagram promotional screenshots

All reports, forms, photographs, and supporting materials will only be accepted via the Chapter’s Dropbox folder and must be labeled accordingly.

SUPPORTING MATERIALS

Photographs

• Photographs must be submitted electronically through the Chapter’s Dropbox folder and must be labeled “Chapter Name OTC Pic #.jpg” (i.e. “U Arizona OTC Pic 1.jpg” or “SDSU OTC Pic 2.jpg”).

• Photographs should be submitted separately of the text document of the report.

• Once photographs have been submitted electronically to APhA, the Association reserves the right to use these photographs in APhA publications, marketing materials, and during APhA meetings.

• Up to 10 photographs may be submitted.

Original Documents and Supporting Materials

• Additional supporting materials developed by your chapter (original documents/materials only) may be included to illustrate the activities described in your essay.

o Any submitted items should be documents/materials originally created or developed by the chapter.

• All supporting materials must be scanned and submitted electronically to the Dropbox folder as a PDF. Files must be labeled “Chapter Name OTC SM #.pdf” (i.e. “U Arizona OTC SM 1.pdf” or “SDSU OTC SM 4.pdf”).

• Up to 10 supporting materials may be submitted.

Videos

• Due to the large size of video files, only the URL, title, and 35 word synopsis of the video on the official APhA-ASP Video Submission Form (Appendix E) will be accepted.

o APhA Student Development Staff may request the original file.

• Once videos have been submitted electronically to APhA, the Association reserves the right to use or link these videos in APhA resources, marketing, and during APhA meetings. Only one copy of this form should be submitted per chapter.

• Up to 2 videos may be submitted with the report.

CHAPTER DROPBOX FOLDERS

In an effort to improve file transmission, security, and ease of uploading Chapter Achievement Award Reports for both Mac and PC users, APhA-ASP will only accept reports, forms, photographs, and supporting materials via each APhA-ASP issued, chapter Dropbox Folder. Dropbox is a Web-based file hosting service that uses networked storage to enable users to store and share files and folders with others across the Internet using file synchronization.

1. APhA-ASP Chapter Leaders and Chapter Advisors already have access to the Dropbox issued by APhA during the 2012 reporting cycle. If APhA-ASP Chapter Leaders or Chapter Advisors did not receive this email please contact APhA-ASP@ with the following email subject: “Access to ‘School Name’ Dropbox Folder”.

2. Each Chapter President and/or Chapter Advisor is responsible for ensuring the appropriate chapter leaders have access to the Dropbox account. To share the folder with current leaders, the Chapter President and/or Chapter Advisor would need to:

o Send an email invitation to the appropriate Chapter Co‐Advisor, and/or Chapter Student Leader who would be placed in charge of the Chapter Folder; and/or

o Share the Chapter Folder with the necessary Chapter Executive Committee Members and Chapter Patient Care Project Chairs.

3. Each Chapter is responsible for all of the files, forms, photographs, and supporting materials uploaded to the Dropbox folder. Please use this as a method to transmit your files to APhA only, and not as your folder to store all of the original files. Once processed by APhA Staff, all files will be moved from the Dropbox Folder to APhA’s server. Therefore, please keep a copy of your original files stored elsewhere.

4. Create the following folders (if applicable) for the Chapter Achievement Awards and Patient Care Projects in the main folder:

o Chapter Achievement Awards

o Generation Rx

o Operation Diabetes

o Operation Heart

o Operation Immunization

o OTC Medicine Safety

5. Please note that there should only be two files in the main folder: Award Submission Confirmation Form (Appendix F) and the Video Submission Form (Appendix E). All other files should be listed in their respective folders.

6. Once completed, a copy of the completed Award Submission Confirmation Form (Appendix F) should be sent via email to APhA-ASP@, with the subject line “Chapter Name - CAR and PCP Reports”, notifying the APhA-ASP Awards Standing Committee and APhA Staff that you have uploaded your report(s), forms, photographs, and supporting materials to your Chapter’s Dropbox folder. The deadline for submitting this form via email is June 15.

7. Do not create sub-folders within the Chapter Achievement Award or Patient Care Project Folders. The APhA-ASP Awards Standing Committee and APhA Student Development Staff have found that multiple folders (while it may assist you with organizing the file) leads to reports, forms, photographs, and supporting materials either not being submitted, missed, or not copied over to APhA’s server correctly.

8. If you need assistance, have questions, or need more information, please contact APhA Student Development Staff, by phone (800) 237-APhA ext. 7543, or via email at APhA-ASP@.

9. As a reminder, all reports must be received via the Chapter’s Dropbox Folder by 11:59pm (PST) on June 15. Dropbox provides a time/date stamp on each file. Files with a time/date stamp after the deadline will not be accepted.

APhA Academy of Student Pharmacists Patient Care Programs

OTC Medicine Safety

SECTION I: CHAPTER CONTACT INFORMATION

Student Project Coordinator: _____________________________________________________________

Student Coordinator Email Address: ______________________________________________________

By signing this agreement, I attest that the following hold true to the best of my knowledge:

• I understand the laws of my state and am confident that participation in OTC Medicine Safety is within the guidelines of the law and has not violated any laws of my state.

• I have ensured that all students participating in OTC Medicine Safety are properly trained with the knowledge of over-the-counter medications and their safe use and storage.

• I have followed the guidelines of OTC Medicine Safety and will submit all necessary documentation when needed. I understand that data submitted may be included for publication in aggregate with data collected from other APhA-ASP Chapters’ projects as well.

• I hereby state that the following materials are the work of our chapter’s members and the activities represented in this report are an accurate portrayal of the work our chapter has completed.

Signature of Student Coordinator ________________________________________ Date____________

DEADLINE: Entries must be submitted electronically via the Dropbox folder no later than 11:59pm PST June 15.

APhA Academy of Student Pharmacists Patient Care Programs

OTC Medicine Safety

SECTION II: ESSAY

Please describe the planning, implementation, and outcomes of your chapter’s OTC Medicine Safety activities, specifically highlighting the significance of your accomplishments and how they affected your chapter members, community, and/or the profession of pharmacy. Please do not list dates of events, activities, and programming, as this is already addressed by the chronological list.

Information provided in the essay may include, but is not limited to:

• Planning

o Committee structure indicating chair, vice chair

o Chapter member recruitment and participant training

o Budgeting and fundraising to support events

o Details of OTC Medicine Safety planning sessions

o Your Chapter’s Goals and Objectives for the OTC Medicine Safety campaign

• Implementation

o Promotion of the campaign, including media coverage and materials unique to your campaign

o Education provided to the public, specifically 5th and 6th grade students, their caregivers, educators, and those who directly affect the 5th and 6th grade population

o Collaboration with the community and other professional health care organizations for your OTC Medicine Safety campaign

o Innovative or unique aspects of your OTC Medicine Safety campaign

o Explanation of your project sites and settings

• Outcomes

o How your campaign met the goals and objectives of OTC Medicine Safety

o Describe the impact your OTC Medicine Safety campaign had on student pharmacists, the profession of pharmacy, and most importantly the public you served, specifically 5th and 6th grade students, their caregivers, educators, and those who directly affect the 5th and 6th grade population

o Describe how your chapter achieved its goals and any possible improvements that could be made for next year

Report Essays may not exceed 2000 words. If your essay exceeds 2000 words, only the first 2000 will be submitted to the Awards Selection Committee. A final word count is required at the end of the report essay.

APhA Academy of Student Pharmacists Patient Care Programs

OTC Medicine Safety

SECTION III: CHRONOLOGICAL LIST

Please include a chronological list of all OTC Medicine Safety activities that occurred during the reporting cycle (June 1, 2016 – May 31, 2017). The list should not be lengthy, but a brief record of all chapter projects, community programs, meetings, and activities related to OTC Medication Safety. Activities may include, but are not limited to, health fairs, education programs, chapter meetings, committee meetings, executive committee meetings, fundraisers, legislative or policy events, community service projects, professionalism programming, American Pharmacists Month programming, social events, etc.

There is no word limit (except for the brief synopsis – less than 50 words) or page limit for the Chronological List.

The following template must be used for the Chronological List:

• Activity/Event/Meeting/Project(s):

• Date(s):

• Location(s):

• Type of Media/Promotional Materials:

• Target Audience:

• Faculty Present:

• Additional Pharmacists (non-faculty) Present:

• Student pharmacists participation:

o Total number of APhA-ASP Chapter Members Present:

o Total number of other student pharmacists involved in all activities/events:

• Individuals Attended Event(s):

• Individuals Educated:

o 5th and 6th grade students:

o Parents/Caregivers of 5th and 6th grade students:

o Educators/Faculty of 5th and 6th grade students:

o Other (specify):

• Individuals Reached Through Public Relations:

o Total number of television media impressions:

o Total number of radio media impressions:

o Total number of social/web media impressions:

o Total number of print media impressions:

o Total number of billboard impressions:

o Total number of other media impressions:

• Event Held in Collaboration with:

• Event Type: Indicate whether the event is a new program or continuation of a previous initiative

• Estimate of the Total Number of Hours for Project Planning:

• Total Number of Hours of Event: Indicate the duration of the event (cumulative for multiple dates)

• Synopsis (less than 50 words for each activity listed):

Please see Chapter Achievement Awards Reporting Guidelines (Appendix A) for additional information/examples on creating the chronological list. The guidelines provide examples of how to list an individual event, month long program, and reoccurring events. The guidelines can be found online in the Awards and Scholarships section of apha-asp-awards-scholarships.

APhA Academy of Student Pharmacists Patient Care Programs

OTC Medicine Safety

SECTION IV: EXECUTIVE SUMMARY – ONLINE FORM

Please complete the online questionnaire at to provide answers to the questions listed below (this page is only for reference). All questions relate to the data within your Chapter’s Chronological List.

The online questionnaire must be completed/submitted by 11:59pm (PST) on June 15.

You will receive an email confirmation with your submitted results from the Formsite system.

Executive Summary Questions:

• Total number of OTC Medicine Safety activities/events conducted.

• Total number of hours spent planning activities/events.

• Total number of hours spent conducting activities/events.

• Total number of individuals reached through education.

• Total number of 5th and 6th graders educated.

o Total number of parents/caregivers of 5th and 6th graders educated.

o Total number of educators of 5th and 6th graders educated.

o Total number of others (specify) educated.

• Total number of individuals reached through public relations initiatives.

o Total number of television media impressions.

o Total number of radio media impressions.

o Total number of social/web media impressions.

o Total number of print media impressions.

o Total number of billboard impressions.

o Total number of other media impressions.

• Total number of APhA-ASP chapter members involved in all activities/events.

• Total number student pharmacists (non-member) involved in all activities/events.

• Total number of faculty and staff involved in all activities/events.

• Total number of pharmacists (non-faculty) involved in all activities/events.

• Did you chapter receive any monetary awards, grants, or donations that helped your chapter conduct OTC Medicine Safety programming throughout the reporting cycle?

□ Yes □ No

• If yes, please disclose the name of the organization/individual, the amount (if >$1,000), and a brief description of why the award, grant, or donation was made to the school/chapter?

• Describe the most innovative event or component of your OTC Medicine Safety campaign. (150 words)

• Give one example of how participation in the OTC Medicine Safety campaign has directly benefited members of your APhA-ASP chapter. (150 words)

• Share one example of an interaction that an APhA-ASP member experienced with a patient or participant during an OTC Medicine Safety event, and describe how that community member benefited from your OTC Medicine Safety campaign. (150 words)

APhA Academy of Student Pharmacists National Patient Care Projects

Report Submission Confirmation & Advisor Signature

SECTION V: SUBMISSION CONFIRMATION FORM

Please refer to Appendix F of the Chapter Achievement Report Submission Guidelines for complete information on the required submission confirmation form. Only one submission form per chapter should be submitted. The guidelines can be found online in the Awards and Scholarships section of .

-----------------------

[pic]

[pic]

[pic]

[pic]

[pic]

[pic]

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download