ANNUALREPORT

2018-2019

A new path for CSHP

CONTENTIntroduction 3 Message from the President 4Message from the CEO 5CSHP by the Numbers 6 Achievements at-a-Glance 7 StaffandBoard StrategicAlliancebetweenCSHPandAPES PharmacyPractice 2018-2019Consultations 2018-2019Guidelines ContributionstotheNationalPharmacareProgramProfessional Practice Conference (PPC) 2019 8Membership 9 2018-2019Year-endMembershipNumbers 2018CSHPHonoraryMember 25-YearMembers 10-YearMembersNational Awards and Fellow Status 12CSHP Advocacy 13Official Publications 14 TheCanadianJournalofHospitalPharmacy Top5mostreadCJHParticlesof2018-2019 CJHPEditorialBoard OtherOfficialPublications ObsoletePublicationsCanadian Pharmacy Residency Board (CPRB) 15 Highlightsof2018-2019CPRBactivities TableofMatchedResidencyApplications CPRBBoard CPRBatProfessionalDevelopmentWeek StudentandResidentNetworkingEventHospital Pharmacy in Canada Survey Board 16CSHP Foundation 17 CSHPFoundationTrustees 2018GrantandScholarshipRecipients ThankYoutoourDonorsCSHP Board of Directors and Staff 18Audited Financial Statements 19

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS3 | ANNUAL REPORT 2018-2019

INTRODUCTIONTheCanadianSocietyofHospitalPharmacists (CSHP) representspharmacyprofessionalsworking inhospitals andothercollaborative healthcare settings who seek excellence in patient care through the advancement of safe and effectivemedicationuse.Anot-for-profitorganization,CSHPoffers its over3,000pharmacist andpharmacy technicianmembersa nationalvoice through advocacy, education, information sharing, promotionof best practices, conferences, facilitationofresearch,andrecognitionofexcellence.TheSocietypublishestheCanadian Journal of Hospital Pharmacy,conductstheHospitalPharmacyinCanadaSurvey,andaccreditspharmacyresidencyprogramsacrossCanada.

We support our members through:

Advocacy

Education: ProfessionalPracticeConference,HarrisonPharmacyManagementSeminar,

andnumerousbranchandchaptereducationalsessions

Information Sharing: OnlinepublicationoftheCanadian Journal of Hospital Pharmacy,online

discussionforumsthroughthePharmacySpecialtyNetworks

Development of Guidelines for Best Practices

Facilitation of Research and Education (grants and scholarships) through the CSHP Foundation

Recognition of Excellence: Awards and Fellows Program

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS4 | ANNUAL REPORT 2018-2019

MESSAGE FROM THE PRESIDENTA new path for CSHP 2018-2019This year, a theme of change prevailed throughout the Society on multiple levels. At theseniormanagementtier,MyrellaRoyannouncedherretirementaftermorethan15yearsasa dedicated and passionate ExecutiveDirector.Workingwithmany presidents and boardsovertheyears,Myrella’s tenure isassociatedwithseveralCSHPsuccessstories.While it isimpossible to list all her achievements, the following highlights underscore the impact shemadeonboththeSocietyandthepharmacypractice.

Myrella’s leadership turned the Society around when it was needed the most. Duringchallenging economic times, shewas able to increasemembership by 50%.Through heradvocacy initiatives,CSHPraised itsprofileandreputationasanationalvoiceofhospitalpharmacybyrespondingtovariousconsultationssolicitedbyourgovernmentstakeholders.Intime,numerousadvocacyinitiativeshelpedpromotetheroleofthehospitalpharmacistsandadvancethepracticeinCanada.

Becauseofhermanyaccomplishments,itisnotsurprisingthatMyrellawonmultipleawards,includingCSHP’sDistinguishedServiceAwardandtheLifetimeAchievementAwardfromtheCanadianFoundationforPharmacy.

OnbehalfofCSHP,andalltheBoardmembers,volunteers,andmembersthathavecometoknowMyrella,Iwouldliketothankherforthelast15years,andoffersincerebestwishesforawell-deservedretirement.

Myrella’sretirementbroughtaboutaneedforanewleadertostrategicallyrespondtotrendsaffectingtheassociationworldat large,suchasthegrowthofnicheassociations,andmorecompetition formembership and sponsorship dollars. These businessmodels underwhichCSHPhadflourishedwerenolongerenoughtodeliverthevaluemembersexpectanddeserve.InDecember2018,CSHPannouncedtheappointmentofJodyCiufoasourChiefExecutiveOfficer. IampleasedtoreportJodyhasmanagedtheresponsibilityofhandlingtheshiftingassociation landscape with steady leadership, honed over her lengthy career in not-for-profitdirection.TheBoardhasgivenhera clearmandate toelevate theprofileofhospitalpharmacists, growmembership, engage thehospital pharmacycommunity, andamplify theSociety’scollectivevoice.

Tothatend,sheandtheExecutiveCommitteeworkedextensivelywiththeBoard,BranchPresidents,andaffiliatedboardstocreateastrategytoregainsustainability. Inashowofunanimoussupport,theCSHPNationaloffice,ourbranchesandaffiliatedboardsagreedtocontributefinanciallytowardsthecommongoalofbecomingmoremember-driven,offeringmoreprograms,services,educationalopportunities,andrelevancetotoday’sgenerationofmembers,supporters,andstudents.Jody’sleadershipmarksnewbeginningsfortheSocietyaswesetonanewpathtowardssustainabilityandasour2015-2020StrategicPlancomestoitsnaturalend.Theplanningphasefor2020andbeyondiswellunderway,andasaunifiedcommunitytheSocietyispoisedforgrowthinthecomingdecade.

Douglas Doucette, BSc(Pharm),PharmD,FCSHPPresident

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS5 | ANNUAL REPORT 2018-2019

MESSAGE FROM THE CEO

InmyfirstmonthsasCSHP’sCEO,IamgratefulforthewarmwelcomeIhavereceivedfrommembers,ourBoardofDirectorsandBranchesacrossthecountry,andfromourstaffteaminOttawa.This is especially important tome as a newcomer to both pharmacy and thehealthcaresector.Drugshortages,Pharmacare,excellenceinpractice,theopioidcrisis,andotherissuesattheheartofpatientcareareallresponsestosomeofthesocialchallengesI’veworkedonthroughoutmycareerinnationalnot-for-profitassociations.Gettingtoworkalongside pharmacy professionals whose primary concern is caring for the wellbeing ofCanadians,especiallyforthefrailandvulnerableamongus,isanongoinginspirationeverydayinthisposition.

Iamalreadywitnesstothecommitmenttosystemicchangeacrossthecountry,asCSHPnational, branches, and affiliated boards developed consensus developed around theStrategyTowardsSustainability.Thestrategywill involvealargeinvestmentinhumanandtechnological infrastructure to allow us to deliver greater member value. We’ll see theadditionofanewMarketingandCommunicationsDepartmenttoconnectourcommunitymore closely, anda largerpharmacypractice team todevelopmoreprofessionalpracticeprogramsandservices. TheStrategyTowardsSustainabilityisourcommunity’ssharedpromisetoensurepharmacypractice is always evolving into something better. I encourage you to get to know ourpassionatecommunity,byreadingaboutouradvocacy initiatives,ournationalevents,ourmembershipprograms,affiliatedboards,theCSHPFoundationand,ofcourse,awardsandfellowsprogram.IamsoveryhonouredtobepartofthisandIlookforwardtothecontinuedinspirationfromtheleadershipandexpertiseofourvolunteersandstaff.

Jody Ciufo, MBACEO

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS6 | ANNUAL REPORT 2018-2019

CSHP BY THE NUMBERS Membership and EngagementTherelationshipbetweenCSHPanditsmembershingesontheconceptofengagement.Thenumbersbelowrepresentthemeaningfulconnectionwehavewithour3,496membersandsupporterswhoworktogethertocarryoutCSHP’smissionthroughadvocacy,education,informationsharing,promotionofbestpractices,facilitationofresearch,andrecognitionofexcellence.

$48,000awarded in travel grants

3,496 CSHP Members

(2018-2019)

50 Amazing Years of Excellence

Professional Practice Conference (PPC) 2019

529 delegates in

attendance at PPC 2019 in Toronto, ON

50 years of consecutive publication of the Canadian Journal of

Hospital Pharmacy

10 years of the Canadian Journal of Hospital Pharmacy being

online

6,412 total social media

followers on Facebook, Twitter and LinkedIn

89,129 people engaged with CSHP Website (site users) during

the fiscal year

116 studentsaccepted residency positions

across Canada made possible bythe 2018-2019 Canadian

Pharmacy Residency Board (CPRB) Pharmacy and Residency

Matching Services

111 2017-2018 Graduates of

Accredited and Accreditation Pending Residency Programs

$44,500 provided to Foundation

Research Grant recipients

$6,400 provided toward Foundation

Education grants

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS7 | ANNUAL REPORT 2018-2019

ACHIEVEMENTS AT-A-GLANCEStaff and Board Thisyearhasbroughtsignificantchangeat theBoardandCSHPnationaloffice.AttheWinnipegNewBoardMeeting inOctober2018,therewerenolessthaneightfreshfaces:TaniaMysak,PresidentialOfficer(VisionPortfolio),ChristinaAdams,Treasurer(FinancePortfolio),IanCreurer,AB,MelanieMcLeod,SK,JarridMcKitrick,MB,MeganRiordon,ON,AndreaKent,NS,andChiloWinter,NL.InDecember2018,CSHPannouncedJodyCiufoasourfirstCEO,whichalsomarkedachangeasthefirstnon-pharmacisttoleadtheorganization.InApril2019,theCSHPofficewelcomedClaraWickeasourfirstDirectorofMarketingandCommunications.

Strategic Alliance between CSHP and APESAnewstrategicalliancebetweenCSHPandtheAssociation des pharmaciens des établissements de santé du Québec (APES) enhancedtherelationshipbetweenthetwoorganizationsandincreasedrespectivememberbenefits.AsofDecember2018,CSHPmemberswereabletoaccessthesamebenefitsasAPESassociatemembers.Similarly,thisnewagreementallowsCSHPtoofferinterestedAPESactivemembersthesamerightsandbenefitsgrantedtoitsindividualsupportersatnoadditionalcost.Nearly120APESmembershavelinkedupwithCSHPasaresult.Theallianceisalsoanidealbackdropforco-operationonadvocacyissuesthataffectbothorganizations.

Pharmacy Practice CSHPweighedinonmanytopicalissuesthroughouttheyear,providinginput,expertise,andguidanceinareassuchasdrugshortages,anationalPharmacareprogram,implementationofthemandatorySeriousAdverseEventreportinginhospitals, andcreatingguidelineson thesecuremanagementanddiversionprevention forcontrolleddrugsandsubstancesinhospitalsandhealthcarefacilities.

Afulsomereportonadvocacyisincludedinthisannualreport,howeverhighlightsofsomeofthekeypharmacypracticeactivitiesarelistedbelow:

2018-2019 Consultations ▪ DraftGuidance:AcceleratedReviewofHumanDrugSubmissions ▪ ProposedChangestotheSpecialAccessProgram ▪ ProposedChangestotheNarcoticControlRegulations(NCR),theBenzodiazepinesandOtherTargetedSubstancesRegulations(BOTSR)andtheFoodandDrugRegulations–PartG(FDR-PartG),astheypertaintopharmacists

▪ ChangestotheSchedulingofTramadol ▪ ProposedAmendmentstoCanada’sFoodandDrugRegulationstoRequiretheReportingofSeriousAdverseDrugReactionsbyHospitals

▪ NoticeofIntenttorestrictthemarketingandadvertisingofopioids

2018-2019 Guidelines ▪ ControlledDrugsandSubstancesinHospitalsandHealthcareFacilities:GuidelinesonSecureManagementandDiversionPrevention

Contributions to the National Pharmacare ProgramFormanyyears,CSHPhasbeenactivelycontributingtothefederaldiscussionsonanationalPharmacareprogramandinMarchwewelcomedthereleaseofthereport fromtheAdvisoryCouncilonthe ImplementationofNational Pharmacare.ManyrecommendationsoftheAdvisoryCouncil’sreportalignedwithCSHP’spreviouslypublished(2016)positionstatementonanationalPharmacareprogram.PleaserefertotheAdvocacysectionofthisreportforfurtherdetails.

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS8 | ANNUAL REPORT 2018-2019

PROFESSIONAL PRACTICE CONFERENCE (PPC) 2019

AtPPC 2019,CSHPcelebrated50 Amazing Years of Excellence alongwith529delegateswhogatheredinToronto forhighqualityeducationand networking opportunities.The keynote session featured JonMontgomery, Host, The Amazing Race Canada and Gold MedalOlympian,Vancouver2010.

PlenarysessionsImproving Health through Community Design given by Karen Lee,MD,MHSc,University ofAlberta andPartnering with Patients to Optimize Pharmaceutical Care presentedbyMarie-ClaudeVanier,BPharm,MScUniversityofMontrealwereakeydrawtotheconference.Inaddition,theeducationalprogramhighlightedCSHP’saward-winningpresentations,facilitatedposterpresentations,andPharmacySpecialtyNetwork(PSN)roundtablediscussions.Therewerealsoprogramhighlightstouchingonopioidsinprimarycareandvarioussessionsdiscussingcannabis-relatedtopics.During the conference, CSHP paid homage to retiringExecutiveDirector,MyrellaRoy,forher15yearsofservice,with16pastpresidentsofCSHPinattendanceatthisspecialretirementsendoff.

CSHP wishes to thank the generous sponsors of PPC 2019:

Jon Montgomery fromThe Amazing Race Canada

Karen Lee, MD,MHSc,addressesdelegatesatPPC2019

Myrella Roy withCSHPPastPresidents,Jason Howorko, Neil MacKinnon, Patrick Fitch and Richard Jones

Johnsons InsuranceMarcan Pharmaceuticals Inc.Pharmascience Inc.Pfizer CanadaSandoz Canada Inc.

Apotex Inc.BD Canada Galenova Inc.HealthPRO Hospital News

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS9 | ANNUAL REPORT 2018-2019

MEMBERSHIP2018-2019 Year-end Membership Numbers

Alberta699

BritishColumbia578

Manitoba226

NewBrunswick108

NewfoundlandandLabrador73

NovaScotia186

Ontario939

PrinceEdwardIsland33

Quebec305

Saskatchewan335

International14

Branch Members Individual Supporters

Corporate Supporters

Student Pharmacist Supporters

Total Membership

AB

BC

MB

NB

NL

NS

ON

PEI

QC

SK

International

584

460

213

103

63

163

826

32

180

302

14

4

2

0

1

0

4

9

0

119

18

0

0

0

0

1

0

0

6

0

5

0

0

111

116

13

3

10

19

98

1

1

15

0

699

578

226

108

73

186

939

33

305

335

14

Total 2940 157 12 387 3496

2018-2019 MEMBERSHIP BY BRANCH

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS10 | ANNUAL REPORT 2018-2019

2018-2019 MEMBERSHIP BY TYPE/CATEGORY

Corporate12

IndividualSupporters125

MembersFull2572

MembersRetired62

PharmacyTechnicians32

Residents+306

Students387

2018 CSHP Honorary MemberHonorarymembershipisawardedinrecognitionofoutstandingcareercontributiontotheadvancementofhospitalpharmacypracticeandexceptionalservicerelatedtothemissionofCSHP.Thestatusofhonorarymembershipisgrantedforlife.

The2018CSHPHonoraryMembershipwasawardedtoMitsuho(Mits)Miyata.

MitshasbeenadedicatedmemberofCSHPsincehisresidencyin1981andregularlyattendedandsupportedCSHPeventsforthepast37years.HehasbeenanactivememberoftheBCBranchCouncilandservedonvariousbranchcommittees,aswellasservingastheChairofthenationalAdvocacyCommittee.

Mitsisaninstrumentalleaderandahumblecontributortotheexpansionofclinicalpharmacypracticeandagreatenableroftheprovisionofexemplarypatientcareservices.HehascontributedgreatlytotheprofessionofpharmacyandtoCSHPandismostdeservingofalifetimeCSHPHonoraryMembership.

For more information about Honorary Membership: https://www.cshp.ca/honorary-membership

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS11 | ANNUAL REPORT 2018-2019

Alberta CynthiaBrocklebank,BillChernezky,DonnaGalvin, CherylGelinas,GordonLee,JenniferLowerison, KarenLusty,DeanaSabuda,KarenZurek

British Columbia TammyCoderre-Kells,DarrenFeere,MariannaLeung, Anne-MarieLiberman,PeterLoewen,TerrynNaumann,SusieTraboulay,PeterZed

Manitoba MarnieBoyle,PeterThomson

New Brunswick GlennWhiteway

Nova Scotia RosemaryHayter,PaulMacInnis,KathrynSlayter

Ontario SwastiBhajan-Mathur,ThomasBrown,LyndaChilibeck,KaarinKauber,SusanMcKenna,NadyaNalli,BonnieRalph,ElizaTo,AliceTseng,FatimaVieira-Cabral

Prince Edward Island WendyCooke

Saskatchewan KathleenGesy,LeahHeilman,KarenMcDermaid,DavidSereda

25-Year MembersCongratulationstothefollowingindividualsforattaining25-yearsofmembershipwithCSHP.Thislistrecognizesmemberswhoreachedthismilestoneduringthelasttwoyears.

More 25-year members and supporters: https://www.cshp.ca/25-year-members-and-supporters

Alberta Branch KimberlyJurlina,ErinManchuk,SarahPhilp,CarolynStang,MeganWilliams

British ColumbiaJaneDheere,AngusKinkade,BeverlyLouis, RajwantMinhas,SarahStabler,LynneStewart

ManitobaKellyCheung,CurtisKellett

10-Year MembersCongratulationstotheseindividualswhoreached10-yearsofmembershipduringthe2018-2019year:

Nova Scotia AmberJennex,ValerieMurphy

OntarioCatherineBateman,LeahEdmonds,NicoleSeymour,ChristineTruong

SaskatchewanCharlsiePister

More 10-year Members and Supporters: https://www.cshp.ca/10-year-members-and-supporters

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS12 | ANNUAL REPORT 2018-2019

NATIONAL AWARDS AND FELLOW STATUS

Canadian Foundation for Pharmacy’s Lifetime Achievement AwardMyrella Roy

CSHPrecognizedtheoutstandingachievementsoftheseindividualsatthe2019NationalAwardsceremony:

Patient Care Enhancement AwardSponsoredbyTevaCanadaLimitedBenzodiazepine and Sedative-Hypnotic Drug Use in Nova Scotia Hospitals: A Point Prevalence Survey (completed at Nova Scotia Health Authority)

Heather Neville, Mia Losier, Jennifer Pitman, Melissa Gehrig, Jennifer Isenor, Laura Minard, Ellen Penny, and Susan Bowles

Pharmacotherapy Best Practices AwardSponsoredbyPfizerCanadaVoriconazole Prophylaxis in Leukemic Patients: A Retrospective Single Centre Study (completed at Sunnybrook Health Sciences Centre)

Vivian Bui, Sandra Walker, and Marion Elligsen

Safe Medication Practices AwardSponsoredbyHealthPROProcurementServicesInc.Retrospective, Multicentre Matched Cohort Study Comparing Safety and Efficacy Outcomes of Intermittent Infusion and Continuous Infusion Vancomycin (completed at Sunnybrook Health Sciences Centre)

Nathan Ma

Teaching, Learning and Education AwardSponsoredbyPfizerCanadaDevelopment of a Vancomycin Competency-Based Training and Assessment Program (VC-TAP) (completed at Saskatchewan Health Authority, Saskatoon Area)

Meagan Rieger, Barb Evans, and Justin Kosar

CSHP Honorary MemberMitsuho (Mits) Miyata

CSHP FellowKaren Dahri

Distinguished Service AwardSponsoredbyPharmascienceInc.Moira Wilson

New Hospital Pharmacy Practitioner AwardSponsoredbySteriMaxInc.Laura Minard

Hospital Pharmacy Student AwardCo-sponsoredbyCSHPandCAPSISydney Evans

Isabel E. Stauffer Meritorious Service AwardSponsoredbyFreseniusKabiCanadaLtd.Diane Brideau-Laughlin

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS13 | ANNUAL REPORT 2018-2019

CSHP ADVOCACYCSHP works collaboratively with many stakeholders inthe healthcare sector to leverage one another’s expertise,connections, and advocacy success stories. CSHP wouldlike to thank its many stakeholderswho helped cover theadvocacy agenda through high-levelmeetings, think tanks,events,andparticipationincommittees.

CSHPcontinuestoenjoyastrongrelationshipwithHealth Canada. Throughout the year, CSHP was representedin Health Canada meetings on mandatory reporting ofserious adverse drug reactions, fraudulent marketing ofpharmaceuticals,andcommercialcompounding.

Formanyyears,CSHPhasactivelycontributedtothefederaldiscussiononanationalPharmacareprogramandinMarch2018 responded to an invitation from theAdvisory Council on the Implementation of National Pharmacare toparticipatein a series of cross-Canada roundtables. The CSHP BoardvotedtoendorsetheStatement of Pharmacare Consensus Principles. In doing so, CSHP joins more than 80 otherorganizationsrepresentingadiversecollectionofhealthcareprofessionalassociations,not-for-profitorganizations,labourunions,patients,seniors,andacademics.

The Advisory Council on the Implementation of National Pharmacare presented its interim report. Many of therecommendations and the principles align with CSHP’sposition statementonanationalPharmacareprogram.

CSHPcontinues toworkwith theAlliance for Safe Online Pharmacies Canada (ASOP) regarding the potentialchanges in US legislative framework that would allow formass importation of drugs from Canada. In the spring of2019CSHPparticipated ina trilateralmeetingwithHealthCanadaandtheCanadian Pharmacists Association (CPhA) to discuss various issues, such as latex content in drugs,biologicsnamingconventions,andmore.

CSHPcollaboratedwithPrescribing Safely Canada (PSC)-Royal College of Physicians and Surgeons of Canada, tocontribute towards the publication of the Prescribing Safely Canada – Physician Prescribing Competencies.The CanMEDS 2015 framework and Milestones Guideare used throughout this document for each of the tencompetenciesdescribed.

CSHP is represented on the Canadian Council for Accreditation of Pharmacy Programs (CCAPP) Board ofDirectors.Thisyear,theCCAPPBoardmadeaccreditationdecisionsforfiveCanadianpharmacytechnicianprogramsand one Canadian pharmacy program. Four accreditationsite visits for Canadian pharmacy programs and sixaccreditationsitevisitsareplannedforCanadianpharmacytechnicianprogramsin2019/2020.TheCCAPPBoardwillbeengaginginaprocessoverthenextyeartore-evaluatethefeesforbotheducationalaccreditationandmembershipto sustain growth, permit innovation, and implementnewstrategicactions.

CSHPbenefittedfromitsfirstrepresentative,TashaRamsey,NS to Immunize Canada National Coalition. The group’smandate is to contribute to the control, elimination, anderadication of vaccine-preventable diseases in Canada byincreasingawarenessof theNationalAdvisoryCommitteeon Immunization’s (NACI) recommended immunizationsfor all ages through education, promotion, advocacy, andmedia relations. Plans are underway to bolster this areafor CSHP members and networks by sharing ImmunizeCanada campaigns (influenza, pneumococcus), obtainingordevelopingimmunization-relatededucationalresources,andcreatingpositionstatementsaddressingcurrentissuesinimmunization.

CSHP Cannabis Task Force—withthechangeinCanada’slegislationgoverningcannabis coming intoeffectOctoberof2018,CSHPheardfromitsmembersthatthereisaneedforsupportandguidanceinmanagingtheclinicalneedsofpatients who may use cannabis for medical purposes, aswellasonhandlingcannabisproductsbroughttohospitalby patients. At their Midterm Board Meeting, the BoardvotedtostrikeaCannabisTaskForcetoreviewandaddresstheseissues.

When it comes to advocacy, there is strength in numbers.Throughout spring 2019, CSHP professional staff andBoard including Douglas Doucette, President representedCSHP at meetings with representatives from the Special Access Programme, Office of Controlled Substances,and the National Association of Pharmacy Regulatory Authorities (NAPRA). Additional joint officer meetingswereheldduringtheyearwithAssociation des pharmaciens des établissements de santé du Québec (APES), Canadian Association of Pharmacy Students and Interns (CAPSI),Canadian Association of Pharmacy Technicians (CAPT), Institute for Safe Medication Practices (ISMP Canada), Pharmacy Examining Board of Canada (PEBC), and theBoard of Pharmaceutical Specialties (BPS).

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS14 | ANNUAL REPORT 2018-2019

OFFICIAL PUBLICATIONSThe Canadian Journal of Hospital PharmacyThe Canadian Journal of Hospital Pharmacy (CJHP)celebrated50yearsofconsecutivepublicationin2019,althoughitspublicationhistoryextendsbackto1948whenitwaspublishedunderthetitleBulletin of the Society of Hospital Pharmacists.Alsoin2019,theCJHPcelebratedits10yearanniversaryofbeingonline.

TheCJHPhasfeaturedseveraldistinctiveseriesovertheyears,suchasInternationalPerspectivesonPharmacyPracticefrom2015–2018andResearchPrimerfrom2014–2015.TheseuniquefeaturesalignwiththeJournals’strategicgoalofbeingrecognizedasarespectedinternationalpublication,serving as amajorvenue for disseminationof information related topatient-centeredpharmacypractice.Basedontheresultsofa2017CJHPreadershipsurvey,themostrecentseries,theAdvancedPharmacistPractitioner(APP),wasselectedtorunforthenext2to3years.TheintentofthisnewfeatureistoprovideacollectionofresourcesaimedatenablinghospitalpharmacistsandpharmacydepartmentstoadvanceandbroadenthescopeofpharmacypracticeacrossCanada.TheAPPserieswaslaunchedintheJanuary-February2018issueoftheCJHPwhenthefirstmanuscript,areviewofadvancedpracticeconceptswrittenbyStephenShalansky,EditoroftheCJHP,waspublished.

Other Official PublicationsThroughtheworkofthePharmacyPracticePublicationsSteeringCommittee,CSHPpublishedanewCanadianMedicationOptimizationBriefing:Safe Transitions of Care for Patients Taking OpioidsinDecemberof2018.

CSHPalsoledthedevelopmentofControlled Drugs and Substances in Hospitals and Healthcare Facilities: Guidelines on Secure Management and Diversion Prevention,publishedinMarchof2019infulfillmentofoneofitscommitmentsundertheJointStatementofActiontoAddresstheOpioidCrisis.

Theguidelinesweredevelopedinresponsetowhathasbecomeanopioidcrisisofextraordinaryproportions.ThisdocumentaimstoprovideCanadianhealthcarefacilitieswithadviceandguidanceonhowtodevelopasystemtoprevent,detect,andrespondtothediversionofcontrolledsubstancesandhowtocontinuouslyimprovesuchasystemonceithasbeenestablished.

Obsolete PublicationsCSHP also retired a number of obsolete publications, including: Homecare: Guidelines on the Role of the Pharmacist; Pharmaceutical Care: Statement on Drug Therapy in the Elderly; Education Programs: Guidelines to Develop Programs for Hospital Pharmacists;andComplementary/Alternative Medicine: Information Paper on the Role of the Pharmacist.

Top 5 most read CJHP articles of 2018-2019Qualitative Research: Data Collection, Analysis, and ManagementJane Sutton, Zubin AustinShould All Patients with Type 2 Diabetes Mellitus and Cardiovascular Disease Receive an SGLT2 Inhibitor?Arden R Barry (Pro), Bradley R Mitchelmore (Con)Impact of Antimicrobial Stewardship on Physician Practice in a Geriatric FacilityNina Kassett, Rosalind Sham, Rosanne Aleong, Daisy Yang, Michael Kirzner, Aidlee CraftVancomycin 50 mg/mL Suspension in Oral Syrup: Stability in Plastic Bottles and Syringes at 2 TemperaturesAlexander D Smith, Gemma Rempel, Andras Szeitz, Tara L Klassen, Mary H H EnsomReal-World Challenges to the Practice of Evidence-Based MedicineRobert McCarthy, John Hawboldt, Erin Davis

Columbia IcefieldJasper National Park, Alberta

CJHPJCPH

Vol. 72, No. 6 November–December 2019Pages 415–470

The Canadian Journalof Hospital Pharmacy

Le Journal canadiende la pharmacie hospitalière

Pages 415–470Vol. 72, no 6 novembre–décembre 2019

Indexed in IPA, EMBASE, and SCOPUS,archived in PubMed Central,

searchable via Scirus and Google ScholarRépertorié dans IPA, EMBASE et SCOPUS,

archivé dans PubMed Central,interrogeable par Scirus et Google Scholar

In this issue / Dans ce numéro :� Point Counterpoint: Dual- versus Triple-Therapy

for Oral Anticoagulation and Dual AntiplateletTherapy

� Novel Audit Tool for Discharge MedRec

� Oral Anticoagulants for Nonvalvular Atrial Fibrillation

� Clinical Interventions to Prevent Tumour Lysis Syndrome

� Recall of Pharmaceutical Pictograms by Older Adults

� Clinical Decision Support Tool to Improve Antibiotic IV-to-Oral Conversion

� Stability of Inactivated Influenza Vaccine

CJHP Editorial BoardEditor: StephenShalansky,Vancouver,BC

Associate Editors:ChristineM.Bond,Aberdeen,ScotlandSusanBowles,Halifax,NSLaurenBresee,Calgary,ABGlenBrown,Vancouver,BCClarenceChant,Toronto,ONCynthiaJackevicius,Pomona,CARobertMacLaren,Colorado,USRebekahMoles,NSW,AustraliaMarcPerreault,Montréal,QCPeterJ.Zed,Vancouver,BC

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS15 | ANNUAL REPORT 2018-2019

CANADIAN PHARMACY RESIDENCY BOARD (CPRB)TheCanadianPharmacyResidencyBoard(CPRB)consistsofninememberswhocontributetopharmacyresidencypracticeinCanada.EachmemberrepresentsaregionofCanadaandliaiseswithcorrespondingprogramdirectorsandcoordinators.Through structured rotations in pharmacy practice, education, research, and administration, residency programs aim topreparepharmacistsforchallengingandinnovativepharmacypractice.Graduatesofpharmacyresidencyprogramsareanimportant source of highly qualified pharmacists trained in institutional practice.An integral part ofCSHP’s 2015-2020StrategicPlanishavingaclear,proactiveplantomeettheneedsofentry-to-practicePharmDprogramgraduates.TheCPRBinitiatedseveralactivitiesthroughouttheyeartosupportthisstrategy,includingaccreditingYear2ResidencyProgramsforthefirsttime.

CPRB Board MembersChair:JenniferBoltVice-Chair: HenryHalapyPast-Chair:CélineCormanMembers:MelanieDanilak,CurtisHarder,DebbieKwan,LeslieManuel,MarcPerreault,NancySheehan,TheBoardthanksCélineCormanandCurtisHarderfortheirvaluablecontributionstothe2018BoardEffective February 2019, the members of the CPRB are:Chair:HenryHalapyVice-Chair:LeslieManuelPast-Chair:JenniferBoltMembers:MelanieDanilak,AleishaEnemark,DebbieKwan,ChristineLandry,LeslieManuel,MarcPerreault, NancySheehan

Highlights of 2018-2019 CPRB Activities ▪ Year2ResidencyProgramsaccreditedforthefirsttimein2019 ▪ 9hospitalresidencyprogramsaccreditedbyCPRB ▪ 5morematchedpositionsfromthepreviousyear(116matched) ▪ 4hostedwebinars

CPRB at Professional Development WeekPDW2019washeldinSt.John’sNewfoundlandandLabradorfromJanuary10-13,2019.CSHP/CPRBdisplayedaboothatthePDWHealthFairandansweredquestionsfromstudentswhostoppedtohearaboutthebenefitsofresidencytrainingandhowtoapply.

TABLE OF MATCHED RESIDENCY APPLICATIONS

YearAccredited programs registered

Registered candidates

Unmatched candidates Positions available Positions filled

201720182019

26

26

26

327

353

377

216

237

257

111

117

120

111

116

119

Student and Resident Networking EventTheCPRBhostedaStudentandResidentNetworkingEventattheCSHPProfessionalPracticeConference,onFebruary2,2019inToronto.Thiseventwasverysuccessfulwith35residents, 35 students, and 31 volunteer practitioners inattendance.TheCPRBextendsahugethankyoutoall thevolunteerpractitioners.ThenetworkingeventwillcontinueeachyearattheCSHPPPCConference.

AttendeesconnectattheCPRBStudentandResidentNetworkingReception(PPC2019)

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS16 | ANNUAL REPORT 2018-2019

TheHospitalPharmacyinCanada(HPC)SurveyBoardconsistsofanexecutiveeditor,twomanagingeditors,editorsandaresearchanalyst.Theexecutiveeditor,managingeditorsandeditorsareappointedbytheCSHPBoard.AllHPCSurveyBoardmembersmustbeCSHPmembers.

ThepastyearsawarenewaloftheBoardwiththeadditionofapharmacytechnicianrepresentative.TheHPCwelcomedBalDhillon,aRegulatedPharmacyTechnicianandPharmacyManageratFraserHealthAuthority,BC.Inaddition,theBoardappointedCarolynDittmar,ON,SeniorManagingEditor,RégisVaillancourt,ON,secondManagingEditor,andDenisLebel,QC,ResearchAnalyst.

Withthedistinguishedteamofpharmacyleadersmanagingthecollectionofinformationoncontemporaryhospitalpharmacypractice,the2020-2021surveywillincludesmallhospitalsaswellasfeatureanewsurveyplatformthatwillstreamlinetheuserexperienceanddatacollectionandanalysis.

Forover30years, theHospital inCanadaReporthasbecome the leading referenceandbenchmarking tool forhospitalpharmacyservicesacrossCanadaandaroundtheworld.

Hospital Pharmacy in Canada Survey Board Members Richard Jones — ChairCarolyn Dittmar — ManagingEditorRégis Vaillancourt — ManagingEditorAndré Bonnici — EditorJean-François Bussières — EditorBal Dhillon — EditorDouglas Doucette — EditorKyle MacNair — EditorDebra Merrill — EditorAllan Mills — EditorDenis Lebel — ResearchAnalyst

For more information on the CSHP Hospital in Pharmacy Canada Survey, please visit us online at www.cshp.ca/hospital-pharmacy-canada-survey

HOSPITAL PHARMACY IN CANADA SURVEY BOARD

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS17 | ANNUAL REPORT 2018-2019

CSHP FOUNDATIONTheCSHPFoundation is an independent, charitable organization createdbyCSHP to support research and educationalprogramsthatadvancepatient-centredpharmacypractice inhospitalsandothercollaborativehealthcaresettingsforthebettermentofpublichealth.

CSHP Foundation TrusteesKerry Wilbur—ChairandPharmacistTrusteeJames Boudreau—IndustryTrusteeJody Ciufo—Trustee,FoundationChiefAdministrator&CSHPCEOGaylene Jeannot—IndustryTrusteeMonique Pitre—PharmacistTrusteeLori Romonko-Slack—PharmacistTrusteeMarlo Taylor —PublicMemberTrusteeLori Wazny—PharmacistTrusteeSheryl Zelenitsky—PharmacistTrusteeLaurie Frid-StaffLiaison

2018 Grant and Scholarship RecipientsEducation Grants Vivian Law:SabbaticalGrant:Advancedtraininginmultiplesclerosistreatment$6,400

Megan Riordon:ASHPPharmacyLeadershipAcademyScholarship$6,650 USD

Research Grants Theresa Schindel:Exploringtheroleandexperiencesofhospitalpharmacistswhocareforpatientswhoseekmedicalassistanceindying$14,530

Laura Murphy:Examiningtherelationshipamongstopioidsubjectiveeffectsandpharmacokineticsofextendedreleaseopioidsatshorteneddosingintervalsinpatientswithchronicpain:arandomized,blinded,n-of-1caseseriesfeasibilitystudy$8,844

Thank you to our Donors(May 2018-April 2019)Corporate Donors ▪ AmgenCanadaInc. ▪ CanadianPharmaceuticalDistributionNetwork ▪ FreseniusKabiCanadaLtd. ▪ JanssenInc. ▪ MarcanPharmaceuticalsInc. ▪ OtsukaCanadaPharmaceuticalInc. ▪ SteriMaxInc.

CSHP Members & BranchesManitobaBranch•NovaScotiaBranch•ShirinAbadi•MargaretAckman•ChristinaAdams•JudiAgnew•BalsamAlabdali• BeverleyAlexiuk •DerekAndrews •CaroleeAwde • Suzy Badr •Mario Bédard •DanetteBeechinor •AllisonBell • Carla Benjamin • Danuta Bertram •Norman Black • Cheyanne Boehm • James Bogue • Jennifer Bolt • Cheryl Borody •JenniferBoswell •JamesBoudreau•MarnieBoyle•BethBradley•ReneBreault •DianeBrideau-Laughlin•CynthiaBrocklebank • Glen Brown • Christine Burchat • Cenzina Caligiuri • Lois Cantin • Roxane Carr • Gary Cavanagh • FlayCharbonneau•KellyCheung•IreneChristie•JodyCiufo•MarkCollins•JamesConklin•CatherineCoote•SueCorrigan•AnnaCoulter•LindseyCuthbertson•CarolDavis•SammuDhaliwall•RitaDhami•CarolynDittmar•DouglasDoucette•KristinaDover•RobertoDuarte•ZackDumont•SheriDyck•BlairEinarson•RonaldEros•BarbEvans•OlavoFernandes•PatrickFitch•KathrynFletcher•MichelleFoisy•TracyGallina•MarcGeirnaert•JenniferGibson•NancyGiovinazzo•ElizabethGlashan•JudyGlennie•MargaretGray•JulieGreenall•KathrynGriffiths•NadineGrimm•JessieHallett• CurtisHarder • RosemaryHayter • CoreyHerod • LisaHerritt • LenoraHo • JoanneHolmes • SherilynHoule • JasonHoworko•AnnaHuisman•JaniceIrvine-Meek•DianeJohnson•JanisJohnson•RichardJones•JeffreyKapler•HeatherKertland•JasonKielly•SheriKoshman•KaitlynKrahn•MelissaKucey•DonKuntz•SherryLalli•CeciliaLaskoski•VivianLaw•AdrianaLeachman•ChadLeachman•KoriLeblanc•JudyLee-Wing•AnneLongo•FaithLouis•PatriciaLudwig• Sylvie Lussier • Barry Lyons • KyleMacNair •MichaelMacNeil • BrendaMadsen • JonathanMailman • LeslieManuel •AmyMarriott•TaraMartin•AnneMassicotte•TimMcCormick•KarenMcDermaid•DonMcIntosh•LukeMcKenzie•JarridMcKitrick•DarcyMcLurg•SwitlanaMedwidsky•BruceMillin•KristinMillward•MitsMiyata•TaniaMysak• NicoleNakatsu•VinithaNarayan•MichaelNaylor•SheenaNeilson•ValerieNeison•MeaganNeustaeter•HeatherNeville•NorrisNevins•ElainePallister•BonitaPalmer•ThomasParker•JudiParrott•PoojaPatel•TejalPatel•JustinPeddle • Marc Perreault • Donald Perrier • Kathryn Peterson • Kristine Petrasko • Monique Pitre • Linda Poloway • LeahPritchett•ColetteRaymond•AmandaRegier•LorenRegier•ColinRepchinsky•PatrickRobertson•KimberlyRobins• Lorelei Romonko Slack • Brenda Rosenthal • Lauza Saulnier • Theresa Schindel • Kurt Schroeder • Brenda Schuster • Roxanne Seiferling • Blair Seifert • Doug Sellinger • Karen Shalansky • Stephen Shalansky • Nancy Sheehan • RhondaShkrobot•CathySochasky•Marie-JoséeSoucie•SeanSpina•AnnaSpirkina•BarbaraSproll•RoySteeves• JarisSwidrovich•BrendaThiessen•MaritaTonkin•KentToombs•PatTrozzo•BrianTuttle•PaulVance•LavernVercaigne•JeremyVuozzo•MarkWalker•AshleyWalus•LoriWazny•HannahWheaton•KendellWhite•GlennWhiteway• KerryWilbur•BillWilson•MurrayWolfe•NormanWong•LoreleiZakem•SherylZelenitsky•Anonymous(6)

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS18 | ANNUAL REPORT 2018-2019

CSHP BOARD OF DIRECTORS AND STAFF OCTOBER 2018-OCTOBER 2019

A.P.E.S. / Québec DelegateDiem Vo

Alberta Branch DelegateIan Creurer

British Columbia Branch DelegateShirin Abadi

Manitoba Branch DelegateJarrid McKitrick

New Brunswick Branch DelegatePriscilla Gordon

Newfoundland/Labrador Branch DelegateChilo Winter

PresidentDoug Doucette

President ElectTania Mysak

Past PresidentPatrick Fitch

TreasurerChristina Adams (toAugust2019)

Executive DirectorMyrella Roy (retiredDecember2018)

CEOJody Ciufo (effectiveJan.2019)

EXECUTIVENova Scotia Branch DelegateAndrea Kent

Ontario Branch DelegatesBrett Barrett (Senior)Megan Riordon (Junior)

Prince Edward Island Branch DelegateDanielle Mill

Saskatchewan Branch DelegateMelanie McLeod

Student DelegateKathleen MacMillan

DELEGATES

CSHP National Office Staff(April 30, 2019)

Jody Ciufo,ChiefExecutiveOfficer

Rosemary Pantalone,ExecutiveAssistant

Anne Stacey,ExecutiveAssistant,OntarioBranch

Cathi Yabsley,Director,Finance

Anna Dudek,FinanceAdministrator

Cathy Lyder,Director,ProfessionalPractice

Sarah Jennings,ProfessionalAffairsAssociate

Desarae Davidson, Director,CorporateServices

Pamela Saunders,GeneralProgramsAdministrator

Laurie Frid,GeneralProgramAdministrator

Clara Wicke, Director,MarketingandCommunications

Amanda Iannaccio,PublicationsAdministrator

Robyn Rockwell, MembershipandAwardsAdministrator

Gloria Day,CanadianPharmacyResidencyBoardAdministrator

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS19 | ANNUAL REPORT 2018-2019

AUDITED FINANCIAL STATEMENTS

ASSETS

2019 2018

609,217 658,421

1,208 11,139

58,806 96,973

771,143 826,489

1,388,300 1,572,998

487,499 530,103

93,452 62,893

2,740,394 2,992,483

101,912 59,956

CURRENT ASSETS

Cash

AdvancestotheCSHPResearch&EducationFoundation

Prepaidexpenses

INVESTMENTS

TANGIBLE CAPITAL ASSETS

INTANGIBLE CAPITAL ASSETS

Accountsreceivable

LIABILITIES AND NET ASSETS

2019 2018

429,356 268,322

988,223 879,943

246,777 546,114

1,752,171 2,112,540

558,867 611,621

CURRENT LIABILITIES

Accountspayableandaccruedliabilities

NET ASSETS

Unrestricted

Internallyrestricted

Deferredrevenue

Investedintangibleandintangiblecapitalassets

Branches

580,951 592,996

924,443 973,430

2,740,394 2,992,483

$ $

$ $

$ $

$ $

STATEMENT OF FINANCIAL POSITION | APRIL30,2019

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS20 | ANNUAL REPORT 2018-2019

REVENUE

Membershipfees

HospitalPharmacyinCanadaSurvey

HarrisonManagementSeminar

ProfessionalPracticeConference

Publications

CJHP

CPRB

Otheroperational

Specialprojects

AGM&EducationalServices

Investmentincome

2019 2018

894,359 909,674

68,768 232,539

80,607 64,729

322,527 375,246

$ $

81,157 75,056

20,298 22,108

177,125 176,570

101,674 92,660

1,827 5,009

23,944 16,786

1,772,286 1,970,377

CSHP (EXCLUDING BRANCHES) CSHP BRANCHES & BANFF

2019 2018

66,263 66,328$ $

170,215 186,941

443,528 431,266

9,282 7,303

689,288 691,838

EXPENSE

Salariesandbenefits

HospitalPharmacyinCanadaSurvey

HarrisonManagementSeminar

ProfessionalPracticeConference

Officeoperations

Otheroperational

Amortization

Property

CJHP

Specialprojects

CPRB

1,029,977 901,167

45,102 192,390

55,631 67,494

152,760 177,736

245,518 219,762

204,895 201,821

70,881 58,323

59,485 56,073

120,803 123,276

9,546 33,163

155,312 144,211

52,770 34,639

313,354 331,767

AGM&EducationalServices

Administrativecosts(recovery) (66,242) (66,242)

305,909 292,519

66,242 66,242

2,083,668 2,109,174 738,275 725,167

(311,382) (138,797) (48,987) (33,329)$ $ $ $

STATEMENT OF OPERATIONS | APRIL30,2019

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS21 | ANNUAL REPORT 2018-2019

cshp.ca© Canadian Society of Hospital Pharmacists 2019