Emergency Declaration February 2015

Reporting Access to Medication Issues

The Governor released an Executive Order on Feb. 17 2015, granting emergency powers to pharmacists to dispense up to a thirty-day supply of non-scheduled medications for patients.
As the Kentucky Department for Public Health’s (KDPH) planning partner for emergency preparedness/disaster response, the Executive Order released by the Governor allows for patients to have ready access to their medications without an interruption in pharmaceutical services. KPhA would like to gather information from our membership related to having the Executive Order in place. The information will be shared with KDPH in order to evaluate the impact of the Executive Order for the citizens of the Commonwealth.
Please complete the survey as you utilize the Executive Order until it is lifted on February 24.

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* 1. Contact information

Pharmacy Name:

City:

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* 2. Has the executive order regarding prescription refill authorization without a physician’s order assisted you in providing pharmaceutical services for your patients?

Yes

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* 3. If yes in question 2, please provide examples.

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* 4. If no in the question 2, check reason(s) why the executive order has not assisted you in providing pharmaceutical services for your patients.

All patients serviced by your pharmacy have an adequate amount of medication.

Physicians and other providers have been accessible.

Delivery of medications has been provided without interruption.

Other (please specify)

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* 5. Has your pharmacy experienced problems during the winter storm, unrelated to the executive order regarding prescription refill authorization without a physician’s order?

Yes

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* 6. If yes in Question 5, check the type(s) problems your pharmacy has experienced.

Unable to open pharmacy due to poor weather conditions.

Inadequate number of employees on staff to provide pharmaceutical services to the patient.

Loss of power and other utility services.

Other (please specify)

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* 7. May we contact you for further information if needed? If yes,

Name:

Email Address:

Phone Number: