The Consultant Pharmacist is published by the
American Society of Consultant Pharmacists.

Features

Strategies for Surviving in the Managed Care Marketplace
Kathleen Y. Riley
For most consultant pharmacists, changes brought by managed care are inevitable; for some, managed care is already here. Here are a few tools to help you anticipate the challenges of the changing health care marketplace.

Quality Indicators: Clinical Management
L. Michael Posey
Of all the federal indicators used in long-term care, the number of medications residents receive on a scheduled basis provides the most vivid endorsement of the value of consultant pharmacy services.

Isoforms of Hepatic Microsomal Enzymes: Effects on Drug Metabolism in the Elderly
L. Michael Posey
Research during the past decade is beginning to shed new light on the effects of aging on drug metabolism in the human liver, and on age-related changes that have been identified with isoforms of hepatic enzymes.

Certification: What's Ahead?
Kathleen Y. Riley
Can certification help pharmacists better meet the needs of their patients? Although the issue raises more questions than answers, discussions about pharmacist certification may be leading to some bona fide certification initiatives.

Profile: Ralph Kalies
David K. Buerger
Ralph Kalies has a vision: computerized systems to amplify pharmacists' clinical capabilities and better target disease management. And as Kalies has pursued that vision in his own practice, he's refined another goal: moving consultant pharmacy from a commodity paradigm to a true outcomes paradigm.

1995-96 ASCP Policy Decisions
The full texts of 1995-96 policy decisions made by ASCP's Board of Directors are contained in this issue of TCP.

C O N T E N T S
October 1996/Volume 11, Number 10
About the artist: Virginia Burry divides her time between the Washington, D.C., area and her "home away from home" in Bucks County, Pennsylvania. The Pennsylvania countryside provided the inspiration for this month's cover painting, "Autumn." Burry is a resident of The Fairfax, a retirement community in Fort Belvoir, Virginia.

Research and Reports

Pharmaceutical Care for Patients with Dementia: Results from a Year-Long Campaign in Swedish Pharmacies
Stefan Gustafsson, Rita Holtin, Helena Löfberg, Sunne Pettersson, Åsa Rydberg, Lena Sahlstedt, J. Lars G. Nilsson
This article examines the results of a national campaign in Swedish pharmacies to increase understanding of dementia and improve drug therapy for patients with dementia.

Clinical Review
Sedative and Cardiovascular Profile of Newer Antihistamines
Richard T. Scheife, Wendy R. Cramer
This article reviews clinical information about new antihistamines, with an emphasis on adverse effects and drug-drug interactions.

D E P A R T M E N T S

Bylines
Brian A. Kahan

Forum
Update on Histamine H2Antagonist Prescribing

Health Trends

ASCP Reports
ASCP Issues Position Statement on Return and Reuse of Medications

Calendar

Consultants Forum
Vitamin E for Tardive Dyskinesia

Hearthbeat
Update of Urinary Incontinence Guideline Released

Pathways
The Shocking Experience of Depression

Subacute Care Forum
Wound Care Costs: More than Medications

The Changing Marketplace

Close to Home
Maryland ASCP Chapter Submits Comments on Managed Care Waiver

Helpful Ideas
Problem Behavior: Helping Nurses See the Big Picture

Late Additions
ASCP Presents Comments before FDA on Preventing Medication Errors