Standards, Education, Verification. Patient Focused Certification

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Standards, Education, Verification Patient Focused Certification PFC Training helps you achieve quality standards. Staff Certification is now available online www.pfctraining.org jahan@safeaccessnow.org

Outline What is ASA? What is PFC? Operations/business certification Training and Education Research and PFC companies Staff Certification is now available online www.pfctraining.org

Americans for Safe Access What is ASA? 501(C)3 organization ASA s mission is to ensure safe and legal access to cannabis (marijuana) for therapeutic use and research Grassroots organization with over 100,000 members nation-wide In all 50 states, Guam, Puerto Rico, and the District of Columbia Our goals: Resolve federal and state conflict on medical cannabis laws Ensure safe and legal access to medical cannabis throughout the nation End stigma and discrimination associated with medical cannabis use and research Regulate cannabis like an herbal medicine Make cannabis a frontline medicine

What is PFC? Nonprofit Third Party Certification Peer Reviewed Seed to Consumption Quality Standards Staff Training Educational Materials Documentation & Facility Audits Compliance Oversight Government Relations

Standards

PFC Seal of Approval Compliance with state and local regulatory guidelines Compliance with AHPA and AHP standards Trained staff Commitment to purity and identity of products Implemented standardized methods for Cultivation, Manufacturing, Laboratory Testing, or Distribution

Available in US and internationally PFC Certifications

PFC Reduces Company Liability Employee and management training Patient and caregiver educational materials Implementation of product safety protocols Adverse-event reporting Complete product recall programs Standard and Function development Case Studies Non-FDA Claims Botanical and Nutraceutical appropriate descriptions for cannabis & cannabis product actions

PFC Certification Process CHOOSE: Which certification program works for your business. Depending on the focus of your business or the state in which it is located different certifications may be required. AUDIT: PFC staff will then walk your business through the audit process, which includes a Documentation Audit, Staff Training, and On-site Facility Audit. APPLY: Apply for a free quote. The PFC process begins with filling out an online application that will be followed by a price quote and contract. REVIEW: Await the PFC staff review of audit findings. CERTIFY: Receive the certification decision, which you can either accept or appeal. An affirmative decision will mean your business is now PFC certified.

Documentation All PFC Companies: Documentation Implementable product recall protocols Batch-number-based Adverse-event reporting Federal, state, and local compliance with environmental laws Lab Testing Facilities: American Herbal Pharmacopoeia Cannabis Plant Monograph Equipment calibration Protocol evaluation Methodology standardization

PFC Peer Review Board Peer Review Board Oversight: Regular review and update of audit methodologies and program standards including training Process and review all certification appeals and revocation actions Uphold the integrity of the PFC program

PFC Peer Review Board Over 300 Years of Combined Expertise Complementary and Alternative Medical (CAM) therapies USDA food and product safety protocols Federal regulatory development Medical cannabis research Medical cannabis industry Pharmacology Biochemistry Education

Special offers for PFC Clients and Associations Discounts on staff trainings Regulation Tracking and Updates Discounts on consulting fees Discounts for certification program (5-10%) with Industry Association Endorsement

PFC Staff Training Requirements PFC Training: Total Hours 6 8 6 PFC Core Cannabis Training: Cannabis as Medicine 1 1 1 PFC Core Cannabis Training: Cannabis Business Operations 1 1 1 PFC Core Cannabis Training: Understanding Cannabis Law 1 1 1 PFC Core Cannabis Training: State and Local Legal Compliance 1 1 1 PFC National Cannabis Standards Training: Distribution Operations 2 PFC National Cannabis Standards Training: Manufacturing, Packaging, Labeling and Holding Operations 4 PFC National Cannabis Standards Training: Cultivation and Processing Operations 2

Current Training Offerings PFC - Live Training PFC Company Add Printed Materials CULTIVATION $750.00 $500.00 $100.00 DISTRBUTION $750.00 $500.00 $100.00 MANUFACTORING (processing) $750.00 $500.00 $100.00

www.pfctrainng.org Training Offerings PFC with CIPS - Online Training PFC Company Non-PFC Company Add Printed Materials CULTIVATION $500.00 $250.00 $400.00 $100.00 DISTRIBUTION $500.00 $250.00 $400.00 $100.00 MANUFACTURING (processing) $500.00 $250.00 $400.00 $100.00

PFC Staff Certification is now online www.pfctraining.org

PFC Training prepares your staff to be partners as your organization reaches for higher quality standards.

What is new? Medical Cannabis staff training is now available online in the areas of cultivation, processing, dispensing and laboratory standards. Over 26 instructional hours! Americans for Safe Access (ASA) Patient-Focused Certification (PFC) curriculum Partnership between ASA and University of Maryland School of Pharmacy s Center for Innovative Pharmacy Solutions.

www.pfctraining.org PFC Staff Certification: Cultivation and Processing Standards PFC Staff Certification: Manufacturing, Packaging, Labeling, and Holding Operations PFC Staff Certification: Laboratory Standards PFC Staff Certification: Distribution Operations Combined certificates are also available online Sign up online and select your state of operation. New states will be coming online and webinars will be offered for state-specific training. Questions? Contact cips@rx.umaryland.edu

PFC Staff Training Learning Objectives Cannabis Business Operations Learn customer service strategies, how to identify and handle medical emergencies, patient education, and information about the Patient s Bill of Rights. Understand how to handle interactions with Federal Law Enforcement, what to do if arrested and how to answer questions, and when Miranda warnings apply. Explore what to do if a raid or robbery occurs, various security and safety protocols designed to help prevent robbery and reduce the risk of Federal Conflict, and learn how to set up effective action plans. Determine how to ensure the safety of your product, including how to spot contaminants and maintain safe and sanitary conditions, as well as considerations such as patient screening, diversion prevention and security.

PFC Staff Training Learning Objectives Cannabis as Medicine Learn about what current research is revealing about the therapeutic use of cannabis. Explore a brief history of opioids and cannabinoids, and learn how the endocannabinoid system was discovered and how it works in our body. Learn the varieties of cannabis and cannabinoids and the effects of cannabis. Learn about the various cannabis pharmaceuticals currently available throughout the world and how cannabis extracts and concentrates are used.

PFC Staff Training Learning Objectives Understanding the Law Learn about the conflicting Federal law issues including the Controlled Substances Act, the Drug Enforcement Agency, and its role as Federal law enforcement, Sentencing Laws and Guidelines, and other applicable laws. Explore the history of medical cannabis reform efforts, opposing efforts, and Federal legislative efforts. Learn about States and patient s rights, Federal landmark cases, and the current status of medical cannabis law.

PFC Staff Training Learning Objectives State and Local Legal Compliance Learners will understand the state law and regulations Learners will understand key aspects of the state program such reciprocity, residency requirements, and other fundamental points Understand the requirements for Patients and caregivers, age limits, doctors, and staff Understand how to detect, identify, and prevent diversion Understand possession, growing and consumption limits And any other applicable statutes

PFC Staff Training Learning Objectives NCST Cultivation Subject operations & general definitions Good cultivation, processing and distribution practices Protocols and operating procedures (with overview of pesticide guidance) General product safety guidance Personnel training & workplace safety Physical facilities: fire prevention, sanitation practices, electrical & ventilation systems, disposal & waste practices, and security provisions Water resource management: including agricultural irrigation and discharge waters, as well as potable water for employee use Good record keeping practice & disclosure responsibilities Adverse event recording & product recall programs

PFC Staff Training Learning Objectives NCST Distribution Understand the basics of dispensing operations Be familiar with best practices and standards for dispensing operations Understand the standards for facilities maintenance and security Be able to describe different types of cannabis products Be familiar with the core requirements for adverse event reporting and recall plans

PFC Staff Training Learning Objectives NCST Manufacturing Subject operations & general definitions General awareness of other statutory rules and regulations that may apply Good manufacturing practices for the acquisition & distribution of plant material & derived products Component control protocols, batch records, process monitoring & control, representative sampling & reserve samples, and specification documentation Personnel training, responsibilities & safety, and supervisor requirements Physical facilities - appropriate design & construction considerations, sanitations requirements & security protocols Proper protocols, sanitation, and handling practices for equipment & utensils Packaging & Labeling process controls including packaging & labeling protocols, batch records, label content for both plant material & derived products Holding controls including protocols for proper identification as well storage & handling Good record keeping practices including materials inventory, distributed materials, reconciliation of records, and record retention Adverse event recording & product recall programs including protocols for complaint files, returned products and recall procedures

PFC Staff Training Learning Objectives NCST Laboratory Laboratory operations, what they do and the training all personnel should have for these operations Physical facility maintenance requirements Record keeping and documentation practices Understand Procedures for sample handling, result reporting, reference standards, maintenance, calibration and cleaning of all lab equipment and instruments. Understand requirements for method validation and analysis proficiency

PFC Staff Training Learning Objectives PFC Enrichment Courses: Quality Control/Quality Assurance and Batch Sampling Pesticide Guidance and Integrated Pest Management Internal and External Auditing for Cannabis Operations Advanced Endocannabinoid System Sustainable Cultivation

Basics of Staff Training Federal and State medical cannabis laws, regulations and other laws & regulations pertinent to the agent s responsibilities; Standard operating procedures; Detection and prevention of diversion of medical cannabis; Security procedures; and Safety procedures, including responding to: a medical emergency; fire; a chemical spill; and Threatening event such as: armed robbery; an invasion; a burglary; etc. Retain training materials and attendance records and make the training materials available for inspection.

PFC Staff Training and MD Regs Documentation Requirements MD Regulatory Training Requirement Training Module Certificates Federal and State medical cannabis laws, regulations and other laws & regulations pertinent to the agent s responsibilities CCT*: Understanding the Law CCT: Intro to Cannabis as a Medicine SSCT- Maryland State Specific and Legal Training Staff Certification Manufacturing and Cultivation State-Specfic Laws and regulations Standard operating procedures NCST**: Cannabis Operations Staff Certification Manufacturing and Cultivation Detection and prevention of diversion of medical cannabis CCT: Understanding the Law NCST: Cannabis Operations Staff Certification Manufacturing and Cultivation Security procedures CCT: Business Operations Staff Certification Manufacturing and Cultivation Safety procedures, including responding to: a medical emergency; fire; a chemical spill Threatening event such as: armed robbery; an invasion; a burglary; etc. CCT: Business Operations NCST: Cannabis Operations CCT: Business Operations SSCT: State Specific and Legal Training Staff Certification Manufacturing and Cultivation Staff Certification Manufacturing and Cultivation

Facility Auditors All PFC Auditors have a minimum of 5 years applicable experience Cultivation Auditors In the field of medical cannabis cultivation; or Inspecting food crops for the Department of Food and Agriculture Inspecting food crops for other appropriate certification body Manufacturing, Packaging, Labeling, and Holding Auditors In the field of medical cannabis manufacturing; or Inspecting operations that produce products intended for human consumption, including topical applications Distribution In the field of medical cannabis distribution management; or Inspecting traditional and/or Complementary Alternative Medical facilities Laboratory Analysis Engaging in laboratory analysis of medical cannabis Degree in Bio-chemistry

PFC Laboratory and John Hopkins The Werc Shop Vandrey, R., Raber, J. C., Raber, M. E., Douglass, B., Miller, C., & Bonn- Miller, M. O. (2015). Cannabinoid Dose and Label Accuracy in Edible Medical Cannabis Products. Jama, 313(24), 2491 2493

Medical Professional and Patient Education Medical Professionals Patient & Caregivers Companies & Organizations

Auditing /Assessment Scenarios

Auditing /Assessment Scenarios

Health and Safety Auditing Deficiencies?

Health and Safety Auditing Deficiencies?

Summary ASA created PFC to address issues of quality control and product safety in the Cannabis industry and to ensure that patients, healthcare providers and governments can rely on high- quality Cannabis products and services. PFC addresses quality control and product safety through: Developing and Implementing Industry Standards Industry Training Certification Program

Helpful References Visit Us Online to Learn More! PatientFocusedCertification.org