UCSF Advanced Practice Providers December 2022 Newsletter

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APP Spotlight

Recipients of the 2022 Exceptional Advanced Practice Provider Awards

Robin Clark, senior PA-C Emergency Department

Robin is integral in achieving multiple improvements in the care that is delivered in the ED. She spent months developing, testing and iterating complex workflows required to see patients safely and efficiently in the new "Jade Zone", an ED annex across from the hall from the main ED. Her APP leadership was crucial to its successful launch. Her colleagues note that she is an exceptional APP to work with, not only clinically, but also from an operational and improvement standpoint.

Michelle "Shelly" Nakaishi, PNP UCSF Benioff Children's Hospital Oakland

Shelly provides psychiatric medication evaluation and medication management to children from the ages of 3 to 21 years old. She has helped in many movements, such as leading the change from paper charts to EPIC, building an additional behavior health integration service in primary care contributing to the CalAIM efforts to streamline and reduce documentation burdens. She was also the first NP to participate in the hospital CME committee.

Joseph "Joey" Lake, NP Critical Care, Medical ICU

Joey has been instrumental in starting a new APP service line, as well as transitioning the Medical ICU into a closed unit. He delivers the highest quality, empathic patient care, and does this while being a wonderful team player and brightening the day of those around him. “In a crowded field of excellent clinicians at UCSF –he stands out for his integrity, his skills in direct patient care, administration, and team building.”

Krisztina Emodi, FNP, GU Surgical Oncology

Krisztina’s dedication, energy, expertise and compassion has helped her team and UCSF grow to be one of the most robust, comprehensive programs for bladder cancer care in the bay area and the west coast. She spearheaded her department’s periop, post op care and survivorship efforts for patients undergoing treatment for invasive bladder cancer and has worked tirelessly to develop teaching materials and patient centered counseling.

To view the list of all 87 nominees for the Exceptional Advanced Practice Provider Award and also view the 30 minute award ceremony, click here.

PRIDE Experience Award Winner

Tara Lacey, NP Cancer Center Sarcoma Medical oncology, has specialized in caring for patients with cancer for more than 20 years as a gerontological nurse practitioner and advanced oncology nurse practitioner. She recently was promoted to NP3. While a native of Ontario, Canada she has worked in Arizona, Oregon and Texas.

From her nominators "Tara is the very best UCSF has to offer", "Tara is truly the definition of UCSF's PRIDE values", "she is everything the Cancer Center strives to be."

While this is her first PRIDE Experience Award, she has received the 2014 Excellence in Advanced Practice Nursing Inpatient, 2014 Jeanne Yalon Award for excellence in Oncology Nursing and 2002 Helen Ripple Award. Click here for more information about the PRIDE Experience Awards.

NPIII Promotion

Congratulations to these newly promoted NPII to NPIII.

NPIIIs are clinical experts who demonstrate excellence through advanced clinical practice, education and leadership.

Kathy Chamberlain, NNP (Neonatal ICU Benioff Children's Hospital, San Francisco)

Erna Josiah-Davis, NNP (Neonatal ICU, Oakland)

Krisztina Emodi, FNP (GU Surgical Oncology)

Michele Evans, NNP (Neonatal ICU Benioff Children's Hospital, San Francisco)

Tara Lacey, NP (Cancer Center, Sarcoma Medical Oncology)

Marie Rinaldi, AGACNP (Cancer Center San Mateo)

Shelley Stratford, FNP (Breast Care Center)

Yu "Janet" Wu, AGACNP (Mechanical Circulatory Support)

They join the other 69 NP3s that are currently at UCSF Health. To find out more about this promotional process and its requirements, visit this site. Applications due March 31, 2022.

APP Education News

Save the Date: APP Town Hall--January 10th 4-5pm

Advanced Care Planning

Learn how to have the conversation with your patients but also how to document with dot phrase ".acp" and bill the encounter.

Presented by Michael Rabow, MD, Judy Long, Judith "Redwing" Keyssar

Meeting ID: 914 8653 4406

Password: 451658

Did you miss the prior Town Halls? Click here to view the recordings of the Town Halls that covered these topics: APP Utilization, APP Work Experience Survey Results, AB 890, Cures 2.0 (must log into MyAccess).

Email [email protected] to suggest future Town Hall topics. 

Pediatric Grand Rounds--West Bay

Every Thursday 12-1pm

Click here for zoom link and more information

Thursday December 15, 2022 12-1pm

Caring for the Gynecologic Needs of Transgender and Gender Diverse Adolescents

Speaker: Mitzi Hawkins, MD, MAS

No Grand Rounds December 22 or 29, 2022

Pediatric Grand Rounds--East Bay

Every Tuesday 8-9am

Tuesday December 13, 2022--TODAY 8-9am

Integrative Headache Management for the Child and Adolescent

Speaker: Anna Esparham, MD Director of Headache Treatment Center

For Zoom login information, must contact: Cristina Fernandez [email protected], phone 510-428-3885 ext 4343

No Grand Rounds December 20 or 27, 2022

APP Grand Rounds

Wednesday December 14, 2022 12-1pm

HIV Prevention and Treatment Updates

Speakers: Michelle E. Cohen, FNP, MPH

Register in advance with the QR code below.

Must follow these 2 Steps to Register in Advance:  

1.Point your camera to QR code below or visit:  https://ucsf.zoom.us/webinar/register/WN_RI-P9weMTDScgKZOxUJj9A


2. To claim 1-hour CEU for RN/NP/CRNA/CNM , Preregister at Nursing Connect: 


Search by title: Updates in HIV

Category 2 CME for PA, no additional registration required 

Advanced Oncology Certified Nurse Practitioner Certification Review Course

FREE AOCNP® certification review course on

April 3rd & 4th, 2023. This 2-day webinar-based review course will provide a total of 14 contact hours, including 1.5 pharmacology contact hours

There are two options for you to participate in this offering:


1.Attend the live, instructor-led, 2-day webinar-based review course on Monday, April 3rd & Tuesday, April 4th


2.Watch an on-demand recording of the 2-day course within 30 days post-event.

  • IMPORTANT: For those participating in the on-demand option, you must register in advance as if attending the live event. You will receive an e-mail once the recordings are made available for viewing.

Registration is free for all internal UCSF APPs(west and east bay): Click here for registration instructions. . Externals are welcome to attend for a $125 registration fee, so please feel free to share this event with your non-UCSF colleagues.


Instructor Bio: https://education.mededseminars.net/speaker/elizabeth-mcgrath-758183

APP Standards & Compliance News

Cures 2.0 and SB1419 and Voalte

Effective December 13, 2022

Federal law has expanded the Cures Act to require sharing of all notes containing clinical information. Beginning December 13, notes associated with the following encounters will now also be visible in MyChart:  


On-the-fly encounters, for example:  

  •    Telephone encounters   
  • MyChart encounters
  • Documentation only encounters 
  • Orders only encounters

Resident and fellow notes not requiring

co-signature.  (Notes that require a co-signature will continue to not be

shared until they are attested/co-signed.)    


This change will not be retroactive. As always, our obligations around teen privacy will continue to be respected with specific workflows.  

Click here for video: Cures Act: Teen and Sensitive Service

Effective January 10, 2023

California law SB1419 will require clinicians to share a new or recurrent diagnosis of cancer identified in imaging before the result is released electronically. Starting January 10, radiologists will flag images that reveal a new or recurrent cancer diagnosis. This flag will delay automatic release of those results to MyChart by 5 calendar days for ambulatory results and 2 calendar days for inpatient results.


These results will be flagged in the In Basket as “Cancer suspected”

Please review the presentation slide deckand this town hall recording for more information. Additional resources can be found here

Voalte--Attention Inpatient APPs

The professional titles in Voalte do not reflect all provider types logging onto some services/units roles. On December 13, 2022, all Voalte generic NP or PA role titles will be changed to APP to be fully inclusive of all APP professions. Additional Information can be found here.

Justice, Equity and Inclusion News

$12,400 Grant Awarded to C-CAN

The Collaborative Career Advancement Network (C-CAN) was selected as a grantee for the 2023 Fiscal Year. They were selected by the UCSF Community Wellbeing Grant Committee for a project proposal that supports wellbeing in one of more areas of the seven pillars of wellness: emotional, physical, social, financial, environmental, career or spiritual. The projects that promote diversity, equity, and inclusion in a substantial and meaningful way were of particular interest to the committee.

C-CAN was launched in 2021 by the APP Justice, Equity Inclusion Committee with then co-chairs Marina Ortega, PA and Stephanie Collier, PA. C-CAN is support network to connect UCSF employees who are studying to become NPs and PAs with practicing UCSF APPs, with mentoring, shadowing interview coaching and beyond. C-CAN plans to explore partnerships with other UCSF initiatives aimed at helping lower-waged employees advance their careers, as well as with outside organizations focused on increasing equity in healthcare professions.

This grant will help establish educational stipends for the participants pursing APP careers. For more information on how you can get involved with C-CAN, visit this site or email [email protected].

UCSF Land Acknowledgment Statement

What is a land acknowledgment? It is a statement offered to open meetings, ceremonies, lectures, and public events. It recognizes Indigenous people and the importance of the land, plants and animals. It reminds us that colonization happened and is happening. Invites all of us to recognize the ways in which we benefit from settler-colonialism and inspire action.

The UCSF Land Acknowledgment Statement is the following

"We would like to acknowledge the Ramaytush Ohlone people, who are the traditional custodians of this land. We pay our respects to the Ramaytush Ohlone elders, past, present, and future, who call this place, the land that UCSF sits upon, their home. We are proud to continue their tradition of coming together and growing as a community. We thank the Ramaytush Ohlone community for their stewardship and support, and we look forward to strengthening our ties as we continue our relationship of mutual respect and understanding."

To learn more about UCSF and the history of the Ramaytush (pronounced "rah-my-toosh"), which is the Chochenyo word meaning "people of the west", click here.

UCSF Health News

MonkeyPox Vaccine Update

The vaccine is now available to any person wants protection from mpox infection. There is no shortage of mpox vaccine now, and so the SF Department of Public health and many other health departments in California have removed all the eligibility criteria. Anyone who maybe at risk of getting mpox can now receive the JYNNEOS vaccine to prevent mpox. There is no need to prove eligibility for the vaccine. For more information, click here.

Staff Appreciation Breakfast (West and East Bay Locations)--this week

Tuesday, December 13, 2022 630-1030am Mission Bay Hospital and Campus

Wednesday, December 14, 2022 1130-230pm UCSF Fresno

Thursday, December 15, 2022 7-9am Mt Zion Cafe

Friday, December 16, 2022 630-10am Oakland Friendly Cafe

New APPs Who Joined UCSF Health

Please extend a warm welcome to our newly hired APPs

Blair Anderson, NP Inpatient Hematology BMT

Merlienaida Garcia, NP Transplant Post Lung

Emma Gring NP, Kidney Pancreas Surgery

John Conrad Uy, NP Critical Care

Sarah Lange, NP Ortho Surg Onc

Jesus Lopez, CRNA, Anesthesia

Steven Lee-Ramos, NP GI Medical Oncology

Sandee Rich, NP Mechanical Circulatory Support

Whitney Romero, NP 360 Positive Care center

Elizabeth Silvers, NP Peds Behavioral dept

Tien Nguyen, PA Urology

Sommer Phillips, NP Cardiology

APP Job Corner

Refer an APP colleague to work at UCSF and potentially earn $25-$500 for per diem for selected services and $500-2000 for career for selected services.

For more info: referral program

Be sure they note your name at time of application submission.

Click here for all current APP job openings

APP Advisory Board

Find out more about your APP Advisory Board by checking out their website and read their meeting minutes here.

Quality and Safety

How to communicate test results when information is delivered initially to a patient's inbox by MyChart, even before a provider is able to discuss the findings and them in proper context

submitted by Mike Rabow, MD, FAAHPM

There is little research about how to communicate most effectively in these situations. However, Jessica Hahne and her colleagues have just published a paper in the Journal of Oncology Practice with some helpful suggestions, click here for full article.


  1. Framing is important. As with many things, some time spent beforehand “framing” in preparation for the portal-delivery of news may be very well-spent (potentially saving time overall and preventing unnecessary patient distress). As has often been said, “the delivery of serious news starts when you order the test.”
  2. Clarification begins with understanding what patients know and do not know. For patients who have seen test results first on the portal, uninterpreted by you, you might start by asking “What were your takeaways and concerns?” It’s our patients’ data, but they are still our patients and almost always need our guidance, expert communication skills, and compassion.

Below are 5 recommendations for framing and clarifying for clinicians discussing portal-delivered test results. Below are the first 2 columns from the paper's Table 1.

Wellness News

Evidenced Based Resilience Toolkit

The Burnout Fix "Overcome Overwhelm, Beat Busy and Sustain Success in the New World of Work" by Jacina M. Jimenez. An Evidence-based resilience toolkit to help you find better, more sustainable ways to succeed at work and life. 10 minute book summary and full book available in UC Learning Center. In search box, use keywords Burnout Fix

Free Mindfulness Meditation

UCSF faculty, staff and learners are welcome to join a free drop-in weekly mindfulness meditation program. No mindfulness or meditation experience is necessary; the program is geared to participants at all levels, from beginners to lifelong practitioners. It’s a safe space to sit together, explore and connect. The guided meditations are recorded and available online to view anytime.


No preregistration is required. Join the Zoom session:

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Visit the UCSF APP website

Ivette Becerra-Ortiz, DNP, MPH, NP, RN, NEA-BC, C-PNP Chief of Advanced Practice Providers

Kurstan Del Rosario Senior Operations Analyst

Tara Valcarcel, MSN, RN, CPNP-PC Director, Pediatric Operations Advanced Practice Providers 

Roseanne "Rosie" Krauter, FNP-BC, CORLN Director of Clinical Systems

Brandon Sessler MMS,PA-C

Director of Professional Practice Fellowship Coordinator

Alisa Yee, MSN, ACNP-BC

Director, Adult Operations Advanced Practice Providers

UCSF Health PRIDE Values Professionalism • Respect • Integrity • Diversity • Excellence

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