UCSF Advanced Practice Providers April 2023 Newsletter

APP Spotlight

William Bradley DNP, NP-C, ACHPN-BC, EBP-C, FASE, AACC APP and Nursing Manager, Non-Invasive Cardiology UCSF Heart and Vascular Center/Adult Cardiac Stress Lab was recently named as the 2024-2027 Northern California American College of Cardiology, Cardiovascular Team Representative. The APPs in the Adult Cardiac Stress lab administers, monitors and interprets cardiac treadmill tests and nuclear medicine PET imaging both at Parnassus and Mission Bay locations.

Dave Gordon, DNP, ACNP on the Acute Lung Transplantation team was awarded $50,000 funding for his team's Caring Wisely project "Reducing Unnecessary Radiation Exposure from Chest X-rays in Lung Transplant, CT surgery and Thoracic Surgery Patients. Caring Wisely™ is an organized process for engaging and supporting frontline staff and clinicians in efforts to remove unnecessary costs from healthcare delivery systems and improve the quality of care delivered.

Nhu Tran, NP is the lead APP for the General Surgery team that provides 24/7 care for four separate services lines. As lead, she ensures staffing is provided during shortages, unexpected absences and COVID illnesses. She is also the go to person for their team as she possesses the deep knowledge and skill set required to care for their complex patients. Nhu leads with a strong, sturdy presence as evidenced by their teams' outstanding Discharge Before Noon rate that is consistently over 30% (with April's all time high of 49.3%). The hospital's benchmark for discharge before noon is 20%.

Amanda Fulton, MSN, CRNA named interim Nurse Anesthetist Manager. Amanda will work collaboratively with the Department of Perioperative Services, the Anesthesia Department, CRNA leadership Mercy Vigil/Mardochee Val), and the Office of Advanced Practice to ensure alignment among all areas for patient care and CRNA APP support. Amanda is one of the first two lead CRNAS at UCSF and the first CRNA to to complete UCSF's Leadership Academy for Advanced Practice Providers and also received certification as LEAN champion.

Meg Schoettler MSN, CPNP-AC is the new APP Manager for Children’s Ambulatory Services--West Bay. Having served as the interim manager for the past 4 months she will join the Children’s Ambulatory Services Leadership team. Meg is responsible for the administrative, development and clinical practice oversight of the APPs in the pediatric medical specialties, surgical specialties, and neurosciences.

She earned her undergraduate degree in nursing at Georgetown University, a Master’s degree in nursing at UCSF in the acute care PNP program and graduated from the inaugural LeAP cohort through the UCSF Leadership Institute. Meg practiced as a pediatric nurse practitioner in the Division of Pediatric Nephrology at UCSF Health since 2013 and is an Assistant Clinical Professor with the UCSF School of Nursing. She is the immediate past Chair of the UCSF APP Education Committee and Chair of the annual Contemporary Issues in Advanced Practice Conference. In 2021 she was the recipient of the Exceptional Advanced Practice Provider Award. The overarching value that guides Meg is a commitment to excellence, education and leadership. Outside of work, Meg can be seen racing to get her three kids to sports and walking their golden retriever, Lucy.

Age-Friendly Emergency Department Wins Award

The Age-Friendly Emergency Department Consult Team was awarded the Program for Interprofessional Practice and Education Interprofessional Collaboration Award. The team includes nurse practitioners, a social worker, pharmacist, ED nurses, ED physicians and geriatricians working collaboratively to improve older adult care. The service addresses the unique needs of older adults presenting the the UCSF ED to align patient valued care and support the older adult's family and caregivers. The team connects patients to community based agencies while recognizing and preventing delirium. They also ensure an accurate medication record while addressing aging physiology. For more on AFED consult team click here.

APP Education News

Pediatric Grand Rounds--West Bay

Every Thursday 12-1pm

Click here for zoom link and more information

Thursday, May 11, 2023

Ethics and Access for Sickle Cell Gene Therapies

Presented by: Marsha Treadwell, PhD, Manar Zaghlula PhD and Christelle Salomon MS, moderated by Julia Brown PhD.

Thursday,May 18, 2023

Research Day

Presented by: TBD

Pediatric Grand Rounds--East Bay

Every Tuesday 8-9am

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

Tuesday, May 9, 2023 TODAY

"New and Emerging Treatments for Pediatric Obstructive Sleep Apnea"

Presented by: Gwynne Church, MD Pediatric Pulmonologist

Tuesday, May 16, 2023

"Infant oral Health and Caries Management Guided by Risk Assessment for Children"

Presented by: Ling Zhan DDS, PhD Pediatric Dentist

APP Grand Rounds

Wednesday, May 16, 2023 4-5PM

"Anal Cancer Prevention in the Primary and Specialty Setting"

Speaker: Naomi Jay, RN, NP, PhD, FAAN

2 Steps to Register in Advance:

1.Point your camera to QR code above or click here

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

Search by title: Anal Cancer Prevention

Category 2 CME for PA, no additional registration required

2^nd Annual all-UC Health Geriatrics Nursing Symposium

Friday, May 19th, 2023, 830-1PM

Current best practices in care of older adults happening across UC Health campuses

Geriatric Psychiatry – Behavior Management
EHR Enhancements for Geriatric Excellence
Care Cart – Distraction Techniques
Safe Discharge, Better Outcomes: The Role of Social Work Interventions in Geriatric Care in the ED
Geriatric Interdisciplinary Rounds

UC-wide (free!) education event for UC staff (PA, NP, CRNA, CNM) and students (nursing); 4.5 CE BRN credits. PA can claim category 2 CME

Virtually via Zoom (registration required click here). Contact [email protected] with any questions.

APP Standards & Compliance News

Time Study

UCSF and BCH Oakland advanced practice providers are required to complete monthly Time Studies for hospital reimbursement. A mandatory

UC Learning Module has been created to train you on accurate Time Study submission and must be completed by 5pm Friday May 12, 2023. The module will take approximately 20. Completion will be audited by the Office of Advanced Practice Providers.

Oakland APPs began Time Studies in January of 2023. UCSF APPs will begin Time Studies in May of 2023. Time Studies are a federal requirement (brief description below) for hospital reimbursement and will take place on a rotating week each month. Please reference the Office of Advanced Practice Providers Website for additional information. If questions, email [email protected].

State Plan Amendment (SPA)

The SPA 05-023 was approved by Centers for Medicare and Medicaid Services (CMS) on December 21, 2007. It is part of the State Waiver to supplement payment for underfunded and unfunded care. The SPA allows for interim supplemental payments to reimburse for the uncompensated cost of providing professional services for inpatient and outpatient care to Medicaid (Medi-Cal) beneficiaries. From the outset of SPA, CMS dictated that a Time Study Audit must be performed by each UC Medical Center to confirm professional time spent on patient care, underfunded care, and on non-reimbursable activity.

Ongoing APEX Training Program for APPs

Last year 198 APPs completed the Net Electronic Health Record Experience Survey. 59% felt ongoing APeX training was insufficient, which is the lowest 7^th percentile for Epic organizations. From this feedback the Office of Advanced Practice Providers developed an ongoing APeX training program specific to APPs.

Objectives:

Implement efficiency tips designed to improve workflows
Utilize APeX personalization features
Curriculum tailored to your practice needs

Details:

Via zoom over 4-week period

Three 1-hour courses scheduled at your convenience (individual)

One 2-hour personalization and optimization meeting (small group)

3 AMA PRA Category 1 Credits included

Please discuss with your manager before enrolling. If you are interested in participating contact [email protected]

New DEA Requirements to Renew License (CNM, NPs, PAs)

The DEA recently announced a new one-time requirement for all providers to complete 8 hours of continuing education on the topics of treatment and medication management of patients with opioid and other substance use disorders (SUD). See the DEA announcement for details.

This requirement affects all APPs with a DEA registration – including full-time, part-time, and per diem employees. This requirement must be completed prior to your next DEA registration renewal, beginning with renewal dates of June 27, 2023. It is your responsibility to ensure you are compliant with the new requirements and eligible to renew your registration prior to expiration. DEA registration is required for all UCSF midwives, nurse practitioners, and physician assistants. Click here for recommended actions

Justice, Equity and Inclusion News

Seeking APPs to Advance Health Equity Across the Globe

The UCSF Center for Global Nursing (and Advanced Practice) are seeking APPs to partner with them on initiatives to advance health equity across the globe. There are two required pieces of training that need to be completed by end of 2023--a free 4 hour virtual course on Cultural Humility offered in May, Sept, Oct. and a free online asynchronous GH101X. To find out more about becoming a member, fill out this form. Any questions, please reach out to [email protected].

UCSF Health News

National Nurses Week

This week UCSF is celebrating National Nurses Week.

Nurses comprise almost one-third of UCSF Health’s employees. They are the people who spend the most time with our patients and families, who rightly earn their highest trust and respect at their most difficult times. Not surprisingly, according to Gallup, nurses continue to garner the highest ethics rating from Americans among a diverse list of professions, a distinction they have held for more than two decades.

Their compassion and expertise are a primary reason why so many patients choose to be seen at UCSF Health. And their courage and selfless actions during the pandemic to help others - not just here but across the country - are legendary.

UCSF nurses’ dedication to their profession also resulted in UCSF Medical Center and UCSF Benioff Children’s Hospital San Francisco earning the prestigious Magnet designation for excellence in nursing by the American Nurses Credentialing Center for a third time.

There are many activities planned this week to celebrate nurses, and you can show your support in the following ways:

Sending a personal message through the THANKS program
Nominating a nurse or nursing team for a PRIDE Experience Award
Nominating a nurse for a Daisy Award in the West Bay and East Bay
Using a UCSF Health or BCH Zoom background
Sharing your messages of gratitude and team photos on social media with the hashtag #UCSFNurses and tag @ucsfhealth/@ucsfchildrens (@UCSFHospitals n Twitter)
Asking patients to send an email of appreciation, including the full name of the nurse they’d like to thank

Hospital COVID-19 Worker Retention Payments

If you worked onsite July 28, 2022-October 28, 2022, APPs are eligible for part time (up to $1250) if worked 100-399 hours or full time payment (up to$1500) if worked over 400 hours. This is funded by the Department of Health Care Services (DHCS) and is inaddition to the $500 payment eligible employees will receive via their paycheck by no later than July 16, 2023. Payment details and dates will be updated in HR umbrella.

New APPs Who Joined UCSF Health

Please extend a warm welcome to our newly hired APPs

Donna Garay, NP NeuroSurgery

Sandra Calderon, NP Cancer Center Infusion Mission Bay

Emily Kantoff, NP Cancer Center Psychosocial Services

Pamela Lee, NP Infusion Center Berkeley Outpatient

Jazmynn Orellana-Noia, NP Hematology-BMT inpatient

Ray Roazol, CRNA Anesthesia

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 applicant notes your name at time of application submission.

Click here to view all APP openings--20 job openings posted in April

APP Virtual Open House--explore APP career options at UCSF

Thursday, May 11, 2023 4-6pm

Scan the QR code (right) or click here to register

Attend this virtual open house to find out more information about open UCSF Health APP positions (Adults, Peds, ambulatory or inpatient) and speak directly with the hiring manager. Click here for more information.

Quality and Safety

Inpatient Hand-off--effective today, May 9th

All inpatient providers who use the signout or handoff tools need to transition to using the APeX Handoff Tool. Click here for tip sheet for the handoff tool.

This tool will take the place of all other signout workflows, including the Sign Out Notes Primary Team and the Sign Out Notes for consultants. If you are using these other workflows, you will need to switch to using the Handoff Tools. The tip sheet demonstrates how to: create and edit the handoff, how to add columns to your patient lists, and how to print the handoff and handoff report.

Today, May 9th, the Sign Out Notes reports will become “frozen”, such that they are no longer editable. On May 10, most fields in these reports will be deleted. The one day of overlap will allow time to copy over any important information. Reason for Change: Epic is continuing to develop Handoff and the Handoff is available in Haiku unlike Signout Notes Primary Team. It’s also saved per context (e.g. DHM and Surgery can both edit Handoff and have it show up differently for each specialty).

MyChart Results Release--effective today, May 9th

Most pathology, genetic, HIV and hepatitis test results will be changed from a 14-day delay in MyChart to immediate release. Results that may reveal a new diagnosis of cancer, HIV or hepatitis will be delayed 5 calendar days. Ordering clinicians should ensure that these results are communicated to patients within 5 calendar days.

Patient Education Videos--Mytonomy

Mytonomy is a set of online video libraries that is replacing previous educational tool--Emmi (videos). This new platform offers a variety of micro (1-3 min) video libraries that can assist patients with topics such as chronic disease management, informed consent, and patient decision-making around medical procedures and more.

Are available in English and Spanish, and other languages are coming soon and can be requested.
Staff can assign relevant Mytonomy video libraries to patients in APeX, and then patients will see the assigned videos in MyChart.
Provider orders are NOT needed for staff to issue these videos.

Incident/Event Reporting

In current state, BCH-Oak and West Bay (Adult and BCH-SF) have separate incident/event reporting systems. There will now be a synergized platform between BCH-Oak, BCHSF and Adult entities. Post launch BCH-Oak users will have access to an enhanced instance with new functionalities including benchmarking with each other and other UCs. Go Live for Oakland users to submit incidents to West Bay instance June 13, 2023. Click here for more information.

UCSF Health Improvement Poster Symposium call for poster submission

7th Annual UCSF Health Improvement Poster Symposium will be held on Thursday, May 25th, 4-6 pm at the Mission Bay Conference Center. This symposium is a wonderful recognition of improvement efforts and the teams who drive them; it is also been one of the mechanisms to spread innovation and best practices across our institution. Click here for the poster template. The submission deadline is Friday May 5, 2023. Please contact [email protected] with any questions and click here for more info.

Wellness News

Open Invitation to an APP Happy Hour

When: Thursday, June 1, 530-7pm

Where: KingFish Pub and Cafe 5227 Telegraph Ave Oakland, CA 94509

KingFish is an Oakland institution. Read about how the whole building was moved to its current location, click here. Email [email protected] with questions or to RSVP for the happy hour.

UCSF Chapter--Sigma Alpha Eta

Membership to the Sigma Alpha Eta UCSF Chapter is a great way to be recognized for outstanding academic achievement in nursing, receive financial support for research and leadership activities and to be connected globally. You can join via UCSF MyAccess Collaborative Learning Environment. Application deadline May 12th. Induction into the UCSF Chapter on May 31, 2023. If you have any questions, reach out to APP [email protected].

Waste to Art Exhibition

On May 4, 2023 at the Millberry Union, the Office of Sustainability hosted a "Waste to Art" Exhibition that featured many creative and inspirational pieces from objects that would otherwise end up in the waste bin. Check out the Waste to Art Submissions here.