June 2022 Newsletter
APP Spotlight
Fireside Chat with Naomi Jay, RN, NP, PhD, FAAN
Last month we launched this new section, Fireside Chat, by highlighting a member of the UCSF APP community with a brief and intimate interview. That personal conversation with Jonathan Pascual, NP was voted as the most favorite article in the May APP Newsletter. Click here if you want to listen to that chat.

This month, we dialogue with Naomi Jay, RN, NP, PhD, FAAN, UCSF Anal Neoplasia Clinic, Research and Education (ANCRE), Mt Zion Hospital. She is recognized internationally as an educator, innovator and thought-leader in the field of high-resolution anoscopy (HRA). She's retiring from UCSF after 31 years of service. Click above to view the 15 minute video about the "Tushie Queen".
2022 Advanced Practice Nursing Award Recipient
Please help us congratulate your APP colleague, Mary Lesh, MSN, PNP

Mary is a pediatric nurse practitioner specializing in hematology, with expertise in bleeding and clotting disorders. In May, she was awarded the 2022 Advanced Practice Nursing Award by the UCSF Department of Nursing Coordinating Council and PDC Council. She is recognized for her exemplary practice by her peers and other professional colleagues. To learn more about this award and prior recipients, click here.
And The DAISY Award Goes To...
Three cheers for Sydney Gressel, CCRN, MSN, ACPNP.

Sydney received the UCSF DAISY Award.

This award honors and recognizes nurses who work collaboratively with others, serve as a role model for the profession, communicate clearly and effectively, and have made a special connection and significant difference with the patient or family. Click here to read about the origins of the DAISY award.

"Then there was Sydney. What a bright light amidst the darkness! We felt so loved and cared for while under her watch" --anonymous nominator
Click here to learn about Sydney's nonprofit to help feed frontline doctors and nurses.

She works in the pediatric Emergency Department at UCSF Benioff Children's Hospital
APP Education News
MonkeyPox Outbreak

Confirmed cases in the Bay Area and San Francisco

What is Monkeypox and why is it a differential that should be considered?

Monkeypox is completely different virus than the viruses that cause COVID 19 or measles. Monkeypox spreads through direct contact with body fluids or sores or materials that have touched body fluids or sores such as clothing or linens.

Some patients are presenting atypically including with isolated genital and perianal lesions with no prodrome.

Inaugural APP Town Hall June 9, 2022
Announcing monthly APP Town Halls

The Office of Advanced Practice will be hosting monthly Town Halls to provide important updates to you firsthand. Its an opportunity to ask questions and also understand how the Office supports you.

Click here for the June 9, 2022 recording, "APP Utilization: Billable and Non-Billable Work" (must log into BOX)

You don't want to miss the next APP Town Hall
Tuesday July 19, 2022 4-5:00 PM
"UCSF Time Study: Department of Health Care Services requirement for all APPs"
Meeting ID: 972 2606 8095 Password: 456084
Grand Rounds Oakland

When is it? Its every Tuesday, 8-9:00 AM. Click here for full schedule. Contact [email protected] for log-in information

Tuesday, June 21, 2022, 8-9:00 AM
"Hydronephrosis: From Prenatal Imaging to Imaging After UTIs"
Presented by Aris H. Oates, MD Pediatric Nephrologist

Tuesday, June 28, 2022, 8-9:00 AM
"Pandemics in History"
Presented by Elena Conis, PhD, MS, MJ
Graduate School of Journalism Dept of History - CSTMS UC Berkeley
APP Grand Rounds

Thursday, July 28, 2022, 12-1:00 PM
"Updates in Management of Hepatitis B and C"
Presented by Amanda Cheney, DNP

To claim 1-hour CEU for RN/NP/CRNA/CNM, Preregister at Nursing Connect: https://ucsfnursing.csod.com/samldefault.aspx
Search by title: UCSF APP Management of Hepatitis B and C; 
Category 2 CME for PA, no additional registration required

Thursday, August 11, 2022, 12-1:00 PM
"Gender Love and Care"
Presented by Alexander Gilmer, PharmD
APP Standards & Compliance News
The Coding Corner

Do you know when and how to use a modifier?
Learn how to use Modifiers 24, 25 and 57

Why this is important? In the past UCSF Health has used coders on the back end to add appropriate modifiers. Since 2021, we have transitioned to self-coding and no longer can depend on professional coders. Learn what these modifiers are and when is it appropriate to bill E/M level of service with these modifiers.

Learn more about Modifier 57 --specifically for surgical APPs
Learn more about Modifier 25 --when you conduct 2 separate services during an ambulatory visit (such as a procedure)
Learn more and Modifier 24 --specifically for surgical APPs
APEX upgrades for Ambulatory
1.Patient sigs are updated to provide more detail about the medication dose and frequency by repeating the dose amount for each due time.
Previously: Take 2 tabs (650mg total) by mouth 3 times daily.
Updated: Take 2 tabs (650mg total) by mouth in the morning and 2 tabs (650mg) at noon and 2 tabs (650mg) in the evening

2.When CC'd on results you did not order, these lab results will appear in the Results In Basket folder separated from the other results by a CC'd results header

3.Now addend notes directly from Chart Review in the Notes Tab by highlighting a note to edit, then click Edit Note from Notes Tab toolbar

4.Bill for MyChart Messages that require medical decision making and at least 5 minutes of the clinician's time. The compliance note is now automatically populated and includes the date of service

5.All lab results, including micro and pathology results, will be available in the Labs tab of Chart Review

6.To avoid schedule II controlled substance prescription delays, when placing outpatient or discharge medication orders, a window will display which suggests associating a diagnosis with the order

7.There are a growing number of patients that are using MyChart to engage as active participants in their healthcare. To reduce provider burnout and patient MyChart response delays, the recommended strategy is to have a team-based approach by utilizing department level pools to share the In Basket workload and for APPs and physicians to only receive messages/tasks that require their review and action. Click here for more info.

Due July 1, 2022: Mandatory Adult Inpatient APP Diabetes Mellitus Modules

The UCSF inpatient diabetes team has created a series of inpatient diabetes management mini modules that are in the UC Learning Center. The modules are mandatory for one time completion (not annual) for all adult inpatient and adult hybrid inpatient/outpatient APPs. There are 10 mini modules that take approximately 7-10 minutes each. Please complete them by July 1, 2022. For more information click here.
Justice, Equity and Inclusion News
Every May during Asian American, Native Hawaiian, and Pacific Islander (AA and NHPI) Heritage Month and throughout the year, we celebrate and focus on diversity, inclusion, and leadership to advance the AA and NHPI community. This year, our attention turns to better understanding the diversity of this portfolio. When we categorize AA and NHPIs as a single group, it masks the diversity of languages, cultures, and customs of the many countries and regions that are represented. In fact, this monolithic view of AA and NHPIs also makes it difficult to understand the disparities within the AA and NHPI communities from education level to socioeconomic status.
Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) Pride Month is currently celebrated each year in the month of June to honor the 1969 Stonewall Uprising in Manhattan. The Stonewall Uprising was a tipping point for the Gay Liberation Movement in the United States. In the United States the last Sunday in June was initially celebrated as "Gay Pride Day," but the actual day was flexible. In major cities across the nation the "day" soon grew to encompass a month-long series of events. Today, celebrations include pride parades, picnics, parties, workshops, symposia and concerts, and LGBTQ Pride Month events attract millions of participants around the world. Memorials are held during this month for those members of the community who have been lost to hate crimes or HIV/AIDS. The purpose of the commemorative month is to recognize the impact that lesbian, gay, bisexual and transgender individuals have had on history locally, nationally, and internationally.
Join UCSF at the San Francisco Pride Parade 
Sunday, June 26, 2022

UCSF is heading to the annual San Francisco Pride Parade and Celebration! The first 250 people to sign up with our contingent will receive a free T-shirt. Open to all UCSF students, staff, trainees, faculty and friends and family. The exact staging time and location will be shared closer to the date. Don't forget to register here by June 15, 2022.
Professional Development News
Mentorship Matters: For All Things that Matter With Mentorship

Welcome to the first column on APP mentorship. This column will be a conglomeration of profiling mentor/mentee partners, education on mentorship and anything else that sounds interesting regarding mentorship.

The most often agreed upon definition of mentorship is partnership between an experienced person and inexperienced person where the experienced person teaches, guides, coaches the inexperienced person in the goals defined by the pair.

Mentorship is the chance to engage with those who have done "it" before you. Or, conversely, it is the opportunity to guide those coming behind you. It is not a requirement. Many professionals, probably most people in healthcare, have found success without the sounding-board of a mentor. But how much better, easier, or faster could they have achieved their goals with the help of a mentor acting as guide?

As you consider approaching a mentorship relationship, reflect on these qualities and how you can develop the characteristics you so admire. If you are interested, Click here for the mentorship application

Email [email protected] or [email protected] with any questions.
Virtual Peer Advice
The BCH APP Leadership Committee invites you to join their monthly virtual peer advice and support event for BCH East and West Bay APPs. The purpose is to provide peer-to-peer support regarding issues related to professional development, problem solving, resources for workplace issues, and opportunity for APP collaboration- especially for APPs working in settings with few or no other APP colleagues.

You can make a 20 minute 1-on-1 appointment with an experienced BCH APP via the bookings page. Note: Meeting will occur via Microsoft Teams platform. You will receive a calendar invite with meeting details after scheduling.  
Examples of office hour topics include: advocating for APP appropriate role within a service, talking through quality improvement ideas for your clinic, or navigating UCSF programs and resources for APP professional development. Issues that are not appropriate for peer-to-peer office hours will be directed to the relevant UCSF manager, office, or resource.

For more information email [email protected]

The BCH APP Leadership Committee is in need of a co-chair to help lead the committee for FY22-23 in partnership with the current co-chair. Please reach out to Bonnie Taft ([email protected]) or Adam Leonard ([email protected]) with questions or to express your interest. 
New APPs Who Joined UCSF Health

Please extend a warm welcome

Alice Dalizu, Cardiology
Jesuit Nugas, Cardiology
Jennifer Ponzo, CardioThoracic Surgery
Jennifer Warren, ICU
Ashley Sauter, Orthospine
APP Job Corner

Refer an APP colleague to work at UCSF and potentially earn $2000 for yourself. For more info: referral program
Be sure they note your name at time of application submission. There are over 100 available positions and many with $10K sign on bonus for external applicants.

24 new postings in May 2022
Wellness News
Dealing with Fatigue and Burnout
From the UCSF Department of Psychiatry and Behavioral Sciences

After the prolonged period of coping with social distancing and isolation, uncertainty, financial stressors, and changes in every walk of life, most of us feel fatigue, or at least a low level of well-being called languishing.

Why do you feel tired all the the time?
Do you have attentional overload?
Remote work can contribute to fatigue and burnout
Zoom fatigue--take this quiz to measure your level of zoom burnout and see how your score compares to others
The 7 Pillars of Wellness

Emotional Physical * Social * Financial * Environmental * Career * Spiritual

This month features resources for Financial Wellness-- how to effectively manage your long term and day-to-day finances and economic life.

The value of your UC employment goes beyond your salary. As a UC employee, you enjoy a full range of benefits, services and programs. To estimate the approximate value of your total UC compensation, click here.
Let your voice be heard
Discuss whats important to you

Come and chat with your Chief and Directors of Advance Practice Providers during their offfice hours.

Every 2nd Tuesday 12-1:00 PM
Every 4th Wednesday 8-9:00 AM

Meeting ID 916 4136 5715
Password 478753
How much of this content is duplicative (ie information conveyed in other meetings or emails)
none, that is all this info is new to me
0-10% is duplicative
10-25% is duplicative
25%-50% is duplicative
>50% is duplicative
The Office of Advanced Practice Providers is here to support you.

Drop by our NEW OAP Office hours
Every 2nd Tuesday 12-1pm
Every 4th Wednesday 8-9am

Meeting ID 916 4136 5715
Password 478753

Email us at [email protected]

Ivette Becerra-Ortiz, DNP, MPH, NP, RN, NEA-BC, C-PNP
Chief of Advanced Practice Providers
Kurstan Del Rosario, Senior Operations Analyst
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 of Operations
UCSF Health PRIDE Values Professionalism • Respect • Integrity • Diversity • Excellence