UCSF Advanced Practice Providers November 2023 Newsletter

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APP SPOTLIGHT

Will Wood, PA recognized as UCSF Health Lean Champion

Congratulations to Will Wood, PA APP Manager Emergency Department for completing the Improvement and leadership Development Program teach back. Teach back is the culmination of UCSF Health's most intensive continuous improvement training program. Participants are evaluated on knowledge and comprehension of fundamental principles. Will delivered three oral presentations and demonstrated an exceptional grasp of complex improvement systems. "The Lean program is a great way to think outside the box and helps simplify complex problems", says Will. To learn more about the UCSF Health Improvement and Leadership Development Program, click here.

Transplant NPs in the community

The solid organ transplant NPs Lisa Gallagher, Megan Keating, Marilyn McEnhill and Jessica Brennan along with committee chair Michelle McMahan, Manager, Public Relations and Special Projects hosted the 26th annual transplant picnic for patients and families that have undergone lifesaving kidney, liver and heart transplants. Parents from each organ team gave heartfelt accounts on their journey through organ transplant. Read Jason's story, a two-time organ donor who has undergone both kidney and liver donor surgery at USF Health.

APP Leading Pediatric to Adult Transition Clinic

Natalia Zorrilla, PNP within the Pediatric Brain Center (PBC) was recently assigned to lead the young adult transition clinic in the Pediatric Headache Center. Established patients at the headache clinic will now have access to a provider that not only will continue to care for their headache disorder but will coach them in the process of transitioning their care to adult healthcare. Natalia also is in the process of building into Epic a validated and reliable transition planning tool that will streamline the process, allowing a smoother transition for both patients and clinicians.  


Advanced Heart Failure APPs Contribute to the Literature

The Journal of American Association of Nurse Practitioners published in October 2023 "Early referrals save lives in advanced heart failure" authored by UCSF Advanced Heart Failure APPs Yu "Janet" Wu, Yuri Nam, Irina Yurkova, Angel Rich, Lina Gao.

Mitchel Erickson, DNP Publishes On Prioritizing Care of Older Adults

The Journal of Geriatric Emergency Medicine published in its Summer 2023 Issue "Prioritizing Care of Older Adults in Times of Emergency Department Overcrowding" co-authored by Mitchel Erickson, DNP. Read more

EDUCATION

Leadership Academy for Advanced Practice Provider (LeAP)

Accepting applications until December 1, 2023

The UCSF Health Office of Advanced Practice Providers and UCSF Leadership Institute encourages you to apply for the Leadership Academy for the Advanced Practice Provider (LeAP). Its an innovative nine-month leadership training program that runs March of 2024 through November of 2024 and is designed specifically for APPs. Application available here and due December 1, 2023. Read more with this flyer or email [email protected] with questions.

Teach in the School of Nursing Department of Family Health Care Nursing

If you are an experience APP with Primary care background and want to teach in the Winter Quarter from 1/2/24-3/22/24, 8 hours per week for 12 week, in person at Parnassus on Thursday mornings from 10-12noon. Contact [email protected], if you are interested in the opportunity.

Pediatric Grand Rounds (West Bay)

Every Thursday 12-1PM

Zoom link. Full schedule and archive videos.

Thursday, November 16, 2023 Mort Cowan, MD, Jennifer Puck, MD and Janelle Facchino cPNP-AC. Lentiviral Gene Therapy for Artemis-Deficient Severe Combined Immunodeficiency Disease: Making ends Meet.

Thursday, November 30, 2023 Thomas Arnold, MD. Molecular Medicine Series.

Pediatric Grand Rounds (East Bay)

Every Tuesday 8-9AM

For Zoom login information, contact: Cristina Fernandez [email protected], 510-428-3885 ext 4343. Full schedule and archived videos (Password: CHRCO).

Tuesday, November 14, 2023 TODAY

"Antimicrobial Stewardship Toolkit for outpatient Pediatrics". Presented by Prachi Singh, DO Pediatric Infectious Disease Specialist

Tuesday, November 28, 2023

"Urticaria". Presented by Sara Kleinman, MD Clinical Pediatric Allergy and Immunology

APP Grand Rounds

Tuesday November 14, 2023 12-1PM TODAY

Evidence-Based Insomnia Strategies for the Busy Clinicians in Clinic

Presented by Greg Roussett PMHNP-BC, Ph.D.

2 Steps to Register in Advance

  1. Point your camera to QR code or visit here
  2. To claim 1-hour CEU for RN/NP/CRNA/CNM. Preregister at Nursing Connect

Search by title "Insomnia" or "evidence-based strategies". Category 2CME for PA no additional registration required.

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 7th percentile for Epic organizations. Form this feedback the Office of Advanced Practice Providers developed an ongoing APeX training program specific to APPs.

Objectives:

  1. Implement efficiency tips designed to improve workflows
  2. Utilize APeX personalization features
  3. 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]

STANDARDS & COMPLIANCE

Inpatient, Ambulatory and Beacon ApeX Fall Upgrades

starting November 14, 2023

Inpatient: Some Respiratory Care Services NIPPV/CPAP rows are being retired and new rows created to capture parameters for all modes of ventilation. This change will affect several reports including COMP report. Read more.

Patient MRI Safety

Review this MRI tip sheet for information about implants, foreign bodies and jewelry when communicating to your patients. Read more.

Ambulatory APeX Fall updates here.

Beacon Provider APex Fall Upgrades here.

APP Billing and Coding Overview Module past due October 31, 2023

The UC Learning module Advanced Practice Provider Billing and Coding Overview was due for completion by 5pm on Tuesday, October 31, 2023. The module will take 60-90 minutes to complete and is mandatory for UCSF and BCH Oakland CNMs, NPs, and PAs. Follow this link to the module. CRNAs do not need to complete the module. 

Tip Sheet for Prolonged Services G2212 or CPT 99417

What are G2212 or 99417?

Do you spend alot of time caring for a patient on the date of the visit that surpasses the typical time for level 5 (99205/99215) office visits? This includes ordering medications, tests, procedures, communicating with other clinicians, documenting in the health record, reviewing obtained history, when shared visits (MD/APP) extended time thresholds are met. The E/M visit must be coded by time AND only time on the date of the patient visit. . Click here for more info

JUSTICE, EQUITY AND INCLUSION

UCSF APP JEI committee focuses on underrepresented groups


Are you wanting to help support and mentor a UCSF employee in their pursuit of an APP career. No preparation is needed; just a willingness to share your experiences and answer questions about your APP role. Please email [email protected] for more information and to volunteer as a C-CAN APP mentor. Read more.

On-Line Training offered by National LGBT Health Education Center

Choose from trainings such as:

·       Sensitive and Affirming Communication

·       Sexual and Gender Minority Terms and Concepts

·       Behavioral Health Care for LGBTQIA+ People

·       Foundations of LGBTQIA+ Health, Parts 1 & 2 (for clinical, non-clinical and

administrators)

Registration steps here and use UCSF’s HEI Facility ID/Code:   55831

CME/CEU's available in many cases. Email Amy Hyams, Patient Experience Partner [email protected]

UC Gender Recognition and Lived Name: An Introduction to Gender Awareness

Consider taking this new training that will introduce you to terms and concepts related to gender and non-binary identities, as well as best practices for name, pronoun and title usage. The training takes about 20 minutes to complete.

See "Managing Your Name and Data" for information about how to change your name in UC Path.

UCSF HEALTH

APP Town Hall

Tuesday, November 14, 2023 4:10PM-5PM TODAY

  • Presenting your Work: Posters and Podiums
  • Resources for Research
  • R2024 clinical Inquiry Conference

Meeting ID: 919 3225 6599 Password: 316652

One click to join or call in 213 338 8477

Click here to complete a short Qualtrics survey on APP Town Halls.

Open Enrollment Closes November 17, 2023

Review your 2024 employee medical plan contribution, compare plans and make sure your current choice still works for your health care needs and budget.

Accolade is your advocate for PPO benefit questions. Register at member.accolade.com or call (866) 406-11182. Go to ucal.us/oe.

BCH Mission Bay Inpatient Expansion

The first and fifth floors at BCH Mission Bay will be transformed into a new state-of-the-art pediatric neurology unit and expanded pediatric transitional care space, adding at total of 10 inpatient beds. Construction will begin on both floors in November, with an estimated completion date in late 2024 and first patients being seen in early 2025. This expansion necessitates the decommissioning of overnight bed spaces currently operated by Ronald McDonald House (RMH) as well as kitchen, lounge and laundry facilities. RMH will continue to provide two daily free meals for pediatric families and visitors through the Center for Families on the sixth floor.

New APPs Who Joined UCSF Health

Please extend a warm welcome to our newly hired APPs


Katherine Chong, NP Cancer Center San Mateo Infusion

Sherry Tran, NP Adult liver Transplant

Emily Montemagno, CRNA Anesthesia

APP Job Openings

For full listing of current West Bay job openings as of November 2023

QUALITY & SAFETY

Evidenced-Based Practice E-Learning Modules (virtual)

This e-learning module series provides interprofessional frontline care providers a basic introduction to understanding and improving their EBP knowledge. The online experience is self-paced and can be a great way to get a start on EBP fundamentals or reinforce knowledge that you want to review. You will be awarded 10 contact hours upon completion of all content, which is divided into seven modules. Each module is accompanied by an EBP Playbook, which stimulates critical thinking in applying the EBP concepts. Register here for the modules or search for “Evidence-Based Practice E-Learning Series” in Nursing Connect. 

Email [email protected] with any questions.

Introduction to Evidence-Based Practice (virtual) 

This workshop provides the foundational concepts of the EBP process to answer a clinical question. Topics include clinical inquiry, PICOT, searching principles and strategies, critical appraisal, implementing and sustaining change, evaluating outcomes, and disseminating results. Register here for one of the following workshops or search for “Introduction to Evidence-Based Practice” in Nursing Connect. Email [email protected] with any questions.

·        11/28/23 – 9:00am-12:15pm (virtual) 

·        12/12/23 – 9:00am-12:15pm (virtual) 

EBP Workshop Series - Micro-Learning Sessions (virtual) 

These workshops separate each of the EBP steps into digestible sessions. You can hand-pick which session you want or register for them all. This type of learning experience is great for those who need a refresher or just want to concentrate on honing specific EBP skills. This learning experience include practice time with an EBP mentor. The sessions will be offered in the coming months and continue in 2024. Register here for one of the following sessions or search for “EBP Workshop Series - Micro-Learning Sessions” in Nursing Connect. Email [email protected] with any questions.


·        12/14/23 – Exploring the Problem and Developing a PICOT Question (9:00am-12:00pm, virtual)  

·        12/19/23 – Searching for the Evidence (9:00am-12:00pm, virtual) 

WELLNESS

Introduction to Mindfulness Self-Compassion Course

Join Faculty and Staff Assistance Program (FSAP) clinicians for a virtual eight-week mindfulness based self-compassion course this winter. The course meets at 4pm on Tuesdays from Nov 28-Jan 23 (excluding the last week of December). Attendance at Intro and information session on November 16 12-1pm is mandatary to participate in the course. Read more.

Step It Up Wellness Challenge

Registration for the annual Step It Up wellness challenge is open! Step It Up is designed to help you prioritize your wellbeing during this fall and holiday season. The challenge is completely virtual so whether you are on campus or working from home, you can participate. Join as an individual or participate as a team with your colleagues. Weekly prizes available. Sign up now for the 10th anniversary of Step It Up which runs November 13 to December 15! Register here.

SKY Campus Happiness Retreat

This is a 3-day workshop organized by the UCSF SKY Breath Meditation RCO and aimed to benefit the well-being of faculty and staff at UCSF. Reserve: tiny.cc/UCVIVI

Dec 8-10, 3 Zooms.

Friday 5pm-8pm, Sat/Sun 10am-1pm

REMINDERS

UCSF APP Advisory Board

The advisory board is comprised of 23 seats occupied by APPs representing all of UCSF's APPs. The build the systems for the functioning programs, decide which programs need to be eliminated and what services need to be initiated. Read the minutes from their monthly meetings here and if you have questions or want to get involved, contact Advisory Board Chair [email protected].

Office Hours: Office of Advanced Practice Providers

every 2nd Tuesday noon and every 4th Wednesday 8:00 am

Meeting ID: 912 4155 9875 Password: 503138

Tuesday, November 14, 2023 12-1PM TODAY

Host: Tara Valcarcel, Director of Operations, Pediatric Services

Wednesday, November 29, 2023 8-9AM

Host: Ivette Becerra-Ortiz, Chief of Advanced Practice Providers

The Office of Advanced Practice Providers is here to support you.


Email us at [email protected]

Read archived APP newsletters

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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