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UCSF Advanced Practice Providers August 2024
Published Every 2nd Tuesday
View as a webpage
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Adult Critical Care APP Group Celebrates 20 Years
Submitted by Geoff Lathum, original member and former manager, Erika Wilson, APP Manager
This year the Critical Care APP (formerly CCNP) group celebrates 20 years! In 2004, the 3-person NP group started in the 9ICU. Now there are more than 40 APPs (both NPs and PAs) that cover 7 different ICUs, 95 ICU beds, across 2 hospitals. Amongst the 40 APPs includes 7 NPIII, 6 APP Leads, 2 LeAP Academy graduates, the first APP EBP Fellow, the first Informatics champion, and a graduate of the VA Simulation Fellowship. Many team members are also in pursuit of their DNP. The Critical Care APP group remains committed to the education of the next generation as evidenced by prior manager Thomas Farley creating the first APP fellowship at UCSF-- Surgical Critical Care NP Fellowship (now APP Fellowship). Many APPs have passed through the Critical Care APP group as member, fellow or student before landing in other clinical settings. The group honors one of their best, Mellyn Reading, who succumb to breast cancer in 2017. A special thanks to those in leadership roles that have supported APPs working to the top of their license: Physician colleagues Michael Gropper MD for advocating for the group in the early days, continued support with Matt Aldrich, MD, and the current support of Kevin Thornton MD. We also recognize the APP Leadership that has supported the team throughout the years: Geoff Latham, Thomas Farley, and most recently Erika Wilson and Keith Jabonillo. Congratulations!!!
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New APP-led clinic with Patricia Zendejas, NP
Submitted by Gabriel Schwartz, APP Manager
Patricia Zendejas, NP co-founded the Cancer Diagnostics Service (CDS). The CDS is an APP-led clinic aiming to expedite the diagnostic process for patients with a new suspected cancer diagnosis. Delays in the cancer diagnosis process can be associated with meaningful impacts in patient outcomes. The CDS aims to evaluate patients within 3-5 business days of referral, with an overarching goal to swiftly connect patients with definitive cancer care. Patty serves as the primary clinician at CDS, which has already received approximately 20 referrals. In the upcoming months, CDS plans to expand its reach by accepting direct referrals from primary care and other outpatient clinics at UCSF. Patty has played a pivotal role in establishing and expanding this vital clinic.
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Sarah Donahue, NP Publishes in JADPRO
Submitted by Gabriel Schwartz, APP Manager
Sarah Donahue, MPH, NP, was lead author for a publication in the Journal of the Advanced Practitioner in Oncology (JADPRO), July/August Edition entitled, "A Real-World Evidence Primer for Advanced Practice Providers: Integrating P-Reality X Into Shared Decision-Making for People With HR+/HER2− Metastatic Breast Cancer". Read article.
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Advanced Lung Disease Team (ALD) Improves Discharge Before Noon from 12% to 39%
Submitted by Gauthum Iyer, NP
The ALD medical team focused on improving their DCBN rate to meet at least the UCSF Health goal of 20%. Over the course of one month, not only did they meet the UCSF Health goal, but they exceeded it by 19%. Their tactics were the following and involved the entire team: Notify the patient and their family 1-2 days prior to discharge and expressly tell them discharge will be in the morning; discuss potential discharges on PM rounds to ensure the team is on the same page. Identify barriers for discharge including delivery of medications, final clinical decision/diagnostics and family/transportation issues; discontinue telemetry/continuous pulse oximetry on pre-rounds, notify the bedside RN and inform the patient to get dressed and packed; in addition to bi-weekly MDR rounds, the APP, Pharmacist and Case Manager reviews all the medications and DME needs and orders placed the day before discharge; all patients being discharged are rounded on first in the morning or after pending labs have resulted. These simple tactics resulted in a DCBN rate of 39%. While their patients are far from simple, their tactics are universal and can be replicated by other care teams. Kudos to the entire ALD Medical team for their outstanding achievement.
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APP Town Hall
Tuesday, August 13, 2024 4:10pm-5pm TODAY
Topic: Chow Fund Awardee, Updates by APP Advisory Board Committees
Click here or join with Zoom Meeting ID 926 1530 3922 Password 624616
To view any prior recorded Town Halls, click here.
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APP Education Stipends are Available for West and East Bay
If your abstract has been accepted or you've been asked to speak or panel at a conference, submit an application for reimbursement.
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Pediatric Grand Rounds (East Bay)
Every Tuesday 8-9AM
For Zoom login information, contact: Cristina Fernandez crfernandez@ucsf.edu, 510-428-3885 ext 4343. Full schedule and archived videos (Password: CHRCO).
Tuesday, August 13, 2024 TODAY
“Cleft and Craniofacial Care: Surgical, Speech, and Feeding Considerations" Presented by Jaclyn Kukoff, MS, CCC-SLP and Alexander Ling, MD, MBA, FACS
Tuesday, August 20, 2024
"Pediatric Tuberculosis: Diagnosis, Management and Prevention"
Presented by Prachi Singh, DO, FAAP
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APP Grand Rounds
August 13, 2024 12-1pm Zoom link TODAY
"From Burn-out to Reignited: Restoring A Passion For Practice Through Functional Medicine". Flyer here
Presenter: Lori Aikman, MSN, FNP-C, CFNC
2 steps to Register in Advance
- Point your camera to QR code, or click
- To claim 1-hour CEU for RN/NP/CRNA/CNM. Preregister at Nursing Connect.
- Search by title "Burnout" or "Functional Medicine"
Category 2CME for PA does not require additional registration.
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Take A Step Towards Learning About Evidenced Based Practice (EBP)
The UCSF Leadership Institute has multiple learning opportunities for you to learn about evidence-based practice (EBP). Regardless of where you are in your EBP journey, we have something for you with these four different learning options. Review and register for your preferred course today!
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 includes practice time with an EBP mentor Register here for one of the following sessions or search for “EBP Workshop Series - Micro-Learning Sessions” in Nursing Connect.
- 08/21/24 – Searching
- 09/05/24 – Critical Appraisal, Part 1
- 10/24/24 – Critical Appraisal, Part 2
- 11/21/24 – Implementation Strategies
- 12/12/24 – Evaluating Outcomes/Dissemination
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.
- 11/19/24 – 9:00am-12:15pm (virtual)
Email leadershipinstitute@ucsf.edu with any questions.
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California Academy of Physician Associates (CAPA)--Upcoming Conferences
CAPACon 2024 will be in Burbank, CA
October 3-6, 2024. For more info.
CAPA at Napa will be at the Wine Country - Santa Rosa, CA February 22-23, 2025
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American Association of Nurse Practitioners (AANP)--Upcoming Conference
AANP Fall Conference will be in Reno, CA September 19-22, 2024. For more info.
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Updated NP and PA Core Privileges
The NP and PA Core Privileges have been updated and are on the Office of Medical Affairs and Governance (OMAG) website: https://medicalaffairs.ucsf.edu/privileges
Review these core privileges and reach out to advancedpractice@ucsf.edu if you have any questions. Please note, all APPs must complete e-Logs in UC Me every 2-year reappointment cycle for core privileges and granted standardized procedures privileges. For core privileges, the UC Me e-Logs may be of any provider-level direct patient care activity that you performed and documented in APeX. Examples include new patient evaluations, progress notes, consult notes, procedure notes, and discharge summaries. The e-Logs submitted must correspond to documentation in APeX by the APP in order to pass audit.
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Medical Incapacity Hold Policy
The purpose of the Medical Incapacity Hold policy is to delineate the steps to be taken when a patient without Capacity to Make Healthcare Decisions ("Capacity") is at serious risk of harm, disability or death, attempts or threatens to leave UCSF Medical Center without the provider's approval. The link to the policy (sign in with MyAccess). Questions about the implementation of the policy should be directed to the Office of Risk Management. Click here for a New England Journal of Medicine article on how to conduct a capacity assessment.
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JUSTICE, EQUITY AND INCLUSION | |
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Nurse-Provider Council Seeks APP Involvement
The Nurse Provider Council is led by APP Elisabeth Gunderson and RN Marissa Fung. The council was established to address issues that contribute to: improving patient care, enhancing collaboration between providers and nurses and strengthen communication across the practices. The committee meets via zoom on the 2nd Tuesday of every month 4:10-5pm. Email elisabeth.gundersen@ucsf.edu if interested in participating. Read more.
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APP Justice, Equity, and Inclusion (JEI) Committee
The APP JEI Committee is seeking APP volunteers for its Collaborative Career Advancement Network (C-CAN). APP volunteers are needed to provide shadowing experiences, personal statement review, mock interviews, and mentorship to employees interested in or pursuing a career as an APP. This is a great opportunity to promote the APP professions and help towards the development of our APP workforce! Please email C-CAN@ucsf.edu with questions or to volunteer.
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UC President Michael Drake, MD Steps Down
After five years of leading California's world-renowned public research university system, Dr. Michael Drake, the 21st President of the UC system, will be stepping down at the end of the 2024-25 academic year. As president of the 10 campuses, six academic health systems and three nationally-affiliated labs, President Drake's leadership has shown steadfast commitment to the university's core values. Drake has dedicated his career to championing affordable, accessible and high-quality public higher education. Read more.
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UCSF School of Nursing Moves Out of Parnassus During Demolition
The UCSF School of Nursing building opened in 1972. The 52 year old Parnassus Heights Building was the home to many nursing programs including masters entry, Masters in Science in Nursing and doctorate. The school's operations will temporarily relocate to the UCSF Wayne and Gladys Valley Center for Vision at the Mission Bay Campus. They will stay there until a new nine-floor research and academic building opens at the Parnassus Height campus that also includes the UCSF Health Helen Diller Hospital. Read more.
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Bayfront Medical Building Opening at Mission Bay
The UCSF Bayfront Medical Building is a convenient adult outpatient center for scheduled medical appointment as well as same-day (urgent) care. The new center will provide expert health care in a broad range of specialties, including: Primary Care, Audiology, Cardiology, Hepatology, Outpatient Surgery, Allergy and immunology, etc. Other amenities and services include: valet parking, cafe, pharmacy, imaging including X-ray, Ultrasound and CT. Address is 520 Illinois Street, San Francisco, CA 94158. Celebrate the opening with an open house on Friday August 23 from 12-3pm. Read more.
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Apply for Funding: Innovation Funding and Interprofessional Practice and Education
Innovation Funding for Education 2024. Call for proposals. Deadline September 17, 2024. Contact raquel.rodriquez@ucsf.edu with questions.
Program for Interprofessional Practice and Education (PIPE) Clinical Opportunities Grant. Call for initial concept proposal. Deadline October 14, 2024. Contact Wendy.Brown@ucsf.edu to arrange a consultation
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Call for Proposals for 2024-2025 Clinical Nursing Research (CNR) Grant
This grant provides funding support for pilot research projects led by a collaborative investigator team that includes UCSF Health clinical nurses and UCSF School of Nursing faculty investigators. PAs may apply but team must include at least clinical nurses, NP, CRNA, midwife or CNS whose FTE is at least 50%. Deadline to submit a statement of Interest is Monday September 16, 2024 at 12 noon PST. Email nursingresearch@ucsf.edu with any questions. Read more.
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275+ Job Openings (West Bay and East Bay)
Click here for a full listing of West Bay job openings as of August 2024
Click here for a full listing of East Bay job openings as of August 2024
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Seeking Flu Ambassadors
Occupational Health Services work with over 200 UCSF employees who serve as Flu Ambassador. Flu Ambassadors make getting vaccinated easier by administering in their practice areas to faculty, staff, students and volunteers. For more info on being a Flu Deputy and attend the Flu Summit on Wednesday August 28, 2024 8-10am (zoom webinar). Read more.
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APP Informatics Committee Outreach
Frustrated with APeX functionality? Wishing there was a quicker, more efficient way to do things? The APP Informatics Committee is here to help! The Informatics committee is made up of a dedicated group of advanced practice providers who can educate and assist with optimization of APeX. If you have an idea on how to improve APeX in your practice area, please email AdvancedPractice@ucsf.edu and you will be put in touch with an Informatics Committee member.
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Efficiency Checklist
Are you an efficient user of APEX? Use this checklist and see how efficient you really are.
Request a one-on-one PEAK trainer who will teach you all available tools in APeX and provide any tips and tricks that can make your day-to-day workflow more seamless.
Email PEAK@ucsf.edu requesting their assistance.
Compliance Education Department
There is an Education team that can help with your questions about E&M documentation and coding. Email providercoding@ucsf.edu to make an appointment.
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August is National Wellness Month
Celebrate National Wellness Month in August by joining UCSF Wellness Programs in the annual Wellness Bingo Challenge.
We encourage you to do as many of the activities on the Bingo Board as you can. Download a bingo board here and sign up to receive weekly reminders throughout the month of August to help you complete a Bingo square each week of the Challenge. Wellness tips will also be included to help more ways to support your well-being all month long.
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Save the Date: UCSF Block Party October 2, 2024
Wednesday October 2, 2024 11am, UCSF Block Party will be held at Gene Friend Plaza at UCSF Mission Bay. This year includes music, games, food and prizes.
For more info
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Upcoming NP III Application Due Dates
Do not wait until the last minute--review the application requirements here.
The clinical ladder committee is offering pre-submission guidance to any applicant. Email advancedpractice@ucsf.edu for more information.
Reappointment NP III application deadline Friday, August 30, 2024
Initial NP III applications deadline Friday, September 27, 2024
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Office Hours: Office of Advanced Practice Providers
Every 2nd Tuesday at noon* and every 4th Wednesday at 8:00 AM
*if APP Grand Rounds is at noon, then Office Hours will be 8-9 AM
Meeting ID: 912 4155 9875 Password: 503138
Tuesday, August 13, 2024 8-9 AM TODAY
Host: Brandon Sessler, Director of Professional Practice
Wednesday, August 28, 2024 8-9 AM
Host: Kurstan del Rosario and Ivette Becerra-Ortiz, Chief of Advanced Practice
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Office of Advanced Practice Providers (OAPP) Leader Rounds
At the end of July 2024, the OAPP leadership team of Ivette Becerra-Ortiz, Alisa Yee, Brandon Sessler, Roseanne Krauter and Tara Valcarcel started to conduct in person leader rounds in various clinical departments (inpatient and outpatient, pediatric and adults). The purpose of meeting you in person is to understand how you feel about your work, understand how you spend your work time and ask if its meaningful to you, and understand if your strengths and skills are/are not being fully recognized. It is important to identify themes as OAPP seeks to improve the current APP work experience. If you have questions/comments, please email advancedpractice@ucsf.edu.
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Roseanne "Rosie" Krauter, Director of APP Clinical Systems and Informatics,
on Leave of Absence August 7, 2024-March 3, 2025
If you need assistance during her leave, please reach out to the following persons:
APP Revenue and Utilization: Emilie Menard, Emilie.Menard@ucsf.edu
APP Informatics: Diana Allocco, Diana.Allocco@ucsf.edu
Scheduling: Christian Sendaydiego, Christian.Sendaydiego@ucsf.edu
Escalations: Ivette Becerra-Ortiz, Ivette.Becerra-Ortiz@ucsf.edu
APP Adult Operations: Alisa Yee, Alisa.Yee@ucsf.edu
APP Pediatric Operations: Tara Valcarcel, Tara.Valcarcel@ucsf.edu
APP Professional Practice: Brandon Sessler, Brandon.Sessler@ucsf.edu
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Christian Sendaydiego Administrative Assistant | |
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Kurstan Del Rosario Senior Operations Analyst
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Tara Valcarcel, MSN, RN, CPNP-PC Director, Pediatric Operations Advanced Practice Providers | |
Roseanne "Rosie" Krauter, FNP-BC, CORLN Director of Clinical Systems | |
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Brandon Sessler MMS,PA-C
Director of Professional Practice Fellowship Coordinator
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Alisa Yee, MSN, ACNP-BC
Director, Adult Operations Advanced Practice Providers
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Ivette Becerra-Ortiz, DNP, MPH, NP, RN, NEA-BC, C-PNP Chief of Advanced Practice Providers | |
UCSF Health PRIDE Values Professionalism • Respect • Integrity • Diversity • Excellence | | | | |
