UCSF Advanced Practice Providers July 2024

Published Every 2nd Tuesday

APP SPOTLIGHT

Sam Marcus Receives 2024 Friend of APP Award

Sam Marcus is the lead Revenue Analyst and has been with UCSF Health since 2012. Sam has built and streamlined many processes to ensure accurate capture of Advanced Practice Provider billing. His dedicated work ensures that APPs receive credit for their patient care services. Sam ensures our billing practices are up to date with the ever changing regulatory landscape. His expertise applies to all practice settings and profession types. His technical skills and abilities are extensive which applies creatively to problem solving. Above all, Sam is patient, collaborative, and generous with sharing his knowledge. The Friend of APP award is awarded to individual(s) who has made a significant contribution throughout the year for APPs. Sam joins the distinguish list of prior Friend of APP award recipients that include

2023: Jason Salinger (Children's Services Ambulatory Operations VP)

2022: Kim Dimino (Risk Management Executive Director)

2021: Paul Axelrod (Learning Development Consultant), Erin Todaki (Continuous Improvement Project Manager)

2020: Stephen Lee (Medical Staff Analyst)

2019: Carlos Mendoza (HR Compensation Manager)

2018: Luke Hones (HR IT Analyst), Hanh Quah (Enterprise Info & Analytics Director)

2017: Alaa Rashadan, HR Profile Analyst

Diana Dukovny Named APP Supervisor for Adult PREPARE

Submitted by Shirley Darwish, Adult PREPARE manager

Congratulations to Diana Dukovny, FNP-BC, MSN, FAANP for being named the inaugural APP Supervisor- Adult Prepare. Diana is an experienced healthcare professional passionate about patient care and advocacy. After graduating from USF SON in 1998, she began her career in the intense environment of Kaiser ICU. In 2002, she furthered her education by graduating from UCSF SON as an FNP. Diana’s career turned pivotal upon joining UCSF PREPARE Clinic in 2003. Her commitment to enhancing patient outcomes has earned her recognition among peers and patients. Diana worked as a Triage and Lead Nurse Practitioner, excelling in prioritizing patient care and clinical decision-making. Her role involved not only direct patient care but also mentoring new APPs and anesthesia residents and advocating for patient-centric care. Diana served as a board member of the UCSF APP Advisory Board from 2011-2014. Since 2017, Diana has been a member and served as a chair (2020-2022) of the UCSF APP Onboarding Committee, playing a crucial role in welcoming and integrating new APPs into the institution. In 2018, Diana was promoted to NP III, a testament to her dedication to excellence and leadership in healthcare. Her leadership extends further as an active member of the PREPARE APeX Anesthesia Governance Steering Committee and the PREPARE Education Committee. Since 2019, Diana has volunteered as an associate clinical professor at the UCSF School of Nursing, contributing to the education and development of future APPs.Diana volunteered as a certified bilingual provider for the UCSF Health Telehealth Program. She did a Russian voice-over on instructional videos on getting set up for a video visit for computers and smartphones. Outside of clinical practice, she volunteers as a captain of the UCSF RACE medical team at the SF Golden Gate Marathons. Congratulations to Diana on her new role.

CT Surgery APP Team Recognized For Their Incredible Work

Submitted by Lisa Tanimune, CT surgery APP manager

The CT Surgery APP team has been working incredibly hard to take care of the sickest patients in the hospital while being extremely short staffed. They have continued to work to the top of their scope and manage heart transplant patients, Extracorporeal Membrane Oxygenation (ECMO) patients, and all cardiac and thoracic surgery Transitional Care Unit patients. All have continued to maintain the highest standard of care and positive attitude. You are greatly appreciated. Thank you for all of your hard work.

An Innovative APP-led Clinic

Submitted by Nadine Wlasiuk, DNP

Nadine Wlasiuk, DNP and Ben Cachapero, RN implanted the first implantable loop recorder (ILR) at the Heart and Vascular Center ambulatory clinic on the Parnassus campus in April 2024. This APP-led ILR clinic will offer patients a safe, convenient, and comfortable environment and experience in the outpatient setting. Evidence suggests that ILR implantation in the outpatient setting provides better allocation of resources, reduced costs, with improved patient and implanting provider experience. This workflow will expedite ILR implants from electrophysiology (EP), general cardiology, and neurology. Patients referred for ILR outside of EP, will see an EP APP in consultation prior to implant. After implant, the ILR will be followed remotely by the EP clinic device team and the referring provider. The electrophysiology management, clinic, and administration teams were instrumental in building this opportunity for our patients.

Gabriel Schwartz Lead Author in Review Article

APP Manager Gabriel Schwartz in the Helen Diller Family Comprehensive Cancer Center published a review article in the Journal of Advanced Practitioner In Oncology (JADPRO) March 2024 edition. The article discussed bile duct cancer and the practical management of adverse events associated with Fibroblast Growth Factor Receptor Inhibitors as treatment for the cancer.

Laura Zitella Presents at CLL Society

CLL Society is the world's leading authority for chronic Lymphocytic leukemia and small lymphocytic lymphoma cancer patients. The society is devoted to serving the community through CLL and SLL education, support, advocacy and research. UCSF APP Laura Zitella, MS, RN, ACNP-BC, AOCN in the Hematology, Blood & Marrow Transplant and Cellular Therapies Program in the Helen Diller Family Comprehensive Cancer Center presented to over 600 attendees as she discussed the timing of CLL treatment and the various factors to consider when navigating the disease journey. Click here to view her June 2024 presentation and learn more about the CLL Society.

APPs Jennifer Osborn and Katie Gibson Recognized by Primary Care at China Basin

submitted by Rossana Segovia, Administrative Nurse Manager

The Risk Capture program in the Office of Population Health have recognized APPs Jennifer Osborn and Katie Gibson for their number of Annual Wellness Visits they each have performed in 2023: one of the highest across UCSF Primary Care. Katie and Jennifer are proof that APPs are extremely valuable, productive and are outstanding providers.

Inpatient Hospice Elisabeth Gundersen Speaks in Hawaii

Elisabeth Gundersen, MS, NP-BC, ACHPN, inpatient hospice, Division of Palliative Medicine traveled to Hawaii to speak at the Hawaii Primary Care Conference. She spoke to her family's experience with the 2018 Camp Fire, community based disaster response and the free clinic established after the fire.

EDUCATION

APP Town Hall

Tuesday July 9, 2024 4:10pm-5pm TODAY

Topic: APP Spotlight Brenna Esparza, NPIII, California Children's Services co-sign Requirements, Orientation to Office of Advanced Practice Providers Website

Click here or join with Zoom Meeting ID 959 8853 0508 Password 161006

To view any prior recorded Town Halls, click here.

Critical Care APP Interprofessional and Collaborative Journal Club

Date: Thursday July 25, 2024

Time: 12-1pm

Topic: From Novice to Expert: An integrative review of strategies to enhance the novice APP's clinical reasoning skills

Guest Collaborator: Hanna Lee, MICU NP

Zoom info: click here or Meeting ID: 953 5422 9187 Password: 497905

For more information contact Emily Kelly, AGACNP-BC at emily.kelly3@ucsf.edu

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.

Pediatric Grand Rounds (West Bay)

Every Thursday 12-1PM

Full schedule and archive videos.

No Grand Rounds in July or August. See archived videos.

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, July 9, 2024 TODAY

“Let's Inspire Pediatricians to Improve Diet and exercise using Medications If Appropriate (LIPIDEMIA)" Presented by June Tester, MD MPH

Tuesday, July 16, 2024

"Mast Cell Activation Syndrome in Developmental and Behavioral Pediatrics" Presented by Donna Kirchoff, MD, FAAP

APP Grand Rounds

July 9, 2024 12-1pm Zoom link TODAY

"Yes and Medical Improv Works!"

Presenter: Pamela Lambert, MSN, MBA, RN. Click for flyer.

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 "mental flexibility" or "Resilience" or "improv techniques" Category 2CME for PA does not require additional registration.

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.

07/24/24 – 9:00am-12:15pm (virtual)
11/19/24 – 9:00am-12:15pm (virtual)

Email leadershipinstitute@ucsf.edu with any questions.

STANDARDS & COMPLIANCE

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.

The Colposcopy standardized procedure has also been updated and is available at: https://medicalaffairs.ucsf.edu/standardized-procedures

Want more training for APEX template build or advanced scheduling?

Drop into any of these APeX Training Office Hours

July 9, 2024 9-10am TODAY

August 13, 2024 9-10am

September 10, 2024 9-10am

Use the Zoom link below to drop-in during monthly office hours.

https://ucsf.zoom.us/j/94134819060?pwd=RHNNaDN2c204TzJOREgvcG9WRkptZz09

This is not a meeting, but a forum to provide end users with immediate training support regarding questions on new releases, or other training-related issues (i.e., template build, registration errors, advance scheduling techniques).

Check out other tips and FAQ on the APeX training Knowledge Bank website

103NPs Please Read

NPs whose license has changed with the California Board of Registered Nursing to 103 or 104 must notify Office of Medical Affairs and Governance. For UCSF Health FAQ about AB890.

Renew your BLS, ACLS, and PALS

Don't wait to the last minute to renew your BLS, ACLS or PALS. Sign up for a course at any of the 45 locations throughout the bay area with Safety Training Seminars (STS). UCSF will cover the cost of the course (if required on your job description). Use NEW promo code: UCSFAP

Upon completion of the course, it is your responsibility to inform Office of Medical Staff Affairs and Governance by submitting the new certificate information using this link.

JUSTICE, EQUITY AND INCLUSION

Asylum Medicine Training Initiative

The Asylum Medicine Training Initiative (AMTI) is proud to announce a new online course created by a national collaboration of experts and featuring peer-reviewed best practices in asylum medicine. The course is free for health, human rights, and legal professionals. After completing the first five mandatory modules of this course, participants will be qualified to conduct forensic medical evaluations with prominent asylum medicine organizations, including physicians for Human Rights. To complete introductory training or for any learning or review about particular topics in asylum medicine, visit www.asylummedtraining.org.

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.

UCSF HEALTH

Pharmacy and Therapeutics Formulary Additions

Submitted by Elise Wozniak, PharmD

On behalf of the Pharmacy & Therapeutics Committee, there are many changes and additions that affect pediatric and adult inpatient and outpatient UCSF Medical Center formulary. Click here for the comprehensive list.

Office of Advanced Practice Providers (OAPP) Leader Rounds

Starting in mid-July 2024, the OAPP leadership team of Ivette Becerra-Ortiz, Alisa Yee, Brandon Sessler, Roseanne Krauter and Tara Valcarcel will be conducting 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.

UCSF Integrates Timekeeping, Scheduling and APeX into One Platform

For West Bay only, the state-of-the-art system called MyTime will save time and simplify administrative processes so more time can be spent caring for patients, while giving you more control to schedule shifts and track your hours. MyTime will replace four of our current systems - HBS for time and attendance, and Clairvia, StaffReady and OnOrOff for scheduling--some of which have been in place for decades. MyTime will have unprecedented transparency to the information that you need most in real time 24/7. Read more

UCSF Health Employee Engagement Survey Results

Takeaway from this years results for UCSF Health

-Participation was 70% this year, down from 75% in 2023

-Overall engagement results improved slightly by 0.01 to 3.88 in 2024, but generally plateaued.

-The accountability index which measure how we acted on the information you provided in last year's survey rose by 0.03 to 3.74.

-Our belonging index which measure the inclusivity of our environment dropped slightly by 0.02 to 3.75.

More information including the slide deck and webinar recording can be found here.

125 APP Job Openings (West Bay and East Bay)

Click here for a full listing of West Bay job openings as of July 2024

Click here for a full listing of East Bay job openings as of July 2024

QUALITY & SAFETY

Sepsis in Adults and New Features in APeX--New

An improved Hospital Acquired Sepsis (HAS) Pathway went live on July 1, 2024 for all adult inpatient providers. The overarching goal is to reduce the incidence of hospital acquired sepsis mortality by reducing sepsis occurrence and severity at UCSF. The pathway will help reduce alert burden, enhance clinical management, and to improve the sepsis bundle completion. You will see best practice Advisory Alerts with an option to open the sepsis orderset and a link to the new sepsis clinical summary. Read more.

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.

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.

WELLNESS

Cobb's Comedy Club & Punch Line --Free Tickets

Free Stand-Up Comedy Tickets: Cobb's Comedy Club and Punch Line Comedy Club are offering the UCSF community tickets to select number of shows. Limited tickets are available on a first come, first serve basis. Ages 18+ and a two-drink minimum purchase at the venue (non-alcoholic drinks counts). Reserve your seats.

Click on this link to RSVP to receive your free tickets at sign up.

Cobb's Comedy Club 915 Columbus Ave SF CA

Dates: July 11, 14, 24 Time: 730pm

If you have questions, please contact ayahmouhktar@livenation.com

Punch Line located at 444 Battery St SF CA

Dates: July 12, 14, 16, 17, and many more Time: varies

If you have questions, please contact elliwilliams@livenation.com

Fun Ride with UCSF Bikes

Ride to Brisbane via Bay Trail

Date: July 21, 2024

Time: 10:45am-2pm (11am departure)

Meeting Location: Philz Coffee 5 Embarcadero Center SF 94111 Market Street across from the Ferry Building. Fill out and bring this Activity Waiver to the event.

Whether you're a seasoned cyclist or just starting your bicycle journey, everyone is welcome to join us on this 20-mile mostly flat route, there is a hill. Required items for ride include your bike, helmet, lock, a snack and water bottle(s), lunch money for and-of-ride lunch (optional). Lunch location TBD.

Feel free to reach out to ride leads, Marilyn Marilyn.Bazinski@ucsf.edu, Malinda Malinda.walker@ucsf.edu and Titus Titus.ponrathnam@ucsf.edu with any questions.