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UCSF Advanced Practice Providers June 2024
Published Every 2nd Tuesday
View as a webpage
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Roxanna Benavides, NP and Neil Wiegand, PA-C Goes Global
Roxanna Benavides, NP, General Surgery (in photo: left) and APP manager Neil Wiegand, PA-C, both members of the UCSF Center for Global Health Nursing, traveled on 8-day Global Health trip to Nuevo Progresso, Guatemala. Their US-based team of two general surgeons, a general surgery resident, a scrub RN, a scrub tech and Roxy and Neil provided free surgical care to approximately eight adult patients per day at the Hospital de La Familia. Case types included hernia repairs and removal of masses. Pediatric patients were also treated for a total of 50 patients. Roxy served as an integral part of the Team as a fluent Spanish speaker conducting the histories and physicals. She nearly single handedly oversaw morning and evening rounds on the patients and scrubbed into the OR and assisted with some General Surgery cases. Roxy was the first NP on this Global Health team and proved the value of APPs over-all in the success of this trip and future trips. To learn more about UCSF Center for Global Health Nursing or to sign up for their newsletter to receive opportunities, event notification and other information geared toward APP working to improve global health, click here.
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Alice Parker, NP Pediatric Cardiac ICU Retires 33 Years of Service
Alice Parker, NP at UCSF Benioff Children's Hospital, is retiring after thirty-three years of distinguished service.
She began her journey at UCSF Medical Center in 1991 as a new graduate registered nurse on the 8 Long Neurosurgery and Neurology unit. In 1996 she started to work in the Pediatric Critical Care and knew that she had found her home and passion. She quickly became a clinical nurse III and updated standardized policies and procedures for Neonatal/Pediatrics and completed the educational and clinical standardization of the new graduate training program for the PCICU. With the desire to provide higher level of care to patients specifically with complex congenital heart disease and defects, she pursed a Masters degree at UCSF and graduated in 2015. As an APP, she joined the newly opened UCSF Benioff Children's Hospital at Mission Bay in the Fetal Cardiovascular Program in the Fetal Treatment Center involved in fetal research and the care of antepartum mothers with fetuses with critical CHD. Since 2020, she returned to her long-time “home” as a frontline Provider in the Pediatric Cardiac Intensive Care Unit. As orthopedic challenges have forced Alice to take early retirement, she looks forward to new adventures with her husband and two adult children. Her legacy at UCSF will be remembered through the countless lives she has touched and the many healthcare professionals she has mentored. Alice's remarkable journey reflects her commitment to excellence in patient care and her lasting impact on the UCSF community.
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Improving Discharge Coordination in the Intensive Care Nursery: Implementing Discharge Roadmaps and Weekly Huddles
submitted by Erna Josiah-Davis, APP Manager ICN and Newborn Nursery
Chrissy Smith, NNP started a pivotal quality improvement initiative several years ago. It has developed into a Complex Discharge multidisciplinary taskforce with important impacts on our complex infants' discharge from the Intensive Care Nursery. The team's work was presented at the recent 2024 UCSF Health Improvement Symposium. This is just one tangible demonstration of how Chrissy and her team of superstars are improving patient care. Read the full poster here.
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Dana Jakoubek, NP Contributes to the 1st Allied Health Workshop International Liver Transplant Society Congress
Liver Transplant Department Dana Jakoubeck, NP (in photo: sixth from left), was the driving force behind the International Liver Transplant Society (ILTS) Allied Health Committee. As a founding member, she played a pivotal role in shaping the committee's vision and objectives. Starting with a group of three, Dana and her colleagues expanded the Allied Health Committee representation to twelve members from eight different countries. This year, Dana served on the planning committee for the first-ever Allied Health workshop at the annual ILTS Congress, a milestone event for the committee. Their efforts culminated in the organization's pre-meeting workshop and an Allied Health Professional (AHP) abstract session, providing a platform for sharing knowledge among international AHPs.
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Christina Louie, FNP is Express Care
Christina Louie, FNP is delivering Primary Care at Laurel Village in an innovative way that is improving patient access for time-sensitive concerns. Together with Adrian Tomas, MD Clinical Informatics Fellow PGY-5 UCSF Division of Clinical Informatics and Digital Transformation (DOC-IT) and staff physician in the UCSF Department of Family and Community Medicine, Virtual Express Care was developed as a tool in MyChart. It allows patients to initiate a synchronous video visit with a provider on-demand for specified reasons such as vomiting, muscle/joint pain, diarrhea, cough/cold/flu, fever or rash. Data has shown that the patients typically wait 10-20 minutes and their Press Ganey Satisfaction scores are high. As a provider, Christina says "Express Care is better than all the back and forth MyChart messages with the patient". This pilot project has proven to be successful in impacting overall encounter volume, inbasket messaging volume, and patient satisfaction. This new care model will be expanding to include other UCSF Primary Care locations.
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UCSF APPs Advancing Health Policy | |
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2024 APP Social Forum
This year's APP Social Forum was held on Thursday June 5, 2024 at Precision Cancer Medical Building. APPs from many different clinical areas came together to meet one another and the Office of Advanced Practice Leadership team. A great time was had by all.
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Congratulations To These Newly Promoted NPIII
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Brenna Esparza, Intensive Care Nursery, Benioff Childrens (West Bay)
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Cristina Sykes, Adult CardioThoracic Surgery
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Danielle Briggs, Ob/Gyn & Reproductive Science
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Elisabeth Gundersen, Adult Inpatient Hospice
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Emily Kelly, Adult Critical Care
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Lisa Catalli, Adult Hepatology
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Maritza Lopez, Adult Epilepsy, Neurology
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Sean Braden, Neurology, ZSFGH
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Sarah O'Connell, Department of Radiology and Biomedical Imaging ZSFGH
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Zenelia Roman, Department of Anesthesia and Perioperative Care, ZSFGH
Read more about NPIII promotion process. Next deadline for initial NPIII is Friday September 27, 2024.
NEW BCH Oakland NPIII application available here. Applications are accepted on a rolling basis.
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Critical Care APP Interprofessional and Collaborative Journal Club
All APP's are welcome to join and partake. MacGregor Hodgson, MD (Critical Care Anesthesia) and Emily Kelly, NP (Critical Care) will be presenting Journal Club.
Date: Tuesday, June 11, 2024 TODAY
Time: 4-5pm Topic: TBD
Zoom info: click here or Meeting ID: 968 5223 1069 Password: 634634
For more information contact Emily Kelly, AGACNP-BC at emily.kelly3@ucsf.edu
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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 (West Bay)
Every Thursday 12-1PM
Zoom link. full schedule and archive videos.
Thursday, June 13, 2024
"Pedagogies of Love and (Epistemologic!) Promiscuity in Pediatric Education: A Vision of Socially Just Specialty Child Health Training in North America." Presented by Saleem Razack MD
Thursday, June 20, 2024 "Why do we do what we do: healthcare value and "safely doing less". Presented by Alan R Schroeder MD
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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, June 11, 2024 TODAY
“Advances in Diagnosis and Treatment of Mucopolysaccharide Disease" Presented by Dr. Paul Harmatz Pediatric GI
Tuesday, June 18, 2024
"Generative AI in Clinical Medicine: Opportunities and Challenges" Presented by Sara Murray, MD, MAS VP and Chief Health AI Officer
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APP Grand Rounds
June 11, 2024 12-1pm Zoom link TODAY
"Gynecologic Care for Transgender Men"
Presenter: Joshua Lumsden, PA-C. 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 "Gynecologic Care" or "Transgender Men" 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.
- 07/25/24 – PICOT
- 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.
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.APPNOTE went live on May 14
There are improvements to the .APPNOTE smartform that will be going live on May 14, 2024 for the ED, inpatient and ambulatory settings. The new workflow aims to resolve compliance and efficiency challenges.
- Time Spent and medical decision making statements are now built into the smartform. You no longer need to add this to your note separately.
- Attestation of student documentation is now possible. When editing a note authored by an APP student or medical student, an attestation statement will automatically populate in the smartform.
- By policy, UCSF APPs must document all clinical encounters in which they take part, even in a limited fashion. APPs are required to use .APPNOTE and indicate either independent or shared anytime they contribute to documentation (even for minor documentation).
- Shared visits are defined as both the APP and physician making a significant contribution to patient care, both providers are from the same group, and provide care on the same day and the physician meets that bar for substantive portion
- Either >50% of the total patient care time OR performed a substantive portion of the medical decision making, which is defined as making or approving the management plan for the number and complexity of problems addressed AND taking responsibility for the risks of complications and/or morbidity or mortality of patient management
- Independent visits 100% of wRVU are attributed to the APP for shared visits 40% of wRVU are attributed to the APP and 60% to the physician.
Click here for tips sheets and Town Hall video recording.
Email APPAttendingShared@ucsf.edu with any questions about the new workflow or slides.
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JUSTICE, EQUITY AND INCLUSION | |
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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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Announcing FY25 Caring Wisely Project Contest Winners
The UCSF Center for Healthcare Value (CHV) and UCSF Health are pleased to announce the winners of the FY25 Caring Wisely Project Contest. From a competitive field of 23 interdisciplinary projects submitted through Open Proposals from across UCSF Health, the following projects were chosen to be Caring WiselyTM projects for FY25:
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Robbie Zimbroff, MD; Todd James, MD; Melody Luo, MPH – Expedited Post-Discharge Enrollment into Care at Home: Reducing LOS and Preventable Readmissions for Medically Complex Homebound Older Adults
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Daniel Shapiro, MD, MPH; Emily Roben, MD, MS; Israel Green-Hopkins, MD – Reducing Unnecessary Respiratory Virus Testing in the Pediatric Emergency Department
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Anoop Muniyappa, MD, MS; Teddy Peng, MD; Parul Bhargava, MD – Establishing a Lab Stewardship Program to Reduce Lab Overutilization
This contest is held on an annual basis and provides support to promising projects that improve healthcare value at UCSF Health. Caring WiselyTM is a value improvement program managed and supported by the Continuous Improvement Department.
For more information contact Catherine.Lau@ucsf.edu, Caring Wisely Director
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Employed by Children's Hospital Oakland and Wish to Work More?
APPs are wanted to join the Sexual Assault Forensic Examiners (SAFE) team at UCSF Children's Hospital Oakland. It is an ON-CALL position only and is a great addition to your current full or part time position (must be employed by UCSF Childrens Oakland).
The SAFE team is a 24/7 service that provides acute forensic sexual assault exams to children in the UCSF CHO Emergency Department. This is truly an incredible service our hospital provides and it's an amazing opportunity to provide specialized care to our patients and families. Our medical team would provide all the training you need to get started and we are always available to support all members of our on-call team in real time. Please note that at this time we can only hire APPs that works full time or part time at UCSF CHO and are employed by CHO. (at the moment we can't hire APPs outside of CHO). Please reach out to Kelsey Merl, Pediatric Nurse Practitioner, Center for Child Protection (kelsey.merl@ucsf.edu, Work Cell: 510-604-3053) with any questions.
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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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Create an Incident Report within APEX
You can now launch the RLDatix Incident/Event Reporting System directly from APeX to create an incident/event report on a specific patient. Patient information will automatically populate in the incident/event report, reducing the amount of manual data entry into RLDatix. Information from the incident/event report will not be saved in the patient’s medical record. Reminder: do not reference the incident report number or document the submission of an event report in the patient’s chart.
From a patient encounter, access Incident Report from the More activities menu
For more information please refer to Incident Report Policy.
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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, or drop into their office hours Tuesdays 7-730am or Thursdays 12-1230pm. Zoom info below.
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"Patients need to know and understand and feel known and understood" -George O. Engel (developed the Psycho-Socio-Spiritual Model of Medicine).
Contributed by Michael Rabow, MD, FAAHM
Add these two resources to your list
1.Anyone with a special passion for serious illness communication
American Society of Clinical Oncology just released "Let Us Have the Conversation: Serious Illness Communication in Oncology: Definitions, Barriers, and Successful Approaches". Its 11 pages and available for free here. It is a nice summary of serious illness communication barriers and strategies for integrating good communication into routine cancer care.
2. Consider downloading Vital Talk app to your smartphone. It’s free wherever you get your apps. Contains simple talking maps --responding to emotions, delivering serious news, early and late advance care planning, etc. It’s a great reminder of all the important parts of serious illness communication
Read other communication tips from Dr. Michael Rabow are listed here.
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APP Wellness Committee and Survey
The purpose of the UCSF APP Wellness Committee is to empower advanced practice providers to achieve optimal well-being through tailored support, comprehensive resources, and targeted events, fostering a culture of self-care, resilience, and professional fulfillment within the community.
Please take a moment to complete this brief survey to help us better understand your needs and preferences in advancing wellness initiatives for our advanced practice providers. Your input will guide us in crafting programs and resources that best support your well-being and professional development. Thank you for your participation and please reach out to Won Kim (won.kim2@ucsf.edu) or Tien Nguyen, PA (tien.nguyen@ucsf.edu) with any questions/comments.
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Last Chance to Connect 2024 AANP National Conference
Contact Annika Ehrlich (annika.ehrlich@ucsf.edu) if you will be attending AANP National Conference in Nashville, TN June 25-30, 2024, to be part of an informal gathering of UCSF NPs in Nashville. Conference registration information
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Office Hours: Office of Advanced Practice Providers
Every 2nd Tuesday at noon and every 4th Wednesday at 8:00 AM
Meeting ID: 912 4155 9875 Password: 503138
Tuesday, June 11, 2024 12-1 PM TODAY
Host: Roseanne Krauter, Director of Informatics and Clinical Systems
Wednesday, June 26, 2024 8-9 AM
Host: Kurstan del Rosario and Ivette Becerra-Ortiz, Chief of Advanced Practice
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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 | | | | |
