UCSF ADVANCED PRACTICE NEWSLETTER
March 2019
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CELEBRATING PROFESSIONAL
NURSE PRACTITIONERS
NURSE ANESTHETISTS
PHYSICIAN ASSISTANTS
NURSE MIDWIVES
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IN THIS ISSUE
Highlighting AHP Practice at UCSF Health
AB 890 - SCOPE OF PRACTICE LEGISLATION
AHP UPDATES
NEW Ambulatory AHP TIME STUDY for Medi-Cal
AHP Academic Stipend
Exceptional AHP and Nursing Week Award Nominations
NP3 Promotion
Reimbursement for Prolonged Records Review
Compliance with SB 1152
Refresher - FAQ regarding Billing and Coding
Advanced Health Care planning for Providers
Presentation - Vital Talk
GME Grand Rounds
New AHPs to UCSF Health for the 8th Cohort in18/19 FY
Advisory Board Minutes -,January 2019
Committee Opportunities for AHP Advisory Board - please volunteer
Engagement Surveys
Trends in Primary Care Visits
Association of PAs in Oncology Conference
Pediatric Pain Conference
California Healthcare News
UCSF Health Events Calendar
Center for the Enhancement of Communication in Healthcare
True North Metrics
AHP Students at UCSF Health
Sharing your Expertise across the State and Nation
Caring for the Caregiver/Schwartz Rounds
SON Preceptor Opportunities
RECOGNITION, PUBLICATIONS, PRESENTATIONS, AND NEWS
Jay Beebe, CRNA
RESOURCES
Fun Discounts for UCSF Employees
Pager Box Update
2018/2019 AHP Advisory Board
Required Training in LMS
Face Card Process
How To Correct The Staff Directory
AHP Resource Manual Link
Adding New Privileges
Scope Of Practice Details
Licensing and Certification Responsibilities
CURES Sign Up for Scheduled Medication Prescribing
BRN Link
DEA
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HIGHLIGHTING THE ADVANCED HEALTH PRACTITIONERS
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I WANT TO APOLOGIZE FOR THE DELAY IN GETTING THE NEWSLETTER OUT TO ALL AHP PROVIDERS. THIS EDITION DOES NOT HIGHLIGHT A PARTICULAR PRACTICE BUT RATHER AN ISSUE FACING CALIFORNIA WE SHOULD ALL BE AWARE OF IN REGARDS TO THE DELIVERY OF HEALTH CARE SERVICES ACROSS THE STATE. ALTHOUGH THIS REFERENCES ONLY ONE PROFESSIONAL GROUP, THE ISSUE FOR CALIFORNIANS AND THE PROVIDERS ACROSS THE STATE, IMPACTS ALL OF US.
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AB 890 - EXPANDING THE PRACTICE AUTHORITY OF NURSE PRACTITIONERS
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AB 890
will grant specified NPs full practice authority, allowing them to work to the full extent of their education and training, in order to ensure direct access to the health care delivery system for millions of Californians who now have access to coverage, but often struggle to find health care providers. NPs would work within a specified scope of practice, without physician supervision. To qualify for this new model, NPs must hold a national certification, an education requirement beyond what is required by California law, and must carry medical malpractice insurance.
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VERY IMPORTANT
Applies to Ambulatory AHP Providers ONLY
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As we move to make inpatient AHPs billing providers, we need to offset this change by adding an opportunity to ONLY outpatient providers. This involves ambulatory AHPs completing a Medi-Cal SPA Time Sheet which physicians already complete. This event only happens 3 times per year and date selection is random and decided by Medi-Cal. It could add significant revenue for work that you do that is NOT compensated currently. The following content provides information that ALL ambulatory AHPs must review to be included. Identified AHP providers will receive a link to the Learning Module in the LMS system separately that will act as the audit for Medi-Cal.
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The UCSF Office of Advanced Practice has 15 supported stipends to offset the cost of AHPs presenting at an academic conference in their specialty. Podium/poster/panel presentations will be eligible. Other requirements listed in link.
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SUPPORT FOR Academic Excellence for AHPs PRESENTING AT A CONFERENCE RELEVANT TO THEIR SPECIALTY
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Gabe Schwartz, NP (bottom)
Adult GI medical oncology
talk: Updates in Cancer Screening
42nd Annual Educational Conference California Association for Nurse Practitioners in San Diego, CA
Mary Lesh, NP (middle)
Pediatric hematology-oncology
Talk: MSKUS-Professional Approach to New Therapies
Nurses Forum of International Society Hemostasis Thrombosis in Melbourne, Australia
Sarah Kabatt, NP (not pictured)
Pediatric Cardiac Intensive Care
Talk: Impact of Iron Supplementation in Infants with Shunted Single Ventricle Physiology
22nd Annual Update on Pediatric and Congenital Cardiovascular Disease in Huntington Beach, CA
Alisa Yee, NP (top)
Adult GI surgery Oncology
Poster: Onboarding for Advanced Practice Providers
Americas Hepato-Pancreatio-Biliary Association Annual Conference in Miami Beach, CA
We are proud to highlight the first four recipients and their work.
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Exceptional AHP Award and Nursing Week Advanced Practice Awards are around the corner. Please nominate a colleague. We extend the award to 2 recipients each year. All NPs, PAs, CRNAs, and Midwives are eligible.
Forward the nominations to:
mitchel.erickson@ucsf.edu
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NP3 PROMOTION MATERIALS and DEADLINE:
March 29, 2019 for new applications
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Reimbursement for Prolonged Records Review in the Ambulatory Setting
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One challenge of caring for patients in the outpatient setting comes with the extensive non-face-to-face time associated with care in some cases. In 2017, CMS recognized the need to value provider time for reviewing clinical records in "prolonged service without direct patient contact" when more than 30 minutes are spent for a given patient. Through the work of many, a workflow has now been established in APeX enabling providers to bill for and receive wRVUs for records review exceeding 30 minutes, even if that review happens in the days prior to or following the face-to-face visit. (Up to a half hour of review is considered within reason and is captured with standard charges.) These codes 99358/9 for prolonged non-face-to-face time can also include communication with other professionals about the case or communication with the patient and family separate from the direct care.
Reimbursement for these charges works most reliably for Medicare patients as other payers may or may not recognize these codes. These codes only apply to time spent by the billing Attending Physician or Advanced Practice Provider (not staff, students, residents or fellows).
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Compliance with SB 1152
Effective 1/1/2019
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Billing and Coding Information Presentation
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ADVANCED HEALTH CARE PLANNING FOR PROVIDERS
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Type
.ACP
anywhere in notes or problem lists to assure that your documentation pulls into the
new ACP Navigator.
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Mastering Difficult Conversations
by: Hospice by the Bay
April 16th, 2019
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GME Grand Rounds - inter-professional opportunity to share experiences.
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AHP NEW HIRES COHORT 8 2019
Please welcome these new AHP professionals
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Get involved in onboarding of new AHP providers through one of the committees recruiting. Socializing after a Cohort Session.
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Seeking AHP Committee Participants that will report to the AHP Advisory Board.
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AHP ADVISORY BOARD MINUTES
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UCSF Staff Engagement Survey will be
April 30, 2019 – May 24, 2019
PLEASE COMPLETE THE 2019
UCSF Health Survey on Advanced Health Practitioner Work Experience
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Trends In Primary Care Visits
HCCI - healthcostinstitute.org
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UCSF Health 4th Annual Improvement Symposium 2019
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2nd Surgical Oncology Advanced Practitioner Conference (aka SOAP Conference), April 26-28, 2019 at MD Anderson
has been approved for 17.75
AMA PRA Category 1 Credits
TM
, of which 1.50 have been designated in the area of medical ethics and/or professional responsibility.
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Pediatric Pain Conference
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CALIFORNIA HEALTHCARE NEWS
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A COUPLE ARTICLES RELEVANT TO ADVANCED PRATICE. YOU CAN SUBSCRIBE IF YOU WISH.
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Enhancing Relationship Centered Communication Skills Professional Development for Clinicians
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UCSF HEALTH UPDATES REGARDING TRUE NORTH METRICS
Includes an article on price transparency.
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For more information, contact Mitchel Erickson, NP Director of Advanced Practice
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ALL AHP STUDENTS AT UCSF HEALTH FACILITIES
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All preceptors are required to ensure all students from ALL educational institutions have been vetted by UCSF prior to any educational activities, including employees. UCSF has many parts of the organization involved in this process. Their school needs an affiliation agreement with UCSF, they need health screening to be completed, they require online training for Health and Safety and APEX, and sign a HIPPA form.
New Information to come soon to centralize student engagement at UCSF Health.
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WANT TO SHARE YOUR EXPERTISE WITH AHP COLLEAGUES ACROSS THE STATE, THE NATION, OR THE WORLD?
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MORE INFORMATION AND TO BE A PEER SUPPORTER, EMAIL THE FOLLOWING LINK.
Other Resources
:
1.
Mindfulness Mediation
2.
Gratitude Mediation
3.
Loving Kindness Meditation
4.
1-Minute Meditation (for the super-busy)
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Are you a Clinical Preceptor?
Are you interested in precepting or becoming volunteer clinical faculty?
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Presentations, Publications, Recognitions, and News
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CONGRATULATIONS TO JAY BEEBE
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Dr. Jay J. Beebe, CRNA received the "UCSF Medical Center Orthopaedic Institute's Service Excellence Award" on January 24th, 2019. Dr. Beebe was nominated by his colleagues for consistently demonstrating clinical excellence while caring for his patients at the Orthopaedic Institute. Dr. Beebe has been employed as a nurse anesthesiologist at UCSF for over 33 years!
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RESOURSE INFORMATION AND LINKS
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UCSF EMPLOYEE DISCOUNTS AND BENEFITS FOR WORK, LIFE, AND FAMILY
Six Flags - when buying tickets enter promo code UCSF
California Academy of Sciences - when buying tickets for 20% off use promo code UCSF
SF Zoo - use discount code 75001 for $3 off adults, $2 off children with one free train or carousel ride for each ticket
Monterey Bay Aquarium - discount using Store Name UCSF1002
Travel discounts - hotels, packages, cruises. Register for UCSF Passport Discounts, search UCSF Get Away Today
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UPDATING YOUR PAGERBOX CONTACT INFORMATION IS IMPORTANT
In order for other providers to reach you or contact you outside the messaging feature in apex, pagerbox is another mechanism to utilize. This is an internal system and not available to patients. If you do not have a pager, please consider adding your contact information to the pagerbox system. You are only required to respond to pagerbox messages during your normal working hours. All Pagerbox services are now managed by UCSF IT Services.
Feel free to let me know of any problems.
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2018/2019 AHP ADVISORY BOARD
Feel free to reach out to them through global Outlook
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Alisa Yee, NP
Willie Ching, CRNA
Shelley Gierat, CRNA
Jeremy Graham, NP
Jennifer Kerney, NP
Laura Kirk, PA - Chair
Maura O’Day, NP
Brandon Sessler, PA
Stacy Wong, NP
Eliana Agudelo, PA
Dana Morgan, PA
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Laura Weil, CNM
Annette Carley, NP
Gerri Collins Bride, NP
Tracy Curtis, PA
Mitch Erickson, NP
Lissa Gray, NP- Co-chair
Rebekah Kaplan, CNM
Danielle Krieger, NP
Tara Valcarcel, NP
Stacie Rohovit, NP
Michelle Klosterman, NP
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Check for any Required Training
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THE APEX SMART PHRASE FOR AMBULATORY AND EMERGENCY DEPARTMENT ENCOUNTERS
This phrase MUST be present in ALL encounter notes. ONLY this phrase will work to capture your wRVU attribution. The billing logic was designed for ONLY THIS DOT PHRASE (.ahpvisittype)
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FACE CARDS FOR AHP PROVIDERS
Use the following web-link to complete the ordering process. The instructions are self explanatory. You do not pay but do need to create an account. You may upload a professional photo of your choice or use the RCL or use the RCL photo stock. If you want to use the RCL photo stock. To retrieve a photo taken by RCL, please contact the email below with your name and purpose of use. State for UCSF provider Face Cards.
webservices@ucsfmedctr.org
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Making yourself more visible at UCSF Health
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In an attempt to ensure all Advanced Health Providers are visible to the public, your patients, and your colleagues at UCSF, please check and to ensure your working title and contact information are correct. Click the link below and complete the log in process and correct what you can. If your title is incorrect then an additional step will be required as this function is controlled by HR. If you find your title needs to be corrected, email me at
mitchel.erickson@ucsf.edu
with your hire title and I will collect information in batches and forward to the correct person. The "Find a Doctor or staff member" portal update is delayed. UCSF Health is building a new web portal and is challenged with migrating data from the old platform to the new platform. Once ready, we will have capacity to add all the AHPs with photos and CV related data. We have been authorized to develop a dedicated AHP Web portal at UCSF Health. More to come.
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This link will bring you to the UC ME login page. Use the button on the far left at the bottom to access the AHP Resource Manual.
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ADDING NEW PRIVILEGES
This can be completed at the UC Me page by clicking on REQUEST NEW PRIVILEGE.
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Look up your credentialed standardized procedures: Must be through VPN or UCSF computer.
Look up all the standardized procedures:
OMAG POLICIES
CIDP
FPPE/OPPE
This link will work from a any computer with/without VPN enabled using IE or Chrome.
Click on Professional Organization Links:
All prescribers of Scheduled Medications will need to register and review upon writing Scheduled Prescriptions
IMPORTANT - RELATED TO YOUR DEA LICENSE
If your DEA license was issued in another state, you need to go online to the DOJ website and change the location to California. Your DEA needs to be in the state where you practice as all state laws are different. YOU
DO NOT
HAVE TO PAY FOR DEA LICENSE OR RENEWAL AS YOU WORK FOR A PUBLIC INSTITUTION.
Very IMPORTANT message from BRN: As of Jan 1st, 2016 if you were licensed in California
prior
to March 1st, 2009 you are required to resubmit fingerprints via the new Live Scan Service. If your renewal seems to be in limbo for unclear reasons, this may be why. After Jan 2018, you will no longer receive a card license. Verification if online only.
This information was extracted directly from State organizations and agencies but does not infer any authority as to its content and you are reminded to check with your state authorities regarding statutes of practice in California.
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If you have any suggestions regarding content or additions to the monthly newsletter, please send them to: (submission deadline is 1st of each month)
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