UCSF ADVANCED PRACTICE NEWSLETTER
January 2019
|
|
CELEBRATING PROFESSIONAL
NURSE PRACTITIONERS
NURSE ANESTHETISTS
PHYSICIAN ASSISTANTS
NURSE MIDWIVES
|
|
IN THIS ISSUE
Highlighting AHP Practice at UCSF Health
The past 2 years from the Advanced Practice Director
AHP UPDATES
Celebrate CRNA Week
Exceptional AHP and Nursing Week Award Nominations
Compliance with SB 1152
GME Grand Rounds
New AHPs to UCSF Health for the 7th Cohort in18/19 FY
Advisory Board Minutes,November 2018
Committee Opportunities for AHP Advisory Board - please volunteer
Trends in Primary Care Visits
True North Metrics
Stethoscope Hygiene
Guidelines for meal Reimbursement in MyExpense
Association of PAs in Oncology Conference
Pediatric Pain Conference
California Healthcare News
Financial Support for AHP Academic/Professional Presentations
Helping AHP Colleagues after the Northern California Wildfires
UCSF Health Events Calendar
PAs engaged in Street Medicine
Doximetry Article - AHPs meeting the needs in Primary Care
Center for the Enhancement of Communication in Healthcare
New Mandate for CA Opiate Prescribers
AHP Students at UCSF Health
CAPA and Medicare Provisions for PAs in Hospice Care
Sharing your Expertise across the State and Nation
New Hospital at Parnassus Heights
Surgical Oncology Conference for AHPs
Caring for the Caregiver/Schwartz Rounds
SON Preceptor Opportunities
RECOGNITION, PUBLICATIONS, PRESENTATIONS, AND NEWS
Jeff McKinney, NP
2 Articles Published and one presentation at AASLD
Recognition for Angela Laffan in the Great Catch Award
DGIM Crede Award 2018
Patty Paik, NP was the recipient
RESOURCES
Fun Discounts for UCSF Employees
Pager Box Update
2017/2018 AHP Advisory Board
Onboarding Information
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
|
|
HIGHLIGHTING THE ADVANCED HEALTH PRACTITIONERS
|
|
MESSAGE FROM THE DIRECTOR OF ADVANCED PRACTICE AT UCSF HEALTH
|
The dedicated volunteer AHP Advisory Board members work hard to further your voice and guide policies and efforts across our organization. Their participation in a leadership retreat re-envisioned that dedication.
|
|
HIGHLIGHTING WHAT AHPs DO AND HAVE ACCOMPLISHED OVER THE PAST 2 YEARS
|
Each of you plays a role in both your own successes and what you have enabled me to accomplish over the past 2 years as your voice. You have provided the details, allowing me to highlight what your contributions are as clinical professionals, as educators, as academics, and as researchers. The privilege is mine and I have had the great fortune to slowly meet many of you to learn of those contributions.
None of us works in a vacuum and so many across the organization have enabled our successes to date. Natasja as someone who has embraced the AHP contributions and enthusiastically assisted us with her analyst skills over the past 10 years. The folks in Department of Surgery and their willingness to support the successes of the NP Fellowship. Numerous physicians and other colleagues in both Revenue and Compliance and OMAG and APEX have also worked with us to both optimize and refine processes that recognize our contributions in improving patient care access and satisfaction.
I am not so naïve to realize the many sacrifices each of us makes and the over burdened clinical workload but with the collective passion of the CRNAs and PAs and NPs and midwives we can push further to improve both the patient and provider experience and drive the success of UCSF Health into the future. We currently act as the role model for many processes of UC Medical Centers across California. As we embrace the other AHP professionals working with our patients in affiliated network facilities and expand our reach as a health system, we must communicate and take time to recognize the contributions of all staff and colleagues towards that common effort.
My final comment is to say thank you and my desire to further our collective efforts.
|
Here is a listing of some of the accomplishments to date
:
Improved strategic relationship with the UCSF School of Nursing and faculty clinical opportunities
Establishing a dedicated Advanced Practice website
Streamlined revenue recognition of AHP wRVU contributions and matching the variability in clinical workflows around expectations
Improved reporting systems to extract net revenue data and working towards optimizing scope of practice in all settings with patient access creation and recognition of AHP revenue generation through clinical activity.
Robust AHP Onboarding Program to welcome new providers and link them to supports with over 100 new AHPs taking part to date
Standardize and streamline job descriptions for AHPs to ensure they are the best professional for the work but also create transparency in expectations
Efforts to improve professional development through the annual performance review
A voice at the Executive Medical Board
AHP in the Acting Chair position for Medical Staff Office's CIDP
Efforts to improve standardized procedures and privileging and delegation of services agreements based on the requirements of state regulation
Refined promotion process for nurse practitioners and hopefully PAs
Establishment of Exceptional AHP Award to be inclusive of all AHP professionals
Establishment of an academic stipend to offset the costs of travel to present at professional conferences and recognize the AHPs as part of UCSF Health's academic mission.
Organized social and informational Open Forums for AHP professionals to dialogue.
Rededication to expanding the NP Fellowship and success in obtaining ANCC Accreditation
Created a communication tool via a newsletter to highlight UCSF AHPs, share resources, include AHP identified content, and information
|
|
|
Please take time to thank the greater than 50 CRNA professionals providing anesthesia services to our patients at all campuses and for all age groups. You may see posters and table cards across the campuses..
|
|
|
Exceptional AHP Award and Nursing Week Advanced Practice Awards will be here soon. Please consider nominating a colleague.
|
|
|
|
|
Compliance with SB 1152
Effective 1/1/2019
|
|
|
|
|
GME Grand Rounds - inter-professional opportunity
|
|
|
AHP NEW HIRES FOR 7TH COHORT 2018/2019 FY
Please welcome these new AHP professionals
|
|
AHP ADVISORY BOARD MINUTES
|
|
|
|
Seeking AHP Committee Participants that will report to the AHP Advisory Board.
|
|
|
Trends In Primary Care Visits
HCCI - healthcostinstitute.org
|
|
|
|
|
UCSF HEALTH UPDATES REGARDING TRUE NORTH METRICS
|
|
|
|
|
Meal reimbursement guidelines for conference attendance submission to MyExpense
|
The maximum reimbursable amount per person for allowable entertainment occasions varies depending on the type of meal service.
Meal Type Maximum per person rate as of 1/1/16 Breakfast $27 Lunch $47 Dinner $81 Light Refreshment $19
These amounts includes the cost of food and beverages, labor, sales tax, service and delivery charges but excludes alcohol.
|
|
|
|
|
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.
|
|
|
Pediatric Pain Conference
|
|
|
|
|
CALIFORNIA HEALTHCARE NEWS
|
A COUPLE ARTICLES RELEVANT TO ADVANCED PRATICE. YOU CAN SUBSCRIBE IF YOU WISH.
|
|
|
|
|
SUPPORT FOR Academic Excellence in AHPs PRESENTING AT A CONFERENCE RELEVANT TO THEIR SPECIALTY
We have a budget for 15 supported stipends to offset the cost of AHPs presenting at a conference in their specialty. Only podium/poster/panel presentations will be eligible. Other requirements listed in link.
|
|
|
|
|
UCSF AHPs affected by the devastating wildfires in Northern California
|
In an effort to support our colleagues, the AHP Advisory Board wanted to reach to out to AHPs that may have been affected or know of someone affected and let us know how we may help. The Board identified one NP provider, Elizabeth Rex, NP that lost their home and you may support her and her family at the following link. A PayPal Account is the only option at this time. You can also provide sick time and vacation time that can be transferred to an employee.
|
|
|
Street Medicine: PAs Deliver Healthcare to the Homeless
PAs Coordinating Medicine for Homeless Patients
December 10, 2018
By Dave Andrews
|
|
|
|
|
Article from Doximetry discusses the benefits of NPs and PAs providing care to the needs of Americans across the United States.
|
|
|
|
|
Enhancing Relationship Centered Communication Skills Professional Development for Clinicians
|
|
|
NEW STATE MANDATE FOR OPIATE PRESCRIBERS JANUARY 1ST, 2019
|
As of Jan 1 we will be mandated to offer naloxone to higher risk patients when prescribing opiates (high total daily doses of opiates (90mg daily or more), you are co-prescribing benzodiazepines, they are high risk due to prior OD or substance use, or at risk of return to high dose when no longer tolerant.
The med center APEX team has responded by designing a BPA (pop up) when you prescribe opiates with an option to prescribe nasal narcan and description of who it is suggested for. This will be across the board for all UCSF apex users. For now it will fire for all opiate Rx but later only for patients meeting certain higher risk criteria. You don’t have to do anything but click and decide if you want to add the pre populated nasal narcan Rx for your patient if they meet the criteria in your opinion.
|
|
|
For more information, contact Mitchel Erickson, NP Director of Advanced Practice
|
|
ALL AHP STUDENTS AT UCSF HEALTH FACILITIES
|
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.
|
|
|
Medicare to Allow PAs to Manage Hospice Care
By Bob Miller, PA Chair, CAPA Professional Practice Committee
|
Congress recently passed two new laws that will improve the ability for PAs to manage and provide hospice care for Medicare patients and also to supervise cardiac and pulmonary rehabilitation for Medicare beneficiaries.
The Medicare Patient Access to Hospice Act has been passed by Congress and goes into effect on January 1, 2019. This long-awaited legislation was largely due to repeated efforts by the AAPA to reduce unwarranted Medicare restrictions to effective and efficient PA practice. Prior to this law, a patient requiring hospice care could not be managed or cared for by a PA even if the PA had been their primary provider. That would force the terminally ill patient to have to choose a different provider at a time when the patient would be at their most vulnerable. “Too many PAs have patients that have been under their care for years who have been forced to choose between continued care and hospice,” said Gail Curtis, PA-C, MPAS, DFAAPA, Immediate Past President, AAPA’s Board of Directors.
Other new legislation, the Improving Access to Cardiac and Pulmonary Rehabilitation Act, will go into effect on January 1, 2024. This law now provides language which will allow PAs to supervise cardiac and pulmonary rehabilitation programs for Medicare patients.
Both of these new laws will reduce barriers for Medicare patients and greatly improve access to quality team healthcare, especially in rural practices.
|
|
WANT TO SHARE YOUR EXPERTISE WITH AHP COLLEAGUES ACROSS THE STATE, THE NATION, OR THE WORLD?
|
|
THE NEW UCSF HEALTH HOSPITAL AT PARNASSUS HEIGHTS
|
|
|
|
Surgery Oncology conference for Advance Practice NP/PAs
|
The goal of this conference is to foster collaboration and share best practices among Advanced Practice Providers (APP) working in surgical oncology by providing an educational forum that focuses on the latest advances in surgical management of solid tumors and the role of APP in clinical practice.
This conference will provide learners a broad overview of surgical oncology topics, including over 40 lectures on solid tumor disease-specific topics from head-to-toe, as well as peri-operative management and APP professional roles and leadership.
|
|
|
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)
|
|
|
|
|
Are you a Clinical Preceptor?
Are you interested in precepting or becoming volunteer clinical faculty?
|
|
|
Presentations, Publications, Recognitions, and News
|
|
|
|
Poster presentation in San Francisco at American Association for the Study of Liver Diseases in November 2018.
|
|
Jeff was appointment as a HS Clinical Assistant Professor (WOS) in UCSF School of Nursing, and also had an abstract presented in the annual AALSD Liver Meeting here in SF. He would like to acknowledge the support and encouragement of Norah Terrault, MD and Jennifer Price, MD.
He had two articles accepted in peer reviewed journals.
Sexually Acquired Hepatitis C Infection in HIV-uninfected Men Who Have Sex with Men Using Pre-exposure Prophylaxis Against HIV
Jennifer C. Price1, Jeffrey E. McKinney1, Pierre-Cedric Crouch2, Stephen M. Dillon3, Asa Radix4, Alicia Stivala4, Jesse R. Carollo5, Daniel S. Fierer5
Post-sustained virologic response liver stiffness may underestimate fibrosis after direct acting antiviral-containing therapy.
Ani Kardashian1, Jeff McKinney2, Nina Huynh3, Robin Yu4, Marion Peters5, Lisa Catalli2, Jennifer C. Price5
Published by Oxford University Press for the Infectious Diseases Society of America 2018.
|
|
|
The “Great Catch for Patient Safety” program seeks to formally recognize staff, faculty and trainees who report safety issues and take action to prevent or mitigate harm. The following employee went above and beyond to “stop-the-line” for patient safety:
|
Angela Laffan, NP, Cancer Center
Took time to review information and ask questions regarding abnormal imaging scans which noted a slow-growing pulmonary nodule resulting in biopsy and surgical removal.
|
|
|
|
|
Robert H. Crede Awards in Department of Internal Medicine at UCSF Health MZ
|
Recipient Patty Paik, NP was honored for this award in 2018 for the NP providers.
The annual DGIM Robert H. Crede Awards provide the faculty and staff of Mt. Zion DGIM an opportunity to recognize their co-workers for their dedication and service to the Division, our students, our patients and the community.
|
|
|
RESOURSE INFORMATION AND LINKS
|
|
|
|
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
|
|
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.
|
|
2017/2018 AHP ADVISORY BOARD
Feel free to reach out to them through global Outlook
|
|
 |
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
|
|
|
|
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
Erin Matsuda, NP
Stacie Rohovit, NP
Trina Sheedy, PA
|
|
|
|
|
|
Check for any Required Training
|
|
|
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)
|
|
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
|
|
Making yourself more visible at UCSF Health
|
|
|
|
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.
|
|
|
|
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.
|
ADDING NEW PRIVILEGES
This can be completed at the UC Me page by clicking on REQUEST NEW PRIVILEGE.
|
|
|
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.
|
|
If you have any suggestions regarding content or additions to the monthly newsletter, please send them to: (submission deadline is 1st of each month)
|
|
|
|
|
|
|
