ADVANCED PRACTICE NEWSLETTER
April 2020
CELEBRATING
NURSE PRACTITIONERS
NURSE ANESTHETISTS
PHYSICIAN ASSISTANTS
NURSE MIDWIVES 
A message from your still semi-retired colleague. MItch Erickson.
I want to thank you all for adjusting to the COVID-19 situation across our health enterprise. It has been a steep adjustment for many. Your flexibility to any new workflow or re-deployment is very much appreciated. Please observe the PPE requirements in your clinical setting as I want to keep you all safe.

IN THIS ISSUE

Highlighting APP Practice at UCSF Health

Realities of APP life following a Clinical Shift
APP UPDATES



COVID-19 RESOURCES
Governor of California
The UCSF Health APP Website
Video Visits
APP Provider Experience NPS Survey
Next APP Open Forum
APP Grand Rounds 2020
Exceptional APP Award Nominations 2020
APP Academic Stipend
S MART BLOCK DOCUMENTATION Workflow
Update your License and Certification Online via OMAG
Availability of Lab Coats and Uniforms for APPs
New Performance Development/Evaluation Tool for NPs and PAs
Knowing the Law Regarding Being a Preceptor in California
Sleep Month - March





TOOLS AND NEWS



The Recognize Application
The Women of UCSF
BCH/BCHO Monthly Noon Conference at MB
ONE GOOD THING
Schwartz Rounds
GME Grand Rounds
Medi-Cal SPA Time Study for Ambulatory Providers
New APPs to UCSF Health for the 11th Cohort in 2020
Advisory Board Minutes - February 2020
California Healthcare News
Center for the Enhancement of Communication in Healthcare
APP AHA Re-Certification Workflow
True North Metrics
APP Students at UCSF Health
Sharing your Expertise across the State and Nation
Caring for the Caregiver
Inbox Management




RESOURCES



Fun Discounts for UCSF Employees
Pager Box Update
2019/2020 APP Advisory Board
Required Training in LMS
Face Card Process
How To Correct The Staff Directory
APP Resource Manual Link
UCME and OMAG Resources
Scope Of Practice Details
Licensing and Certification Responsibilities
CURES Sign Up for Scheduled Medication Prescribing
BRN Link
DEA

RECOGNITION, PUBLICATIONS, AND PRESENTATIONS

Annika Erhlich, NP
Jay Beebe, CRNA
HIGHLIGHTING ADVANCED PRACTICE PROVIDERS
SF Chronicle Article
ED APP Provider Highlighted in the Time of
COVID-19
APP UPDATES
UCSF COVID-19 SUMMARY
VOALTE ME
Putting Voalte Me on your personal phones will give you the option to use Voalte on your personal phone at home or at work. You can use the various app stores to download to your phone and the site code is CSFSFO and the login is your usual APEX login.

MASK POLICY WITHIN FACILITIES
Full details of the policy can be found here and on the  Infection Prevention Website .

REDPLOYMENT OPPORTUNITIES
APPs and Physicians WANT TO BE PART OF THE COVID RESPONSE? Visit the COVID Workforce Platform
All other opportunities T emporary reassignments, please click here , and complete the form with the required information.

TOWN HALL RECORDINGS
Town hall recording can be found here .

OCCUPATIONAL HEALTH RESOURCES
Occupational Health Services : simple sheet and detailed staff guidelines ; COVID-19 Hotline 415.514.7328.

TELECOMUTING AND SIMILAR RESOURCES

PPE Donations
Daily Health Screen for Employees
Text "Screen" to: 83973

Occupational Health Guidelines
COVID-19 Hotline – 415-514-7328
Fit Testing Sign-Up

PPE Videos

PPE Re-Use Link

PPE for Aerosol Generating Procedures
Infection Control Resources
Pediatric Algorithm for ED and Hospitalized Patients
Gym Shower Hours
Employee Exemption for Travel Letter by UCPD
Nursing Manuals Page for COVID Resources
Full list of COVID links
Messages from Governor Newsom regarding the health care professions and CA Health Corps.
UCSF HEALTH ADVANCED PRACTICE WEBSITE
The APP Advisory Board and the Office of Advanced Practice would like you to explore the Advanced Practice Website. This site continues to be updated and configured for Advanced Practice and the health system. Please be patient.
UCSF Health Calendar is now on the Advanced Practice website.
VIDEO VISITS AT UCSF HEALTH
UCSF HEALTH SURVEY 2020
If you have not already done so, please complete your NPS Provider Engagement Survey.
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NEXT SCHEDULED ADVANCED PRACTICE OPEN FORUM MAY REQUIRE RESCHEDULING

Watch for the invite in your email
Oberndorf Auditorium, Mission Bay. Join your colleagues for a glass of wine and light refreshments to network, socialize, share your thoughts and hear about relevant subjects and updates regarding advanced practice at UCSF health.
THE ADVANCED PRACTICE GRAND ROUNDS HAS BEEN POSTPONED TO LATER DATE
WATCH FOR NEW INVITE
Topic: Climate Change and Impacts on Health
Speaker: Barbara Sattler,
RN, MPH, DrPH, FAAN
Professor at the University of San Francisco and an international leader in environmental health and nursing.
Locations: Cole Hall (Parnassus)
Live Streaming at Herbst Hall (Mt Zion) and Helen Diller 160 (Bakar Auditorium, Mission Bay)
Co-sponsors: Office of Sustainability and Education Committee of the UCSF Health Advanced Practice Advisory Board
START PLANNING YOUR NOMINATIONS FOR THE EXCEPTIONAL APP AWARD 2020 - DEADLINE FOR SUBMISSIONS IS MAY 15TH, 2020
Prior recipients:

2017
Laura Kirk, PA
Jody Farrell, PNP

2018
Eliana Agudelo, PA
Elizabeth Colglazier, PNP

2019
Brandon Sessler, PA
Gautham Iyer, NP
The UCSF Health Office of Advanced Practice Academic Stipend

15 Academic stipends are offered each fiscal year to offset the cost of APPs presenting at a conference in their specialty. Podium/poster/panel presentations will be eligible. Other requirements listed in link below.
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Old Dot Phrase is now a SMART BLOCK ACROSS AMBULATORY AND INPATIENT SETTINGS: .APPNOTE
I have provided the TIPSHEETs which are essentially the same workflow as previously existed but looks a little different. If your service does not auto-populate the dot phrase, simply manually type it in as you have been doing. It does not work in non-billable documentation such as telephone encounters at this time. We hope we have an APEX fix and have this automatically embedded in all note types but currently only practices that adopt the standard new patient and follow up patient templates will have this feature. Currently this workflow will not work for other encounter types such as telephone encounters or other non-billable activities. We need to wait until the Instance Merge has passed the 30 day mark. I appreciate your flexibility as we improve and ease this documentation workflow that recognizes your contributions to patient care. 
UPDATING YOUR LICENSE AND CERTIFICATIONS IS EASY
NO NEED TO WORK THROUGH YOUR MANAGER OR MEDICAL STAFF TO UPDATE YOUR LICENSE AND OTHER CERTIFICATIONS. GO TO THE EXPIRABLES LINK UNDER RESOURCES AT THE BOTTOM OF THIS NEWSLETTER AND FOLLOW THE INSTRUCTIONS
UNIFORM AND LAB COAT ALLOWANCE FOR APPs
You are now entitled to order new uniforms if you wish and new lab coats via Mission Linens. Newly implemented employees and new hires will receive an initial allotment of $250 and an annual stipend allotment of $140 thereafter (stipend amounts vary based on appointment percentage). To ensure that your uniform selection is made to your liking, a uniform fitting is recommended. Please follow this link to self-schedule the Employee Apparel Fitting Appointment.
  1. Click on New User/Register
  2. Register with your Employee ID#: 
  3. Register with your UCSF Email Address  
  4. Begin Shopping
  5. Be sure to apply your gift card allocation during check out
NEW PA AND NP ANNUAL PERFORMANCE REVIEW TOOL
This new tool is more professionally relevant and requests peer review.
Thanks to the efforts of the Performance Evaluation Work Group of the APP Advisory Board including Laura Kirk, PA, Stacie Rohovit, NNP, Danielle Krieger, NP and others.
MARCH WAS SLEEP MONTH BUT INFORMATION FOR PROVIDERS REMAINS RELEVANT.

Article thanks to - Donna Curne, NP Adult Critical Care
Donna is an APP from the Critical Care Nurse Practitioners group and wanted to share information regarding sleep month this past March. The information is targeted towards providers, NPs and PAs included, on how we can promote sleep amongst our patients. It is targeted more to inpatient providers, but she wanted to be able to reach as many providers as possible outside of the CCNP group.
PRECEPTORS
Are you a Clinical Preceptor?
Presentations, Publications, and Recognition
Jay J. Beebe, PHD, APRN, PHN, CCRN, CRNA, VA-BC, CRNI, CPAN, CAPA is a senior nurse anesthesiologist employed at UCSF for over 34 years.
CRNA Dr. Jay Beebe
Dr. Jay J. Beebe has been appointed by the California Board of Registered Nursing as an Expert Practice Consultant in the specialty of Nurse Anesthesia. 
The Board of Registered Nursing is an administrative agency within the Department of Consumer Affairs. The mission of the Board is to protect consumers through proper licensing of registered nurses (RN) and vigorous, objective enforcement of the Nursing Practice Act (NPA). The Board’s Enforcement Program investigates and disciplines California RN licensees who violate the NPA. The primary purpose of the program is to protect the public from incompetent, negligent, unsafe (e.g., dangerous behavior), dishonest, or impaired RNs. The role of an expert witness is extremely important. The expert witness not only identifies whether an RN has deviated from the standards of nursing practice or is responsible for unprofessional conduct, but also testifies at any hearing that may result from their expert assessment.
TOOLS AND NEWS
Please use the UCSF Health Recognize application to tell any staff member or provider how much your appreciate their expertise or support or guidance. It is free and easy and meaningful to the recipient. It functions through MyAccess.
WOMEN OF UCSF

Explore the stories, resources, and events supporting and highlighting the Women of UCSF.
BCH/BCHO Noon Conference
Monthly Education Meeting with light refreshments at Mission Bay
Compliments of Diane Sliwka, MD
One Good Thing
Improving the Work Experience at UCSF
Issue 95
To make our True North "Our People" efforts more visible at UCSF, this communication provides a highlight of one enhancement, story or tip intended to improve the work experience for clinicians and faculty at UCSF Health.
What If...?
Sometimes the problem is not that we are "burnt out," but rather that we are in a rut, a plateau, or bored. When I find myself uninterested in the words coming out of my own mouth, I know it's time to change something, take some risks and get re-energized about my own place in the world and at work.
What if I met with that leader I've only seen from afar? What if I set a goal of decreasing the gender gap this year? What if I ended a talk with a poem...

In this 2 minute  KQED perspective piece , Mac Clayton challenges us to "What If" our way into the possibilities.
Thanks to Coleen Kivlahan for sharing this inspiring piece.
Schwartz Rounds
Schwartz Rounds offer healthcare providers a regularly scheduled time during their fast-paced work lives to openly and honestly discuss the social and emotional issues they face in caring for patients and families. The focus is on the human dimension of patient care. Clinicians and staff have an opportunity to share their experiences, thoughts and feelings on thought-provoking topics drawn from actual patient cases. The premise is that health care providers are better able to make personal connections with patients and colleagues when they have greater insight into their own responses and feelings
GME Grand Rounds - inter-professional opportunity to share experiences.
AMBULATORY APP Providers ONLY
Please complete the LMS module AT THE LINK BELOW
The dates are randomly selected and to gain this valuable source of revenue, the time sheets must be completed and returned after signature in blue ink in a timely manner. We must have an 85% participation rate.
Timestudies can be scanned or a picture of the timesheet can be emailed to Andrina Ong. They can be processed immediately where inter-campus mail can take a week.
The following training link provides information that ALL ambulatory APPs must review to be included. ONLY APP providers that completed the LMS module will receive a link to the TIME SHEET when the next date is announced.
APP ONBOARDING OF NEW PROVIDERS STARTED COHORT 12 April 2020
Please welcome these new APP professionals
THEY ARE A GROUP OF NP AND PA PROVIDERS COMING INTO MANY DIFFERENT CLINICAL SPECIALTIES ACROSS THE UCSF HEALTH ENTERPRISE.
APP ADVISORY BOARD MINUTES
CALIFORNIA HEALTHCARE NEWS
A COUPLE ARTICLES RELEVANT TO ADVANCED PRACTICE. YOU CAN SUBSCRIBE IF YOU WISH.
Enhancing Relationship Centered Communication Skills Professional Development for Clinicians
AMERICAN HEART ASSOCIATION CERTIFICATION WORKFLOW FOR APP PROVIDERS RENEWING THEIR BLS, ACLS PALS THROUGH SAFETY TRAINING SEMINARS

They have a list of authorized APP providers. All others will be denied.
UCSF HEALTH UPDATES REGARDING TRUE NORTH METRICS

Includes an article on price transparency.
For more information, contact Mitchel Erickson, NP
Associate Chief of Advanced Practice
ALL APP 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.

Laura Frahm in INEX is leading the effort to improve the on-boarding of all students and is building a portal that all schools and students must work through.
WANT TO SHARE YOUR EXPERTISE WITH APP COLLEAGUES ACROSS THE STATE, THE NATION, OR THE WORLD?
CARING FOR THE CAREGIVER
MORE INFORMATION AND TO BE A PEER SUPPORTER, EMAIL THE FOLLOWING LINK.
UCSF Health Inbox Management
Thank you for your commitment and tirelessness in providing outstanding care for our patients. We know that “In Basket” work brings a unique, and sometimes daunting, set of challenges. We are writing today to share with you a multi-pronged approach to improving the In Basket experience for FY2020, and to ask for your partnership. 
RESOURSE INFORMATION AND LINKS
UCSF HEALTH EMPLOYEE DISCOUNTS AND BENEFITS FOR WORK, LIFE, AND FAMILY


IMPORTANT LINKS:
Giants Tickets - 30d prior to games email tiny.ucsf.edu/sports
Six Flags - when buying tickets enter promo code UCSF Tickets
California Academy of Sciences - when buying tickets for 20% off use promo code UCSF Tickets
SF Zoo - use discount code 75001 for $3 off adults, $2 off children with one free train or carousel ride for each ticket Tickets
Monterey Bay Aquarium - discount using Store Name UCSF1002 Tickets
Travel discounts - hotels, packages, cruises. Register for UCSF Passport Discounts, search UCSF Get Away Today Site for information
2018/2019 APP ADVISORY BOARD
Feel free to reach out to them through global Outlook
Alisa Yee, NP
Mercy Vigil, CRNA
Shelley Gierat, CRNA
Jennifer Kerney, NP
Laura Kirk, PA
Maura O’Day, NP
Brandon Sessler, PA
Stacy Wong, NP
Eliana Agudelo, PA
Dana Morgan, PA


Laura Weil, CNM
Annette Carley, NP
Gerri Collins Bride, NP
Lissa Gray, NP - Chair
Danielle Krieger, NP
Tara Valcarcel, NP - Co-Chair
Stacie Rohovit, NP
Michelle Klosterman, NP
Ryan Wilson, PA

Check for any Required Training
FACE CARDS FOR APP 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 departmental professional photos for this purpose.

LINK TO WEBSITE (universal login)
Making yourself more visible at UCSF Health
In an attempt to ensure all Advanced Practice Providers are visible to the public, your patients, and your colleagues at UCSF, please check and 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 I will collect information in batches and forward to the correct person. UCSF Health is building a new web portal and is challenged with migrating data from the old platform to the new platform. We have the capacity to add all the APP's photos and CV related data in the new APP website. 

This link will bring you to the UC ME login page. Use the button on the far left at the bottom to access the APP Resource Manual. 
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:
Physician Assistants - http://www.capanet.org/
Nurse Practitioners - http://canpweb.org/
Nurse Anesthetists - http://canainc.org/

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: They will no longer alert you via mail regarding license expiration. They will only contact you via email. It is your regulatory responsibility to ensure your contact information is accurate and up to date and you can be fined. 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. 
Renewal Applications Online to the DEA
REVISED ANNOUNCEMENT REGARDING RENEWAL APPLICATIONS
Starting January 2017, DEA will no longer send its second renewal notification by mail. Instead, an electronic reminder to renew will be sent to the email address associated with the DEA registration. At this time, DEA will otherwise retain its current policy and procedures with respect to renewal and reinstatement of registration. This policy is as follows: If a renewal application is submitted in a timely manner prior to expiration, the registrant may continue operations, authorized by the registration, beyond the expiration date until final action is taken on the application.
DEA allows the reinstatement of an expired registration for one calendar month after the expiration date. If the registration is not renewed within that calendar month, an application for a new DEA registration will be required. Regardless of whether a registration is reinstated within the calendar month after expiration, federal law prohibits the handling of controlled substances or List 1 chemicals for any period of time under an expired registration.