ADVANCED PRACTICE NEWSLETTER
May 2020
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CELEBRATING
NURSE PRACTITIONERS
NURSE ANESTHETISTS
PHYSICIAN ASSISTANTS
NURSE MIDWIVES
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I wanted to make you all aware that on May 18th, 2020 your new Associate Chief of Advanced Practice will take the reins of UCSF Health's Office of Advanced Practice. There did not seem to be a good way to make this announcement during the COVID efforts and all the communication. I will continue to support communication as she takes over responsibilities. With all the uncertainty and challenging information we receive daily, please forward any content you feel appropriate that may bring connection and a smile to your Advanced Practice colleagues.
IMPORTANT
ADVANCED PRACTICE GRAND ROUNDS AND THE OPEN FORUM HAVE BEEN POSTONED TO FUTURE DATES WHEN PHYSICAL MEETING IS POSSIBLE. THESE EVENTS ARE BEST DELIVERED IN PERSON AS ADVANCED PRACTICE PROVIDER SOCIAL CONNECTIONS ARE PART OF THEIR PURPOSE.
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IN THIS ISSUE
Highlighting APP Practice at UCSF Health
Introducing the New Associate Chief of Advanced Practice
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APP UPDATES
COVID-19 RESOURCES
Governor of California
Special Discounts for UCSF Health Employees during COVID
Important HR Deadline
Emotional Wellbeing Services
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
Updates from the AAPA President
APP Academic Stipend
S
MART BLOCK DOCUMENTATION Workflow
New Performance Development/Evaluation Tool for NPs and PAs
Medicare Expansion For TeleMedicine
Knowing the Law Regarding Being a Preceptor in California
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TOOLS AND INFORMATION
Update your License and Certification Online via OMAG
Availability of Lab Coats and Uniforms for APPs
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
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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
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RECOGNITION, PUBLICATIONS, AND PRESENTATIONS
Annika Erhlich, NP
Jay Beebe, CRNA
BCH PICUTeam Efforts
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HIGHLIGHTING ADVANCED PRACTICE PROVIDERS
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Please Welcome Ivette Becerra-Ortiz the new Associate Chief of Advanced Practice at UCSF Health beginning May 18th, 2020
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Ivette joins us from Stanford Children’s Health where she worked as the Director of Care Management (8 years), International Medicine (2 years), and an Implementation Scientist (2 year). She oversaw care providers managing patient progression throughout the continuum of car from inpatient and outpatient, with an emphasis on healthcare utilization management and coordination of care. She also directed medical referrals, ongoing care, and stewardship of international clientele, and promoted the integration of research findings and evidence into health care policy and practice. Ivette worked as a Pediatric Nurse Practitioner (10 years), Director of Operations (5 years), and Director of Nursing (2 years) at Fair Haven Community Health in New Haven Connecticut (a federally-qualified health center). She has taught graduate level courses at the Yale School of Nursing and undergraduate nursing classes at California State University, San Jose. Ivette received her Doctorate of Nursing Practice from California State University, her Master of Science in Nursing and a Master’s in Public Health and Epidemiology from Yale University. Ivette will report to Sheila Antrum until the chief nursing executive is hired.
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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
REDPLOYMENT OPPORTUNITIES
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
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
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Messages from Governor Newsom regarding the CA Health Corps and Executive Order N-39-20 issued April 14, 2020 affecting NP and PA and CNM practice.
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Under California law, physicians can supervise a maximum of four nurse practitioners or a combination of PAs and CNMs and NPs, up to 4 who have prescribing authority. In the waiver issued today, that ratio has been eliminated for the next 60 days. This action expands nurse practitioners’ and other providers's the ability to provide care in areas with fewer physicians and allows for greater flexibility depending on practice and care setting.
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UCSF Health Employee Discounts during our COVID efforts.
Just click on the discounts tab on the left of the launch page.
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Important Message from HR you may have missed
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Changes Coming When AYSO Freezes on April 24 – As part of UCSF’s transition to UCPath, At Your Service Online (AYSO) will become read-only starting April 24. As a result, several actions that employees could previously take in AYSO will be unavailable, including:
- Updates to employee information, including personal information, tax withholding, and direct deposit.
- Initial enrollment in benefits for new employees with period of initial eligibility (PIE) between April 24 and May 31.
- Employees will still be able to view and print historical information contained in AYSO such as pay statements and tax documents for periods prior to UCPath implementation. Links to external sites such as Wageworks, UCRAYS, and other benefits providers will continue to be available.
Employees should make changes to their Information before April 23. All employees are encouraged to verify and update their personal information in AYSO by April 23, before data conversion to UCPath. Employees who receive paper paychecks should confirm that their home address is current, as this will be the mailing destination for paychecks. After April 23, employees must wait until June 1 to make changes to their information, when they will use the self-service features available in UCPath online.
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UCSF Health is committed to the emotional well-being of Our People during this challenging time as we work together to respond to COVID-19.
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UCSF HEALTH ADVANCED PRACTICE WEBSITE
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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.
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UCSF Health Calendar is now on the Advanced Practice website.
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VIDEO VISITS AT UCSF HEALTH
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POSSIBLE MOVIE OF INTEREST: DOCUMENTARY TITLED "THE AMERICAN NURSE"
ORIGINALLY RELEASED IN 2014
is available only until May 31st. 2020
The American Nurse explores some of the biggest issues facing America — aging, war, poverty, prisons — through the work and lives of five nurses. It is an examination of real people that will change how we think about nurses and how we wrestle with the challenges of healing America.
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NPS Provider Engagement Survey was suspended as was the Gallup Employee Survey .
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NEXT SCHEDULED ADVANCED PRACTICE OPEN FORUM
RESCHEDULED TO A FUTURE DATE
Watch for the invite in your email
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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.
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THE ADVANCED PRACTICE GRAND ROUNDS HAS BEEN
POSTPONED TO LATER DATE
WATCH FOR NEW INVITE
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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)
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Co-sponsors: Office of Sustainability and Education Committee of the UCSF Health Advanced Practice Advisory Board
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PLANNING FOR THE EXCEPTIONAL APP AWARD 2020 HAS BEEN POSTPONED SECONDARY TO COVID-19. IT IS POSSIBLE THE EVENT WILL BE HELD IN 2020 BUT LIKELY RESCHEDULED TO 2021
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Prior recipients:
2017
Laura Kirk, PA
Jody Farrell, PNP
2018
Eliana Agudelo, PA
Elizabeth Colglazier, PNP
2019
Brandon Sessler, PA
Gautham Iyer, NP
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April 8, 2020
AAPA President on COVID-19 and Legislative Wins
Via reporting from Clinical Advisor
David E. Mittman, PA, DFAAPA, President of the American Academy of Physician Assistants
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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
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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.
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NEW PA AND NP ANNUAL PERFORMANCE REVIEW TOOL
This new tool is more professionally relevant and requests peer review.
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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.
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Medicare is Expanding Telehealth Services During Coronavirus Pandemic
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As part of its response to the coronavirus pandemic, the federal government is broadly expanding coverage of Medicare telehealth services to beneficiaries and relaxing HIPAA enforcement. This will give doctors the ability to provide more services to patients remotely.
Medicare covers telehealth services that include office visits, psychotherapy, and consultations provided by an eligible provider who isn't at your location using an interactive two-way telecommunications system (like real-time audio and video). Normally, these services are available only in rural areas, under certain conditions, and only if you’re located at one of these places:
- A medical office
- A hospital
- A critical access hospital (CAH)
- A rural health clinic
- A federally qualified health center
- A hospital-based dialysis facility
- A skilled nursing facility
- A community mental health center
Under the
new expansion
, Medicare will now pay for office, hospital, and other visits provided via telehealth in the patient’s home. physicians, nurse practitioners, clinical psychologists, and licensed clinical social workers will all be able to offer a variety of telehealth services to their patients, including evaluation and management visits, mental health counseling, and preventive health screenings. In addition,
relaxed HIPAA enforcement
(the law governing patient privacy) means providers may use technologies like Skype and Facetime to talk to patients as well as using the phone.
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Are you a Clinical Preceptor?
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Presentations, Publications, and Recognition
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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.
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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.
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THE UCSF HEALTH PICU TEAM SUPPORTS COLLEAGUES IN NYC
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In less than 24h, the UCSF PICU TEAM raised over $1200! What an amazing and generous group effort. They successfully sent pizza to the Montefiore PICU and arranged lunch for New York Presbyterian Columbia PICU as well as NYP Cornell PICU next week. They are waiting to hear back from New York University and Memorial Sloan Kettering! They continue to take donations as they reach out to more PICUs in the NYC area. What we are doing makes a difference! Mount Sinai has received so much from people like us that they're doing their own fundraising and sending pizza to neighboring hospitals in NJ!
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The happy recipients of the pizza at Montefiore PICU
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UPDATING YOUR LICENSE AND CERTIFICATIONS IS EASY
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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
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UNIFORM AND LAB COAT ALLOWANCE FOR APPs
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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.
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- Click on New User/Register
- Register with your Employee ID#:
- Register with your UCSF Email Address
- Begin Shopping
- Be sure to apply your gift card allocation during check out
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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.
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WOMEN OF UCSF
Explore the stories, resources, and events supporting and highlighting the Women of UCSF.
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BCH/BCHO Noon Conference
Monthly Education Meeting with light refreshments at Mission Bay
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Compliments of Diane Sliwka, MD
One Good Thing
Improving the Work Experience at UCSF
Issue 107
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.
Emotions and Lightening the Load
There are many emotions that have come with this pandemic, uncertainty, anxiety, foreboding, fear, guilt, anger, grief, gratitude, courage, relief.... If you too are feeling them, sometimes all in the same day, you are completely normal.
When our colleagues create a video like
this
from the Respiratory Screening Center at Parnassus, it brings sheer joy that cuts through the rest for a moment, a very welcome feeling.
For that, thanks to Paul Nadler, Tanya Roman and their awesome team for this One Good Thing. Above all, thanks for their and everyone's service to our patients during this time.
Wishing all of you a lightening of the load and moments of joy in what can feel like an otherwise dark time.
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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
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GME Grand Rounds - inter-professional opportunity to share experiences.
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AMBULATORY APP Providers ONLY
Please complete the LMS module AT THE LINK BELOW
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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.
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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.
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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.
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APP ONBOARDING OF NEW PROVIDERS STARTED COHORT 12 April 2020
Please welcome these new APP professionals
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THEY ARE A GROUP OF NP AND PA PROVIDERS COMING INTO MANY DIFFERENT CLINICAL SPECIALTIES ACROSS THE UCSF HEALTH ENTERPRISE.
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APP ADVISORY BOARD MINUTES
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CALIFORNIA HEALTHCARE NEWS
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A COUPLE ARTICLES RELEVANT TO ADVANCED PRACTICE. YOU CAN SUBSCRIBE IF YOU WISH.
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Enhancing Relationship Centered Communication Skills Professional Development for Clinicians
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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.
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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
Associate Chief of Advanced Practice
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ALL APP 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.
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.
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WANT TO SHARE YOUR EXPERTISE WITH APP 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.
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UCSF Health Inbox Management
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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.
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RESOURSE INFORMATION AND LINKS
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UCSF HEALTH EMPLOYEE DISCOUNTS AND BENEFITS FOR WORK, LIFE, AND FAMILY
IMPORTANT LINKS:
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
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2019/2020 APP ADVISORY BOARD
Feel free to reach out to them through global Outlook
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Alisa Yee, NP
Mercy Vigil, CRNA
Shelley Gierat, CRNA
Jennifer Kerney, NP
Regina Gould, PA
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
Lissa Gray, NP - Chair
Danielle Krieger, NP
Tara Valcarcel, NP - Co-Chair
Stacie Rohovit, NP
Michelle Klosterman, NP
Ryan Wilson, PA
Erika Wilson, NP
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Check for any Required Training
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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.
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Making yourself more visible at UCSF Health
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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.
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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 APP Resource Manual.
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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: 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.
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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.
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