ADVANCED PRACTICE NEWSLETTER
February 2020
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CELEBRATING
NURSE PRACTITIONERS
NURSE ANESTHETISTS
PHYSICIAN ASSISTANTS
NURSE MIDWIVES
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As the Associate Chief of Advanced Practice, in retirement, I will continue to create this newsletter to keep us all communicating.
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IN THIS ISSUE
Highlighting APP Practice at UCSF Health
Sara Miller, NP Hepatology/Liver Transplant
APP UPDATES
The UCSF Health APP Website
APP Provider Experience NPS Survey
Next APP Open Forum April 30th, 2020
APP Grand Rounds April 23rd, 2020
Exceptional APP Award Nominations 2020
New Dot Phrase 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
Inbox Management
Need for SON Preceptors
The Women of UCSF
The Recognize Application
Knowing the Law Regarding Being a Preceptor in California
RECOGNITION, PUBLICATIONS, AND PRESENTATIONS
Liver Transplant and Hepatology APP Team
David Gordon
TOOLS AND NEWS
Article: Rural Health Disparities
Article: Provider Shortage in California
Article: CMS changes for for MediCaid recipients
Links to other UCMC's APP Practice
BCH/BCHO Monthly Noon Conference at MB
Reminder for Providers regarding Diabetes Supplies Ordering
APP Academic Stipend
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 - December 2019
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
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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HIGHLIGHTING THE ADVANCED PRACTICE PROVIDERS
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Sara Miller, FNP
Hepatology/Liver Transplant
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In November 2019 Sara Miller, FNP, Hepatology/Liver Transplant Divisions, received the AASLD Mid-Career Hepatology Associates Scholar (MCHAS) Award. The American Association for the Study of Liver Disease (AASLD) created this program to support APPs who are within 3-5 years of practice in the field of hepatology to advance their career via mentorship and guidance with publications, research, education, or policy work.
The AASLD recognizes that mentorship is important to encourage the development and continuation of career-building relationships. Mentorship plays an essential role in the program. The program was designed for mid-career APPs and a senior mentor and AASLD member: MD or APP.
Sara chose to be mentored by Eliana Agudelo, PA-C, Division of Liver Transplant. With the support and guidance of her mentor, Sara successfully applied for the MCHAS Award and both traveled to Boston, MA to attend the annual Liver Meeting sponsored by AASLD. Sara was honored at a special ceremony during this meeting.
Sara is currently the Associate Member on the steering committee for the Public Health Special Interest Group (SIG). The Public Health SIG aims to educate the public and bring more attention to liver diseases, especially disease prevention programs. As a member of the Public Health SIG, Sara hopes to bring more attention to disease prevention, specifically prevention of non-alcoholic fatty liver disease (liver disease associated with the metabolic syndrome) which is the fastest growing indication for liver transplant in the western world. At the conference Sara met with the members of the Public Health SIG to plan educational programs and develop policy work. Sara met with other NPs/PAs to create a wider network of associates within the field of hepatology.
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Sara's aim is to continue her work with the Public Health SIG and to give back to the AASLD community by mentoring new members: NPs/PAs that are new to the field of hepatology so they may also develop professionally and contribute to the field of liver disease research and management and public education.
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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 new 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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UCSF HEALTH PROVIDER ENGAGEMENT SURVEY 2020
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LAUNCH DATE WILL BE
FEBRUARY 21st 2020 AND WILL BE OPEN UNTIL THE REQUIRED THRESHHOLD IS MET. THIS YEAR THE APP WORKFORCE WELCOMES THE APPS AT BCHO IN OAKLAND TO THE SAME SURVEY. THEY WILL COMPLETE BY SELECTING BCHO AS THEIR FACILITY OF HIRE FOR CLINICAL SERVICES. I RECOGNIZE THAT IMPLEMENTING THE SUGGESTED CHANGES IS COMPLEX BUT BE ASSURED THAT ALL COMMENTS AND DATA ARE REVIEWED. AS A PROVIDER WORKFORCE YOU CAN REQUEST YOUR CLINICAL MANAGERS SHARE THEIR PLAN FOR IMPROVEMENT ACTIVITIES ONCE THE DATA IS DISTRIBUTED AND THEY HAVE HAD A CHANCE TO REVIEW AND FORMULATE A PLAN.
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NEXT SCHEDULED ADVANCED PRACTICE OPEN FORUM
Watch for the invite in your email
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Please save the date for
April 30th 2020 5-7P at Oberndorf Auditorium, Mission Bay. Join your collegues 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
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Thursday April 23rd, 2020
12-1pm
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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START PLANNING YOUR NOMINATIONS FOR THE EXCEPTIONAL APP AWARD 2020 - DEADLINE FOR SUBMISSIONS IS MAY 15TH, 2020
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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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Over the past 2 years, we have asked all ambulatory APP providers or APP providers who are engaged in a proportion of ambulatory services to use a dot phrase in their documentation
(.ahpvisittype) IS NOW (.appnote).
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I have provided the TIPSHEETs which are essentially the same workflow as currently exists 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. 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.
With the new revision of our APEX Updates and the Instance Merge with BCHO we must hold on any further revisions as they had to be completed by February 15th, 2020.
I appreciate your flexibility as we improve and ease this documentation workflow that recognizes your contributions to patient care.
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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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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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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.
Why focus on In Basket?
· Quality: We want to be responsive to the needs of our patients.
· People: In Basket should be a team sport, shared between clinic management, staff and providers.
· Safety: We need to assure ourselves that all results have been reviewed and acted on.
Roll out schedule of In Basket Management
February 5, 2020, most In Basket messages (excluding results) will start auto-completing at 60 days (includes refill requests, telephone messages, MyChart messages, staff messages and Cc’d charts)
All results within 3 days of posting must be reviewed.
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NEED FOR UCSF School of Nursing PRECEPTORS
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Dear
Fellow UCSF Advanced Practice Providers,
I’m writing to ask you to consider precepting a UCSF Nurse Practitioner student. The short ask is that most programs are often scrambling to find enough preceptors each quarter, and we know that the APPs at UCSF are a rich resource of knowledge and expertise. We understand that not everyone can take a student every quarter. We seek to create a robust list of preceptors, so that we have enough to precept our learners from quarter to quarter.
Preceptors can gain hours towards recertification and advancement. Those who precept at least 2 quarters per academic year can be nominated for Volunteer Clinical Faculty.
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WOMEN OF UCSF
Explore the stories, resources, and events supporting and highlighting the Women of UCSF.
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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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Are you a Clinical Preceptor?
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Presentations, Publications, and Recognition
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The ASTS Foundation announced that it is sponsoring four grants for Advanced Transplant Providers. This is the first time grants are available specifically targeting APPs. UCSF Transplant Surgeons Dr. John Roberts spearheaded this process as Chair of the Foundation Chair at ASTS and he and Dr. Nancy Ascher donated $5000 dollars for one of the APP grants.
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UCSF APPs at The ASTS (American Society of Transplant Surgeons) Winter Symposium 2020
It was a whirlwind of events and successes for UCSF APPs and all APPs in Transplant at 20
th
Annual American Society of Transplant Surgeon State of the Art Winter Symposium last month in Miami (1/9 – 1/12/2020).
The APPs held a successful morning session with record attendance. Eliana Agudelo PA-C (UCSF Liver Transplant) and Heather Chambers DNP (ID NP Nebraska Transplant) planned and moderated this successful session.
Danielle Krieger NP UCSF Kidney Transplant spoke about “Transitioning Care to the Young Adult Transplant Clinic: Improved success of transition and transfer with a dedicated APP managed clinic”
Claudia Praglin NP UCSF Liver Transplant gave a talk about “The role of the APP in Intestinal Rehab and Transplant”.
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David M Gordon, DNP
Acute Care Nurse Practitioner
Lung Transplantation
University of California San Francisco
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On 1/17/20 Dr. David Gordon presented an abstract/poster at the California Thoracic Society and it won first place, 'The President's Award' for the top overall abstract at the California Thoracic Society conference.The abstract was titled "Reducing Length of Stay After Lung Transplant Surgery Through the Implementation of Multi-Disciplinary Care Coordination Rounds."
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Rural Health Disparities in America
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This article comes form Clinical Advisor and is not specifically about California but references the same challenges for rural California.
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I already wrote to the author and editor to redact the use of the term "mid level" and suggested an apology may be in order.
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Hire mid-levels
Amid doctor shortage, state considers expanding nurse practitioners’ scope
This article was published on
02.20.20
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Article from the Kaiser Family Foundation - New CMS Healthy Adult Opportunity
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ADVANCED PRACTICE AT UC Medical Centers in California
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A UC wide Advanced Practice Leadership Strategy Committee was formed a couple years ago to create a dialogue and share common processes that were more mature at some health systems than others and support each other in our collective efforts. The Committee includes members from all professions as well as senior leadership and advanced practice faculty and administrators. The following logos are links to activities at each campus that may relate to advanced practice. These may include conferences and grand rounds. You will note that some are more mature in their online presence.
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BCH/BCHO Noon Conference
Monthly Education Meeting with light refreshments at Mission Bay
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Reminder Regarding Education and Diabetes Discharge Supplies
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Provider education about how to order correct discharge supplies for patients with diabetes.
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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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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.
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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.
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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 11 JANUARY 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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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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2018/2019 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
Laura Kirk, 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
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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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