ADVANCED PRACTICE NEWSLETTER
November 2020
Ivette Becerra-Ortiz, DNP, NEA-BC, CPNP-PC Associate Chief of Advanced Practice &
Shelley Gierat, CRNA Chair of APP Advisory Board Communications Committee
|
|
CELEBRATING
NURSE PRACTITIONERS
NURSE ANESTHETISTS
PHYSICIAN ASSISTANTS
NURSE MIDWIVES
|
|
IN THIS ISSUE
Highlighting APP Practice
at UCSF Health
Lisa Hartmayer, RN, MSN, ANP-BC, CCTN
Lisa currently works on the inpatient Kidney Transplant Service at UCSF Parnassus. In addition to caring for kidney transplant patients, she is passionate about environmental health. Over ten years ago she helped organize a multidisciplinary grassroots effort called the ‘Green Group’ within UCSF Medical Center. She earned a Master's of Science from UCSF School of Nursing with a specialty in Occupational and Environmental Health in 2010. She won the UCSF Sustainability award in 2012 and served as the co-chair of the Chancellors Advisory Committee for Sustainability Healthcare workgroup from 2008 until 2011.
Currently, Lisa is working with the Alliance of Nurses for Healthy Environments and Climate Health Now on climate change and health education and advocacy. She participates in a neighborhood organizing program called Cool Block which helps neighbors be prepared for disasters, improves resiliency, and makes homes more sustainable. She is a volunteer with the City of San Francisco Medical Reserve Corps which is a national network of volunteers, organized locally to address urgent health and
safety needs in the community. Lisa is a co-investigator in the Women Worker Biomonitoring Collaborative study which aims to assess exposures related to breast cancer in female nurses at UCSF as compared to female office workers in San Francisco. Lisa believes that advanced practice providers are uniquely poised to address the impacts of climate change on health for patients as well as communities. She is eager to share her passion for environmental health with anyone that is interested in learning more.
|
|
Advanced Practice Provider Advisory Board
Organizational Chart
|
|
You're invited to the 2nd annual
UCSF Transplant and SFFD Toy Drive
Tis the season for giving
The San Francisco Fire Department Toy Program serves many San Francisco community organizations including shelters for abused women and children, inner-city schools, neighborhood groups, children’s cancer wards and many more programs. Due to COVID19, SFFD has asked donors to have virtual toy drives this year. Please visit the Amazon gift registry website below, where toys can be purchased and mailed directly to the SF Firefighters Toy Program office located at 2225 Jerold Avenue, S. F., CA 94124. I added a variety of toys suggested by SFFD with varying price ranges. SFFD will start giving toys to 300 families a day starting December 1st. Please give the gift of joy by buying a toy for a child this holiday season.
Click link to donate and for more information:
|
|
DELINQUENT OPEN ENCOUNTERS
Friendly reminder that notes need to be signed/completed ideally within 24 hours of the encounter and no later than 14-days from the encounter.
For providers who have open encounters that go beyond 14 days, your Medical Staff privileges will be suspended
|
|
UCSF HEALTH ADVANCED PRACTICE WEBSITE |
|
MENTORSHIP
Mentorship is the process whereby an experienced individual (the mentor) advises, guides, and supports another individual (the mentee) in the development and examination of their own ideas, learning, and personal and professional development.
Are you interested in being an APP mentor? Please complete the following survey from the APP Mentorship Committee:
|
|
Nursing Grand Rounds
One continuing education credit can be earned by attending Nursing Grand Rounds, which are free to attend.The upcoming schedule is as follows:
Nov. 9, Nursing Grand Rounds: Presented by Alicen Kershaw, NP (topic TBD).
Meets from 8 to 9 a.m. in OPC Auditorium
|
|
|
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.
|
|
|
|
|
UCSF DNP PROGRAM
Applications are open from July 1, 2020 through Nov. 15, 2020 for
Spring 2021 entry
|
|
|
APP Grand Rounds from October on Climate Change and Health
Can be viewed on the following link
|
|
California Nurse Practitioners Eligible for Greater Practice Independence in 2021
On September 29, 2020, California Governor Gavin Newsom signed Assembly Bill 890 into law, launching significant changes to the scope of practice for Nurse Practitioners (“NPs”) over the next few years.
Changes to Scope of Practice Effective in 2021
Effective January 1, 2021, NPs who meet certain education and training requirements will be able to perform certain functions without standardized procedures in specified healthcare settings where one or more physicians practice with the NP, such as a clinic, acute care hospital, state hospital, medical group practice and other limited settings.
The functions NPs will be allowed to perform without standardized procedures include:
- Conduct an advanced assessment
- Order, perform and interpret diagnostic procedures
- Establish primary and differential diagnoses
- Prescribe, order, administer, dispense, procure and furnish therapeutic measures
- Certify disability pursuant to Unemployment Insurance Code Section 2708, after performing a physical examination
- Delegate tasks to a medical assistant
The education and training requirements which an NP must meet in order to perform the above functions without standardized procedures will include:
- Passing a national nurse practitioner board certification examination and, if applicable, a supplemental examination
- Holding a certification as an NP from a national certifying body accredited by the National Commission for Certifying Agencies (“NCCA”) or the American Board of Nursing Specialties (“ABNS”) and recognized by the Board of Registered Nursing (“BRN”)
- Providing documentation that educational training was consistent with standards established by the BRN and any applicable regulations as they specifically relate to requirements for clinical practice hours (Online educational programs that do not include mandatory clinical hours will not meet this requirement)
- Completing a “transition to practice” period (clinical experience and mentorship provided to prepare a nurse practitioner to practice independently) in California of a minimum of three full-time equivalent years of practice or 4600 hours
Having already undergone extensive training, some NPs may already meet some of these requirements. However, no NP will be able to meet the “transition to practice” requirement until the BRN has defined the minimum standards by regulation. Therefore, it is unlikely any NP will be able to meet the requirements to practice without standardized procedures at the beginning of 2021, unless the BRN quickly promulgates these regulations.
Changes to Scope of Practice Effective 2023
As of January 1, 2023, NPs who hold an active certification issued by the BRN pursuant to Business and Professions Code Section 2837.104 will be able to perform the functions specified above without standardized procedures outside of a clinic, acute care hospital, state hospital, medical group practice and other limited settings.
Medical Staff Involvement
AB 890 also expands NPs’ stature with hospital medical staffs, making NPs “eligible to attend” meetings of their assigned department. However, they may not vote at the meeting unless the vote is regarding the determination of NP privileges with the organization, peer review of NP clinical practice, whether an NP’s employment is in the best interest of the communities served by a hospital (pursuant to Section 2400), or the vote is otherwise allowed by the applicable bylaws.
In addition, AB 890 states that NPs will become eligible for medical staff membership in 2023 and to vote at department meetings to which they are assigned. It is unclear how this will play out, considering California hospital licensure regulations currently restrict medical staff membership to physicians, podiatrists, dentists and clinical psychologists.
NPs Subject to Laws Regarding Self-Referral Prohibitions
AB 890 revised Business and Professions Code Section 650.01 to broaden the definition of “licensee” to include NPs practicing pursuant to the new expanded scope of practice laws, thus making this subset of NPs subject to the self-referral laws of California. There is no indication the federal government will follow suit in its so-called Stark Law.
New Duties for Peer Review Bodies Under Section 805
Peer review bodies, such as hospital medical staffs and some health plans and medical groups, have an obligation under Business and Professions Code Section 805.5 to report to state licensing agencies under certain circumstances. This includes when the peer review body takes or recommends certain action against a licentiate’s privileges or membership, if the action or recommendation is based on a “medical disciplinary cause or reason” (i.e., if it pertains to professional competence or conduct that is reasonably likely to pertain to patient safety or to the delivery of patient care). “Licentiate” under Section 805, which refers to subjects of an 850 report, has been redefined to include NPs practicing pursuant to the new expanded scope of practice laws.
University of California Office of the President and the 5 UC medical centers are meeting to assess the impact, implementation, and operations for both AB890 and SB1237. Further information to follow
|
|
New Lactation Credit
and
Time Holds in Ambulatory Practice
New Lactation Holds
On November first, a new lactation support program was launched in ambulatory practice. Through this program, APPs returning from child bearing leave can take advantage of a 30 minute time hold for lactation in every 4 hour session. Please read the details here.
Your Opinion Requested: Lactation Support At UCSF Health
In our efforts to support gender equity and the work experience at UCSF Health, we are seeking input about efforts being undertaken to support lactating parents in the clinical environment. As part of this effort, please take a few minutes to provide your opinions using this: https://ucsf.co1.qualtrics.com/jfe/form/SV_eM26eDWNVs44REh
|
|
Health of Healthcare Community Research Team
( UC collaborative led by a group of nurses across UCSF, UCLA, UCSD, and UCI)
|
|
Dear UCSF Community,
Thank you for your dedication and commitment to providing quality care to our patients and organization during these difficult times.
We realize these extraordinary times can be stressful and have an impact on you and your loved ones. We are writing to ask if you would be willing to take a survey to evaluate how the COVID-19 pandemic has affected you and those you live with. The survey aims to provide a picture of COVID-19’s impact, and you and your loved ones’ ability to cope with these unprecedented times.
• The questionnaire takes approximately 10 minutes.
• If you choose to participate, please complete the survey only once.
• Your participation in the survey is voluntary and all your answers will remain anonymous. If you agree to take this survey more than once, we will identify you with a unique identifier that will assess changes to your responses over time. The identifier will not be used to identify you and your answers.
•
We also ask that you share this link and QR code with your household members. We truly appreciate if you can provide some insight into how this pandemic has affected you and your loved ones so we can better provide a basis for helpful interventions.
Thank you for your consideration and contribution to learning more about the health of our healthcare community. Please continue to stay safe and we appreciate all you do!
Sincerely,
Health of Healthcare Community Research Team
Meghan Duck, MS, RNC-OB, CNS
Vivian Huang, BSN, RN, OCN, BMTCN
Yin Lo, BSN, RN-BC
Minh Nguyen, BSN, RN
Pierre-Cedric Crouch, PhD, RN, ANP-BC, ACRN
Nancy Lee, MSN, RN, PHN
Hannah J. Jang, PhD, RN, CNL, PHN
UCSF Health
Pamela Miller, PhD, RN, ACNP, CNS, PHN
Iris Mayoral, BSN, RN-BC
UCLA Health
Joe Reguindin BSN, RN, CCRN, PHN
Lori Kennedy Madden, PhD, RN, ACNP-BC, CCRN-K, CNRN
UCD Health
Judy Davidson, DNP, RN, MCCM, FAAN
UCSD Health
Andrea Tran, RN
Donna Grochow, MSN, RNC-NIC, WCC
UCI Health
|
|
CMS guidelines for Ambulatory E&M coding and Provider Self-coding
Sent on behalf of Susan Smith, MD, President of Faculty Practice/SVP, UCSF Health and Vanessa Ridley, JD, Chief Compliance Officer
Dear All,
As you are aware from our communication on September 4th, new CMS guidelines for Ambulatory E&M coding will go into effect on January 1, 2021. We have therefore developed a training program that will support your understanding of the coding guidelines and documentation requirements. Please note that all FPO physicians and APPs will be required to attend one of these training sessions by December 31st – sessions will be offered throughout November and December. We will offer 2 methods by which you can complete this training.
The sessions described below will be separate from the timeline identified for your practice to transition to Ambulatory E&M self-coding. You will have an opportunity to participate in additional education sessions specific to your clinical area as your practice is prioritized to transition to self-coding over the next few months. We will share another update on transition timelines for all practices shortly.
Options for training session attendance in November and December (one is required)
-
Live session led by an internal educator – there are a total of 22 sessions being offered; these 90-minute sessions have been grouped to cover five clinical areas – Medical specialties, Pediatrics, Primary Care, OBGYN and Surgical specialties. The general education content will be the same across all sessions, but case studies and examples will differ based on the clinical area of focus. If you are unable to attend a session specific to your clinical area, please register for any other session that aligns with your availability. Please use this LMS link to register for one of the live training sessions to be conducted via Zoom.
-
Medical Specialties – Monday, 11/2-Monday, 11/9
-
Pediatrics – Tuesday, 11/10-Thursday, 11/19
-
Primary Care – Friday, 11/20-Friday, 12/4
-
OBGYN – Monday, 12/7-Friday, 12/11
-
Surgical Specialties – Monday, 12/14-Friday, 12/18
-
Self-Guided LMS training – this will be a non-narrated “click-through” educational opportunity so you can review the learning material at your own pace; questions and case studies will be integrated. Additional information will be shared about the LMS Self-Guided trainings within the next couple of weeks – we anticipate this option to be available by mid-November.
|
|
HUMAN RESOURCE UPDATE
Open Enrollment
- October 29th (starting at 8am) through November 24th (ends promptly at 5pm) . A direct email was sent out directly to all benefit eligible employees about Open Enrollment.
- For flexible spending account (FSA) plan (Health FSA/DepCare FSA) please make sure to re-enroll during Open Enrollment for coverage the following year (if you want the plan(s) to continue).
- Please note: open enrollment ends at 5pm on the last day (November 24th) .
FY20 Incentive Award Program (IAP) Payout Update
- The FY20 IAP payout is in the last stages of approval. These approvals are coordinated by the UC Office of the President. Human Resources will send a notification when the payout is approved and leaders can start sharing with their staff the payout amounts.
- As a reminder, the gross payout amounts are available in the HR Umbrella.
- The anticipated payout timeframe is mid to late November. When the payout date is confirmed, HR will send out a notification.
UCPath Update
-
There have been ongoing delays with the UCPath Center in addressing cases ranging from pay to benefits. To submit a case or for concerns, staff should visit: UC Path Resources and Support
Partnership Aims to Help UCSF Employees Purchase a Home
-
Landed is a company that helps employees of health care and educational institutions with down-payment support and other home-buying resources, Learn more about the program
|
|
MICROSOFT OFFICE 365 TRAINING
Dear UCSF community,
We have partnered with Microsoft to create a series of free, online Office 365 trainings tailored to UCSF. I am pleased to announce that we have extended access to these training materials through December 2020.
Now that I’ve gotten accustomed to using Office 365 it has transformed the way I collaborate. But it did require changes to how I shared documents and communicated with my colleagues. Once I made the leap I can’t go back and I’m hoping these training materials make it easier for you to make that leap as well.
We’re offering both beginning (L100) and intermediate (L200) trainings geared to help you and your team make the most of these tools. Discover how to manage your files in Office 365 and how to collaborate in Teams.
I hope that you can take advantage of these free training offerings.
Joe R. Bengfort, Senior Vice President / Associate Vice Chancellor / UCSF CIO
500 Parnassus Ave. MUE 526 , San Francisco, CA 94143-0296 / Office: 415-353-4273
|
|
Join us in Celebrating
NATIONAL
Nurse Practitioner
WEEK
November 8, 2020- November 14, 2020
"NP's Moving Forward:
Today. Tomorrow. Together"
Nurse practitioners (NPs) are at the forefront of combating the COVID-19 crisis, leading efforts to test, diagnose and treat patients and to prevent the spread of the disease in communities nationwide. Providing care to those who need it most — in their homes; in primary, acute, specialty and longterm care settings; and on screen, using telehealth — NPs are meeting patients where the need is greatest.
This National Nurse Practitioner Week, we salute you
The American Association of Nurse Practitioners® (AANP)
|
|
Matthew Tierney, ANP, PMHNP, CARN-AP, FAAN is a Clinical Professor at the UCSF School of Nursing, and is Clinical Director of Substance Use Treatment and Education for the Office of Population Health at UCSF Health. In Addition, he is the current President of the American Psychiatric Nurses Association (APNA).
Recent publications:
- Tierney, M., Finnell, D. S., Naegle, M., Mitchell, A. M., & Pace, E. M. (2020). "The Future of Nursing: Accelerating gains made to address the continuum of substance use". Archives of psychiatric nursing, 34(5), 297-303.
- Tierney M. Psychiatric-Mental Health Nurses: Revolutionizing Access to Person-Centered Care. J Am Psychiatr Nurses Assoc. 2020 Oct 13; 1078390320965245. PMID: 33047632
- Tierney M. Letter to the Editor. J Addict Nurs. 2020 Jul/Sep; 31(3):144. PMID: 32868605
CLICK BELOW LINKS to access publications:
|
|
|
PUBLICATION
Courtney K Gordon, DNP, MSN, GNP-BC, ACHPN is a Geriatric and
Palliative Care Nurse Practitioner at
UCSF Care at Home Program. She recently published a chapter in the latest textbook for Geriatrics.
Citation:
Chapter 68, Titled “Pressure Ulcers” in the 3rd Edition of the Lange Series Current Diagnosis and Treatment: Geriatrics
In addition to being in author, Courtney recently presented at AAHCM (American Academy of Home Care Medicine).
Session Title: Social Isolation and Loneliness at Home in the Time of Covid-19 – A Review of Interventions Done and Lessons Learned.
Description of session: The COVID-19 pandemic exacerbated a growing public health crisis among older adults: Social isolation and loneliness. With older adults instructed to “shelter in place,” many lost access to resources that were vital to their daily lives. This included both formal and informal support systems: food access, companionship, socialization, assistance with activities of daily living, and access to in person medical care. In this session, we reviewed prior strategies that were strengthened and novel strategies that emerged during COVID-19 to mitigate social isolation and loneliness. We discussed identification of loneliness and social isolation, plans to sustain successful interventions, and how we can proactively apply lessons learned to future efforts.
|
|
|
Annika Ehrlich MS, FNP-C, CN RN in the UCSF Headache Center will be presenting two topics for the upcoming AHS Virtual Scottsdale Headache Symposium November 21st.
Topics:
- Patient Advocacy and the Role of the NP in Managing Headache Patients
- Acute Migraine Treatments (as part of the Bridge Program, a migraine headache education program designed for Primary Care APPs)
Click below for webpage:
|
|
DEVELOPED A NEONATAL CHEST MODEL
Beverly Shoemaker, RN, MSN, NNP is the lead Neonatal Critical Care Transport NP and is in charge of putting together a program to train RNs to become Neonatal Transport Nurse Specialists. She came up with the chest model for chest tube skills practice and thoracentesis.
See link below:
|
|
COMING SOON
APPS ON INSTRAGRAM
UCSF Advanced Practice
Exploring the practice of certified nurse midwives, certified registered nurse anesthetists, nurse practitioners and physician assistants at UCSF
|
|
SOME ARTICLES ARE RELEVANT TO ADVANCED PRACTICE. YOU CAN SUBSCRIBE IF YOU WISH. |
|
|
For more information, contact
Ivette Becerra-Ortiz, DNP, NEA-BC, CPNP-PC
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. |
|
|
A Mini-grant opportunity from UCSF School of Nursing
The PIPE Interprofessional Mini-Grant program is meant to provide support for pilot interprofessional opportunities to encourage creative solutions that enable interprofessional learning. Recipients will receive a $500 stipend.
Interprofessional clinical training mini-grant due 12/4/2020, for more information:
|
|
|
|
WANT TO SHARE YOUR EXPERTISE WITH APP COLLEAGUES ACROSS THE STATE, THE NATION, OR THE WORLD? |
|
|
|
I am here to support and advocate for APP's
|
|
Senior Operations Analyst |
|
|
|
|
|
|
|
