ADVANCED PRACTICE NEWSLETTER
August 2020
Ivette Becerra-Ortiz, DNP, NEA-BC, CPNP-PC Associate Chief of Advanced Practice &
Shelley Gierat, CRNA Chair of APP Advisory Board Communications Committee
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CELEBRATING
NURSE PRACTITIONERS
NURSE ANESTHETISTS
PHYSICIAN ASSISTANTS
NURSE MIDWIVES
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IN THIS ISSUE
Highlighting APP Practice at UCSF Health
Diversity, Equity, and Inclusion Committee for the CRNAs
Fiona Langley MSN, CRNA and Mardochee Val MSN, CRNA
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Greetings! We are Fiona Langley and Mardochee Val, the co-chairs of the Diversity, Equity, and Inclusion committee for the CRNAs here at UCSF. We hail from diverse nursing backgrounds and are passionate about creating spaces where we all feel welcome and represented. It is our desire to provide those who identify as underrepresented in healthcare with access to information regarding our profession.
We believe that as Advanced Practice Providers we should reflect not only the population that we provide care for, but also work to uproot our own learned and inherent bias, in order to promote positive health outcomes. In the coming months, there will be many opportunities to get involved and we hope that you will join us in fostering and building a diverse, equitable, and inclusive APP community at UCSF.
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UCSF’s Anti-racism Initiative
Dear UCSF Community,
As a leading university committed to the health sciences, we must confront the way racism perpetuates a system of inequities for people of color. False hierarchies based on race rationalize laws, public policy, and customs that have built bias and discrimination into society’s institutional practices.
Racism expressed through our social systems is often subtle and sometimes unconscious. But its impact is clearly visible across housing, education, employment, criminal justice, and health care. Nowhere are the effects of racism more obvious than in the Black community where it has led to worse health and health care outcomes, causing unnecessary suffering and shortened lives. Anti-Black racism remains the most virulent form of bias and discrimination to be overcome in this country.
In all of its forms, racism is contrary to the core values of professionalism, respect, integrity, diversity, and excellence that drive UCSF’s mission of health research, education, care delivery, and public service. To achieve a community truly defined by these values, we must take an anti-racist stance challenging systems, practices, and attitudes that maintain structural inequities against all people of color.
The events of the past few months prompt us, as a community, to act with greater urgency. Over the past weeks, Chancellor Sam Hawgood and senior leaders have listened to faculty, learners, and staff, and have met with the Black Caucus to seek their guidance. The Chancellor’s Cabinet—led by the Chancellor and guided by Vice Chancellor Renee Navarro—has accelerated its work of reexamining UCSF’s own institutional structures and practices. We write to you today, sharing one voice, to provide an update on this effort.
At the Chancellor’s request, Vice Chancellor Renee Navarro will lead UCSF’s Anti-racism Initiative, partnering with leaders across the campus and UCSF Health. The list below represents the first of the efforts underway. We will add to this initiative in the coming months, including important work addressing racism in health care and research, as well as in the recruitment practices of faculty and management.
UCSF Anti-racism Initiative
UCSF Safety Task Force
· Chancellor Hawgood has charged this task force to: “Recommend ways to ensure that UCSF’s policing and security protocols serve our community without discrimination, bias, or unnecessary use of force, and create a safe and welcoming environment for all.”
· Executive Vice Chancellor and Provost Dan Lowenstein and Vice Chancellor Renee Navarro are co-chairing the task force.
UCSF-wide Education and Training
· This fall, UCSF will implement mandatory Foundational Diversity, Equity and Inclusion Training for all faculty, staff, and learners.
· The successful Differences Matter Champion Training has been expanded to include faculty and staff from across campus and UCSF Health.
· The Chancellor’s Cabinet is committed to its own ongoing education in anti-racism and is developing its own development and training plan.
Anti-racism Curriculum
· The School of Dentistry, the School of Medicine, the Department of Physical Therapy, the School of Nursing, the School of Pharmacy, the Graduate Division, and the Institute for Global Health Sciences are all in the process of adding required coursework that ranges from anti-racism and its consequences in science and health care to the social determinants of health to DEI (diversity, equity, inclusion) leadership and beyond.
Advancing Excellence in Staff Recruitment
· UCSF Human Resources, in partnership with the Office of Diversity and Outreach, will implement a UCSF-wide process improvement to disrupt the unconscious bias present in our hiring and promotions processes. This includes data-driven practices and standard work for senior staff and leadership positions (M3 and above). This is analogous to the Faculty Equity Advisor Program, incorporating Staff Equity Advisors and the requirement for Contributions to Diversity statements in recruitment.
· UCSF leadership has formalized the guideline that all committees appointed by the Chancellor or members of the Chancellor’s Cabinet should be comprised of 50% women and underrepresented minorities (URM).
Anti-racism Communication and Accountability
· Beginning in August, UCSF leaders will hold a series of quarterly town halls that will describe the next steps that will be implemented as part of the UCSF plan to dismantle systemic racism and combat anti-Blackness across the enterprise. In addition, these forums will provide an opportunity to learn from the perspectives of members of the UCSF community.
· A UCSF Anti-racism webpage, which is under construction and will be hosted on the Office of Diversity and Outreach website, will provide regular updates to related projects and workstream.
As we broaden UCSF’s Anti-racism Initiative, we will develop measurable goals and key metrics to evaluate our progress and impact across all of our mission areas. We will involve experts and stakeholders as we examine our own biases, identify problems, and seek new solutions and paradigms. The actions listed above add to the anti-racism work being launched in our schools, programs and administrative units.
Racism’s double standard is deeply ingrained in our society and undoing it will be difficult. However, the national reckoning on race that has been reignited by the loss of yet more Black lives asks us to shoulder a responsibility to draw change from tragedy. In the words of the late civil rights leader and Congressman from Georgia, John Lewis, “You must do something. Democracy is not a state. It is an act, and each generation must do its part to help build what we called the Beloved Community, a nation and world society at peace with itself.”
We have a long history at UCSF of advancing equity, for the patients and communities we have the privilege to serve, and for each other. But we have more work to do. As we continue to engage in dialogue and take actions to dismantle systemic racism’s multifaceted challenges, we dedicate ourselves to achieving these vital changes because we know that diversity, equity, and inclusion are critical to our success.
Sincerely,
Sam Hawgood, MBBS
Chancellor
J. Renee Navarro, PharmD, MD
Vice Chancellor, Office of Diversity and Outreach
Daniel H. Lowenstein, MD
Executive Vice Chancellor and Provost
Mark R. Laret
President and Chief Executive Officer, UCSF Health
and the Deans of the UCSF Campus
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Advanced Practice Provider Advisory Board
Organizational Chart
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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
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Inpatient Video Navigator (IVN) |
Now available for connecting patients, families, and clinical staff with the Inpatient Video Navigator (IVN)
Nurses and Providers were spending time teaching patients and/or families how to use the iPad or how to use Zoom, which took up much needed patient care time
It was determined necessary to create a role that would assist with this patient / family educational task such that nurses and providers can redirect their time back to patient care
Please feel free to reach out to pilar.collins@ucsf.edu, Project Manager, for any assistance or questions, as she may be able to guide you to the most knowledgeable contact for your inquiry.
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UCSF HEALTH ADVANCED PRACTICE WEBSITE |
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ADVANCED PRACTICE GRAND ROUNDS
Moved to October 22nd and will be virtual with breakout rooms.
WATCH FOR NEW INVITE or use link to APP Events page below.
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Topic: Climate Change and Impacts on Health
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Co-sponsors: Office of Sustainability and Education Committee of the UCSF Health Advanced Practice Advisory Board
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
advancedpractice.ucsf.edu
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One continuing education credit can be earned by attending Nursing Grand Rounds, which are free to attend.The upcoming schedule is as follows:
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Sept. 11, New Language Guidelines for Diabetes: Presented by Maureen McGrath, MS, PNP-BC, BC-ADM. Meets from 2 to 3 p.m. in OPC Auditorium
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Nov. 9, Nursing Grand Rounds: Presented by Alicen Kershaw, NP (topic TBD). Meets from 8 to 9 a.m. in OPC Auditorium
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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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UCSF DNP PROGRAM
Applications are open from July 1, 2020 through Nov. 15, 2020 for
Spring 2021 entry
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Presentations, Publications, and Recognition |
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Sarah Jingying Zhang, PhD, CRNA |
The American Association of Nurse Anesthetists Foundation would like to congratulate you on being chosen as the 2020 Researcher of the Year!
The 2020 Researcher of the Year award is presented to you for making a significant contribution to the practice of anesthesia through clinical research. Our colleagues consider you to be a role model to all clinicians who wish to incorporate research into their professional careers, an imaginative and talented scientist with advanced expertise, and consider your mentorship invaluable to the profession. The AANA Foundation and your nurse anesthesia colleagues applaud your commitment to the profession of nurse anesthesia and the advancement of anesthesia research.
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Unique has been accepted into the Interprofessional Fellowship Program in Clinical Simulation. She is the first ever career UCSF CRNA to have been selected for this prestigious program. The purpose of the fellowship is to develop leaders with vision, knowledge, and commitment to advance, implement, teach, and evaluate simulation-based training strategies to improve healthcare for Veterans and the Nation.
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Tuesday De Longpre, CRNA, Unique Laylor, CRNA, and Sarah Zhang, PhD, CRNA
AANA Virtual Congress is the largest educational event inspired by leaders in the field of anesthesiology. Their project was selected and will be presented this year at the Virtual Congress. It's a great achievement. The project involved a literature review on strategies to reduce infection risk of COVID-19.
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Kristina Kordesch a Critical Care Medicine NP and Kristopher Jackson an Orthopedic Surgical Oncology NP recently traveled to New York to support critical care colleagues during COVID-19. Kristina went on behalf of UCSF and Kristopher graciously took a two week unpaid leave.
A brief summary of Kristina's experience: She was placed in a 22 bed makeshift ICU (a prior cardiac cath lab PACU). For the most part, she worked every day and 100% of her patients were ventilated with ARDS. The patients were incredibly sick needing complex ventilator and sepsis management. Most of the nursing staff were not ICU trained which made it a great opportunity for a Critical Care Medicine NP to provide leadership and expertise in a challenging environment.
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STAY TUNED
PROVIDER SELF-CODING IS COMING TO UCSF
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The Outpatient Provider Self-Coding initiative is on its way. In the coming months UCSF will begin to train providers to self-code for ambulatory evaluation & management.
Although UCSF will not be training for inpatient encounters there may be some outpatient visits with minor procedures that UCSF will train for self-coding.
Your APP representatives for Provider Self-Coding are:
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Self-Coding Education Work-group—Meg Schoettler, MSN, CPNP-AC, Chair of the Education Committee should have a rep in this committee
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Self-Coding Workflows Work-group—Stacie Rohovit, MSN, NP, RN, NNP-BC, Chair of the Standards and Compliance Committee
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Self-Coding Project Oversight Leadership— Ryan Wilson, PA-C, MSPAS, MPH, Chair of the Professional Development Committee
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Self-Coding Steering Committee—Ivette Becerra-Ortiz, DNP, NEA-BC, CPNP-PC, Associate Chief of Advanced Practice
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I Wear Because I Care... about you and me. |
Dear Colleagues,
“I Wear Because I Care ... about you and me.”
This is the tagline for a new campaign launching this week reminding everyone about the importance of wearing masks in accordance with our policy. There is an uptick of COVID-19 cases in the Bay Area and in our hospitals, which makes addressing this issue even more important.
The evidence is now clear that masks, including face coverings, is one of the most important steps we all must take to help prevent the spread of COVID-19.
As a reminder, UCSF Health has a mandatory universal surgical mask policy. Once you enter our buildings, you are to wear your surgical mask at all times, in all areas of our clinical facilities. This includes hallways, patient rooms, cafeterias, stairways, elevators and more.
Unless you are in the act of eating or drinking, you should be wearing your mask in our clinical facilities. That means keeping your mask on during a conversation, working on a computer, and even having your photo taken.
By wearing your mask, and physically distancing when possible – around workstations, in break rooms, etc. – you reduce the risk of passing the virus to someone else and of you catching it.
If your colleagues are not wearing masks, we encourage you to ask them to put one on out of respect for your safety and our patients’ safety. It is simply the right thing to do. If you aren’t comfortable making this request, consider talking to your manager.
We have communicated our masking policy over the past few months in posters, in newsletters, on websites, and in town halls, and we expect that everyone follows it.
We also are sharing guidance with managers for actions when someone is not following our mask policy.
Additionally, when you are outside of our clinical facilities but in a UCSF space (including buildings, grounds, shared laboratory areas, conference rooms, elevators, parking structures, shuttles, etc.) you must wear a face covering or mask that covers both your nose and mouth at all times.
We recognize that wearing masks throughout the day or night, and wearing face coverings outside of our buildings, which is required by UCSF, the city and the state, is challenging. And yet, it is by far the best way to ensure that we can continue to care for all of the patients who need us.
It is critical that we follow policy and in particular, as health care workers, that we model the best practices that are known to protect and ensure public health.
Thank you,
Sheila Antrum Josh Adler, MD
Chief operating officer Chief clinical officer
UCSF Health UCSF Health
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UCSF DIVERSITY AND OUTREACH
As the Office of Diversity and Outreach celebrates its 10-year anniversary, we recognize the legacy of advocacy and activism that has shaped our efforts to foster a more diverse, equitable, and inclusive campus for all. We honor this work and look forward to the road ahead - a road we can pave together.
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NEW CRNA and CNM PROVIDERS
Please welcome these new APP professionals
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Todd is originally from Michigan where he earned his BSN at Oakland University. He completed his MSN/CRNA at Samuel Merritt University in Oakland, CA. |
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Nason Landreneau, MSN, CRNA |
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Nason received his MSN in Nurse Anesthesia from Louisiana State University Health Sciences Center in 2007. Following his anesthesia training, Nason worked for Greater Houston Anesthesiology, Parish Anesthesia Associates in Louisiana, the VA Medical Center here in San Francisco, and most recently for United States Anesthesia Partners at Baylor University Medical Center of Dallas.
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Sheri received her MA in 1999 from New York University. Area of clinical interest include high risk obstetric and gynecological care, working with culturally diverse populations, global midwifery, and improving maternal health disparities involving women of color, breastfeeding assessment and education, family planning and mental health resources. |
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APP ONBOARDING OF NEW PROVIDERS
Please welcome these new APP professionals
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CALIFORNIA HEALTHCARE NEWS |
SOME ARTICLES ARE RELEVANT TO ADVANCED PRACTICE. YOU CAN SUBSCRIBE IF YOU WISH. |
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For more information, contact
Ivette Becerra-Ortiz, DNP, NEA-BC, CPNP-PC
Associate Chief of Advanced Practice
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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. |
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WANT TO SHARE YOUR EXPERTISE WITH APP COLLEAGUES ACROSS THE STATE, THE NATION, OR THE WORLD? |
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I am here to support and advocate for APP's
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Senior Operations Analyst |
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