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7 APPs Named 2024 Exceptional APP
During the September 26, 2024 virtual ceremony, 7 APPs were presented the Exceptional APP award in the following categories.
Leader: Elisabeth Gundersen, NP Adult Inpatient hospice
Scientist: Elizabeth Dacosta, NP Oakland Childrens' Hospital Child Neurology
Clinician: Kristina Kordesch, NP Adult Critical Care
Educator: Shannon Raber, NP west bay Pediatric Neurology
DEI: Sherri Borden, NP Citywide Community Assessment and Services Center
Financial Stewardship: Christian McNeil: PA Head and Neck Surgical Oncology and Christine Kim, NP Head and Neck Medical Oncology
Read their profiles and their significant commitment and contribution to patient care. There were 47 outstanding nominees for the awards, click here for full list of nominees.
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Catherine Saiki, NP is UCSF's First Nominee for National APP of the Year
The National Advanced Practice Provider Week Awards seek to celebrate the achievements of APP colleagues and their contributions to healthcare delivery throughout the country. This year UCSF nominated Catherine Saiki, NP for the National APP of the Year award. For the past three years Catherine has been an integral member of the inpatient hospice team. "Catherine is one of the most skilled and knowledgeable clinicians in the hospital on palliative care and comfort care." "...is instrumental in every new initiative, expansion or endeavor the inpatient hospice service undertakes". "Soft-spoken and not one to boast of her achievements, or expertise, she leads through example and action." "Not only does she do an amazing job navigating complex goals of care conversations with patients and families during a vulnerable and often emotionally fraught time, but her knowledge base around symptom management is second to none."
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Appreciating All of You
National APP Week September 23-27, 2024
Your dedication as an NP, PA, CRNA or Nurse Midwive is evident in every aspect of patient care from expanding access to comprehensive services to delivering emergency and specialty care, assisting in surgeries and managing chronic diseases. You perform a vital role in patient education and advocacy, ensuring patients understand their care options and empower them to make informed decisions. UCSF Health is recognizing and appreciating you with these small gifts (image: badge buddy and drawstring backpack)--please ask your manager for your gift as it was distributed Sept 23-27, 2024.
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Rubi Alva de Hickson, DNP
Advocates For Health Equity
Rubi works as an adult critical care NP at UCSF, but when not caring for the critically ill, she has been very active in advocating for health equity at the state level. AB890 required that NPs to verbally notify patients that they are an NP and not physicians or surgeons--for Spanish-speaking patients, the law said the term "enfermera(o) especializada(o)" or specialized nurse be used. However, this is not the correct translation and does not fully capture the scope of practice of an NP, their responsibilities or level of education. Read this Q&A style interview to learn how Rubi partnered with California Association for Nurse Practitioners (CANP) and the National Association of Hispanic Nurses (NAHN) to have the phrase corrected to "enfermera(o) practicante avanzada" with SB1451 that was signed into law on September 22, 2024. SB1451 also includes language to ensure the full and effective implementation of AB890. Read more here. Rubi's advocacy will be far reaching as she is the guest editor in the October edition of the Hispanic Health Care International Journal and also authored a literature review titled "The Appropriate Translation of the Nurse Practitioner Will Foster Health Equity" in the November edition. Tune into Tuesday's October 8, 2024 APP Town Hall to hear more about Rubi's advocacy and also the updates about SB1451.
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Dana Jakoubek, NP Selected for Leadership Development Program Scholarship
Only 2 APPs in nation were selected to receive a scholarship to participate in a premier transplant leadership program--and UCSF's transplant NP Dana Jakoubek was one recipient. In September 2024, Dana traveled to the Kellogg School of Management at Northwestern University amongst transplant center program directors and senior transplant program administrators. Together they all wanted to understand and help address the most challenging aspects of leading a team in transplantation and adapting to evolving needs in the field. Participating in the program "augmented my [her] professional development by strengthening my [her] leadership skills, equipping me [her] with tools to navigate complex challenges." The program emphasized leading multisystem teams and aligning leadership with core values, which deeply resonated with Dana. She gained a deeper understanding of how values-based leadership can transform patient care. Read more about this program.
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NP and School of Nursing Faculty Kara Birch and Jane Abanes Enhances Access to Psychiatric Care and Improves Patient's Mental Health During Perinatal Period
From UCSF School of Nursing Science of Caring
With their psychiatric mental health background, Kara and Jane launched a telehealth-based integrated mental health service at a San Francisco community-based obstetric practice. Click here for the podcast.
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Cana Jenkins, NP Accepts Position as Emergency Department APP Supervisor
Submitted by Will Wood, PA ED APP Manager
Cana has worked in the ED for nearly 20 years as an RN and an NP performing various tasks including participating as the APP liaison to the QI committee, assisting the QI team with the monthly newsletter and serving as the ED APP scheduling lead. She has been an Assistant Clinical Professor in the School of Nursing for over the past 10 years and an Assistant Clinical Professor for Partners in Health Emergency NP Residency Zanmi Lasante, Haiti. She also provides care as an NP in the Prepare clinic since 2011. Cana is an expert clinician and a huge asset to the department. She will directly report to Will Wood, PA ED APP manager and assist in various administrative projects. Please congratulate Cana in her new role as ED APP Supervisor.
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CRNAs Welcomes Five New CRNAs to UCSF (West and East Bay)
Submitted by Jeffrey Nakamura, CRNA Supervisor
Dessiarae Sanchez DNP, CRNA received her doctorate from Samford University in Birmingham, Alabama. Prior to returning to school, she worked as a pediatric ICU and pediatric cardiovascular ICU RN spending much of her career at Stanford Children’s Hospital. Her primary clinical responsibilities will be at Children’s Hospital in Oakland.
Andrew Lacek, DNAP, CRNA received his doctorate from Missouri State University. Andrew’s previous nursing experience includes cardiovascular and transplant ICU, fixed winged transport, and worked as a travel nurse in the upper Midwest. His primary clinical responsibilities will be at UCSF Health in the West Bay.
Molly Hicks, MSN, CRNA received her masters degree from Boston College. Molly’s nursing background includes working in the PICU at NYU Lagone. She received her undergraduate degree at Cal Poly SLO and her nursing degree from MGH IHP. Prior to UCSF Molly worked at Stanford Health. Her primary clinical responsibilities will be at UCSF Health in the West Bay.
Christopher Shors, DNAP, CRNA received his doctorate from Gonzaga University. He received his undergraduate nursing degree from San Francisco State University. Prior to graduate school, Chris worked in the PICU at UCSF Benioff Children’s Hospital. His primarily clinical responsibilities will be at UCSF Health in the West Bay (in both adult and pediatric services).
Fiona Wu, DNP, CRNA received her doctorate degree from Northeastern University. During graduate school she primarily did clinical rotations at Tufts Medical Center in Boston, MA. Her primary clinical responsibilities will be at UCSF Health in the West Bay.
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Genevieve Smith, NP -- PRIDE Values
Submitted by Ashley Bazzell, Program Coordinator Neurosurgery
"Gen" Smith embodies the UCSF core values of Professionalism, Respect, Integrity, Diversity, and Excellence. She is dedicated to enhancing processes for the benefit of patients, visitors, and staff. As an invaluable asset to the Department of Neurosurgery, she leads our APP team in fostering collaboration, boosting staff morale, and improving patient access.
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Jill Anderson, NP Receives Award for Contribution To Outstanding VIP Team
Submitted by Tara Valcarcel, NP Director of Pediatric Services
Benioff Children's Hospital Oakland announced its FY24 Value Improvement Project Team awards and Jill Anderson, NP was name for her outstanding teamwork on the East Bay Hospital and Pharmacy Throughput which netted a $1.6M benefit.
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APP Managers Present in Nashville
Pediatric APP managers Megan Schoettler, PNP and Hani Gutierrez, PNP traveled to Nashville, Tennessee, to proudly represent BCH Oakland at the Advanced Practice Provider Leadership Summit. They presented a poster on a Value Improvement Project on APP Utilization and Billing & Coding Education Strategies. This project resulted in a remarkable $1.2 million increase in collections, showcasing the outstanding contributions of our APPs at Benioff Children's Hospital. This achievement highlights the significant impact APPs have on improving care and optimizing charge practices, demonstrating their dedication to excellence every day.
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APP Town Hall
Tuesday, October 8, 2024 4:10pm-5pm TODAY
APP Spotlight Rubi Alva de Hickson, DNP
Topic: Updates on AB890, 1451, Title 22
Presented by Ivette Becerra-Ortiz, Chief of Advanced Practice Providers
Click here or join with Zoom Meeting ID 945 0981 9592 Password 412737
To view any prior recorded Town Halls, click here.
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APP Education Stipends are Available for West and East Bay
If your abstract has been accepted or you've been invited to speak or panel at a conference, submit an application for reimbursement.
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Pediatric Grand Rounds (West Bay)
Every Thursday 12-1PM
Full schedule and archive videos and Zoom link.
Thursday, October 10, 2024
"The bumpy road from genomics to treatments: Lessons in precision oncology for childhood sarcomas"
Presented by Amit Sabnis, MD, MS
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Pediatric Grand Rounds (East Bay)
Every Tuesday 8-9AM
For Zoom login information, contact: Cristina Fernandez crfernandez@ucsf.edu, 510-428-3885 ext 4343. Full schedule and archived videos (Password: CHRCO).
Tuesday, October 8, 2024 TODAY
“Pediatric Vascular Anomalies Update" (presentation will not be recorded)
Presented by Erin Mathes, MD, Pediatric Dermatologist
Tuesday, October 15, 2024
"Neonatal Cholestasis"
Presented by Prita Mohanty, MD Pediatric Gastroenterologist-Hepatologist
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APP Grand Rounds
October 10, 2024 12-1PM Zoom link TODAY
"From Novice o Expert: An integrative review of strategies to enhance the novice APP's clinical reasoning skills". Flyer here
Presenter: Hannah Lee, MSN, AGACNP-BC
2 steps to Register in Advance
- Point your camera to QR code, or click
- To claim 1-hour CEU for RN/NP/CRNA/CNM. Preregister at Nursing Connect.
- Search by title "APPs" or "Clinical Reasoning Skills" or "Evidenced based Strategies"
Category 2CME for PA does not require additional registration.
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Critical Care APP Interprofessional and Collaborative Journal Club
Open to all APPs
Tuesday , October 15, 2024, 12-1PM
Topic: Outcomes in Patients with Post-Stroke Seizures: A systematic review (download article)
Guest Collaborators: ICU APP, ICU Fellow and Neurology APP
Zoom Info: Meeting ID: 957 4559 0788 Password: 733477
Email Rubi.Hickson @ucsf.edu with any questions
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2025 Evidenced Based Practice Fellowship Program
The UCSF leadership Institute is pleased to announce open applications for the 2024 EBP Fellowship Program. The program is a 10-month initiative for frontline care providers interested in providing their EBP knowledge, skills, and abilities through an innovative and educational experience focused on integrating the EBP process to implement a formal practice change at the unit level. Application due October 13, 2024. Session dates and more information
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Sigma Theta Tau -- UCSF Alpha Eta Chapter
October 22, 2024 7-8PM
Topic: Planetary Health is Human Health
Virtual professional development seminar
Guest: Sandra Staveski Phd, RN, CPNP-AC/PC, CNS, FAAN
1.0 contact hour (free for UCSF nurses). Click for flyer and register through Nursing Connect.
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Updated CNM, NP and PA Core Privileges
The CNM, NP and PA Core Privileges have been updated and are on the Office of Medical Affairs and Governance (OMAG) website
Review your core privileges and reach out to advancedpractice@ucsf.edu if you have any questions. Please note, all APPs must complete e-Logs in UC Me every 2-year reappointment cycle for core privileges and granted standardized procedures privileges. For core privileges, the UC Me e-Logs may be of any provider-level direct patient care activity that you performed and documented in APeX. Examples include new patient evaluations, progress notes, consult notes, procedure notes, and discharge summaries. The e-Logs submitted must correspond to documentation in APeX by the APP in order to pass audit.
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Hazardous Drugs--Do you encounter or administer?
Please familiarize yourself with the UCSF Hazardous Medication Safe Handling policy (log in using MyAccess), including the appendicies identifying hazardous drugs.
All healthcare professionals and ancillary staff who handle, prepare, or administer hazardous Medications, or equipment or bodily fluids and excreta that may be contaminated with Hazardous Medications must employ appropriate measures to minimize the risk of personal and environmental exposure. These measures are to protect you, your coworkers and patients, and our workplace.
If you do not encounter hazardous drugs, you may ask your manager to excuse you in HR Umbrella from completing the Hazardous Drugs - USP 800 (1.1) module.
| | JUSTICE, EQUITY AND INCLUSION | | |
Film Screening of NURSE UNSEEN
Submitted by Alisa Yee, NP Director of Operations Adult Services
Nurse Unseen explores the little-known history and humanity of the unsung Filipino nurses who risked their lives on the front lines of the COVID-19 pandemic while facing a resurgence of anti-Asian hate in the streets. Watch the trailer.
October 17 & 19, 2024 Marina Theater, San Francisco
October 20, 2024 Council Chambers Library, South San Francisco
Featuring post-screening Q&A for most screenings
For more information on Nurse Unseen, visit www.nurseunseen.com
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Film Screening and Panel Discussion:
Everybody's Work: Healing What Hurts Us All
Submitted by Rubi Alva de Hickson, DNP
A film that examines the hidden disease plaguing healthcare the US: systemic racism. This special film screening is part of the 2023 annual UCSF Health Equity and Anti-Racism Research (HEAR) symposium which showcases research and action to advance health equity and anti-racism. Watch the trailer.
Wednesday October 9, 2024 4-6PM (West and East Bay Locations)
Robertson Auditorium, Mission Bay Conference Center
OPC Auditorium, Oakland Pediatric Outpatient Center
Multi-Step Registration Process
Step 1: Register tiny.ucsf.edu/EverybodysWorkUCSF2024
Step 2: To Receive 2 Board of Registered Nursing Contact Hours (UCSF Health Staff only)
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APP Justice, Equity, and Inclusion (JEI) Committee
The APP JEI Committee is seeking APP volunteers for its Collaborative Career Advancement Network (C-CAN). APP volunteers are needed to provide shadowing experiences, personal statement review, mock interviews, and mentorship to employees interested in or pursuing a career as an APP. This is a great opportunity to promote the APP professions and help towards the development of our APP workforce! Please email C-CAN@ucsf.edu with questions or to volunteer.
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Hurricane Helene Impacts Baxter Plant Causing Shortage of IV Fluids
UCSF Health is facing a shortage of IV fluids due to damage to the Baxter manufacturing plant in North Carolina caused by Hurricane Helene.
Current situation: Leadership is closely monitoring of IV and irrigation fluid inventory and taking steps to manage the available supply. Alternative suppliers are actively being sought out. No immediate adjustment to the surgical schedules are being made, but may do so in the coming days.
Action for clinical teams:
- conduct daily assessments if patients can safely transition from IV to oral medications
- shift patients to oral or enteral hydration whenever feasible
- discontinue maintenance IV fluids as soon as it is safe to do so
As always, patients come first. Please continue to exercise clinical judgement to ensure conservation efforts prioritize the health and safety of our patients. Your attention and diligence to conserving our current fluid resources are critical in navigating this situation. Read more.
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Dr. Gina Intinarelli-Shuler Retires
After 34 years of service, Gina Intinarelli-Shuler, PhD, RN, vice president and chief population health officer, is retiring. Her last day is October 31, 2024. Gina began her career at UCSF Health in 1990 as a critical care nurse in the 9 ICU. She then transitioned to help open the Cardiovascular ICU. In 1997, she served as the clinical director of Cardiothoracic Surgery, a role in which she developed and implemented best-practice protocols that improved patient outcomes and led a team of advanced practice providers. In 2011, Gina transitioned into Population Health leadership, first as director of the Delivery System Reform Incentive Payment program (DSRIP); a Medi-Cal waiver program, and then spearheading the creation of the UCSF Office of Population Health and serving as its first executive director in 2015. Under her leadership, and in partnership with primary care, UCSF has consistently achieved 99-100% performance in DSRIP waivers, which improved care for our patients and ensured that we were compensated for this care. Gina also co-led UCSF’s COVID-19 response, managing the hotline and employee vaccine administration. You are invited to her retirement celebration October 24, 2024 430-6PM City Lights/GoldenGate Room. Light refreshments to be provided.
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Andrew James, RN, FACHE, Named Inaugural Role of Executive Director for Nursing and Patient Care Services
In this new role effective September 23, 2024, Andrew is responsible for reviewing, analyzing and evaluating enterprise-wide management systems and programs for Nursing and Patient Care Services. He will lead the development of business plans and financial and administrative systems to support those plans while monitoring our progress toward accomplishing short- and long-term business and strategic goals. Andrew comes to UCSF from HCA-Riverside Community Hospital in Riverside, CA, where he was vice president of Emergency Services.
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UCSF Health Received its First Shipment of Updated Adult Pfizer Vaccine
UCSF is offering the updated adult Pfizer vaccine to patients. It is strongly recommended that everyone in the UCSF community receive the updated vaccine.
A deadline for compliance will be communicated at a later date. Read more.
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Press Ganey Comments about NPs, PA, CRNAs, Midwives
GI Survivorship: "It is a privilege to have Angela Laffan providing ongoing review and advice for me. She is knowledgable and compassionate. Great listener. Excellent communivator
Womens Health Primary Care: "Sara Almasian is excellent NP provider because she listens to me, she respects me, and she cares about me"
Rad Onc MB: "Amelia Komp is amazing. She has been my go to person throughout my recovery. She is patient, an excellent listener and problem solver, understanding, compassionate and a real asset to UCSF"
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Flu Vaccinations are Due by November 1, 2024
There are 3 options to get your flu vaccination.
Flu clinic locations September 4 through October 23.
Occupational Health Services (OHS) locations starting October 1. Your primary care provider's office or local pharmacies which cover the vaccines through your primary care insurance. You can provide attestation of your flu vaccination through the Digital Screener or complete a declination either through the Digital Screener or OHS Portal (VPN required). UCSF and BCH Oakland employees can also upload documentation of vaccination via the OHS Portal, or by emailing FLU@ucsf.edu or eh-dept@ucsf.edu, respectively.
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What is Transitional Care Management --do you provide this care?
CPT codes 99495 & 99496 can be used upon the date of discharge and continues for the next 29 days. There are no restrictions on specialty designation.
Criteria for use:
- Communication (direct contact, telephone, electronic) with the patient/or caregiver within 2 business days of discharge
- Face-to-face within 14 calendar days (CPT 99495 or 7 calendar days (99496) of discharge
- Medical decision making of at least moderate complexity (CPT 99495) or high complexity (99496) during the service period
Read more and incorporate it into your documentation.
Email providercoding@ucsf.edu with any questions
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APP Informatics Committee Outreach
Frustrated with APeX functionality? Wishing there was a quicker, more efficient way to do things? The APP Informatics Committee is here to help! The Informatics committee is made up of a dedicated group of advanced practice providers who can educate and assist with optimization of APeX. If you have an idea on how to improve APeX in your practice area, please email AdvancedPractice@ucsf.edu and you will be put in touch with an Informatics Committee member.
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Efficiency Checklist
Are you an efficient user of APEX? Use this checklist and see how efficient you really are.
Request a one-on-one PEAK trainer who will teach you all available tools in APeX and provide any tips and tricks that can make your day-to-day workflow more seamless.
Email PEAK@ucsf.edu requesting their assistance.
Compliance Education Department
There is an Education team that can help with your questions about E&M documentation and coding. Email providercoding@ucsf.edu to make an appointment.
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Join The Wellness Champion Community
The UCSF Wellness Champion program is designed to bring teother UCSF community members passionate about wellness and spreading well-being acrouss the University. The next Champions orientation is October 10, 2024 12:05-1PM. Submit your application today. Click here.
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Free Tickets to Cobb's Comedy Club and The Punch Line
"Laugher is an instant vacation."--Milton Berle
"I don't trust anyone who doesn't laugh."--Maya Angelou
Click here to see the October dates and shows titles for free comedy tickets for Cobb's Comedy Club and The Punch Line SF
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Hot Yoga and Pilates with a Discount for UCSF Providers
Funky Door Yoga has a brand new studio in San Francisco (1336 Polk St (at Pine St) and is offering a special discount for UCSF providers. Get the first 2 months for $99 followed by a monthly price of $129! Unlimited classes at their SF and Berkeley studios. www.funkydoor.com. Check them out here.
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Office Hours: Office of Advanced Practice Providers--Change in Hours
Starting in September, the OAPP hours will be
Every 2nd Wednesday from 12noon-1pm and every 4th Thursday 4pm-5pm
Meeting ID: 988 4723 9380 Password: 857049
Wednesday October 9, 2024 12noon-1PM
Host: Tara Valcarcel, Director of Operations, Pediatric Services
Thursday, October 24, 2024 4PM-5PM
Host: Ivette Becerra-Ortiz, Chief of Advanced Practice Providers
| | Christian Sendaydiego Administrative Assistant | | |
Kurstan Del Rosario Senior Operations Analyst
| | Tara Valcarcel, MSN, RN, CPNP-PC Director, Pediatric Operations Advanced Practice Providers | | Roseanne "Rosie" Krauter, FNP-BC, CORLN Director of Clinical Systems | | |
Brandon Sessler MMS,PA-C
Director of Professional Practice Fellowship Coordinator
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Alisa Yee, MSN, ACNP-BC
Director, Adult Operations Advanced Practice Providers
| | Ivette Becerra-Ortiz, DNP, MPH, NP, RN, NEA-BC, C-PNP Chief of Advanced Practice Providers | | UCSF Health PRIDE Values Professionalism • Respect • Integrity • Diversity • Excellence | | | | |
