UCSF Advanced Practice Providers February 2023 Newsletter

APP Spotlight

New APP BCH Oakland Manager

Hani Gutierrez, RN, MSN, CPNP-PC has joined Benioff Children's Hospital Oakland and the Office of Advanced Practice Providers (APPs) as the new BCH Oakland Manager of APPs. Hani will work collaboratively with all BCH Oakland and BCH San Francisco departments, clinic areas, and sites to ensure alignment among all areas for patient care and Pediatric APP support

Hani is a board-certified pediatric nurse practitioner who graduated from UCSF SON in 2009. After training at Cedars Sinai in Los Angeles, CA in the Inflammatory Bowel Disease program, she continued her professional path at Stanford Children's for five years, concentrating on inflammatory bowel disorders and managing their IBD program. Most recently, she contributed to the growth of the GI program at UCSF Fresno, where she taught pediatric residents and helped develop a multidisciplinary pediatric feeding program.

As a mother of three young children, Hani enjoys spending time with her family outdoors in the beautiful bay area where she grew up.

She joined Benioff Children's Hospital Oakland in the early spring of 2021 and has already served as the Co-Chair of the APP Advisory Board as well as on the mentorship committee.

Team Recognition: Advanced Heart Failure Comprehensive Care Center

The Advanced Heart Failure Comprehensive Care Center had a historical record breaking volume of heart transplants. In 2022, they performed 49 heart transplants. That is the most that the UCSF Heart Transplant Program has ever performed since the inception of the program in 1989. The 20,000^th transplant performed at UCSF Health was the center’s first DCD (donor after circulatory death) heart transplant. The growth in volumes is due to close collaboration with the CICU, ICU, CT Surgery and cardiogenic shock teams. It is truly due to a multidisciplinary team effort between APPs, nurses, MDs, social workers, pharmacists, PT/OT, patient coordinators, and many others among other disciplines. This is also due to increased donor utilization with the expansion of criteria to include the use of Hepatitis C organs, DCD organs, as well as the use of the Organ Care System (OCS) which allows the team to secure organs from longer distances and keep them perfused for up to 12 hours.

February is Heart Month and Heart Failure Awareness Week is February 12-18, 2023. During this week the Advanced Heart Failure Comprehensive Care Center is setting up patient education tables to teach the community about Heart Failure and ways that patients can optimize their own care while managing their heart failure. These tables will be staffed by APPs, nurses, and other team members in key settings across UCSF Health including Mt. Zion Primary Care, Mission Bay, and Parnassus campus.

APPs Contributing to Learning Health System

True North Pillar

Natalia Zorrilla, NP in the Pediatric Brain Center Headache and Migraine publishes a retrospective chart review paper in Headache entitled "Eptinezumab for adolescents with chronic refractory headache."

Rosie Krauter, Director of Informatics and Clinical Systems successfully passes Epic Clinical Informaticist Certification exam. The Epic certification is for IT professionals in the health industry that work with Epic software. To become Epic certified, candidates must go through a training program and then take and pass a certification exam. There are several modules as options that candidates can take for Epic certification. Candidates must be sponsored by an employer to be eligible for the Epic certification program. Epic is particular, and will not let just anyone become certified in using their software. The Epic certification test is very challenging.

Cross Bay Collaboration In Action

Mary Lesh, NP (upper photo) (West Bay) and Katrina Unpingco, NP (lower photo) (East Bay) lead the Hemophilia APP/RN working group within the Western States Federal Hemophilia Network.

Together they will be hosting an educational session with speaker Rosalind De Lisser from UCSF Center for Enhancement of Communication in Healthcare. The presentation is an introduction to relationship-based communication skills and will be held on March 22, 2023, 12-1pm. Meeting ID 924 6897 5401; Passcode: 443769. Contact Mary Lesh LeshM@ucsf.edu and Katrina Unpingco Katrina.Unpingco@ucsf.edu with any questions.

APP Education News

Additional APP Town Hall in February

UCSF Health Patient Experience Team introduces the new Patient Experience Caring Behaviors training modules focused on “Everyone Working Together”

Tuesday February 27, 12 noon

Meeting ID: 995 0882 4156

Password: 145604

Click here for prior recordings of prior APP Town Halls

most recent: Informed Consent and Throughput: Capacity Management and the Role of the APP, Advanced Care Planning

Pediatric Grand Rounds--West Bay

Every Thursday 12-1pm

Click here for zoom link and more information

Thursday February16, 2023

TRIADS: A Framework to Talk with Patients about Adverse Childhood Experiences and Create Healing Relationships

Presented by: Anda Kuo MD, Alicia Lieberman PhD, Andy Krackov, Sarah Ismail MPH, Chris Bradley PhD, Dayna Long MD FAAP

Thursday February 23, 2023

Sports Specialization: What are We Doing To Our Youth Athletes?

Presented by: Nirav Pandya MD

Pediatric Grand Rounds--East Bay

Every Tuesday 8-9am

Tuesday February 14, 2023 8-9am TODAY

"Desensitization to Use of Medical Equipment for Children with Developmental Disabilities” Presented by: Lina Patel, PsyD

Tuesday February 21, 2023

“Anxiety in Youth: Diagnosis and Treatment”

Presented by: Allison Libby, PsyD and Jeein Yoon, MD

For Zoom login information, contact: Cristina Fernandez crfernandez@mail.cho.org, 510-428-3885 ext 4343

APP Grand Rounds

Wednesday, February 14, 2023

12-1PM TODAY

"Cancer Survivorship"

Speaker: Angela Laffan, NP, MSN

2 Steps to Register in Advance:

1.Point your camera to QR code above or click here

2. To claim 1-hour CEU for RN/NP/CRNA/CNM , Preregister at Nursing Connect: Click here

Search by title: Cancer Survivorship

Category 2 CME for PA, no additional registration required

Wednesday, March 14, 2023

12-1PM

"Preventing Hospital Acquired Infections"

Speakers: Drs. Catherine Lau, Daniel Escobar, Lindsay Huddleston

2 Steps to Register in Advance:

1.Point your camera to QR code above or click here

2. To claim 1-hour CEU for RN/NP/CRNA/CNM , Preregister at Nursing Connect: Click here

Search by title: Preventing Hospital Acquired Infections

Category 2 CME for PA, no additional registration required

Certification Review Course Free

FREE Advanced Oncology Certified Nurse Practitioner (AOCNP) certification review course on April 3 & 4, 2023. This 2-day webinar-based review course will provide a total of 14 contact hours, including 1.5 pharmacology contact hours. There are two options for you to participate in this offering:

1.Attend the live, instructor-led, 2-day webinar-based review course on Monday, April 3^rd & Tuesday, April 4^th

2.Watch an on-demand recording of the 2-day course within 30 days post-event.

IMPORTANT: For those participating in the on-demand option, you must register in advance as if attending the live event. You will receive an e-mail once the recordings are made available for viewing.

Registration: Registration instructions are here. Registration is free for all internal UCSF employees. Externals are welcome to attend for a $125 registration fee, so please feel free to share this event with your non-UCSF colleagues.

UC Davis

UCDavis Trauma APPs and the Trauma Division are hosting a Trauma Care Conference in May 19-20, 2023. For more info and to register, click here.

APP Standards & Compliance News

Standardized Procedures

Have any of your Standardized Procedures been updated?

Check out this site to see all available SP (some recently added or updated). Do you have questions about your standardized procedure or the process of how to "get signed off"? Log into today's Office of Advanced Practice Providers Office hours 12-1PM Meeting ID: 916 4155 9875

Password: 503138 or email advancedpractice@ucsf.edu.

APEX Updates

Click here for the APEX Knowledge bank. Its a great resource.

Click here for all Provider Ambulatory APEX updates.

Self Coding Updates

There are many options to learn more about self coding

New ambulatory wRVU tip sheet from the Office of Advanced Practice Providers

Check out this website for more self-coding information.

Email any question to providercoding@ucsf.edu

Drop into the Compliance Education office hours

Tuesdays 7-730AM Meeting ID: 93827817739 Password: 737983

Thursdays 12-1230PM Meeting ID: 97447896211 Password: 327355

Tuesday mornings, 7:00-7:30am

Justice, Equity and Inclusion News

The Collaborative Career Advancement Network (C-CAN) Offering Educational Stipends

What:

C-CAN is offering financial support to fund C-CAN participants as they pursue an Advanced Practice Provider (APP) Career. This support is made possible by a Community Wellness Grant. C-CAN is offering 20 stipends of $500.00 for costs associated with career advancement. Funds can go towards: pre-requisites, conference attendance, application fees, and other items on a case-by-case basis.

Eligibility Requirements:

1) Current UCSF employee

2) Enrolled in C-CAN with completion of the program intake survey

3) Actively pursuing an Advanced Practice Provider (APP) career (completing APP program prerequisites, applying to APP programs, etc.)

4) Submission of this educational stipend application

5) Submission of educational receipts/invoices for financial reimbursement

Application: Click here

Submission Deadline: 5PM on the 2nd Friday of every month until April 2023.

Notification of Decision: Via email by the last Friday of the month. If you are selected as a recipient, the email will contain instructions on how to submit your receipts.

For more information on how you can get involved with C-CAN, visit this site or email C-CAN@ucsf.edu.

UCSF Health News

Employee Parking Changes

Effective February 6, 2023

To better accommodate the needs of all of our constituents, and preserve parking close to our health care facilities for patients and visitors, the following changes are effective Monday, February 6. They include:

Expanding valet service for employees at the Ambulatory Care Center (ACC) Garage at Parnassus Heights which will increase employee parking by 150 spots.
Discontinuing the daily discounted employee parking rate ($26) at two locations: Millberry Union (MU) Garage at Parnassus Heights, and Medical Center Garage and lots at Mission Bay. Daily discounted rates were introduced during COVID-19, and while we will not fully discontinue daily rates, we need to eliminate discounts from patient parking areas. The daily discounted employee rate continues to be offered at the ACC Garage and all other non-Medical Center parking locations in Mission Bay.
Promoting conveniently located non-UCSF facilities.

Click here for more information.

E-Consent and Paper Forms

On February 7, 2023, UCSF will begin to transition away from paper consent forms and launch electronic E-Consent forms generated and completed in APeX. This change will begin in the Operating Rooms and Interventional Radiology and will impact all cases performed across UCSF West Bay campuses (including Moffit Long, Mt. Zion, MB-Adult, MB-Pediatrics, OI, POSC, Neuro IR, Body IR).

NEW PAPER CONSENT FORM AND PROCESS FOR NON-PERIOPERATIVE AND IR STAFF

E-Consent will eventually launch across the UCSF Health enterprise. In the interim, a new paper form designed to mirror the E-Consent process will simultaneously launch for all non-surgical areas beginning February 7, 2023. We will announce when the new form is available for order and distribution. It will be ordered and distributed through our usual processes. A FAQ is also in development.

In accordance with the updated UCSF Consent Policy 6.02.02 , it is the responsibility of the attending physician, or other credentialed healthcare provider, who is knowledgeable about the specific surgery, procedure, or treatment, to have an informed consent discussion with the patient or their surrogate decision-maker. The credentialed provider is responsible for signing the electronic or paper consent form. If the procedure or treatment is one that a resident or fellow has demonstrated and documented competency to perform, as determined by their Chair or designee (i.e. Program Director), then the resident or fellow may have the informed consent discussion with the patient or their surrogate decision maker and may be the provider to sign the form.

E-CONSENT LAUNCH FOR PERIOPERATIVE & IR STAFF ONLY

In preparation, all perioperative and IR providers, including surgeons, proceduralists, residents, fellows, APPs, and nursing staff who work in one of these areas will be required to complete mandatory training in the new E-Consent workflows before January 20, 2023.

Required training will be available through the UC Learning Center beginning January 4^th.

Providers are required to complete 2 eLearning modules (15min/module): Due January 20, 2023

1.E-Consent Management Providers

2. UCSF Defensible Informed Consent (MedIQ)

Please reach out to Liza Wick, Kim Dimino, or Andy Chau with any questions.

RN Education Survey and Certification Survey

Are you an NP, CRNA or CNM?

Please complete the Magnet RN Education and Certification Survey

Current completion rate is 66%. Goal is 100%

Click here or use QR code

Please contact NursingExcellence@ucsf.edu if you have any questions.

New APPs Who Joined UCSF Health

Please extend a warm welcome to our newly hired APPs

Austin Balk, NP Cardiology

Martinien Cho, NP Cardiology

Iva Colon, NP GU Medical Oncology Mission Bay

Rebecca Greiner, PA Snr, Osher Center for Integrative Medicine

Kelley Lee, NP Mission Bay Mother/Child

Sara Lezin, NP OHNS Facial Plastic Surgery Mt Zion

William Murray, PA Clinical Decision Unit

Patricia Sweeney, NP SOM OB GYN Fertility

Joelle Tansey, NP BOPC Cancer Shared Services

Emanuelle Vasconcelos, NP CT Surgery

Qiona Young, PA Pediatric/Neonatal

APP Job Corner

Refer an APP colleague to work at UCSF and potentially earn $25-$500 for per diem for selected services and $500-2000 for career for selected services.

For more info: referral program

Be sure they note your name at time of application submission.

Click here for all APP job openings as of February 2023

APP Advisory Board

Find out more about your APP Advisory Board by checking out their website and read their meeting minutes here.

Quality and Safety

Patient Dignity Questions

submitted by Mike Rabow, MD, FAAHPM (adapted for this newsletter)

To honor the unique personhood of each of our patients, Harvey Max Chochinov recommends asking the "Patient Dignity Questions"--What do I need to know about you as a person to take the best care of you possible?" Here, we can ask central questions that matter to the particular care and goals of this particular person. "What matters most to you", "What do you hope for?" What worries you?"

Click here to read a short opinion piece by Chochinov in a Canadian Paper about Personhood.

Go Live Patient Capacity Management Center Feb 21

PCMC will provide centralized management of patient flow and uses real-time data analytics to optimize throughput across all portals of entry such as the ED, OR/PACU, physician offices, outpatient clinics and transfers from outside facilities. The command center will enable more proactive approach toward capacity management, e.g. by using predictive modeling to anticipate and mitigate increased demand and volume surges.

Click here to listen to the February 2023 APP Town Hall about this PCMC and the role of an APP in patient flow and throughput.

Wellness News

APP Wellness Committee

We are reviving a former committee here at UCSF, the Wellness and Social committee. The purpose is to improve APP well-being by creating a platform in which an APP can focus on their wellness. To promote APP communication across campuses and departments through organized social and community events. To facilitate and promote existing wellness activities that will support improvement in employee morale.

We are hoping to organize 4 events a year and are looking for representatives from all campuses within the UCSF network.

Please reach out to Won Kim (won.kim2@ucsf.com) or co-chair Kim Ly (kimly@ucsf.edu) for further information and if you are interested in joining.

APP Mentorship Committee

Applications are being accepted for the APP mentorship program. This is a unique program of APP mentor to APP mentee. We are seeking both mentors and mentees who want to build more connections within UCSF.

Applications are due by February 17, 2023. Matches will be announced March 1, 2023. Visit their website for more information

The Committee will also be hosting a Social hour on March 20, 2023 530-7pm

Rose's Taproom 4930 Telegraph Ave Oakland.

All APPs Peds and Adults are welcome (East and West Bay)

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REMINDERS

NP 3 Promotion

Renewal applications are due February 28, 2023

Initial applications are due March 31, 2023

Find out more information about NP3 on this site.

Do you want talk with another NP3 to discuss the process or review your application prior to submission? Contact Alisa.Yee@ucsf.edu for further information.