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Shenandoah Region-General Meeting Minutes February 2020

VCNP-Shenandoah Region

February 2020 Meeting Minutes

February 20, 2020

Members in attendance:  Maria Circosta, Barbara Call, Amy Graham, Maretta Yoder, Erin Morris, Beth Poore-Bowman, Sue Klassen

NP Students in attendance:  Kymber Beers, Heather Codding

Meeting Location:  Rocktown Kitchen, Harrisonburg Virginia

Business Meeting:  

  1.  Future meetings were discussed.

-April 16, 2020 will be at Montpelier restaurant in Harrisonburg.  Speaker:  Grayce Kim- Pharmacist with Gilead Sciences.  Topic:  “Rheumatoid Arthritis Disease State Overview.”

-Future Meetings for 2020:  9/17/2020, and 11/19/2020

  • Erin Morris shared that she is stepping down as President.  Maria Circosta will move into this role effective immediately.
  •  Topics for future meetings were discussed:

-Dr. Domingus- Motivational Interviewing

-Dr. Kent Folsom- x-ray lectures

-Dr. Schofield- cardiologist- lifestyle medication

-Dr. Martin- rheumatologist- Lupus

The meeting was then adjourned.

Respectively submitted.

Maretta Yoder, Secretary

CMS Final Rule: NP and PA Preceptor Documentation Updates – Success!

Susanne J. Phillips, DNP, APRN, FNP-BC

Posted By: Susanne J. Phillips, DNP, APRN, FNP-BC on |November 29, 2019

To access original post visit:–success-

On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Medicare Physician Fee Schedule final rule, which will positively affect the NP and PA preceptor documentation burden. For those of you providing clinical teaching rotations for advanced practice registered nurse (APRN) and/or PA students, you may be aware that in March 2018 CMS reduced the documentation burden for physician preceptors. This change authorized teaching physicians to verify and sign student documentation components of evaluation and management (E/M) services rather than have to re-document the work themselves. Unfortunately, this created unintended consequences for APRN and PA preceptors and the students they supervise.

In an era where productivity in patient care has been a major driver of reimbursement, the 2018 rule caused many practices to abruptly discontinue precepting APRN and PA students—creating a crisis in NP and PA education. As a result, the American Association of Nurse Practitioners (AANP), the American Academy of PAs (AAPA), nursing, and physician stakeholders worked diligently to mobilize their constituencies and to request changes to the 2020 final rule. Through lobbying efforts and regulatory comments, CMS revised the language, thereby creating documentation requirement parity among all clinician preceptors.

Effective January 1, 2020, APRN and PA preceptors may review and verify medical record documentation entered by other licensed health care providers and members of the health care team, as well as student APRNs and PAs. This update will ultimately improve patient access to high-quality health care.

There are additional changes affecting APRN and PA providers including, but not limited to, updates to Medicare telehealth service reimbursement, E/M services documentation and reimbursement, physician supervision requirements for PAs, and payment for transitional care management services. Click the links in the references below for additional information.


Fredericksburg Region meeting minutes 11/11/19

Discussion was held on our philanthropy projects for the year.  We are participating in the program called “Athletes Don’t”, which educates students on the dangers of vaping.  Health professionals volunteer to go into the schools to present the information.  Let Linda Hazelgren if you are interested in presenting.

We are also collecting new socks and underwear for Micah ministries for the cold weather shelter.  Bring donations to any of our local meetings and Tiffany Simons will deliver them together.

Kelly Rollins shared information about the Neighborhood Navigator app that can help providers find services for patients.  Everything from supplies, to food, to medical services are listed on the app.

A discussion on TAVRs was given by NP Sarah Vitaletti.  In attendance were Dr Chandra, Dr Chanda, PA Daniel Hamilton, and Dr Na.  A simulation was shown of the procedure and guidelines for patient selection were discussed.  The frailty assessment criteria measured by the preop NP was discussed.

Next meeting 12/9/19 will be at Hematology/Oncology office.  Dr Menachery will present on colon CA.

Submitted JPSF 11/14/19 5pm

Shenandoah Region- General Meeting Minutes September 2019

VCNP-Shenandoah Region

September 2019 Meeting Minutes

September 19, 2019

In attendance:  Maria Circosta, Barbara Call, Monica Heck, Amy Graham, Erin Morris, Maretta Yoder, Sarah Stowell, Andrea Knopp, Kymber Beers, Rachel Talbot and Vicky Sullivan

Non-Members in attendance:  Julie Pierantoni RN-Diabetes educator

Meeting Location:  Montpelier Restaurant in Harrisonburg, VA

Meeting Topic:  Pharmacological Approaches to Type 2 Diabetes Mellitus Treatment

Speaker:  Joe Ogden:  Senior Medical Science Liaison for Sanofi

Business Meeting:  

  1. Discussion about full practice authority.
  • Discussion about residency issues and whether new NP’s should have requirements.
  • Discussion about on-line nurse practitioner programs.
  • Next Meeting:  11/21/2019:  Allison Chupp NP will discuss opening her own clinic.  Location:  Taste of Thai restaurant in Harrisonburg VA.  6 pm for social gathering with plans to start meeting and dinner at 6:30 PM. 

Respectively submitted.

Maretta Yoder, Secretary

Richmond Region 2019-2020

Greeting Richmond Region!

I am Kristen Johnson, the President for the Richmond Region. I noticed that our page was a little outdated, so I wanted to update the Richmond Region about the 2019 year and what is to come for 2020!

The Richmond Region started out the year with a complimentary continuing education event on January 10, 2019.  It was presented by Christina Wilson, MS, RN, WHNP-BC, PhD candidate and Rachel Cloutier, MS, RN, ACNP-BC.  The topic that was covered was Genetic Screening in Hereditary Cancers for the Primary Care Provider.  Rachel has severed in various positions on the Richmond Region board and continues to serve.  She works at the VCU school of nursing and in oncology at VCU Massey Cancer Center.   She is in school for her DNP.  Christina also works in oncology and volunteers at the fan free clinic.  She is a PhD candidate and has served as the Public Relations chair on the Richmond Region Board.  Our next dinner meeting was sponsored by Abbvie and was held on February 25, 2019.  On March 20th, 2019 another continuing education event was held for its region’s members.  This counted towards one continuing education credit.  The topic was the opioid epidemic and alleviating pain presented by Cathy A. Harrison DNAP, MSN, CRNA.   She currently practices in a dental office in Midlothian and previously served in the Navy.  In order to provide events like theses to our members, we rely on our nurse planners.  Debbie Dellinger graciously volunteered as the nurse planner for both continuing education events.   Debbie has served on the Richmond Region board in the past and continues to volunteer her time  for VCNP.  Our next meeting will be held on April 23, 2019 and will be sponsored by Amgen.  For the first time,  we will be offering a suturing work-shop.  This will be held on May 4, 2019 at the VCU School of Nursing.  There will be a fee.  More information to come!  Please save the date for our annual Pharmacology Symposium on October 19, 2019!  Please see below up updates to our new board members.

On May 4, 2019 the Richmond Region VCNP partnered with VCU School Nursing to hold a suturing work-shop.  It provided participants with 4 continuing education hours.  Since we received positive feedback from this event, we are considering holding another work-shop in the future.

We would like to congratulate one of our newest members on obtaining Autonomous practice!

Here is his story!

Life experiences frequently guide our path unwittingly. My grandmother who I thought the world of had Alzheimer’s many years ago during my RN program.   Advocacy for the underserved, voiceless and sometimes forgotten has been my career path.  After working in family practice as a NP I started in long-term care, post-acute and assisted living settings and they became my passion. When Virginia passed the autonomous practice licensure for nurse practitioners, it was an obvious direction for me, allowing the continuation of the path I’d started a long time ago. For me, practicing as an autonomous NP ensures the geriatric population, unable to care for themselves, has consistent and reliable care.

Jeremy G. Kellems, MSN, NP-C

The Richmond Region partnered with the Alzheimer’s Association of Richmond to provide continuing education to it’s members on June 19, 2019. The topic of dementia was covered including 10 things that providers need to know about dementia.

UBS financial services sponsored a dinner meeting on June 26, 2019.

We would like to highlight the following member’s accomplishments!

Debbie Dellinger has been a member of VCNP since 2009. She graduated with her Masters in 2012 and served as President elect on the VCNP board, Richmond region through past president from 2015-2017. She has done an excellent job as chairperson of the Richmond region VCNP Pharmacology symposium in 2016. She is currently serving as co-chair of the state VCNP Education Committee. She has been a staunch supporter of the full practice policy being launched in Virginia. She has mentored many new NPs, helping them to grow in their careers and been a role model to many. She presents classes nationally on web sites through the VA and in the Richmond region for continuing education credit for members of VCNP.  Debbie obtained her Autonomous Practice licensure!  

Christina Marie Wilson, WHNP from the Richmond region who recently graduated from Virginia Commonwealth University with her PhD in Nursing. Her research focuses on the clinical issues of body image, sexuality, and sexual functioning in women with gynecologic cancer.

The Richmond Region held a dinner meeting on August 13, 2019 at Tarrant’s West.  The sponsor was Virginia Interventional & Vascular Associates.  Dr. Doherty spoke on Uterine Fibroid embolization, varicose veins and pelvic congestion. 

The Richmond Region held a dinner meeting on September 5, 2019.   It was sponsored by Amgen.  Michael Bolognese, MD reviewed how to build bone and reduce fracture risk in high risk PMO patient’s with EVENITY.

We will hold a continuing education event on September 26, 2019.  The topic was pulmonary arterial hypertension, presented by Omar Minai, MD.

Our annual legislative reception will be held on October 3, 2019 at Bistro 27.

Please consider nominating a fellow VCNP member for one of the following awards:

 The Donna Campanella Distinguished Nurse Practitioner Award will go to a member who has demonstrated excellence and initiative in one or more of the following categories: Clinical Practice, Leadership, Research and/or contributions to VCNP at the local or state levels. 


The APRN NP student award for an Outstanding Nurse Practitioner Student  will go to a student member who shows a significant potential to be able to make a contribution to the role of nurse practitioners.  Nominees should demonstrate excellence and initiative in one or more of the following categories: clinical practice, leadership, research and/or contributions to VCNP at the local or state levels

Eligibility: All nominees must be a VCNP member and nominated by a VCNP member.  

Please send the nominees resume and letter of support to Samantha Taylor at by September 20, 2019. 

Winners will be announced at the Richmond Region’s Annual Pharmacology Symposium on October 19, 2019.  

Our annual pharmacology symposium will be held on October 19, 2019 at Lewis Ginter Botanical Gardens.   Registration is open.  Cost will be $85 for members and $135 for non-members.

We would like to recognize a Richmond Region Member for obtaining her autonomous practice licensure!
“Autonomous practice opens the door for true patient centered care. I believe nurse practitioners are healthcare changemakers. Our unique approach to healing invites the community to be fully engaged in their health. Autonomy, strength and resilience are the keys that unlock our limitless potential.”- Dana Burns DNP, FNP-BC

The Richmond Region held It legislative event on October 3, 2019.  Approximately 70 nurses attended this event.  Senators attending this event, Senator Siobhan Dunnavant representing district 12 and Senator Ryan McDougle representing district 4.  Delegates attended, Delegate Hyland (Buddy) Fowler representing house district 55 and delegate Dawn Adams representing house district 68.  Senate candidates Stan Scott for district 4 and Joe Morrissey for district 16.  Delegate candidates included Amanda Pohl for district 11, Larry Barnett for district 27, Carrie Coyner for district 62, Morgan Goodman for district 55, Juanita Jo Matkins for district 56,  Sheila Bynum-Coleman for district 66, Kevin Washington for district 97 and Scott Wyatt for district 97.    

The Richmond Region held its annual pharmacology symposium on October 19, 2019,  it was held at Lewis Ginter Botanical Gardens.   Topics included antibiotics presented by Dr. Markley, heart failure presented by Dr. Dube, Ketamine for the treatment of refractory depression, presented by Dr. Oliver, polypharmacy in the elderly, presented by Dr. Turbedies, biologics presented by Mandy Gatesman, Pharm D and gastrointestinal disorders presented by Mary Kathleen Engelken NP.  We had a guest speaker, Delegate Dr. Dawn Adams.  She reinforced the importance of eligible nurse practitioners obtaining autonomous practice licensure.  Shelly Smith and Cindy Fagan were available and answered numerous questions that arose throughout the day. We had 125 nurse practitioners attend this year.  We presented Rachel Cloutier with the Donna Campanella distinguished NP award.   We thank this year’s sponsors were Coram, Summit medical billing solutions, Otsuka, VCU School of Nursing, Salix pharmaceuticals and Novartis.   I would like to send a special thanks to the pharmacology planning committee that helped me plan this year’s Symposium.  Leah Loomis, Rachel Cloutier, Helen Willis, Debbie Dellinger, Samantha Taylor, Brittney Toms, Christina Wilson, Jack Weisskohl and Molly Sandel.

The Richmond Region partnered with local merchants to offer nurse practitioners discounts and specials during Nurse Practitioner Week at local restaurants (Bistro 27 & Tarrant’s West)), breweries (Fine Creek), Spas (Luminous Skin Care and Wellness) and South River Compounding Pharmacy.    

Pharmacology Symposium October 19, 2019

The Richmond Region VCNP will hold the 15th annual
Pharmacology Symposium
Saturday, October 19, 2019 7:15AM – 4:00PM
Lewis Ginter Botanical Gardens
Kelly Education Center
1800 Lakeside Avenue Richmond, VA 23228

The Donna Campanella Distinguished Nurse Practitioner and Outstanding Nurse Practitioner Student awards will be announced at lunch.  Please consider nominating someone.  
We hope to see you there!
6.25 continuing education hours will be awarded at the completion of this activity. 

7:15AM Registration/breakfast
7:45-8:15AM Welcome: Kristen Johnson, President, Richmond region
Guest Speaker Delegate Dr. Dawn M. Adams
8:15-9:15AM The End of the Antibiotic Era: The Rising Tide of Antimicrobial Resistance,
J. Daniel Markley, DO, MPH
9:15-10:15AM Mood Disorders: Diagnosis and Management, Prakash Ettigi, MD
10:15-10:45AM Break with vendors
10:45-11:45AM Guideline Directed Therapy for Heart Failure, Preeti Dube, MD
11:45AM-12:45PM Polypharmacy in elderly: What can we do about it? Sheila J. Turbides Minaya, MD
12:45-1:30PM Lunch with vendors
1:30-2:30PM Basics of Biologics: A Primer for APNs, Mandy Gatesman, PharmD, BCOP
2:30-3:30PM Common GI Issues: Anywhere from Mouth to Anus: Let’s be as Blunt as our Scopes! Mary Kathleen Engelken, NP
3:30PM Prizes
Virginia Council of Nurse Practitioners is approved as a provider of continuing nursing education by the Virginia Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Events and Conferences

2021 VCNP Annual Conference
3/10/2021 - 3/13/2021