People Pulse

How Unit-Based Teams Make Kaiser Permanente a Better Place to Work

Submitted by Paul Cohen on Thu, 08/23/2018 - 12:00
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Fewer injuries, higher patient satisfaction, more influence over decisions: Good things happen when people get involved in their unit-based team. See the People Pulse survey findings.

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Positive results for KP members, patients and workers
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Do teams get better results when frontline workers are engaged, free to speak and can influence decisions? Yes, say the people who know best — Kaiser Permanente workers and managers themselves.

Recent People Pulse surveys confirm that unit-based teams get positive results for health plan members and patients, the organization and workers themselves.

For instance, the 2017 People Pulse survey of more than 155,000 KP employees showed that when union-represented employees are highly involved in UBT activities, they get 29 percent higher scores on measures of their willingness to speak up — a key driver of patient and workplace safety and satisfaction. They also get 33 percent higher scores on questions regarding workplace health and wellness.

Improved safety and satisfaction

Further analysis, included in the 2016 People Pulse survey, showed that teams with high employee involvement have:

  • 18 percent fewer workplace injuries
  • 13 percent fewer lost work days
  • 4 percent higher patient satisfaction

“Our findings show that employees who are highly involved in their unit-based teams feel more able to speak up and more encouraged to take care of their health,” says Nicole VanderHorst, principal research consultant with KP Engagement & Inclusion Analytics. “That makes them more likely to have better performance outcomes.” 

A better way to work

Workers’ greater propensity to speak up and look after their health when they’re involved in team activities covers several questions (see chart below). For example, workers who are highly involved in their UBTs are far more likely to say:

  • The Labor Management Partnership has helped improve organizational performance and working conditions.
  • They can influence decisions affecting their work.
  • They’re comfortable voicing differing opinions.
  • Management uses their ideas to improve care.
  • They’re encouraged, and encourage others, to take care of their health.
Unit-Based Team Involvement

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Roots of workforce engagement

All these factors contribute to a better employee experience as well as performance. And UBTs reflect KP’s unique history with the labor movement.

“Henry Kaiser was perhaps the 20th century’s most worker-friendly industrialist. He supported organized labor and knew that people step up when allowed to exert their job experience, as they do with UBTs,” says KP archivist and historian Lincoln Cushing.  “He trusted employees to make decisions that benefitted themselves and their organizations.”

If you belong to a unit-based team — and most union-represented employees do — talk with a team co-lead about ways to get more involved.

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Meet Your National Agreement: New Standards for All

Submitted by Laureen Lazarovici on Wed, 12/07/2016 - 13:46
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Hank
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sty_Meet Your National Agreement_new standards
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The 2015 National Agreement sets out several new provisions for unit-based teams, facilities and regions. Make sure you know how to keep improving performance. 

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Sherry Crosby
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Resources: Help Your Team Make the Grade

Three things you can do to up your team’s game:

  • Talk with your UBT consultants and union partnership representatives (UPRs) for advice.
  • Contact the Patient Advisory Councils in your facility, service area or region for guidelines on how to include the voice of the customer in your work.
  • Use UBT Tracker and the new Team-Tested Practices section to find successful practices from other teams or regions.
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Meet Your National Agreement: New Standards For All
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Teams, facilities and regions all play a role in improvement
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Last year, the outpatient procedure unit-based team at Capitol Hill Medical Center rewrote the instructions it sends to patients scheduled
for a colonoscopy. A patient who found the earlier directions confusing played a leading role in the process.

The new instructions helped reduce by 20 percent the number of colonoscopies that needed to be repeated. Involving the patient was “a transformational experience
for the team,” says Jennifer Walker, RN, lead UBT consultant and improvement advisor in the Mid-Atlantic States region.

It also showed the power of a new provision of the 2015 National Agreement. 

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