Collaboration

How Our Partnership Came to Be

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VID_154_How_Partnership_Came_to_Be
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The story behind the creation of our Labor Management Partnership, formed in 1997 after decades of strikes and discontent between Kaiser Permanente and its unions.

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Non-LMP
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Non-LMP
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The story behind the creation of our Labor Management Partnership, which emerged in 1997 after years of strife between Kaiser Permanente and its unions. Leaders from Kaiser Permanente and some of the key Partnership unions, both past and present, share how they agreed to work collaboratively — a solution that ultimately improved care for members and provided job security for workers. Today, our partnership is the largest and most comprehensive of its kind.

 

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Pharmacy Saves Big With Value-Shopper Approach

Submitted by Laureen Lazarovici on Fri, 06/16/2017 - 19:09
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Hank
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sty_Hank51_pharmacy saves big
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Buying in bulk and collaborating with sister teams yields a $1.1 million win in San Diego. 

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Sherry Crosby
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Tyra Ferlatte
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Take Action: Understand Your Budget

High costs can be a symptom of an underlying issue. Study your department’s budget at your next unit-based team meeting and come up with ideas for tests of change. These proven performance improvement tools are great resources for a team looking for ways to keep care affordable: 

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Pharmacy Saves Big With Value-Shopper Approach
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Greater collaboration over inventory also contributes to a $1.1 million win
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Budget-savvy shoppers know you can save money by buying in bulk—even, it turns out, when you’re buying pharmaceuticals. Just ask the team members of the Zion Outpatient Pharmacy in San Diego.

The unit-based team was able to save more than $1 million over five months by buying drugs in quantity and managing specialty medications better. And, adopting a practice that would make Goldilocks happy, the pharmacy now keeps just the right amount—no more, no less—of high-cost meds in stock. Managing costs helps keep expenses down for members, and the team’s improved communication means better service for patients, whose medications are there when they need them.

Not so long ago, the financial picture looked bleak for the 24-hour pharmacy, which serves discharged hospital patients and other members at the bustling Zion Medical Center. Inventory had swollen to more than $3 million. It was a signal the pharmacy had too much stock on hand and wasn’t turning it over frequently enough. 

“We realized that we needed to do something,” says Nathan Close, outpatient pharmacy supervisor and management tri-lead of the 45-member team, which is at Level 4 on the five-point UBT Path to Performance.

Honest assessment

Team members set a five-month goal to reduce their bloated inventory by $600,000, from $3.2 million to $2.6 million, starting in January 2016. 

Their first step was to review the pharmacy’s ordering and inventory practices. Team members quickly realized they were overstocking oral chemotherapy, Hepatitis C and antiviral medications. At $10,000 a bottle, rarely used pharmaceuticals suck up resources when they sit on shelves. Worse, if they aren’t used or returned to the manufacturer before they expire, they’re a costly mistake.

To get a better handle on prescription trends, team members reached out to ambulatory care pharmacists, who are part of a different team and who collaborate with physicians to treat members with cancer or chronic conditions. By partnering with the pharmacists, the team was able to plan ahead better.

“Once we know what patients are going to need, we make sure that we have that in stock,” says Wesley Frani, a pharmacy assistant and UFCW Local 135 member who is one of the team’s labor tri-leads. 

Key to the team’s success is another labor tri-lead, Jane Corby, an inventory control assistant and also a UFCW Local 135 member. She carefully monitors stock levels to ensure that when patients present their prescriptions, the right medications are on hand.

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Our History in Pictures

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VID_144_Our_History_in_Pictures
Long Teaser

 How and why the Labor Management Partnership at Kaiser Permanente came to be.

Communicator (reporters)
Tracy Silveria
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Non-LMP
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http://content.jwplatform.com/videos/im1cHlwY-iq13QL4R.mp4
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1:45
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 How and why the Labor Management Partnership at Kaiser Permanente came to be.

 

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A Model for Today

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VID_144_A_Model_for_Today
Long Teaser

Why Kaiser Permanente's Labor Management Partnership is a model for how labor and management can work together to produce results.

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Tracy Silveria
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Tyra Ferlatte
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https://content.jwplatform.com/videos/yEBRcNCK-iq13QL4R.mp4
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2:36
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Our Labor Management Partnership—the largest and longest-running partnership of its kind. It is "a shining example—and the best example—of how you bring labor and management together to produce results," says Liz Shuler, secretary-treasurer of the AFL-CIO.

Here's why.

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Your Voice Matters

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VID_151_your_voice_matters
Long Teaser

Kaiser Permanente's Chairman and CEO Bernard J. Tyson on why all employees should speak up.

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Non-LMP
Editor (if known, reporters)
Tyra Ferlatte
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VID-151_Your_Voice_Matters/VID-151_Your_Voice_Matters.zip
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:45
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Speak up. That’s what Chairman and CEO Bernard J. Tyson asks everyone to do as part of the responsibilities we all share at Kaiser Permanente.
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Early Shift Ensures On-Time Labs

  • Having lab assistants, not runners, pick up blood samples at 6 a.m. and drop off specimens every half-hour
  • Using clinical lab scientists from other departments to help process blood in the morning
  • Moving weekend shifts for clinical lab scientists to 6 a.m. instead of 9 a.m.

 What can your team do to shift its workflow for the benefit of patients? 

Dancing the Stress Away tyra.l.ferlatte Sat, 10/22/2016 - 10:03
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Call centers typically breed burnout—but KP’s teams are finding ways to be the exception to the rule
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Call centers typically breed burnout—but KP’s teams are finding ways to be the exception to the rule.

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At 8 a.m. every workday, an alarm sounds at the Member Services Call Center in Denver. Instantly, Olivia Johnson and her entire unit-based team of customer service representatives to leap out of their seats.

And dance.

The dance break tradition started when one of Johnson’s co-workers set a regular medication alarm that plays music.

“He started dancing when his alarm went off, then another person started dancing with him. Now it’s all of us dancing every morning,” says Johnson, a member of SEIU Local 105. “Afterwards we clap and tell each other it’s going to be a good day.”

Shaking their groove thing, having regular potlucks and sharing information that might make work easier for others are ways Johnson’s team combats potential stress at work. Constant stress can result in faster breathing and an increased heart rate, which the American Heart Association says can lead to physical pain, depression and unhealthy behaviors to compensate.

The members of Johnson’s UBT also alternate work assignments, so that representatives aren’t doing the same thing every week. One week, half of the team fields the calls from Kaiser Permanente members, while the other half answers questions from all of Colorado’s customer service representatives via SameTime chat. The next week, they switch. The variety helps keep the demands of the job manageable.

Stress comes with the job

Terrence J. Cooper, who manages the Maple Lawn Call Center in Fulton, Maryland, says one reason working in a call center can be stressful is, simply, the nature of the work.

“We take complaints here,” says Cooper, who has been at Kaiser Permanente since 2006. “Complaints alone can be stressful.”

Cooper, who manages 20 people, tries to keep his team upbeat by injecting humor into his UBT’s daily huddles and team meetings. The team also host potlucks and does team-building activities outside of work, such as bowling.

“This allows us to catch up as a team,” Cooper says. “We talk about the weekend or the kids. It gives everyone an opportunity to take their minds off that last call.”

Cooper also serves as the local co-lead for the Kaiser Permanente wellness program “Live Well, Be Well” and tries to promote a healthy work environment to reduce stress. Frequently, fitness video games, board games or music are available in the break room to help folks “de-stress,” he says. “We try to lighten the mood.”

There’s a serious side to adding fun and festivities to the job: A study in the 2006 Ivey Business Journal Online found that workers who feel empowered and engaged—one of the outcomes of the light-hearted endeavors—are more productive and have fewer safety incidents.

Giving people a say

Another key element to reducing stress is giving people the ability to make more decisions at work, says Deashimikia Williams, a customer service representative in Maryland and member of OPEIU Local 2. Williams also serves as her UBT’s union co-lead and is a member of the national call center “Super UBT,” whose membership crosses regional boundaries.

Williams says empowering workers and improving their work processes can have a positive impact on stress at work. Making customer service representatives, CSRs, aware of what they can do to resolve a member’s issue also reduces frustration, says Williams, whose role on the Super UBT includes exploring different improvements.

“We look at the issues CSRs and managers experience on the floor. If we streamline a process, it may not be as stressful,” Williams says. “If we can let them know what can be done by each department and who can help resolve a member’s problem, it reduces frustration.” 

Communicator (reporters)
Non-LMP
Editor (if known, reporters)
Tyra Ferlatte
Deashimikia Williams, a member of OPEIU Local 2, is a customer service representative in Maryland.
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Released

Partnership in 99 Seconds

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VID_137_Partnership_99_seconds
Long Teaser

This 90-second animated video explains how our Labor Management Partnership makes Kaiser Permanente a better place to work — and receive care.

Communicator (reporters)
Non-LMP
Editor (if known, reporters)
Tyra Ferlatte
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Download File URL
http://content.jwplatform.com/videos/cNBuZJTa-iq13QL4R.mp4
Running Time
1:39
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Released
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In just 99 seconds, learn how Kaiser Permanente's unique Labor Management Partnership makes it a better place to work — and receive care. Watch this animated video now. 

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