Free to Speak

Team Member Engagement

When UBT members are actively involved with their team, they speak up with their best ideas about how to improve the department. They take advantage of partnership processes like consensus decision-making and interest-based problem solving to make the department a great place to work. They look at how the department is doing on key metrics—like those around service and quality—and use that information to come up with ideas for improvement.

Free to Speak

When we speak up, good things happen.

Where there’s open communication, we have better care outcomes, fewer workplace injuries and lost work days, and more satisfied patients.

That’s why supporting a culture where people are free to speak is essential to our success at Kaiser Permanente.

Free to Speak: A Union Worker Shows the Way Kellie Applen Thu, 09/29/2016 - 09:25
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Free to Speak: A Union Worker Shows the Way
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Intended audience: 
Frontline workers, unit-based teams

Best used: 
Post these inspiring words from a union worker on our #FreeToSpeak culture on your team's bulletin board or in a break room. 

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Words from a union worker on Kaiser Permanente's #FreeToSpeak culture.

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From the Desk of Henrietta: Cough It Up! Shawn Masten Mon, 09/19/2016 - 16:12
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The Power of Why
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Henrietta, the regular columnist in the LMP's quarterly magazine Hank, explains why speaking up is mission critical for worker and patient safety--especially at the frontline. 

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It’s not hard to figure out why people are hesitant to speak up at work. Offering a suggestion for improvement or pointing out when you think something isn’t right exposes a person to any number of possible responses—many of them unpleasant.

There’s the sarcastic retort. There’s the deafening silence. There’s the reply, pointing out exactly why you’re wrong, delivered in the nicest of tones but carrying an unmistakable edge of one-upsmanship. Who needs it? Who wants to create waves and risk a good job?

But when we don’t speak up, we put health and happiness at risk. As Doug Bonacum, Kaiser Permanente’s vice president of quality, safety and resource management, says in this issue’s cover story, speaking up “is mission critical for worker and patient safety.”

In addition to the moral imperative of protecting people from injury, there’s a strong economic incentive for speaking up. Improvement doesn’t typically come from a single person’s great idea—it comes from people sharing ideas. And we at KP have to keep improving, finding ways to deliver care as good as or better than we deliver now with fewer dollars per member. Our future depends on it.  

Since we get good at what we practice, we each have to practice speaking up. Practice means starting with lots of baby steps—don’t tackle the high-stakes stuff first! And let’s practice being good listeners, too, providing the space that lets others speak up safely.

The Labor Management Partnership and unit-based teams provide the framework for transforming what Bonacum calls a “culture of fear” around speaking up. But with that framework in place, it’s still up to each and every one of us to find the courage to address the immediate, particular obstacles that keep us silent.

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Tyra Ferlatte
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Stories in the Spring 2013 Issue

SuperScrubs: See Something, Say Something

Submitted by Beverly White on Wed, 09/07/2016 - 16:16
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In this full-page comic, our superhero shares tools for having a free to speak culture and working in a safe environment.

Beverly White
Tyra Ferlatte
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SuperScrubs: See Something, Say Something

Format:
PDF (color or black and white)

Size:
8.5" x 11"

Intended audience:
Anyone with a sense of humor

Best used:
In this full-page comic, our superheroes share how speaking up can keep your work environment—and our patients—safe.

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Poster: Be Heard, Don't Be Written Off

Submitted by Beverly White on Wed, 09/07/2016 - 16:06
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This poster shares the slogan "Free to Speak" and has a checklist for comparison of a whiner vs. problem solver. Share it during your team meetings and help build a culture of speaking up.

Beverly White
Tyra Ferlatte
Tool landing page copy (reporters)
Poster: Be Heard Don't Be Written Off

Format:
PDF 

Size:
8.5" x 11"

Intended audience:
Frontline employees, managers and physicians

Best used:
How we come across is as important as what we have to say. This poster shows the difference between those who complain and accomplish little—and those who are heard and create real change.

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On Speaking Up When You're Not the Boss

Submitted by tyra.l.ferlatte on Wed, 09/07/2016 - 14:00
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How do you speak up when you're not the boss? Get advice from two union members who've done it. 

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Sherry Crosby
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Tyra Ferlatte
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When employees speak up, teams score high on patient safety, quality, service and workplace safety. But it can be hard to speak up when you don’t feel safe or comfortable. Gain the confidence to use your voice with these tips from two frontline workers with the Ambulatory Care Pharmacy team in West Los Angeles. 

Chakana Mayo, pharmacy technician, UFCW Local 770, Workplace safety champion

Practicing speaking up when you feel safe. “When we first began peer rounding, people were comfortable speaking to one another versus speaking with management. Once people were comfortable speaking with one another, then they felt like they could be comfortable speaking with management.”

Your voice can make a difference. “It’s important to speak up early because you can prevent long-term injuries from occurring. If you’re confident enough to speak up to your manager and just let them know what’s going on, they’ll appreciate it more.”

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How to Create a ‘Speak-Up’ Culture

Submitted by tyra.l.ferlatte on Wed, 09/07/2016 - 13:59
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Simple (but not easy!) ways managers can encourage their employees to feel safe about speaking up.

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Sherry Crosby
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Tyra Ferlatte
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Employees who feel free to share their ideas and concerns help keep our patients safe and make Kaiser Permanente a better place to work. Managers can help team members feel comfortable speaking up by creating a “psychologically safe” work environment—one where no one is afraid they will be embarrassed, rejected or punished for speaking up. Here are four tips from supervisor Nee Tang, Pharm.D., Ambulatory Care Pharmacy, West Los Angeles, on how to help workers make their voices heard.

Follow up and take action. “When an employee brings up something, look for the solution and be accountable. Make sure things are done. Having that accountability is really crucial to employees.”

Be authentic. “Having a manager who is open-minded and who truly, genuinely wants to create a safe environment for everybody, that’s the key.”

Be patient and persistent. “In the beginning, people may not be as comfortable speaking out. But once they see we’re coming every month no matter what [to do peer safety rounding], they’re speaking out. We’re really getting the equipment that is needed and reminding everyone about the proper ergonomic positions. People know we’re serious about making an environment that is safe for everyone.”

Find people who want to share their passion with others. “Another key is to have people who are passionate. Angie Chandler, our labor co-lead, is really passionate about ergonomics. I’m passionate about eating healthy. We have another employee who is passionate about exercise. Everybody wants everyone to be safe and healthy and to work well together. We’re passionate about what we do and want to spread that to everybody.”

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From the Desk of Henrietta: Are You #FreeToSpeak?

Submitted by tyra.l.ferlatte on Wed, 09/07/2016 - 13:58
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Why having a speak-up culture matters—and tips on creating one. From the Summer 2016 Hank

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Laureen Lazarovici
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Tyra Ferlatte
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It took a whack on the head—literally—for Tedros Tecle to learn the importance of speaking up.

Tecle is a rad tech at our Santa Rosa Medical Center. Because of a less-than-ideal setup, he banged his head on a mobile X-ray machine. He wasn’t hurt, just really embarrassed. Enough so that he didn’t say anything.

You can guess what happened next: Another tech did the same thing and was injured. The experience motivated Tecle to become a facility workplace safety tri-chair and a champion for speaking up.

Keeping employees, managers, physicians and patients free from injury requires a #FreeToSpeak culture, one where halting work to address a safety concern is a cause for gratitude, not—as in some workplaces—scorn.

In fact, a #FreeToSpeak culture is the foundation for being able to do what we value most at Kaiser Permanente and in the Coalition of Kaiser Permanente Unions: providing high-quality care and service at an affordable price and the best place to work for our employees.

To do that, everyone on our unit-based teams—no matter their role or job title—must feel free to chime in with suggestions about how to make things better, no matter how wacky or inconvenient their ideas might seem. That’s not yet the case; responses to KP’s annual People Pulse survey show the need for improvement.

Creating a speaking-up culture takes time. In this issue of Hank, you’ll find tips and tools to get started and keep going, whether you’re a frontline manager or a union-represented employee. And you’ll hear from the Humans of Partnership who are, more and more, #FreeToSpeak

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Empowered Employees Stop the Line for Safety

  • Speaking up immediately and “stopping the line” if a radiologic technologist encounters any deviation from workflow or a risk to patient safety.
  • Filling out a simple, accessible form which the UBT then uses to address the issue that arose.

What can your team do to create a culture of Speaking Up in your department? What else could your team do to ensure follow up after a safety incident?