National Agreement

If your union is party to the 2015 Coalition National Agreement, you may be eligible to convert your unused banked sick leave to a Health Reimbursement Account (HRA) when you retire from Kaiser Permanente. You can use the Sick Leave HRA to help pay for eligible out-of-pocket medical, dental, vision and hearing care expenses on a tax-free basis.    

The Sick Leave HRA gives you a strong incentive to bank your unused sick time and helps ensure that you will have sick time when you need it. This benefit is separate from and in addition to the Retiree Medical HRA established as part of the retiree medical benefits package in the 2015 Coalition National Agreement. 

See the Retirement Programs section of your Summary Plan Description on MyHR for details:

• Select your region.
• When the Benefits by Employee Group page opens, click on View under Summary Plan Description.
• Once the file opens, click on Retirement Programs from the menu on the left.
• Look for details for the Sick Leave Health Reimbursement Account.

If that benefit is not included in your Summary Plan Description, you are not covered by the benefit.

Our 2012 National Agreement established the conditions for creating the healthiest workforce in the industry.

One of the key innovations in the 2012 National Agreement is the Total Health Incentive Plan, a voluntary program that rewards employees for collective participation in confidential health screenings and improvements. 

The 2010 agreement includes uniform performance goals and metrics for unit-based teams, an enhanced sick leave cash-out option and stable funding for workforce development trust funds.

If you print the PDF out on 8.5" x 11" paper, each sheet will have one two-page spread of the bound contract. 

“The No. 1 reason for the success of our teams has been personal engagement,” says Alan Kroll, a primary care area administrator in Colorado who co-sponsors nine unit-based teams with his labor and physician partners. “Everyone needs to buy into the process to make partnership work.”

Building engagement and ensuring a consistent work experience have been goals of the Labor Management Partnership since the beginning. But, at the same time, there’s been a good deal of variation around these efforts from location to location across Kaiser Permanente, to the frustration of many managers, workers, and KP members and patients.

That’s why the 2015 National Agreement mandates partnership training for everyone, including the mid-level managers and union leaders who guide others. Early versions of the partnership training for mid-level leaders, which will be available this year, have gotten high marks from UBT sponsors and other leaders who have taken it. 

Consistency counts

The agreement calls for “a learning system that supports sustained behavior change, partnership and performance.” This includes joint training and refresher courses—delivered in-person
and/or online—to “achieve the same partnership and employment experience wherever one works in KP.” 

The new training for mid-level leaders will include segments on: interest-based problem solving examining the forces that support or undermine partnership core partnership behaviors and principles the strategic importance of the LMP 

Joint training is key 

The programs are designed to develop successful leaders who can model partnership and spread successful practices—and to ensure that the managers or union representatives helping teams have what they need to support those teams.

“It is very powerful for managers and union leaders to be in training together,” Kroll says. “It sends the message that everyone is important, and sets a foundation to work from when an issue gets stuck.”

The training served as a reminder that good partnership practices also are good leadership practices. 

“People want to hear from their leaders,” he says, and to “know what issues we are dealing with and that we can help remove obstacles.”

See the 2015 National Agreement, section 1.E, Education and Training (pages 31–33) for additional information.

Our 2000 National Agreement created the joint LMP Trust Fund. It also created the Performance Sharing Program. It began with these prophetic words:

"This National Agreement was created through an extraordinary collaboration with the input of hundreds of Kaiser Permanente employees at every level. We created this document the way we will work in the future—jointly. The Agreement embodies our collective vision for Kaiser Permanente. The language of this National Agreement cannot begin to fully capture the energy and collective insights of the hundreds of people working long hours to establish this framework. But as work units apply these principles, we trust that their commitment and expertise will make our vision a reality."

Beyond excellent wages and benefits, the 2015 Coalition National Agreement sets industry-leading standards for quality, service, affordability, workplace health and safety, and professional development. Coalition union members, their managers, and the physicians who work with them should read the agreement and be familiar with its intentions and the path it lays out for achieving high-quality, affordable heatlh care while creating a great place to work. 

Kaiser Permanente and the Coalition of Kaiser Permanente Unions resolve most differences involving our Labor Management Partnership through interest-based problem solving or interest-based bargaining. 

But when the process bogs down, the 2015 National Agreement provides a way for managers, physicians, union leaders and frontline workers represented by a coalition union to move it forward: issue resolution. 

Section 1 of the National Agreement covers a number of topics: how the partnership operates, unit-based teams, and such programs as Total Health and Workplace Safety. The most common disputes encountered are covered by this section. A new issue resolution process, one of three related provisions in the agreement, covers such disputes.

The process starts at the level at which an issue arises; so, for example: 

• When disagreements arise at the facility level, the parties directly involved meet and use interest-based problem solving to try to resolve the issue themselves.
• If they cannot do that within 30 days, the issue may be referred to the local LMP Council.
• If there’s still no resolution, the next step is the Regional Council, and then national LMP leadership. Each body has 30 days to resolve the issue, using interest-based problem solving.
• If no solution can be reached, the question may be decided by a joint panel that includes a neutral designee.

This process is an alternative to, but does not replace, existing grievance procedures. It offers another approach to problem solving. 

“It’s easy for people to get dug into their own place on an issue,” says Denise Duncan, president of UNAC/UHCP. “Partnership and the National Agreement commit us to spending the time to figure out jointly how to resolve problems and do the work.”

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.