Path to Performance Dimensions

Looking to stay current in the fast-changing world of health care? You’re not alone.

Kaiser Permanente leaders, labor representatives and industry experts offered insights at November’s Workforce of the Future Conference in Berkeley, California.

“We’ve made a lot of progress over the last few years,” said Monica Morris, director of National Workforce Planning and Development, who welcomed the audience of 200 labor and management representatives tasked with advancing the Labor Management Partnership’s Workforce of the Future initiative. “Now it’s time to do even more.”

Here are six strategies you can follow to prepare for the workforce of the future.

Learn new ways to work. During the Industrial Revolution, cobblers and weavers had to adapt or get left behind. This process continues today—only now, it’s happening faster, said keynote speaker Art Bilger, founder and CEO of WorkingNation, a nonprofit group seeking solutions for economic change.

“The solutions are local,” he said. “Communication of these issues and solutions is critical.”

Become lifelong learners. Skills used to last a lifetime and career paths were clear. Now there’s a new development every 18 months. Get on the cutting edge and imagine the opportunities technology provides.

“Be deeply curious. We’re all newbies,” said keynote speaker John Seely Brown, an author, scholar and former director of the Xerox Palo Alto Research Center, who gives high marks to the innovative learning approach of the new Kaiser Permanente School of Medicine.

Keep developing your career. Age is not a barrier to lifelong learning, said keynote speaker Sandi Vito, executive director of 1199SEIU Training and Employment Funds, which partners with Montefiore Health System in New York.

“People tend to think that employees in their 50s can’t aspire to career advancement,” Vito said. “It just requires different approaches. Adults learn more by doing.”

Indeed, the average age of participants in the two LMP-supported educational trusts (Ben Hudnall Memorial Trust and SEIU UHW-West & Joint Employer Education Fund) is 44.

Use available resources. Kaiser Permanente employees have many resources to advance their careers, including targeted training programs for workers represented by the Coalition of KP Unions.

To start, learn four critical skills that will be essential to the future of health care. A digital fluency program launched in October, to be followed by programs in consumer focus, collaboration and process improvement.

“We don’t know what the jobs of the future will be,” said conference facilitator Tony Borba, Northern California regional director for The Permanente Medical Group. “We need to use our resources so we are ready for changes in the workforce.”

Tap the power of partnership. As Kaiser Permanente and the Coalition of KP Unions have successfully partnered, Montefiore and 1199SEIU have developed collaborative training programs, such as community health worker apprenticeships that benefit employees, the organization and the community, said keynote speaker Lynn Richmond, Montefiore’s chief strategy officer.

Get involved. The conference produced actionable ideas such as developing a communications strategy to show the value of continuous learning and generate more on-the-job training. Other ideas included apprenticeships and reverse mentoring.

“How do we leverage the power of preceptors, mentors and the educational trusts?” said conference speaker Jessica Butz, the union coalition’s national program coordinator for Workforce Planning and Development. “This is your chance to help shape what we do at Kaiser Permanente.”

“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.

Amazon. Facebook. Uber. Count the ways that technology has changed the way people shop, share information, get around—and the way work is done in those industries. Now add health care to that list.

That was the message of the 2016 Work of the Future Conference in November, where 200 Kaiser Permanente managers and workers looked at how health care is changing, and how management and labor can collaboratively shape those changes at KP.

Industry and union leaders shared emerging workforce trends and practices. They also praised KP and the Coalition of Kaiser Permanente Unions’ approach to performance improvement, problem solving and workforce development.

“Kaiser and the union coalition have nailed it when it comes to workforce training, workforce planning and making sure we're preparing for the future,” said Liz Shuler, secretary-treasurer of the AFL-CIO. “The collaborative approach really shines when we talk about training, workforce development and finding ways to help workers ladder up in their careers.”

Shared wisdom

With the help of unit-based teams, health care innovation has brought patients better and faster treatment at KP, said Nirav Shah, MD, senior vice president of clinical operations for the Southern California region. For instance, KP hip replacement patients often walk off the operating table, go home without spending a night in the hospital and get nursing care and physical therapy at home. “Radical transparency, shared data and the wisdom of unit-based teams” are essential to making such changes work, he said.

Skills for success

KP and union workforce planners shared how workers can prepare for more changes coming to health care by mastering four critical skills:

• consumer focus
• digital fluency
• collaboration
• process improvement

These skills are among the new training programs, previewed at the conference, to be offered to coalition union-represented workers in 2017 (learn more). Digital fluency, for instance, covers mobile devices, applications and their impact on health care. Kaiser Permanente and the coalition unions, working in partnership, have given KP workers a head start in at least two of the other critical skills—collaboration and process improvement.

Learning from others

Conference participants also learned from the experience of other organizations. DTE Energy, a Detroit-based public utility, worked with its unions to avoid layoffs even during the Great Recession, said Diane Antishin, DTE Energy’s vice president of HR Operations.

Michael Langford, president of Utility Workers Union of America, described his union’s training and apprenticeship programs, which have helped his members nationally adapt to changes in their industry.

As with our work in the Labor Management Partnership, interest-based bargaining helped both parties achieve their goals.

“If you come in with positional arguments you’ll never get it done,” said Langford. “But if you can get to what the underlying problem is, you can solve it.”