Performance improvement

Trusts Build Job Skills and Careers

Submitted by Paul Cohen on Mon, 04/16/2018 - 11:45
Request Number
ED-1356
Long Teaser

From earning a degree to learning best practices, Kaiser Permanente employees are using the 2 Labor Management Partnership-supported education trusts in record numbers.

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Alec Rosenberg​
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Take Action: Use the education trusts

The 2 Labor Management Partnership-supported education trusts offer services for wherever you are in your career — many at no cost to employees. They include career counseling, continuing education, degree program completion, skill enhancement, training programs and tuition assistance programs. The offerings are available to employees represented by unions in the Coalition of Kaiser Permanente Unions or the Alliance of Health Care Unions.

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Kaiser Permanente employees use education trusts in record numbers
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For Jennifer Cuevo, an urgent care nurse in Pasadena, the opportunity was too good to pass up: Earn a Bachelor of Science in Nursing without paying fees.

For Joel Boyd, manager of pulmonary clinical services in South Sacramento, teaming with a trust fund created an opportunity to teach nearly 500 respiratory therapists ways to improve care and lower costs.

From earning degrees to learning best practices, Kaiser Permanente employees are using the 2 Labor Management Partnership-supported education trusts (Ben Hudnall Memorial Trust and SEIU UHW-West & Joint Employer Education Fund) in record numbers. Program enrollments rose 26% in 2018 to 113,494; there were nearly 59,000 enrollments in the first half of 2019, on pace for another record year.

“We can address solutions,” says Rebecca Hanson, SEIU Education Fund executive director. “There’s overwhelming demand among the workforce for training opportunities aligned with patient care delivery needs.” 

Through the trusts, employees can build skills, meet targeted needs in training programs, and work with career counselors to set career goals and create plans to achieve them.

“We’re preparing our workforce for the jobs of tomorrow,” says Jessica Butz, Ben Hudnall trust co-director.

Going for it

Cuevo, a 16-year Kaiser Permanente employee and UNAC/UHCP member, started as a licensed vocational nurse, then became a registered nurse. She always wanted a bachelor’s degree but put her dreams on hold while raising her children — until she talked with a Ben Hudnall career counselor and learned good news.

With a few additional courses, Cuevo could qualify for a bachelor’s program. The trust would pay the fees.

“I’m so thankful,” Cuevo says. “I wouldn’t have done this without the help of the trust and the partnership of Kaiser with the universities.”

Most classes were online, which Cuevo took at home. She did in-person requirements on days off — coordinating with her manager and family — completing her degree in 4 semesters. Her 17-year-old daughter is “really inspired,” Cuevo says. “She wants to go into research or be a doctor.”

Cuevo’s inspired, too. In November, she started a master’s program – paid again by Ben Hudnall. Cuevo, who wants to teach nurses, encourages colleagues to use trust services.

“Go for it,” she says. “It’s so worth it. Get your degree. Move up. You can do it. I did it. I love it.”

Benefits of partnership

When Boyd and pulmonary clinical services colleagues in Northern California reviewed their operations, they saw a need to standardize some patient care practices. Their goal: to decrease the length of stay for patients on mechanical ventilation to reduce the risk of such complications as pneumonia, improve care and lower costs.

They partnered with the SEIU Education Fund to organize 8 group trainings for respiratory therapists at Kaiser Permanente’s Garfield Innovation Center.

Working with the education fund was easy and helped get employee buy-in and participation, Boyd said. The trainings were so effective, more may be offered in Northern California and other regions.

“Nothing at this scale has ever been done for respiratory therapists,” Boyd says. “It was a true example of how we can get positive benefits from the Partnership.”

Video: Get Your Skills On

Want to move up in your career? Watch this short video to see resources that can help.

(1:33) | August 4, 2018

 

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Tips for Tracking Financial Impact

Submitted by Laureen Lazarovici on Tue, 04/10/2018 - 17:02
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Request Number
ED-1358
Long Teaser

What is the financial impact of the improvements your unit-based team is making? Use these tips to find out and help our whole organization become more effiecient, enabling us to offer affordable care.

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Laureen Lazarovici
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Want a colorful tip sheet with these ideas to hand out and post on bulletin boards? Download one here!

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Tips for Tracking Financial Impact
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Teams that save money keep KP affordable for members and patients
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Our members and patients count on Kaiser Permanente for affordable, quality care — and more unit-based teams than ever are focusing on ways to improve efficiency as well as service and quality. In fact, service or quality care improvements often lead to more cost-effective care, which benefits KP, our workforce and, most of all, our members and patients. Use these tips to jump-start your team’s thinking about the financial impacts of your improvements.

  1. Think about potential financial impact from the start of your project. This will help you identify early on the data to collect and monitor so the financial impact can be calculated later. Keeping the financial impact in mind can also help refine your SMART goal.
  2. Get a good grasp of what you’re trying to improve. Then think about the cost associated with that thing. For instance, if your goal is to streamline scheduling, think about the potential costs, such as excessive overtime, associated with an inefficient schedule.
  3. Have a clear understanding of your baseline metric. Once you know what your goal is, determine the associated costs before any changes are made. This will help you translate the improvement into money saved.
  4. Work with your local finance team. If you don’t have a relationship with your local finance department, ask your UBT consultant or improvement advisor to connect you with the right person to help you determine the dollar value of a project.
  5. Find out if there’s a team in your facility or service area that is working on something similar.
  6. Another team may already have figured out ways to calculate the financial impact your project might have or may have different ideas for measuring its financial benefit.
  7. Look beyond the hard dollar savings. “Soft dollars” can be equally important. These are avoided costs or improvements that don’t reduce the money spent but allow us to do more with the resources we have. Examples include improvements in re-admission rates, number of no-show appointments or time spent looking for supplies.
  8. Value the financial impact of small improvements. If an improvement and its estimated financial impact seem small, remember to figure out the potential savings over time or add up what happens if the practice spreads to other departments or facilities.

 

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Tips for Spreading Effective Practices

Submitted by Laureen Lazarovici on Tue, 04/10/2018 - 15:30
Region
Request Number
ED-1359
Long Teaser

Kaiser Permanente can sometimes have a culture of "not invented here." That wastes a lot of time and resources when teams are trying to solve problems. Spreading and adapting proven practices can move us to a culture of "proudly discovered elsewhere." 

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Laureen Lazarovici
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Download the Tip Sheet

Want a colorful tip sheet with these ideas to hand out and post on bulletin boards? Download one here!

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Tips for Spreading Effective Practices
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Found a solution that works? Share the success with others!
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Unit-based teams are getting results — and are finding ways to share their learning with their peers face to face, online or in print. Talk with your team about how to use these and other ideas to share your learning and spread success.

  1. Track your progress. UBT Tracker is a web-based tool that helps unit-based teams and consultants collect and report information about their performance improvement work. Our UBT Tracker User Guide can help you make the most of your Tracker entries or search for model projects.
  2. Tell your story. Storytelling is one of the best ways  to explain partnership and show others your results. Sign your team up for our storytelling training
  3. Step right up. UBT fairs are a dynamic forum for spreading effective practices face to face. Hosting your own webinar online lets you reach beyond the walls  of your facility.
  4. Lights…camera…take action. Kaiser Permanente’s Care Management Institute uses video ethnography— interviewing KP patients at the care site—to help teams share ideas and keep patients at the centerof performance improvement. To learn more, visit CMI’s Video Ethnography & Storytelling page [KP intranet].
  5. Write all about it. Use fliers, posters and newsletters to keep others informed and engaged in your team’s projects. Post your results in the break room. Invite another unit to your huddle for a progress report. Use these templates to create your next newsletter.

 

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Cook Up a Small Test of Change Kellie Applen Fri, 03/09/2018 - 12:03
Download File URL
https://content.jwplatform.com/videos/3e9hEUBZ-iq13QL4R.mp4
Request Number
VID-173_Rapid Improvement_Model_Explainer Video
Running Time
1:29
Long Teaser

This short animated video shows how the Rapid Improvement Model makes performance improvement a piece of cake.

Communicator (reporters)
Non-LMP
Editor (if known, reporters)
Tyra Ferlatte
Status
Released
Flash
Date of publication

This animated video shows how the Rapid Improvement Model makes performance improvement a piece of cake. Watch it to see how the process can work for your team.

Produced by Kellie Applen and Paul Erskine

Animation by Piehole.TV

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Crossword: What Skills Do You Need? Beverly White Tue, 02/13/2018 - 13:10
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Crossword: What Skills Do You Need?
Tool Type
Format
Hank

Format:
PDF

Size:
8.5" x 11"

Intended audience:
Frontline workers, managers and physicans

Best used:
This crossword demonstrates what skills are needed to navigate the future; use it to provide some variety and fun at a team meeting.

 

crossword_what_skills_do_you_need

Use this crossword puzzle in your next meeting and help your team navigate the future and learn the skills needed in years ahead.

Tyra Ferlatte
Tyra Ferlatte
Done

Unit-Based Teams Are Getting Results: 2018

Submitted by Paul Cohen on Tue, 02/06/2018 - 11:21
Region
Tool Type
Format
ED-1301

This 10-page deck gives real-world examples of how unit-based teams are leading change, saving money and raising the bar on performance across Kaiser Permanente.

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Format:
PowerPoint

Size:
10 pages, 8.5" x 11"

Intended audience:
Unit-based team members, co-leads, sponsors and consultants; union and KP leaders

Best used: 
Share in presentations or team meetings to see successful practices from UBTs across Kaiser Permanente.

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Introduction to RIM+ (classroom, web-based)

Submitted by Laureen Lazarovici on Sat, 01/13/2018 - 18:35
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Request Number
LSR-1983
Long Teaser

During this lesson, you will learn how the Rapid Improvement Model Plus (RIM +) provides you and your team an easy, structured way to quickly identify and test ways to improve performance.

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Laureen Lazarovici
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Tyra Ferlatte
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Get the Tools

Supplement your training with these handy tools to help your team master the Rapid Improvement Model.

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Introduction to RIM+ (classroom, online)
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Course description

During this lesson, you will learn how the Rapid Improvement Model Plus (RIM+) provides you and your team an easy, structured way to quickly identify and test ways to improve your department’s performance.

Path to Performance

Levels 1, 2

Duration

  • 4-hour full course; modularized delivery can be scheduled to adapt to teams’ availability (classroom)
  • 40 minutes (online)

Who should attend

 

Labor and management members of a unit-based team.

Course requirements

 

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How to Be a Waste Walk Superhero

Request Number
VID-161_Waste_Walk
Long Teaser

Watch this short video and be inspired to start a waste walk — and help make KP more affordable — today.

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Non-LMP
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Non-LMP
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Download File URL
http://content.jwplatform.com/videos/HiNaURcG-iq13QL4R.mp4
Running Time
1:22
Status
Released
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Date of publication

See how taking simple steps to reduce waste in your department can make you a superhero at Kaiser Permanente.

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Partnership Beats the Odds

Submitted by Paul Cohen on Thu, 08/03/2017 - 15:57
Region
Role
Request Number
ED-1197
Long Teaser

In 1997, forward-looking leaders of Kaiser Permanente and 26 unions took a chance on a different way of working--in partnership. After 20 years, our Labor Management Partnership has proved to be a game-changer. See how we are marking 20 years of partnership.

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Kaiser Permanente and Coalition of KP Unions celebrate 20 years of partnership
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Forty percent of U.S. marriages end in divorce after an average of eight years. Most business partnerships fail to meet expectations. And most campaigns end when they achieve their goals or the world moves on.

But the Labor Management Partnership between Kaiser Permanente and the Coalition of Kaiser Permanente Unions has beaten the odds: October 2017 marks the 20th anniversary of the partnership’s founding, making it by far the largest, longest-running and most sweeping such partnership in the country.

We’ve accomplished a lot together. And in a world of change, sustaining a healthy long-term relationship is an achievement in itself. A key to our success has been the willingess to honestly reflect on our successes, failures, and opportunities to improve. 

By working in partnership, says Kaiser Permanente Chairman and CEO Bernard Tyson, “We have tapped into the potential of smart people all over the organization coming here every single day trying to figure out, ‘How do I improve quality, how do I improve service, how do I improve affordability?’ That’s an incredible competitive advantage for the organization.”

Marking a milestone

This fall Kaiser Permanente and the union coalition will be celebrating those achievements with special events and employee outreach. It won’t be all cake and balloons, however. LMP regional councils, unit-based team sponsors and co-leads, and others will host reflection sessions where workers, managers and physicians can share their experiences, pain points and suggestions for the future of partnership. Participants will consider three questions:

  • What is different since we created partnership? (Or, what do you see as the top accomplishments of partnership?)
  • What are the greatest challenges it faces today?
  • How might we address those challenges, to strengthen partnership now and in the future?

Getting results

Partnership is not easy, and the parties don’t always agree on things. So what’s kept it going?

“It’s nice if we can all get along,” says Tyson. “But most important, we’re here to get results.” Here are some of the results achieved in partnership:

  • Performance improvement: More than 50,000 team-led improvement projects since 2007, with measurable gains in quality, service, the work environment—and cost savings exceeding $48 million in 2016.
  • Best place to work: Industry-leading wages and benefits, a voice in decision making, and an Employment and Income Security Agreement providing retraining and redeployment for displaced workers.
  • Joint marketing: Strategic engagement brought strong gains in KP membership, union coalition membership, and more than $108 million in revenue for Kaiser Permanente in 2016.
  • Job training and career advancement: More than 300,000 professional, academic and skill-enhancement courses taken by 104,000 coalition-represented employees since 2007.
  • Systems collaboration: Joint implemention of multiple complex programs and systems, including KP HealthConnect, Claims Connect, ICD-10 and call center reorganization.

Lessons for success

All of the above have garnered attention from business, union and academic leaders over the years.

“The Labor Management Partnership is a shining example of how you bring labor and management together to produce results,” said Liz Shuler, secretary-treasurer of the AFL-CIO. “What I love about this model is the notion that, no matter where you work in the system, you have a place at the table and your voice is heard.”

Working in partnership also holds lessons that apply outside of work—including lessons that might have saved some of those failed marriages.

“If you are going to be a good partner and have a successful relationship, with a partner, kids, friends,” says a facilitator from 2015 national bargaining, “you have to have your partner’s needs in mind as well as your own.”

To learn more about LMP anniversary activities, visit the 20th Anniversary How-to Guide.

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Performance Improvement Tools: A Glossary Laureen Lazarovici Wed, 08/02/2017 - 12:12
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Performance Improvement Tools: A Glossary
Tool Type
Format
Running Your Team

Format:
PDF

Size:
8.5" x 11", 2 pages 

Intended audience:
Sponsors and leaders of unit-based teams, as well as anyone involved with performance improvement projects. 

Best used:
Use as a reference guide to help choose which performance improvement tool to use for your projects. 

ED-1191

This cheat sheet provides a quick overview of the performance improvement tools referenced in UBT Tracker, as well as where you can find the tool online. 

Non-LMP
Tyra Ferlatte
Developing