LMP Processes

Training

Working in partnership and creating a collaborative, high-functioning team requires specific skills, and the LMP Learning program offers a variety of training opportunities—online and in person—to ensure UBT members, co-leads and sponsors can be successful. Different trainings are recommended at different levels of the Path to Performance and cover areas such as problem solving, decision making and performance improvement.

UBT Basics

Unit-based teams (UBTs) are transforming Kaiser Permanente by changing the roles of union members and managers and creating an environment in which all employees are encouraged to think critically about problem solving and work innovations. They were launched in 2005 as part of that year’s National Agreement. The people who negotiated the agreement envisioned UBTs as a way to improve care by tapping into the knowledge and experience of frontline staff, managers and physicians. The Partnership unions have since reaffirmed UBTs as a platform for improvement in each National Agreement.

What Is Partnership?

Submitted by tyra.l.ferlatte on Sun, 10/23/2016 - 20:53
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A brief overview and explanation of our Labor Management Partnership. 

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Tyra Ferlatte
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Quick Takeaways

Want to share information about the Labor Management Partnership with others? Check out these two tools. 

 
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The Labor Management Partnership is an operational strategy shared by Kaiser Permanente and the Partnership unions. 

This joint commitment is designed to: 

  • deliver high-quality care and service to Kaiser Permanente members and patients
  • continuously improve performance as measured by national standards
  • involve unions and individual frontline workers in decisions about how to deliver the best care
  • make KP more affordable by removing waste from care delivery systems
  • preserve and improve upon industry-leading benefits and working conditions for employees

The partnership is jointly led and funded by Kaiser Permanente and two groups of Partnership unions, the Coalition of Kaiser Permanente Unions and the Alliance of Health Care Unions. There are more than 128,000 employees represented by the union locals that are part of the partnership, 16,000 managers and 21,000 physicians. 

Results for KP members and patients

Our Labor Management Partnership has delivered measurable results for KP members and patients. Most of the day-to-day work of the partnership is led by self-directed work teams — what we call unit-based teams (UBTs) — made up of frontline managers, employees and physicians. All teams are measured quarterly on several dimensions of performance, leadership and engagement. According to KP’s 2017 People Pulse survey, highly engaged UBTs have achieved:

  • 4 percent improvement in patient satisfaction
  • 13 percent fewer lost work days
  • 18 percent fewer workplace injuries

 

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Past National Agreements

A series of national labor agreements between Kaiser Permanente and the Partnership unions have used the interest-based bargaining process to achieve industry-leading results. The first was in 2000, three years after the Labor Management Partnership was founded; subsequent agreements followed in 2005 (with a re-opener in 2008), 2010, 2012 and 2015, each building on the previous and developing fresh innovations. 

Negotiations in 2018 resulted in the 2018 KP-Alliance National Agreement, which runs through Sept. 30, 2021.

2005 National Agreement

Submitted by tyra.l.ferlatte on Sun, 10/23/2016 - 00:55
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The contract that created unit-based teams. 

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Tyra Ferlatte
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The 2005 agreement was remarkable for its creation of unit-based teams to drive frontline performance improvement, with the teams co-led by a unit's manager, a union-represented staff member and, where applicable, a physician. The agreement also beefed up workforce development. It was in force from Oct. 1, 2005, to Sept. 30, 2010.

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Team Vision

Submitted by Vaughn.R.Zeitzwolfe on Sun, 10/09/2016 - 23:35
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This worksheet provides unit-based team members an opportunity to look at their feelings about their own level of commitment when preparing to establish their team’s vision.

Non-LMP
Tyra Ferlatte
For Team Process 2-3,
Team Member Engagement 1-3,
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Team Vision

Format:
PDF or Word DOC

Size:
8.5" x 11"

Intended audience:
Co-leads of unit-based teams or UBT consultants

Best used:
Use this activity when your team needs to look at their feelings about commitment and formulate a vision of why it exists, or needs to revisit that vision.

 

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UBT Roles Vaughn.R.Zeitzwolfe Sun, 10/09/2016 - 23:02
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UBT Roles
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Format:
PDF (color and black and white)

Size:
8.5" x 11"

Intended audience:
UBT co-leads and members

Best used:
This worksheet can help you prepare for your first co-lead meeting and the first UBT meeting to clarify team members' roles and responsibilities.

 

This chart provides UBT co-leads and members with information regarding the different UBT roles and their responsibilities.

Non-LMP
Tyra Ferlatte
For Team Process 1-3
Released

Ebola Education and Safety Agreement

This 2014 agreement lays out measures to train and protect caregivers treating Ebola patients.

Agreement Between the Coalition of Kaiser Permanente Unions and Kaiser Permanente

December 15, 2015

1. As both Kaiser Permanente and the Coalition of Kaiser Permanente Unions agree, the threat and fear around caring for a patient with Ebola is a fact that must be addressed. The parties believe that by remaining calm and educating our employees/members, we can work together to ensure that the employees are prepared through knowledge and trai ning to care for an Ebola patient. The Employer and the Union are committed to work together to effectively implement CDC guidelines related to Ebola. In the event the guidelines change, the parties will meet, review and bargain the effect of said changes. In addition, the parties will develop joint communications for all employees and when Kaiser Permanente's national guideline is more protect ive than the CDC and Cal OSHA guidelines, Kaiser Permanente's national guidelines shall prevail. In no event will Kaiser Permanente's national guidelines be a lower standard than the CDC. In California, the receiving hospitals will meet Cal/OSHA regulations and guidelines, including Interim Guidance on Ebola Virus in Inpatient Hospital Settings and the Aerosol Transmissible Diseases Standard. In addition, facilities must follow applicable OSHA or local public health requirements.

2. In reference to number 1 above, the Employer will ensure sufficient levels of all required PPE in the ambulatory setting, Emergency Department and Inpatient settings. All trained employees have the opportunity to regularly practice these skills with drills, simulat ions or other relevant activities.

3. All staff with the potential to interact with, care for, or do terminal cleaning/waste handling for suspected Ebola patients, or those with a positive diagnosis, shall receive paid time for the purpose of

a)      education on Ebola to include but not limited to:

i)        pathophysiology
ii)       signs and symptoms
iii)      care and treatment of the patient
iv)      proper donning and doffing of PPE
v)       simulation of actual care e.g. IV starts while donned, etc.
vi)      proper disposal of body fluids and waste
vii)     terminal cleaning of isolation rooms in the ambulatory, Emergency Department and Inpatient settings
viii)    the appropriate duration of time in room or in PPE, per KP guidelines and CDC, Cal OSHA, and OSHA standards
ix)      proper protocols for intake areas

b)       such training shall be paid training time by the Em ployer with backfill for those in training

4. The CDC recommends that there are Ebola teams to care for patients. Ebola teams will be selected in alignment with National HR policy 043

a)      volunteers first; in the event there are insufficient volunteers, then
b)      team member selection shall be identified by the parties at the local level

5. In the event an employee is excluded from work or receives care as a result of occupational exposure to Ebola, the employee will receive Paid Administrative Time Off, and all medical costs will be covered through Employee Health and Workers' Compensation in accordance with HR Policy 042 Exposure to Ebola. In addition, if psychological support is needed , all employee costs shall be covered under Workers ' Compensation and/or the employee's health plan benefits in effect at the time of the injury.  Paid Administrative Leave shall be considered time worked for purposes of benefits accrual.

6. In each region, joint communication plans will be put into place or continue, as appropriate.

7. In the event there is a dispute over the above, a designated CKPU Member Union Representative and the local Ebola KP site manager will convene a meeting within 24 hours to resolve the dispute within one meeting. 

Download a PDF of the agreement with signatures. 

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Tyra Ferlatte
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A plan covering workers caring for Ebola patients. 

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1997 Labor Management Partnership Agreement

Submitted by tyra.l.ferlatte on Wed, 10/05/2016 - 17:52
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Request Number
LMPSITE-1151
Long Teaser

Read the revolutionary agreement that created the LMP. 

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This landmark agreement between Kaiser Permanente and the Coalition of Kaiser Permanente Unions established the Labor Management Partnership and laid out the core principles, structures and commitments that guide it.

October 1997

Purpose

Health care services and the institutions that provide them are undergoing rapid change. Advances in health care and the explosive growth of for-profit health care businesses present challenges as well as opportunities for Kaiser Permanente, the unions, and the members they represent. Kaiser Permanente and the undersigned labor organizations believe that now is the time to enter into a new way of doing business. Now is the time to unite around our common purposes and work together to most effectively deliver high quality health care and prevail in our new, highly competitive environment.

As social benefit membership organizations, founded on the principle of making life better for those we serve, it is our common goal to make Kaiser Permanente the pre-eminent deliverer of health care in the United States. It is further our goal to demonstrate by any measure that labor-management collaboration produces superior health care outcomes, market leading competitive performance, and a superior workplace for Kaiser Permanente employees.

In this spirit and with this intent, Kaiser Permanente and the undersigned labor organizations agree to establish a Partnership in pursuit of our common goals to:

  • Improve quality health care for Kaiser Permanente members and the communities we serve;
  • Assist Kaiser Permanente in achieving and maintaining market leading competitive performance;
  • Make Kaiser Permanente a better place to work;
  • Expand Kaiser Permanente's membership in current and new markets, including designation as a provider of choice for all labor organizations in the areas we serve;
  • Provide Kaiser Permanente employees with the maximum possible employment and income security within Kaiser Permanente and/or the health care field;
  • Involve employees and their unions in decisions.

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