Labor Management Partnership

Bargaining Update – Session 2

We had our second bargaining session on Thursday, June 29, from 9 am to 5 pm at the SEIU 1991 office. We continue working very collaboratively with management for the benefit of our patients and our members. Our collective goal is to find efficiencies that will provide our members with the greatest benefits at the most efficient cost structure for the sake of Jackson’s sustainability. With that goal in mind, this session focused on the details for creating a wellness program, which an overwhelming majority of you have supported in your surveys.

Bargaining in Session

While we all agree that a wellness program would add value and improve the health of our members, management is making proposals to change our PL and Extended ILL banks and rules. Your bargaining team needs your involvement. If you haven’t yet completed it, please take just a few minutes to complete your survey today. We also encourage everyone to attend negotiations. The next bargaining session takes place on July 17 at SEIU 1991 (1601 NW 8th Ave., Miami, FL 33136). Bargaining for nurses and healthcare professionals takes place from 10 am to 3 pm, with bargaining for attending physicians happening from 3 pm to 6 pm.

Gina Corbett, CRNA, shares her thoughts during bargaining.

Gina Corbett, CRNA, shares her thoughts during bargaining.

During Thursday’s session, members came and participated directly, engaging in the bargaining process and sharing their thoughts with the team. Gina Corbett, CRNA, attended bargaining negotiations for the first time and commented on how collaborative the process seemed to be. Music Therapist Stephanie Epstein and Child Life Specialist Beda Willis also attended the bargaining session and had the opportunity to share their perspectives and their great work in Holtz Children’s Hospital with the bargaining team and management.

Music Therapist Stephanie Epstein and Child Life Specialist Beda Williams talk about their work at Holtz Children_s hospital.

Music Therapist Stephanie Epstein and Child Life Specialist Beda Willis talk about their work at Holtz Children’s hospital.

Members also took action on protecting the Affordable Care Act at lunchtime, making calls to voters in other states and urging them to contact their Senators. The current Senate bill would gut Medicaid, hurting our patients and risking millions of healthcare jobs. Jackson would be especially vulnerable, since up to 40% of our patients are covered by Medicaid. Get involved by calling Sen. Marco Rubio at 866-426-2631 anytime.

Marie Eloi, Med-Tech, and Maggie Pena Vancol, MSW, phonebanking to save healthcare.

Marie Eloi, Med-Tech, and Maggie Pena Vancol, MSW, phonebanking to save healthcare.

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Bargaining Update – First Session

The opening bargaining session for the 2017-2020 contract took place on Monday, June 26, from 9 pm to 5 pm at DTC 259. “We’re taking a new approach this year,” said SEIU 1991 President Martha Baker, RN. “We want to make the process as productive as possible for our members so we can continue to deliver high quality care for our patients.”

The Bargaining Team in action!

With a focus on collaboration, and no attorneys present for the initial session, the negotiations created an environment where members could freely talk about their concerns. One of our joint initiatives, which 90% of survey participants expressed interest in, was a wellness program that we will work collaboratively to create.

The Bargaining Team and the Labor Relations Team in the midst of contract negotiations.

Management did a presentation on the wellness program as part of our initial discussions. Topics also included improvements in insurance options, instituting a “Just Culture,” pay scale adjustments for many job classes, and increased per diem rates. Representatives from AFSCME and CIR joined us for the session.

SEIU 1991 President Martha Baker, RN, speaking with the Bargaining Team after the session.

Guiding the discussions were the results of the Bargaining Survey. All members are encouraged to complete their surveys as soon as possible, and to tell fellow members to do the same. The survey takes less than 10 minutes and will let us know your priorities, including raises, staffing levels, job classifications, and much more.

The next bargaining session is on Thursday, June 29, from 9 am to 5 pm at SEIU Local 1991 (1601 NW 8th Ave., Miami, FL 33136). Everyone is welcome to attend!

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Take the 2017–2020 Bargaining Survey!

It’s bargaining time, and, as usual, there is a lot at stake.

As we enter bargaining, we need input from all of our members! Take the bargaining survey today.

Tell us what to fight for in your new 2017-2020 contract. This survey will take just a few minutes of your time, but it could affect your future raises, staffing levels, job classifications, and much more. Let your bargaining team know where we should focus to make Jackson an even better place to work.

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QNCD Update: Staffing Improvements and Challenges

March2016StaffingReportCardA spot check on staffing conducted earlier this month by SEIU Local 1991 members showed improvements in some areas, but persistent challenges in others.

This was the second spot check conducted by the union to gauge compliance with the new staffing ratios article in the contract.

Holtz Hospital made the  most progress, meeting ratios 95% of the time and having the charge nurse free of assignment 99% of the time.

At Jackson North, after  opening the sixth floor, staffing issues in the two telemetry units pulled down the numbers for the hospital as a whole. Management is challenged with hiring staff for the third and sixth floors and is also creating a float pool.

At Jackson South, staffing struggled to keep up with increased patient volumes, especially in the ICU and worked to handle daily issues.

The Quality Nursing and Career Development Committee (QNCD) met on March 15 to review the data. This was an opportunity for frontline RNs and management to discuss the challenges and suggest solutions related to staffing.

Management and union members talked creatively about several strategies to improve retention and recruitment, as we all agree the solution is to hire and retain qualified nurses.

Local 1991 President Marker Baker, RN, urged management to increase efforts to utilize our own nurses to market the many unique benefits of Jackson. Other committee members spoke about the need for more unit-based nurse educators to help train all the new hires. Several other strategies discussed related to per diem employees, sign-on bonuses and more.

Find more details of the QNCD meeting here.


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Safe Patient Handling Project Testing New Equipment

Committee co-chair Vicki Gonzalez, RN, leads a multi-disciplinary team of employees and management.

Committee co-chair Vicki Gonzalez, RN, leads a multi-disciplinary team of employees and management.

A joint labor and management project to make lifting and handling patients at Jackson safer will soon be implemented for the first units to receive ceiling lifts and mobile equipment.

Members who’ve been wondering where the batteries are in the new machines sitting in their units will get to test them out after receiving training and practice on the equipment.
The first  phase will include Trauma ICU, Trauma 3A, 3B, 4B, the ERs, Transportation and Clinical Staff Office at Jackson Main, as well as specialties such as PT/OT. The program will eventually roll out across the system.
The first training will be for unit leaders, or Transfer Mobility Coaches (TMCs), who can then help to train and support the staff on their unit. The TMCs will begin training on Feb. 9. General staff training will occur from Feb. 16-April 8.
Sign up through the JEN system to be one of the first to use the new equipment!
The Safe Patient Handling project is a partnership between employees and management that calls for reducing patient handling injuries to employees by 60% a year. A multi-disciplinary committee at Jackson includes a nurse educator, staff nurses,  physical therapists, occupational therapists, a clinical expert familiar with the Arjo Huntleigh program and several members of hospital management.
The committee works together to oversee the process by which equipment will be purchased, installed, maintained and used by front-line caregivers on all three campuses.
The SPH Committee meets twice a month to monitor the rollout of the safe lift program at Jackson.

The SPH Committee meets twice a month to monitor the rollout of the safe lift program at Jackson.

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Labor Management Partnership Launches


Jackson CEO Carlos Migoya and SEIU Local 1991 president Martha Baker, RN, launch the partnership together.

The energy was palpable in DTC Oct. 29 and 30, as Jackson management and SEIU Local 1991 members launched an exciting new partnership to transform Jackson’s culture into one of constant learning and collaboration at all levels.

The Labor Management Partnership (LMP) was negotiated in the current contract. It is modeled after the successful, long-running partnership agreements at Kaiser Permanente, (covering more than 100,000 union employees, 14,000 managers and 18,000 physicians in seven states and Washington, D.C.).
The partnership launch at Jackson included more than 100 members and managers from a variety of units. The group came together to learn about the process and begin training to work in teams to tackle issues in their areas.

“For way too long we have been in an environment where we have been on the reactive side, not on the proactive side,” said Jackson CEO Carlos Migoya. “Our patients are expecting different things than they did 10, 20 years ago and we need to be prepared for that. It’s important we all work together as to what that future looks like.”
Several projects were chosen as the tests on which to develop a process that will then be used to solve any challenge that arises. It’s about building smart, flexible teams of employees and managers who work together as a true team to improve the quality of care we deliver. Each project is sponsored by one Local 1991 leader and one top Jackson manager.
Five units at JMH will be working on ways to improve HCAHPS scores. The units include SW 5, SW 6, WW 6, WW 10 and WW 11. Each team, which includes nurse managers and front-line staff, will be coming up with strategies to increase patient satisfaction ratings by improving elements such as effective communication among nurses, doctors, patients and families, among many other factors.
These Unit Based Teams (UBTs) are the guinea pigs, so to speak. Their experience over the next year will help us all tweak the process that will eventually roll out to every unit across the system.
Other projects include:
  • A team in Trauma ICU will be working on a project to reduce or eliminate ventilator-associated pneumonia in the trauma ICU.
  • The Safe Patient Handling team will set new goals for our patient-safety measures and tactics to reach and permanently sustain those standards.
  • A group of ER veterans will establish a clear method for improving processes such as routing low-acuity cases through a fast-track system.
  • Primary care strategy: for Jackson to deliver world-class care for all its patients in a complex and changing market, we need to spend more energy keeping people well instead of just treating them when they’re sick. SEIU will work closely with management on this transformation, which will take shape over the upcoming year.
(including SEIU President Martha Baker, RN, TICU nurse Carla Quigley, RN, clinical pharmacist Sereda White and ER physician Dr. David Woolsey) and another from the Jackson leadership team (Michelle Kligman, associate vice president for human resources, Don Steigman, executive vice president and chief operating officer, Mark Knight, executive vice president and chief financial officer, and Gila Kimmelman, one of Jackson’s most experienced process-improvement executives).

The Senior Partnership Committee consists of  (front row) ER physician Dr. David Woolsey, SEIU President Martha Baker, RN, CFO Mark Knight, (back row) clinical pharmacist Sereda White, COO Don Steigman, Michelle Kligman, associate vice president for human resources, CNO Indra Battle-Triana, RN and TICU nurse Carla Quigley, RN.


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Labor and Management Partnership to Improve Staffing Ratios

The Quality Nursing and Career Development Committee launched its first meeting Feb. 20 to begin improving staffing ratios throughout the system.

Local 1991 negotiated new nurse-to-patient staffing ratios in the 2014-2017 contract.

The timing couldn’t be better. Patient volumes are up in many areas, which is good news, but also means more short-term staffing challenges.

The QNCD Committee, comprised of Local 1991 members and JHS management,  will meet on a regular basis to discuss, prioritize and monitor the process of implementing the new ratios unit by unit.

The contract calls for the new ratios to be  in place in at least 50% of units by April 1, 2015, and in all by Oct. 1, 2015. Click here for more information.

The QNCD Committee represents a true partnership between front-line employees and management and is a huge victory for us, our patients, and better quality care at JHS.

Meanwhile, Local 1991members have been steadily working with management at all levels to improve the number of posted positions. Posts are up by 20%, with priorities in the ICUs, ORs and ERs.

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