When it comes to addressing health care disparities, medical office assistant Anna Jenkins thinks her unit-based team is up to the challenge. 

“I can go to my UBT members and say, ‘This is a care gap. Give me your feedback. Give me your ideas,’” says Jenkins, an OPEIU Local 30 member and labor co-lead for the Rancho San Diego Primary Care team. “Our administration listens to us. They’re very open to letting us try it our own way.” 

The Level 5 team is leveraging Labor Management Partnership principles and tools to communicate, coordinate and customize care for Latino patients with diabetes. The approach has led to better health outcomes and improved service for a group disproportionately impacted by diabetes. 

The unit-based team has increased the number of Latino patients ages 65 to 75 whose blood sugar levels are under control, according to recent clinical quality measures. 

“That partnership between management and labor is important,” says Silvia Hernandez, RN, medical office administrator and the team’s management sponsor. “This teamwork helps us to improve patient care and quality with excellent member satisfaction.” 

Adapting approaches 

Key to the team’s success is partnering with Complete Care Management, a specialized strike force that monitors the health of patients who struggle to control chronic conditions, such as diabetes and high blood pressure. 

To better support her Latino patients, care manager Lily Thamiz, RN, has adapted her approach. She books longer appointments for Spanish-speaking patients who need interpreters, refers others to bilingual diabetes education classes, and relies on phone calls to connect with those short on time. 

“The only time we can talk is when they’re driving,” says Thamiz, a member of Specialty Care Nurses of Southern California, an affiliate of UNAC/UHCP. “These are solutions I’d never considered before.” 

UBT members tailor treatment in other ways, too. To ensure continuity of care for Latino patients in their 60s and 70s, they standardized the steps needed to download and share data from glucose monitors. Providers use the devices to track patients’ blood sugar levels and adjust their medications. By consistently managing and sharing data, staff members guarantee they do not miss crucial patient information when communicating with one another. 

“They make you feel like you really matter,” says Mary Hart, 71, a Latina patient who has diabetes. “They really show their concern for your health.”

Make the most of LMP Videos

Thank you for watching our video! The LMP communications team created it with the hope that you would watch and be inspired to share it with your coworkers and friends.

Videos are one of the most popular and effective ways to educate, entertain and inspire. (YouTube gets more than 1 billion unique visitors every month!)

You have the power to inspire your colleagues and help spread the word about the work that’s being done in partnership by posting a video to your Facebook page or showing it at your next meeting. 

If you are a team co-lead, show it at your next unit-based team meeting. If you are a manager, play it at your next managers' meeting. Facility and regional leaders—share it with other leaders.

Afterward, spend a few minutes asking for viewers' reactions and dicussing takeaways from the video. Are there practices that you or you team can copy?

Videos are time well spent in a meeting. You’ll engage your audience in a way that live presentations often don’t.

And you will have helped strengthened our Labor Management Partnership.

Instructions for handling zipped files

1. Click on the "Download MP4" link.
2. A "File Download" window should pop up asking "Do you want to save or open this file?"
3. Choose "Save."
4. File will be saved as "zipped" file that is your video compressed into a zip archive.
5. Right-click on the file and choose Extract All, then save that WMV file to your computer.
6. Click on WMV to play the video.

Silbia Espinoza, RN, strives to climb any mountain. Literally.

“I’m not what you would call a ‘normal’ person,” Espinoza says with a laugh. “I work a 12-hour shift and go straight to the gym. I can’t work out for less than an hour and 10 minutes!”

Espinoza, a UNAC/UHHP member who works in Southern California at the Baldwin Park Medical Center Intensive Care Unit, has been her department’s health and safety champion for two years.

Making wellness routine

“My manager, Celso Silla, volunteered me to be the champ,” she says. “Now people are always asking me when we can go out on walks and hikes.”

For example, one Saturday morning early last year, she and 14 co-workers, outfitted with sunscreen, water, protein bars and hats, took a steep, six-mile hike to and from the Hollywood sign. “It was fun!” she says.

They also work wellness into their daily routine. “Even when we attended a nursing conference, we decided to power walk instead of taking Uber,” she says. “People said afterward they had never lost weight by being at a conference.”

Remedy for stress

Espinoza’s drive to workout comes in part from the demands of her job. “Working in the ICU is very stressful. I have all this energy after work,” she says. “After working out I go home calmer and can think clearly.”

One change Espinoza has seen in her two years as a champ is healthier snacks at meetings and in the break room. Fresh fruits and veggies have replaced cookies and doughnuts.

“I like that I can be a role model,” Espinoza says. “I like the results I see in myself, and I feel great that my co-workers tell me how much weight they’ve lost or how many steps they’ve completed. All any of us needs is someone to encourage and guide us.”