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All Hands on Deck

Deck
Labor pools fill staffing gaps

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COVID-19 is testing partnership as never before.

Management and labor have had to work together quickly to retool the delivery system to support rapidly changing needs. Employees’ and physicians’ skills and talents are needed in new ways and in new places — so leaders from Kaiser Permanente and unions created labor pools to get KP employees to where they were needed.  

It’s one of dozens of innovations made to provide top-quality care at a time when every day is bringing new challenges. The swift work was possible in part because of the foundation provided by the relationships and values of the Labor Management Partnership.

In Southern California's Riverside service area, “It’s all-hands on deck,” says Jiji Abraham, area chief financial officer. “Even physicians are in the labor pool.”

 

Better Coordination Spells R-e-l-i-e-f for Telemetry Team

  • Reviewing the department budget and using performance improvement tools to determine the causes of overtime
  • Revamping the department workflow and coordinating with each other to schedule a relief RN to cover those on break
  • Educating and reminding staff about the importance of clocking in and out on time
  • Encouraging nurses to notify their managers two hours before the end of shift if they expect to work overtime.

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The story behind the creation of our Labor Management Partnership, which emerged in 1997 after years of strife between Kaiser Permanente and its unions. Leaders from Kaiser Permanente and some of the key Partnership unions, both past and present, share how they agreed to work collaboratively — a solution that ultimately improved care for members and provided job security for workers. Today, our partnership is the largest and most comprehensive of its kind.

 

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 How and why the Labor Management Partnership at Kaiser Permanente came to be.

 

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Our Labor Management Partnership—the largest and longest-running partnership of its kind. It is "a shining example—and the best example—of how you bring labor and management together to produce results," says Liz Shuler, secretary-treasurer of the AFL-CIO.

Here's why.

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Four years ago, several departments at the Rancho Cucamonga Medical Offices formally adopted a model of team-based care. The transition took effort and time, but today physicians and union workers at the facility say they wouldn't want to work any other way. See how team-based care made the medical offices a better place to work and receive care.

 

 

Oversight Reduces Document Scanning Errors

  • Hosting in-service to discuss how to properly set up a scanning procedure
  • Monitoring the process to ensure the scanning was done properly
  • Sharing feedback about the process so every team member can learn from any mistake

What can your team do to work with other UBTs so you can both improve? What additional training could your team benefit from?

 

Go on Point to Reduce Missing Lab Orders

  • Assigning a point person to work with physicians and departments to ensure patients have the needed lab orders
  • Coordinating efforts across the multiple departments that engage in a patient's treatment
  • Assigning a backup assistant to ensure the point duties are covered

What can your team do to identify where things "fall through the cracks"? What else could your team do to put the patient at the center? 

 

Fully Stocked and No Waste for Less Money

  • Creating computer spreadsheet to track inventory and order supplies
  • Labeling shelves and supplies more clearly to reduce clutter
  • Eliminating hoarding and rarely used supplies, and consolidating orders

What can your team do to harness the power of technology? What else could your team do to centralize information that is scattered?