Quality Care Summit Quality Care Summit 2010: Recap2010: Recap

11stst Time Union and Management came Time Union and Management came togethertogether

Heard from successes from Kaiser Heard from successes from Kaiser Permanente, NY LTC partnershipPermanente, NY LTC partnership

Healthcare reform focus on Quality and Healthcare reform focus on Quality and Safety Safety – Lack of ProgressLack of Progress– Now tied to reimbursements adds to urgency Now tied to reimbursements adds to urgency

2011: Morning Plenary2011: Morning Plenary

Review of Common GoalsReview of Common Goals– Identify at least three goals shared by staff Identify at least three goals shared by staff

nurses and hospital administration.nurses and hospital administration. Future of NursingFuture of Nursing

– Explain how recommendations by the Explain how recommendations by the Institute of Medicine and Robert Woods Institute of Medicine and Robert Woods Johnson 2010 study support collaboration Johnson 2010 study support collaboration between labor and management to improve between labor and management to improve quality care and nurses’ work environment.quality care and nurses’ work environment.

Afternoon PlenaryAfternoon Plenary Demand Better: Revive our Demand Better: Revive our

Broken System (Big Picture) Broken System (Big Picture)

Quality Improvement Work at Quality Improvement Work at AGH and HVB (Bedside) AGH and HVB (Bedside)

Afternoon Plenary and Afternoon Plenary and BreakoutsBreakouts Quality Improvement in your Quality Improvement in your

FacilityFacility– Review the SEIU HCPA Model and of Review the SEIU HCPA Model and of

Quality Care Collaboration.Quality Care Collaboration.– Identify at least one quality improvement Identify at least one quality improvement

opportunity in your work area or facilityopportunity in your work area or facility– Build a “game plan” for advancing this Build a “game plan” for advancing this

work in your facilitywork in your facility

Skills Building BreakoutsSkills Building Breakouts

Table DiscussionTable Discussion Should the Union and Should the Union and

Management partner around Management partner around quality care improvements? quality care improvements?

What do staff nurses and What do staff nurses and management have in common? management have in common?

Commonalities from Commonalities from 20102010 Best Care for the patients/Best QualityBest Care for the patients/Best Quality Best Patient SatisfactionBest Patient Satisfaction Cost EffectivenessCost Effectiveness Financial Stability for our institutions Financial Stability for our institutions Employee Retention/ Employee Employee Retention/ Employee

SatisficationSatisfication Employee Engagement to do the best Employee Engagement to do the best Good Reputation in CommunityGood Reputation in Community Employee Development/EducationEmployee Development/Education

Why partnering--2010Why partnering--2010 Improve quality and help make Improve quality and help make

care delivery more efficient care delivery more efficient Reduce turnover, happier staff, Reduce turnover, happier staff,

better bottom-linebetter bottom-line Less grievancesLess grievances Improved CommunicationImproved Communication Increases Continuity of CareIncreases Continuity of Care

Kaiser’s value Kaiser’s value compasscompass Best QualityBest Quality Best ServiceBest Service Most affordable careMost affordable care Best place to workBest place to work

Management Management PerspectivePerspective Why this is importantWhy this is important

What’s possibleWhat’s possible

Overcoming ChallengesOvercoming Challenges

Challenges/Positives?Challenges/Positives? Need more mutual respect in healthcareNeed more mutual respect in healthcare Division among nursesDivision among nurses ““Us” vs. “Them” mentality Us” vs. “Them” mentality Tension of grievance relationship and Tension of grievance relationship and

collaborationcollaboration Healthcare is very emotionalHealthcare is very emotional Nurses tired, hard to get folks involved Nurses tired, hard to get folks involved

including managers, hard to find the timeincluding managers, hard to find the time Feeling of being punished when saying Feeling of being punished when saying

things need to improve things need to improve

What needs to What needs to Change?Change? Staff nurses/union leaders to Staff nurses/union leaders to

change? change?

Management to change?Management to change?