Northern California

Help Video

How to Find UBT Basics on the LMP Website

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LMP Website Overview

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How to Find How-To Guides

This short animated video explains how to find and use our powerful how-to guides

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How to Find and Use Team-Tested Practices

Does your team want to improve service? Or clinical quality? If you don't know where to start, check out the teams-tested practices on the LMP website. This short video shows you how. 

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How to Use the Search Function on the LMP Website

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How to Find the Tools on the LMP Website

Need to find a checklist, template or puzzle? Don't know where to start? Check out this short video to find the tools you need on the LMP website with just a few clicks. 

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Humans of Partnership:

Labor Management Partnership 20th Anniversary Logo

I’ve worked for Kaiser Permanente for 35 years. I was here before the partnership, when we experienced the turbulent times of a 7½-week strike. The creation of the Labor Management Partnership has helped me navigate ways to do better by our patients and improve working relationships. As a steward for SEIU-UHW, I have represented my union and facility during national bargaining five times. As the facility labor co-lead for Roseville Medical Center, I use what I learn in bargaining and apply it to working in partnership every day. I am grateful for the experiences of meeting and learning from my brothers and sisters from all over the country—and from both sides of the table.  

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'No Big Me, little you'

Deck: 
Mutual respect sustains National Claims co-leads over the long haul

Story body part 1: 

They finish each other’s sentences; they call each other “Mrs.”; they praise in public and correct in private.

Antronette Moore-Mohead and Joanna Harris are a model couple. They’d make a marriage counselor proud. 

They’ve been together for three years, but they’re not married (to each other, that is)—they’re the unit-based team co-leads in the National Claims department, based in Oakland. Since co-leads frequently move on to new positions, Moore-Mohead and Harris are a long-term couple in the world of UBTs. 

“We are all for the team,” says Harris, a national claims processor and OPEIU Local 29 steward, the UBT’s labor co-lead. “Praising workers’ effort or accomplishments helps keep morale up and folks engaged in their work.” 

“Being transparent is key to succeeding as a team,” adds Moore-Mohead, the department’s processing supervisor and the management co-lead. “Also, honest, clear, concise communication is a must. So is having fun.”

'Let's talk it out'

They share stories and photos of their families, they tease each other about maybe not needing that sugary snack, and they can tell when the other is “in rare form.” Even on days when stress is high, the two know when to give each other space or when to say, “Let’s talk it out.”

“We are free to bounce ideas off of each other, without fear of being shot down,” Harris says.

The positive vibe and mutual respect between the co-leads is apparent, but they are clear that they don’t mix outside of work time to alleviate any appearance of favoritism. 

“I love that Antronette is passionate about her work. She operates from the perspective of ‘there is no Big Me, little you,’” explains Harris. 

The department they lead is responsible for collecting fees and processing claims from services performed outside of Kaiser Permanente facilities. Last year, the high-functioning Level 4 team of 39 claims processors and examiners, who are represented by OPEIU Local 29, saved more than $6 million by negotiating better rates for services rendered outside of the network. 

“It’s important to pay it forward,” says Moore-Mohead. “We want to make sure we are growing our team and others have opportunities to learn.”

Humans of Partnership:

Labor Management Partnership 20th Anniversary Logo

At the beginning, some people laughed at this partnership. It was a wild idea—the concept of having a venue where the workers would have a voice was unique. How are we going to make that happen? I look at it as a marriage. We liked each other. We started dating. We courted a bit. Then we got engaged, and now we’re married. We went through some not-easy times. Labor had to look at our relationship with management. Management had to look at its relationship with labor. You have to work at a marriage every day. A lot of the success of a marriage has to do with communication and how you engage with your partner. There are hard conversations that have to happen, and you’ve got to have the ability to trust your partner and be open and receptive to ideas. I have non-Kaiser Permanente clients in the adversarial world, so I juggle. But when I go from adversarial to partnership, it’s great. I’m high on communication and engagement—and working together, in partnership.

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Humans of Partnership:

We treat each patient as an individual, providing them with the care that we want for ourselves and our family.  Our radiology team continues to work on cutting wait times, and greeting patients warmly. We will even stand in line for patients who are not able to stand long for registration.

Valerie Felix, service unit manager and UBT management co-lead , radiology (on left)


I take pride in going above and beyond for every Kaiser member that comes into Radiology.  I try to make a difference so that patients and staff have an exceptional experience in our department. Our team works together to create the best ideas such as cutting down wait times and making scheduling easier by confirming patients have had e-consultations, orders are on file, no double bookings, and a nightly review of the schedule.

Kristie Sequeira, cashier receptionist and UBT labor co-lead, SEIU UHW, radiology (on right)

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Savings From Around the Regions

Deck: 
eSignatures and more from coast to coast

Story body part 1: 

Northern California: Staff laptops make life easier 

Even in a fast-paced Emergency Department, change doesn’t always come swiftly.

“I’m old school,” says Jacinta Laupua, a clerk and SEIU-UHW member, who was one of the last holdouts when her team decided to try using laptop computers to gather member signatures. 

“I thought of every excuse in the book. But now I love it,” she continues. “If I don’t have a laptop assigned to me, I ask other clerks if they are using theirs, because I want one. In fact, we need more.”

The laptops, provided through a regional initiative, are at the heart of a successful unit-based team project to reduce paper and copying costs in the Emergency Department at the South Sacramento Medical Center. The total savings came to more than $88,000 in 2016. 

The Level 5 UBT’s project got under way in late 2015, when clerks and the team’s co-leads—Bianca Ruff, a clerk and SEIU-UHW member, and managers Susan Velasquez, administrative services manager, and Neeta Kumar, administrative clerical supervisor—brainstormed ways to improve cost savings and efficiency. Their first goal was to save $27,820 over four months. 

Soon team members were trying out the use of laptops with signature capture pads. The technology makes it possible for clerks to register patients at their bedside and record their information and signature electronically. Not only does this eliminate the need for paper registration forms, it also increases the clerks’ mobility and efficiency.

There were many small tests of change needed before everything was working smoothly, but the project has been so successful the department has invested in nine laptops on wheels. And all Emergency Department clerks are trained on
the computers. 

“It’s almost too painful to remember how we used to process forms,” jokes Ruff.

—Tracy Lee Silveria

Northwest: Pharmacy team ‘owns’ its inventory, saves thousands

When team members at the Community Care Pharmacy in the Northwest region did a routine inventory, they were astounded at the value of their expired medications that no longer could be returned. 

“We took a $70,000 loss,” says Rob Yancey, the pharmacy’s manager. The pharmacy serves patients in extended care facilities and often fills prescriptions for costly and uncommon drugs.

Susan Luu, an inventory technician and member of UFCW Local 555, spearheaded a successful project that drew on the free-to-speak culture and collaborative spirit that helps make this a Level 5 team. 

“I knew it was too much to do by myself,” Luu says. “I felt comfortable talking with my manager, and his response was, ‘Let me see how can I can help.’” 

Different staff members “owned” a section of the pharmacy to check for outdated or slow-moving medications. By the time the team did its next inventory, losses had dropped to $7,000.

—Jennifer Gladwell

Mid-Atlantic States: Tackling unwanted side effect of a computer upgrade

When the South Baltimore County Medical Center laboratory in the Mid-Atlantic States region upgraded its computer system in December 2015, it inadvertently increased lab costs. 

The problem? While the new system has many great features, it doesn't have a way to alert staff when providers add a new test to an existing order. In May 2016, the lab missed 32 percent of these “add-ons,” a total of 30 tests, says Samuel Endalew, the lab’s lead technician, a UFCW Local 27 member and the team’s labor co-lead. 

The mistake inconveniences members, who must return to the lab to provide a new specimen. Each missed add-on costs Kaiser Permanente about $35 in extra supplies and employee time. 

The solution: a system to check the lab’s inbox for add-on tests and a team binder to track their progress. By February 2017, the team was missing only 2 percent of add-ons and saving about $1,050 a month.

Leaders from other area labs are considering adopting the process.

—Otesa Miles

Videos

Let's Try Something Different

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(2:15)

See how a free to speak culture at the Sacramento pharmacies helped unit-based team members reduce wait times.

Produced by Kellie Applen.

Shot and edited by CrushPix Video Production Company.

Humans of Partnership:

My first day at Kaiser Permanente was my 22nd birthday. One of the Emergency Department doctors I worked with told me, ‘As long as you do right by the patient, you can’t do wrong by the company.’ Over the years, I’ve had a lot of opportunity to reflect on what ‘doing right’ means to me. I think it all comes down to choices. When I was 16, my parents died, and I watched how differently my older brothers and I handled their deaths. I’ve come to realize, even if we weren’t doing it consciously, we were making choices with our grief. So now I try to make my choices conscious ones. Working in the Emergency Department, I frequently see people on the worst days of their lives. They’re dealing with pain, fear and grief. I can relate to that, so the first choice I make every day is my attitude. I choose to have a positive outlook. I choose to take that extra step. To be patient and empathize with people. That’s how I put my heart into my work, with my choices.

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Humans of Partnership:

As the youngest of four kids and the only girl,  I learned that I had to decide if I was going to be a leader or a follower. To be a leader, I would need to be confident, take risks, possess communication skills, have knowledge and build relationships. I enjoyed riding dirt bikes and was a tomboy. I started my own BMX dirt bike club with the kids in my neighborhood. We would work together on new stunts and compete against other kids. I learned that teamwork makes the dream work and there is no ‘I’ in team.

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