Healing Together

A. Kochan Thomas, E. Eaton Adrienne, B. McKersie Robert, S. Adler Paul

Description

Kaiser Permanente is the largest managed care organization in the country. It also happens to have the largest and most complex labor-management partnership ever created in the United States. This book tells the story of that partnership-how it started, how it grew, who made it happen, and the lessons to be learned from its successes and complications. With twenty-seven unions and an organization as complex as 8.6-million-member Kaiser Permanente, establishing the partnership was not a simple task and maintaining it has proven to be extraordinarily challenging.Thomas A. Kochan, Adrienne E. Eaton, Robert B. McKersie, and Paul S. Adler are among a team of researchers who have been tracking the evolution of the partnership between Kaiser Permanente and the Coalition of Kaiser Permanente Unions ever since 2001. They review the history of health care labor relations and present a profile of Kaiser Permanente as it has developed over the years. They then delve into the partnership, discussing its achievements and struggles, including the negotiation of the most innovative collective bargaining agreements in the history of American labor relations. Healing Together concludes with an assessment of the Kaiser partnership's effect on the larger health care system and its implications for labor-management relations in other industries.

Sujets

• Médecine
• USA
• Industrial relations
• États-Unis
• Labour

Informations

• Publié par: Cornell University Press
• Date de parution: 15 décembre 2010
• Nombre de lectures: 0
• EAN13: 9780801459368
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Healing Together

A volume in the series The Culture and Politics of Health Care Work Edited by SUZANNE GORDON and SIOBAN NELSON

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Assisted Living for Our Parents: A Son’s Journey By Daniel Jay Baum

The Changing Face of Medicine: Women Doctors and the Evolution of Health Care in America By Ann K. Boulis and Jerry A. Jacobs

From Silence to Voice: What Nurses Know and Must Communicate to the Public, Second Edition By Bernice Buresh and Suzanne Gordon

Never Good Enough: Health Care Workers and the False Promise of Job Training By Ariel Ducey

Differential Diagnoses: A Comparative History of Health Care Problems and Solutions in the United States and France By Paul V. Dutton

Circles of Exclusion: The Politics of Health Care in Israel By Dani Filc, MD

Nobody’s Home: Candid Reflections of a Nursing Home Aide By Thomas Edward Gass

Life Support: Three Nurses on the Front Lines By Suzanne Gordon

Nursing against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care By Suzanne Gordon

Safety in Numbers: Three Nurses on the Front Lines By Suzanne Gordon

Nurses on the Move: Migration and the Global Health Care Economy By Mireille Kingma

The Complexities of Care: Nursing Reconsidered Edited by Sioban Nelson and Suzanne Gordon

Code Green: Money-Driven Hospitals and the Dismantling of Nursing By Dana Beth Weinberg

Healing Together

The Labor-Management Partnership at Kaiser Permanente

Thomas A. Kochan Adrienne E. Eaton Robert B. McKersie Paul S. Adler

ILR Press an imprint of Cornell University Press Ithaca & London

Copyright © 2009 by Cornell University

All rights reserved. Except for brief quotations in a review, this book, or parts thereof, must not be reproduced in any form without permission in writing from the publisher. For information, address Cornell University Press, Sage House, 512 East State Street, Ithaca, New York 14850.

First published 2009 by Cornell University Press First printing, Cornell Paperbacks, 2009

Printed in the United States of America

Library of Congress Cataloging-in-Publication Data

Healing together : the labor-management partnership at Kaiser Permanente / Thomas A. Kochan . . . [et al.].  p. cm. — (The culture and politics of health care work)  Includes bibliographical references and index.  ISBN 978-0-8014-4798-3 (cloth : alk. paper) —  ISBN 978-0-8014-7546-7  (pbk. : alk. paper)  1. Kaiser Permanente—Personnel management. 2. Labor- management committees—United States. 3. Health services administration—Employee participation—United States. 4. Health facilities—United States—Personnel management. 5. Collective bargaining—Health facilities—United States. 6. Medical personnel—Labor unions—United States. 7. Industrial relations—United States. I. Kochan, Thomas A. II. Series: Culture and politics of health care work.

RA971.35.H43 2009 362.11068'3—dc22

2008048071

Cornell University Press strives to use environmentally responsible suppliers and materials to the fullest extent possible in the publishing of its books. Such materials include vegetable-based, low-VOC inks and acid-free papers that are recycled, totally chlorine-free, or partly composed of nonwood fibers. For further information, visit our website at www.cornellpress.cornell.edu.

Cloth printing Paperback printing

 10 9  10 9

8 7 6 5 4 3 2 1 8 7 6 5 4 3 2 1

To the memory of Susan C. Eaton

Contents

Acknowledgments

1. To Fight or Talk?

2.

3.

Partnerships: Great Challenges, Greater Opportunities

To Fight or Partner: Forming the Partnership

4. Early Challenges, Early Wins—But More to Do

5. Slow Diffusion

6. Negotiating in Partnership: The 2000 and 2005  National Negotiations

7. The Union Coalition

8.

Leading in Partnership

9. Partnership and HealthConnect

10. Partnerships on the Front Lines

11. Scorecard

12. Partnerships: The Future

Notes

Index

ix

1

8

25

50

65

87

123

150

175

191

203

227

241

249

Acknowledgments

When leaders of the Kaiser Labor Management Partnership first ap- proached us about studying their experiences, we had no idea the project would turn into an eight-year effort, much less this book. We are grateful to the initial leaders of the partnership and to their successors for giving us free reign to explore and document their experiences without conditions. Special thanks are due to the early partnership leaders John Stepp, Leslie Margolin, Peter diCicco, and their successors Tony Gately, Anthony Wag- ner, Mary Ann Thode, Martin Gilbert, and John August. Support for the research was provided by the Kaiser Permanente Labor Management Part- nership Trust Fund. We could not have provided the detailed account that follows without the cooperation and participation of the hundreds of labor and management representatives whom we interviewed, worked with to collect data, and ob- served in action in negotiations, meetings, conferences, and with whom we occasionally shared a drink late into the night. The open access we had to people at all levels of the management, physician, and labor organizations from headquarters in Oakland to all the regions across the country gave us a full, 360 degree view of this initiative. The talent, commitment, hard work, and perseverance of these leaders and representatives are the heart and soul of this partnership. American labor relations would be well off indeed if