Kaiser Permanente and the Alliance of Health Care Unions

LMP Processes

LMP Curriculum

LMP Learning offers a range of dynamic classroom, online and just-in-time training that builds the partnering and performance skills and knowledge needed to sustain the success of the Labor Management Partnership and to advance Kaiser Permanente’s business strategy. LMP Learning is available to all unit-based team members, co-leads, sponsors and others throughout Kaiser Permanente who need to develop these skills and knowledge. See below for the list of classroom and just-in-time online classes.

 

Training

Working in partnership and creating a collaborative, high-functioning team requires specific skills, and the LMP Learning program offers a variety of training opportunities—online and in person—to ensure UBT members, co-leads and sponsors can be successful. Different trainings are recommended at different levels of the Path to Performance and cover areas such as problem solving, decision making and performance improvement.

UBT Basics

Unit-based teams (UBTs) are transforming Kaiser Permanente by changing the roles of union members and managers and creating an environment in which all employees are encouraged to think critically about problem solving and work innovations. They were launched in 2005 as part of that year’s National Agreement. The people who negotiated the agreement envisioned UBTs as a way to improve care by tapping into the knowledge and experience of frontline staff, managers and physicians. The Partnership unions have since reaffirmed UBTs as a platform for improvement in each National Agreement.

What Is Partnership?

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The Labor Management Partnership is an operational strategy shared by Kaiser Permanente and the Partnership unions. 

This joint commitment is designed to: 

  • deliver high-quality care and service to Kaiser Permanente members and patients
  • continuously improve performance as measured by national standards
  • involve unions and individual frontline workers in decisions about how to deliver the best care
  • make KP more affordable by removing waste from care delivery systems
  • preserve and improve upon industry-leading benefits and working conditions for employees

The partnership is jointly led and funded by Kaiser Permanente and two groups of Partnership unions, the Coalition of Kaiser Permanente Unions and the Alliance of Health Care Unions. There are more than 128,000 employees represented by the union locals that are part of the partnership, 16,000 managers and 21,000 physicians. 

Results for KP members and patients

Our Labor Management Partnership has delivered measurable results for KP members and patients. Most of the day-to-day work of the partnership is led by self-directed work teams — what we call unit-based teams (UBTs) — made up of frontline managers, employees and physicians. All teams are measured quarterly on several dimensions of performance, leadership and engagement. According to KP’s 2017 People Pulse survey, highly engaged UBTs have achieved:

  • 4 percent improvement in patient satisfaction
  • 13 percent fewer lost work days
  • 18 percent fewer workplace injuries

 

Past National Agreements

A series of national labor agreements between Kaiser Permanente and the Partnership unions have used the interest-based bargaining process to achieve industry-leading results. The first was in 2000, three years after the Labor Management Partnership was founded; subsequent agreements followed in 2005 (with a re-opener in 2008), 2010, 2012 and 2015, each building on the previous and developing fresh innovations. 

Negotiations in 2018 resulted in the 2018 KP-Alliance National Agreement, which runs through Sept. 30, 2021.

2005 National Agreement

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The 2005 agreement was remarkable for its creation of unit-based teams to drive frontline performance improvement, with the teams co-led by a unit's manager, a union-represented staff member and, where applicable, a physician. The agreement also beefed up workforce development. It was in force from Oct. 1, 2005, to Sept. 30, 2010.

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