1. Quality Care Summit 2010: Recap 1 st Time Union and Management came together 1 st Time Union and Management came together Heard from successes from Kaiser Permanente, NY LTC partnership Heard from successes from Kaiser Permanente, NY LTC partnership Healthcare reform focus on Quality and Safety Healthcare reform focus on Quality and Safety –Lack of Progress –Now tied to reimbursements adds to urgency

2. 2011: Morning Plenary Review of Common Goals Review of Common Goals –Identify at least three goals shared by staff nurses and hospital administration. Future of Nursing Future of Nursing –Explain how recommendations by the Institute of Medicine and Robert Woods Johnson 2010 study support collaboration between labor and management to improve quality care and nurses’ work environment.

3. Afternoon Plenary Demand Better: Revive our Broken System (Big Picture) Demand Better: Revive our Broken System (Big Picture) Quality Improvement Work at AGH and HVB (Bedside) Quality Improvement Work at AGH and HVB (Bedside)

4. Afternoon Plenary and Breakouts Quality Improvement in your Facility Quality Improvement in your Facility –Review the SEIU HCPA Model and of Quality Care Collaboration. –Identify at least one quality improvement opportunity in your work area or facility –Build a “game plan” for advancing this work in your facility Skills Building Breakouts Skills Building Breakouts

5. Table Discussion Should the Union and Management partner around quality care improvements? Should the Union and Management partner around quality care improvements? What do staff nurses and management have in common? What do staff nurses and management have in common?

6. Commonalities from 2010 Best Care for the patients/Best Quality Best Care for the patients/Best Quality Best Patient Satisfaction Best Patient Satisfaction Cost Effectiveness Cost Effectiveness Financial Stability for our institutions Financial Stability for our institutions Employee Retention/ Employee Satisfication Employee Retention/ Employee Satisfication Employee Engagement to do the best Employee Engagement to do the best Good Reputation in Community Good Reputation in Community Employee Development/Education Employee Development/Education

7. Why partnering--2010 Improve quality and help make care delivery more efficient Improve quality and help make care delivery more efficient Reduce turnover, happier staff, better bottom-line Reduce turnover, happier staff, better bottom-line Less grievances Less grievances Improved Communication Improved Communication Increases Continuity of Care Increases Continuity of Care

8. Kaiser’s value compass Best Quality Best Quality Best Service Best Service Most affordable care Most affordable care Best place to work Best place to work

9. Management Perspective Why this is important Why this is important What’s possible What’s possible Overcoming Challenges Overcoming Challenges

10. Challenges/Positives? Need more mutual respect in healthcare Need more mutual respect in healthcare Division among nurses Division among nurses “Us” vs. “Them” mentality “Us” vs. “Them” mentality Tension of grievance relationship and collaboration Tension of grievance relationship and collaboration Healthcare is very emotional Healthcare is very emotional Nurses tired, hard to get folks involved including managers, hard to find the time Nurses tired, hard to get folks involved including managers, hard to find the time Feeling of being punished when saying things need to improve Feeling of being punished when saying things need to improve

11. What needs to Change? Staff nurses/union leaders to change? Staff nurses/union leaders to change? Management to change? Management to change?