Even during the COVID-19 pandemic, it's important to make time to learn.

Priscilla Gill and Dawn Nelson of Mayo Clinic emphasized the importance of learning while working during Kaiser Permanente's Future Ready webcast February 25.

"The future of work is about learning," said Gill, director of Workforce Learning. "We all should strive for continuous learning and to be lifelong learners."

"Everyone is some form of a leader," said Nelson, nurse administrator for Education and Professional Development. "Think about how you can grow your personal leadership skills."

Because of the increasing importance of lifelong learning, Labor Management Partnership unions and Kaiser Permanente have negotiated industry-leading resources to assist union members in adapting to change, including tuition reimbursement and education trusts — which had record usage in 2020. Future Ready, hosted by National Workforce Planning and Development, is part of the Workforce of the Future initiative to prepare employees for tomorrow's jobs.

"This is something we've been doing for years and has become even more important with the global pandemic," said Monica Morris, senior director for National Workforce Planning and Development.

3 types of learning

Gill and Nelson agreed, noting the shift this past year to virtual education.

"COVID truly accelerated a lot of our plans," Gill told moderator Peggi Winter, Kaiser Permanente's nurse educaiton leader. "It has indeed moved us at least 5 years into the future."

The webcast, which detailed examples specific to nursing, highlighted learnings that can be applied to many job classifications across Kaiser Permanente.

Mayo Clinic, an integrated health system, emphasizes learning from day one through each career step. This includes learning:

• Experientially on the job
• Socially through learning communities, mentoring and coaching
• Formally with programs, courses, workshops and conferences

"As leaders, we should get to know our staff and understand what their dreams and aspirations are," Gill said. "In doing so, we can help them craft a career plan."

For nurses, learning starts with onboarding, then continues with professional development, a nurse leadership program and nurse leader growth opportunities.

"It is important for staff to be encouraged and guided to find their areas of interest in leadership," Nelson said.

To learn more, view a webcast recording for internal Kaiser Permanente use only.

Kaiser Permanente offers many resources to help you advance your career.

Looking to get started? View sessions from Workforce Development Week and follow these 5 recommendations from the October virtual event.

1. Keep learning.

Kaiser Permanente encourages lifelong learning. Resources range from mentoring to tuition reimbursement for everyone to education trusts for eligible union members.

Sadao Nakachi, an emergency room registered nurse and UNAC/UHCP member in the Southern California Region, advanced professionally by using tuition reimbursement and the Ben Hudnall Memorial Trust to earn bachelor’s and master’s degrees.

Ingris Solares, an SEIU Local 105 member in the Colorado Region, began as a phlebotomist before completing a yearlong apprenticeship program with the SEIU UHW-West & Joint Employer Education Fund to become a medical lab technician.

View their success stories in the Day 1 and Day 2 employee panels.

2. Have a growth mindset.

Feel stuck in your current job? Reframe your thinking, says Michael Brown, vice president of Human Resources in the Georgia Region.

“You’re really not stuck. What you’re doing is developing expertise on that job. It provides you an opportunity to deliver strong results. That is good currency that you can take with you to that next position,” Brown said in a career expert panel.

View a recording of the leader panel.

3. Talk with your manager.

Managers should encourage employees’ career growth, says Kerrin Watkins, Dental Office manager in KP’s Northwest Region. She discusses workforce development with team members to understand their needs, inform them about resources and support their use of education trusts.

“Invest in your employees,” Watkins says. “If you take care of your employees, your employees will take care of your business.”

View Day 3 videos from Watkins and Georgia Region managers Philidah Seda and Sophia Wilson and learn more in the Manager’s Guide to Workforce Development.

4. Follow your professional dreams.

It’s never too late to develop your career, says Dennis Dabney, senior vice president, National Labor Relations and Office of Labor Management Partnership.

When Dabney was 40 and working in Human Resources for an automotive parts supplier, he decided to go to law school. He studied nights and weekends to get his degree. His extra work paid off, opening doors to career growth. Learn more in Dabney’s Day 1 video.

5. Just do it.

Kaiser Permanente employees can receive tuition reimbursement of up to $3,000 each year for successfully completing eligible courses.

Hiren Patel, a senior systems administrator in the Northern California Region, started as a pharmacy tech. He moved up in the organization using tuition reimbursement to get a bachelor’s degree and is currently pursuing a master’s degree.

“Make a plan and be flexible,” Patel says. “Just do it.”

Listen to Patel’s story on the Day 2 launch of the Excel Yourself podcast and explore the event’s website for additional episodes, Ask an Expert sessions, videos and more.

National Workforce Planning and Development hosted Workforce Development Week in collaboration with the Alliance of Health Care Unions and Coalition of Kaiser Permanente Unions.

Will robots replace our jobs?

As technology rapidly reshapes work, the future may be scary, but it’s also filled with opportunities, especially in health care. Kaiser Permanente workers can stay ahead by continuing to learn both technical skills and human skills such as communication and problem-solving, experts say.

“Cultivating our uniquely human skills may be the best way to prepare for an uncertain future,” says Michelle Weise, chief innovation officer at Strada Institute for the Future of Work.

“Don’t be a bad robot. Be a good human being,” says Benjamin Pring, director of Cognizant’s Center for the Future of Work. “We don’t want to see a robot doctor. We don’t want to see a robot nurse. A lot of (future) jobs are caring jobs where we want to have the human touch.”

Weise and Pring headlined events in November and December in the Future Ready Workforce of the Future Thought Leader Series. The webcast series, sponsored by the Labor Management Partnership and presented by National Workforce Planning and Development, aims to help prepare Kaiser Permanente’s workforce for tomorrow’s jobs.

“We want to ensure our employees have the skills necessary for the jobs of the future,” says Jessica Butz, co-director of the Partnership-supported Ben Hudnall Memorial Trust.

The goal is to build on record usage for Kaiser Permanente’s tuition reimbursement and 2 Partnership-supported education trusts and have employees continuously skill up to meet changing work needs.

Building skills

“It’s a skills-based world that we live in,” Weise says. “For so many learners, a degree is a bridge too far. They just need to survive and get their foot in the door in a job that pays well.”

Today, 44 million adult Americans lack a college degree, don’t earn a living wage and face being left behind by the future of work, according to a Strada report.

“We’re going to need to reimagine education as much more like a variety of highways with lots of on- and off-ramps,” Weise says. “Sometimes when we’re skilling up, it’s going to be for technical expertise or digital fluency. Sometimes it’s going to be for a broadening of human skills.”

Jobs of the future

Pring also is optimistic.

“We think in the future there will be net job increases,” Pring says. “They’ll just be different jobs.”

These new jobs, highlighted in Cognizant’s “21 Jobs of the Future“ and “21 More Jobs of the Future” reports, include fitness commitment counselor and artificial intelligence-assisted health care technician.

As work changes, technology will enhance most jobs and create new opportunities.

“The only way to deal with disruption is to be proactive,” Pring says. “Invent your own future rather than allow the future to happen to you.”

Kerene Hoilett always knew she wanted to work in health care — inspired by her grandmother, a nurse.

When she learned that nursing didn’t fit her, she forged her own path.

Hoilett joined Kaiser Permanente in 2007 as an ultrasound technologist in Georgia. Since then, she has completed a project management certificate, landed an internship and earned 2 college degrees on her way to becoming a diagnostic imaging quality consultant.

“I always have that drive to challenge myself,” Hoilett says. “How can I tap into my strengths more?”

To help employees and managers tap into their strengths, Kaiser Permanente has a new career paths tool.

The new tool at kpcareerplanning.org/paths is interactive and personalized to help you explore career options. Follow the prompts to fill out a profile and find opportunities that link your skills, interests and education to careers at Kaiser Permanente.

“Kaiser Permanente encourages career mobility,” says Monica Morris, director of National Workforce Planning and Development. “With career paths, we’re trying to show you all the different career opportunities and directions you could go in the organization.”

Partnership unions negotiated to include career paths in the 2005 National Agreement with Kaiser Permanente.

“The new career paths tool reinforces our commitment to supporting lifelong learning and career development,” says Jessica Butz, workforce development director with the Alliance of Health Care Unions. “Career paths are a fundamental piece to help give employees a road map for success.”

Pursuing opportunities

After Hoilett became lead ultrasonographer in 2013, her journey took a turn to pursue leadership opportunities.

As a United Food and Commercial Workers (UFCW) member, Hoilett talked with a Partnership union-supported career counselor from the Ben Hudnall Memorial Trust, leading her to a project management pilot program. A project management certificate and 6-month internship at the regional office followed. The trust paid her to work at the internship one day a week, while she worked her regular job 4 days a week.

Hoilett applied for open positions but was unsuccessful, so she reviewed her experience gap with her career counselor.

“She encouraged me. I knew one day I would get that opportunity, and she helped me to be confident,” Hoilett says. “I wasn’t left in the dark. The career counselor was able to light my path.”

Hoilett’s persistence paid off. In 2018, she earned her master’s degree in project management and became a diagnostic imaging quality consultant. She’s using her people, project and technical skills to improve productivity and performance for imaging techs.

She isn’t stopping there. She continues to increase her impact in her current role while exploring learning opportunities in organizational leadership. And she encourages colleagues to learn, take courses and grow their careers — just like her.

“Don’t be afraid,” Hoilett says. “If you keep going, you will be successful.”

How would you want your mother or grandmother to be treated if she came in for an outpatient appointment at Kaiser Permanente? That’s how we want to treat all of KP’s members. Thousands of unit-based teams are working to make sure every KP member receives top-notch service, from the first phone call to the visit with the care provider to the member’s departure from the facility. Providing great service will make our members’ lives better.

1. Review patient/member satisfaction survey responses with the entire team at weekly meetings and huddles.
2. Connect with patients by making eye contact and addressing patients by name.
3. Keep patients informed by explaining everything you’re doing and all of the next steps.
4. Update patients every 10 to 15 minutes on wait times if there’s a delay.
5. Thank patients and members for choosing Kaiser Permanente for their care. Always ask, “Is there anything else I can do for you?”
6. Provide a “wow” experience during a new member’s first visit.
7. Address wait times by trying changes like an “all hands on deck” approach, so when wait times hit a certain threshold, all available staff members drop what they’re doing and help reduce long lines.
8. Make sure phone calls are answered and messages are returned as quickly as possible.
9. Encourage members to sign up for kp.org.
10. If a patient is upset or has had a bad experience, offer a sincere apology and ask, “What can I do to make this better for you?”

Health care workers’ first obligation is “do no harm”— to see that the members and patients in our care suffer no injury or further illness. Unit-based teams across Kaiser Permanente launch hundreds of projects every year to improve patient safety. These tips can your guide your team in a patient safety improvement project and help ensure that KP is the safest place to get and to give care.

1. Wash your hands often, and in accordance with local policies and procedures.
2. Speak up if you observe a drift from safe practice. As the saying goes, “If you see something, say something!”
3. Make sure patients (or family members) understand their diagnosis and plan of care. Have them describe, in their own words, their condition, what they need to do next and why that’s important.
4. Label specimens accurately, completely and legibly.
5. When administering high-alert medications have two people separately check specific steps of the process. For example, a pharmacist calculates dosage, prepares a syringe and compares the product to the order; then a nurse independently does the same and compares the results.
6. Use tools such as SBAR (Situation, Background, Assessment, Recommendation) and clear language like “Safety Check” to identify a hazard, if someone is uncertain and does not feel it’s safe for the patient to proceed. 
7. Keep yourself free from injury so you can keep your patients free from harm.

Who hasn’t experienced the frustration of a long wait to get a prescription filled or a lab test done, or to see a physician who’s running behind schedule? To help keep Kaiser Permanente patients and members happy, many unit-based teams are tackling this issue and finding ways to reduce wait times.

1. Raise awareness of the problem by sharing data about the department’s wait times and patient satisfaction scores with unit-based team members.
2. Help your co-workers understand it is everyone’s responsibility to be attentive to members who have been waiting for long periods of time — and recognize co-workers who do this well.
3. Inform patients of delays by having the receptionist let them know if a physician is running late.
4. Provide members and patients who have been waiting for extended periods of time with individual attention and updated information by “rounding” in the waiting area.
5. Put a focus on wait times by posting patient arrival times on exam room doors or having pharmacists call out the wait time in the pharmacy.
6. Utilize an “all hands on deck” approach, so when wait times hit a certain threshold, all available staff members drop what they’re doing and help reduce long lines.
7. Consider shifting employees’ schedules to ensure adequate staffing during peak hours and at the start of the day, so you don't fall behind from the beginning.*
8. Promote alternatives to in-person visits such as prescription refills by mail or email, phone or video consultations with doctors.
9. Rethink who does what if part of the reason for long wait times is that only employees in particular job category are allowed to do a certain task.*
10. Create a quiet zone in pharmacies to reduce distractions for the primary filling technician.

*  Consult with local unions to ensure proposed changes are in line with the contracts.

For Jennifer Cuevo, an urgent care nurse in Pasadena, the opportunity was too good to pass up: Earn a Bachelor of Science in Nursing without paying fees.

For Joel Boyd, manager of pulmonary clinical services in South Sacramento, teaming with a trust fund created an opportunity to teach nearly 500 respiratory therapists ways to improve care and lower costs.

From earning degrees to learning best practices, Kaiser Permanente employees are using the 2 Labor Management Partnership-supported education trusts (Ben Hudnall Memorial Trust and SEIU UHW-West & Joint Employer Education Fund) in record numbers. Program enrollments rose 26% in 2018 to 113,494; there were nearly 59,000 enrollments in the first half of 2019, on pace for another record year.

“We can address solutions,” says Rebecca Hanson, SEIU Education Fund executive director. “There’s overwhelming demand among the workforce for training opportunities aligned with patient care delivery needs.” 

Through the trusts, employees can build skills, meet targeted needs in training programs, and work with career counselors to set career goals and create plans to achieve them.

“We’re preparing our workforce for the jobs of tomorrow,” says Jessica Butz, Ben Hudnall trust co-director.

Click to enlarge.

Going for it

Cuevo, a 16-year Kaiser Permanente employee and UNAC/UHCP member, started as a licensed vocational nurse, then became a registered nurse. She always wanted a bachelor’s degree but put her dreams on hold while raising her children — until she talked with a Ben Hudnall career counselor and learned good news.

With a few additional courses, Cuevo could qualify for a bachelor’s program. The trust would pay the fees.

“I’m so thankful,” Cuevo says. “I wouldn’t have done this without the help of the trust and the partnership of Kaiser with the universities.”

Most classes were online, which Cuevo took at home. She did in-person requirements on days off — coordinating with her manager and family — completing her degree in 4 semesters. Her 17-year-old daughter is “really inspired,” Cuevo says. “She wants to go into research or be a doctor.”

Cuevo’s inspired, too. In November, she started a master’s program – paid again by Ben Hudnall. Cuevo, who wants to teach nurses, encourages colleagues to use trust services.

“Go for it,” she says. “It’s so worth it. Get your degree. Move up. You can do it. I did it. I love it.”

Benefits of partnership

When Boyd and pulmonary clinical services colleagues in Northern California reviewed their operations, they saw a need to standardize some patient care practices. Their goal: to decrease the length of stay for patients on mechanical ventilation to reduce the risk of such complications as pneumonia, improve care and lower costs.

They partnered with the SEIU Education Fund to organize 8 group trainings for respiratory therapists at Kaiser Permanente’s Garfield Innovation Center.

Working with the education fund was easy and helped get employee buy-in and participation, Boyd said. The trainings were so effective, more may be offered in Northern California and other regions.

“Nothing at this scale has ever been done for respiratory therapists,” Boyd says. “It was a true example of how we can get positive benefits from the Partnership.”

Carol Fiskio takes pride in helping good employees move on.

As revenue cycle director for Kaiser Permanente’s Woodland Hills Medical Center, Fiskio has seen 3 of her department’s admitting clerks earn college degrees and advance to new positions.

Their formula: a desire to learn, flexible scheduling and a valuable employee benefit. Hers: supporting employees’ lifelong learning to make them, Kaiser Permanente and her department stronger players.

Kaiser Permanente encourages such learning, providing employees up to $3,000 each year for completing courses to continue their education, get a certificate or earn a degree. Tuition reimbursement course applications reached a record 73,224 in 2018, nearly doubling since 2015, when benefits increased for many employees after that year's Labor Management Partnership National Bargaining. 

Click image to enlarge
 

Psyched for psychology

When Olayinka Rahman started as an admitting clerk at Woodland Hills Medical Center in 2007, she had a vision: to become a psychologist. She balanced working and going to school, using tuition reimbursement to earn bachelor’s (California State University, Northridge), master’s (Pepperdine University) and doctoral (Azusa Pacific University) degrees in psychology.

“I don’t think there would be a better place (than Kaiser Permanente) for me to get my degree and continue to work,” Rahman says. “They’re so supportive. I hear about other organizations that aren’t as flexible and don’t have tuition reimbursement.”

After a yearlong internship in Michigan, Rahman returned to Kaiser Permanente. She completed a postdoctoral psychology residency in San Francisco and now works as a psychological assistant in Antioch. She’s preparing for the licensing exams to become a staff psychologist.

Rahman encourages others to continue their education.

“It was definitely challenging but well worth it,” Rahman says. “Talk with your manager, and say, ‘How can we make this work?’ Open communication with management is key.”

Strength in education

Fiskio, who used tuition reimbursement herself to earn an MBA, praised Rahman and her other former direct reports for advancing their careers through education.

“It’s not easy to go to work and to school,” Fiskio says. “That takes real dedication. It’s a benefit to the organization.”