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As we move toward the “next normal,” the Labor Management Partnership has played a key part in supporting COVID-19 vaccinations.

Frontline workers, doctors and managers have come together to get shots in arms. These fruitful collaborations point the way forward as Kaiser Permanente and the Partnership unions work to transform fear into confidence, confusion into clarity, and hesitancy into bold action.

Look at the data

A joint effort between SEIU-UHW and physicians pushed vaccination rates of the union’s members from less than 50% all the way up to 64% within 3 months. It began when union leaders crunched the numbers — and didn’t like what they saw.

At the beginning of February, less than half of SEIU-UHW members at Kaiser Permanente were vaccinated against COVID-19. For instance, only 40% of union employees were vaccinated in the Emergency Department at Downey Medical Center in Southern California, where Gabriel Montoya works as an emergency medical technician.

Montoya and his fellow union members — working with physicians and managers — wanted to raise those rates, so they pulled together labor-doctor huddles. Union members were scared, confused and hesitant.

Building trust

At first, they considered joint physician-labor rounding. But they realized being in patient areas wouldn’t support those conversations, so they pivoted to huddles — short, informal team meetings.

Carol Ishimatsu, MD, a pediatrician with the Southern California Permanente Medical Group, was one of the first doctors to join a huddle in Downey.

“Vaccines are our most important intervention,” says Dr. Ishimatsu, who participated in the clinical trials for the shots when they were being tested.

To build trust, Dr. Ishimatsu emphasized her shared experience with SEIU-UHW members as warriors on the front line. “I told the employees: I do the same thing you do after work,” she says, describing her ritual of removing her clothes in the garage and putting them directly in the washing machine before entering the house. “We are in different professions, doing the same thing.”

Joel Valenciano, an Environmental Services manager at Downey, helped organize huddles at outlying clinics.

“I encouraged the staff to be honest, relate their fears and doubts, anything holding them back,” he says. “And they really opened up.”

“We did it in partnership,” says Montoya, the emergency medical technician. “The labor partners led the huddles and introduced the doctors.

I can’t imagine that happening in a nonunion hospital, or even a non-Partnership hospital.”

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.