Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
1
2
OUTCOMES OF CRISIS JOINT LEADERSHIP TEAM
►Chris BernerVP HR MSBI
►Manny Leon, VP 1199SEIU
►Pat Marthone, VP RN 1199SEIU
►Sandra Morales, RN Delegate
►Judy John, Guild Delegate
Five-year operating losses in excess of $100 million per year
Ongoing annual increase in operating expenses and annual decrease in operating income
Declining average daily census and discharges
Increased competition from a completely refurbished NYU Hospital several blocks north of MSBI
The harvesting of key
surgeons and other revenue-
producing physicians by
competing health systems
The Mt. Sinai Board of Trustees
decided to significantly downsize
MSBI and transition from a large
acute care hospital to a much
smaller hospital
Team Members
LABOR
►Maria Kercado
►Manny Leon
►Norma Amsterdam, RN
►Pat Marthone, RN
►Delegates – Guild
►Delegates – RN
MANAGEMENT
►Dr. Jeremy Boal
►Jeff Cohen
►Chris Berner
►Christine Mahoney, RN
►Paul Zucker
►Managers/Supervisors
►HR Business Partners
• Creation of a large network of community-based primary, specialty, behavioral and outpatient services
• Investment of more than $500 million in the network to include:
– New, smaller Mt. Sinai Downtown Beth Israel Hospital with approximately 70 beds
– Refurbishment of the the 210-bed inpatient behavioral unit
– New state-of-the-art Emergency Department
– Expansion and renovation of outpatient facilities at three major locations with more than 35 operating and procedure rooms, 16 physician practice locations and more than 600 doctors
1199SEIU made a strategic decision to enter into a highly innovative transition agreement with Mt. Sinai to preserve:
WAGESAll union staff are guaranteed to maintain their
current wages or more when affected by the
transition
High Quality Care for the Community
JOBSAll union staff guaranteed a job within the Mt. Sinai
system that is as close to their current job as possible
✓ Creation of a Crisis Joint Leadership Team
✓ Creation of Team Charter - GRPI
✓ Shared goals
✓ Commitment to consistent attendance at weekly meetings
✓ Identification of labor management Co-Leads
✓ Interest-Based Problem-Solving Methodology - IBPS
✓ PACC now MSDUS part of CJLT
MANAGEMENT OF STAFF TRANSITIONS:
Approximately 650 staff had jobs and earnings protected and successfully transitioned to Mt. Sinai sites or within BI in two-year period
MANAGEMENT OF PROGRAM MOVES:
All scheduled program moves completed with continuity of staff and physicians in two-year period
Clinical Measures
MSBI has experienced substantial improvement in clinical measures placing in the top 10% of hospitals in the nation:
Pressure sores
Catheter associated infections
C Diff infection rates
Readmission rates
Central Line Associated Bloodstream Infections
1
2 345
Patient Safety
Care-Chex 2017 and 2018 ratings in the top-100 hospitals in
several key areas:
1
2
3
4
Cancer Care
Cardiac Care
Interventional Coronary Care
Hip Fracture Repair
Financial
✓During the transition MSBI has met or bettered the financial targets set by the Mt. Sinai System.
✓ Placement of approximately 600 staff through the union-management placement fair process has resulted in savings to the Job Security Fund in excess of 4.8 million dollars.
Relations with Community
and Elected Officials
✓Union and management working
together has answered
questions, overcome potential
opposition, and generated
support from the downtown
community and its elected
officials.
When completed, the Mt. Sinai
Downtown Network will have:
✓3 major locations
✓35 operating and procedure rooms
✓16 physicians' practices
✓600 doctors
✓New ED with all support services
✓120-bed behavioral unit
✓70-bed observational unit
DISNEY INITIATIVE | Teamwork, Recognition, Communication
JUST CULTURE | Staff / Patient Safety
MSHS EXPERIENCE | Employee Engagement / Patient Satisfaction
REFINE BEST PRACTICES
►Creativity/Innovation
►Resilience – problem solving capacity
►Three years and counting: hard work
►Joint ownership of process
►Commitment: No Job Loss
►Participatory decision-making
►Celebration / Recognition / Appreciation
►Trust and empathy
LESSONS
LEARNED