Contra Costa Health (CCH) recommends that anyone who has spent time inside California Grand Casino in Pacheco since 2018 consider a tuberculosis (TB) test, after recent genetic testing revealed several related cases among staff and customers over the past five years.
Of the 11 confirmed TB cases, 10 are genetically linked and the majority are associated with staff or customers at the casino. The 11th case has not yet been genetically tested.
CCH has so far not identified a current or ongoing source of transmission at the casino. CCH is working closely with casino management to ensure prompt, appropriate testing, health advice and screening for all its staff.
“We are making this recommendation now because there is new evidence that TB may have spread among people who spent time at the casino from 2018 to 2023,” said Dr. Meera Sreenivasan, deputy health officer for Contra Costa County. “TB can live inside someone for years without showing signs of its presence. That is why it’s important to take a test, even if you do not feel sick. TB can cause serious illness, but it is treatable and curable with medicine, especially when caught early.”
To date, CCH has contacted more than 300 people who may have been exposed to active TB and is working with California Grand management to provide health education to staff and to encourage testing.
Symptoms of active TB can include a persistent or bloody cough, fever, unexpected weight loss, night sweats and fatigue.
TB bacteria can live inside a person for months or years without causing any symptoms, so even people with no symptoms should talk to their healthcare providers about getting a TB test if they believe they may have been exposed.
TB can spread when a person who has developed symptoms coughs or breathes out droplets containing the bacteria, particularly in an enclosed space over a long period of time, such as several hours.
The only way to know if someone was infected after a TB exposure is to test.
If you believe you may have been exposed to TB, talk to your healthcare provider or call CCH’s TB Client Services Program at 925-313-6740 if you are uninsured or need advice about next steps. Visit cchealth.org/tb for more information about TB.
Adds Equate Hydration PF Lubricant Eye Drop 10 mL sold by Walmart to list
The U.S. Food & Drug Administration (FDA) is warning consumers not to purchase and to immediately stop using 26 over-the-counter eye drop products due to the potential risk of eye infections that could result in partial vision loss or blindness. Patients who have signs or symptoms of an eye infection after using these products should talk to their health care provider or seek medical care immediately. These products are marketed under the following brands:
CVS Health
Leader (Cardinal Health)
Rugby (Cardinal Health)
Rite Aid
Target Up & Up
Velocity Pharma
These products are intended to be sterile. Ophthalmic drug products pose a potential heightened risk of harm to users because drugs applied to the eyes bypass some of the body’s natural defenses.
FDA recommended the manufacturer of these products recall all lots on October 25, 2023, after agency investigators found insanitary conditions in the manufacturing facility and positive bacterial test results from environmental sampling of critical drug production areas in the facility. FDA also recommends consumers properly discard these products.
CVS, Rite Aid and Target are removing the products from their store shelves and websites. Products branded as Leader, Rugby and Velocity may still be available to purchase in stores and online and should not be purchased. Walmart is removing Equate Hydration PF Lubricant Eye Drop 10 mL from their store shelves and website.
FDA has not received any adverse event reports of eye infection associated with these products at this time. FDA encourages health care professionals and patients to report adverse events or quality problems with any medicine to FDA’s MedWatch Adverse Event Reporting program:
Complete and submit the report online at Medwatch; or
Download and complete the form, then submit it via fax at 1-800-FDA-0178.
Members also rated KP 5 stars for their care and service experience
By Antonia Ehlers, PR and Media Relations, Kaiser Permanente Northern California
OAKLAND, Calif. Oct. 26, 2023 – Kaiser Permanente has the highest rated health plan in the state for overall quality and is also rated highest by members for care and service experience, according to the health plan ratings for 2024 by Covered California – the state’s health insurance marketplace under the Affordable Care Act.
“Kaiser Permanente is a national leader in providing our members and patients with high-quality, compassionate care and service,” said Carrie Owen Plietz, FACHE, president of Kaiser Permanente’s Northern California region. “We take great pride in knowing that our own members and patients rated their experiences with Kaiser Permanente 5 stars – the highest of any health plan in the state.”
In addition to achieving a 5-star “Overall Quality” rating for quality, Kaiser Permanente received 5 stars for “Members’ Care Experience,” which is based on patient surveys asking about their recent experiences when visiting the doctor and getting medical care; “Getting the Right Care,” a measure of care that is given, comparing with the national standards for care and treatments proven to help patients; and “Plan Services for Members,” which analyzes a health plan’s efficiency, affordability, and management.
“Our physicians and staff are committed to delivering exceptional clinical care and world-class service to improve and maintain the health and well-being of our members and patients,” said Maria Ansari, MD, FACC, CEO and executive director of The Permanente Medical Group. “We keep our patient’s needs at the forefront of every decision, and our highly skilled physicians and care teams work collaboratively to consistently provide our patients with the personalized care they deserve.”
Kaiser Permanente is the only health plan in the state to receive 5 stars in every category. Kaiser Permanente is also the only health plan in the state to receive a 5-star “Overall Quality” rating in each of the last five years.
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.7 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. For more information, go to about.kp.org
Shares story of caring for her mother for National Family Caregivers Month in November
I’d like to begin by reminding all of you that November is National Family Caregivers Month. It’s a time to recognize the incredible dedication and sacrifices of those who care for their loved ones, particularly those grappling with dementia, in any of its forms. I come to you not just as a speaker but as someone who has experienced the profound impact of dementia firsthand, a journey that started when my mother asked for my help back in 2014.
My mom’s story is one that many of you might find familiar. She was a vibrant woman who, as she approached her 68th birthday, began exhibiting signs of something amiss. Her social withdrawal, erratic medication intake, and a fainting episode that led her to the hospital in Walnut Creek were all red flags. It wasn’t until 2019 that a diagnosis was finally confirmed – vascular dementia. A young, dismissive doctor delivered the news, but our suspicions had been growing for years. The truth was that my mom had been prescribed what I’ve come to call “the dementia cocktail” in 2012, when she was just 61. It consisted of Aricept and Memantine, but her decline was slow, leading to moments of despair. By 2019, she had reached a point where she couldn’t care for herself, yet medical professionals seemed hesitant to make the diagnosis, leaving me feeling isolated in my role as her advocate.
However, my journey took an unexpected turn on my 40th birthday. That day, my mom embarked on a 36-hour odyssey across the Bay Area, signifying her fading independence. She drove across the Bay Bridge twice and even crossed the Golden Gate Bridge once. She was found disoriented and alone, wandering along Alemany Boulevard in Daly City at 3 am, having left her car in front of someone’s house, a silent testament to her deteriorating condition.
My 40th birthday celebration was anything but joyful; it marked the beginning of a deeply personal battle to protect and care for the woman who had once cared for me. My mom’s story is a vivid reminder of the complex and urgent challenge that dementia presents. It’s a disease that not only affects individuals but also places tremendous emotional and physical strain on their caregivers.
In addition to November being National Caregiver Month, let us also acknowledge the importance of the National Alzheimer’s Plan. This initiative has played a vital role in advancing research and support for individuals and families dealing with Alzheimer’s and related dementias. However, we cannot afford to let this plan expire. We must ensure its continued existence and strength.
I call upon our new Senator Laphonza Butler and Senator Alex Padilla to take a stand in this critical moment. I urge them to cosponsor the bipartisan NAPA (National Alzheimer’s Project Act) Reauthorization Act (S. 133) to renew and bolster the National Alzheimer’s Plan, ensuring that the needs of those affected by dementia are met, and research into this disease continues to progress.
In closing, if you or someone you know needs information or assistance in caring for a loved one with dementia, please reach out to the Alzheimer’s Association at 800.272.3900. Together, we can provide the support and resources needed for those battling this heart-wrenching disease. Thank you for your attention and let us work collectively to make a difference.
Dyad leadership structure aims to increase patient access and further elevate clinical excellence, expertise
SACRAMENTO, Calif. – Northern California-based Sutter Health announced market presidents and chief medical officers in its collaborative new dyad leadership structure, which will better enable physician and administrative leaders to partner in decision-making and leading clinical and non-clinical operations. This alignment is designed to foster a connected ecosystem that advances efforts to expand access and deliver a more digitally enabled, convenient and personalized care experience for patients where they live and work. Greater access includes earlier available appointments for primary and specialty care through expanded service options and settings. The dyad design also elevates the roles and voices of physicians to lead the critical work necessary to meet growing demand for services across the integrated healthcare system.
“I’m pleased to announce Sutter Health’s community-based market leaders,” said Warner Thomas, Sutter Health president and CEO. “They represent an exceptional field of professionals with diverse experiences and backgrounds, with outstanding leadership, healthcare administration and clinical experience, both within and outside of Sutter, as well as proven track records developing and maintaining successful working partnerships with physicians, clinicians and community partners. They will help drive operational excellence and growth at Sutter in the years ahead by integrating our teams across our system to best serve our patients, our people and our clinicians.”
Working in dyad partnership, the following new market presidents and chief medical officers will have joint responsibility for one of five consumer-based markets driving quality and integrated care across the system:
Greater East Bay Market
Tosan Boyo, president
Matthew Dahnke, M.D., chief medical officer
Greater Central Valley Market
Gino Patrizio, president
Joseph Chiang, M.D., chief medical officer
Greater Sacramento Market
Rachael McKinney, president
Peter Hull, M.D., chief medical officer
Greater San Francisco Market
Christina Oh, president
Rob Nordgren, M.D., chief medical officer
Greater Silicon Valley Market
Kevin Cook, president
Mathew Hernandez, M.D., chief medical officer
Market presidents will report directly to Mark Sevco, Sutter’s senior vice president and chief operating officer while chief medical officers will report to Todd Smith, M.D., Sutter’s senior vice president and chief physician executive.
“By working in concert and leading their individual markets, this dynamic group will elevate Sutter Health’s operational and clinical excellence to help us continue to achieve our goal to provide industry-leading quality healthcare and expand access to our services to more patients where they live and work,” said Dr. Smith.
“Having experienced, mission-driven leaders in place to help more fully integrate our healthcare delivery system and unify our new community-based market operating model is critical to best meet the needs of our expanding patient base, as well as the needs of our physicians, care teams and staff,” said Sevco. “Through shared decision-making and with an expectation of collaboration across markets and service lines within the organization, we aim to integrate our operations and patient care in a way we never have before.”
Each community-based market is strategically guided by an enterprise-wide service line strategy supported by a coordinated local team that oversees the hospitals, surgery centers, foundation care centers, clinics and urgent care sites in that geographic area. Market leaders will collaborate with medical group presidents alongside community physicians to enhance access and provide exceptional care. This structure will support a connected, seamless experience for patients across all types of care settings and throughout the enterprise.
Tosan Boyo, Greater East Bay Market President, was most recently senior vice president of hospital operations at John Muir Health. At JMH, Boyo oversaw the deployment and development of several initiatives, including LEAN Management System, service line strategies, enterprise ancillaries, health equity and government affairs. During his tenure, he was awarded Executive of the Year by the California Association of Healthcare Leaders. Boyo began his new role on Sept. 5.
Matthew Dahnke, M.D., Greater East Bay Market Chief Medical Officer, is an internal medicine hospitalist, who has been with the Sutter East Bay Medical Group since 1999. At SEBMG he served in leadership positions focusing on transforming healthcare by aligning partners, team building and developing relationships that allow for a clear understanding of mission, vision, culture change and achievement of goals. Most recently, he was chief inpatient officer for SEBMG. Dr. Dahnke began his new role on Oct. 16.
Gino Patrizio, Greater Central Valley Market President, is a dynamic leader with a distinguished healthcare career who has long been an advocate for patient care excellence. For nearly five years, he served as the CEO of Sutter Memorial Medical Center in Modesto, with operational and financial accountability for Sutter’s Memorial Hospital Los Banos and Sutter Tracy Community Hospital. Patrizio began his new role on June 12.
Joseph Chiang, M.D., Greater Central Valley Market Chief Medical Officer, was most recently the chief medical executive at Sutter’s Eden Medical Center in Castro Valley. Previously, he held leadership roles as medical director and chair of emergency medicine at Sutter’s Memorial Medical Center in Modesto, Sutter’s Memorial Hospital Los Banos and San Joaquin General Hospital. Dr. Chiang is a proven leader who has achieved growth in surgical and procedural volumes, enhancing physician alignment, and maintaining high-quality care. Dr. Chiang began his new role on Aug. 7.
Rachael McKinney, Greater Sacramento Market President, has nearly 20 years’ experience as a mission-driven, patient-centered and relationship-focused leader working with physicians and clinicians across a broad range of care settings. Most recently, she served as CEO of Sutter Medical Center, Sacramento since January 2022 with oversight of Sutter Davis Hospital and Sutter Amador Hospital as Hospital Area CEO, Central Valley. McKinney began her new role on June 12.
Peter Hull, M.D., Greater Sacramento Market Chief Medical Officer, has served in various leadership positions at Sutter Roseville Medical Center for nearly 30 years, bringing to the roles both an aptitude for organizational administration and a deep-rooted passion for the practice of medicine. Most recently he served as chief medical executive and interim CEO. Dr. Hull began his new role on June 12.
Christina Oh, Greater San Francisco Market President, comes to Sutter Health from HCA Healthcare’s Trident Health System in Charleston, South Carolina where she was president and CEO. At Trident, she expanded the system’s acute and ambulatory footprint, built tertiary services and developed a “people-first” culture among employees and physicians. Prior to Trident, Oh was CEO at Tenet Healthcare hospitals in Goodyear, Arizona and Orange County, California. Oh begins her new role on Dec. 1.
Rob Nordgren, M.D., Greater San Francisco Market Chief Medical Officer, brings more than two decades of experience leading healthcare organizations. In his most recent roles, he served as Area CEO for Sutter Bay Medical Foundation and CEO of a prominent 1,800-clinician medical group affiliated with Sutter’s Palo Alto Medical Foundation. Dr. Nordgren is known for his success in driving growth, clinician engagement, workplace inspiration, diversity and inclusion, health equity and performance optimization through people-focused leadership. Dr. Nordgren began his new role on June 12.
Kevin Cook, Greater Silicon Valley Market President, has more than 20 years of healthcare leadership experience and brings extensive practical knowledge of health system operations at the CEO level to this new role. Cook comes to Sutter from Caldwell Butler, a healthcare consulting firm specializing in research-based methods to improve margin, operational improvement, staffing and patient experience. Before that, he served as the CEO of the University of Mississippi’s Health System for seven years. Cook began his new role on July 10.
Mathew Hernandez, M.D., Greater Silicon Valley Market Chief Medical Officer, is an internist who has served in various leadership positions at Sutter’s Palo Alto Medical Foundation for the last 18 years, focusing on culture optimization, clinical quality and operations, strategic planning and growth. Dr. Hernandez most recently served as chief medical officer of the Palo Alto Foundation Medical Group. Dr. Hernandez began his new role on Oct. 16.
About Sutter Health
Sutter Health’s integrated, not-for-profit system of associated clinicians, employees and volunteers support more than 3 million patients in diverse communities across two dozen counties. Headquartered in Northern California, Sutter provides access to high quality, affordable care through its hospitals, medical foundations, ambulatory surgery centers, urgent and walk-in care centers, telehealth, home health and hospice services.
More than 85,000 Kaiser Permanent healthcare workers win landmark new contract
On heels of historic strike, on-the-ground engagement from Acting U.S. Labor Secretary Julie Su helped bring sides to agreement
Frontline healthcare workers secure deal for critical workforce investments that bolster patient care
The 4-year tentative agreement increases wages, expands job training, and improves performance sharing plan; now goes to employees for ratification
From Coalition of Kaiser Permanente Unions:
LOS ANGELES – More than 85,000 Kaiser Permanente healthcare workers reached a historic tentative agreement today for a new contract that will bolster patient safety and make critical investments in the healthcare workforce at hundreds of Kaiser facilities across California, Colorado, Oregon, Washington, Hawaii, Maryland, Virginia, and the District of Columbia.
The deal was reached on the heels of Acting U.S. Labor Secretary Julie Su traveling back to her home state of California to engage in the most recent talks. Su arrived Thursday evening to successfully help the sides bridge the gap on key lingering issues.
“We’re incredibly grateful to acting U.S. Labor Secretary Julie Su and the Biden administration for supporting workers’ right to collective bargaining. Acting Secretary Su was instrumental in advancing talks and helping to facilitate a successful conclusion to these negotiations,” said Sarah Levesque, Secretary-Treasurer of OPEIU Local 2.
“What the parties have achieved here in Oakland demonstrates, once again, that collective bargaining works. When workers have a voice and a seat at the table, it can result in historic gains for workers, their employer, and our country,” said Acting Secretary of Labor Julie A. Su. “The President and I congratulate the parties on reaching a mutually beneficial deal that delivers important stability for this critical workforce, for Kaiser Permanente, and for the patients in their collective care.”
The landmark deal follows months of tireless advocacy from thousands of frontline healthcare workers.
“This deal is life-changing for frontline healthcare workers like me, and life-saving for our patients,” said Yvonne Esquivel, a pediatric medical assistant at Kaiser Permanente in Gilroy, California. “Thousands of Kaiser healthcare workers fought hard for this new agreement, and now we will finally have the resources we need to do the job we love and keep our patients safe.”
Details of the tentative agreement include:
Addressing the staffing crisis by raising wages by 21% over four years to better retain current healthcare workers
Establishing a new healthcare worker minimum wage – $25/hr in California and $23/hr in other states where Kaiser Permanente operates
Protective terms around subcontracting and outsourcing, which will keep experienced healthcare workers in jobs and provide strong continuity of care for patients
A wide variety of initiatives to invest in the workforce and address the staffing crisis, including streamlining hiring practices, increased training and education funding, mass hiring events, and a commitment to upskill existing workers and invest in the training of future healthcare workers.
“Millions of Americans are safer today because tens of thousands of dedicated healthcare workers fought for and won the critical resources they need and that patients need,” said Caroline Lucas, Executive Director of the Coalition of Kaiser Permanente Unions. “This historic agreement will set a higher standard for the healthcare industry nationwide.”
In California, the tentative deal has set a new potential bar for negotiations already underway at Prime Healthcare and other area health systems. Nearly 2,000 Prime workers are concluding a five day unfair labor practice strike today as their management threatens and intimidates workers, and refuses to bargain in good faith to fix unsafe working and patient care conditions caused by the short-staffing crisis.
The Coalition of Kaiser Permanente Unions represents 85,000 Kaiser healthcare workers in seven states and the District of Columbia. In April, the Coalition began its national bargaining process ahead of the September 30th contract expiration. The Coalition and Kaiser Permanente had last negotiated a contract in 2019, before healthcare workers found themselves on the frontlines of the COVID pandemic that has worsened working conditions and exacerbated a healthcare staffing crisis.
From Wednesday, October 4 to Saturday, October 7, 75,000 Kaiser healthcare workers held an unfair labor practice strike. The actions, led by workers across multiple states and in Washington, D.C., constituted the largest strike of healthcare workers in U.S. history. On October 9, Coalition unions issued a second 10-day notice for a strike that would have commenced on November 1 and included an additional 3,000 healthcare workers in Seattle.
Frontline healthcare workers in the Coalition of Kaiser Permanente Unions are expected to begin voting to ratify the agreement starting October 18.
Kaiser Also Announces Agreement
OAKLAND, Calif. – Kaiser Permanente and the Coalition of Kaiser Permanente Unions are pleased to jointly announce that in the early hours of October 13, 2023, we reached a tentative agreement for a renewed National Agreement, bringing the nearly seven months of contract negotiations to conclusion.
The Coalition and Kaiser Permanente wish to thank Acting U.S. Secretary of Labor Julie Su for her instrumental involvement in bringing negotiations to a close.
The tentative agreement now goes to the more than 85,000 Kaiser Permanente employees who are represented by Coalition unions for ratification. The ratification process will begin October 18. Once ratified, the agreement will have an effective date of October 1, 2023.
The new 4-year agreement will offer Coalition-represented employees competitive wages, excellent benefits, generous retirement income plans, and valuable job training opportunities that support their economic well-being, advance our shared mission, and keep Kaiser Permanente a best place to work and receive care.
The tentative agreement:
Establishes new minimum wages over three years for Coalition-represented employees, that will reach $25/hour in California and $23/hour in other states where Kaiser Permanente operates
Provides guaranteed across-the-board wage increases totaling 21% over four years
Enhances employees’ Performance Sharing Plan with minimum payout opportunities and a substantial maximum payout opportunity
Increases investments in professional development and job training, and includes other initiatives to help address the staffing crisis in health care
Further details of the agreement will be made available later.
The Coalition unions have withdrawn their notices for a November strike.
About the Coalition of Kaiser Permanente Unions
The Coalition of Kaiser Permanente Unions unites more than 85,000 health care workers at Kaiser Permanente facilities in California, Colorado, Oregon, the District of Columbia, Hawaii, Maryland, Virginia, and Washington.
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.7 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. For more information visit about.kp.org.
Kaiser Permanente “will continue to bargain in good faith with the Coalition”
By Allen D. Payton
Ahead of continued negotiations scheduled for Thursday and Friday the Coalition of Kaiser Permanente Unions issued the following press release on Tuesday, October 10, 2023:
As an acute and dire staffing crisis continues at hundreds of their facilities, Kaiser executives have been served official notice that another significant work action by their employees could be possible from November 1 to November 8, 2023. Those employees remain concerned about unsafe staffing levels, the company’s labor law violations, securing adequate wages to stay on the job and attract new workers, and the company’s outsourcing threats against workers just recently hailed as heroes during the COVID-19 pandemic.
Outsourcing, in particular, has emerged as a major sticking point in negotiations, as Kaiser executives have refused to agree to common sense limitations on subcontracting and outsourcing, which keep experienced healthcare workers in jobs and provide strong continuity of care for patients.
“It’s simple: Kaiser executives need to be investing in healthcare workers right now amidst this short staffing crisis, not discarding them through a variety of expensive outsourcing schemes,” said Tamara Chew, a Healthcare Plan Representative, Kaiser Permanente, Roseville. “I can’t understand why anyone in the Kaiser boardroom thinks corporate outsourcing threats are the way to treat a workforce that just a short time ago were being hailed as heroes.”
Frontline healthcare workers say they will wait until November 1 for any potential further strike action, when an additional contract covering workers in Seattle expires, and to give Kaiser executives more time to organize themselves around viable proposals. The Seattle contract’s expiration on October 31, 2023 at midnight would enable another 3,000 healthcare workers also impacted by the Kaiser short staffing crisis to join strike lines in another major west coast metropolitan area. Workers in southern Washington state were part of the initial wave of action, and now those actions could be taking place at Seattle facilities, representing a significant potential expansion of the labor actions at Kaiser. Seattle is one of Kaiser’s newer emerging markets and an area that has been targeted by the company for future corporate growth.
If healthcare workers strike again on November 1, the strike will begin at 6 AM local times and continue until November 8, 6 AM local times.
Healthcare workers have made clear they hope not to strike again and that while taking the legal steps necessary to prepare for that possibility, they are primarily focused on encouraging Kaiser executives to follow the law and to listen to the needs of patients and healthcare workers who are buckling under the current short staffing crisis within Kaiser facilities. Bargaining resumes on October 12 and October 13.
“For months, Kaiser executives failed to listen to the feedback from frontline healthcare workers about the need for executives to follow the law in negotiations and about the impacts that the Kaiser short staffing is having on patients,” said Caroline Lucas, Executive Director of the Coalition of Kaiser Permanente Unions. “This week, Kaiser executives will have another opportunity to listen to frontline staff, to follow the law in formal discussions, and to begin investing in ways that will solve the Kaiser short staffing crisis.”
The Kaiser workers are united within the Coalition of Kaiser Permanente Unions, a coalition of eleven unions that spans Washington, D.C. to the U.S. West Coast.
That coalition expects to hold a media briefing following the conclusion of this Friday’s negotiation sessions, unless those sessions continue further into the weekend, at which time an alternate briefing time may be announced.
Similar to the first strike, a potential second strike would involve workers from Kaiser facilities in California, Colorado, Washington, Oregon, Virginia, and Washington, D.C.
It would include frontline healthcare workers employed as registered nurses, licensed vocational nurses, emergency department technicians, radiology technicians, ultrasound sonographers, teleservice representatives, respiratory therapists, x-ray technicians, optometrists, certified nursing assistants, dietary services, behavioral health workers, surgical technicians, pharmacists and pharmacy technicians, transporters, home health aides, phlebotomists, medical assistants, dental assistants, call center representatives, and housekeepers, among hundreds of other positions.
Background:
The Coalition of Kaiser Permanente Unions represents 85,000 Kaiser healthcare workers in seven states and the District of Columbia. In April, the Coalition began its national bargaining process ahead of the September 30th contract expiration. On September 22nd, Coalition unions representing 75,000 Kaiser healthcare workers gave Kaiser executives 10-day notices for an unfair labor practice strike beginning Oct. 4. Last week’s actions led by workers across multiple states and in Washington, D.C. constituted the largest strike of healthcare workers in U.S. history, running from Wednesday, October 4 – Saturday, October 7, as frontline healthcare workers from hundreds of Kaiser facilities took to picket lines decrying the company’s unfair labor practices and chronic short staffing practices. On October 9, Coalition unions issued a second 10-day notice for a strike that may commence on November 1. The Coalition and Kaiser Permanente last negotiated a contract in 2019, before healthcare workers found themselves on the frontlines of the COVID pandemic that has worsened working conditions and exacerbated a healthcare staffing crisis.
At issue, healthcare workers say, are a series of unfair labor practices related to bargaining in bad faith, along with simmering staff concerns related to unsafe staffing levels that can lead to dangerously long wait times, mistaken diagnosis, and neglect. Outsourcing threats by Kaiser executives have also emerged as a sticking point in negotiations. After years of the COVID pandemic and chronic understaffing, Kaiser healthcare workers are calling on management to provide safe staffing levels.
Workers say that Kaiser is committing unfair labor practices and also that understaffing is boosting Kaiser’s profits but hurting patients. In arecent survey of 33,000 employees, 2/3 of workers said they’d seen care delayed or denied due to short staffing. After three years of the COVID pandemic and chronic understaffing, healthcare workers at Kaiser Permanente are calling on management to provide safe staffing levels.
Kaiser has reported $3 billion in profits in just the first six months of this year. Despite being a non-profit organization – which means it pays no income taxes on its earnings and extremely limited property taxes – Kaiser has reported more than $24 billion in profit over the last five years. Kaiser’s CEO was compensated more than $16 million in 2021, and forty-nine executives at Kaiser are compensated more than $1 million annually. Kaiser Permanente has investments of $113 billion in the US and abroad, including in fossil fuels, casinos, for-profit prisons, alcohol companies, military weapons and more.
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Kaiser Responds
In response, Kaiser Permanente issued the following statement: “We have received notice from the Coalition of Kaiser Permanente Unions for a potential second strike, beginning November 1 to November 8. We are scheduled to return to the bargaining table on October 12 and Kaiser Permanente remains committed to reaching an agreement that is good for our employees, our members, and our organization, and we will continue to bargain in good faith with the Coalition.”
The Coalition of Kaiser Permanente Unions unites more than 85,000 healthcare workers at Kaiser Permanente facilities in California, Colorado, Oregon, the District of Columbia, Hawaii, Maryland, Virginia, and Washington.
Healthcare workers participate in the strike at Kaiser Permanente’s Antioch Medical Center on Tuesday, Oct. 3, 2023. Photos by Allen D. Payton
Largest healthcare worker strike in U.S. history spans hundreds of hospitals and facilities across the nation including Antioch
Outsourcing and under-staffing emerge as key sticking points
Bargaining scheduled to continue Oct. 12
On Friday morning, October, 6, 2023, SEIU-United Health Workers union issued the following announcement:
More than 75,000 Kaiser Permanente workers in multiple states are continuing their historic three-day strike to protest unfair labor practices and Kaiser executives’ failure to bargain in good faith over unsafe staffing levels and outsourcing protections at hundreds of Kaiser hospitals and facilities across the United States.
In Contra Costa County, the strike includes workers at Kaiser facilities in Antioch, Richmond and Walnut Creek. During the strike at Antioch Kaiser, today – part of a nationwide action – Antioch resident Angela Glasper, who has been a Kaiser employee for 35 years working as an optical services clerk, said, “We’re not backing down.”
The strike at Kaiser facilities expanded from coast to coast this week, following months of bad faith bargaining activity by Kaiser executives and repeated appeals by frontline workers for Kaiser executives to make the kinds of investments in staffing that could help stem employee turnover and reduce growing patient wait times.
The strike began in DC and VA at 6AM ET on Wednesday morning at 6AM EST, expanded to CO at 6AM MT, then culminated with tens of thousands of workers striking in CA, OR, and WA at 6AM PT. It is already the largest healthcare worker strike in U.S. history. The current strike is expected to conclude on Saturday, October 7, 2023 at 6:00 A.M. It is possible that the coalition will issue a 10-day strike notice after Saturday, which could lead to further striking by Kaiser employees after those ten days if Kaiser executives continue to commit unfair labor practices and bargain in bad faith.
Additional bargaining sessions were scheduled by the parties this morning for the dates of Thursday, October 12 and Friday, October 13, 2023.
Kaiser Permanente confirmed that in the following statement issued Friday morning, Oct. 6: “The next bargaining session has been scheduled to begin on October 12. We look forward to reaching a new agreement that continues to provide our employees with market-leading wages and benefits, and ensures our high-quality care is affordable and available to meet our members’ needs.”
Outsourcing of critical healthcare duties has become a key sticking point in negotiations in recent days, as Kaiser executives have refused to put limitations on subcontracting and outsourcing, which keep experienced healthcare workers in jobs and provide strong continuity of care for patients.
“Now more than ever Kaiser Permanente needs to retain and attract qualified healthcare professionals. Outsourcing and subcontracting would have the opposite effect,” said Kathleen Coleman, Medical Assistant Message Management, Arapahoe Primary Care in Colorado.
“Frontline healthcare workers continue to await meaningful action by Kaiser executives to address our key priorities, including safe staffing, outsourcing protections for incumbent healthcare workers, and fair wages to reduce turnover,” said Gwendolyn Holloway, a Contact Lens Technician at Kaiser Permanente Vallejo Medical Center.
Workers on strike include those employed as licensed vocational nurses, emergency department technicians, radiology technicians, ultrasound sonographers, teleservice representatives, respiratory therapists, x-ray technicians, optometrists, certified nursing assistants, dietary services, behavioral health workers, surgical technicians, pharmacists and pharmacy technicians, transporters, home health aides, phlebotomists, medical assistants, dental assistants, call center representatives, and housekeepers, among hundreds of other positions.
WHAT: 75,000 healthcare workers are on strike at Kaiser Permanente hospitals across the U.S.
WHEN: Today, Friday, October 6th, 2023 @ 6AM – Afternoon times TBD
WHERE: Hundreds of Kaiser Permanente hospitals and facilities in California, Colorado, Washington, Oregon
CONTRA COSTA COUNTY
ANTIOCH: Kaiser Permanente Antioch Medical Center, 4501 Sand Creek Road, Antioch
RICHMOND: Kaiser Permanente Richmond Medical Center, 901 Nevin Avenue, Richmond
WALNUT CREEK: Kaiser Permanente Walnut Creek Medical Center, 1425 S Main Street, Walnut Creek
BACKGROUND
The Coalition of Kaiser Permanente Unions represents 85,000 Kaiser healthcare workers in seven states and the District of Columbia. In April, the Coalition began its national bargaining process ahead of the September 30th contract expiration. On Sept. 22, Coalition unions representing 75,000 Kaiser healthcare workers gave Kaiser executives 10-day notices for an unfair labor practice strike beginning Oct. 4. The Coalition and Kaiser Permanente last negotiated a contract in 2019, before healthcare workers found themselves on the frontlines of the COVID pandemic that has worsened working conditions and exacerbated a healthcare staffing crisis.
At issue, healthcare workers say, are a series of unfair labor practices related to bargaining in bad faith, along with simmering staff concerns related to unsafe staffing levels that can lead to dangerously long wait times, mistaken diagnosis, and neglect. After years of the COVID pandemic and chronic understaffing, Kaiser healthcare workers are calling on management to provide safe staffing levels.
Workers say that Kaiser is committing unfair labor practices and also that understaffing is boosting Kaiser’s profits but hurting patients. In arecent survey of 33,000 employees, 2/3 of workers said they’d seen care delayed or denied due to short staffing. After three years of the COVID pandemic and chronic understaffing, healthcare workers at Kaiser Permanente are calling on management to provide safe staffing levels.
Kaiser has reported $3 billion in profits in just the first six months of this year. Despite being a non-profit organization – which means it pays no income taxes on its earnings and extremely limited property taxes – Kaiser has reported more than $24 billion in profit over the last five years. Kaiser’s CEO was compensated more than $16 million in 2021, and forty-nine executives at Kaiser are compensated more than $1 million annually. Kaiser Permanente has investments of $113 billion in the US and abroad, including in fossil fuels, casinos, for-profit prisons, alcohol companies, military weapons and more.
The Coalition of Kaiser Permanente Unions unites more than 85,000 healthcare workers at Kaiser Permanente facilities in California, Colorado, Oregon, the District of Columbia, Hawaii, Maryland, Virginia, and Washington.
