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MNA NewsScan, May 15, 2013: RN supply/demand gap to be 1.2M by 2020

15 May

NOTES ON NURSING

Federal Report Shows Wide Disparity in Nursing Supply   The U.S. Nursing Workforce Report issued by the Health Resources and  Services Administration National Center for Health Workforce Analysis predicts continuing shortages as more than 500,000 RNs are expected to retire within the next seven years.

HEALTH CARE

One-Third of Patients Willing to Change Doctors to Save Money Respondents also were asked how much money they would need to save annually to make that switch. Thirty-four percent thought keeping down out-of-pocket insurance costs was more important than retaining their doctors.

Angelina Jolie:  My Medical Choice   It has got to be a priority to ensure that more women can access gene testing and lifesaving preventive treatment, whatever their means and background, wherever they live. The cost of testing for BRCA1 and BRCA2, at more than $3,000 in the United States, remains an obstacle for many women.  Related:  Jolie’s Procedure Shows Harsh Choices Women Face   The $3,000 cost of the screening test may be an “obstacle for many women” without health insurance,

California Hospital Charges are 4.5 Times Their Cost    The hospital industry typically seeks to dismiss reports on the massive disparity between its costs and charges insisting that few actually pay the “list” price, and insists the charges are “random” when in fact there are distinct patterns in the pricing practices.   Related:  Miami Hospitals Plan to Release More Cost Data    Once a closely-held competitive secret, hospital prices are beginning to shake loose from the grips of healthcare executives in the wake of last week’s unprecedented move by the federal government to publicly share what hospitals bill Medicare for the most common diagnoses and treatments.

LABOR UPDATES

Record Debate Yields Victory for Care Workers’ Unionization   An all-night, 17-hour debate prompted by furious GOP opposition ended with a victory for unions seeking to organize care-workers on Wednesday.

MNA NewsScan, May 13, 2013: Fund set for RNs, colleagues lost in limo fire; ND highest in worker death

13 May

NOTES ON NURSING

Angels Fund Set Up for RNs and Co-Workers Lost in Limo Fire   This year’s Nurses Week was sadly darkened by the death of two RNs and three other caregivers in a tragic limousine fire on the San Mateo Bridge in the San Francisco Bay Area.

UMass Nurses Will Strike Over Poor Patient Care Conditions    After posting more than $88 million in profits, UMass Memorial Medical Center has slashed its nursing and support staff in the last two years.

LABOR UPDATES

Dairy Queen Offers Grads Their First Job – Without Pay    Edina-based Dairy Queen is giving new college grads the chance to shill for its Orange Julius brand.

North Dakota Leads Nation in Rate of Worker Deaths   North Dakota had a workplace fatality rate that was more than three times greater than the national average and more than five times greater than Minnesota’s rate.

HEALTH CARE

Health Care Plan Needed for End of Life   Never in human existence has dying been more complicated. Before the onset of modern medicine, most people died quickly from an acute event such as trauma or the effects of infection. Today most deaths are a slow process of decline.

The Skyhigh Price of Chemotherapy:  Why Do Cancer Drugs Cost So Much?  Overall, cancer drug prices are skyrocketing. Of the 12 drugs approved by the Food and Drug Administration for various cancer conditions in 2012, 11 were priced above $100,000 for a year of treatment.

Study:  Nearly One-Third of All Death Certificates Are Wrong   As to why doctors were reporting inaccurate causes of death, it actually appears to be a weirdly bureaucratic reason: Three-quarters said the system they use in New York City would not accept what they thought to be the real cause of death.

MNA NewsScan, May 8, 2013: Kaiser battle=sign of vibrant HC unions

8 May

Nurses-Week

NOTES ON NURSING

HHS Secretary Sebelius Hails Nurses   National Nurses Week gives us a chance to recognize the contribution of the health care providers at the heart of our health care system.  Every day, nurses provide leadership, innovation and advocacy to meet the health care needs of Americans.

Advanced Nurses Lower Costs, Improve Care   Studies find that Advanced Practice Registered Nurses who provide preventive  care are as effective as primary-care physicians in accuracy of diagnosis and  prescription.

LABOR UPDATES

The Labor Market Won’t Be Healthy Until People Feel Like they Can Quit Their Jobs  The unemployment rate may be falling and the number of jobs rising. But there isn’t enough “churn” going on, a hallmark of a healthy job market, in which people freely move between positions.

Daily Job Death Toll:  150 Workers    The report finds that along with the 4,693 workers killed on the job in 2011 (about 13 a day)—the last figures available from the U.S. Bureau of Labor Statistics (BLS)—an estimated 50,000 workers a year (about 137 a day) die from occupational diseases. In addition, some 3.8 workers are reported to suffer job-related injuries or illnesses each year.

Battle at Kaiser Permanente is Sign of Vibrant Health Care Unions   “The old image is of a union worker being a steel worker or an auto worker but the typical person today is a teacher, nurse, firefighter or airline pilot. Nurses are one of the most unionized groups in society,” said Alex Colvin, who chairs the labor relations department at Cornell University. “This isn’t an area where unions are dying.”

HEALTH CARE

Slowdown in Rise of Health Care Costs May Persist    David M. Cutler estimates that, given the dynamics of the slowdown, economists might be overestimating public health spending over the next decade by as much as $770 billion.  Related:  Structural Changes May Be Foundation for Containment 

Same Procedure, $30K Difference in Hospital Billing   For the first time, the federal government has released the prices that hospitals charge for the 100 most common inpatient procedures. Until now, these charges have been closely held by facilities that see a competitive advantage in shielding their fees from competitors. What the numbers reveal is a health-care system with tremendous, seemingly random variation in the costs of services.

Mankato Nurses Way Ahead in Organizing

7 May
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First MAT training for Mankato nurses=full house

Next time, they’ll rent a bigger room.  Maybe a movie theater.

More than 60 nurses from the Mayo Clinic Health System-Mankato showed up for trainings and organizing planning meetings to prepare for negotiations with management later this month.

Nurses showed up over two days to sign upwork with groups of 10 nurses to gather input and organize actions in the lead up to their upcoming contract negotiations through Member Action Teams (MAT).

MAT members will also be a voice of their colleagues upwards through the bargaining team so those at the table understand what’s most important for nurses in their next contract.   Nurses are driven by staffing shortages that threaten patient safety and continues to be a major issue.  Some have received more than five texts a day to pick up shifts.

“I go out and touch base with members, and they contact me,” said David Nachreiner, bargaining team chair,  “it’s an absolutely united group that’s bringing concerns to the meetings.  We all care about patient safety.”

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Kris Stenzel talks to a full house.

Nurses mapped the entire hospital up floor-by-floor to ensure that no part of the bargaining unit would be left out of important bargaining news or events or would be susceptible to bad information from rumor or management misinformation.  They’ve also created a unit website that contains specific contract language and a link to email the entire bargaining unit with questions about their major issues.

“We want a safe work environment.  We want enough staff members to be able to do the job that has to be done, which is taking care of patients and to do it safely,” Nachreiner said.

They also made plans for events over the summer to show support for one another at the bargaining team during negotiations, including a family day at the Mankato Moon Dogs.  So far, six negotiating dates have been scheduled.

“We’re prepared to stand together,” Nachreiner said.

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Serious talk by Mankato nurses about unsafe staffing situation

HealthEast Home Care nurses get support in quest for contract

26 Apr
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MNA’s E & GW Commissioners stand behind HealthEast Home Care nurses

The bargaining team for HealthEast’s Home Care nurses got a boost from MNA’s E & GW Commissioners who joined them at the table on Wednesday.  The Commissioners came to show the 68-member bargaining unit and management that MNA’s 20,000 members are standing with them in their fight to achieve a first contract.

After observing negotiations over this one particular morning, it became apparent to commissioners that HealthEast administrators are playing games in the talks and hiding behind their attorney to avoid working out a fair contract.  Jennifer Michelson, chair of the E & GW Commission, said administration is disrespecting HealthEast Home Care nurses by refusing to agree to basic provisions that are part of every union contract.

“They wouldn’t even make eye contact with their own nurses.  They wouldn’t make eye contact with us,” Michelson said, “They have no intention of maintaining what nurses have now as non-contract employees.”

Nurses at HealthEast Home Care are still fighting for basic protections such as a grievance procedure with binding, neutral arbitration as well as “just cause” language that other HealthEast nurses have.

Show of Strength in Duluth Wins Nurses New Contract

25 Apr
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150 nurses and supporters greet St. Luke’s management prior to contract negotiations

St. Luke’s nurses approved a new contract they won after coming to a one-day, wage-only focused negotiations showing they were ready to bargain together after three years of strong member engagement.   The strength of the nurses was apparent even at breakfast.

A hearty “Good morning!” was echoed more than 150 times as Duluth nurses turned out in force in the early morning to welcome St. Luke’s Hospital negotiators to the bargaining table.  They saw nurses from St. Luke’s and from competitor Essentia St. Mary’s as well as their friends, families, fellow union members, and even kids in an impressive display of red filling the hotel hallways.  The big turnout to push for a good contract, however, started well before the day of negotiations and even back to the first day after the last contract was signed in 2010.

Three years ago, St. Luke’s nurses were able to get a Letter of Understanding that staffing issues would be addressed through a thorough review of grids to address shortages.  Nurses continued to worry that their patients were not receiving the best quality to care due to short staffing.

“We did get contract language in our last contract about staffing and ratios, but the hospital has been very slow to implement that,” said Danielle Rodgers, RN at St. Luke’s.

That got nurses talking and organizing.  Together they initiated a petition informing management that staffing levels were still putting patients at risk.  The petition was signed by 330 RNs – more than 75 percent of the unit.

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Hundreds of nurses wore the Q button to show safe staffing is needed on every shift.

Nurses then began a “Q” campaign.   Duluth nurses passed out buttons to their colleagues floor by floor with the medical shorthand for “every” next to staffing to indicate every shift needs to be properly staffed.   Management noticed, but so did patients who didn’t get the lingo.

“A lot of people say ‘that’s excellent,” or “I don’t see why you wouldn’t have standards already.’” said Anna Rathbun, RN in St. Luke’s ICU, “We started the button initiative several months ago, and it stirred up unon talk before negotiations were even being thought of, and I think the fact that so many nurses are wearing the buttons showed solidarity in the hospital.”

Management responded by hiring 20 FTEs, but the message was as clear as the Q on the button-that nurses were still standing together after the 2010 contract was negotiated.

When St. Luke’s management approached nurses with a wages-only negotiations proposal, members in each department went nurse-to-nurse to explain the ramifications.

“We asked our members to vote on focused vs. traditional negotiations,” Rathbun said, “just getting the feel for what nurses felt about it and spreading the word about what’s happening-taking their temperature.”

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Even future MNA members showed up to support St. Luke’s team

The strong turnout for that vote indicated that yes, nurses would be willing to negotiate wages only.  The established network that was set up to address staffing was now able to turn its efforts to bring out nurses for St. Luke’s wages.

After the “Good morning” event, St. Luke’s post-op nurse, Erin Behling, read a statement that whatever their offer, it will be considered representative of what hospitals think of nurses and the work they do. The crowd of 150 applauded Behling then filed out to let the bargaining teams go to work.

“I think it set a tone that we were not alone as a negotiating team. We were representing a much larger group that was interested and concerned about what was going on at the table,” said Kate Donovan, RN, a nurse in St. Luke’s Med/Surg unit and a three-year veteran of negotiations.

Because they kept up the pressure, nurses received 4.5 percent over three years, and the offer came less than four hours after negotiations began. That deal was ratified a week later by a majority of nurses at St. Luke’s.

“The solidarity and support of all of the unions at negotiations was absolutely crucial to get the settlement that we reached.  The sea of red was absolutely empowering to those of us at the bargaining table and gave us confidence that we would get the agreement we needed to pass,” said bargaining team member Cindy Prout, RN.

Duluth nurses plan to show up united again when Essentia St. Mary’s enters negotiations later this year.

“Duluth’s a total unit.  We’re all MNA.  We’re going to fight for patients. We’re all strong. We’re all fighters,” said Behling.

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Hospital negotiators meet a sea of red prior to negotiations.

MNA NewsScan, April 24, 2013: CA adjusting well with state-mandated RN staffing levels

24 Apr

NOTES ON NURSING

Nurses Fight State by State for Minimum Staffing Laws   Legislatures in at least seven states and the District of Columbia are trying to answer that question as they debate bills that would require hospitals to have a minimum number of nurses on staff at all times.

Ruling:  MI Hospital Cheated Nurses Out of Proper Pay   McLaren Lapeer Region improperly cut the wages of 51 registered nurses and must pay them tens of thousands of dollars in back pay, an arbitrator has ruled.

LABOR UPDATES

Minnesota’s Pay Equity Laws Have Bridged Gap for Women   Fifty years after Congress passed the Equal Pay Act, women still make less than men. Except in Minnesota. For public employees, there is no pay gap. It didn’t happen by accident.

Reeling Elsewhere, Labor Poised for Minnesota Gains    As economic changes batter organized labor nationwide, eroding its membership and political power, Minnesota has emerged as one of the few places where unions are faring well.

HEALTH CARE

Senate Unveils Mayo’s Destination Medical Center Plans   Rochester residents would be allowed to serve on the authority board overseeing Mayo Clinic’s Destination Medical Center plan under a Senate plan unveiled Monday.

U.S. Hospitals Send Hundreds of Immigrants Back Home    Hundreds of immigrants who are in the U.S. illegally have taken similar journeys through a little-known removal system run not by the federal government trying to enforce laws but by hospitals seeking to curb high costs.

MNA Legislative Update, April 19, 2013

19 Apr

Standards of Care Campaign Update
House File 588 (HF588) passed the full Minnesota House of Representatives 73-58 on Wednesday. There was bipartisan support for our bill to require the Department of Health to study the correlation between staffing and patient outcomes and hospitals to report their staffing quarterly to the public. Take a moment to thank our author and champion Representative Joe Atkins. He has gone to the mat for nurses over and over again because he believes us when we say patients are vulnerable in Minnesota’s hospitals today. His email is rep.joe.atkins@house.mn.   The bill still has to clear one more committee in the Senate. We expect that hearing to take place next week.   We need to reach out to members of the Senate who are still undecided on the bill. Even if you have already contacted your state senator, please reach out again. If you haven’t already, tell your senator why we need to address staffing in Minnesota hospitals, and ask for their support.

Contact your state senator today and ask them to support strong consumer transparency language, nurse staffing reporting and a comprehensive study that gathers real, Minnesota-specific data about the correlation between staffing and health outcomes.    Click here to use the MNA Grassroots Action Center to send an email.    Let your senator know:

  • You’re a nurse
  • Why it is important to shine a light on the correlation between staffing and health outcomes
  • Why better nurse staffing matters to you and your patients

Mayo “Destination Medical Center”
This week the Mayo Clinic returned to the legislature with a revised proposal regarding the state’s contribution to the Destination Medical Center expansion project in Rochester. The new plan in the House requires Rochester and Olmstead County to contribute more to the project, and reduces the state contribution from $585 million to under $400 million.   Last week MNA, along with SEIU Healthcare Minnesota and UNITE HERE, the hotel and restaurant workers union, submitted a letter to legislators raising questions about the project, including seeking more information about what kind of jobs would be created by the expansion, how the project would affect quality of care and Mayo’s obligation to provide charity care. After the release of the new plan, we still haven’t received answers to our questions and will continue to seek information before supporting such a major public investment in a private institution.

Out-of-state purchase of University of Minnesota Hospital
While the Sanford/Fairview merger talks are off, due to the public inquiry into the matter by Attorney General Lori Swanson, the trend of hospital consolidation and corporatization continues. Representative Joe Atkins (DFL- Inver Grove Heights) held a hearing this week on his bill to prohibit the sale of the University of Minnesota hospital to an out-of-state entity. Minnesotans have invested in the University of Minnesota hospital and medical school, and taxpayers deserve to know their investment will continue to serve the interests of Minnesotans, and not be transferred to a for-profit corporation that put profits ahead of patient care and medical education.   The bill passed the House Commerce Committee this week and will move on to the Health and Human Services Policy committee.

State Contract
The contract for over 700 MNA nurses in state facilities was passed by the House on Monday with bipartisan support. Thanks are due to Representative Leon Lillie (DFL-North St. Paul) for all his work on passing the bill in the House.   In the Senate, the contract still has to be passed by the Finance Committee before it goes for a floor vote. In an unprecedented move last session, the same contract, agreed to by both management and employees, was voted down by the Republican-controlled legislature after attacks on public employees all session long. State nurses have gone without a contract for two years, and while this contract will most likely be finalized by the legislature, they will have to start negotiating their next contract immediately, as this one will expire at the end of 2013.

Under the new contract, nurses will receive a 2% wage increase that will be in effect from January – June, 2013.   In addition, the contract calls for tuition reimbursement, bonus pay for extra weekend shifts and charge nurse pay.

Health and Human Services Omnibus Bills
The Governor, Senate and House have all released their Health and Human Services proposals. There are significant differences between the three plans, but we are pleased to see that each plan includes language to keep the state mental health facility in Willmar open. Both the House and Senate plans seek more accountability from Health Maintenance Organizations (HMOs). The House and Senate each propose increase funding for nursing homes, including a Cost of Living Adjustment for nursing home workers, whose wages have been frozen for years.   The bills are working their way through the legislative process and will go to a conference committee in coming weeks to work out differences.

Federal Update MNA nurses are in Washington, DC today with hundreds of NNU nurses from around the country to lobby for the Robin Hood Tax (HR 1579), a federal nurse-to-patient ratio law (S. 739), and collective bargaining rights for Veterans Administration nurses. They are also rallying in Washington, DC to urge the city council to make local hospitals safer by passing the Patient Protection Act.

Standards of Care Act Passes MN House

17 Apr

The Standards of Care Act (HF588) passed the full Minnesota House of Representatives 73-58 earlier this afternoon. There was bipartisan support for our bill to require the Department of Health to study the correlation between staffing and patient outcomes and hospitals to report their staffing quarterly to the public. Can you take a moment to thank our author and champion Representative Joe Atkins? He has gone to the mat for nurses over and over again because he believes us when we say there is a patient safety crisis in Minnesota. His email is rep.joe.atkins@house.mn.

Joe Atkins

Rep. Joe Atkins (DFL-Inver Grove Heights) passed the Standards of Care Act out of the Minnesota House Wednesday

The bill still has to clear one more committee in the Senate. That hearing has not yet been scheduled.

We can’t rest yet. We need to reach out to members of the Senate who are still undecided on the bill. Even if you have already contacted your state senator, please reach out again. If you haven’t already, tell your senator why we need to address staffing in Minnesota hospitals and ask for their support.

Contact your state senator today to ask for support of strong consumer transparency language, nurse staffing reporting and a comprehensive study that gathers real data about the correlation between staffing and health outcomes.

Click here to use the MNA Grassroots Action Center to send an email.

Let your senator know:
·         That you’re a nurse
·         Why it is important to shine a light on the correlation between staffing and health outcomes
·         Why better nurse staffing matters to you and your patients

MNA NewsScan, April 17, 2013: Nurse crisis in NY; Hospitals profit from errors

17 Apr

NOTES ON NURSING

Nurse Crisis in New York   Despite an increase in candidates, the State Nursing Association said hospitals aren’t hiring. In the end, it is hurting patients. State Assemblyman Richard Gottfried is the sponsor of the State Staffing Bill.

What Nurse Jackie Means for America   The reality of health care lurks outside our studio in Queens, New York, and informs some of what the writers create. The relentless money crunches. Corporate overlords coldly pulling strings on delicate medical and staffing decisions. Overcrowded waiting rooms and illogical triage. Communication vacuums between doctor and patient. The constant vulnerability of patients to not only disease, but to the system.

HEALTH CARE

Hospitals Profit From Surgical Errors    Hospitals make money from their own mistakes because insurers pay them for the longer stays and extra care that patients need to treat surgical complications that could have been prevented, a new study finds.

Lawmakers Blast FDA For Meningitis Outbreak Tied to Compounding Pharmacy   House Energy and Commerce Committee members blasted Food and Drug Administration Commissioner Margaret Hamburg on Tuesday for failing to crack down on the compounding pharmacy responsible for a deadly fungal meningitis outbreak last fall despite a history of known problems.

SE MN Now on Hook for More Costs in Mayo Plan  If the Mayo Clinic is to expand in Rochester, city and county residents must contribute a larger share of the $500 million needed for public transit and other improvements, state lawmakers said this week.

Hospitals Lobby Hard for Medicaid Expansion   With billions of dollars at stake, hospitals are lobbying hard for Medicaid expansion in Columbus, Tallahassee and other state capitals where state legislators oppose the extension of the program to some 17 million Americans.

LABOR UPDATES

MNA’s Jean Ross Helps Reintroduce Inclusive Prosperity Act     It’s time for the administration to stand with the people and TAX WALL STREET

Michigan GOP Explores Further Limits on Unions   State Rep. Mike Shirkey, the leading legislative advocate of the right-to-work law, said he has drafted but not filed a bill to eliminate exclusive representation for unions.

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