Kaiser

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4-Year Contract Dispute Between Kaiser, NUHW Thaws; Union ‘Hopeful’

(Ted Eytan/Flickr)

(Ted Eytan/Flickr)

For more than four years, the National Union of Healthcare Workers, representing 2,600 Kaiser mental health clinicians in California, has been in a small war with the health care giant.

NUHW members have gone on strikes of varying lengths three times over what it says are lengthy delays in providing care to mental health patients.

In 2011, the union filed a 34-page complaint with the California Department of Managed Health Care alleging Kaiser’s mental health services were “sorely understaffed and frequently fail to provide timely and appropriate care.” Continue reading

Calif. Calls Kaiser Mental Health Services ‘Inadequate’ as Treatment Delays Persist

Kaiser Permanente’s medical center in Oakland. (Lisa Aliferis/KQED)

Kaiser Permanente’s medical center in Oakland. (Lisa Aliferis/KQED)

A teenager with major depression and thoughts of suicide is forced to wait 24 days for an initial appointment.

A sexual assault victim, diagnosed with PTSD and major depression, sends numerous emails requesting individual psychotherapy, only to have her psychiatrist suggest she should get outside help at her own expense because no weekly appointments are available. Total time between appointments: Five months.

Following up on a survey that resulted in a $4 million fine against the HMO in 2013.  

A patient deemed high-risk for domestic abuse doesn’t show up for appointments, but mental health staff do not attempt contact. The couples therapy called for in his treatment plan does not occur. Domestic violence resulting in severe injury ensues. The man then tries to make an appointment but can’t get one.

Continue reading

Kaiser Nurses Reach Agreement, Call Off Strike

Nurses carry signs as they strike outside of Kaiser Permanente hospital in San Francisco last week. (Justin Sullivan/Getty Images)

Kaiser nurses staged a two-day strike in November, citing concerns about Ebola preparedness. (Justin Sullivan/Getty Images)

The California Nurses’ Association has called off a two-day strike scheduled to begin Wednesday after reaching a tentative agreement with Kaiser Permanente on a new three-year contract.

The nurses’ bargaining team is recommending ratification of the proposed contract that would affect 18,000 registered nurses and nurse practitioners at 86 Kaiser sites throughout Northern and Central California.

“It’s really, really a good deal,” said Diane McClure, a nurse at Kaiser’s South Sacramento facility and a member of the bargaining team, adding that the strike threat strengthened the nurses’ position with Kaiser. “They saw the momentum the nurses had. They didn’t want us out in the public, because they knew the public was behind us.”

Kaiser issued a statement saying it was pleased with the economic priorities accomplished by the agreement, including “slowing the growth of our long-term liabilities,” and offering benefits to nurses that are “consistent with our commitment to affordability.” Continue reading

Kaiser Mental Health Workers Launch 7-Day Strike

Kaiser Permanente’s medical center in Oakland. (Lisa Aliferis/KQED)

Kaiser Permanente’s medical center in Oakland. (Lisa Aliferis/KQED)

By April Dembosky

Mental health clinicians at Kaiser are walking off the job Monday, commencing a week-long, statewide strike. Their main complaint: Kaiser isn’t hiring enough therapists and psychologists to see patients in a timely manner.

But the strike also comes after four years of contract negotiations between Kaiser and the National Union of Healthcare Workers have yielded few agreements.

“We’ve tried one and two day actions in the past. Kaiser is not paying attention to that,” says Clement Papazian, a social worker at Kaiser and a local union representative. “We feel like it’s the appropriate time to escalate these actions.”

Kaiser called the strike “unnecessary and counterproductive.”

John Nelson, Kaiser’s vice president of government relations, says the the hospital system is meeting its patients’ mental health needs, even after Kaiser has taken on thousands of new patients under the Affordable Care Act.

“Since 2011, we’ve grown membership by eight percent in California. We’ve increased the number of therapists in California who work at Kaiser Permanente by 25 percent,” Nelson said. “That’s quite an accomplishment.” Continue reading

Study: Western States Eliminate Race Gap on Key Health Measures

Researchers looked at how effectively patients had their blood pressure, blood sugar and cholesterol controlled. (Getty Images)

Researchers looked at how effectively patients had their blood pressure, blood sugar and cholesterol controlled. (Getty Images)

A major new study looking at health disparities across the U.S. finds that significant gaps in managing heart disease and diabetes persist — except in Western states, where the gap has been eliminated.

‘It’s possible to eliminate deeply ingrained racial disparities.’
Researchers at the University of Michigan and Harvard University looked at 100,000 Medicare patients who were enrolled in HMOs, called “Medicare Advantage” plans, from 2006 to 2011. While management of blood pressure, cholesterol and blood sugar improved overall, blacks “substantially” trailed whites everywhere except the Western U.S., an area from the Rocky Mountains to the Pacific, as well as Alaska and Hawaii.

“We were certainly hoping we would see indications of progress in eliminating disparities in the country as a whole,” said lead author Dr. John Ayanian, who heads the Institute for Healthcare Policy and Innovation at the University of Michigan. He said that while it was “disappointing” that disparities persisted, “it’s also heartening to see that … in the West, the disparities had been eliminated, and that was both surprising and encouraging.” Continue reading

Kaiser Mental Health Clinicians Authorize Strike

Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED)

Kaiser Permanente’s newly opened medical center in Oakland. (Lisa Aliferis/KQED)

A union of 2,500 mental health clinicians at Kaiser have voted to authorize a strike, just one week after Kaiser’s nurses went on strike for two days.

In September, Kaiser agreed to pay a $4-million fine levied by state regulators. The Department of Managed Health Care found patients were subject to excessively long wait times to get a therapy appointment, or were shuttled into groups when they wanted individual therapy.

Psychiatric social worker Clement Papazian says various fixes, like after-hours appointments, still aren’t meeting demand. Continue reading

Kaiser Nurses Plan 2-Day Strike: Premature Move or Strategic Step?

Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED)

Kaiser’s Oakland Medical Center. (Lisa Aliferis/KQED)

As many as 18,000 Kaiser Permanente nurses are preparing for a two-day strike that will start Tuesday. Nurses plan to leave their posts at 7 a.m. and picket outside 21 medical centers and clinics across Northern California.

The placards nurses carry and the chants they repeat will say little about salaries or pensions. No economic proposals have even been put on the bargaining table yet.

“This seems awfully quick to go to a strike,” says Joanne Spetz, an economics professor at the UC San Francisco School of Nursing. “I can’t recall a situation where a strike has come up where there has not been some kind of disagreement about wages and benefits as part of the package.” Continue reading

Ebola Now an Issue in Nurses’ Contract Bargaining

(Centers for Disease Control via Getty Images)

(Centers for Disease Control via Getty Images)

Nurses’ calls for better hospital preparation around Ebola have landed on the bargaining table. California’s powerful nurses’ union has been bargaining with Kaiser Permanente for months over a new contract, and is now adding to its list of demands better training, protection, and insurance coverage for nurses who may treat patients infected with Ebola.

Diane McClure, a nurse at Kaiser’s South Sacramento facility, says nurses still had no meaningful training more than a month after a patient was admitted to the hospital for a potential Ebola infection, though he later tested negative for the virus.

“Kaiser felt all they had to do was pull up some CDC flyers and put them on the lunchroom tables or up in the bathrooms,” she says. Continue reading

Kaiser Agrees to Pay $4 Million Fine Over Mental Health Care

Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)

Kaiser had been fighting the fine, levied last year by the California Department of Managed Health Care. (Ted Eytan/Flickr)

Kaiser Permanente agreed to pay a $4 million fine over claims that it did not provide adequate access to mental health care services for its patients.

The state’s Department of Managed Health Care levied the fine last year, citing survey results that indicated patients had to wait excessively long periods between therapy appointments, and that they were effectively dissuaded from seeking individual treatment.

Kaiser had contested the fine, calling it “unwarranted and excessive.” The two parties were scheduled to give opening statements before an administrative law judge on Tuesday in Kaiser’s appeal, but Kaiser faxed a letter to the court Monday evening saying it will pay the full fine, and asked the judge to dismiss the case. Continue reading

Kaiser Therapists, Patients Allege Long Waits for Mental Health Care

Kaiser Permanente’s newly opened medical center in Oakland. (Lisa Aliferis/KQED)

Kaiser Permanente’s newly opened medical center in Oakland. (Lisa Aliferis/KQED)

One month, three months, even five months.

That’s how long some Northern California Kaiser patients wait to see an individual therapist — according to many Kaiser patients and therapists.

KQED’s Jon Brooks has reported extensively on this issue over the last two months. He talked to close to two dozen therapists and patients who said that they were experiencing long wait times. One therapist whose specialty is geriatric care told him that she had written to her superiors saying, “I can’t tell a patient that has six months to live that I’ll see them in five months.” Continue reading