Counties & Non-Profit Clinics


Resources

Memorial Service for Board Member Deborah (Beth) Brown

July 15, 2015

Where: Congregation Beth Israel Judea, 625 Brotherhood Way, San Francisco (MAP).

When: Sunday, August 2, from 2 pm to 5 pm.

On July 14th, Dr. Deborah (Beth) Brown, San Francisco County physician and long-time secretary of the UAPD Board, passed away.  As a leader in this union, she was known for her deep commitment to serving patients.  She advocated tirelessly so that doctors would be able to provide the best possible care under every circumstance.  At the statewide meeting last year, she received the Sanford A. Marcus Service Award and a proclamation from the City of San Francisco in recognition of her many years of service to the community and this union.  At their next meeting, the UAPD Board will discuss ways to honor Dr. Brown’s memory and her contributions to the union over the years.

Here is a message from her family: Read more …

Santa Cruz Contract Improvements Go Into Effect

July 6, 2015

After several months of re-opener bargaining, the UAPD team signed a Tentative Agreement with Santa Cruz County that was approved by the County Board of Supervisors.  That means that all the improvements (see below) will now go into effect.  In addition to more than doubling call-pay, the Agreement creates a new defined contribution pension plan where the employer and employee can make contributions to offset the cuts caused by the PEPRA legislation of 2012.  For doctors who joined CalPERS after January 1, 2013, the newly created plan will move them closer to the retirement they would have had if the state legislature had not imposed a cap on their pensionable salary.

The Agreement is summarized below.
Read more …

Alameda Health System Doctors Settle Strong Contract

June 27, 2015

UAPD and AHS have reached agreement on a successor MOU.  The new MOU is a three-year agreement from June 27, 2014 through June 30, 2017.

For the Dentists, there will be a 5% across the board increase dating back to the pay period closest to October 1, 2014, meaning that you will receive a retroactivity check once the MOU is approved by the AHS Board of Trustees.  Market surveys will be conducted by AHS for wage reopeners in year two, July 2015, and year three, July 2016, for implementation of appropriate salary adjustments, if necessary.  Market surveys will include information from Kaiser, salary.com, and the surrounding counties.

For the Benefited Psychiatrists and for the Night Emergency Psychiatrists covering the 1900-0700 psychiatric emergency room shift, there will be a 2.5% across the board increase dating back to the pay period closest to October 1, 2014, meaning that you will receive a retroactivity check once the MOU is approved by the AHS Board of Trustees.  The SAN Psychiatrists previously negotiated rate increase of 24% will be made permanent.  Market surveys will be conducted by AHS for wage reopeners in year two, July 2015, and year three, July 2016, for implementation of appropriate salary adjustments, if necessary.  Market surveys will include information from Kaiser, salary.com, and the surrounding counties.
Read more …

New Agreement for San Francisco County Doctors

June 9, 2015
The UAPD contract ratification vote for the City and County of San Francisco (CCSF) concluded on Friday, May 29th.  95% of union members casting ballots voted to ratify the new three-year Agreement between UAPD and the City and County of San Francisco. A summary of the new Agreement is here.

It is expected that the Board of Supervisors will hold their second and final vote to ratify our contract later this month.

Special note regarding the new compensatory time off (CTO) provision:  CTO will be capped at 160 hours, with a maximum of 120 hours allowed to be carried over to the following fiscal year (i.e., every July 1). CTO cannot be cashed-out, in contrast with vacation leave which can be cashed-out at any time, including upon separation from City employment. Therefore, UAPD members should always use CTO for time off before tapping vacation leave.

Gardner Providers Approve Contract

June 9, 2015

On Thursday, May 28th UAPD Gardner Family Health Network members overwhelmingly ratified the agreement reached between the union and GFHN.  Later that evening, the GFHN Board of Trustees also approved it, so it will be in effect until June 30, 2018.

A summary of the agreement has been mailed to members.  UAPD reminds its members to use or rollover additional continuing education funds before the end of the calendar year.

San Mateo County Doctors Settle Strong Contract

June 5, 2015
Your UAPD Bargaining Committee: Drs. Anand Chabra, Richard Ehling, John Herbert, Manuel Pena, and Zachary Plaut urges you to vote YES and ratify this agreement.  Having negotiated over the past two months, this four year agreement contains significant wage and equity increases, along with benefit improvements, for all of our members.  You can download a summary of the new agreement here.

LA County Doctors Support Department Integration

May 27, 2015

UAPD-represented doctors in the Los Angeles County Department of Health Services (DHS), Department of Mental Health (DMH), Department of Public Health (DPH), and the Sheriff’s Department medical services are in support of a new plan to unite the departments into a single agency.   Integration will give doctors the tools they need to improve patient care, including a single electronic health record system.  Providing comprehensive health care at a single point of entry is not only better for the patients, it is cost-effective.   Integration will save money by avoiding the duplication of services that happens when people are passed between multiple departments for their health care, for example.  A single, well-managed agency can help the County meet the challenges of running a large health care system.  Los Angles doctors have been impressed by the progress that Dr. Mitch Katz has made at DHS, and hope that he will be able to continue this work as the head of the new agency.

Read UAPD President Dr. Stuart Bussey’s thoughts on department integration in the Union Pulse.

 

Los Angeles County Pharmacists Join UAPD

May 27, 2015

With all the votes counted, 202 Los Angeles County pharmacists have voted in favor of joining UAPD, with just 17 voting for the Guild, and 1 voting for No Representation.  That is more than 90% of the votes in favor of the new union.  Based on these ERCOM, the labor board for Los Angeles, will recognize UAPD as the new union representative at its next meeting on June 22nd.

The determination, unity, and hard work demonstrated by pharmacists throughout this campaign has been striking.  Pharmacist leaders collected signed union cards from a majority of their colleagues by May of last year, but their union election was delayed for several months because a political dispute in Los Angeles left ERCOM out of commission.  UAPD worked with our allies in Los Angeles to help settle that dispute and get ERCOM back on track, so that the pharmacists could move forward with the process of joining UAPD.

The strength of this group will be put to good use in the coming months, when they negotiate the first UAPD contract with Los Angeles County.   UAPD staff and elected leaders in Los Angeles have begun working with pharmacists on the contract campaign.

 

Alameda Health Service Doctors Ratify Contract

May 22, 2015

The new Agreement between UAPD and AHS was overwhelmingly ratified by the members.  The vote drew the largest membership participation in the past 15 years.

Under the new Agreement, dentists and psychiatrists will benefit from across the board pay increases with retroactivity in year one. Market surveys will be conducted by AHS for wage reopeners in years two and three, and salary adjustments will be made if necessary.   Additionally, psychiatrists will participate in a two-part incentive pay program that the doctors helped design.  Details of that bonus plan have been sent to AHS members.  In a newly formed committee, AHS managers will meet with doctors as often as monthly to discuss and remedy issues that could affect productivity, quality, and patient satisfaction in the clinics.  Both educational leave and stipend were increased under the agreement.

The Urge to Merge

April 16, 2015

Los Angeles County has officially published a proposal to integrate its three main health care agencies–the Department of Health Services (DHS), the Department of Mental  Health (DMH) and the Department of Public Health (DPH).  Supervisor Mark Ridley Thomas has also added the Sheriff’s Department to this merger. A sixty (60) day feedback period involving the many stakeholders, including UAPD, has begun. It is incumbent upon our LA County doctors to be informed and to have a frank and open discussion about this plan before our union responds with an official opinion.

First, a bit of history. Many decades ago the departments all operated as a single entity. For various reasons the Board of Supervisors (BOS) separated the three main functions into the three current departments. Now, because of evolving changes in health care delivery and reimbursement, the County feels it is prudent to again operate as a single unified health agency. Better services and programs would be available to County residents, bureaucratic barriers would be dissolved, operations streamlined and finances optimized by the sharing of capital and expenses.

From our members’ perspective there are some obvious advantages to the merger. First, the UAPD has had a good working relationship with DHS. DHS would address the problems of the other departments regarding physicians being supervised by non-physicians  (custody, nurses, social workers who often hear grievances and make medical decisions). Also, DHS has been the only department in favor of manpower shortage pay increases.

However, some concerns about the integration were raised at a recent Town Hall meeting at Harbor/UCLA hospital. As expressed by one of our doctors –“adding another layer of bureaucracy could be asking for trouble.” The consultant to the CEO present at the meeting answered that no budgets or staff would be cut or redirected after the merger. But one only has to look at the Prison Receivership as an example of bureaucracy gone wild. There have been ever increasing numbers of new administrative positions created—CMO, CME, etc. The potential for undue oversight on our members must be considered. We made it clear at the meeting that UAPD must be afforded regular input if and when the integration goes forward. We also discussed how the performance of the merger might be assessed. Some form of evidence, survey and/ or metric must be developed to measure patient and provider access and satisfaction, provider productivity and reimbursement. These should be made available to the public at regular intervals. Finally, always having an MD at the helm of his new agency should be made a priority. Over the next 60 days we will be having meetings at LAC facilities to solicit your ideas and input; the next meeting is at Olive View Medical Center, CD-R Room, Wednesday 4/22, 11:30 am – 1 pm. I look forward to talking with you there.

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