Counties & Non-Profit Clinics


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AHS News and Negotiation Updates

Negotiations continue at a very slow and frustrating pace. AHS does not provide the necessary information for the Union to prepare a market proposal. Most of the union’s proposals have been submitted except for market adjustments and extended hours proposal.

AHS has withheld payment of the 4% lump sum payment to psychiatrists per the currently expired MOU. AHS maintains that it cannot instruct its payroll department to make the payments to the doctors. UAPD will file a request for arbitration to get these bonuses paid. Also, AHS has failed to provide evidence that the outpatient clinics did not meet the metrics for the past two measuring periods. UAPD has asked that all physicians receive the maximum bonus payment. AHS is still struggling to provide the evidence. UAPD will file for an arbitration for these bonus payments, per the MOU. Read more …

Governor Brown Signs UAPD Bill Stopping Contractors

Governor Brown has signed AB 1538 into law. The bill is a follow-up to AB 1008, which was signed in 2013 to protect our bargaining unit in Alameda County. AB 1538 reaffirms that UAPD is the exclusive bargaining representative of Alameda County physicians irrespective of when a physician joins the bargaining unit.  Thank you all for the work doctors and staff put into getting the bill passed.  Read more about the bill here.

 

Important Victory in Case against Contractors

Yesterday, UAPD-represented doctors working for Alameda Health Services (AHS) won a significant legal victory in our year-long campaign against contracting out.  While a judge had previously denied UAPD’s request for a Temporary Restraining Order (TRO) to immediately halt the transfer of psychiatrist jobs to outside contractor Traditions Behavioral Health (TBH), yesterday Judge Michael Markman issued a motion to compel AHS to participate in binding arbitration with UAPD over the issue.  The text of the Judge’s ruling can be read here.

The arbitrator will determine if by hiring high-cost contractors, AHS violated a law that went into effect with the passage of AB 1008 in 2013.  Co-sponsored by UAPD and AHS, AB 1008 strictly limited the ability of AHS to contract out the work of its union doctors.  It stated:
Read more …

UAPD and Santa Cruz County to Discuss Compensation Incentives

On May 5, UAPD and Santa Cruz County teams will meet for the first time to discuss policies for the compensation incentives that go into effect this July 1.  Doctors will become eligible to receive a Quality Incentive of up to 5% of their base hourly rate, and a Productivity Incentive of up to 10% of their base hourly rate. The policies will standardize the elements for earning the incentive. Elements such as availability for patient visits, staff support and administrative time will determine the amount of the Productivity Incentive. The Quality Incentive shall be based on progress notes, standards for psychotropic medication, peer reviews and EHR standards. 

Once the UAPD team feels we have made sufficient progress, a general membership meeting to discuss this topic will be called.  In the meantime, feel free to contact Albert Munoz with questions or comments (amunoz@uapd.com).

LA County Pharmacist Update

As some of you may know, UAPD has been partnering with SEIU Local 721 on several County issues.  One of which is the bully boss campaign.  We have met in protected forums with Dr. Christina Ghaly and other DHS-HR staff to discuss incidents where front line staff felt bullied or harassed by their supervisors.  The meetings have taken place at County facilities including Olive View and MLK Outpatient Center.

Following these forums, there has been removal or reassignment of some pharmacy managers, where their behavior has been found to be too egregious to tolerate.

Read more …

UAPD in LA County Looking Forward…

The County of Los Angeles provides services to the over 10 million residents who call Los Angeles County home. With more than 35 departments and 200 commissions, the County operates one of the largest local government organizations in the world. Given the size of this County, it is imperative that UAPD position itself strategically if we are to be successful moving forward.

It is therefore never too early to start gearing up for negotiations for new collective bargaining agreements, to replace those that will be expiring in the upcoming months. We will be faced with a lot of challenges and uncertainties, for example: will the county lose federal dollars? How do we make up any loss in revenue? How do we continue to deliver quality care? What are the alternatives? UAPD members will have the opportunity to engage and participate in the process to solve some of these critical issues.

Read more …

LA County Recruitment & Retention Work Group

At the Request of Dr. Mitch Katz, Director of the newly formed Los Angeles County Health Agency, UAPD has partnered with the Department of Health Services (DHS) to increase the recruitment of Physicians and Specialists who work for the County.    The recruitment effort involves setting up events with potential applicants and the Department Directors, Medical Directors, UAPD board members, UAPD Stewards, and UAPD staff.   The UAPD board approved $40,000 for this project at the October 2016 Board Meeting.

Results to date

  • Since the start of our project, over 50 Physicians hired with varying start dates
  • The marketing materials for physicians has been revised and updated
  • UAPD and the County have developed the first recruitment program to target those in the Residency Program. UAPD and CIR have discussed further events and programs to improve recruitment opportunities.
  • We reduced the recruitment process from 6 months to a little over a month from submission of interest to offer letter.
  • Streamlined the initial submission process to only having applicants submit a resume and CV.
  • UAPD has fostered a stronger relationship with Committee on Interns and Residents.

Santa Cruz County Docs Ratify Contract

After 13 bargaining sessions over last 6 months, the UAPD Bargaining Team reached a tentative agreement with Santa Cruz County on January 31, 2017. The new contract went into effect in March after being ratified by by the UAPD membership and approved by the Santa Cruz County Board of Supervisors.

The new agreement provides:

  • A new top salary step (4% increase from the previous step) effective the first full pay period after Board of Supervisor approval. 
  • Cost of Living Adjustment (COLA) for all classifications of 2.5%, 2.75% and 2.75%.
  • Equity adjustment for psychiatrists of 2%, 2%, and 1.75%.
  • A new board certification differential of 2.5% effective April 7, 2018. Read more …

LA County Safe and Just Culture Policy

Los Angeles County Policy No. 311.4, as revised on July 1, 2016, states as its purpose:  “To build, maintain, and support a Safe and Just Culture at the Department of Health Services…A Safe and Just Culture is one in which safety is an individual and organizational priority, and where errors, near misses, adverse events, and hazardous conditions can be easily reported without retaliation, and are seen as opportunities for improvement as a means to identify system and behavior changes that will improve the safety and quality of care we deliver”.

Read more …

UAPD Takes On Contractors

UAPD won the first skirmish against the contracting agency Traditions Behavioral Health (TBH).  Last June, Alameda Health System (AHS) contracted out employed psychiatric hours at John George Psychiatric Emergency Services, hours represented by UAPD, to TBH.  UAPD filed suit against TBH for four causes of action: Unfair Competition, Intentional Interference with Contract, Intentional Interference with Prospective Economic Advantage, and Negligent Interference with Prospective Economic Advantage.  TBH filed a demurrer (failure to state a claim) and an anti-SLAPP motion, procedural obstacles used to avoid answering our complaint.  Alameda County Superior Court denied TBH’s anti-SLAPP motion and only granted TBH’s demurrer on the first cause of action with leave for UAPD to amend its complaint so as to rectify the first cause of action’s shortcomings.  UAPD will now amend the complaint and TBH will soon be facing discovery over its illegal business practices.  UAPD is also in litigation with AHS to compel AHS to arbitrate its decision to contract out UAPD employed hours represented by UAPD.