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Have union news to tell us?  Contact Sue Wilson at swilson@uapd.com.

Grievances filed against CDCR’s Telemedicine and Telepsychiatry Programs

January 28, 2018

When the telemedicine and telepsychiatry programs were first launched by the department, physicians were told that they would not have to cover On-call assignments. The department then decided to start requiring them to cover on-call assignments. The Department changed telemedicine working conditions without notifying the UAPD. A grievance was filed and the Department responded by notifying the UAPD that they were initiating a telemedicine on-call pilot program. That program failed and the Department concluded that they will not be requiring telemedicine doctors to cover on-call assignments.

We filed a grievance regarding Additional Appointments for Telemedicine. The Department has now said that telemedicine has a right to Additional appointments.

The UAPD met with the Department to discuss a proposed policy. CDCR has not updated the policy to reflect the agreed upon changes from the last meeting. Nonetheless, CDCR has added additional telepsychiatry sites without notifying the UAPD.

We filed a Cease and Desist regarding implemented changes to the program without notice to the union. The UAPD had a Meet and Confer with the Department to discuss the opening of the Diamond Bar location.

The UAPD has scheduled quarterly Telehealth Committee Meetings to address these issues.

Just Culture Policy Finalized!

January 26, 2018

Under the new policy, Union members and management will educate the workforce on the new policy, identify potential system deficiencies in various departments, and recruit team members to assist in resolving potential problems.  Just Culture will focus less on disciplinary actions and focus more on corrective actions.   UAPD members will have access to all bargaining unit members when discussing Just Culture.  So, they will be able to recruit new members and provide updates on Union activities.  

UAPD and DHS developed new programs to continue efforts for Physician recruitment and retention.  In order to continue building on the successful events sponsored by the Union and the County, a new recruitment incentive and student loan payment reimbursement was established.  New hires in Correctional Health will be eligible for up to $30,000:   $10,000 after 6 months and another $20,000 after 18 months on the job.  New employees could opt for the student loan payment reimbursement program.  Physicians would receive up to $30, 000 at the end of each year up to 4 years (total $120,000 in reimbursement).  The Department of Mental Health has expressed interest in creating similar programs for recruitment and retention of Psychiatrists in Los Angeles County.

AHS News and Negotiation Updates

January 26, 2018

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 …

UAPD Endorses Tax on Sugary Beverages

September 15, 2016

The CCSF doctors UAPD represents are dedicated to safety net medical care and public health. A survey of the Union membership in advance of the 2014 San Francisco “soda tax“ proposition yielded 96% support for that measure.

With Berkeley’s approval of a penny-per-ounce sugary beverage tax in 2014 and Philadelphia’s passage of a 1.5 cents per ounce tax in June of this year (currently under legal challenge by the American Beverage Association), the possibility of overcoming the industry’s financial power on a national scale suddenly seems possible. UAPD is proud to join the effort in endorsing Proposition V, just as we did in 2014.

The Chronicle’s recent editorial in favor of the proposition can be found here.

An American Journal of Public Health article analyzing the results of Berkeley’s tax can be accessed here.

Additional information can be found at the campaign website.

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UAPD Corrects Time Off Issue for San Francisco Physicians

April 17, 2016

In the 2015 round of contract negotiations, San Francisco Department of Public Health physicians identified additional time off as a top priority. The UAPD bargaining team eventually prevailed in changing the contract from CTO “may be granted” to CTO “shall be granted” for work falling within established guidelines. With members’ input, those guidelines were agreed to last September.

In late February, several part-time physicians contacted the Union after being denied the compensatory time they had requested. They were told that not only must a physician work in excess of their regular work schedule, they must also work over eight hours in a day or 40 hours in a week in order to get CTO hours at the 1.5x rate. Thus, part-time doctors would almost never be eligible for CTO.

UAPD engaged DPH and DHR in discussions at that time. In April a conceptual agreement was reached and, earlier this week, the new CTO request form was agreed to (download it here). DPH Payroll has been notified that part-time physicians who work in excess of their normal work schedule, due to conditions falling within the established guidelines, will receive CTO at the 1.5x rate even if they have not worked more than eight hours that day or 40 hours that week.

The UAPD bargaining team fought hard to win the new CTO provisions, but feedback so far indicates that most doctors are not utilizing it. We encourage our hard-working members, both full- and part-time, to take advantage of this important benefit!

Sign-In Grievance at Mule Creek State Prison

December 9, 2015

UAPD has challenged management practices at Mule Creep State Prison. Specifically, UAPD is opposing MCSP’s directive that Bargaining Unit 16 employees sign-in and sign-out of work. MCSP already has an electronic key card ID system that makes a manual log-in unnecessary. Initially, MCSP management indicated that BU 16 employees should not only use a key card and sign-in/out of the facility manually, but also email supervisors upon arrival/departure to work and check-in face to face with supervisors. MCSP dropped the directives to email supervisors and have face to face check-ins after UAPD opposition, but still maintains a sign-in/out log. UAPD has elevated this grievance to the third level and will continue to fight MCSP management on this issue.

Santa Barbara TA Approved

December 9, 2015

On December 2nd, UAPD Santa Barbara County members voted in favor of a two-year agreement (through November 2017).  There were heated discussions over aspects of the agreement, with strong feelings expressed on both sides of the issue.  Concerns about a 5% increase being based on performance were at the crux of the issue.  The Union Bargaining Team strove to separate performance from all salary increases, however it was not possible to achieve that in this round of bargaining.  The current and previous agreements also tied pay increases to performance.

Highlights of the agreement include: 

For Public Health Physicians:

  • 7% Base pay increase upon ratification and Board approval.
  • 5% Base pay increase within 90 days based on performance.
  • 3% base pay increase November 2016.

For Psychiatrists:

  • 4% Base pay increase upon ratification and Board approval.
  • 3% Medication  Assisted Therapy (MAT) Base Pay increase upon ratification and Board approval.
  • 5% Base pay increase within 90 days based on performance.
  • 3% Base pay increase November 2016.

 

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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.

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.

 

UC Doctors Strike Again

April 24, 2015

Beginning April 9th and lasting until April 14th, UAPD doctors were on strike against the University of California to protest unfair labor practices committed during the year-long bargaining for a first contract.  In addition to picketing the student health centers in Los Angeles and Berkeley, doctors protested at Cal Day, Bruin Day, and Celebrate Irvine, the days when UC welcomes new students to campus.  There were several rallies featuring doctors and students (including one student who thanked a striking doctor for saving her life), and a march on the chancellor’s office at both Los Angeles and UC Berkeley.  There was even a plane towing banners in support of the doctors at most events.

The press coverage of the action continued to be strong — the story was seen by more than 4 million viewers on TV newscasts and featured in both the LA Times and The San Francisco Chronicle.   Everyone has been sympathetic to the doctors, who are fighting to ensure that students can receive quality health care on campus.

View Strike Photos

UAPD Flickr Page

Sample of Print Coverage

OC Register    UC student doctors’ strike hits region

Santa Monica Mirror    Striking Doctors, Dentists To Picket Outside UCLA Campus In Westwood Monday

SF Chronicle:  In Rare Move UC Campus Doctors Plan 4 Day Walkout

California Healthline:  Doctor Strike May Be Harbinger of Reform Era Labor Problems

Los Angeles Times:  Doctors at UC student health clinics start strike

Read more …

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