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OUTCOMES OF CRISIS JOINT LEADERSHIP TEAM

►Chris BernerVP HR MSBI

►Manny Leon, VP 1199SEIU

►Pat Marthone, VP RN 1199SEIU

►Sandra Morales, RN Delegate

►Judy John, Guild Delegate

Five-year operating losses in excess of $100 million per year

Ongoing annual increase in operating expenses and annual decrease in operating income

Declining average daily census and discharges

Increased competition from a completely refurbished NYU Hospital several blocks north of MSBI

The harvesting of key

surgeons and other revenue-

producing physicians by

competing health systems

The Mt. Sinai Board of Trustees

decided to significantly downsize

MSBI and transition from a large

acute care hospital to a much

smaller hospital

Team Members

LABOR

►Maria Kercado

►Manny Leon

►Norma Amsterdam, RN

►Pat Marthone, RN

►Delegates – Guild

►Delegates – RN

MANAGEMENT

►Dr. Jeremy Boal

►Jeff Cohen

►Chris Berner

►Christine Mahoney, RN

►Paul Zucker

►Managers/Supervisors

►HR Business Partners

• Creation of a large network of community-based primary, specialty, behavioral and outpatient services

• Investment of more than $500 million in the network to include:

– New, smaller Mt. Sinai Downtown Beth Israel Hospital with approximately 70 beds

– Refurbishment of the the 210-bed inpatient behavioral unit

– New state-of-the-art Emergency Department

– Expansion and renovation of outpatient facilities at three major locations with more than 35 operating and procedure rooms, 16 physician practice locations and more than 600 doctors

1199SEIU made a strategic decision to enter into a highly innovative transition agreement with Mt. Sinai to preserve:

WAGESAll union staff are guaranteed to maintain their

current wages or more when affected by the

transition

High Quality Care for the Community

JOBSAll union staff guaranteed a job within the Mt. Sinai

system that is as close to their current job as possible

✓ Creation of a Crisis Joint Leadership Team

✓ Creation of Team Charter - GRPI

✓ Shared goals

✓ Commitment to consistent attendance at weekly meetings

✓ Identification of labor management Co-Leads

✓ Interest-Based Problem-Solving Methodology - IBPS

✓ PACC now MSDUS part of CJLT

MANAGEMENT OF STAFF TRANSITIONS:

Approximately 650 staff had jobs and earnings protected and successfully transitioned to Mt. Sinai sites or within BI in two-year period

MANAGEMENT OF PROGRAM MOVES:

All scheduled program moves completed with continuity of staff and physicians in two-year period

Clinical Measures

MSBI has experienced substantial improvement in clinical measures placing in the top 10% of hospitals in the nation:

Pressure sores

Catheter associated infections

C Diff infection rates

Readmission rates

Central Line Associated Bloodstream Infections

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2 345

Patient Safety

Care-Chex 2017 and 2018 ratings in the top-100 hospitals in

several key areas:

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Cancer Care

Cardiac Care

Interventional Coronary Care

Hip Fracture Repair

Financial

✓During the transition MSBI has met or bettered the financial targets set by the Mt. Sinai System.

✓ Placement of approximately 600 staff through the union-management placement fair process has resulted in savings to the Job Security Fund in excess of 4.8 million dollars.

Relations with Community

and Elected Officials

✓Union and management working

together has answered

questions, overcome potential

opposition, and generated

support from the downtown

community and its elected

officials.

When completed, the Mt. Sinai

Downtown Network will have:

✓3 major locations

✓35 operating and procedure rooms

✓16 physicians' practices

✓600 doctors

✓New ED with all support services

✓120-bed behavioral unit

✓70-bed observational unit

DISNEY INITIATIVE | Teamwork, Recognition, Communication

JUST CULTURE | Staff / Patient Safety

MSHS EXPERIENCE | Employee Engagement / Patient Satisfaction

REFINE BEST PRACTICES

►Creativity/Innovation

►Resilience – problem solving capacity

►Three years and counting: hard work

►Joint ownership of process

►Commitment: No Job Loss

►Participatory decision-making

►Celebration / Recognition / Appreciation

►Trust and empathy

LESSONS

LEARNED