SEIU 1199/BWC APC Meeting
SEIU 1199 Columbus Headquarters
November 15, 2011
1:00 PM - 3:00 PM
MINUTES
Persons in Attendance:
For 1199:
Amanda Schulte, Chuck Guerrieri, Debbie Nooks-Comeriato, Jeff Buffer, Kay Lauener, Mary Albayati, Ruth Wagner, Amy Hoops
For Management:
Brian Walton, Toni Brokaw, Doug Farmer, Brad Nielsen, Dee Seidenschmidt, Karen Fitzsimmons, Debbie Zebar
1. Review of Last Meeting's Minutes of August 16th, 2011 - Approved
2. Rumor Mill
Employee Meeting/Return to Work
- • The Administrator addressed Return to Work (RTW) as a main focus for the agency at the recent All-hands Employee Meeting.
- • As recommended in the Rehab workgroups, our goal is to reach out to employers and discuss Transitional Work Plans or create new ones for the employers.
- • We need to work with employers to identify more return to work opportunities.
- • DMCs will take on a larger more consultative role.
- • Union feels MCOs have room for improvement in this area
- • We need to hold MCOs accountable.
- • Audits and financial implications will be imposed.
- • Administrator would like to use the DMCs in the most efficient way.
- • Debbie Nooks-Comeriato suggested that we should be proactive instead of using retro audits that don't work.
Initiation of the DUR process and the final division of duties
- • Hearing many rumors that despite the fact that pharmacy now has four of its own nurses. The MCOs are still going to be determining what is going to be an appropriate review.
- • Union questioned what the four intermittent nurses are doing and when will they be working on the DUR backlog.
- • The DUR backlog issue will be discussed further in the near future (2012).
- • Chuck stated that he was told by Tina Kielmeyer intermittent nurses may start on the DURs early.
- • Union would like answers to this issue by the next meeting.
- • Union asked if MCOs will be doing final orders and drug denial orders.
- • Union feels our nurses should be doing referrals.
- • Union asked: Who will the intermittent nurses report to? Who will be training them? What will their work schedule look like? Who will be accountable for their work?
- • The field is responsible for all current back log of DURs. The intermittent nurses will be used to help address the back log. Eventually the new ones will be handled by the nurses in pharmacy.
- • Union said they will work with management on offering overtime to nurses in clearing up the DUR backlog. Chuck said he will train HSQI (formerly ADR) nurses to do DURs, if necessary.
- • Tina has approved blocks of overtime to cover DUR backlog.
- • To assist with the backlog management may permit CAT nurses to work overtime but would like to limit it to CAT nurses who are experienced in DURs.
3. Schedules
- • There was discussion on who is responsible for getting coverage if a DMC wants to leave early on any given day.
- • Since hub nurses do not need to find their own coverage when they want to leave early, DMCs feel that they are being penalized and it is management's role to find coverage for them.
- • Management responded that there is a list on SharePoint and that management feels that the employee should be proactive to find their own backup.
- • No employee has been denied requested leave.
- • Union needs to log how much time they are spending trying to find coverage. Doug Farmer said he will send a link to the backup schedule to SOMs and DMCs again as a resource for everyone.
4. DEP training (from November 3rd) discussion
- • Union was concerned that nurses were not invited to the training given to physicians by attorneys. Nurses are the front line and actually do the work.
- • This was the first of this kind of training in quite some time.
- • We will continue to hold these trainings/meetings on a quarterly basis.
- • The union requested information regarding the how many people attended the training. Karen said she would get that figure.
- • The union raised the issue that in the past that DEP's were required to be accredited and the training was mandatory. This has not been done in 5 years.
- • Union feels the lack of a Medical Director causes problems for the BWC when dealing with DEP docs.
- • Union feels training should be peer to peer presented by medical professionals to medical professionals. They also would like to see psychiatrists and psychologists included in the training.
- • Union believes one significant issue with DEPs is the quality of their reports. We need to provide training to address this.
- • We need to be proactive as an agency and work with providers from the beginning.
- • Providers need training because they have not had to be accountable in the past.
- • Things should improve once performance measures are in place for the providers.
5. Technical Medical Specialist (2) Positions posted in October
- • Union is concerned that the position doesn't require a medical professional (nurse). How can a technical medical specialist do the job without a medical background?
- • Director of Personnel responded that the posting states that a nurse is a preferred qualification for one of the two Technical Medical Specialist (TMS) positions. An applicant could have and undergraduate in pre-medicine and meet the minimum qualifications according to the class spec.
- • The second TMS posting included preferred quals regarding research and writing. The union believes this position sounds like an analyst position.
- • This position will report to Freddie Johnson. This position will write voc rehab, claims and medical policy. SME will review and draft policy.
- • The union commented that the nurses used to write policies.
- • Management commented that bargaining unit employees should not be writing policies. Also, we have always had the TMS positions.
- • The union again expressed concerns regarding the lack of a Medical Director.
- • Management is working to recruit/find a Medical Director. However, the search has been difficult due to the amount of money we can offer. The union suggested that more doctors may be interested in the position if they were able to work from a regional location instead of Columbus.
6. C92 AA & 90 Day Exam responsibilities going to CSS
- • Currently, we have 32 nurses and several nurses are leaving the agency.
- • Union doesn't want nurses duties to move to the CSS.
- • The nurse should have the responsibility.
- • CSSs can't interpret medical. No medical intervention in the claim.
- • Administrator stated that claims are down. However, the union believes tasks are up.
- • They want to make sure the nurse resources are being properly utilized.
- • Nurses believe they are losing an impact on a claim.
- • Three of the nursing hubs are working well.
- • Dayton/Toledo nursing hub is not working efficiently. Process is non-transparent.
7. Follow-up from previous meeting
- • As follow-up from the August 16th 1199 APC meeting, Doug Farmer shared with the union the DMC caseload realignment document prepared by Debi Kroninger. The document was just completed yesterday and sent out to the SOMs.
8. 2012 APC meetings
- • February 7th, alternate day 14th
- • August 14th
- • November 13th
9. Agenda items for next meeting
- • Medical Director
- • Performance Measures for nurses
- • C92 QA process
- • All Hands Connect meeting follow-up
- • Agency Specific for 1199 - Get scheduled usually on Monday or Friday
10. • Meeting adjourned at 2.34 p.m.