A Letter to Our Valued MNA Nurses (Page 52)

Dear MNA Allina nurses,

Rose Roach MNA
Rose Roach
MNA Executive Director

This is long, but important.  As your Executive Director I was present for the 22 hour marathon bargaining session that just ended mere hours ago. I understand Allina has, as usual, communicated with all of you before we were able to do so (a clear divide and conquer tactic that they have become oh so good at) so I wanted to get this out to you. Please note, that communication from Allina lists the elements of their proposal but not the details because they want you to demand to vote on their proposal without knowing what that proposal will really mean for you – don’t fall for it, it’s Allina trying to cause division within the union.

I want to be blunt, we have felt from the beginning that this is all about union busting and if there was any doubt about that at all, it is now gone. Your amazing negotiations team went into negotiations yesterday focused on achieving what the nurses needed in order to avert a strike. It’s important for you to know that it was MNA, not Allina, who made the final proposal – we sent it to them via the mediators at 5:15 a.m. with the caveat that we would recommend a yes vote to the members if they accepted the proposal as presented. We will have that proposal, along with the actual Allina proposal and a detailed communication from your team, available soon. As is often the case, the devil is most definitely in the details. When you view those proposals please pay close attention to what Allina believes is “no diminishment” language once you transition into the core plans. They want to be able to decrease the actuarial value of the plans by 5% per year without negotiations with MNA – that would mean more cost shifting from Allina to the nurses. We countered that proposal to secure much better protection against cost shifting but this is clearly all about control for Allina since their message to us about that proposal was “we’re still too far apart”. We made a compromise proposal on charge nurse’s having a patient assignment but even that wasn’t enough for Allina – again, it’s about them having control and the nurses having no say so whatsoever in their terms and conditions of employment or for the safety and care of their patients. And MNA proposed a mere $1,000 ratification bonus because we felt $500 was almost an insult considering what you’re being asked to give up in relation to the health plans. It’s despicable.

For those who are interested, I want to share the intense struggle your team has been experiencing since filing the 10-day strike notice and how it is that we came to the difficult decision related to the insurance plans. It has become evident that Allina is not going to work cooperatively with MNA to save the MNA plans. Remember, Allina controls the elements necessary to keep the plan sustainable such as premium pricing and “pooling” of claims. For the past seven months your team has brought forth multiple proposals to work with Allina to ensure future sustainability of the MNA plans but on each and every turn, Allina said no – that’s because they want all their employees in the core plans so they are purposefully “crashing” the MNA plans simply because they can. As such, the negotiations team made the very difficult decision to propose a transition into the core plans on our terms, not Allina’s and to save the plans for as long as possible. The team knows that our nurses greatly value their health insurance plans and in order for them to even consider moving to the core plans, Allina would need to step up to the plate and recognize that by accepting something on staffing and security as well as monetary recognition for the nurse’s willingness to move to the higher out of pocket core plans, would be necessary to get a deal done. As you can imagine, this was a terribly difficult realization for the team to deal with but they knew, with an open ended strike just 72 hours away, they had to try to protect certain tenets of a transition that are foundational to the union such as no two tiered system whereas new nurses aren’t provided the opportunity to participate in the better benefits which is a classic union busting tactic – pitting members against each other – and to make sure Allina can’t change the plans at their whim without negotiation with MNA. If we could’ve achieved those simple “asks” along with some staffing and workplace safety protections and monetary compensation for making such a huge concession, we could get a deal and avert the strike. Unfortunately, Allina just wants all the control, they want to take more and more money out of your pocket, not put any money into it.

I apologize that it has taken a few hours for me to provide you just a taste of what we went through over the past 36 hours but quite frankly I am aghast. I am so proud of the courageous nurses who serve you on your negotiations team – they fought, they yelled, they calculated, they cried. Our hearts are heavy sisters and brothers, we tried, we really did. We appreciate your patience as we get you the specific details and documents I know you are anxious to see.

As many of you are now saying “we are the storm” – we are the nurses – see you on the picket lines Monday.

In Solidarity,

Rose Roach
Executive Director
Minnesota Nurse Association

Dear MNA Allina nurses,

This is long, but important.  As your Executive Director I was present for the 22 hour marathon bargaining session that just ended mere hours ago. I understand Allina has, as usual, communicated with all of you before we were able to do so (a clear divide and conquer tactic that they have become oh so good at) so I wanted to get this out to you. Please note, that communication from Allina lists the elements of their proposal but not the details because they want you to demand to vote on their proposal without knowing what that proposal will really mean for you – don’t fall for it, it’s Allina trying to cause division within the union.
… Read more about: A Letter to Our Valued MNA Nurses  »

What’s taking Allina Health so long?

By Barbara Brady

MNA Communications Specialist

While MNA nurses in Duluth and Superior were working to reach a tentative agreement with Essentia Health on a new three-year contract this week, MNA nurses in the Twin Cities were preparing for a second strike against Allina Health.

Why is this a tale of two or four cities? There’s no reason Allina can’t follow Essentia’s lead and negotiate a contract that benefits the nurses and their employer.  Nurses really do put the care in healthcare.  They provide the value for the hospital.  Often, they are the first and last faces a patient sees when they’re admitted and discharged.
… Read more about: Essentia Hospitals Come to an Agreement with Nurses  »

By Mathew Keller, RN JD
Regulatory and Policy Nursing Specialist

 

Despite all of its bad deals and big debts, Allina Health is still making piles of money. As this space detailed back in June, Allina has made more than $1.3 billion dollars in net revenue over the past 6 years for which financial disclosures are available. That’s after expenses, including salaries, $23.9 million in executive pay, millions to buy out McDonalds’ lease, $60 million lost on bad loans, and so on.

While Allina is a not-for-profit company, it still has to pay taxes on things like capital gains.
… Read more about: Where Are Your Medicare Dollars Taking a Vacation?  »

Contact: Rick Fuentes
(o) 651-414-2863
(c) 612-741-0662
rick.fuentes@mnnurses.org

Barbara Brady
(o) 651-414-2849
(c) 651-202-0845
barbara.brady@mnnurses.org

(St. Paul) – August 26, 2016 – Nurses represented by the Minnesota Nurses Association filed a 10-day notice of intent to strike with Allina Health Friday morning. Nurses will begin an open-ended Unfair Labor Practice strike beginning at 7 a.m. on Monday, September 5, Labor Day.

“Nurses sent a message to Allina again last week with an overwhelming vote to reject the employer’s latest offer and authorize a strike,” said MNA Executive Director Rose Roach. “Nurses are exercising the voice they have, and as of 6 a.m.
… Read more about: Press Release: MNA Nurses Set to Strike Allina Health on Labor Day  »

Contact: Rick Fuentes
(o) 651-414-2863
(c) 612-741-0662
rick.fuentes@mnnurses.org

Barbara Brady
(o) 651-414-2849
(c) 651-202-0845
barbara.brady@mnnurses.org

(Duluth) – August 19, 2016 – After months of trying to negotiate a fair contract, MNA nurses at Twin Ports Essentia Health hospitals are going to the public with their concerns about the hospital system’s refusal to respond to safe staffing proposals by sponsoring billboards in Superior and Duluth.

The billboards read, “Has Essentia lost the care in healthcare? Ask an MNA nurse about staffing.”

“Nurses hope that publicly calling Essentia out on our concerns over safe staffing will bring them back to the negotiating table ready to agree to a contract that benefits all involved: nurses, our hospitals, patients, and our community,” said Essentia Twin Ports MNA Co-Chair Steve Strand.
… Read more about: Press Release: Nurses sponsor billboards to call attention to Essentia’s refusal to negotiate safe staffing  »

By Mathew Keller

Integrity. Respect. Trust. Compassion. Stewardship. These are the core values of Allina Health. The Oxford dictionary defines integrity as “the quality of being honest and having strong moral principles; moral uprightness.” So why, then, does Allina continue to tell its nurses that it needs to shift $10 million in healthcare costs to them? In 1,664 pages of financial disclosures to the IRS and its bond investors from 20012014, Allina never once represents that it is anything but highly profitable, making a reported $1.3 billion dollars in net revenue over the past 6 years alone.
… Read more about: Allina Health Integrity and Irony  »

By Mathew Keller

and Jordan Ash

We’ve seen that Allina is taking on more and more debt, $880 million in all. We’ve seen who benefits from that debt (hint: look to the Board). Today, we look into a particularly bad deal Allina made with UBS Securities and another big bank; a deal that led to losses in the tens of millions, a lawsuit; and the intervention of Minneapolis and Saint Paul.

Auction rate securities (ARS). They were popular back before the financial crisis, and the big banks loved them. Like most of the financial instruments that tanked in the recent recession, though, they’re completely made up.
… Read more about: Allina’s Bad Deals and Big Debts  »

By Laura Sayles

MNA Governmental Affairs Specialist
Congratulations MNA Endorsed Candidates!

In Tuesday’s Minnesota Primaries, many MNA endorsed candidates who had primary opponents won their races and will move on to November’s General Election.

MNA was proud to be one of only two unions to endorse Ilhan Omar in her race for the DFL endorsement in House District 60B.  MNA nurses were impressed by the work she has done on winning paid parental leave for Minneapolis city employees, banning environmentally harmful containers, restricting the use of pollinator-harming pesticides, and expanding the use of restorative justice in Minneapolis.  Her story of her entry into politics through interpreting for her grandfather at local DFL caucuses leading to her to work for change at the grassroots level inspired MNA nurses to support her bid for the DFL endorsement. 
… Read more about: MNA Endorsed Candidates Move On to General Election  »

board of directors

By Mathew Keller

and

Jordan Ash

Allina is quickly racking up the amount of debt it carries, increasing its total obligation over the past ten years by 60 percent to $880 million. The magic question, however, is why Allina needs $880 million of debt. Why, if it is willing to spend such amounts on expansion and executive pay, is it so unwilling to invest in the healthcare of its nurses?­ As with all things big business, just follow the money.

Money which, in this case, leads directly to Piper Jaffray.  As you recall, Piper

Jaffray has had a huge hand in increasing Allina’s debt obligations, underwriting in conjunction with other banks $1.6 billion dollars in loans to the healthcare company since 1993.
… Read more about: Who is telling Allina to Mortgage the Future of Patient Care?  »

By Mathew Keller RN, JD

Mathew Keller, RN JD Regulatory and Policy Nursing SpecialistMathew Keller, RN JD
Regulatory and Policy Nursing Specialist

Regulatory and Policy Nursing Specialist

Limousine service, upgraded television setsnurse/patient “scripts,” gourmet food service, nurse uniform requirements – hospitals all over the U.S. are offering more “customer-centric” patient care in order to increase patient satisfaction scores, which are becoming more and more important for Medicare reimbursements.

These efforts often have unintended consequences.

In the first place, customer-centric interventions rarely (if ever) improve the quality of care patients receive: rather, they merely improve patients’ perceptions of care.
… Read more about: Essentia Health: Listen to your nurses  »