By Steven Mikulan
Last Fridays round of contract talks between Hospital Corporation of America and the Service Employees International Union was held at the Pasadena Masonic Lodge. The negotiations cover nearly 4,000 nurses, certified nursing assistants (CNAs), clerks, technicians, housekeepers and other hospital staff, and affect five HCA hospitals, located in West Hills, Thousand Oaks, Riverside and San Jose, which has two. Although SEIU has placed on the table wage, health, retirement and other traditional proposals (including one that calls for a single master contract to serve all five hospitals), union members say they are mainly fighting for staffing language to guarantee patient safety. They specifically point to personnel cuts in the chain that have drastically reduced the number of CNAs the aids who bathe, clean, feed and turn patients in their beds, as well as answer call lights, change linens and help patients to the restroom.
On July 31, Grant Golz, a patient who had been placed on a suicide watch at HCA's Riverside Community Hospital, jumped to his death while his CNA sitter had left his room to check on another patient. The suicide was a devastating PR blow to the Riverside facility, which, three days before, had ordered a call-off of nursing assistants, sending most of them home for the weekend. The administrators, says Simon, told our members that they were going to start calling them off indefinitely because the June budget numbers had come in, and they weren't where they wanted to be. The Riverside hospital denies this, claiming that call-offs are a routine occurrence and are determined by patient needs.
However, memos obtained by the L.A. Weekly depict a health-care company deeply concerned with the bottom line. Although the Riverside hospital had posted a $22 million profit in 2005, the memos, which are between hospital administrators or between the hospital and janitorial contractor Sodexho, are obsessed with stopping overtime wages. One, dated May 23, 2006, is from the hospital's clinical supervisor, Mary J. Howington, on the subject of staffing hours. We have been required to cut back , Howington's memo cheerily states, because we have been over budget with our staffing hours. I am sure most everyone has wondered, Well how could that be?????????? Well let me tell you! The memo then identifies overtime as the villain and lays out a regimen of canceling staff work days while admonishing people not to punch out past their quitting times.
Another memo, dated August 1 the day after the patient suicide from Sodexho supervisor Juan Portillo, reviews a plan to cut custodial duties that eliminated as much scheduled OT as was possible to maintain minimal standard for cleanliness.
The HCA-SEIU face-off is one inning in the game of gloveless hardball being played across America between profit-driven corporations and unions that publicly shame their adversaries by spotlighting alleged improprieties. At the heart of the contract battle is the union's proposal for a committee that would consider employee allegations of safety violations, act on those allegations within a set time frame and, if no agreement follows, have an outside arbitrator settle the matter. This, SEIU has pointed out, is now standard practice at such California health-care systems as Kaiser Permanente, Sutter Health and Catholic Healthcare West.
Yet the Nashville-headquartered HCA is no ordinary hospital chain; with 182 hospitals and 94 surgery centers, it is the country s biggest for-profit health-care provider, posting $1.4 billion in net earnings last year. It is also a company storied with documented cases of fraud a few years ago HCA had to cut the government a check for $1.7 billion to cover fines for illegal billing. Founded by Senator Bill Frist's father and brother, HCA is a public firm about to go private in a $33 billion deal that will be America s largest leveraged buyout. It s no secret that such a privatized corporation will remain in the hands of its new owners (Merrill Lynch, Bain Capital, Kohlberg Kravis Roberts and Co. and, of course, the Frists) for only a short time before it is flipped for a spectacular profit. Among many other subsidiaries, HCA also owns its own temp agency, from which it outsources union jobs.
The contract negotiations have dragged on since January. Last Sunday, the union, which is required to give 10 days notice before striking, set August 31 as the strike-notification date.
