LETTER OF AGREEMENT – HEALTH CARE UNIT RESTRUCTURING. The parties recognize that the Health Care Industry is now undergoing an unprecedented level of change, due in part to the passage and implementation of the Affordable Care Act. One possible effect of that change is that employers throughout the industry are considering how best to restructure their care delivery models to best provide affordable health care to their patients and communities. This may include the moving or consolidation of health care units from one employer to another, including to this Medical Center. In an effort to minimize disruption to the delivery of patient care and to ease the way of groups of new nurses who may be joining the Medical Center, the parties agree as follows:
LETTER OF AGREEMENT – HEALTH CARE UNIT RESTRUCTURING. 3 The parties recognize that the Health Care Industry is now undergoing an 4 unprecedented level of change, due in part to the passage and implementation of the 5 Affordable Care Act. One possible effect of that change is that employers throughout 6 the industry are considering how best to restructure their care delivery models to best 7 provide affordable health care to their patients and communities. This may include the 8 moving or consolidation of health care units from one employer to another, including to
LETTER OF AGREEMENT – HEALTH CARE UNIT RESTRUCTURING. 2 The parties recognize that the Health Care Industry is now undergoing an unprecedented level 3 of change, due in part to the passage and implementation of the Affordable Care Act. One 4 possible effect of that change is that employers throughout the industry are considering how 5 best to restructure their care delivery models to best provide affordable health care to their 6 patients and communities. This may include the moving or consolidation of health care units 7 from one employer to another, including to this Medical Center. In an effort to minimize 8 disruption to the delivery of patient care and to ease the way of groups of new nurses who may 9 be joining the Medical Center, the parties agree as follows:
11 A. A health care unit restructure is defined as the moving or consolidation of an existing 13 from outside Providence) to the Medical Center campus as defined in this Agreement.
15 B. In the event of a health care unit restructure, the Medical Center will, if possible, give the 16 Association 30 days’ notice to allow adequate time to discuss concerns and transition plans and 18 bargaining agreement. If the Medical Center cannot, in good faith, give 30 days notice, it will 19 give the Association as much notice as is practicable.
21 C. The Medical Center will determine the number of positions that the restructured health 22 care unit or units will have.
24 D. In the event of a health care unit restructure, the nurses joining the Medical Center from 25 the other employer will have their seniority calculated in accordance with Article 22. To the 26 extent that such nurses do not have a record of hours worked, the parties will meet to agree 27 upon a system to calculate the nurses’ seniority based on the other employer’s existing seniority 28 system (if any), an estimate of hours worked, or on the nurses’ years worked for the other 29 employer. The Association may revoke this Paragraph (D) regarding seniority if the other 30 employer does not offer a similar agreement or policy with regard to health care unit 31 restructuring with regard to giving Medical Center nurses, hired by the other employer in the 32 event of a health care unit restructure, reciprocal seniority.
34 E. If new positions result from the restructure, nurses from the unit or units affected by the 35 restructure will be given the first opportunity to apply for those newly created positions. The job 36 bidding and posting processes for such position will be worked out by the Associ...
