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Connecting the Dots With Popular Education

Receptionist welcoming three children to the clinic

By building their business literacy, employees can connect their efforts to provide excellent service to the larger goals of Kaiser Permanente.

LMP course brings business, economic issues to life

接待员山姆·埃克斯坦鼓励他在伍德兰山医学中心实验室的同事们不仅要满足——而且要超越病人对优质服务的期望。为了支持自己的指导,他使用了自己在一门关于商业和经济素养的新LMP课程中获得的知识。

During the course, Eckstein and about a dozen other workers and managers learned about the rising cost of health insurance in the United States and the trend toward businesses’ shifting more health care costs to employees.

Because patients are paying more, “Their expectations are higher,” says Eckstein, a member of SEIU UHW. “When patients come in without an order [for a lab procedure], we can’t just send them home,” and inconvenience them by making them come back another day, he says. “We have to help meet their needs.”

Eckstein took part in a pilot project to test the Labor Management Partnership’s new approach using popular education techniques to ensure frontline employees and managers have the context and know-how they need to continue improving team performance and keep Kaiser Permanente affordable.

What’s different about popular education?

Popular education turns the old-fashioned schoolroom model of teaching and learning on its head. It is ideally suited to the Labor Management Partnership, which is built on the belief that all employees, managers and physicians bring their expertise and experience to bear on improving service and care at KP. No longer is the teacher or trainer the sole expert in the classroom, there to fill students’ minds with information they passively receive, memorize and repeat.

Instead, popular education taps into participants’ experiences in their communities and workplaces and uses them to generate dialogue. It explores the social and economic context of students’ lives and asks probing questions: What are people happy about? Worried about? Fearful about? Hopeful about? Students are encouraged to analyze that information—and to take action.

我意识到我应该更全球化地思考把我的翅膀伸展到我自己的小实验室之外。
Charisse Williams
,
Clinical lab scientist and member of UFCW Local 770

How it works

That’s exactly what happened one day in late May when several managers and a dozen employees from the lab and patient business services got together in a windowless, fluorescent-lit classroom at the Woodland Hills Medical Center. The drab surroundings were a contrast to the boisterous atmosphere that developed after the opening icebreaker, which involved participants stepping in and out of a circle in response to a series of rapid-fire questions, some lighthearted (“Do you have a pet?”) and some serious (“Have you experienced discrimination?”). The exercise was meant to show students what they have in common, as well as how their diverse experiences strengthen the group.

Janna Shadduck-Hernandez, a project director at the UCLA Center for Labor Research and Education, leads students through some of the business and economic literacy modules the center is helping to develop and test. Students play a “Jeopardy”-like game featuring questions about health care reform and learn to use terms such as “expenses” and “revenue” in order to give a five-minute presentation to the rest of the class.

临床实验室科学家、UFCW Local 770成员劳拉·洛西托(Laura Losito)说:“这都是关于你的Kaiser美元从哪里来,到哪里去。”Losito也是该医疗中心LMP领导团队的四位主席之一,他说:“这是一个大问题。”

Eleanor Arellano, a chemistry lab supervisor, says, “This will really help managers, because employees will know what we are talking about” when discussing department budgets.

随后,学生们查看了一张图表(是的,甚至在大众教育中也有图表),图表显示了过去十年中家庭自付医疗费用的急剧上升。在这种设置下,图形不仅仅是页面上的彩色条。Shadduck-Hernandez要求他们梳理出国家趋势和他们日常经验之间的关系:这对你的工作有什么影响?

A conversation ensues about how higher premiums and co-pays can cause patients to become frustrated and respond by giving low service scores. Another question: how are your unit-based teams dealing with these issues? The students—who normally don’t work with each other—swap ideas about improving affordability and service.

“I’m realizing I should think more globally and spread my wings beyond my own little lab,” says Charisse Williams, a clinical lab scientist and member of UFCW Local 770.

一天以汇报结束。一些参与者持怀疑态度,质疑培训的目的是什么。其他人——比如埃克斯坦——将开始把他们的新知识应用到工作中,并对一种新颖的学习方式有了新的认识。

Holding out his arm and clicking on an imaginary clicker, Eckstein says, “It was better than, ‘Look at this PowerPoint and listen to what I have to say.’”

Other popular education offerings

LMP教育培训部在2012年3月的工会代表大会上首次推出了其他受欢迎的教育课程。Here’s a sampling:

  • Health Care for the Rest of Us: A timeline of KP history, this is the first of five economic and business literacy modules being rolled out in the regions. The exercise involves displaying key events from each decade of Kaiser Permanente’s history and engaging participants in a discussion of their families’ histories during those time periods. The timeline connects KP’s social mission with participants’ experience. A second module on our political economy was recentlyused to launch in a National Learning Leaders Network.
  • “为公平经济团结起来”:培训师主持了一个关于收入不平等的互动研讨会,其中包括一场抢椅子游戏,参与者在游戏中说明财富分配不均的问题。该组织还于9月在UBT资源交流中心举办了关于保健和经济以及如何将大众教育纳入UBT培训的讲习班。Visitwww.faireconomy.orgfor more information.
  • 《You Got to Move》:这部电影讲述了在汉兰达研究与教育中心(Highlander Research and Education Center)学习的社会正义领袖,这是田纳西州一所传说中的民间学校。汉兰德的校友之一是比尔·桑德斯(Bill Saunders), 1969年,他在南卡罗来纳州查尔斯顿领导了一场关键的工会组织运动和医疗工作者罢工。在谈到高地中学的流行教育方法时,桑德斯说:“你必须对你所做的事情感到兴奋。这是伟大的工作。它将给后代带来如此大的改变。人们的情感。它能带来内心的喜悦和内心的平静。”For more information, visitYou Got to MoveandThe Highlander Center.

What’s next

Political economy will be the focus of a training session in Denver in mid-October for UFCW Local 7 and SEIU Local 105 stewards. They will pair it with the poverty simulation offered by the Missouri Association for Community Action. The five-module series will be the subject of a train-the-trainer for learning leaders programwide in October.

Metrics/Data - Color Business and Economic Literacy

Because more health care expense is shifting to the patient, it's important to know what you can offer. As they spend more, they expect more.

Learn where Kaiser Permanente dollars come from—and where they go—so you can provide the best customer service.

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