97% voted for the Bridge Agreement

On Thursday Community General employees ratified the Bridge Agreement, as negotiated by 1199SEIU and hospital management.

The Bridge Agreement was supported by 97% of the voters.

Ratification of the new collective bargaining agreement is a notable accomplishment that helps set the stage for Community's employees making the transition to Upstate University Hospital at Community General.

Collective bargaining began on February 11 and continued through the last week of April. There were 12 bargaining sessions, in all. Community's labor agreement expired April 30, and a tentative agreement was reached on May 13.

My sincere thanks to all members of the labor bargaining team who helped reach the agreement, and congratulations to Community's management team for its concerted efforts over the many weeks of discussion.

Onward!

Widespread support

This week we saw an example of union dues at work. 1199SEIU sent over-sized postcards to thousands of Central New York residents, objecting to the "ill-conceived takeover of Community General" by SUNY Upstate Medical University.

Residents are asked to call State Senator John DeFrancisco and Assembly Member Bill Magnarelli. Presumably, they are expected to affirm SEIU's position that Community General Hospital's combination with Upstate is "rushed" and "badly-flawed."

Actually, the combination has been very carefully planned. Upstate has gone to great lengths to assure that vital patient services remain at Community General's campus, and it is taking steps to broaden and deepen patient care here.

Upstate intends to employ most of Community's workforce, and it has made special efforts to transition Community General's employees. The State Legislature even passed a special law allowing Community's employees the option of remaining in Community's pension plan after they join Upstate.

Some people who got the post card told me they called the legislators' offices but with a message the opposite of what SEIU intended. "I support the Upstate plan," one of them told me this week in the cafeteria, "and that's what I told them."

SEIU's post cards do not state the real reason for its opposition. The real reason is that most Community General employees would become public employees. That means they would join the public unions, and SEIU would lose the membership.

SEIU stands pretty much alone in its opposition. The Upstate-Community plan has widespread support.

Elected officials have already endorsed the plan in letters to the Department of Health:

State Senator John DeFrancisco: "I write you in full support of Community General Hospital’s application. . . . (as) essential for continued available services, and assuring uninterrupted employment . . . and providing high levels of care to patients.” (February 22, 2011)

State Senator Dave Valesky: “I believe the merger of the two entities is critical for the continuation of quality health care in Central New York and will benefit the entire region.” (March 21, 2011)

Assembly Member Bill Magnarelli
It is my belief that Upstate Medical University’s acquisition of Community General Hospital is the most reasonable approach . . .and is in the best interest of the community-at-large.” (May 5, 2011)

A number of community health planning organizations have also endorsed the Community-Upstate plan. They are:

▪ Hospital Executive Council
▪ Crouse Hospital/ University Hospital Affiliation Council
▪ Community Health Information Planning Service,and
▪ Central New York Health Systems Agency.

Why 1199SEIU is worried

A recent letter writer to the Post-Standard suggested that Community General’s plans with Upstate University Hospital are somehow part of an “attack” on workers’ rights.

The writer said: “At a time when the rights of workers are under attack, it is important for people concerned with social justice to speak out when management and policy makers display insensitivity to process for the resolution of labor concerns. Such appears to be the case in the plans for the acquisition of Community General Hospital by Upstate Medical University.”

But the letter writer misunderstood what is happening at Community General. When Community becomes part of Upstate University Hospital, employees will continue to be represented by unions.

This is not a question of union vs. non-union. It is simply an issue of how Upstate structures its operations in a way that maximizes community benefit, fosters its mission, and preserves the most jobs for Community employees.

This week 1199SEIU held a rally in downtown Syracuse at which critical comments were made about Upstate for its approach in working to preserve the employment of Community workers. I would think that’s exactly what a union should be working for. But 1199SEIU cannot guarantee anyone's future without a job.

It is Upstate that offers Community workers continued jobs at the Community campus as part of the larger health care system.

To understand what’s behind 1199SEIU’s concerns, look at what’s happening.

In 2009 A.L. Lee Memorial Hospital (with over 200 employees) closed in nearby Fulton, NY. 1199 had a labor contract with Lee Memorial. The former hospital is now an urgent care center operated by Oswego Hospital.

This year Community General (with 1,100 employees) will become part of SUNY Upstate Medical University. 1199 represents about 800 of Community’s workers.

In our region at least two other hospitals with 1199 labor contracts also contemplating mergers with larger hospitals.

No wonder 1199SEIU is worried.

When I was asked about the rally and some of the statements made by 1199SEIU, I told reporter Jim Mulder: “As a business, 1199 is understandably worried about maintaining its client base.”

Jim's news report on the rally was published yesterday.

"The changes we're facing . . . '

Earlier this week the Post-Standard published a letter to the editor from three nurses who work in the ICU at Community General Hospital.

Their letter noted that, among the public comments on Upstate's acquisition of Community, many have been by representatives of a labor union.

Most employees, said the writers, "understand that. . . the changes we’re facing are in the best interest of our patients, the community and the employees."

Despite some unanswered questions, they acknowledged "the management teams of both CGH and Upstate . . . have shown a good faith effort in keeping everybody informed."

These nurses have worked at Community between eight and 21 years, each. I thank them for taking the time to voice their opinion.

From the Board Chairman

This letter from Steven Infanti, Sr., appears today in the Post-Standard.

Much has been written about Upstate Medical University’s planned acquisition of Community General Hospital. This combination will have significant benefits for our community and our region.

Health care is changing — not gradually, but rapidly. Cost pressures, changes in physician practices and progressive changes in Medicare and Medicaid all make it increasingly difficult for smaller, stand-alone hospitals to continue their services.

However, there also exist opportunities for doctors and hospitals to work together in new ways and in new structures to improve health care services and quality.

As part of Upstate, Community General Hospital will be in a larger, better positioned health care system. Upstate has a regional mission, one that becomes more important as health care reforms are realized. Today, Upstate is operating at essentially full capacity, and it needs to expand.

Community General Hospital has available capacity, and it brings to the table a strong reputation, a history of service and a 42-acre health care campus in which our community has already invested.

Upstate’s acquisition of Community General will make the best use of existing health care resources and will provide a cost-effective means for Upstate to grow clinical services and develop its teaching role.

Together the combination will be more than the sum of its parts.

● It solves two problems with one cost-effective stroke. Upstate’s capacity limitations will be solved and increased patient volume at Community General will improve overall financial performance.

● The cost of services at Community General’s campus will be spread over a larger base of operations. This will, over time, achieve efficiencies not possible as a stand-alone hospital.

● Community General’s 1,100 employees will be maintained substantially intact, preserving jobs and providing Upstate with a skilled workforce, already in place.

● Changes in Upstate’s medical staff bylaws accommodate the private medical practices that depend upon, and support, Community General Hospital. And Upstate’s stronger clinical platform will broaden specialty services for patients using the Community General campus.

● The Community General campus will maintain a broad complement of services, including emergency, acute care and outpatient care, continuing access for residents of its primary service area.

● This transaction is right for patients, for doctors and for employees. Most importantly, it is right for residents in and around Central New York.

Community’s board of directors has carefully planned this strategic affiliation. We have used independent consultants, and we have spent countless hours in study and consideration, including the examination of different scenarios about how best to serve the community.

Having analyzed the facts, we feel, unanimously, that the combination of Community General Hospital with Upstate Medical University is the right decision for Syracuse and Central New York.

-- Steven J. Infanti Sr. is chair of Community General Hospital’s board of directors.

Our new name will honor our past

When employees of General Hospital of Greater Syracuse joined the then-new Community Hospital in November 1964, the new hospital changed its name. It became Community-General Hospital of Greater Syracuse.

The name is used today without a hyphen, but the link to General Hospital was important for many. It recognized their association with a caring institution that served the community for 69 years.

Leonard Markert, Sr., a long-time community leader and a past director of Community General Hospital, once spoke earnestly to me about the linkage. "Don't forget," he said, "where we come from."

Upstate has talked about Community General's tradition of caring, even as our campus becomes part of SUNY Upstate University Hospital -- a single hospital with two campuses, as described in the Certificate of Need application.

Upstate has considered several versions of the Community General name. As we anticipate the closing of this transaction on or about July 1, the name "Upstate University Hospital at Community General" recognizes the new role of this campus, as well as "where we come from."

95% have applied

I am pleased to report that Upstate has received applications from more than 95% of those eligible to apply.

Thank you, all!

78% have applied so far

In the first 11 days of sign-up, 78% of Community General Hospital employees have made applications to SUNY Upstate Medical University.

The applications are a necessary step for employees to continue their jobs at the Community General hospital campus once Upstate completes its acquisition of Community in mid-year.

Benefit infomation sessions continue at Community for the next two weeks.

Upstate-Community provides economic boost

Syracuse is poised to build on this robust eds and meds economy, with an opportunity to create a powerhouse academic medical center through Upstate Medical University acquiring Community General Hospital.

So writes Dr. Wlliam Eimicke in today's Post-Standard. You can read the full op-ed article here.

"How excited I am . . . "

Yesterday, the Human Resources staff from Upstate University Hospital began a series of 24 meetings at Community General during April.

They are explaining the Upstate benefits and answering questions about working for Upstate. I attended the first two sessions yesterday and found the Upstate people friendly and very capable. My Community colleagues were engaged and asked good questions.

This morning, one of the employees who attended yesterday’s sessions wrote me:

My e-mail is to state just how excited I am for this new venture for me and to be part of such a large cutting edge Facility with many many opportunities for the staff at CGH.

I moved here . . . (from out-of-state) and worked in a hospital that was purchased four times. None of the owners were really interested in the hospital staff or took the time that Upstate has taken to keep the CGH staff informed.

I very much advocate for this venture and share my opinion as often as opportunity has risen . . .

The advantages Upstate brings to Community are becoming clearer day by day.