Unionized Nurses Face Tough Talks; amid Pressure on Health Costs, Nurses at SLU and Des Peres Hospitals Seek Better Pay, Conditions

By Doyle, Jim | St Louis Post-Dispatch (MO), August 12, 2012 | Go to article overview

Unionized Nurses Face Tough Talks; amid Pressure on Health Costs, Nurses at SLU and Des Peres Hospitals Seek Better Pay, Conditions


Doyle, Jim, St Louis Post-Dispatch (MO)


Health care is among the few sectors of the national economy where unionization is actually increasing. One local sign: nurses at St. Louis University Hospital and Des Peres Hospital recently pulled off rare votes to organize workers at local health institutions.

Collective bargaining talks have begun, and they may not be easy. Nurses want not only increased pay and benefits, but also improved staffing ratios they say will enhance the quality of patient care.

"We expect the tenor of the discussions to be professional as nurses put forward their proposals for improvement to patient care," said Andrew Prediletto, principal negotiator for the nurses at SLU Hospital. "We hope to reach agreement as soon as possible, but there is no set timetable."

The votes came against a backdrop of setbacks for unionization efforts at local hospitals in recent years. Nurses at Mercy Hospital St. Louis in Creve Coeur voted to decertify their union affiliation in 2007. Nurses at St. Louis Children's Hospital voted down an attempt to unionize in 2003.

SLU Hospital nurses voted by a 3-to-1 ratio in early June to join the National Nurses Organizing Committee-Missouri, an affiliate of the 175,000 member National Nurses United, the nation's largest union and professional association of registered nurses. Des Peres Hospital nurses voted by a 2-to-1 ratio three weeks later to unionize.

The bargaining agent will represent about 600 registered nurses at SLU and 250 nurses at Des Peres Hospital.

"Nurses see this process as an opportunity to make improvements in staffing," said Prediletto, whose union is headquartered in suburban Washington. "We anticipate discussing an improvement of wages benefits and working conditions ... We've had meetings at both hospitals, and we've issued proposals."

Phillip Sowa, the chief executive of SLU Hospital, said in a written statement that additional days of bargaining are being scheduled for the coming months. "We will continue to negotiate with them in good faith," he said, "and we remain focused on our ultimate goal of providing high-quality health care to this community."

The hospital maintains that it offers competitive wages and benefits, and that its management promotes a positive work environment.

Walter Kopp, an independent hospital consultant based in San Anselmo, Calif., said the nurses union likely will face tough talks.

"There are huge cuts coming for hospitals with health care reform. The revenue for hospitals is going to drop dramatically as unnecessary care is dropped," Kopp said. "That's going to be the background of these negotiations."

With less money, Kopp said, "these hospitals will be really reluctant to tie themselves into expensive benefit contracts."

Both hospitals are owned by Dallas-based Tenet Healthcare Corp., a for-profit national chain of hospitals that has struggled financially in recent years.

Several hundred technicians, janitors and food workers at SLU Hospital and Des Peres Hospital have also voted to join SEIU Healthcare, a union representing service workers. SEIU and National Nurses United have worked together for the past couple of years to recruit more workers in various parts of the country.

Prediletto said the nurses union's successes include a contract settlement in March with six Tenet-owned hospitals in California "to achieve many of the improvements that nurses across the country are looking to see. …

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Unionized Nurses Face Tough Talks; amid Pressure on Health Costs, Nurses at SLU and Des Peres Hospitals Seek Better Pay, Conditions
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