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Exhibit B – Patient Experience Incentive Program

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Patient Experience  Incentive Program

March 25, 2014

Anne Goldman Vice President Federation of Nurses/UFT 52 Broadway, 5th Floor New York, New York 10004

Dear Ms. Goldman:

Recognizing the importance of patient experience and other quality initiatives to the Hospital’s success, and to acknowledge the Employees’ contributions to improving the level of service provided to patients based on the patients’ assessment of those services, the Employer will offer Registered Nurses a pilot incentive program based on agreed upon measures to establish a positive correlation between Employees’ compensation and survey results (the “Pilot Patient Experience Incentive Program”).  The terms and conditions of the Pilot Patient Experience Incentive Program shall be as follows:

  1. All full-time and part-time Registered Nurses, except per diem Registered Nurses, shall participate in the Pilot Patient Experience Incentive Program, subject to the eligibility requirements in paragraph 6 below.
  2. The selected measures shall be the Press Ganey and/or other agreed upon metrics.
  3. The threshold and goal scores shall be determined by the Employer for the period August 1 to July 31 (the “Patient Experience Assessment Period”) of each year.  Such scores shall be provided to the Union by August 31 of each year of this Agreement.  The “goal” represents a predetermined target for improvement from the score for the prior 12-month period, and  the “threshold” represents a predetermined incremental improvement in that score for the same period.
  4. Eligible full-time Registered Nurse shall receive either a bonus of five hundred dollars ($500) or three hundred seventy-five dollars ($375) for achieving the designated goal or threshold scores, respectively.  Bonus awards for eligible part-time Registered Nurses will be pro-rated based on their Full Time Equivalent standard hours.  Bonus awards will also be pro-rated for Registered Nurses who are hired during the Patient Experience Assessment Period based on the proportion of the Patient Experience Assessment Period for which they were employed.
  5. Bonus awards shall be payable by December 31 of the year in which they are earned, reduced by applicable withholding taxes and other deductions required by law, provided the Registered Nurse is employed by Employer at the time of payment and has worked at the Hospital for a minimum of six (6) months.  The bonus awards will not be included in gross payroll for purposes of calculating contributions to any employee benefit fund. 
  6. To be eligible for a bonus award under the Pilot Patient Experience Incentive Program, a Registered Nurse must: (i) be employed by Employer at the time of payment; (ii) have worked at the hospital on a full-time and/or part-time basis for a minimum of six (6) months during the Patient Experience Assessment Period; and (iii) maintain his/her full-time or part-time status as of the last day of the Patient Experience Assessment Period.
  7. Neither the determination of the Employer’s scores nor the determination whether those scores were achieved shall be subject to the grievance procedure or arbitration, or contested in any forum by the Union or any Registered Nurse.
  8. Registered Nurses shall not be subject to disciplinary action solely for failing to attain the goal or threshold scores.
  9. The parties agree to establish a joint Union and Management committee to discuss implementation of the Patient Experience Pilot Incentive Program, including such issues as to whether the scores will be measured on a unit-by-unit or Hospital-wide basis and recommended actions to improve patient experience.  The committee will commence meeting no later than thirty (30) days following ratification of this Agreement.  The Employer and UFT will designate committee members to participate in developing and implementing an agreed upon plan for each year of the Patient Experience Pilot Incentive Program.
  10. The Employer and Union understand and agree that the Pilot Patient Experience Incentive Program shall continue only through the term of this Agreement.  During the 30-day period prior to the expiration of this Agreement, the Employer shall review the effectiveness of the Pilot Patient Experience Incentive Program in improving patients’ perceptions of the quality of services at the Hospital and shall negotiate with the Union whether the Pilot Patient Experience Incentive Program shall be:
    1. discontinued; or
    2. extended for a designated period of time; or
    3. made permanent; or
    4. modified in whole or in part.

Sincerely,

Margaret DiAlto
Regional Chief HR Officer – Western Region