Memorandum of Understanding CRNA s
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1 DRAFT Target Audience: Nursing at Michigan Author/Contact: Mark Kempton Last reviewed: August 2017 Memorandum of Understanding CRNA s MNA / UMPNC and University of Michigan Agreement, 2012
2 Educational Sessions Monday, October 8 th - 2:00-3:00 p.m. Room 2C224UH Wednesday, October 10 th 2:00-3:00 p.m. Room B1C111UH
3 Agenda Background / Purpose Review of Changes OPPE OA / OT Exempt Hospital Business Days Planned Implementation / Next Steps Please hold Questions until the end of the presentation
4 Purpose The following presentation captures the outcome of joint discussions and areas of agreement Including areas of change The three agreements represent interpretive guidelines and do not reflect changes to our current UMPNC contract
5 This Agreement Represents a Joint Effort Negotiated By: John Armelagos Donna Carnahan Lisa Harrison Karen Holman Katie Oppenheim Wendy Rutter Jessica Savage Lora Gibbs Kathy Jordan Sedgeman Sheila Kellogg Mark Kempton Shawn Murphy Denise Weir Patricia Whitfield
6 Background Through our shared interest, we focused on: Clarifying implementation of OPPE Creating a consistent application of OA / OT for CRNA s in both UH & Mott Revising and clarifying guidelines for receiving hospital business (HB) Through this joint effort, working together, the following agreements were developed:
7 Article 4 Ongoing Professional Practice Evaluation Understanding and agreements reached Ongoing Professional Practice Evaluation (OPPE) Process is a separate & distinct process from Article 4 - Annual Evaluation All information relied upon in the Annual Evaluation process will be known in advance of the Annual Evaluation including information obtained through the OPPE
8 OPPE All CRNA s will receive education in Peer Review Only CRNA s educated in Peer Review will be allowed to participate in CRNA evaluation process At the option of the UMPNC member, investigations of CRNA performance will have UMPNC involvement
9 OPPE cont d Future exploration of different evaluation tools such as MIDAS Will include union representation
10 Article 15 Overtime Paragraph 150 Exempt Status Understanding and agreements reached: CRNA overtime will be calculated on a 28 day ANSOS schedule Any hours worked in the 28 day ANSOS period over an employee s appointment fraction will be paid at straight time monthly
11 Overtime / Over appointment Work time will be recorded on a daily basis and evaluated weekly Over appointment accrued during a week will not adversely affect CRNA s schedules in subsequent weeks Work Load Review Committees (Mott & UH) will determine certain cases known to require extra preparation time A start time earlier than 7:00 a.m. may be set for these cases
12 Overtime / Over appointment cont d It is understood certain cases/patients require work prior to 7:00 a.m. CRNAs arriving in advance of normal start time due to complex cases/patients, will have this time counted as work time Exception time (start time in advance of 7:00 a.m.) will be audited from time to time
13 Hospital Business Days Article 49 Understanding of agreements reached: CRNA s will receive not less than 5 hospital business days per year pro-rated to appointment fraction CRNA with pro-rated appointment fractions will receive no less than 3 days
14 Hospital Business Days cont d Days are equivalent to five, eight hour days There will be no requirement as to the number of CE s required for use of an HB day In other words, a Day is a Day No Hospital Business will be awarded on a day with no educational content For specialized circumstances, seek a conference with your Nurse Manager
15 Hospital Business Days cont d Professional development funds are applicable to programs meeting certification & recertification requirements Evidence of AANA CE credits must be presented to receive Hospital Business time & applicable professional development funds Travel time is implied
16 Hospital Business Days cont d Allowable Hospital Business time and professional development funds, if applicable, will be applied retroactively within the fiscal period to all college coursework, approved for AANA credit These guidelines shall be implemented retroactive to July 1, 2012
17 Time Reporting Examples Worked Under Appointment Paid for Full Schedule 13-May May May May May May May-12 Minus half hour IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT for lunch 7:00 15:20 7:00 21:35 6:40 21:30 LSC Weekly Total X 20-May May May May May May May-12 IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT 7:00 14:45 6:40 15:35 7:00 23:00 7:00 14:50 LSC Weekly Total X 27-May May May May May-12 1-Jun-12 2-Jun-12 IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT 7:00 14:40 7:00 14:50 7:00 23:05 7:00 15:10 KEC LSC Weekly Total Jun-12 4-Jun-12 5-Jun-12 6-Jun-12 7-Jun-12 8-Jun-12 9-Jun-12 IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT 6:30 15:20 7:00 15:00 7:00 23:05 7:00 15:00 LSC Weekly Total X Total hours without lunch excluded Total hours worked 150.8
18 Time Reporting Examples Worked Over Appointment No Resulting Overtime 13-May May May May May May May-12 Minus half hour IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT for lunch 7:00 15:20 7:00 21:35 6:40 21:30 LSC Weekly Total X 20-May May May May May May May-12 IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT 7:00 16:00 6:40 15:35 7:00 23:59 7:00 15:30 LSC Weekly Total X 27-May May May May May-12 1-Jun-12 2-Jun-12 IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT 7:00 14:40 7:00 14:50 7:00 23:05 7:00 15:10 KEC LSC Weekly Total Jun-12 4-Jun-12 5-Jun-12 6-Jun-12 7-Jun-12 8-Jun-12 9-Jun-12 IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT 6:30 15:20 7:00 15:00 7:00 23:05 7:00 15:00 LSC Weekly Total X Total hours without lunch excluded Total hours worked 153.7
19 Time Reporting Examples Worked Over Appointment Accrued Overtime 13-May May May May May May May-12 Minus half hour IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT for lunch 7:00 15:30 7:00 23:30 6:40 23:30 LSC Weekly Total OA X 20-May May May May May May May-12 IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT 7:00 16:00 6:40 15:35 7:00 23:59 7:00 15:30 LSC Weekly Total OA X 27-May May May May May-12 1-Jun-12 2-Jun-12 IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT 7:00 15:30 7:00 15:30 7:00 23:30 7:00 15:30 KEC LSC Weekly Total Jun-12 4-Jun-12 5-Jun-12 6-Jun-12 7-Jun-12 8-Jun-12 9-Jun-12 IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT 6:30 15:20 7:00 15:00 7:00 23:05 7:00 15:00 LSC Weekly Total X Total hours without lunch excluded OA pay Total hours of 0.4 worked hours
20 As noted, Implementation Hospital Business Days will be implemented retroactive to July 1, 2012 Future information will be forthcoming regarding Peer Review Training A duplicate educational session will be held: Wednesday, October 8th 2:00-3:00 p.m. Room 2C224UH
21 Questions / Answers
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