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UW/SEIU 1199 Contract (Effective 7/1/13 - 6/30/15)
Memoranda of Understanding


Harborview Medical Center and SEIU Healthcare 1199NW agree that employees should be able to take uninterrupted meal and rest breaks to minimize fatigue and its effects on patient safety and quality of care. It is recognized that there is a mutual and shared commitment to uninterrupted breaks: the medical center is responsible for creating a work environment in which employees are able and encouraged to take uninterrupted breaks and, in the context of such a work environment, employees are responsible for taking such breaks. Employees shall notify their supervisor or designee if the employee was not able to take their break.

Tracking Meal and Rest Breaks

The medical center will collect data on meal and rest breaks, via KRONOS confirmation, that are not taken in each department/unit and shift and report to the Joint Labor Management Committee.

When problems or concerns are identified, the Joint Labor Management Committee will collect additional information from employees, management, and other relevant sources to identify possible solutions.


Harborview Medical Center and SEIU Healthcare 1199NW recognize that addressing medical errors is necessary to providing safe, quality patient care.

To create a safe environment of reporting errors, events need to be reviewed to determine mitigating factors with the goal of preventing another similar occurrence.

The review must be completed before a disciplinary or corrective action occurs.


HMC commits to meet with HCS JLM members on a monthly basis if requested by either party. Topics for discussion would include CEU, annual performance evaluations, credentialing, workload and staffing, and developing a better recognition of the role of HCS as providers at HMC. An additional goal is to discuss and participate in the development of an appropriate HCS advocate and administrative liaison with HMC.


Clinic social work staffing will be discussed at joint labor-management meetings.


Harborview Medical Center (HMC) fully subscribes to the importance of nurses receiving their breaks as an important element in the overall patient experience and commits to a plan to achieve rest and meal breaks of RNs. HMC proposes to conduct a six month trial project related to meals and rest breaks on two acute care units by assigning six RNs to dedicated break relief. The RNs who are assigned to the break relief position will not have a permanent patient assignment. The RN will relieve the RNs with permanent patient assignments for rest and meal breaks.

The HMC Nurse Staffing Committee will design, conduct and evaluate the pilot using a process improvement model with the support of the Nurse Scientist in-residence to answer the question: "is the assignment of a dedicated break RN the most effective method for RNs to have rest and meal breaks?" The Committee will meet within 30 days of contract ratification to begin planning the pilot. The Committee will select the two acute care units that will participate in the pilot.


The University of Washington agrees to pursue the classification study process for the following job classifications:

This study will be undertaken irrespective of the outcome of the master collective bargaining agreement. Targeted completion date: October 1, 2013. Health Care Specialists will receive no less than a two percent (2%) adjustment at this time.

This MOU will remain in effect for the duration of the 2013-2015 CBA (07/01/2013-06/30/2015).


Harborview Medical Center and SEIU Healthcare 1199NW recognize that adequate staffing is a necessary component to providing safe, quality care. In recognition of our common interest in safe patient staffing, HMC confirms its commitment to staffing consistent with such nurse staffing plans (matrices) as approved by the staffing committee process, provided however, that in the event of a prolonged or ongoing and significant increase or decrease in patient census, adjustment to staffing may be required.