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7
TOTAL QUALITY IMPROVEMENT
Section 1 Introduction
A. Both parties recognize the importance of a strong commitment
to a comprehensive Total Quality Improvement (TQI) program in the Department.
Service to the veteran is the cornerstone of the relationship between
the Department and employees.
B. Both parties agree that a successful Total Quality
Improvement (TQI) program must empower all employees to fully participate
in the development and implementation of Department programs and process.
Management recognizes the Union as the exclusive bargaining unit representative
in implementing this cultural change. Participation of bargaining unit
employees in the TQI program is a matter left to the discretion of the
Union in its role on the facility Quality Council.
Section 2 General
A. The term Total Quality Improvement (TQI) is
representative of all quality programs initiated by the Department
(i.e., Total Quality Management (TQM), TQI, Process Action Teams).
B. Both parties agree that the commitment of the local
facility Director and Union President is critical for success of the TQI
program.
C. Union representative participation shall be considered
duty hours without the need to use official time.
D. It is recognized that the TQI process is a journey
and that all levels of management and union are responsible for successful
implementation of the program. Therefore, the parties should strive for
open communication, developing teamwork, sharing of information, integration
and acceptance of the Union/Management role, reduced paperwork, improved
work processes, etc.
E. Both parties recognize that an effective TQI program
is critical to a successful Joint Commission for the Accreditation of Healthcare
Organizations (JCAHO) survey. It is in the interest of both parties that
there be a sharing and communication of information regarding JCAHO requirements,
processes, and results.
Section 3 TQI Charter
The following is the TQI Charter of April 15, 1994, agreed to by the parties after a significant and dedicated effort:
VA QUALITY COUNCIL
CHARTER FOR
TOTAL QUALITY IMPROVEMENT
I. PURPOSE
This charter establishes a National Quality Council (NQC)
and quality councils throughout the Department of Veterans Affairs (VA).
Members of the Councils will demonstrate continuing commitment to the principles
and practices of Total Quality Improvement (TQI) both as Council members
and as participants in their respective organizations.
II. SCOPE
A. This charter applies to VA facilities where
management has determined to implement TQI.
B. Both VA management and the AFGE National VA Council
(NVAC) mutually agree that the scope of the TQI agreement will be limited
to process related issues as covered by this charter. The Councils/Teams
will not establish projects which are matters solely and properly subject
to collective bargaining, matters currently covered by the Master Agreement,
and individual/employee grievances and problems or other appeals/complaints
processes as projects. The AFGE NVAC will communicate this requirement
to their locally appointed TQI representatives. VA management will similarly
communicate this requirement to its managers.
C. Neither the union nor management waives the right to bargain over TQIdeveloped recommendations which would otherwise be bargainable, nor do they waive any other legal, contractual, or past practice right.
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D. The union does not give up its rights to pursue bargaining
on any subject by participation in TQI. All rights to bargain are actively
and affirmatively retained.
E. Management and the union recognize that, in order for
TQI to be a successful tool in problem solving, a departure from the Federal
Labor Management Relations Statute may be made in such areas as management's
and union's rights and the negotiability of subjects.
F. No bargaining unit employees will be coerced or intimidated
into participating in Quality Improvement Teams (QITs). Participation in
the process is entirely voluntary.
G. Union and management will recognize each other as legitimate
customers in their everyday dealings with each other.
III. GENERAL ROLES OF VA and AFGE
VA and the NVAC serve as champions of TQI throughout the
organization. The NQC, Facility Councils, and component management will
provide an environment that supports employee involvement, contribution,
teamwork, and a positive atmosphere of trust/respect between management
and employees.
IV. QUALITY COUNCILS GENERAL
A. Purpose All QCs will foster TQI by providing
visible leadership and encouragement through TQI techniques, by encouraging
subordinate managers and employees to use TQI techniques, and by encouraging
the integration of TQI with management support systems such as strategic
planning, performance management, and awards and recognition.
B. Organization and membership The union may, at
their discretion, select a number of employees equal to management's selections
to serve on the Councils. There must be present at least one person from
both management and union. In the event multiple unions participate in
the program, the total number of union members on a council shall not exceed
that of management and AFGE shall determine the union membership mix. All
members will make every effort to attend the meetings. All quality council
members must have had TQI awareness training. The union and management
will endeavor to select employees who they feel best represent the various
components of the organizational entity.
V. THE NATIONAL QUALITY COUNCIL
A. Purpose
1. Serves as the model for VA's TQI effort,
2. Provides leadership to foster TQI within VA, and
3. Supports the integration of TQI in the day-to-day operations
of VA.
B. Membership
1. The NQC shall include up to 4 representatives each
of both management and the NVAC, each with an equal voice. The NVAC President
will make the selection of bargaining unit employees.
2. Each member of the Council will normally serve a minimum
of 18 months. The Council will be co-chaired by the union and management.
C. Function
The NQC fosters implementation of TQI by:
1. Examining the National TQI Mission Statement and promoting
the goals and principles established in it;
2. As necessary, establishing crossfunctional and
other projects designed to foster TQI throughout VA;
3. Providing assistance and support to other Councils;
4. Reviewing positive/negative TQI experiences from specific
facilities as presented by National Council Members;
5. Establishing guidance, procedures, and format for implementing
quality improvement projects at the NQC level:
6. Developing, or having developed, a system for facilities
to access quality improvement projects; and
7. Operating under the rules and procedures specified
in Appendix A.
VI. REGIONAL/AREA COUNCILS
Regional/Area Councils may be established at management's
discretion. If such councils are established they shall comply with the
guidelines for facility councils and/or national councils as appropriate.
VII. FACILITY QUALITY COUNCILS
A. Where practicable, based upon the size of the activity,
each activity will establish a Facility Quality Council (FQC). Each
FQC will operate under a charter which includes at a minimum a statement
of purpose, organization, membership, responsibilities, and functions.
This National/Local TQI agreement is not covered by E. O. 12871. However,
if the parties mutually agree, they may combine the functions of the FQC
and facility partnership council into one partnership council, otherwise
they will have two separate councils.
B. Membership The membership shall be personnel
who work at the facility. Each council will have a chairperson selected
by consensus of the membership. The chair may be rotated periodically.
C. Service/Division Quality Councils (S/DQCs) may be established
at the discretion of the FQC. The membership shall be personnel who work
in the respective service/division.
D. Responsibilities
1. Promote TQI goals and principles,
2. Identify quality improvement opportunities,
3. Ensure all Council members are appropriately trained
in the TQI process, and
4. Recognize participation and accomplishments in the
TQI process.
E. Procedures
1. Each QC will establish its own operating procedures,
deciding such issues as frequency of meetings, communication processes,
and membership tenure. All QCs have the option to invite additional people
to their meetings when the need for additional expertise arises. All QCs
will make decisions based on consensus.
2. QCs are encouraged to use an experienced facilitator
for conducting Council meetings for the first year.
3. All quality council meetings will be conducted during
normal duty hours with the following exception: meetings may be held during
normal/regular lunch or break periods with consensus of the council or
team. Any overtime related to Quality Council work will be paid in accordance
with governing directives and law. Union representative participation shall
be considered duty Hours without the need to use official time.
4. Quality Councils sponsor QIT activities. The Councils:
a. Determine the scope of processes to be examined (e.g.,
is it a local or cross-component issue?);
b. Prioritize and select processes for team action in
their scope of authority (office staffing needs and workloads will necessarily
be considered in making these decisions);
c. Solicit volunteers and select team members, based on
the particular skills and expertise needed by the team;
d. Monitor and support teams and individuals working on
quality efforts, including obtaining or providing necessary training;
e. Obtain periodic reports from active teams; and
f. Obtain administrative support as necessary.
5. QCs receive recommendations from the QITs they have
sponsored. They:
a. Review all recommendations from their teams;
b. Determine whether each recommendation is within their
scope of authority to implement; and
c. Determine whether a recommendation should be referred
to a higher level within the facility because of scope.
6. Implementation of recommendation from QITs will
be handled as follows:
a. The S/DQCs will recommend to appropriate management
quality improvement changes which can be implemented at the local level.
b. When practicable based upon the size of the facility,
the FQC will receive recommendations from QITs they have sponsored and
from the S/DQCs. The FQC will recommend to the appropriate senior management
official those quality improvement changes that can be implemented at the
Facility level.
c. The QIT recommendations may be adopted and implemented,
returned to a QIT for reconsideration, or rejected. On a timely
basis, reconsidered or rejected recommendations will be accompanied by
a clear, reasoned explanation to the QIT.
d. Quality councils at the facility can approve projects
within their scope and authority for QIT consideration. Projects involving
crossfunctional areas must be approved by the appropriate quality
council. (national, facility, or service/division).
VIII. QUALITY IMPROVEMENT TEAMS
A. PURPOSE
The purpose of QITs is to conduct quality improvement
projects which will result in improved VA operations.
B. SCOPE OF PROJECTS
1. The Sponsoring Council will define the purpose and
scope of each quality improvement project.
2. TQI initiatives will not focus on or result in loss
of grades pay, or bargaining unit positions (i.e. reduction in staffing).
C. MEMBERSHIP
1. QIT members will be appointed by the appropriate Quality
Council and may be drawn from employees in a VA component and representatives
of outside groups, such as VA customers and partners who are closely associated
with a particular process. The union may, at its discretion, designate
a representative to fully participate as a member on each QIT without the
need to use official time. The union representative will be appointed at
the same time as other members of the QIT.
2. Employee participation in TQI is voluntary. Employees
may resign from the team at any time by notifying a Team Leader in writing.
Employees will be fully informed concerning TQI objectives and processes
before their participation is requested. Employees will not be disadvantaged
if they choose not to volunteer to serve on a team
3. Prior to serving on a team, employees will be trained
on TQI techniques.
D. TEAM LEADERS
1. Are selected by the QIT, or QC;
2. May be any member of the team; and
3. Are responsible for calling meetings, communicating
resource needs (e.g., personnel, training, funding, and equipment) and
keeping the Council informed.
E. TEAM FACILITATORS
Team facilitators will be chosen by the Sponsoring QC
and should be from outside the team. The facilitator must be trained in
TQI problem solving methods and group dynamics. The facilitator may help
in selecting and using problemsolving tools, train members of the
team in their use, and help guide discussions.
F. UNION PARTICIPATION AND OFFICIAL TIME
1. The union has the right to be present at all QIT Meetings.
The union will determine who the representative will be at the team meetings,
and in the event that he/she cannot be released from duty, the union may
designate another representative or request the meeting be postponed until
they are available.
2. The union will be provided the same advance notice
of meetings that team members receive. Official time to attend such meetings,
not to exceed a total of 5 hours week/facility, shall be in addition to
any official time presently allowed by local agreements.
G. PROCEDURES
1. Descriptions of improvement projects will be accessible
to all facilities and QITs via computer, where practicable, based upon
the size of the facility.
2. All QIT meetings will be conducted during normal duty
hours with the following exception: meetings may be held during normal/regular
lunch or break periods with consensus of the team. Any overtime related
to QIT work will be paid in accordance with governing directives and law.
Union representative participation shall be considered duty hours
without the need to use official time.
3. Quality improvement projects will be selected by
Quality Councils and/or QITs. When a QIT has selected a quality improvement
project, the project will be submitted to the Quality Council for approval.
Each QIT member will be trained in TQI techniques and will apply those
techniques towards the successful completion of the improvement project(s)
on which the team is working.
4. To the extent possible, teams will receive the support
they need for projects. Projects not self-generated will be defined and
presented to the team. Team members who happen to be Union representatives
will serve on the team as employees, not as the Union's representative.
5. QIT meetings are to be scheduled on a regular basis.
Management will make every effort to insure that bargaining unit team members
are released from normal duties to attend meetings.
6. The Sponsoring Council and/or management are responsible,
to the extent possible, for providing teams access to data, staff, and
contractors and with resources (training, travel funds, equipment, office
supplies, facilities, time, etc.) necessary to carry out the quality improvement
project.
H. PERFORMANCE APPRAISALS
No adverse inference will be made in performance appraisals
for professionally expressed opinions or positions taken on QIT issues
by employees serving on QITs, or by employees not serving on QITs. Time
spent performing QIT activities will not be evaluated in relation to performance
standards of the employees' regular positions.
I. AWARDS
Any awards provided to TQI teams will be group awards
Monetary awards for employees not participating on TQI teams will not be
adversely affected due to nonparticipation.
IX. TRAINING
A. Every effort will be made to provide TQI awareness
training to all employees. The union's on-site representatives located
in each local facility will be trained at the same time as other bargaining
unit employees in the facility. If multiple sessions are required, the
union representative will be offered attendance in the first session
held at his/her facility.
B. VA management agrees to provide facilitator training
courses for those employees selected to serve as facilitators.
C. Management and union/bargaining unit employees will
receive training appropriate to their TQI task or responsibility.
X. COMMUNICATION/PUBLIC RELATIONS
A. All existing "Mission Statements" will be
jointly examined by the appropriate Quality Council with changes
made as necessary. All new "Mission Statements" will be jointly
developed by the appropriate Quality Council.
B. All TQI publications, memoranda, circulars, directives,
etc., unique to AFGE will be identified by both the official VA and union
logos.
XI MANAGEMENT RESPONSIBILITIES
A. Local Management
1. Local management will reimburse employee authorized
travel and other authorized expenses related to TQI training and Council/Team
participation.
2. The impact of TQI Council/Team meetings and workload/tasking
will be recognized by supervisors as valid work and appropriate/necessary
adjustments will be made to employees' normal work loads, concerning due
date extensions, workload counts, and deadlines.
B. Central Office (CO) management will provide administrative
support to the NQC. Specifically, CO will:
1. Provide overall staff support to the NQC.
2 Record, disseminate and modify/amend the minutes of
all meetings of the NQC.
3. Compile, distribute, and maintain a TQI bibliography.
Share expertise in the quality field with the Facility Councils.
4. Maintain an inventory of TQI courses and serve as liaison
with the training coordinators of the Department.
5. Support the NQC in issuing the newsletter and in other
communication efforts.
6. Provide support and assistance to quality councils,
as necessary.
XII. NOTICE
A. Any local TQI agreement(s) in conflict with
this charter will be superseded by this charter in those specific
areas where the conflict exists.
B. It is understood that TQI now exists at some facilities
and that it will require an expeditious transition period to implement
all features of this TQI national agreement. The transition period will
be no more than one hundred twenty (120) days from receipt of this program
at the local station or conclusion of local bargaining, whichever is later,
and less than one hundred twenty (120) days where possible.
The composition of QITs in existence prior to the effective
date of this agreement shall not be affected by this agreement. Each facility
will notify the local union of the QITs in existence prior to the effective
date of this agreement.
C. It is recognized by both parties that TQI projects
are initiated at all levels. VA management must pay special attention to
its obligation to provide union notification before implementation of QIT
recommendations where appropriate. VA management will closely monitor TQI
activities at all levels to assure that managers do not bypass the union.
XIII. DURATION
Both the union and management recognize that to achieve
cultural transformation, many changes in the operating process have to
occur; therefore, either party may give written notice to reopen this charter
30 to 60 calendar days prior to the first annual anniversary of this charter.
The request for renegotiating the provision(s) of this charter shall be
in writing and submitted 30 days prior to beginning the negotiations. If
reopened, all provisions of this charter shall remain in effect until conclusion
of negotiations unless otherwise mutually agreed. Participation by an individual
employee in the TQI effort remains voluntary despite any opposing position
by management or the union.
Participation in the TQI effort remains voluntary. While
either party may withdraw from the agreement at any time after 1 year,
the parties are committed to utilizing TQI for 1 year from the conclusion
of their transition period or the establishment of a program. Both union
and management will consider withdrawal as the option of last resort only
after extensive discussion and consultation fail to resolve a problem.
The union maintains that participation in TQI is a union permissive right.
XIV. TRAINING
The Department will provide joint training to the parties
prior to implementation of the TQI Program at the facility. The parties
agree that the Department will provide the necessary resources and training
to ensure a successful program.
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COMMENTS/SUGGESTIONS TO: Larry Sullins [ email------sullins@mail.va.gov-----]